HomeMy WebLinkAboutZ-30002FORM NO. ,¢
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspecsor
Town Mall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 3'000~
Date: 02/05/04
THIS ~ERTIFIES that the building DWELLING (aka 228 Knapp Place)
LocatiOn of Property ~55 KNAPP PL GREENPORT
HOUSE NO.) (STREET) (HAMLET)
County Ta~Map No. 473889 ~ectiou 034 Block 0002 Lot 014
subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE F~4ILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 30002 dated FEBRUARY 5, 2004
was issued, ~nd conforms to all of the requiremenus of the applicable
provisions of the law. Zhe occupancy for which this certificate is
issued is ONE FAMILY DWELLING.~
· "~e certificate is issued to ROBERT P STARON & ORS.
OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTE APPROVAL
ELECTRIfiA5 CERTIFICATE NO.
PLUMBER~ CERTIFICATION
~PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Rev. 1/81
(aka 228 Knapp ?lace)
BUILDING DEPARTMENT
DDW~ OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
GREENPONT
MA~ NO.: LOT (S)
DWELL/=NO:
TYPE OF CONST~UCTIOI~: WOOD
FOO~ATION: CONCRETE BLOCK & CLAY BLOCK
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TIqPR CONST,:
VIOLATIONS: CHAPTER ~5 E.Y. STATE UNIFOtL~ FIRE PREVENTION & BUILDING CODE
50CATION DESCRIPTION ART. SEC.
DATE ON INSPECTION: 01/27/0~
TI~ START: 9:303MM END: 10:45A~
~ Form No. 6
TOWN OF SOUTHOLD ., j--~
BUILDING DEPARTMENT l~t.~ ., ]f-.,..~q~
TOWN HALL "~' , t~
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANC/Y L- '~
This application must be filled in by typewriter or ink and submitted to the Building Depa%tm~~l]~:~ '~
A. For new building or new use: [. Final survey of proper[y with accurate location of all bu/ldings, property lines, streets, and unusual nataral or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. S:wo~s,ra~e~t fi-om plumber certifying that the solder used in system comains less than Zq0 of I% lead.
5. Cemmerci31 txfiSdi~g,"';'~ indnstrlal building, multiple residences and similar buildings and installations, a certificate
of Cocr¢. C~m, pl~a~cd from architect or engineer responsible for the building.
6. Sa~t Plarmi~g Boa~d Approval of completed site plan requirements.
.or existing bgildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly c. pmp~e;ed application and consent to inspect sig~ed by the applicagt, lf.a Certificate of Occupancy ts
denied, the Building Inspector shall state the reasons therefor in wrking to the~applicant.
C. Fees
1 Certificate of Occupancy - New dwelling $25.00, Additicis to dwelling $25.00, Alterations to dwelling $25.00,
Sw/mming pool $25.00, Accessory building $25.00, Additions ~o accessory building $25.00, Businesses $50.00.
G Certificate of Ocanpancy on Pre~existing Building -
$100.00
3. Copy of Certificate of Occupancy - $.25
4 Updated CertificateofOccupancy - $50.00
Temporary Certificme of Occupancy ~ Residential $15.00, Commercial $15.00
New Construction:
Location of Property: ~ ~
House No.
Owner or Owners of Property: &be~*-~,,
Suffolk County Tax Map No 1000, Section
Subdivision
Old or Pre-existing Building:
Street
[checkone)
Filed Map.
roe o PoRT
Hamlet
Lot IY
Lot:
Permit No. Date of Perm/t. Applicant:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: * 100.g~')
Final Certificate:
[check one)
CONSENT ro iNSPECTION
~)OIJcajp~ ~P ]~[~lJ~f~ S{ct,,cO%'L., the undersigned, do(es)hereby state:
Owner(s) Name(s) I
S , ~h.at the undersigned (is) ~) the own_er(s~) of the premises in the Town of
oumold, tocatedat ~.,~ l~Jhpfl D£1t-co t~ree~D~/"P-
which is shown and designated oh the Su~oll~ Coun-ty 4tX Map a(s Dist~ct r000,
Section ~/ ,Btocl~ ~,~ .Lot ]t~ .
That the undersigned (has) !have) filed, or cause to be filed, an application in the
Southold Town Building Inspector s Office fo; the following:
I
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and ail
buildings located thereon, to conduct such inspections as they ma~ deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with al} of the laws, ordinances, rules and regulations of the Town of Sonthold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, roles or
regulations of the Town of Southold.
Dated:
(Signature),
(Print Name)
(Signature)
(Print Name)
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONIST [ ] ROUGHPLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
/