HomeMy WebLinkAboutZ-30369FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP3L~TMENT
office of the Builcllng Inspector
Town Hall
Southold, N.Y_
PP~E EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 30369 Date: 08/17/04
T~IS CERTIFIES that the build/ng
Location of Property 67795 CR 48
(HOUSE NO.)
County Ta~ Map No. 473889 Section 033
Subd/vision
DWELLING
GREENPORT
{STREET) (~MLET)
Block 0003 Lot 017
Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FA/~ILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 30369 dated AUGUST 17, 2004
was issued, and conforms ~o all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING WITH ACCESSORY GA/~AGE & 2 ACCESSORY WOOD FRAME
BUILDINGS*
The certificate is issued to EDGAR V BURT
of 5he aforesaid building.
(OWlqER)
SUFFOLK COUNTSfDEPARTMENT OF~ALTHAPPRO%q%L
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION D/~£mU
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Rev. 1/81
GREE~PORT
EDGAR V BURT
ACCESSORY STRUCTURES:
· uUiLD1HO bEeAR~fl£~iT ~' ' ' '
: 765-LB02 { ~ ~
tfi~pe~o~ ~Lh LI~ ~u~io~thgt ,~Or he~ bu~ldin~ O~ ne~ U~e~ '
L~ Fln~ survey bE pru~k~L~ ~lt duedr~ka ~ed~to~ Of a~ buiLdIngs1 '
~-' 2i FA,iai Appro~dl 'gfOl~ llefiiLh bn~C~~ o~ ~aLer suppiy mid se~er~ge~disposni(s-9 16~)',;~
';1. less ihd//'2/10 d~ J~ l~d~. ~, - ' · - . -
;.,' 9~ "
I~F°r..~tlng. . b~d~ngaii ' ' (prior" t~ Apr~ 9t [957~ fion-couforming U~ ar butld~g~ nad
: [~ Accu.rdL6 s~ge~ ~ pfOp~y ~liu~iug ~1 propur~y Lines; sLreets, building n,d ~ .
un~sua.l ,dLur~l uf,~opo.gtapliid features{ . '- ..
2,' & p~dp.~ly 'co~ie['a~d applicatio~ ~i~d ~ conseTiL to inspea~ signed by' the nppltcm~L~
p cy ~ deliedl the Building lnspecLoc shall sL~Lo
'Fees ; ? ' '," '::'
AiternkionS. LO dwellin~ {2),00+ sui~ni.z pool $25,oo, Acc6ssory bul.idthg
4ddi~io.s"e~ accessory I,uildln~ ~25,0o, BOsin~ssea ~50~00~
2, Cd.rCi[iCate U~ Oc~dpaney bit Pre-exisLing Buiidi,ig - $[00;00
Ol,.dated Ce~Ei[icatd Oi Occ~nc~ - $50~00
Temporary G~rLi[iuot~ of Oec~paite~ - Res~deti~dl ~[5;oo~ co~erciaJ. ~15.0o
200~
~8 G~eenport
llous~ tlo~ SLte~L . ila~uu
~dgar V. Butt
' 033. O0 03.00
Cou,,ty ~x Hap tio loo0~
:~';' '=:reqa.~e for*' ~ - ~ .
f'd' '.,0 0 ' -:
~%Cd a30. ~ William H. Price; Oz. ''
CoNSI~N~ '
INSPI~CTION "
William'.H. Price, Jr., as agent for Deborah'B. Bauer,
_ of the Esta~te.of Edgar V. ~urt
Owner(s)
do(es) hereby
as Executor
the undersigned,
That the Undersigned {is) (arej [he owner(s) of fhe premises tn the Town
of Southald Ideated at_ 67795 Route 48, Greenport., Ne~] York
~ which ts shown and designated on {he Suffolk
Coul~ty tax map ay District 1000~ Sect[on 033.00 03.00
~ Block ~ Lot 01'7.000
That the undeesigned (has) (Imve) [Hod, ce caused to be fHed~ an applica-
tion in the Sou[hold Town Buildh~g h]spee~o~,s Off[ce for ~he fo[loWhlg:
Pre-certificate of Occupancy
That the undersigned do(cs) hereby give cono. ent to the Build~ng Inspectors
0[ tile To~vn of Southold to ente~ ~pon the above described property~ including
any and all bu[ldlngs located thereon~ [o conduct such inspefit[0ns as they' may
deem necessary ~vitlirespect to tile aforesaid application~ ~elud~ginspections
to de[ermine [hat said premises comply with all of the laws. ordinances.
and regulations qf the Town cf Southold.
The undersigned; in cofis~nHng [o such ~spee[ions, do(cs) so with the
know~edge and undefs{anding thai ~ny ~fformaHon obtained in the eondue{ of
such inspections may be used as evidence in subsequent pe~secu[[on~ far
lotions of [lie laws, ordhmnces~ rulas or re~laHoas of the Town of Southold.
Dated~ J~iy 1/ 2004
ffilliam H. Price, Jr.
(point
N
NOT~S; - -
· ~ONUI'dEENT FOUNE~
AREA : 21,O~q cF:or
®RAPHIC. 5GALE., I"= ~0'
JOHN C, EHLERS LAND SUR~/E Y OR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERttEAD, N.Y. 11901
369-8288 Fax 369-8287 PoEF.\LI-Ip serverkdkPROS\04-198.pro