The URL can be used to link to this page

Home My WebLink AboutZ-32133 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32133 Date: 01/11/07 THIS CERTIFIES that the building DWELLING (STREET) Block 0001 GREEN PORT (HAMLET) Lot 014 Location of Property 76000 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 048 Subdivision Filed Map NO. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 32133 dated JANUARY 11, 2007 was issued, and conforms to 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 TWO CAR GARAGE* NOTE: THIS UPDATES PRE CO Z-6076 DATED 8/27/74 TO INCLUDE ACCESSORY GARAGE. The certificate is issued to DIANE RIES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ )~,,~o,"" Rev. 1/81 7 ~ 5- ~ 3/5 r: ,,-, Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 .. 2 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural 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. Sworn statement from plumber certifYing that the solder used in system contains less than 2/10 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planuing Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 1- 2 - 0 '7 New Construction: Old or Pre-existing Building: Y. Location of Property: b J:, r:"r::>TJ-f 5-f . House No. Street (check one) ~~. Hamlet Owner or Owners ofProperty:D; a Ni' e,E'::, y~ Block I Lot IY Suffolk County Tal' Map No 1000, Section Subdivision CU Pe Z In b710 Filed Map. Lot: Date of Permit. Applicant: Underwriters Approval: Temporary Certificate Final Certificate: (check one) l0eQc/ (OrN' C<P 01 C\ cJ . ~ f6)~), ~C_ Ap 'cant Signature -1-0 r# to c -+ /V1!' fP'N}()r) 6'-t'fYX-I-. FOBM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certfficnte Of Occupnncy No. Z60~6 ....... Date .............. THIS CERTIFIES that the building located at S~.S. Main. R~d..(~On~ .St~treet Map No. ~ ........ Block No...~ ..... Lot No. ~....~znpo~.~ .N,X, ....... conforms subst~tially to the $reme t ~ . o f 1 d b' t da~.. befo~ .Avr~ 23.., 19. ~7. p~suant to ~~'~' Z60~6' · · dated .......... A~.. 2.~., 197~.., was issued, ~d conforms to all of the req~ ments of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to .~ .~,. ~ .... ~. ............................. of the aforesEd building. (owner, lessee or ten,t) Suffolk County Dep~tment of He~th Approval · · p~e-. exizt2ng .................. UNDERWRITERS CERTIFICATE No. Pe~.-~X~s~.~g .............................. HOUSE NUMBER... 76~ ..... Street. ~. Aoad..[}~', W.,.~dre~.~. 6~ ~ .Fr~t. ~) B~lding Inspecto~ HOUSING CODE INSPECTION August 27, 1974 76000 Main Road Greenport, N.Y. Tax Roil: Ruth G. Bush Occupied: Owner Upon receipt of application for a Pre-Existing Certificate of Occupancy, I made an inspection of this two story framed dwelling and found the following violations of the Housing Code, Chapter 52, Town of Southold, New York. I was ad- mitted to the premises by Mr. Bush who accompanied me during inspection which began at approximately 10:15 A.M. The first floor consists of a kitchen, half bathroom, living room, dining room, sun room, screened porch, and front and rear entrance vestibules. Living Room - lamp cord outlet on baseboard, Article V, Section 52-56 A.1. The second floorconsists of a full bathroom off hallway and three bedrooms. EH:mm Heat is furnished to all rooms on the first and second floors from oil fired hot water furnace located in partial cellar. A two car garage is located in rear yard area. Exterior of building and open yard area is well maintained. Inspection completed at appr%xi~ately 10:40 A.M. / ~.s. ectfull~~itted, Building Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Insfructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ....A...~.~..~..S.~. ....... .2,.6. ..... !..9...7.~ .... New Building ................ Addition ................ Old or Pre-existing Building .....~.~ ..... Vacant Land .............. Location Of Property S/..S Main Road (front Street) Owner Or Owners Of Property Nathan :Bush ~J: wife Subdivision .......~ .................................................... Lot No ...... ~.. Block No. ~ ..... House No ~ j-~ ~J ~' '"~, :'F:~ cfi. Permit No......:~.. ............. Date Of Permit .... ~ ........... Applicant ..~.~. ............................................ .?.~.o..~ o Health Dept. Approval ~re-existing , , · .~: ........................................ t-oDor Dept. Approval .~."....~.." .................................... Underwriters Approval .....~..r..e..~....e..~...Z..s..?..j:.~ ........... Planning Board Approval ..~.'.~:. ............................ Request For Temporary Certificate ........................................ Final Certificate 7'Df.Z~ Fee Submitted $ .... .~..?.9..O. ....................... Construction on above described building and p~m_it meets ~1 ap/placable codes and regulations. App,ican, .................................... Sworn to before me this ~"~'~ ~--~ 26 . . August 1 974 ................ aay or ....... ..~,~.._.;~..~ ............... JUDITH T. ~OI<~N (stamp or seal) ....... ~]1~-1~/.~/~'---- Notary Public State of New York ~J~¢-~' ~-.~~ ~ ~x~o~rory r.u~.c .......... '~¢"~"~7~///:'O:'':L'''~' CountYNo. 52-0344963 Suffolk County/