HomeMy WebLinkAboutZ-32423
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z-
32423
Date: 06/21/07
THIS CERTIFIES that the building
DWELLING
Location of Property 715 SHORE
(HOUSE NO.)
County Tax Map No. 473889 Section 047
RD
(STREET)
Block 0002
GREENPORT
(HAMLET)
Lot 019
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-
32423
dated JUNE
21, 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*
The certificate is issued to STELLA ANESON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
ignature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LCK:ATION :
715 SHORE RD
GREEN PORT
SUBDIVISION :
MAP NO. :
LOT (S)
NAME OF OWNER (S): STELLA ANESON
OCCUPANCY: SINGLE FAMILY DWELLING
STELLA ANESON
ADMITTED BY: AMY L. KIRINCIC
ACCOMPANIED BY: SAME
KEY AVAILABLE:
SUPF. CO. TAX MAP NO.: 47.-2-19
SOURCE OF REQUEST: AMY KIRINCIC
6/14/07
DATE: 06/21/07
DWELLING:
TYPE OF CONSTRUCTION:
WOOD FRAME
# STORIES: ~ # EXITS: ~
FOUNDATION:
CEMENT BLOCK
CELLAR: NO
CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 5
2ND FLR.: -2
3RD FLR.: 0
BATHROOM (8) : 1 . 0
TOILET ROOM (S) : 0 . 0
UTILITY ROOM(S) :
PORCH TYPE:
DECK TYPE: WOOD REAR DECK
PATIO TYPE:
BREEZEWAY:
FIREPLACE: NONE
GARAGE:
NO
DOM::ESTIC BOTWATER: YES
TYPE BEATER: ELECTRIC
AIRCONDITIONING:
TYPE HEAT: ELECTRIC
WARM AIR:
BOTWATER:
OTHER ,
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
STORAGE, TYPE CONST.: SMALL ACCY SHED
SWIMMING POOL:
GUEST, TYPE CONST.:
OTHER ,
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARKS: BP1402Z-COZ1475 (ADD) 13363Z-COZ15784A(ADD) 23515Z-COZ24674 (ADDS)
~~J'~
GARY J. FISI
DATE ON INSPECTION: 06/19/07
IHSPECTlID BY:
TIME START: 10:15 AM END: 10:45 AM
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP~C5.
r,:'-'-- .: .
I'
,)\.;:i I 1\
7
----'
This application must be tllled in by typewriter or ink and submitted to the Building Department with the following:
A. For new bnilding 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 from Health Oept. 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/ I 0 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certitlcate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning 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 Certiticate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. Certitlcate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinuning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certitlcate of Occupancy on Pre-existing Building - $100.00
3. Copy ofCertitlcate of Occupancy - $.25
4. Updated Certitlcate of Occupancy - $50.00
5. Temporary Certltlcate of Occupancy - Residential $15.00, CommerCIal $15.00
oate.1Dl4 f 01
Old or Pre-existing Building: / j------ (check one) +
7 \5 (Shn(e t-c\ C<yffU1Dor
House No. Street tIamlet
Owner or Owners of Property: Me .SD n
Suffolk County Tax Map No 1000, Section ~ Block 2-
New Construclton
Location of Property:
Lot .j)
Subdi vision
Filed Map.
Lot:
Permit No.
Date of Permit.
Applicant:
Health Oep!. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fce Submitted: $
JOO
~r
/;IC{(
Applicant ignature
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19IUUliOU~
CONSENT TO INSPECTION
J1C LL,if I7-NC -fe,,,)
Owner(s) Natne(s)
. the undersigned, do(es) hereby state:
That the undflr8lgncd (is) (are) the owner(s) oftbe premises in tb~ Town of
Southold locatedat 7/S" S/70.l.€ t4;rfo I ~7VPC>lt_:;-, NY-
, - '----
which Is shown and designated on the Suflhlk CO\l11ty Tax Map liS District 1000,
Sectior. 04?o~ Block 01. at}, Lot tJFt, t?OO .
TIJat the undersigned (has) (have) fIlccl, or cause to be filed, an al'~cQtiol1 inthc
Southold Town BuJ.ld~g Inspcctor' 8 Office for the (ollQwing: I',ee COCO", l;1!.(jC-17o,..)
U.zlt!.<_ TV '''f., . ___
'-.'-'''--
That the undCl'liilll1cd do(es) hereby give (:Oltient to the Building hlSPCCIQl~ of the
Town of Southold to enter upon the above described property, iucludjn~ an)' and all
buildlnp located thereon, to <:onduel sud!lnBpections as they may deem neccsslIf)' with
respect to the aforesaid application,lncluding inspections 10 determine that said prcmisc:~
comply with all (.f the laws, ordinances, rule. and regulations aflhe Towr, of Suulh\lld.
The undeJ'lSigned, in cOll.'lentlng to such inspections, do{es) .0 with the kMWlcdl!"
and und<:rstanding that any information obtained in the condllct of such inspections l11ay
be used huubsequcnt prosecutions for violations of the laws, ordinances, rujes or
regulations of the Town of Southold.
Dated:
t-/;;-/o7
A',., /. L
~. (/. '---
. (SignattlTe)
ST~I..A ANe.s;ol-1.
(Print Nlmle)-- ---
(8i gIlllture)
(Prio: Name)
.
0{jd -
--: OWNER
Il. ..
. :; -I-e I/a... . 11
FO MER OWNER .
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~ RES. ;lIO . SEAS. #
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-60 I 3 II C
TOWN OF SOUTHOLD PROPERTY RECORD CARD
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VILLAGE
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SUB.
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MAP OF
PLOT No.4
AT
GREENPORT 5HORE.~
GRe:e:~POR'
TOWN OF SOUTHO\..O, N.Y.
t3 - "'o"'~ >tle""t
. -.
...
.
LOT "'.."'b........ ""I-\OWt\ ....ef..... to Mo~ of
G...ee",pov+ Sko..es - Sec:tiol"\' "
~\I..d ,t\ +1-\& S"",foll<. CO","t~ Clevl<.'$
off\c.e 0$ Mop NSl. 1"\59.
GuO'....Cll-\teeQ to 'T\\o TIHc
G",,,,YQt1+ec CQ\ot1pco....'1 as
. ~YVe~ec.l Sept. 7, \9GO.
Otto W. VQ\11 T~~I .. SOTl
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