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HomeMy WebLinkAboutZ-32911FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32911 Date: 03/05/08 THIS CERTIFIES that the building DWELLING Location of Property 265 INLET LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 043 Block 0004 Lot 036 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- 32911 dated MARCH 5, 2008 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 ATTACHED GARAGE & ACCESSORY STORAGE BUILDING* The certificate is issued to RUTH PHAFF & NANCY LILLIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A EIJKC TICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 265 INLET LA GREENPORT SUBDIVISION• MAP NO.. IAT (S) MANE OF OMS (S): RUTH PHAFF 6 NANCY LILLIS OCCUPANCY: SINGLE FAMILY DWELLING RUTH PHAFF & NANCY LILLIS ADMITTED BY: NANCY MANDUCA ACCvPAR330 BY: SAME KEY AVAII]1BLR: BUFF. CO. TAE MAP NO.: 43.-4-36 SOURCE OF REQUEST: JOSEPH MANDUCA 2/6/08 NATE. 03/05/08 DWELLING: TYPE OF CK)MUTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CEMENT BLOCK -- CEANL SPACE: TOTAL RDONS: IST FLR.: 3 2ND FLR.: 2 3RD FIB.: 0 BATRSOUN(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: ENCLOSED FRONT DECK TYPE: PATIO TYPE: BREEZEMAX: FIREPLACE- ONE GARAGE: TWO CAR DOMESTIC BonwTER: YES TYPE HEATER: OFF BOILER AIRC®IDTlIOMING: TYPE SEAT: OIL HAM AIR: H01101TER• XX OTHER: NOTE:2ND FL. IS 1/2 STORY WITH 2 ROOMS ACCESSORY STRUCTURES: TYPE OF GtmmT.. SMIIEIHG POOL: ♦� VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE REMARKS: BP#5789Z-COZ5202 (ADD) BP #13651Z-COZ-18469 (GREENHOUSE ADD) INSPECTED BY: GARY J. DATE OI INSPECTION. 03/04/08 TINA START: 10:00 AM ED: 10:25 AM Foran No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: 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 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 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: 1. 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 Dat//e. New Construction: Old or Pre-existing Building:y (check one) �+ Location of Property:__S2? (0 S / /�/ � 61 � APfiy House No. Street 'Hamlet Owner or Owners of Property /__C/i Suffolk County Tax Map No 1000, Section q,6 Block Lot _3 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ mr _ jL App] ant Signature q, . `1cc SIR co_L_3a�II CONSENT TO INSPECTION N&A1�4I o(IU-1-V I%%/4N1 44_/4 , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at ;96 f /./,4 9,;r L 012" which is shown and designated on the Suffolk County Tax Map as Distri t 1000, Section � ,Block J_, Lot 4, That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: G' of O 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 all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. 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, rules or regulations of the Town of Southold. Dated: per(- 10-0e- L"� ignature) (Print Name) (Signature) (Print Name) QTY RECORD CARD DIST. SUB. LOT STREET-Z�j5 VILLAGE RMER Oy Rymer C.. GLS N , � . E � c"�r3t a✓ ACR. 1 / r4rl � 6/ to, ksBLfA"n/l>o *09J W As TYPE OF BUILDING 1 S SEAS. VL FP�RM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS ,-�`U U. o o 00 �� # o Comae ey �ioc s Ec �6 %p -c A /9 �L !(912-13;clduloh - �i, (�(dl ,L41Oh A G o ,. Pp , Ir„V y/ v r7.v q .vim SQAV L 12616 96'"V,3 - i //00 e•/7 ! fi A „iT• U G ON NEW .'NORMAL' BELOW ABOVE FARM s Acre Value Per Acre Value 'illoble ` 1 illable 2 - illable` 3 /oadland Ngmplond FRONTAGE ON WATER rushland FRONTAGE ON ROAD i/ °J, y S� ouse Plot DEPTH a.+ • Y BULKHEAD otaI DOCK ,�„� - �. .� }; r �. it J'ANHANSET AVENUE N/O/F EDWIN KINSCHERF ANTHONY N/O/)r MILHELMINA PELUSO EIMIRAYDN"M .p SURVEY OF PROPERTY AT GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-43-04-36 SCALE. 1'=30' JANUARY 31, 2008 ANY AVERA ROW OR AD017ION TO THIS SURVEY IS A WOLA77ON OF SEC RON 72OWF THE NEW YORK STA 7E EDUCA77ON LAW. EXCEPT AS PER SEIP77ON 7209-SUBONIVON 2. ALL CER77RCA77ONS w w �� ^. HEREQN ARE VAUD FAR NIS MAP AND COPIES THEREOF ONLY IF SO SAID MAP OR COMES BEAR 7H£ IMPRESSED SEAL OF THE SURWMR WHOSE SIONA7URE APPEARS HEREON. ('631) 765-5020 FAX �2 P.O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 1797 LOCATION: (number & street) SUBDIVISION: MAP NO.: NAME OF OWNER(S): OCCUPANCY: (type) (municipality) LOT(S): (owner -tenant) ADMITTED BY: O"y ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: # STORIES: 1�i # EXITS: 3 FOUNDATION: CELLAR: _ CRAWL SPACE: TOTAL ROOMS: 1ST FLR: _ 2ND FLR: f rr 3RD FLR: BATHROOM(S):— TOILET ROOM(S): cue. UTITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: Two CA4L- DOMESTIC HOTWATER: TYPE HEATER: Os�oa" : AIRCONDITIONING: TYPE HEAT:}( WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: VIOLATIONS STORAGE, TYPE CONST.: GUEST, TYPE CONST: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. F SEC. REMARKS: INSPECTED BY: 1 DATE OF INSPECTION: TIME START: /d - END: /O.