HomeMy WebLinkAboutZ-33299FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NO: Z- 33299 Date: 09/25/08
THIS CERTIFIES that the building DWELLING AND ACCESSORY
Location of Property 470 BAY SHORE RD GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 053 Block 0004 Lot 041.001
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- 33299 dated SEPTEMBER 25, 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 ENCLOSED PORCH AND ACCESSORY TWO CAR GARAGE.*
12/8/9 CORRECTED C/O FOR HOUSE NUMBER CHANGE ONLY.
The certificate is issued to JANICE A GADOMSKI & ANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL
NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
,
j oriz d Sig ature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
IACATIOM, 470 BAY SHORE RD GREENPORT
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): JANICE A GADOMSKI & AND
OCCUPANCY: ONE FAMILY JANICE A GADOMSKI & AND
ADMITTED BY: JANICE GADOMSKI ACCOMPANIED HY:
HEY AVAILABLE: SUFF. CO. TAX MAP NO.: 53.-4-41.1
SOURCE OF REQUEST: J KEVIN MCLAUGHLIN, ATTY HATE: 09/25/08
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME R STORIES: 2.0 Y EXITS: 2
FO@IDATION: BRICK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: ISP FLR.-. 3 2ND FLR.: 3 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY RDOM(S):
PORCH TYPE: ENCLOSED (SIDE) DECK TYPE: PATIO TYPE:
BREEXgMAY: FIREPLACE: ONE GARAGE:
DOMESTIC HOWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING:
TYPE HEAT: OIL MAIM AIR: HOTHATER: STEAM
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CORSI.:
SWIMMING POOL: GUEST, TYPE CONST..
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: RE -INSPECTED 9/23/8
INSPECTED BY:
DATE ON INSPECTION: 09/10/08
TIME START: 10:00AM END: 10:30AM
Form No. G —F.
-
TOWN OF SOUT11OLD
BUILAINC DLPARTCILNT C -p _ 7iM8
TOWN ILAL
7G5-1802
DEPT.
APPLICATION FOR CLRTIFICATL OI' OCCIIPAN Y--- TOWN-0-FaOt"TH01
f- -TOWN-0-FSO'"TH01 _
This application muse be filled in by typewriter OR ink and submircud to Chu building
inspucCar with Chu following: fur nee building or new use:
1. Final survey of property with accuraca location of all buildings, property linos,
sCrcuts, and unusual nacucal or copoUraphic foacuros.
2, final Approval from llealeh Dept. of water supply and sewerage-disposalCS-9 form),
1. Approval of electrical in>rall"cion from Board of Firu Undurwritycs.
4. Sworn scaccmcnt frow plumber certifying chat Chu sulder used in system contains
loss than 2/10 of 1 lead.
5. Cuuuncrcial building, industrial building, multiple residences and similar buildings
and installations, a ccrri.`:icate of Code Cempliancu from architect or ungincer
responsiblu for Chu building.
b, Submic Planning Board Approval of completed site plan requirements.
9,
For existing buildings (prior co April 9, 1957) non-confo ruing uses, or buildings and
"pre-existing" land uses:
6
1. Accuracy survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed applica[iuu and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector sliall eCaCe Che
ruasons Chcrcfor in writing co the applicant.
C. Fees
1. Corcificace of Occupancy - New duelling $25,00, Additions to duelling $25.00,
Alcaracions to dwelling ;25.00, Swiuuning pool $25.00. Accessory building; $25.00,
Addicious to accessory building; $25.00. Businesses $50,00,
CcrCifiCate of Occupancy on pre-existing Building; - $100.00
Copy of Cyrcificace of Occupancy - $5.OU over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. T'cmporary Certificate of Occupancy - Residential1! 1//5.000. Commercial $15.OU
Date .��.( ......................
"ew Construction........... Old Or 1're-ex ina Building, `
_Ucacion of 1' rope rCy. yc4U,47P.�q6C70, nDr.�:.. ...... !-�...
Ilousc NO. Screac Ilamlcc I `�
)nuur or Owners of Propercy�ll:`'!Ce�,,`; 19 A..�:i'E'.�.�,
,.��j, ,I C�39. acx), o�c�rno
County Tax Ma, No 1000, S. on"?�-(.•.�v...Block.Q.TdO......... Lot.
.�?y,�,.,G?O.O..
PK. S" Pe�o M, C-
�j Q
:ubdivision.....Lc-= �.rs... .....Filed Map ... IAR4... Lot. . .App S-��...........
..f.-.
.'ermit No................Date Of Permit ................ Applicant .............................
ealth DcpC. Approval..........................Underwriters Approval.........................
'lanning Board Approval ........................
I"(Joust fur: Temporary CCrcifitatC........... Final Ccrcicace/-X\
•'cc :.ubmltCed: $ \D
� C) $ ....................�...............
A1'PL1CAtT
TITLE NO. 3808004 1 2 1
me OFFSETS OR DIMEN510NS 5HarVN HEREON.
FROM mE PROPERTY LINES TO mE STRUCTURES.
PRE FOR A 5PEOFIC PURPOSE AND USE:
mEREFORE Th Y ARE NOT INTEIJDED TO
MONUMENT mE PROPERTY UNES OR TO GUIDE mE
ERECNON OP FENCES. ADDITIONAL STRllCNRES
OR PN1' OTHER IMPROVEMENT
BAYStJORE
FE.62"± 150,001
FE. -7•s
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TAX LOT 42 Z `u
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LLT
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5 7954'00" W
4 TAX LOT: 39 MAP Of: PROPERTY
SITUATE AT
GREENPORT
TOWN OF 5OUTHOLO
SUFFOLK COUNTY, N. Y.
LOT NUMBER5:
LOT No.'s 79-81 'AMENDED MAP A,
Oo PECONIC BAY E5TATE5" FILED: A3
1^
L J� MAP No. 1 124
UNAUTHORIZED ALTERATION OR ADDITION TO TH15
SURVEY 15 A VIOLATION OF SECTION 7209 OF THE NEW
YORK STATE EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING THE LAND
SURVEYORS INKED 5EAL OR EMB055ED SEAL SHALL NOT
BE CONSIDERED TO BE A VAUD TRUE COPY.
GUARANTEES OR CERTIFICATIONS INDICATED HEREON
J
SHALL RUN ONLY TO THE PER50N FOR WHOM THE
SURVEY 15 PREPARED, AND ON M15 BEHALF TO THE TITLE
COMPANY, GOVERNMENTAL AGENCY AND LENDING IN-
\
51TTLMON LISTED HEREON, AND TO THE A55IGNM OF
THE LENDING IN5TITUNON. GUARANTEES OR CERTIn-
7
O
N
62i_gil
V
oC
GUARANTEED TO:-
� N
JOHN 4 JULIA LEPORE
CHICAGO TITLE INSURANCE Co.
p la -a• e -I•
n
IN
5URVEYED : AUGUST 21, 2008
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FE. 01-31±W.
a
LOT No. 79
TAX LOT 41
y LOT No. 80
K TAX LOT 40
IAT No. 8I
TAX LOT 39
5 J'-5 4
FE. 8'-G•±w
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5 7954'00" W
4 TAX LOT: 39 MAP Of: PROPERTY
SITUATE AT
GREENPORT
TOWN OF 5OUTHOLO
SUFFOLK COUNTY, N. Y.
LOT NUMBER5:
LOT No.'s 79-81 'AMENDED MAP A,
Oo PECONIC BAY E5TATE5" FILED: A3
1^
L J� MAP No. 1 124
UNAUTHORIZED ALTERATION OR ADDITION TO TH15
SURVEY 15 A VIOLATION OF SECTION 7209 OF THE NEW
YORK STATE EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING THE LAND
SURVEYORS INKED 5EAL OR EMB055ED SEAL SHALL NOT
n
HAYNES LAND SURVEYORS
:. 8'-3'±W.
PROFE5510NAL LAND < CIN 5URVEYOR5
199 IAFAYE17E DRIVE, 5YO55ET, N.Y. 1 1791
PHONE: 1-51 G -49G-1 750 FAX: 5 1 G -49G-1792
RECORDS OF WALTER I. BROWN. GUSTAVE A. ROULUER
F ROBERT A. HAYNES
DRAFTED BY B. G. 5UGUOT 25, 2008
BE CONSIDERED TO BE A VAUD TRUE COPY.
GUARANTEES OR CERTIFICATIONS INDICATED HEREON
J
SHALL RUN ONLY TO THE PER50N FOR WHOM THE
SURVEY 15 PREPARED, AND ON M15 BEHALF TO THE TITLE
COMPANY, GOVERNMENTAL AGENCY AND LENDING IN-
\
51TTLMON LISTED HEREON, AND TO THE A55IGNM OF
THE LENDING IN5TITUNON. GUARANTEES OR CERTIn-
CATIONS ARE NOT TRANSFERABLE TO ADDITIONAL IN-
STTTLMONS OR SUBSEQUENT OWNERS.
D
GUARANTEED TO:-
JOHN 4 JULIA LEPORE
CHICAGO TITLE INSURANCE Co.
5URVEYED : AUGUST 21, 2008
LOT No. 82
TAX LOT 38
n
HAYNES LAND SURVEYORS
:. 8'-3'±W.
PROFE5510NAL LAND < CIN 5URVEYOR5
199 IAFAYE17E DRIVE, 5YO55ET, N.Y. 1 1791
PHONE: 1-51 G -49G-1 750 FAX: 5 1 G -49G-1792
RECORDS OF WALTER I. BROWN. GUSTAVE A. ROULUER
F ROBERT A. HAYNES
DRAFTED BY B. G. 5UGUOT 25, 2008
CONSENT
TO
INSPECTION
�• �e •�� ,� � itic _tic's -S ��ory-� Y -�o c- ���c e � • �'-uc�,�
l «��� • k-, ::z'! the undersigned,
Owner(s)Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
GS v.540 which is shown and designated on the Suffolk
035 k 040
County tax map as District 1000, Section OJ3 , Block 0_, Lot 04(
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
r c- c' -)-S o1� � sL
Ic V�
That the undet signed 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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or re
Dated: 9W 0cc6
the T
(XNignature)
( int name)
(signature)
(print name)
A -I
TOWN
OF SOUTHOLD PROPERTY RECORD
CARD
OWNER
STREETVILLAGE
DIST.
SUB.:
LOT'" ;'
J
d
i
FORMER OWNER
N
E l
ACR.
I /
S
W
TYPE OF BUILDING
ZES. �!b
SEAS.
VL.
FARM
COMM. CB. MISC.
Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
,, v
_.
�93a l �8- �b��sk
lzrl�sl�o�r�
Esta63zo
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6 d
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c
DO -
1S-✓�rcln
M 5i�' r
(r7
t 0-7-k
L"born
a iv o
d
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable 1
Tillable 2
rillable 3
Noodland
iwamplond
FRONTAGE ON WATER
3rushland
FRONTAGE ON ROAD
-louse Plot
DEPTH;
BULKHEAD
rota)
DOCK
ca s � �, "e
,: �� .
;,� ..� ��
�;:,� %'
A3 +
< �„� e.
I>
TOWN OF SOUTHOLD PROPERTY RECORD CARD
Ai- 9
OWNER
STREET 1 Z�
VILLAGE
DIST.
SUB.
LOT
7 `
hlP.2.
k'fQi1�
FORMER OWNER
N
E
ACR.
f
S
W
TYPE OF BUILDING
ES.
SEAS.
VL.
FARM
COMM. CB. MISC.
Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
a o
D D
i i -L 11932
M libors4-,�O(xcIlomsk;�Q.Ia
�
r of - �
sly bor5�'dPceased 9/u/vo
��
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FARM
Acre
Value Per
Acre
Value
(�
'illable I
'illable 2
illable 3
/oodland
wampland
FRONTAGE ON WATER
rushland
FRONTAGE ON ROAD
t
ouse Plot
DEPTH
BULKHEAD
Dtal
DOCK
COLOR
TRIM
N. Bldg.
Foundation
Bath
Dinette
Extension
Basement
Floors
K.
Extension
Ext. Walls
Interior Finish
LR.
Extension
Fire Place
Heat
DR.
Type Roof
Rooms 1st Floor
BR.
Porch
Recreation Room
Rooms 2nd Floor
FIN. B.
Porch
Dormer
Breezeway
Driveway
Garage
Patio
O. B.
Total
LOCATION:
(number &
SUBDIVISION: MAP NO.:
NAME OF OWNER(S):
OCCUPANCY:
(type)
(municipality)
LOT(S):
(owner -tenant)
ADMITTED BY: Gg'otvjf�% ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 -
SOURCE OF REQUEST:
DWELLING:
DATE:
TYPE OF CONSTRi%�
CTION: r^io�� z, # STORIES: # EXITS:
FOUNDATION:
blu ` CELLAR: &ZCRAWL SPACE:-----
TOTAL
PACE: 'TOTAL ROOMS: IST FLR: .3 2ND FLR: 3 3RD FLR:
BATHROOM(S): TOILET ROOM(S): �� UTILITY ROOM:
PORCH TYPE:EP, . j r DECK, TYPE: PATIO, TYPE: ---►
BREEZEWAY: -\ FIREPLACE: GARAGE: ---
DOMESTIC HOTW TER: qET TYPE HEATER: IRCONDITIONING: --"-'
TYPE HEAT: WARM AIR: HOTWATER: S�"x
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: �✓r`,� STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
DESCRIPTION�®,
F-1 MA MIN
INSPECTED BY:
DATE OF INSPECTION:
%�
TIME START: I �� V END: D