HomeMy WebLinkAboutZ-33351FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 33351
~te: 10/23/08
THIS CERTIFIES that the building DWELLING AND ACCESSORIES
Location of Property 4045 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 035
Subdivision
GREENPORT
(STREET) (HAMLET)
Block 0002 Lot 009.004
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
OC~U~ANC~f I%~]~BER Z- 33351 dated OCTOBER 23, 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 FRONT PORCH, BREEZEWAY AND ATTACHED
2 CAR GARAGE AND ACCY 1 1/2 CAR GARAGE AND ACCY SHED IN DISREPAIR.*
The certificate is issued to JAMES W DENNINGTON
( OW/~ER )
of the aforesaid building.
SUFFOLK COU1FI~f DEPART~Fr OF HEALTH APPROVAL
ELEt-rKICAL CERTIFICATE NO.
PLIERS CERTIFICATION DA'r~U
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
/tho/~mzed ~ignature
Rev. 1/81
BUILDING DEPARTMENT
TOW~ OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
GREENPORT
DAI'E: 10/23/08
ACCESSORY STRUCTURES:
~, ~ OF C(~ST.: 1 1/2 CAR WOOD FRAME ST~, ~'f~E C~ST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
~: BP13602 G~kRAGE/BRZWAY COZ15885
TOWN OF SOUTIIOLD
BUILDING DEPAKTHE~T
TOWN
· APPLICATIOH FOR.CErTiFICATE OF OCCUPA~
This application' must be filled in by typewriter OR ink'and submitted to the bulidi,g
inspector with the followingt for new building or new ese:
l~ Final survey of property .with accurate loca~ion of all buildings, propert~ lines,
streets, and unusua~ t~atural or topographic features, '
2, Fiual Approval from l[ealth Depti' of.water supply and sewerage-disgosal(S-9 fo~}.
3. Approval of electrical Installation from Board of Fire Underwriters.
4, Sworn statel~en~ from plumber cmrtifying that the ~older osed in system colitis
less than 2/IO of 1% lead. ' "
~. Co~ereial building~ .indust~fml building, multiple residences and s~nflar bu~dinge
and installations, a certificato of Code Complianc~ from;a~chitect or engfnee~
responsible for the building,
6~ Submit Planning ~oard Approval of completed site plan requirements.
For existing b~ildings (p~ior to April ~j 1~57) non-c0nfoTming use~, or butld~gs and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines~ streets, building m~d., ,..
unusual natural or topographic featuros,
2. A properly completed, application and a consent to inspect signed bf the applt~aut.
If a Certtficato o~ OccupaTTcy fs denied, the Building Inspector sITall state tho
reasons therefor ie writing to the applicant,
0, Fees
l, Certificate of Occupancy - New dwelling $25.OO~ Additions to dwelling $25.00,
- ' Alterations to dwelling $2§.00, awl{tuning pool $25.00, Accessory building $25.00,
A. dditions to accessory building $25.00, Businesses $50.00,
2. Certificate of Occupancy on pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00'6ver 5 years -
4~ Updated Certificate of Occupancy - $50~00
5~ Temporary Certificate of Occupancy - Residential $15.OO, Co~ercial $15.00
New Construction .... ~ ..... ~ Old Or Pro-existing 8uildimg..~,~
House No. Street I[a~et
Planning Board
x
Request fort ,Temporary Certificate,;0,,**~*,, Final Certieate,w,,,,w,.,.
, ,,.,, .... .... ., .....................
William H. Price,'Jr. "
ITHOLD BUILDING
765-1802
I
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING [~NAL ~)~,.~ ~_~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESi~T~T CONSTRUCTION [ ] RRE RESISTANT PE#,-,~ATION
REMARKS: ~--"~/~-
DATE~
INSPECTOR~~--"~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSUL~.~-~4'-~
[ ] FRAMING / STRAPPING [ ] FINAL/ ~ ~_~_~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
REMARKS:
INSPECTOR
TOWN
//~ oa .-d~C'-: '~. 4
OF SOUTHOLD
PROPERTY RECORD CARD
OWNER
FOR/~R OWNER
RES..~ v/~
LAND
SEAS. VL
IMP.
TOTAL
VILLAGE
E
FARM CO '/V~M./~' CB. ~ICS. Mkt. Value
DATE REMARKS ~//~//~)~A ':~'/~-O~d ~ - ~Z/~
DISTt SUB.
LOT
ACR. ,
TYPE OF BUILDING
/200
i ~Oeg
5-7 ~ ~ ~
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre
Tillable
Value Per V~lue
Acre
FRONTAGE ON WATFDR-
Woodland
Meadowlond ' i DEPTH
House_ PIot~ I BULKHEAD
Total ~
FRONTAGE ON ROAD
:DOCK
Bldg.
Extension
Extension
Extension
Porch
Porch
rage
Patio
Total ,
COLOR TRIM
Foundation
Basement
Ext. Walls
!Fire Place
ZZ~ ! ~)~ /?ypeR°of
J Recreation Room
Dormer
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
F,
BR.
Dinette . ,
FIN. B
CONSENT
TO ·
INS PI~.CTION
.~illiam H. Price, 'Jr., as agen~ for James W.
O~vner(s) Namu(s) . the undersigned,
Denni~gton
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at~4045 Main Road~ew York
_, , which is shown and designated on tile Surf ob;
County tax map as District 1000o Sec[ion0_35.00_o Block 02.00, Lot 009.004.
That the undersigned (has) (have) filed, or caused robe flied, an applica-
t£on'in the Southold Town Building Inspector.s Office for the followhlg:
Pre-Existing Certificate of Occupany
That the undersil/nCd do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and allbuildintls located thereon, to conduct such inspections as they may
deem necessary xvitl~ respect to the aforesaid application° including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and reRulations 9f the Tow'n of Southold.
Tile undersigned, in coasenting to such inspections, do(es) so with the
knowledg_e and understandinlI that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations or tile laws, ordinances, rules or regulati~~thotd'
Dated: 9/25/08
(signature)
__ William H. Price, Jr.
(print name)
(print name)
END GOLF & COUNTRy CLUB, INC
WOOD
RESIDENCE
MAIN
ROAD
(NYS
ROUTE
SURVEY OF
DESCRIBED PROPERTY
SITUATE
GREENPORT, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: BELMOR PROPERTIES, LLC
TM# 1000-055-02-009.4
GUARANTEED TO:
BELMOR PROPERTIES, LLC
LANDAMERiCA COMMONWEALTH TITLE /NS. CO.
SURVEYED: 22 SEPTEMBER 2008
SCALE 1"- 40'
AREA = 51,355 S.F
OR
1.179 ACRES
COPIES OF THIS SURV[Y MAP NOT BEARING
THE LAND SUR~,~YORS EM~OSSEO SEAL SHALL
SURVEYED BY
STANLEY d. ISAKSEN, JR.
P.O BOX 294
SUF~OLX N.Y 11956
NEW
65 1 - 734~ 5835~ 4, ~'
,/ : /Zd
LIO~ED ~ND S~EYOR