HomeMy WebLinkAboutZ-34213FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 34213 Date: 03/02/10
THIS CERTIFIES that the building DWELLING AND ACCESSORY
Location of Property 64157 MAIN RD GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 056 Block 0004 Lot 020.001
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- 34213 dated MARCH 2, 2010
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 SECOND STORY DECK AND ACCESSORY BUILDING.*
The certificate is issued to ELLEN HUFE
(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.
I
(Authorized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 64157 MAIN RD GREENPORT
SUBDIVISION- MAP NO.- I.OT (S)
NAME OF OWNER (S): ELLEN HOPE
OCCUPANCY: ONE FAMILY RESIDENCE ELLEN HOPE
ADMITTED BY: JOHN NICHOLS ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAY NAP ND.: 56.-4-20.1
SOURCE OF REQUEST:
DATE: 03/02/10
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME Y STORIES: 2.0 # EXITS: 3
FOUNDATION: SLAB, CONCRETE CELLAR: NO CRANL SPACE: NO
TOTAL ROOMS: IST FLR.: 5 2ND FLR.: 6 3RD FLR.: 0
HATHROOM(S): 1.0 TOILET ROOM (S) 0.0 UTILITY ROCM(S):
PORCH TYPE: DECK TYPE: 2ND STY WOOD PATIO TYPE:
HE 230MY: FIREPIACR- NO GARAGE-
DOH+STIC HOTSATER: YES TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: OIL TARN AIR: HOTW ATER: BASEBOARD
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SKINNING POOL:
OTHER:
STORAGE, TYPE CONST.: ONE STORY WOOD FRAME
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
INSPECTED BY:
GEORGE GILLEN
DATE ON INSPECTION: 03/01/10
TIM START: END:
CONSENT TO INSPECTION
� the under signed, do(es) hereby state:
�r
Owner(s) Name(s)
That the undersi�d (is) (are) the owner(s) of the preanises m e
Southold, located at (� S 7-?nAl Aj 72oA ice. pL
which is shown and designated on the Suffolk County Tax Map as District
Section .6-1, , Block , Lot xa /
That the und6rsigued (has) (have) filed, or cause to be filed, an application in e
Southold Town Building Inspectors s Office forthe following 6'Q Cl. (�
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 obtainsd in the conduct of such inspections may
be used in.subaequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
�atcd:
(Signature)
(Print Name)
•(Signature)
(Print Nante)
Z /Z # 960b99L6 EO lZ'OI-EZ-ZO
1d3a
Form No.6 O
TOWN OF SOUTHOLD
BUIJ,DINC DEPARTMENT
TORN HALL � %p}
765-1802 uu
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-dlsposal (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 1 % lead
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Cade 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 Biped 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
L 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.
Certificate of Occupancy on Pre-existing Building - $100.00
` Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Tempa aty Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. Z 1 l[)
New Construction: . Old or Pre=existing Building: __. (check one)
Location of Property_ - 6 q/ S, % 1� 4 . SD c t V h V
House No. street
Owner or Owners of Property: %� (fi Al _ C4 _
Suffolk County Tax Map No 1000, Section S b Block Lot :2
Subdivision`_ M Filed Map. Lot:
Permit No.
Health Dept. Approval:
Date of Permit. Applicant: C ffe k 144 t' -t
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
ce -7
z A # ssot�scs
Applicant Signatiml
co:ta:ot-ea-zo
TOWN Of SOUTHOLD PROPERTY RECORD CARD
_ —
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STREET
VILLAGE
DIST.
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FORMER OWNER
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TYPE OF BUILDING
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MISC. Mkt. Value
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LAND
IMP.
TOTAL
DATE
REMARKS
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AGE
BUILDING CONDITION
N
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BELOW
ABOVEb
c�
FA
Acre
Value Per
Value
n \D
Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
FRONTAGE ON
ATER
Swampland
`
Brushland
FRONTAGE ON ROAD
DEPTH
House Plot
r
TO -4
Alp
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Interior Finish�
.- •..'Rooms
Ist FloorO
Dormer
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Alp
N/G/E
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& EDBTjr TUCC10
W
N 86'08'00" E
FOUND
PIPE 3.3's
Z
\ \ (P
Id Hall C5
\ \ N
UNE O
\ 20 Y
\ STORY
FRAME
\ \
COG ___0 & Coll
BUILDING
157.56'FOUND
\
GILqIL
ft.
WINwill
OND CONC.
Go.
Riverhead, New York 11901-0965
S.C. TAX No.
NON. 1.SW
sq.
ft.
1000-56-04-20.2
0.716
(-
Ln
-• 12.4..
sq.
ft.
1.707
I,
SURVEY OF PROPERTY
N
SITUATED AT
I'�
I
ARSHAMOMOQUE
m
TOWN OF SOUTHOLD
I
I
SUFFOLK COUNTY, NEW YORK
3T.1'
S.C. TAX No. 1000-56-04-20.1
o
I
S.C. TAX No. 1000-56-04-20.2
♦
Ln
00
-
2nd STORr
H 6.0•
I
I
SCALE 1 "=20'
WOD DECK
1
"t
JUNE 6, 2005
WOOD
SEPTEMBER 19, 2006 UPDATE SURVEY
COVER'1j
IOCTOBER
26, 2006 ADDED LOCATION & TOPOGRAPHY OF MAIN ROAD
N 35•013'00" E
11
I
51.00'
a
I
NOTES:
Im
1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
^'
Eli
EXISTING ELEVATIONS ARE SHOWN THUS:s
I-
-
EXISTING CONTOUR LINES ARE SHOWN THUS: - -s- - - -
n.1_
- FLOOR
I
,
y
GF. GRA
GF. - GAGE FLOOR
i6 - TOP OF CURB
9,9 - BOTTOM OF LURE
RY
F-GARAGE
p
' ]
rw - TOP OF WALL
O, w. - BOTTOM OF WALLME
I
AREA DATA
S.C. TAX No.
\
GILqIL
ft.
WINwill
0.991
Go.
Riverhead, New York 11901-0965
S.C. TAX No.
TANK
sq.
ft.
1000-56-04-20.2
0.716
(-
TOTAL (To TIE LINE)
-• 12.4..
sq.
ft.
1.707
Oc.
3T.1'
N
♦
Ln
00
-
2nd STORr
H 6.0•
•
°
5
WOD DECK
1
"t
WOOD
I
COVER'1j
O
AREA DATA
S.C. TAX No.
43,168.66
sq,
ft.
1000-56-04-20.1
0.991
Go.
Riverhead, New York 11901-0965
S.C. TAX No.
31,179.81
sq.
ft.
1000-56-04-20.2
0.716
ac.
TOTAL (To TIE LINE)
74,348.47
sq.
ft.
1.707
Oc.
STEPS
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Nathan Taft Corwin III
Land Surveyor
The Surveys - Subdivisions - S,re Plans - Construction Layout
9�P • • , a ` . • W • a ' • • • ' . WATER VAVE ♦ a . 4 • LTi i�
$•j x9d ,A• I •, •,. xb1( . ''4 4. . . ° e, ORNN _WATER VALVE° , 4 RIM W VKVE •� �, �x ° ". • •• • GW
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x�} 4' 9.P9 4 • , • e ••SIGN SIGN_ -r T d . �_ Fl N,pgFN( e • • + W4 & MAL F[NG
PREPARED IN ACCORDANCE WITH ME MINIMUM 4' • ♦ • UDUII' POLE • • . a' Po I ••4
STANDARDS FOR TITLE SURVEYS AS ESTMUSHED I x 77 • '' UL YI59 NYT /650 i soca 05 ' ' 4♦ • , °
W THE T. AN9,APPRWED AND ADOPTED -7..R9 0 4"• - • l31 '' / SF}ICE 1 • ,
FO SE RY '{NE YORK STATE VNO GRAVEL x� P B.pZ • • . '
✓dN. IT /� AREA x x a'
ASP PAVEMENT 4
nfl�/1 4
t/ e
UNAUTHOR90 ALT TION OR ADDITION ♦ 4 `
T TO THIS SURVEY Is A VI TICN OF P,1
TH• 4.;
SECTION 7209 OF E NEW YORK STATE I GRAVEL AREA `a
• • e,' ., 9 „
-TIL .�1 HF
EDUCATION LAW. g gg£ / 4 . .• •d'
I Y MECOPIESLA OF THIS SURVEY MM NOT BFR ,t V
{ j / THE SSE SURVEYOR'S AU INKED FELL SI
(JA/ly'
TO
A SELL RUE NOT RE CONSIDERED
TD BE A VALID TRUE COPY �
PHONE (631)727-2090 _ �
`]'r'''• CENIIBGRONS INDICATED HEREON SHILL RUN
ONLY TO E PERSON FOR WHOM RIE SUMEY
,, T,,.c�l THIS AND ON HIS BEHALF TO THE
's<� , 'I PREPMEO.
_ _ TRUE COMPANY, GDVERNMENT& AGENCY AND THE E%ISTENCE OF RIGHT OF WAYS
N,Y.S, LIL. No. 50467 LAMING INSRRURIDN USIEO HEREON. AND AMO EASEMENTS OF RECORD, IF
TO MEASSIGNER OF ME LENDING
THE llANY. NOT SHOWN ARE NOT GUARANTEED.
TUDON. CERDROTIONS ME NOT TRANSFERAffiE
Fox (631)727-1727'.
OFFICES LOCATED AT
MAILING ADDRESS
322 Roanoke Avenue
P.O. Bax 1931
Riverhead, New York 11901
Riverhead, New York 11901-0965
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S): E
OCCUPANCY: avaL
(type)
NO..
r
s
(municipality)
LOT(S): --
(owner-tenant)
ADMITTED BY: /y ��' ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: E DATE:
DWELLING: �
TYPE OF CONSTRUCTION: # STORIES: # EXITS: �
FOUNDATION: �4 CCCELLA /✓o CRAWL SPACE: No
TOTAL ROOMS: 1ST FLR: ,� 2ND FLR: �_ 3RD FLR: --
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: ---
PORCH TYPE: DECK, TYPE. al . , PATIO, TYPE:
BREEZEWAY: FIREPLACE: /f/o GARAGE: �--
DOMESTIC HOTWATER: *-S TYPE HEATER: `— AIRCONDITIONING:
TYPE HEAT: t4- WARM AIR: -- HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CO ST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. I SEC.
REMARKS:
INSPECTED BY:
DATE OF INSPECTION:
TIME START: END: