HomeMy WebLinkAboutZ-34217FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Rall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 34217
Date: 03/09/10
TIIIS C~TIFIEM that the building DWELLING AND ACCESSORY
Location of Property 75 EIGHTH ST(AKA 717 FRONT) GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~ap NO. 473889 Section 048 Block 0001 Lot 008
Subdivision Filed Map NO. __ Lot NO. __
conforms substantially to the Requirements for a ONE FAMILY DWELLING
~uilt prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
~UFAN~ ~E~ Z- 34217 dated ~L~RCH 9, 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 ENCLOSED REAR PORCH AND ACCESSORY SHED.*
· ~ne certificate is issued to LINDA BELANGER
of the aforesaid building.
(OWNER)
N/A
N/A
N/A
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTBOLD
HOUSING CODE INSPECTION REPORT
75 EIGHTH ST(AKA 717 FRONT) GREENPORT
S~DIVXSI(~: MAP NO.: LOT (S)
~ OF ~ (S): LINDA BELANGER
OCCUPANCY: ONE FAMILY DWELLING
LINDA BEIJ%NGER
DAT~: 03/09/10
DWELLING:
ACCESSORY STRUCTURES:
VIOLJ%TIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
1~: BP866 ADD COZ434, BP14252 DECK COZ22565
BLI~
This~ann1~j~-O~n~qt;j~.~l~e fille~ i~
Form No. 6
TOWN OF $OUTHO~D
BUILDING DEPARTMENT
TOWN HALL
765-1802
'LICATION FOR CERTIFICATE OF OCCUPANCY
~y typewriter or iak and submitted to the Building Department with the following..'
A. For new building or new use: 1. Final survey of propo~,y 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 iastallation fi'Om Board of Fire Underwriters.
4. Sworn statement from plumbor ceffifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commemial 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.
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, bui!ding and.unusual natural or topographic
features.
2. A properly enmpleted application and consent to iuspect 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
L Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimrmng pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pm-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. UpdatedCertificate of Occupancy - $50.00
5. Temporary Certificate of Ocenpancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
House No.
Owner or Owners of Property: ~--~
Suffolk County Tax Map No 1000, Section
Date.
Old or Pre-existing Building:
Street
(check one)
q Hamlet
Block ~5~OO
Lot O0 ~
Subdivision
Filod Map,
Permit No.
Date of Permit. Applicant:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ /o 0, n 0
Final Certificate: l/
(check one)
Applicant Signature c7~ -
CONSENT TO INSPECTION
Owner(s) N-afne(s)
, the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, locatedat 75--~(~k, nt_¼ 5-t- ~v-~'e=nn-o,~,--°[ ,4~.~- ~-~"~
which is shown and desi-gn~t-ed o°ri the Suffolk ~ount~ Ta~qM-ap as District 1000,
Section ,9 ~g/_, Block OOc> I, Lot ~9<~'
That the undersigned (has) !have) filed, or cause to be filed, an application in the
Southold Town Building Inst~ector s Office for the following: ~2~-~.5~ ;~a~
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, roles 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, roles or
regulations of the Town of Southold.
Dated:
' (SignatUre) co
(Print Nme)-)
(Signature)
(Print Name)
TOWN OF SOUTHOLD P~OPERTY RECORD CARD
VI LLAGE
LAND IMP. TOTAL
DISTRICT
SUB. LOT
/6
FO~RMER 0gvNER'X',J ,.j O, l'dr~rj
RES. ~lO SEAS. VL. FARM CO~. IND. j CB. J MISC.
DATE
AGE BUILDING CONDITION
NEW NORMAL BELOW
Farm
2
3
Tillable
Tillable
Woodland
Swampland
Brushland
Ac re
H~Plot
Value Per Acre
Total
Garage
z~
Foundation C% ~, C Bath /
Basement Floors
Ext. Walls
Fire Place
Porch
Interior Finish
Hem
Porch
Patio Rooms 2nd Floor
Attic
Rooms 1st Floor
¢/~
0 20'
SCTM# 1000-48-1-8
AREA= 6, 178 sq ft
0.14 acre
FRONT STREET
SURVEY OF LOT tt 5
SITUATE
GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SUBDIVISION MAP OF:
"PLAN OF S. BUEL CORWIN ESTATE,
GREENPORT, SUFFOLK COUNTY,
NEW YORK, AS LAID OUT IN LOTS
IN 1882": FILED MAY 23, 1887
AS MAP#353 AND REFILED
DECEMBER 23. 1930 AS MAP # 548
chain fink
o.g'. & o.g'o N89 33 30 E 50.0~.,, oniinen&a
2 Story frame
dr/ye
WOod deck
{ no foundation on blocks )
o
chain link fence
N89°58'OO"W
lot # 30
SURVEYED: JULY 30, 2009
49.00'
I
lot # 31
JOHN GAI~_,ACHER
LAND SURVEYOR
59 FLORENCE DRIVE
MANORVILLE, N.Y. Il 949
( 631 ) 874 - 0400