HomeMy WebLinkAboutZ-34282FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hail
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
34282
Date: 04/22/10
T~IS CERTIFIES that the building ACCESSORY GARAGE
Location of Property 465 BAILEY AVE GREENPORT
(HOUSE NO.) (STREET) (H~_MLET)
County Tax Map No. 473889 Section 034 Block 0004 Lot 007
Subdivision Filed Map No. __ Lot No. __
confozms substantially to the Requirements for a~9~W~
built prior to APRIL 9, 1957 pursuant to which C~TIFICATE OF
OC~uFANC~f ~E~ Z- 34282 dated APRIL 22, 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 ACCESSORY WOOD FRAME GARAGE 15 X 20.*
The certificate is issued to MARGARET DUGGAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENTOFHEALTHAPPROVAL
ELECTRICAL CERTIFICATE NO.
P~ERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
t~rized Signature
Rev. 1/81
BUILDING DEPARTMEN~
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
GREENPORT
MAP NO.: LOT (S)
BATHR0~ (S): 0.0
~ORCH TYPE:
0.0 # EXITS: 0
PATIO TY~E:
GAP. AGE:
ACCESSORY STRUCTURES:
C~, ~ OF C(~ST.: WOOD FR3%ME 15 X 20 STO~, ~ C~ST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
DATE O~] ]~]SI~CTIUN: 04/19/10
T~ START: ~:
[Corm 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 lbrm).
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 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
New Construction:
Location of Property: ~P
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Sectio~
Subdivision
Old or Pre-existing Building:
Street
(check one)
Hamlet
Lot
Filed Map.
Lot:
Permit No.
Date of Permit.
Applicant:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ,//[/"x~ '
Final Certificate:
(check one)
CONSENT TO INSPECTION
Owner(;)
, the undersigned, do(es) hereby state:
That the under~gned (!s_) (are) the~owner(s) 9fthe premises in the Town of
Southold, locatedat pot.- J~.>q'/.t~_ /t/'~7'~: OX~---,,.)(9//~
which is shown and designated oh the{Suffolk ~ounty Tax l(,lap as District 1000,
Section , Block , Lot
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold~_.O, Town~7~ w ~ d'~'~,/~Building Inspector's Office for the following:
That the undersigned do(es) hereby give consent to ~he 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 ail 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, roles or ~
regUlations of the Town of 8outhold.
Dated:
'(Signature)
(Print Name)
OWNER
TOWN 'OF SOUTHOLD P~OPERTY RECORD CARD
FOR,MER OWNER
RES. J/6 SEAS. VL. FAPJA
TYPE OF BU ILDI NG
COMM. JINX. CB. J MISC.
LOT
Est. Mkt. Value
DATE
R.~V'~RKS
LAN D I M P. TOTAL
AGE BUILDING CONDITION
NEW NORJV~L BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
Tilrable 1 BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland
Swampland
Brushland
House
Total
2
Extension
Foundation
Extension
Extension
Breezeway
O.B.Garage
Ext. Walls
Fire Place
Patio
Driveway
Interior Finish
Iff. eot
Porch ~Roof Type , '.
' i !"
Porch
jRoorr,.s 1st Floor
l Rooms 2nd Floor , ~.~·
DoFnaer