The URL can be used to link to this page

Home My WebLink AboutZ-34505FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34505 ~te: 08/18/10 THIS CERTIFIES that the building DWELLING Location of Property 2895 MANHANSET AVE GREENPORT (HOUSE NO.) (STREET) (HAMLET) Co%~nty Tax Map No. 473889 Section 043 Block 0001 Lot 002 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- 34505 dated AUGUST i8, 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.* The certificate is issued to MARY I KR3%USE of the aforesaid building. ( OWNER ) N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2895 MA~SET AVE GREENPORT S~DI~ISI(~: ~ NO.: LOT (S) ~ OF (~ (S): MARY I KRAUSE OC~ANCY: ONE F~/~ILY DWELLING 08/18/10 ACCESSORY STRUCTLrRES: VIOLATIONS: C~APTER 45 N.Y. STATE U~IFOP. M FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION A. RT. SEC. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 .ICATION 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 acearate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewemge-dispusal (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 tess 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 e:dsfing buildings (prior to April 9, 1957) non-conforming us~s, or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic t. features. A properly completed application and consent to inspect signed by the applicant. Ifa 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. 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: Old or Pm-existing Building: of Property: 2~ Location Home No. S~et O~er or Omem of Pmpe~y: S~olk Co~ty T~ Map No 1000, S~tio~ Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Date.. ~ / ,7 ,o !/c~ (check one) Hamlet Block / Filed Map. . Applicant: Underwriters Approval: Lot: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) CONSENT TO INSPECTION tOwner(s) Name(s) · , the undersigned, do(es) hereby state: That the undersigned ~ (are) the owner(s) of the premises in the Town of Southold, located at ~ ~-. ~)'~7~-2~.~'~ ~ ~.~. //~'~ , which is show~n and designat.ed on the Suffolk County Ta~ Ma~p as Distr~t 1000, Seetionq~t , Block I , Lot That the und~u-signed (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 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 ail of the laws, ordinances, rules and'regulations of the Town of 8outhold. 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: Y (/ .,' ~Signa ~t~re) 0?rint Name) '(Signature) (Print Name) ['~ AN NANSET '~CHA~ L:E.5 !, ~(i EAL.c-SE TOWN C~ LOCATION: (number & street) (municipality) SUBDIVISION: '~ ' '"~/~ . MAP NO.: ~ LOT(S): NAME OF OWNER(S): ,~o-~.~.~ ~~ OCCUPANCY: ~typ~ ~~,~o~ ~ e (owner-tenant) ADMITTED BY: /4~,~ ~ ACCOMPANIED BY: KEY AVAILABLE: ~ SUFF. CO. TAX MAP NO. 1000- ~,~ SOURCE OF REQUEST: /t~t..- ~~ DATE: 7~,.~--- / o DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: ~ ~ CELLAR: TOTAL ROOMS: 1ST FLR: 2ND FLR: BATHROOM(S): ] TOILET ROOM(S): PORCH TYPE: ~ DECK, TYPE: BREEZEWAY: - - ~ ~ ~ FIREPLACE: DOMESTIC HOTW-A_T.ER:~Y~ TYPE HEATEI~:~_ _ TYPE HEAT: ~7//.._. WARM AIR: Y'~i4 ' OTHER: STORIES: ] //~/~2~ # EXITS: .~-9 CRAWL SPACE: 3RD FLR: ,---- UTILITY ROOM: -----, PATIO, TYPE: ,----- GARAGE: -~ ~ AIRCONDITIONING: ._L/~ HOTWATER: y~ 5- ACCESSORYSTRUCTURES: GARAGE, TYPE OFCONST.: SWIMMINGPOOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. t// I, . " REMARKS: INSPECTED BY: j,~r-. ~ DATE OF INSPECTION: TIME START: END: '" '~ TOWN OF SOUTHOLD PkOPERTY RECORD CARD OWNER t9oo TOTAL FARM DATE VILLAGE DISTRICT SUB. ACREAGE , ~. ~'~ , .- TYPE OF BUI LD1 NG LOT AGE NEW Form Tiltob[e 1 TilJoble 2 Tillable 3 Wcodlond Brushlond House Plot Toro1 NORMAL Acre BUILDING CONDITION BELOW ABOVE Value Per Acre Value M. Bk~. Extension Extenslon Extension Breezewa' Foundation Basement ~'~/Ext. Walls F~re Place Patio Drivewc~' Porch Pdrch Bath Floors nteriar Finlsh He~ Attic looms ]st Floor Rooms 2nd Floor