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Home My WebLink AboutZ-34563FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RT~NT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34563 Rte: 09/17/10 T~IS U~TIFIES that the building DWELLING Location of Property 975 KERWIN BLVD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 053 Block 0003 Lot 005 Sulx~ivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICAT~ OF ~C~%~ ~BER Z- 34563 dat~ SEPTE~ER 17, 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 PORCH, FRONT ENTRY AND REAR P~ISED CEMENT PATIO.* Ge certificate is issued to ~L~RIE FUCHS of the aforesaid building. ( OWNER ) S~FOLKC~I~I~fDEPAR~TOF EI~t-£RIC~%L ~TIFI~I~ NO. PL[~B~ ~TIFIC~%TION Da'r~3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 975 KERWIN BLVD GREENPORT S~]U~TSI(~: MAP NO.: LOT ~ OF (~ (S): MARIE FUCHS O~/~: 0bE FAMILY DWELLING ~]~'l-r~ B~f: JANE SCRANTZ MARIE FUCHS 09/17/10 ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~: BP 4809 ADD COZ7073 09/17/10 Form No. 6 TOWN OF SOUTI/OLI) BUILDING DEPARTMENT TOWN HALL 765~1802 APPLICATION FOR CERTIFICATE OF ocCUPANCY This application mu~t be filled ia by typewriter or ink sad ~ubmitted to the Building Deparlmeat with the following: A. For new building or new use: · .Final aut~. :oy~of .property vath accurate location of all buildings, pwperty linez, streets, and unusual natural or ~opograpmc ~eat'urea.. · .2. Fi,al Approval from H~Ith D~Pt. of water supply and sew~ge-dispo~l (S-9 form). 3. Approval ofelcch'ical installation'from Board of Fire Unde~vritcrs. 4. Sworn .~taf~neat from plumber cei~fyingJhat the ~older used in system contzl,.~ l~s than 2~10 of 1% lead.. '5. Comme~4al building, i~dus~al 6uildin~, multiple residanc~'and ~imlJ~ buildings and installa~ion~, . of Code Complian~ from ~xchi~-t. 0i: ~ngincer responsible for the building. '6. SubmitPlanningBoardApprovalof~ompletedsite'planrequimments.' ]~ .For e~'-s b.fl~s.(prior ~o ~.' ~ :~).ou~o.formi~ ns~; o~ ~dl~s .d ,Oro-e~i~g.'i.d ns~: 1. Accurate survey, of pmp~ty, showing all property linez, sh'e~ts, building and unusual natural or topographic ' features. ~ 2. A properly completed application and consent to inSpect signed by the applicant. IFa Certificate of Occupancy is denied, thc Building Inspector shall state thc reasonS therefor in writing to the applicant. C. Fees 1. Certificate of 0ccupancy - New dwelling $25.00, Addkions to dwelling $25.00, Alterations to dwelling $25.00' Swimndng pool $25.00, Accessory'building $2~ 00, Additions to accessory building ~25 00, Businesses $~0.00. 2. CcAi~cateofOccupancy.onPrc-~xis~:ingBuilding. $~00.00 ' 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy - $$0.00 $. Temporary Certificate o£Occupancy - Residential $1 $.00, CommcrciaJ $ i $.00 t~,lew Co'stmction: . . Old or Pre-eXisting Building: ~ [chcck One) House No. 0whir or'Own~ off'rove'y: '..--Tff~o~~' · 8.nttolk County Tax Map No i 000, S~don. Subdivision l>~mit No. . 'Dare'of Permit. Health Dept. Approval: Strut ,~-~ :. BlOCk.. Fikxi Map. . Applicant: Underwriters Approval:. Hamlet Piannt.g Board Approval: Request for: Temporary Certificate Fcc Submitted: $ /O'D~''~- Final Certificate: (check one) CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: Tliat the undemi~gned (is) (are) the owner(s) of the premises in the Town of Southold, locatedat ~,~'75- ~'~-ue~,~ ~ ~:~_~ ' which is shoc~~ and designated on the Suffo~.~County Tax Ma1~ as District 1000, Section ~) ,Block ~ ,Lot '~ . That the undbrsigned (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 con~ent 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 all oft he laws, ordinances, roles and'regulations.of the Town of South01d. The undersigned, ~n ~onsenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used insubsequant prosecutions for violations of the laws, ordinances, roles or regulations of the Town of Southold. Dated: (~Signature) (Print Name) '(Signature) (Print Name) LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) ADMITTED BY: ~.A,3 ~ KEY AVAILABLE: SOURCE OF REQUEST: (owner-tenant) Tc_~/~-~0 ? )_ ~ACCOMPANIED BY: ~.. SUFF. CO. TAX MAP NO. 1000- ~'~ ~ ~ ~5 DATE: DWELLING: TYPE OF CONSTRUCTION: O~ ~ # STORIES: / '/~.- # EXITS: ~,~ FOUNDATION: CELLAR: ~ CRAWk SPACE: "~ TOTAL ROOMS: 1ST FLR: ~ 2ND FLR: ~L~ . 3RD FLR. -~- TOILET ROOM(S): ~ UTILITY ROOM.7 ~ ~_~ _ BATHROOM(S): . ~ _ PORCH TYPE: ~.~cd.~.f¢~, DECK, TYPE: BREEZEWAY: ~--~... o FIREPLACE: AdO ~ DOMESTIC HOTr~NATER: ~. TYPE HEATER: ~0----~ TYPE HEAT: ~r/94L4Z._~ WARM AIR: ~ I OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: PATIO, T.Y. PFff~ GARAGE. AIRCONDITIONING: HOTWATER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE /[~CATION '~p..~ DESCRIPTION ART. SEC. 'A,ll ,- , REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: