HomeMy WebLinkAboutZ-34955FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 34955 Rte: 05/19/11
THIS CERTIFIES that the building DWELLING
Location of Property 900 BAILEY AVE (AKA 503)
(HOUSE NO.)
County TaxMap NO. 473889 Section 034
Subdivision
GREENPORT
{STREET) (HAMLET)
Block 0003 Lot 033
Filed Map No. __ Lot No. __
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which U~KTIFICATE OF
~cu~ANC"f ~0MB~ Z- 34955 dated NL~y 19, 2011
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 SMALL OFFICE.*
The certificate is issued to JAMES M & SUSAN E WISOWATY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTYDEPARTM~NTOFHEALTHAPPROVAL
ELBt-rKICAL u~KTIFICATENO.
PLN~ERS CERTIFICATION D~r~u
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Rev. 1/81
nature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
900 BAILEY AVE (AKA 503} GREENPORT
~ OF O~ (S): JAMES M & SUSAN E WISOWATY
(~ANCY: ONE FAMILY DWELLING JAMES M & SUSAN E WISOWATY
ACCESSORY STRUCTURES:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFO~ FIP~E PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
1~: BP3529 ADD C0Z2897, BP28826 FIRE REP C0Z29152
~ (~ I~PECTION: 04/22/11
START: 9:40AM ~O: 10:15A~4
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING / STRAPPING [ ] FINAL
] FIRE SAFETY INSPECTION
FIREPLACE & CHIMNEY [
FI~ C0.Sm.UCTm. [ ] FmnE REmTANT mmcmlJTmO.
DATE ~L /[ INSPECTOR
0~1~/201~ ~1:~ 80~63~0~ TSA BT~ ~E 02
APIPLICATION FOR C]~RTIFICAT]g OF OCCUPANCY
755 -
This aloplicatiol~ must Dc filled in by typewriter or ink and s~b~.itted to thc Builcling Department wiih the following:
l, ~i~l s~ of~ wi~ a~t~ l~ion of~l ~ildings~ p~pe~y lines, st~, and unu~l na~ml or
to~p~ f~tures.
2. Fi~ ~pproval from H~kh ~t, ofw~tcr ~ly and ~rsge~i~osa] (5-9 fo~),
3, ~I oral.deal i~$tall~tion ~m B~ of Fi~ Und~dt~s,
4, Swo~ ~m~nt ~ plum~ ~ng ~ the sol~ us~ in s~t~m ~ontains le~ ~an 2/10 of
5. C~m~ial ~g, ~st~al huil~ng, m~tipla mlifl~c~ and s~flar buildings and i~a~on~ a c~ficate
ofCo~e Compli~a~ ~m amhit~t ~ ~ ~sible for ~be
6. Submit Pl~n~g Boa~ A~v~] ofc~pl~t~d si~ Ol~
B, ~or ~Xlsflag b~ldin~ (p~or to kp~q 9, 1~ no~-confo~ uSo~ or buildings and '~e~sflng
I. ~c~te su~ of ~o~y ~ho~g all pr~y 5n~s, st~ building and unu~l nz~m] ~ t~o~phic
2. A pm~ly c~ple~d a~li~tion a~ c0~c~t ,to ins~ ~0d by ike appli~nt. Ifa Ceaifi~t~ vt O~ncy is
d~i~, ~g ~uildi~g l~or shall a~Ic the ~asons ~e~for i~ writing to thg a~licam,
I. Certificate o f Occupancy - New dwelling $$0.00, Additiona to dwel!.ing $$0.00, Alterations to dw"]llng $50,00,
Swimming pool $50,00, Accessory building $50,00, Agdidolas to a~e~so~ boild~g $50,00~ B~in~s~ ~50.00.
2. C~ifi~te of O~u~cy on Pm~x~ Builg,~g - $100.00
3. C~y ofC~i~l.c o:fOccu~ - $.25
~. U~ted C~cavc ofOc~cy - $~0,00
5. Tem~ C~]fieate of ~c~cy - R~ide~j,~ $I 5,00, C~m~cial $15.00
°- zot !
New Construction:
Location of Prop~ny:
House No,
Owner or Owners of PropcrW:
Suffolk Con~ty Tax Map NO 1000.
Subdivision
Permit No.
l-lettlth Dept, Approval:
Blaming l~oard Approval:
Request for: TemporZl'y Cca'ttflcate
(chock o~e)
Hamlet
Map Lot: ,
Date of Penmt, Applicant:
Und~rvrtite~ Apprc,val:
Final Certificate: ...... (c~.eck one)
04/1~/20~ 11~2 802@6@9062 T$~ 8TV P~6E 0!
CONSENT TO INSPE~rtON
AREA.,5,742 $O. ~1'.
SURVEY OF PROPERTY
~4T (~REENPORT
TOWN OF SOUTHOLD
SU]~FOLK COUNTY, N.K
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
ADMITTED BY: ~_7lq'tL
KEY AVAILABLE:
SOURCE OF REQUEST:
(type)
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION: ~),Y~..~-~d/~ # STORIES:
FOUNDATION: ~'~¢,~q ~L ,'~~ A SEMENT: ~
# OF BEDROOMS: 1ST FLR: ~ 2ND FLR: --
BATHROOM(S):
TOILET ROOM(S):
PORCH TYPE: ~
BREEZEWAY: "'-----'
DECK, TYPE:
FIREPLACE:
EXITS:
CRAWL SPACE:
3RD FLR:
UTILITY ROOM:
PATIO, TYPE:
GARAGE:
DOMESTIC HOTWATER:
TYPE HEAT:
# OF KITCHENS:
TYPE HEATEP~ ~ ~RCONDITIONING:
WARM AIR: HOTWATER: ~'
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. ] SEC.
REMARKS:
INSPECTED BY: ~
DATE OF INSPECTION: ¢~/fl fl--///
TIME START: ~; ~/r~. .~'/. 'END: