HomeMy WebLinkAboutZ-35444Town of Southold Annex
54375 Main Road
Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 35444
Date:
2/14/2012
2/14/2012
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot:
Subdivision:
conforms substantially to the requirements for a
280 (aka 24) Washington Ave, Greenport
Lot No.
built prior to
41.-1-40
Filed Map No.
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35444
dated 2/14/2012 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
one family wood frame dwelling with front covered porch and accessory 1 1/2 car wood frame garage.*
NOTE: BP 36878 deck COZ-35429
BP 36879 trellis COZ-35430
The certificate is issued to
Clark, Virginia & Grigonis, Terry
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 280 (aka 24) Washington Ave, Greenport
SUFF. CO. TAXMAPNO.: 41.-1-40
NAME OF OWNER{S): Clarkl Virginia & Grig0~i;~ Terr~
OCCUPANCY:
ADMITTED BY: Elena Maye
SOURCE OF REQUEST: Clark, Virginia & Grigonis, Terry DATE: 2/14/2012
SUBDIVISION:
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: IST FLR.:
BATHROOM(S): 1
PORCH TYPE: yes
BREEZEWAY:
DOMEST1C HOTWATER:
TYPE HEAT: oil
# BEDROOMS: 3
OTHER:
# STORIES: # EXITS:
cement block CELLAR: 2/3 CRAWL SPACE: 1/3
3 2ND FLR.: 3RD FLR.:
TOILET ROOM(S): 1 UTILITY ROOM(S):
DECK TYPE: PATIO TYPE:
FIREPLACE: GARAGE:
TYPE HEATER: offboiler AIR CONDITIONING:
WARM AIR: HOT WATER: x
# KITCHENS: 1 BASEMENT TYPE:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS:
REMARKS:
INSPECTED BY:
DATE OF INSPECTION:
TIME START:
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANC
This application must be filled in by typewriter or ink and submitted to the Building Depal
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, str
3.
4.
5.
topographic features.
Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fo~
Approval of electrical installation from Board of Fire Underwriters.
gtS,
with the following:
aPB -? 2011
BLDD DEPT.
TOWN OF SOUFHOLD
Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
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. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50~00, 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
Date._
New Construction:
Location of Property: ~ ~
House No.
Owner or Owners of Property: '~'a,a cJ tn_
Suffolk County Tax Map No 1000, Section _
Subdivision
Old or Pre-existing Building:
' Street
Permit No.
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
(check one)
-- Hamlet
Block J
Filed Map.
Applicant:
Underwriters Approval:
Lot
Lot:
Request for: Temporary Certificate
Fee Submined: $ I'~ ~ _.: O_ ~
Final Certificate: (check one)
" Applicant S4gnature
CONSENT TO INSPECTION
Owner(s) Name(s)
, the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, locatedat ,~ ~, vOa~ {x ~¥,a'-~ ~ .
which is shown and designated on the guffolk CounB/Tax Map ~s District 1000,
Section 4-1 , Block I , Lot ~ O
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: 0_ o
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 ail of the laws, ordinances, rules and'regulations of the Town of South01d.
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.
D~ed: O ~-O~/
(Signature)'
(Print Name)
'(Signature)
(Print Name)
SURVEY OF LOT 22
"MAP OF: P, IASHIN®TON HEI®HTS"
FILEI2 12EC, EI'4BER 2<;I, Iq2q FILE No. 6,...51
51TUATE: ®I::~EENPORT
TOINN: .5OUTt--IOLP
5.UFFOLK. C, OUNTY', NY
.t";,URYET': 5epteml:;~r' 6, 200,6
E, UPFOL~. COUNT'r' TAX ~'
IOOO O,4-1.OO 01.00 04-0.000
N
NOTES:
AREA = 5,-/.50 5.F. OR O.l~20 ACRE
®RAPHIC, SCALE I"= 20'
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.\\Compaqserver\pros\06\06-238.pro
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULAT~ION
[ ] FRAMING / STRAPPING [~/J/FINAL//-~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
R~M, ARKS: ~~r ~£/"~c,,,~
DATE
INSPECTOR--~~'~