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Home My WebLink AboutZ-36236No: 36236 Town of Southold Annex 54375 Main Road Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 5/13/2013 4/12/2013 THIS CERTIFIES that the structure(s) located at: SCTM #: 473889 Sec/Block/Lot: 33.-4-57 Subdivision: Filed Map No. conforms substantially to thc requirements for a 845 Sunset Ln, Greenport Lot No. built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36236 dated 4/12/2013 was issued and conforms to ali the rcquriements of the applicable provisions o£thc law. The occupancy for which this certificate is issued is: wood frame one family dwelling.* Note: BP 4460 addition to dwelling COZ-3709 The certificate is issued to Henkel, Theodore (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. gnatui BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 845 Sunset Ln, Grcenport SUFF. CO. TAX MAP NO.: 33.-4-57 NAME OF OWNER(S): Henkel, Theodore OCCUPANCY: ADMITTED BY: SUBDIVISION: SOURCE OF REQUEST: Henkel, Theodore DATE: 4/12/2013 DWELLING: # STORIES: I # EXITS: 2 FOUNDATION: cement block CELLAR: 2/3 CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: brick BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: offboiler AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: X # BEDROOMS: # KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: 1/3 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: VIOLATIONS: REMARKS: INSPECTED BY: ARYF DATE OF INSPECTION: 4/18/2013 TIME START: 9:45am END: 10:00am Form 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: I. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (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 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. I. 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 I. 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. ¢c /°~- t/3 New Construction: Old or Pre-existine Building: -~ (check one) Locafion of Property: ~10 'c/~- (~K~t House No. Streetr Owner or Owners of Property: '~_~- c~(~/- Suffolk County Tax Map No 1000, Section Subdivision Perm it N o. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: ~ Block ZT~ Filed Map. Applicant: Underwriters Approval: Final Certificate: ¢'~ (check one) Lot Lot: ApOlic~nt Signature v CONSENT TO INSPECTION Owner(s) N m (s) , the undersigned, do(es) h~reby state: That the und~migned (has) (have) filed, or cause tobe filed, an application in the Southold ~own Building Inspector's Office for.the following: F .d_ -- 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 of the laws, ordinances, rides and'regulationsofthe Town 0f South61d. 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. Date~i: -/3 (Signature) (Print Name) '(Signature) (Print Name) ® SURVEY OF PROPERTY SITUATE NORTH OF GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-33-04-57 SCALE 1"=20' APRIL 1, 2013 AREA = 7,592 sq. fl. 0,170 ac. Lic. No. 50467 Nathan Taft Corwin III Land Surveyor COPIES OF THIS SURVEY MAP NOT BEARING THE !AND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CER~FIEICAI~ONS INDICATED HEREON SHALL RUN ONLY TO THE PER~N FOR WHON THE SURVEY THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Successor To: Stanley J. Isaksen, Jr. LS. Joseph A. Ingegno L.S. 77tie Surveys - Subdivisions - Site Plans -- Construction Layout PHONE: (651)727-2090 Fox (631)727-1727 OFFICES LOCATED AT MAIUNC ADDRESS 1586 Main Rood P.O. Box 16 Jomesport, New York 11947 Jomesport, New York 11947