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HomeMy WebLinkAboutZ-23767FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23767 Date JULY 13, 1995 THIS CERTIFIES that the buildin~ Location of Property 240 BAY ROAD House NO. County Tax Map No. 1000 Section 43 Subdivision ONE FAMILY DWELLING GREENPORT, NEW YORE Street Hamlet Block 5 Lot 9 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--23787 dated J~LY 13, 1995 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 SEASONAL DWELLING AS APPLIED FOR. The certificate is issued to GEORGIA A~STRONG & STEPHEN WITENKO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *P?.~SE SEE ATTAu~D INSPECTION ~RT. Rev. 1/81 LOCATION: 240 BAY ROAD (number & street) SUBDIVISION HAP NO. NAHE OF OWNER (s) GEORGIA ARMSTRONG & ORS. BDILDING DEPARTMENT TOWN OF SOUTIlOLD IIOUSING CODE INSPECTION REPORT GREKNPORT, NKW YORK (municipality) LOT(s) OCCUPANCY SEASONAL SINGLE FiMMILY (type) (owner-tenant) ADM[TTEU BY: JOHN RICKLES ACCOMPANIED BY: SAHE KEY AVAILABLE SUFF.CO. TAX NAP NO. 1000-43-~-9 SOURCE OF REQUEST: GEORGIA ARMSTRONG & STKPitER WITENKO DATE:SEPT. 30, 1994 DIALLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION BLOCK PIERS CELLAR TOTAL ROOMS: IST FLR. 4 2ND FLR. BATHROOM (s) ONE TOILET ROOM (s) PORCH TYPE REAR ENCLOSED WITit A ~ STORIES I ! EXITS NO CRAWL S~ACE NO 3RD FLR. UTILIT/ ROOH DECK, TYPE NEAP. WOOD - P~IO BREEZEWAY DOMESTIC HOTWATER YES TYPE HEAT NONE OTHER: FIREPLACE TYPE HEATER WARM AIR YES ** ELECTRIC GARAGE NO AIRCONDITIONING HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIHHING POOL O~tER: OUTSIDE SHOWER STALL STORAGE, TYPE CONST. · GUEST, TYPE CONST. METAL SH~D VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP $22872-COZ-23766 (Deck addition) *'NOTE:(/F~I??~ BLOC~I~/~:- NOT USABLE.  ~' E~ 9:25 Form No. 6 TOWN OF SOUTHOLD ] ~~ BUILDING DEPARTMENT ~ TO~rN HALL , .... 765-1802 APPLICATION FOIl CERTIFICATE OF OCCUPANCY i~-'-~177~r .... A. This application must be filled in by '~7 ":'; :~ ~'.'' typewriter OR ink and submitted ~0 the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all 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. Co~ercial 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. 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 a consent to inspect signed by the applicant. If a 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, Swiping pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. ~ Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated ~ertificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential ~15.00, Co~ercial $15.00 Date .... ~..~. ~;j..~. % ~..~ ............ New Construction ........... Old Or Pre-existing Building ...... ~ ........ ....................... 6. I ........... House No. Street ....... Ha~et / ''' Onwer or O~ers or Property.~g.~.~.i~...~.6.Q.f!K~.~.~' , g~~ ---~-i'-V.~.~.~.O County Tax Map No 1000, Section. ~.~, ~.Block. ~ ~O ~ 0 ..... · " ......... .... Subdivision. · · · · ' ·' Filed Map Lot Permit No ................ Date Of Pe~it ................ Applicant ........................... Health Dept Approval ' ' ...................... Underwriters Approval Planning Board Approval ....... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ 7~ ~' ~ ~ ~ ;. ~PLICAN~ CONSENT TO INSPECTION / Or;ncr (s) Nam'e(s) do(es) hereby state: r, 74 1994 · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at d~ ~ C~ ~5 ~4- ~ ~ O/~ ) ~/~(3~_ · which is shown and designated on the Suffolk County tax map as District 1000, Section Oct.z,,o©, Block Og, oO, Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tox~ 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 all.of the laws, ordinances, rules and regulations of the Town of Southold. 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (print name) (print name) s.85"-'-'-'-38'40' ,,,¢ 427' PF~ICE C~CALE-50' 1.22 -':' A.C. MONUMENT OCT 2 4 199~ BLDG. DEPT. TOWN OF SOUTHOLD SUFF, COT~ h4AP PATA: 1.007'~.'~Z_5'~ F~ODEI~ICk.. k~Nl TUYL P.C. LlC L&t4D '3Uf~VEYORS