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Home My WebLink AboutZ-27800FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27800 Date: 07/09/01 THIS C~KTIFIES that the building DWELLING & ACCESSORY Location of Property 275 MAPLE ST {HOUSE NO.) (STREET) County Tax Map No. 473889 Section 042 Block 0001 Filed Map No. Lot No. Subdivision GREENPORT (HAMLET) Lot 015 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 purs,,~t to whlchCKI(TIFICATEOF OCCUPANCY NUMBER Z- 27800 dated JULY 9, 2001 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 REAR ENCLOSED PORCH AND RAISED CONCRETE PATIO AND ACCESSORY 1 1/2 CAR GARAGE.* The certificate is issued to ANTOINETTE BERKOSKI & ANO (OWNER) of the aforesaid building. ~o~FOLK COUNTY DEPARTMENT OF H~%LTH APPROVAL N/A HLEt-iaICA5 CERTIFICATE NO. 6/22/01 P---d{-~ PLUMBERS C~KTIFICATION DAT~U N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT WOOD FP~E ~ S~WIEN: CONCRETE BLOCK CEIl: 1.5 ~ EXITS: 200 VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOR/4 FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. RE-INSPECTED 6/29/01 03/21/01 BUILDING DEPARTMENT TOWI~ HALL 765-1802 mo APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildingS, property linea 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 simila~ buildJ and installations, a certificate of Code Compliance from architect or en~ineer 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 a '~pre-existing" land us~s: i. Accurate survey of property showimg all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicar If a Certificate of Occupancy is denied, the Building Inspector shall st~te the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinK Buildinz - $i00.00 3. Copy of Certificate of Occupancy - ~ .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial Date ..................... X ... Old Or Pre-existing Building.....-----------'~ New Construction .... ~ M 'e ~treet, Green~ort, NY . .... Location of Property...~'..~P~..q ........... ~ ..................................... House No. Street Hamlet Onwer or Owners of Property..4~Q%U~ ~-- ~r~o~J~i. ~ ~I~I~.pf.g~o. Mo~i~.G~igonim ...... by: Richard A. Grigonis County Tax Mmp No I000, Section..G42~ ........ Block..O1.00 ......... Lot..0~5.000 ........ Subdivision .................................... Filed Map ............ Lot ................. Permit No ................ Date Of Permit ................ Applicant ........................ Health Dept. Approval .......................... Underwriters Approval .................... Planning Board Approval ....................... ~ ~_ Request for: Temporary Certificate ........... Final ....... Fee Submitted: $- 100.00 APPLICANT GARY FLANNER OLSEN Main Rd, PO Box 706 Cutchofue, NY 11935 CONSENT TO INSPECTION Antoinet E. Barkoski and Estate of Ri~a Marie Gri~onis , the undersigned, Owner(s) Name(s) by Gary Elanner Olsen, as attorney do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town ,6/2~Maple St., Greenport, NY of Southold located at c~'~' · which is shown and designated on the Suffolk County tax map as District 10000 Section 0420 , Block 01.00 , Lot 015.000. That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'th~ Southold Town l~ull~ling lnspeu~,,~ .o c,t~ioo ~o. +h~ fn]lnwinf: One and 1/2 Story Frame House, porch, patio and detached frame garage 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 refulations 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 pr ~,~ecutions for rio- / · lations of the laws, ordinances, rules or regulations of~e,/rown of Southold. Dated: /14/01 (print name) ' (signature) (print name)