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Home My WebLink AboutZ-6076FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32133 Date: 01/11/07 THIS CERTIFIES that the building Location of Property 76000 MAIN RD {HOUSE NO.) County Tax Map No. 473889 Section 048 DWELLING GREENPORT (STREET) (HA~4LET) Block 0001 Lot 0i~ subdivision 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 OCC~3pANc~f }~4BER Z- 32133 dated JA/qUARY 11, 2007 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 ACCESSORY TWO CAR GARAGE* NOTE: THIS UPDATES PRECO Z-6076 DATED 8/27/74 TO INCLUDE ACCESSORY GARAGE. The certificate is issued to DIANE RIES of the aforesaid building. ( OWNER ) SUFFOLK COL~FI"fDEP~K~qT OF H}L~LTE~PPROL5%L ELECTEIC~%L CERTIFICATE NO. PLUMBERS CERTIFICATION DAT~3 N/A N/A N/A Signature Rev. 1/81 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: 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. 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. 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. If a Certificate of Occupancy is denied, the Building Inspector shall state 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-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: /0 ! '-5 lC"r~ ~4 House No. Owner or Owners of Property: T); a we Suffolk County Ta5 Map No 1000, Section Subdivision Old or Pre-existing Building: Street (check one) Hamlet Block / Filed Map. Lot Lot: . ~ /~ DT~ Date of Permit. Applicant: pt. Approval: Under~vriters Approval: oard Approval: i:ed: :emporary Certificate Final Certificate: (ct__...' heck one) (~VX~.~ L.~}~ loe.~c~ COrrxOc¢OoO V~A cantS1 ature FOKM NO, 4 TOWN OF SOUTHOLD BU~.BING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No.Z~076 ....... Date ............. ~iugu,xt.. ~..., 197~. THIS CERTIFIES that the building located at !~.8.14a~. R~ad..(~1~0~ .$~)Street Map No. ~1~ ........ Block No...x~ ..... Lot No. ~1~ .... Gl~elapOl*.~ .11,~., ....... conforms substantially to the rem t dba~e~t., dated ......... ~1~.. ~.7.., lg?.~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . P~;~?&.t.~..~.~..~ .a~..:L.~.I~..d.~.~.l..3.~1. ~ ....................................... The certificate is issued to .l~.~ .~,. ~ .... 0~$1' .............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval · · pl~e*-, e~.~tLl~[ .................. UNDERWRITERS CERTIFICATE No. l~l'e.*,.~.t.~.z~ .............................. HOUSE NUMBER ...?~flCO ..... Street. HOUSING CODE INSPECTION August 27, 1974 76000 Main Road Greenport, N.Y. Tax Roil: Ruth G. Bush Occupied: Owner Upon receipt of application for a Pre-Existing Certificate of Occupancy, I made an inspection of this two story framed dwelling and found the following violations of the Housing Code, Chapter 52, Town of Southold, New York. I was ad- mitted to the premises by Mr. Bush who accompanied me during inspection which began at approximately 10:15 A.M. The first floor consists of a kitchen, half bathroom, living room, dining roOm, sun room, screened porch, and front and rear entrance vestibules. Living Room - lamp cord outlet on baseboard, Article V, Section 52-56 A.1. The second floorconsists of a full bathroom off hallway and three bedrooms. Heat is furnished to all rooms on the first and second floors from oil fired hot water furnace located in partial cellar. A two car garage is located in rear yard area. Exterior of building and open yard area is well maintained. Inspection completed at appro~ately 10:40 A.M. ( / EH:n~n Building Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Depo~tment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: ]. Final survey of property with accurate location of oil buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply end sewerage disposol--(S-9 form or equal}. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ....~...~..g...~..S...~. ....... ~...6.......1. ?..~.~..... New Building ................ Addition ................ Old or Pre-existing Building ...~ ..... Vacant Land .............. Location Of Property ~/,S Main Road (front Street) Owner Or Owne~ Of Property Nathan Bush & wife Subdivision ....... ~ .................................................... Lot No ..... .7~.. Block No.:F,~ ..... House' o ~1,~ ~JC~ Permit No......:~.. .............Date Of Permit .......~.. ........... Applicant ....:~[....~. ................................................ .?..~...o..o ore-existin~ .... Health Dept. Approval .~ ......................... .~, ............. LaDur Dept. Approval N. R. pre- existing Underwriters Approval .............................................. Planning Board Approval ...~...'...~.;. ............................ Request For Temporary Certificate ........................................ Final Certificate ]OOr~ Fee Submitted $ .....~..?..0..0.. ...................... Construction on above described building and ~/~rn~it meets ~1 up, cable codes and regulations. A,plican,...~....~~ fi/....?..~....X_..~ .................................... Sworn to before me this ~ ~ 26 . . August 197~ ~ ................ o, ....... ............... ,,~,-- , ~,. ~~~ No,~ Public, Stale of New York ~ ~' ,~u~ r~D~C ........... ~..=~.~..~Z.. ~ountyNo.52.03449b3 Suffolk County,