HomeMy WebLinkAboutZ-27926FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27926
Date: 09/10/01
THIS u~KTIFIES that the building DWELLING
I~cation of Propez~y 25 PRIVATE RD
(HOUSE NO.)
C~unty Tax~.ap No. 473889 Section 052
Subdivision
GREENPORT
(STREET) (HAMLET)
Block 0005 Lot 032
Filed Map No. __ Lot No. --
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 purs,,~-t to wh/chCERTIFICATH OF
OCcuPANCY~ER Z- 27926 dated SEPTEMBER 10~ 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 FIRST AND SECOND FLOOR DECKS.*
The certificate is issued to PETER J & RITA A BYRNE
(OWNER)
of the aforesaid building.
suF~ ~ DEP~ OF ~TH ~%PPR~
HT.RCTRIC~J~ c~KTIFICATH NO.
PL~4BERS ~TIFICATION DA'£~U
*PLED~gE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
Auth0rfze~Signature
BUILDING DEPARTMENT
TOWN OF SOUTNOLD
ROUSING CODE INSPECTION REPORT
LO~TI~: 25 PRIVATE RD GREENPORT
SUBDIJFISI(~: MAP NO.: LOT
~ OF OW~ (S): PETER J & RITA A BYENE
O~ANCY: SINGLE FAMILY PETER J & RITA A BYENE
DWELLING:
~"~ OF C~TRUCTI~: WOOD FRAME
FO~TI~: CONCRETE BLOCK
ACCESSORY STRUCTURES:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P~: BP#~D C0Z7638
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR.CERTIFICATE OF OCCD-PANcY ~
A. This application must be filled in by typewriter OR ink a~d submitted to 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,
2. streets, and unusual natural or topographic features.
Final Approval from Health Dept. of water supply, and sewerage-disposal(S-9 form),
3. Approval of electrical installation from Board O~ 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 buildin;
and .installations, a certificate of Code Cqmp~ianee from ardhitect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For e~isting buildings (prior to April 9; 1957) non-conforming uses, or'buildings an~
Ppre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features, '
Aproperly completed appli~ation and a.conseat to inspect signed by the applicant.
If a Certificate of. Occupancy is denied, ~he 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,
Alteratiohs to dwelling $25.00, S6{mmtng pool $25.00, Accessory building
'. Additions to accessory building $25.Q0. Businesses $50.00.
2. Certificate of Occupancy ou Pre~existing Buildin~ - $100.00 '
3. Copy of Certificate of Occupancy - ~
4. Updated Certificate of Occupancy - $50.00
5; ~Temporary'Certificate of Occupancy - Residential $15.00,'Commercial $15.00
~Date ..~u~ust 20, 2001
Location of Property..~.~.v.~9.~.%~gp~h end Bayview Ave', G~eenuort'~
House No. ' .... · . ' .....
· Street N-mlet
f Pete~ J. and Rita A. 'Byrne '
Onwer or. Owners o Property ................... , ............ ~ ..... · ........................
Court. Tax No 1000, Section ............ ck.., ........... Lot.. 32
................... Filed Map .... ~ ..... LOt ........ . ............
Dst ' ' a "
Permit No ................ e Of ?ermit ................ cnt ............................
Health Dept Approval ' ' '
Underwriters Approval
· lamning Board Approval ......... ·
Requ'est for: Te~nporary Certificate ........... F~nal Certicate ........... .
~ "~b~ttt $ -o~e hundred {- -- ~ ~ ~
CONSENT
TO
INSPECTION
_~,eter J. & Rita A. Byrne , , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 25 Private Rd, south end Bayview Avenue, r
Greenport.. NY , which is shown and designated on the Suffolk
County tax map as District 1000, Section 52 , Block 5 , Lot 32
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
for a pre-esitin~ certificater of Occupancy
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 w£th all of the laws, ordinances, ~rules
and regulations of the Town of Southold.
The undersigned, ~n consenting to such inspections, do(es)~ sd with the
knowledge and understanding that any information obtained in the cbnduct 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.
Dated: 8/20/01 ~-"---~1~, ~',~f P
(signa e)
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A E~a.~ S t-~ A h~ o h,4 o o LJ F-
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