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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) ,] A E~a.~ S t-~ A h~ o h,4 o o LJ F- oo ,?