HomeMy WebLinkAboutZ-22943FOP~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
· Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCuu~ANCY
NO Z-22943 Date APRIL 13, 1994
THIS CERTIFIES that the building. ONE FAMILY D~.?.ING
Location of Property 1195 ISLAND VIEW LANE G~NPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 57 Block 2 Lot 19
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
OCCUPANCY NUMBER Z-22943 dated APRIL 13, 1994
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 DW~,ING WITH ACCESSORY STOP, GE S~ *
The certificate is issued to '£~u~RESACASAMISINA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
H/A
*PT.R~SE SEE ATTAuHKo INSPECTIO~
Rev. 1/81 ~
LOCATION:
1195 ISLAIfl) VIEWLANg
(number & street)
SUBDIVISION
NAHE OF ONNER (s) TlfliRESA CASANISINA
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
ROUSING CODE INSPECTION REPORT
GREENPORT, NE~YORK
(municipality)
HAP NO. LOT(s)
OCCUPANCY $INgll FAMILY D~ELLING
(type) (o~ner-tenant)
ADMI~TEO BY: PAUL ItEYPKRNAN ACCOHPANIEO BY: SAI~
KEY AVAILABLE SDFF.CO. TAX HAP NO. 1000-51-2-19 ~
SOURCE OF REQUEST: THERESA CASAHISINA DATE: NARCR 24, 1994
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS: IST FLR.
EATHROOH (s) 2
PORCH TIFE NOUE
BREEZEWAY
DOHESTIC HOTWATER
TYPE HEAT ELECTRIC
OTHER:
WOOD FRAF~ ~ STORIES I ~ EXITS 2
CELLAR CRAWL SPACE YES
4 2ND FLR. 3RD FLR.
TOILET ROOM (s) UTILITY ROOM
BECKs TYPE REARWOOD' ~ATIO
FIREPLACE NONE GARAGE NONE
YES T~PE HEATER ELECTRIC AIRCONDITIONING NO
WARM AIR HOTWATER
CEI~NT BLOCK
ACCESSORY STRUC~uKES:
GARAGE, TYPE OF CONST.'
SWII~4ING POOL
OTHER:
STORAGE, TYPE CONST.
,.GUEST, TYPE CONST.
I STORAGE SRED
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
BP ~7~_,636Z-C0 Z-22942 ISSUED FOR ADDITION & DECK ADDITION
DATE OF INSPECTION
TIi~ START 9:45
APRIL 7, 1994
END 10:00
-5199/I
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
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. 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 p~operly 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, Swimming pool $25.00, Accessory building $25.00,
~ A ' ' ~ry h,l~ld4n~ $?=,_Of~ Bll~iness_~_a ~;.~0_~_000.
. ~Certificate of Occupancy. __ .... on Pre-existing Buildings_ ~___~- $100.00 ~'
3. Copy o~cate of Occupancy - ~ over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.. ~ .~. ~.q..-~..~...~. ...................
New Construction ........ ~.. Old Or Pre-existing Building .... ~ .......... ~ f ~ ~-- ~ I
Location of Property.. t.l .~Sq ~. ~~b..~./~..1~. .... ~ .... .~... ~..~.~
House No. Street Hamlet
Onwer or Owners of Property ..................................
County Tax Map No 1000, Section. 5~.? ........ Block...~ .......... Lot..Lf ...............
.-. --' Lot
Subdivision ................................. ... Filed Map .............................. ..
............. Date Of Permit ............. Applicant ..........................
Permit No . ..
Health Dept. Approval.... .......... ........... . Underwriters Approval ...................... ...
Planning Board Approval ....................... .
Request for: Temporary Certificate ........ Final~ticate ...........
Fee Submitted: $...l~z.~.~ .......... iii..
CONSENT
TO
INSPECTION
Owner(s) Name(s) -
do(es) hereby state:
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
!)
County tax map as District 1000, Section~--V , Block ~ , Lot [~ .
That the undersigned (has) ~) filed, or caused to be filed, an applica-
tion in t~he Southold Town 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 ail 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 subsequ~rosecutions for vio-
lations of the laws, ordinances, rules or regulatiTy~/ow~o~~
(print name)
T~ERE3A CA~AMI~/NA
CARMINE LORD/