HomeMy WebLinkAboutZ-25074FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-25074 Date JUNE 6, 1997
THIS CERTIFIES that the buildin~
Location of Property 325 (aka 440) S~ENTH ST.
House No. Street
County Tax Map No. 1000 Section 48 Block 1
Subdivision Filed Map No.
ONE FAMILY DWELLING
GREENPORT, N.Y.
Hamlet
Lot 36
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-25074 dated ~]NE 6, 1997
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 A~CEBSORY GARAGE *
The certificate is issued to
F~ANK & FLORENCE CORWIN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
*p?.~aSE SEE ATTA~D INSPECTION REPORT.
// u ing I .p.ctor
Rev. 1/81
I.OCAT lON:
SUBDIVISION
NAHE OF' OWNER
(a/k/a/ 440)
325 7th STREET
BUll.DING I)EPAR'I~4F, NT
TOWN OF SOIITIIOI.D
IIODSING CODE INSPECTION REPORT
{number & street)
N.Y.
(munie{pa] {ty)
MAP NO. LOT(s)
FRANK D. CORWIN
OCCUPANCY A-I RES. OI~NER
ADMITTED BY: FLORENCE M. CORWIN ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX NAP NO. 1000-48-01-~
SOURCE OF REQUEST: FRANK & FLORENCE CORWIN DATE.: MAY 9,
1997
DWELl,lNG:
TYPE OF CONSTRUCTION
FOUNDAT ION
TOTAl, ROONS:
BATHROOM (s)
PORCI! TYPE
BREEZEWAY
DOMESTIC HOT~/ATER
TYPE DEAT OIL
OTIII",R:
~dOOD FRAME
CF_~NT BLOCK
IST FLR.
2 FULL BATH
YES
5
CELI.AR
2ND FI.R. 2
TOII,ET ROOM (s)
DECK, TYPE
FIREPLACE
TYPE HEATER OIL
WARM AIR
~ STORIES 1-1/2 # EXITS
FULL CRAWl. SPACE - - -
3RD FI,R.
UTILITY ROOP{
PATIO
GARAGE
AIRCONDITIONING
DOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
S~INNING POOl,
OTIIER:
CAR CONCRETE BLOCK STORAGE, TYPE CONST.
, GUEST, TYPE CONST.
VIOLATIONS: CllAPTER 45 N.Y. STATE ONIFORN PIRE PREVENTION & BUII.DING CODE
LOCATION DESCRIPTION ART. SEC.
RENARKS:
OATE OF INSPECTION MAY 13, 1997
TINE START 10:40 AM END Il:00 AM
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 buildiqg, 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 (p~il 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate.survfly of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed b~ the applicant.
If a Certificate of Occupancy'is denied, the Buil~i~-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,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $I00.00
3. Copy of Certificate of Occup~ancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date · ~'~'~ · ~'/-/~' · '~' Z ...................
New Construction ........... Old Or Pre-existinm Buildi,n~.U ................
House No. Street / ~amlet
D.y .............. :. ......................
County Tax Map No 1000, Section ..... ~. ~/ .... Block. / .... Lot. ~.~.
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Ilealth Dept Approval Underwriters Approval
Planning Board Approva] ..... ' ....................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ . . ./.~.~....~..~.'~.. .............
f .............
co
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (is) (?re) the ownerJs) of the premises in the Town
of,S
outbotd located at ~7~-~ -
County tax map as District 1000, Section
· which is shoxvn and designated on the Suffolk
Blook / , Lot
That the undersigned (hgt) (have) filed· or caused to be filed, an applica-
tion in the 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 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 regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any ~nformation obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lati.ons of the laws, ordinances, rules or regulations of the Town of Southold.
signature) '-~ -
(print name)/~ ,
(signature)
(print name)
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