HomeMy WebLinkAboutZ-22280FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22280 Date APRIL 28~ 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1475 {a/k/a 435 PIPES NECK RD. GRRRNPORT~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 53 Block 1 Lot 12
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-22280 dated APRIL 28~ 1993
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 DWFJJ.ING WITH ACCESSORY WOOD FRAME GARAGE
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTAC~ED INSPECTION REPORT.
Rev. 1/81
THOMAS & IRENE COSTAS
/ / Building Inspector
LOCATION:
BUILDING DEPARTHENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
1475 PIPES NECK ROAD
GREENPORT, N.Y.
(number & street)
SUBDIVISION
NAHE OF O~i/R (s) THOHAS M. COSTAS
~[AP NO.
(municipality
LOT (s)
OCCUPANCY A-I RES
(type)
ADMITTED BY: SELF
KEY AVAILABLE
SOURCE OF REQUEST;
THO~/AS COSTAS
OWNER
(ovner-tenanO
ACCOHPANIED BY: SELF
SIrFF. CO. TH ~ NO. 53-1-12
DATE: 3/8/93
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION CONCRETE
TOTAL RODHS: IST FLR.
BATEROD~ (s)
PORCH TYPE
BREEZI~/AY
HOH~STIC HOT¥/ATER
TYPE HEAT
Ui'm~R:
~ODD FRAI4~
3 2ND FLR.
OWE TOILET RODIq (s)
COVERED SCREEI~ED II~ECK, TYPE
FIREPLACE
YES TYPE HEATER
WAR~ AIR
~ STORIES 2 ~ EXITS 3
CELLAR FULL CRAWL SPACE
3RD FLR.
UTILITY ROOH
PATIO, T~PE
GARAGE
ELECTRIC AIRCONDITIONING
HOTWATER
ACCESSORY STRUCTURES:
GARAGE, T¥~E OF CONST.
SWIi~ilNG POOL
OldER:
~OOD FRAI~
STORAGE, TI~E CONST.
· GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REHARKS: BP t21369z-coz-22279
INSPECTED BY:
J.FISH
DATE ON INSPECTION HARCH 19, 1993
TIME START END
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
A. This application must be filled in by typewriter OR ink and submitted to the b~ilding
inspectbr with the following: for new building or new use:
I. 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, mul>iple residences and similar buildings
and installations, a certificate of Code Compliance from architect or eng$neer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
{ '~e_-exi~_ land~ cses:
~ 1~ Accurate survey of property show--all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed a_p~lication and a consent to inspect signed by the applicant.
If a Certificate of Occu'pancy is ~enied, 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,
~~s to ac~cessory buildiqg_$25.00. Businesses $50.00.
~.-i Cert~fi~t-&-~-f Oc~~-P-~e2~fs~~~-
3. Copy-~~ of cc0-~upanc~-~erYy--~JYs - $10.00
4, Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00
Date ..................................
New Construction ........... Old Or Pre-existing Building...~ ..........
Location of Proper~y:...~;~ .............................................
House No. Street Ha~et
Onwer or Owners of Property.~.~ ~e ~q~J ....
County Map No 000, S tion .... .... ............ .... ...............
Subdivision ........... Filed Map Lot
Permit No ................ Date Of permit ............. . .. Applicant .......................... ...
Health Dept. Approval ....................... Underwriters Approval ....................
Planning Board Approval ...................... ..
Request for: Temporary Certificate ........... Final Certicate....w~.. .....
Fee Submitted: $ ..........................
CONSENT
TO
INSPECTION
~f'~'t~ ~A'~ ' , 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 ~ ~tP~f') ~ ~6~. ~~l
, which is shoxm and designated on the Suffo~
County tax map as District !000~ Section ~5 ~ Blnek [ ~ Lot
That the unders~ned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold To~ Building Inspector's Office for the follow.g:
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 information obtained in the conduct 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: ~/~(~5 ' ~~X' ~'~-~-~ '
(signature~~
(print name)
(signature)
(print name)
NOTES:
~. -' Contracto~-(s) s['~a~l ~ur-ni'sr~ .and 'Znst.allx a_
. . and eqt-!ipmen~', shown.,,
.~ drawi~qs~ subject ~o qual'i'~atton~, -, con~
exce~i-ons
labor, sea,roi, ding, and ~o~'~. neces~a~-v ~to'c