HomeMy WebLinkAboutZ-18689FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18689
Date JANUARY 3~ 1990
THIS CERTIFIES that the building
Location of Property 1300 ROUTE 25
House No.
County Tax Map No. 1000 Section 34
Subdivision
ONE FAMILY DWELLING
GREENPORT f NEW YORK
Street Hamlet
Block 4 Lot 17
Filed Map No. Lot No.
conforms substantially to the requirements for a private one family
dwelling built prior to:APRIL 9~ 1957 pursuant to which
Certificate of Occ. #Z-18689 dated JANUARY 3r 1990
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 *
The certificate is issued to JOHN CQSTELLO & ORS.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
Rev. 1/81
/~uilding Inspector
BUILD I,.',:G DEP fd{T:.LENT
TOV;M OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
Subdivision
1300 ROuTz 25
(number ~ s~ree~)
GREENPORT, N.Y.
(FlunicipaliLy)
Map No. Lot(s)..
N~me of Owner(s) JOHN COSTELLO & ORS.
Occupancy
Ad.mitred by:
R-40
(~ype)
CINDY M~SLIBOESKI
Key available
(owner-~enan~)
Accompanied by: SA~E
Suffolk Co. Tax No. 34-4-11
Source of request
JOHN COSTCO
.Date NOV. 24, 1989
D%'~LLING:
Type of construction
Foundation
Total rooms, 1st. F1
Bathroom(s) 2 ~uLL
Porch, typ~
Breezeway VEs
Type Heat LILCO GAS
Fireplace(s)
Domestic hotwater
Other
WOOUF~ANE #stories
CellarFULL
Crawl space.
3 2nd. F1 2 3rd. F1
Toilet room(s)
Deck, type Patio, type
Garag~l CAR WOOD FRAM~tility room
'Warm Air Hotwater xx
No. ~cits 2 Airconditioning.
LILCO GAS ~]f-pe heater
i-!/2
~CCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
NONE
Storage, type const.
Guest, type const.
V~IOLATIOMS:
_Lncation
.CHAPTER 45--N.Y. STATE HNIFO~{ FI~ PREVENTION & BUILDING ~ODE
Description [ Art. } Sec.
Remarks:
' GAR// FISH
Date of Insp. NOV. 28, 1989
· Time start 2:000 end 2:20
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN RALL
SOUTHOLB, NEW YORK
765 - 1802
11971
BLDG. OEPT.
TOWN OF SOUTHq~-D
APPLICATION FOR CERTIFICATE OF OCCUPANCT
HOUSE NO. STREET UAHLET
- .... ..~/.~ ......... ~.~ ~.~...~o~...~.
Sdbdivision..
Planning Board Approval ..... -~J-Z-~-- .....
Request for Temporary Certificate Final Certificate
Fee Submitted: $ ..................
APPLICANT .........
rev. 10/14/88
FORM NO. 6
TOUN OF SOUTIIOLD
BUILDING DEPARTHENT
TOI~N DALL
765 - 1802 ~
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. This application must be filed in type~rriter OR ink and submitted to the Building
Inspector with the following; for new buildings or new use:
I. Fiual survey of property with accurate location of all buildings, pYoperty lines,
streets, and unusual natural or topographic features.
2. Final approval of Uealth Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Uude~,rrlters.
4o Sworn statement from plumber certifying that solder used in system coutalns less'
than 2/10 of IZ lead.
5. Commercial buildings, industrial buildings, multiple residences and similar.
buildings and installations, a certificate of code compliance from the Architect
or Engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (Prior to April 9, 1957} non-conforming uses, or buildings
and '}re-existing" land uses:
1. ~ccurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. ~ proe~mplpr~a ~np]{~, a. consent to ill,s~e.~_sigued by the applicant
and a certified abstract of title issued by a title company v h ich shall
show single and separate o~nership of the entire lot prior to April 9, 1957.
· If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in vritin§ to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certiflaate.
C. For Vacant Land Certificate of Occupancy:
I. An appllcatlon for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate o~nershlp of the entire 10t prior to April 9, 1957 shall also accompany
the appllcaClon. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in ~rritlug to the applicant.
FEES:
I.
CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to D~elllng $25.00,
Alteration to D~elling $25.00, Swimiug Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupancy on~pre-existin~ dwellin~100.00.~
3. Copy of Certificate of Occupancy J $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated C~rtificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $25.00 Resldengial
$50.00 Commercial
er. 10/14/88
/,~wner(s) Name(s)
do(es) hereby state:
CONSENT
TO
INSPECTION
the undersigned·
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at /~/° ~'-~-~- /~ ,~ ,~ f~ ,~,~'~ z~
! !
· which is shown and designated on the Suffolk
County tax map as District 1000, Section .~-/ , Block ~z , Lot
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:
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 ~vith 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.
(signature)
(print name)
(siRnature)
(print name)
HAIN
(.STATF_~
I'40
N. 6~°36'40"E.
150.00
50,0
hIAP OF PF~OPEr2_TY
SUP. VEYED FOP_
JOl-lI4 COSTELLQ
G.F~EE N F~OF2T
$CALE,,
(])- i I~ON PiPE
.%UFF,, CO. TA~ MAP DATA: IC)iDO-O~,~-4-' 1'7.
= F~NCE