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Home My WebLink AboutZ-27485FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~-RTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27485 Date: 12/22/00 T~IS CERTIFIES that the building DWELLING Location of Property 1115 (AKA #43) SOUND DRIVE GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 033 Block 0004 Lot 074 Sutx~ivision 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 27485 dated DECEMBER 22, 2000 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 ATTACHED 2 CAR GARAGE * Ge certificate is issued to RICHARD DORS, JR. (OWNER) of the aforesaid building. EI~CTRICAL CERTIFICATE NO. PLIERS CERTIFICATION DA'£~3 *PLEASE SEE ATTACHED INSPECTION~ORT., Rev. 1/81 N/A N/A N/A Auth~riz~ Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LO~TION: 1115 (AKA #43) SOUND DRIVE GREENPORT NAME OF (~ (S): RICNARD DORS, JR. OCCUPANCY: SINGLE FAMILY ADMI'.-I'~ BY: MAY WATSON MAP NO.: LOT (S) RICHARD DORS, JR. K~ AVAII~I~: SUFF. CO. TAX ~ NO.: 33.-4-74 SOURCE OF I~0UF, ST: PAUL CAMINITI, ATTY 12/4/00 DATE: 12/22/00 DWELLING: TYPE OF CONSTRUCTION: FOU~ATION; CEMENT BLOCK TOTAL ROOMS: BATNROOM (S): WOOD FNAME ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DAT~ ON INSPECTION: 12/20/00 TI~ STA]~T: 9:53 AM ~D: 10:15 AM Form No. 6 TOWN OF 8OUTIIOLD BUll,DING DEPARTHENT TOWN IIALL ~65-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 'l'hLm application must be filled iu by typewriter OR ink and submitted to the buiidi,g l.spector with the following: for new bui]xltng or new use: I. Final survey of property with accurate location of ~11 bniidings, property lines, streets, and tmasua] natural or topographic features. 2. Flaal Approval from l[ealth Dept. of water supply and sewernge-disposal(S-9 form). 3. Approval of electrical iostal]nt~oe from Board nf Fire Underwriters. Sworn stmtement from plumber cert] lying that the suJder used iu system coatntns less than 2/10 of 1% lead. 5. Commercial buildiqg, industrial building, multiple resideuces and similar bulldl.gm and installations, a certlftcate of Code Compliance [rom architect or e.gineer respoestble for the building. 6. Submit Planning Board Approval of completed site pi. on requiremeots. For exl~tiag buildings (prior to AprJI. 9, 1957) no.-co.forming uses, or buildings nnd "pre-existiag" land uses: I. Accurate survey of property showing ail propert~ lines, streets, building and uausual natural or topographic features.. A properly completed application and a cooseot to inspect signed by the ~pplicaat. Ifa Certificate of Occupancy is denied, the But]dlng Inspector shall state the reasous therefor in writiog to the applicant. 1. Certificate of Occupa.cy - New dwelli,g $25.00, Addftions to dweiliog $25.O0, Alterations to dwelli,g $25.00, Swimming pool $25.00, Accessory building $25.00, Addtt[oes to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupaucy on Pre-exJstinp~ Buildiue - $1OO.00 3. Copy of Certificate of Occupancy - . .25¢ 4. Opdated Certificate uf Occupancy - $50.00 5. Temporary Certificate of Occupancy - Resident.{sl $15.00, Commercial $15.00 Dste ...~ .2./.4./..0.0 ............................... New Co.s~rsctlaa ........... Old Or Pre-existing Buildin§....X ............. l,ocatio, of Property 43 Sound Road Greenport House No. Street Hamlet Propert .Ri. chard Dots Jr. O.wer or Owners of ~y ................................................................ Coo,fy Tax Map No 1000. Section.. 33 .Block. 4 .Lot., .74. SObdlv fsiou .................................... Filed Hap ............ Lot ...................... Pti:mit Nc) ................ Date Of Permlt ................ Applicant ............................. llenltb Dept. Approval .......................... Underwriters Approval ......................... PI. arising Board Approval ........................ Req.est for: Temporary Certificate ........... Final Certicate ........... Fee S,,b,nltted: $..!gP.-.qg ................. Richard Dors Jr. CONSENT TO INSPECTION · 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 43 Sound Road Greenport, NY · which is shown and designated on the Suffolk County tax map as District 1000, Section 33 , Block 4 , Lot 74 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: Pre-Certificate of Occcupancy 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 [n 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. (print name) (siEna~ure) (print name)