HomeMy WebLinkAboutZ-19981 FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19981 Date NNE 14, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 425 QUEEN STREET GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 40 Block 3 Lot 7
Subdivision 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-19981 dated JUNE 14, 1991
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 IN NEED OF REPAIR
The certificate is issued to RONALD & BARBARA EDEEN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
6!~
Building Inspector
Rev. 1/81
BUILDI~:G DEP^,RT:L`iT
TO':R•1 OF SOUTHOLD, N. Y.
fiOUSIT:G CODE IiIS?~CTIOTI REPORT
Location 425 gIIEEN STREET GREENPORT, N.Y.
~n~:noer a street) ~i~iunicipality)
Subdivision hlap DIo. Lot(;,)
Name of Oerner(s) RONALD 6 BARBARA EDEEN
Occupancy A- 1 OTiNER
type o~rner-tenant)
Ad,Zitted by: RONALD EDEEN Accompanied by: SAME
Key available Suffolk Co. Tac No. 40-3-7
Source of request RONALD 6 BARBARA EDEEN Date APRIL 10, 1991
D!:'ELLING-
Type of construction wooD FRAME Tstories 1 STORY
Foundation BRICK Cellar PARTIAL Crawl space
Total rooms, 1st. F1 4 2nd. F1 3rd. F1
Bathroom(s) oNE FULL Toilet room(s)
Porch, t~rpe Deck, type Patio, type
Breezea.~ay Garage Utility room
Type Heat PROPANE ;alarm Air CENTRAL Hot~•rater
Fireplace(s) NONE No. E:cits 2 Airconditioning
Domestic hot~,~ater YES Type heater PROPANE
Other PANTRY OFF THE KITCHEN, FRONT ENTRYWAY, ATTACHED STORAGE AREA
ACCESSORY SmT?UCTUR°S: NONE
Garage, type const. Storage, type const.
Swi.:.ming pool Guest, type const.
Other
VIOLATIONS: .CHAPTER 45-N.Y. STATE UNIFORM FIRE PRL'VENTION b BIIILDING CODE
Location Descri-otion ~ Art. ~ Sec.
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Remar:cs: IN GENERAL THE HOUSE IS IN NEED OF REPAIR BOTH INSIDE fi OUT
Inspected by: Date o£ Insp. APRIL I2, {991
G FISH • Tine start 9:30 end
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ret~~.,~`~~L~~~\4'1t `{~',-y _ Form No. 6 y77- /..5~~
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u~ , °L- ~ILIJJ
I TOWN HALL
U 765-1802
BLDG. DEPY.
TOWN OF SOUTHULD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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.
B. 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 properly 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,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .t~J)PR1 ~~.1 ~ ~ 1
New Construction........... Old Or Pre-existi/n~g Building..
Location of Property ........................5-X~r.FrQJ.. c?! ...........~~~.~i~~~,Z........
House No~j ~ SL~treet Hamlet
Onwer or Owners of Property... RGNP+dLD...~t.. /tl~~ldl~~C~...4J'4~i~.....~.y
County Tax Map No 1000, Section..."./:U .......Block.....'3 .........Lot.. 1 .
Subdivision ....................................Filed Map............Lot......................
Permit No ................Date Of Permit................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $.......l~C~~T.~
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