HomeMy WebLinkAboutZ-25833 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25833 Date: 07/17/98
THIS CERTIFIES that the building ACCESSORY
(a/k/a #22)
Location of Property 490 SOUND AVE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 035 Block 0001 Lot 015
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for an Accessory Structure
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 25833 dated JULY 17, 1998
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate ie
iaeued ie ACCESSORY GARAGE IN REAR YARD
The certificate ie iaeued to GERTRUDE EGISH
(OWNER)
of the aforeaaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTI PORT.
Buil ing Ina ctor
Rev. 1/81
BUILDING DEPARTMHNT
TOWN OF SOUTNOLD
HOB IN D. INCA .CTION EppRT
LOCATION:
a/k/a /22)
SUBDIVISION: MAP NO.: LOT (S)
NAME OP OWNER (S): GERTRUDE EGISH
OCCUPANCY: GERTRUDE EGISH
ADMITTED BY: ACCOMPANIED BY:
REY AVAILABLE: SUFF. CO. TAX MAP NO.: 35.-1-15
SOURCB OP REQUEST: WILLIAM PRICE. ATTY - JUNE 15 19 DATH: 07/17/98
pWELLING:
TYPE OF CONSTRUCTION: # STORIBS: a.o p HXITS: ~
POUNDATION: CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: ~ 2ND FLR.: ~ 3RD FLR.: ~
BATHROOM (SI: 0.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: DHCR TYPE: PATIO TYPE:
BREEZBWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATHR: TYPE HEATER: AIRCONDITIONING:
TYPE NEAT: WARM AIR: HOTWATER:
OTHER:
ACC .SCORY TR C'!'aRPC:
GARAGH, TYPE OP CONST.: _12' X 25' WOOD PRAMS STORAGE, TYPH CONST.:
SWIMMING POOL: GUEST, TYPH CONST.:
OTNHR:
VIOLATIONS: CHAPTER 45 N.Y. STATH UNIPORM FIRE PREVENTION E BUILDING CODE
_LOCATION ! DESCRIPTION ' RT ' S
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RHMARRS:
INSPECTED BY: DATE ON INSPECTION: 06/22/98
JOHN M. BOUPIS TIME START: 10:00 END: 10:15
TOWN OF SOU'EIIULD
UULLUINC UC•PARTlIth"f '
TOWN HALL
' 765-1002
• APPLICATION FOR.CBRTIFICATE OF OCCUPANCY '
1
A: This application must be Filled in by typewriter OR ink'and submitted to the bullding
inspector with the Eollowingt for new building or new use:
L+ Final survey of property with accurate location of all buildings, property Lines,
straets+ and unusual rtatucal or topographic features, "
2+ Fltral Approval (rota Ilealtlt Uept+' of water supply and sewerage-disposal(S-9 Eorm).
7, Approval of electrical installation Erom Uoard of Firo Underwrite~a+
4, Sworn statement Erom plwnber certifying that the solder used in system cohtalns
t. lase than 2/10 of 17. lend.
5+ Commercial bulldingt indus,ttial buildings multiple residences and similar bulldings
and installations, a~certiEicate of Coda Compliance Erom'nrchitnct or engineer
responsible for the bullding,
6, Submit Planning board Approval of completed site plan requirements.
t,
U, For existing buildings (prior to April 9y 1957) non-cortForming use9t or buildings ttrtd
t'pre-existing' land uses:
1, Accurate survey of property showing all property linest streets, bvildirtg and ,
unusual natural or topogtaplric Featurea+
t 2. A ro erl com leted, a lication and a consent to ins ect si ned b' the a +1Lcant:
p p Y P PP P g Y V{
If a Certificate of Occupancy is decried; rite Uuilding Inspector shall stern the
reasons therefor in writing to rice applicant,
C, Fees
' 1, Certificate of Occupancy -New dwelling ;25.00. Additions to dwelling .1;25.00,
Alterations to dwelling ;25:00. Swimming pool ~25,OOt Accessory bullding =25:00,
Additions to accesaoty bullding $25.00, Uusinasses #50.00,
2. Certificate of Occupancy on Pre-existing Uuilding - 3100.00
' 3. Copy of Certificate of OccUpatrcy - ;S.UU~6ver 5 years - X10.00
/i: Updated Certificate of Occupancy - 550,00
, Temporary Certificate of occupancy - ttesidential $15.OOt ComtnerclnJ. ~15.U0
' June 2, 1998
Date ,.t:+,++::+
Hew Construction,..:.++.,++ Old Or Pra-existing Building,XX.,++ +
Locptlon of Property.22+~Sound+~Rgad~G+rePr17~°+xit7t+~V~+.+:i+,+++~,.:,~~~++
Ilouse No. Street Ilntnlnt
Onwer or Owners of Property.,Gertrude+ Eq~is+h++~~:`~+at+++i+<<+~+++~~~++~+~. „
County Tax clap IJo 1000, Section•Q~7~,.t+++++...Ulock+,:~~+++,+::++,.Lot:,A,1.~
Subdivision.:,+i+.+...+...,++++ „ +++.++++.++..+F11ed Map++:.,++.:.+.Lot....:+,++++..:.:.++.
Permit tJo,+ „ ),:.++:':++i.Uate OE Cncmlt++:::++t+++.+,++Applicant+,.++++++++++:+.++++..:+++t
health llept, Approval.,++:,++++,++.++++++++++++Underwriters Apptoval:.++:,+,:,+,.+,...::.++
Planning Uoard Approval.:,.+++++++++.,.+t++..++. •
Request for: Temporary Certificate.i+:+++++++ Final CeteLcate+,,,XX++
Fee SUbmittedt ;,+..+r:++„+)550 OO+~+t+++++• ~ 2...-•--`""
.
' APPLICAr1L ~ ' .
WILLIAM H. PRICE, JR. as attorney
(~.R,c.• 577$ for Gertrude Egish
F31e c~ ,~~?S 033
CONSENT
'1.O
1NSPL•'C'P1ON
William H. Price, Jr. as atty.•for Gertrude Eaish• the undersigned,
Owner(s) N:irne(::)
dohs) hereby state:
That the undersigned lie:) (are) the owner(s) of [hc premises to the Town
of Southold located at 22 Sound Road Greenoort. NY
which is shown and designated on the SuUolk
County tax map as District 1000, Section 035 ?loclc O1 Lot 015
That the undersigned (has) (have) filed, or caused to be liled, an applica-
lion in the Southold 'Down Buildin(; htspector's Office for the lollowuig:
x~t6fSSiC~xFf~xFfFt~$gtXDtpt~xFT~fX~1E~YHXZ$$7CltaSxf3tt~~~~i'42€
Updated•certificate of occupancy for .and garage
'1 hat [hc undersigned doles} hereby give consent to the ?uildiaig inspectors
of the 'Town of Southold to enter upon the about described property. including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary wish respect to the aforesaid application, including inspections
to determine that said premises comply with all oC the laws, ordinances, rules
and regulations of the '!'own cf Southold.
'Chc undersigned, in consentin(; to such ittspactions, do(es) so with the
knowledge and understanding that any uiCormation 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 ihe'I`own o[ Southold.
.
Dated: June 2, 1998
signature)
William H. Price, Jr.__J
• (print name) ,
• (print name)
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