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HomeMy WebLinkAboutZ-17255 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-17255 Date SEPTEMBER 1, 1988 THIS CERTIFIES that the building's ONE FAMILY DWELLING Location of Property3275 KERWIN BLVD & 2005 BAY SHORE RD. GREENPORT,NY House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 4 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a Private One-Family Dwelling built prior to APRIL 23, 1957 pursuant to which Certificate of Occ.Z-17255 dated SEPTEMBER 1, 1988 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 ACCESSORY WOOD GARAGE The certificate is issued to BENNO ETTINGER & REIDAR FOSSLI (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRH EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATEDNO RECORD PRE EXISTING / V / ~1~.. Building Inspector Rev. 1/81 V BUILDI~iG DEPARTI~iE.^iT TOS•1N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 3275 KERWIN BLVD & 2005 BAY SHORE RD. GREENPORT, N.Y. (num'oer & street Municipality Subdivision Iviap No. Lot(s) Name OI" 0~•rner(s) REIDER FOSSLI & ANO Occupancy RESIDENTIAL type owner-tenant Admitted by:HERBERT MANDELL Accompanied by• Key available Suffolk Co. Tax No. 53-4-II SOUI'Ce of request STEPHEN J. SCHWARTZ Date 8/30/88 D~rTELLI.iG Type of construction wooD FRAME #stories 2 Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, 1st. F1 4 2nd. F1 4 3rd. Fl Bathroom(s) I Toilet room(s) I Porch, type Deck, type Patio, type_I rear Breeze~•ray Garage I wood frame Utility room Type Heat oIL r7arm Air Hotwater oIL Fireplace(s) I No. Exits 2 Airconditioning Domestic hotwateroii off boiler Type heater Other ACCESSORY STRUCTURES: Garage, type const.wood 13'x26' Storage, type const. S~•rimming pool NONE Guest, type const. Other VIOLATIONS: Housing Code, Chapter 45 N.Y. Stat~laniformdFire Prevention Location Description ~Art.~ Sec. Remarks• Inspected by: ~ Date of Insp. 8/30/88 GARY IsH Time start 9:35 end - M- FORM NO. 6 fJ ~ ~J TOWN OF SOUTHOLD Building Department ~ 2 219Q8 Town Hall ~ ~ Southold, N.Y. 11971 765 - 1802 ~ a, r,r APPLICATION FOR CERTIFICATE OF OCCUPANCY' '-u ____._.~._.a Instructions A. This application must be filled in typewriter OR ink, and submitted to the Building Inspec- torwith the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. ,For existing buildings (prior to April 1957), Nonconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling. $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ I 0 . 0 0 4.Vacant Land C.O. $ 20.00 S.Updated C.O. $ 50.00 Date.. August 18, 1988 NewConstruction,,,,,,OldorPre-existing Building Vacant Land 3275 Kerwin Boulevard, Greenpo{'nt, New York Location of Propertyaka.. 2005. Aag. Shore. IiRad,..G~'eenpo}nt,..New York House No. Sneer .............Hamlet Owner or Owners of Property , ,Benno Ettinger and Reidar Fossli County Tax Map No. 1000 Section , . 053.00 04.00 Block Lot.. 011:000..... see attached description Subdivision .................................Filed Map No. ..........Lot No. . Permit No. Date of Permit ..........Applicant . Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate . Fee Submitted$....5,50.00 ~~~~aal.... Construction on above described building and permit is II a le codes and r~ulations. Applicant ate,. ia~maa _ _ _ _ _ y - ?'Y S 1 ._-.~Q i~32. _ ~ r es i : o ~ Z N, tS' t7 ' 20'x. - 3!?.O -t' O ~ ;e ` (l~PCfc - I'O` ?r i~v C I t '~1v L~ ~ J. f9'~f9'20"yv. - 328.0 .:N ~ ~ i ~ jc ~ i ~ v - 4, N1AP OF 7~i20oElE'.T_Y t - _ Qv2v~' Yin ~0~2 / .1 ro is ~ va~iA aE a J0A :u, ~ _R.~ 1DAR F O ~ SL! ' xenon trot a rw ww ton sun © t _ touurgrr uw. ANO corns a nErs wtrn rAr riot seAtrtw 111E IAND fUiVE103'5 Yid S:AI Ot d E N O ETTENGE2 / SEAE ENAEE NOT. _ - / To x A vwuo ruf con. 1- iq~- OVAtANTEES rfq~UTED Mti!On SNAIL tuE Own TO TNf rEn50N EO[ ViHCM ME r11tYlT _ "P~G G N J C f3RY .E`3T'ATBS ~ s K rxrA3En, ANO oN Nis uHAIF ro trtE JrrEE COWANV. GOVE3WAWTM AGENCY ANA{ ~~5 U~CI,k CO. MO~l7 Nc . t l z~j) urorNC wsnrunuN usTEn ntii016 ANJ~- C ,.t ro rw AurarEtr or THE Efnorcc rltn 6Q~G 1V'PV LT N~ Y / / TUTION. GUA3ANT[!S ARf NOi TWM1tAM .1_ ~ i0 ADDITNNW wSlNUnpr6 Ot fMEEOVEt OWNELL. - 6rrvra~taCd to ~ ~.11G moo. '7'ox Ffrr¢e!: rood-451-4-It ~ ~ ~ ~ ~ ~ ~ Cnmm~n+d~a/fJi Land T'itlc /naurance co. as SurYO1/8e~ Jame !o, 19~$ p ?';~oncrafa ManuMeisP' X26 ~ 20DE.~'IGK VAN TU/:.,F9E. _ BLDG. DEPT. TOWN OFSUUTHOLD L/Cens~d i+a.rd 8urvsyora sJ ~'RBllpO/'f, h1. y o ~~M~~ COA'SENT ~ 11I i(; ~ TO INSPECTION B~~~, 1 TOWN OP 5,._: Reidar Fossli and Benno Ettinger the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (are) the owner(s) of the premises in the Town of Southold located at 3275 Kerwin Boulevard, Greenpofnt, New York a/k/a Bay Shore Road, Greenpo~t, N. Y. `~,hich is shown and designated on the Suffolk County tax map as District 1000, Section o53. 00, Block 04.00 , Lot 011. 000, 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: Certificate of Occupancy for the pre-existing dwelling. 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 compl,}• with all of the laws, ordinances, rules and regulations of the Town cf 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: August 16, 1988 (signature) Reidar Fossli (print name) (signature) Benno Ettinger (print name)