HomeMy WebLinkAboutZ-20755 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-20755 Date MAY 28, 1992
THIS CERTIFIES that the building ONE FAMILY DVIEL•r_n~rG
Location of Property 605 (ARA 216) KNAPP PLACE GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 34 Block 2 Lot 11
Subdivision 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-20755 dated MAY 28, 1992
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 DT~~?xG WITH ACCESSORY GARAGE
The certificate is issued to GLADYS FLATLEY
(owner)
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.
uil ing Inspector
Rev. 1/81
i -
. ~ . .
TO'~~r1 Cc ~CUT:iOLD, C!. Y.
ECU~I::G CODS' Iii?ECTI0~1 i2~= ORT
Loc~tion 695 (ARA 216) RNAPP PLACE GREENPORT, N.Y.
~nu.:.o~r u~~.ree~) l~•:un~cipcllLy)
Subdivision tap 1`fo. Lot(s)
Na.:: e o i Otm e r GLADYS GLATLEY
ONE FAMILY DWELLING VACANT
Occupancy
l tyP°) o~:,ner- ~enanz )
Ad.-aitted by: JOAN HAMILTON Accompanied by: SAME
Key available JOAN HAMILTON SuffOllt Co, Taj: D1o. 34-2-i1
Source of request WILLIAM PRICE, JR., •ATTY Date MAY 18, 1992
D?,~LLI~1G•
Type of construction FRAME rstories ~
Foundation CEMENT BLOC& Cellar FULL Cra~.~l space UNDER PORCH
Total rooms, 1st. F1 4 2nd. Fl 3rd. Fl
BathrooM(s) 1 Toilet room(s)
Porch, t~rpe CLOSED IN - Deck, type Patio, type_ ~
Breezeefay UNDATED Garage Utility room
Tyne Heat OIL 'r7arm Air Hot`aatsr ~
Fireplace(s) No. E:cits 2 Aircor_diLioning .
Domestic hot`;rater ~ Type heater OFF FURNACE
Other
~'.C~~'.=JSO~`( STDT,TC`i'JRFS
Garage, type const. FRAM Storage, type const.
Sr~iT°..,:;ing pool Guest, type const.
Other
V-_OL.4TI0~1S; -CHAPTER 45--N.Y. STATE UNIPOIti~f FIR13 PfZ1iVENTIONII fi BUILDING CODE -
Lncation DAscrintion IArt.~ Sec.
REAR YARD GARAGE UNSAFE NOT TO BE USED UNTIL REPAIRED { I 4.
I 1 I '
Re~;ar':s:
Inspected b` ~ Date of Insp. ~j/~-b fg z.-
THO~ J IS R • Time start 9-20 end 9:40
' ~
w Form No. b J-~-
~`E' ~i:~,.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT SAY Z
TOWN HALL ` I.. -
765-1802
APPLIC~ 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 1R lead.
5. Commercial building, industrial building, multiple residences and similar buildings
• and installations, a certificate of Code Compliance from architect or engiaeer
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, ar 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
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial. $15.00
' Date ......~aY. x.$,..199.2
New Construction........... 0 ~ r Pre-existing Building ~
Locgtion of Property.... .ps~6. 1~}~1~BD. ~a.aG~~..GZ@ES~RQrt,..ble~v. Yt~k..1.7.94Q
' House No. StreeC H;imlet
Onwer or Owners of Property........Flat]_@Yr..G•~~~1'.~
County Tax Map No 1000, Section...Q~.~.......Block...02...........Lot...011
Subdivision ....................................Filed Map............Lot..............:........
Permit No ................Date Of Permit................Applicant...........,.................
Aealth Dept. Approval ..........................Underwriters Approval........................~:
Planning Board Approval
Request for: Temporary Certificate.:......... Final Certicate.,.........
Fee Submitteds ;.......IAA..00
C~~,C.~ ~39 yob--. APPLICANT '
WILLIAM H. PRICE, JR., ESQ.
CONST~NT
TO. 7~,I
iNSPL`CTION
WILLIAM H. PRICE, JR., attorney for Gladys Flatley,
' 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 216 Knapp Place, Greenport
New York u~hich is shown and designated on the Suffolk
County tax map as District 1000, Section 034 ,Block 02 ,Lot 011
That the undersigned (has) thave) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
1-1/2 story frame house with detached garage
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 cf 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.
Dated: May 18, 1992 ~ '
(signature)
WILLIAM H. PRICE, JR.
(print name)
(signature)
(print name)
CRMINITI & GIBBONS ItL No.~lb-lei-~y~~ tray aortic i~•c~ r.~c
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Preporr;d in accordance wllh the m!nlmum . '
slondards for lllla surveys as esloblished Sr ~ -
by the L.I.A.I..S, and appproved and adopted ~
for such use b~ The Nero York Slole Lond rs; -
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9 KNApp
AREA= 7403 sq. J1.
SURVEY FOR
STANLEY J. &
DANA ZUREK
Cerfilied Toy AT GREENPORT
S/onley J, z~rek TOWN OF $OUTHOLD
Diana zurek SUFFOLK COUNTY, N. Y.
AmerJcan T/lle Jnsuroncs Co.
ARCS'Morfgage, loc. ~0(1~ - .94 - a? -
S/a/e Ol. New Yor6 Alorlgage Agency SCB~BI = 20r
v `AN p s~ May 15, 1992
MET~C91F<
F': Y.S. LIC. N0. 436!8
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