HomeMy WebLinkAboutZ-27060FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27060
Date: 04/27/00
THIS CERTIFIES that the building DWELLING
Location of Property 75650 MAIN RD GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 048 Block 0001 Lot 009
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- 27060 dated APRIL 27, 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 CONCRETE PATIO.*
The certificate is issued to KATHLEEN JOYCE GAGEN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 4/25/00
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTI
Rev. 1/81
N/A
Pending
N/A
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: 75650 MAIN RD GREENPORT
SUBDIVISION:
MAP NO.: LOT (S)
NAME OF OWNER (S) : KATHLEEN JOYCE r_A[_RN
OCCUPANCY: SIN TA FAMILY RATHi.RF.N TOV('.F. GAI:F.pj
ADMITTED BY: MAY WATSON ACCOMPANIED BY: SAME.
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 48 -1-9
SOURCE OF REQUEST: KATHLEEN JOYCE GAGEN DATE: 04/27/00
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: _ 2
FOUNDATION: CONCRETE BLOCK CELLAR: PART CRAWL SPACE: PART
TOTAL ROOMS: 1ST FLR.:
BATHROOM(S): 1.0
PORCH TYPE:
BREEZEWAY:
2ND FLR.: 0
TOILET ROOM(S): 0.0
DECK TYPE:
FIREPLACE:
3RD FLR.: 0
UTILITY ROOM(S):
GARAGE:
PATIO TYPE: SI12E CONCRETE
DOMESTIC HOTWATER: X TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: X HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER.
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY:
DATE ON INSPECTION: 03/08/00
M. BOUFIS f TIME START: 10:00 AM END: 10:40 AM
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
STOP WORK ORDER
TO: GERALDINE HAINES
715 FRONT STREET
GREENPORT, N.Y. 11944
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
75650 (AKA 715) FRONT STREET, GREENPORT, N.Y.
TAX MAP NUMBER -1000-48-1-9
Fax(516)765-1823
Telephone (516) 765-1802
Pursuant to Section 45-8 of the Code of the Town of Southold,
New York, you are notified to immediately suspend all work and
building activities until this order has been rescinded
BASIS OF STOP WORK ORDER:
ON BEING DONE THAT
A BUILDIN!
CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
WHEN A BUILDING PERMIT IS OBTAINED.
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may cons tute an offense punishable
by fine or imprisonment or both.
DATED: JUNE 2, 2000 w /!/L
JO M. BOUFIS
7�LDING INSPECTOR
(CERT. MAIL)
rului Nu• u
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN MALL L
765-1602 �M!
APPLICATION FOR.CERTIFICATE OF OCCUPANCY -'
A. This application must be filled in by typewriter OR ink'and submitted to the but
inspector with the followings 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 buildings multiple residences and similar buildings
and installations, a certificate of Code Compliance from' architect or engineer
responsible for the building, '
6i Submit Planning Board Approval of completed site plan requirements.
+'B. For existing buildings (prior to April 9j 1957) non -conforming usesj or buildings and
t'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 $25.001 Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.001 Accessory building $25.00+
Additions to accessory building $25.001 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
3 ac 0
Date .. i 7,./ i•. i O .. • ....................... .
New Construction• ... ..,....
-old Or Pre-existing Building .. ............
Locption of Property. .ii'i•:1 v,7 i.5 i'ii• 1.i•�f.:+ 1+•••✓t+ �•li+•LN. +•••+i•..•...••..:.a..••..
!louse No. Street llttmlet
1Ca 4 -in Ive,, Joh�]7//.� C e �(�)''Q�^l y�
Onwer or owners of Property..•••1•Ii•.i••.:1111•I.�•P.ii.•iii•.+•i•+`/.i•••1•i•i...:.•+•i
County Tax Map No 1000, Section*9660,{011i..i+lilOClC••.•iii••••ii.•.1.OtiiY+•.ii•i••`•••.•••
Subdivision.•.•:..........i...1...1.•....:...:•Filed Map.ii..•i...+.Lot...•.........:...:..
Permit No+11.j9.:.,s.ii: .Date Of Permit, IAi1::11•.i...iApplicant..•..•Ii:ii:.i►.•iii....i.•
health Dept. Approval•..•.1..64•..ii••i6+4•.4i.Underwriters Approval...*•••+•i••...i.......
Planning Board Approval•••.406064010:+4-64•i.•+6'
Request for: Temporary Certificate -
Final Certicatei.i•Ii..41.
gFeSubmitted : $.i D'i:.�. T.........i...:..ii:i
--1-Rr
�- O - AP r CANT
�JoyC-e *&09 e A/
W
K4+17le'PI Joyoo_ G"a 9
Owner(s) Nameis
do(es) hereby state:
CONSENT
INSPEC'T'ION
the undersigned,
That the undersigned (is) (are) the owners) of the premises in the Town
Of Southold located at
15
xvilich is slio%vn and designated on the Suffolk
County tax map as District 1000, Section
�?s _. Block Lot g
That the undersigned (has) (have) filed, or caused to be filed, an applicz_
tion in the Southold Town Building Inspectoris Office for the following:
(Vet►'f� cct4e °f Occ u pu Ae `i 00 P rf-
16 din
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply With all of the laws, ordinances, rules
and regulations of the 'Town of Southold.
Tile undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dateds _�'- QC�
(signatu
ka+h (ee,) `1 oyCe c7qe").
(print narni)
• (si�naturu)
(print name)
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
DATE
INSPECTOR
v
ARE
765-1802 /
`BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
RE KS:
or
A!?
DA
c
11
765-1802
BUILDING D
INSPECTION
[ ] FOUNDATION IST
[ ] FOUNDATION 2ND
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ]FIREPLACE &CHIMNEY
REMARKS• 70'� /°E
LOCATION: /1-5 (p.$
t nu.
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY Cllr/
type
ADMITTED BY:�wl
KEY AVAILABLE
SOURCE OF REQUEST: /
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
r & street
4 .(municipality
MAP NO. LOT' (s )
ACCOMPANIED BY: .
SUFF. CQ. TAX HAP NO.
DWELLING:
TYPE OF CONSTRUCTION
/
# STORIES-
$ EXITS
FOUNDATION / /
CELLAR ®Q/"-
CRAWL SPACE
TOTAL ROOMS: IST FT.R.
2ND FLR.
3RD FLR.
BATHROOM
TOILET ROOM ( s )
�- UTILITY
ROOM .•—
PORCH TYPE
DECK, TYPE
PATIO, TYPE �,(f
BREEZEWAY
FIREPLACE
GARAGE
DOMESTIC HOTWATER
TYPE HEATER
AIRCONDITIONING
TYPE HEAT a�v
WARM AIR
_
HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
---------------------------------------------------------------------------------
---------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE.
REMARKS:
INSPECTED BY:
DATE ON IN
TIME START