HomeMy WebLinkAboutZ-24409No Z-24409
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date JUNE 10, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 455 GROVE ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section SO Block 4 Lot 8
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-24409 dated JUNE 10, 1996
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 *
The certificate is issued to ANTHONY F.X. & CLARE M. GENEROSA
(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.
9- X'14�w_
u' di g Inspector
,lA
Rev. 1/81
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
455 GROVE DRIVE SOUTHOLD, N.Y.
number & street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) ANTHONY GENEROSA
OCCUPANCY SINGLE FAMILY
type owner -tenant)
ADMITTED BY: BRIDGET DIA ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-80-4-8
SOURCE OF REQUEST: ANTHONY GENEROSA DATE: MAY 17, 1996
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAM I STORIES I # E%ITS 2
FOUNDATION PIERS & CEMENT BLOCK CELLAR CRAWL SPACE,
TOTAL ROOMS: IST FLR. 5 2ND FLR. 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE CLOSED FRONT & SIDE COVERED DECK, TYPE PATIO
BREEZEWAY FIREPLACE ONE GARAGE
DOMESTIC HOTWATER YES TYPE HEATER L.P. GAS AIRCONDITIONING
TYPE HEAT OIL WARM AIR %% HOTWATER
OTHER: ATTIC
ACCESSORY STRUCTURES: NONE
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
REMARKS:
INSPECTED BY DATE OF INSPECTION MAY 22, 1996
JOHN M. IS TIME START 9:30 AN END 10:00 AN
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
=. This application must be -filled in by typewriter OP. 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.
Z) For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and
"pre-existing" land uses:
Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed aDDlication and a consent to i71Gnact signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
�. Fees
1. Certificate of Occupancy - New dwelling S25.00, Additions to dwelling $25.00,
Alterations to dwelling+S25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-exist' Buildins - $100.00
3. Copy of Certificate of Occupancy - .25s.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .ir11`y .�.�� � :1� ........... I ............
ew Construction........... d Or Pre-existing Building. ................ y,
,ocation of Property.44-�.... UF'..PRUF� ...MiO0k%..°�. ?01��`�ULl�......
7'
House /N�o� �. Street n ,,, nn MHamlet �y���
-)nwer or Owners of Property.�`CN�+�. ..�'.� ..���'Sl�...� CyA� k. 6W EA -�....... .
o QQY,,o Q �
;ounty Tax Map No 1000, Section.0 o ........Block..0 �..........Lot... .................
subdivision....................................Filed Map ............ Lot ......................
ermit No................Date Of Permit ................ Applicant .............................
=iealth Dept. Approval..........................Underwriters Approval.........................
Tanning Board Approval ........................
request for: Temporary Certificate....
4W
lee Submitted: S.A...................
ai-C. -S)31.5
W&F- t' -V
....... Final Certicate...........
APPLICANT
.SU.i ✓�Y6� D � 0�2. -.
Ar
- iowr�! of <SouT�aLn, N.Y.
S"uf .�I1G CO. Tbx A497P Z?ss�ync�fean:
io o o, 450,Ct. "10, .SJotk Af, Lot B
vuur�r�t�eo� to CJ1,�aga. �'if/� lnarirvrrca r
Co. v � 6 ur ✓�r�� ssf ; �9t,�u�6�`' �, 1'9?7. h
L,QAr E" Z)IZ-Ve-
A
�
4
S. 7•f COQ' �r -+
! R6..7S. � �'
,.
% Y off..-._. ''f'' • f's�r f
L:c,ensec� .Gcrnd� Sr.�Nt�ars
GrCcafyar�`', eJ. Y.
/' S.7f'OOF t
p
O
i
No fe : La f ,�c.mber� sf;�awrr. fo:
Block d G q "Nla of Qayd�a�s QEioee$4
f,7ea' rti > JrE ~:. fFcy ll: CQ. L fet-Jr', t9 'rast ?'.ltlk A(0. 77-0$-214t70 J .
a � n-Ja� F✓o ... 3t .
LOCATION: r
numbe
SUBDIVISION
NAME OF OWNER (s) AR
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
& street
MAP NO. LOT(s)
pality
OCCUPANCY
type (owner -tenant)
ADMITTED BY: �/� � ( ACCOMPANIED BY: -Thvy
KEY AVAILABLE SUFF.CO. TAX MAP NO.
SOURCE OF REQUEST: t� C 4, DATE:
DWELLING:
TYPE OF CONSTRUCTION
_# STORIES_ 1 E%ITS
FOUNDATION rj A5 - CELLAR CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. -- 3RD FLR.
BATHROOM (s) A/ le TOILET ROOM (s) UTILITY ROOM
PORCH TYPEC� Secrr20,j ¢ S/�C � �- DECK, TYPE — PATIO �►"
BREEZEWAY FIREPLACE I!E.-GARAGE
DOMESTIC HOTWATER 7 OTYPE HEATER AIRCONDITIONING
TYPE HEAT L _ _ WARM AIR //'� HOTWATER
OTHER: Alam' / r'
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
DATE OF INSPECTION 7 -
TIME
TIME START END
iu
CONSENT
TO
I'1014
U% IIer(s) N,IIII c;(s)
(IOU's) hereby stale;
the undc:rslulled,
That the undersil;ned (is)
((lre) the owner'(8) of tho
Ilremiscrs
In lilt, `Town
of Soullrolcl located fll 4SS
C9-%QU UIU
SOUY(q(Lb
_, ulli"ll is ';bc,wn ;incl d1:sil(n(1led
or► Ill(. Suffoll:
County tax Inch as District
100(), St, cllon Q �(� 131ocic �
Lot
That the undersigned (has) (have) filed, or caused
to be filed, all ahlllica-
llun In the ,Solithold `l'owll Bllildil►l; Insheclov's Office for the following!;
That the urrdersig ilf'(1 (lo(es) hereby give consent. to the 13uilding Inspectors
•of the 'Town of Soullrolcl to enter upon the above described hr•opel'ty, il►eludillf,
any ci►Id all buildings lnc;:►lecl thereon, to conduct such inspections as they ►llay
deem necessary xvilh respect to the aforesaid sill>licalion, Including; iuspeclin►►s
ler determine Ural 'said premises cornlrl� �l Ilb all•of ll►e laws, ordin(inces, rules
and regulations of the 't'owrl of Soulbol(l.
The rrnclersi.qne(1, lu (wilsenling; to such inspucliolls, do(es) so wllh the
hlowlndg!e ulld rrudc:r•standing that any infol'Inalioll obtained hr the c:ol►(lucl of
Stich inspec:llons rosy baa rise( as evidence in ,mI)sedrlenl prosecII1ions for vio-
lalionS of lbe laws, of clinauc(::;, rules or rel;►Ilalions of lbe 'l'own of Southold.
1)a(o(I:--
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