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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:-- 9 ignattil I:9ig;nattil (1)r'illt IIal11L') (Sil!Ililluro .�CLuff M, !(print name)