HomeMy WebLinkAboutZ-23828FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-23828 Date AUGUST 22, 1995
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 810 ISLAND VIEW LANE GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 57 Block 2 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-23828 dated AUGUST 22, 1995
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 GARAGE
The certificate is issued to ROSALIA E. GIOIA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
r�
BuildingInspec or
Rev. 1/81
LOCATION:
HH 11.1) I NG IIEPARTHEN'r
TOWN OF SOUTIIOI.D
HOUSING CODE INSPECTION REPORT
810 ISLAND VIEW LANE GREENPORT, N.Y.
-Gnunicip,IiIy
LOT(s )
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY
AIIMITTE'D BY:
KEY AVAII.ABH-.
SOURCE OF 1(li(j111iS1'
number & &street] --
-----HAP NO.
ROSALIA E. GIOIA
1 FAMILY
-----
OWNER ACCOMPANIED BY: SAME]
S11P1
TAX MAP MAP NO. 1000 -57 -2 -8 -
OWNER DATE: MARCH 6, 1995
DWELL_ING:
TYPI: OF CONSTRUCTION FRAME / STORIES 1
FOUNDA'T'ION BLOCK (CONCRETE) CEI.I.AR CRAWL SPACE II
TOTAL ROOMS: IST FI.R. 3 2ND FLR. 3RD FI.R.
BATHROOM (s) 1 TOILET ROOM (s) u'rII.I TY ROOM
PORCH "TYPE DECK, TYPE WOOD PA'T'IO _
BREEZEWAY FIREPLACE GARAGE
1)OMIiS'r)C IIOTWATE' R X% TYPE 11EATEIR ELECTRIC AIRCONUITIONING
TYPE HEAT PROPANE (FLOOR FURNAW01 AITt %X 110TWATE1(
O'1'NER:
ACCESSORY STRUCTORES:
GARAGE, 'TYPE OF CONST. WOOD FRAME STORAGE, 'TYPE CONST.
SWIMMING POO1, GIJES'r, TYPE CONST.
OTIIER:
--------------------------------------------------------------------------
------------------------------------------------------------------------
VIOLATIONS: CIIAPTER 45 N.Y. S'L'ATE UNIF0RM FIRE PREVENTION 6 BUILDING CODE
I EXITS 2
LOCATION DESCRIPTION
_ ART. SEC.
u
REMARKS: BP $22643Z— CO Z-23567 (ADDITIONS) WOOD BURNING STOVE REMOVED 8/21/1995
NOT TO BE N TALLED
IN(:Pr•,CTLD BY
DATE OF INSPECTION 3/24/95 & 8/21/95
TIME START END
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT -
TOWN HALL MAR e 109 765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY Fgc
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 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.
B. For existing buildings (prior to April 9, 1957) non -conforming uses, or 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
I. 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 Buildine -,—$100.00
3. Copy of Certificate of Occupancy $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $_185.00•, Commercial $15.00
Date ... 1AA!44.�..IG.Q 5 ......................
New Construction.......... Old Or Pre-existing Building.....✓ .............
Location of Property... 1'�((� . ao-k 1Li V LW. �MQ..... ��, POrLi' N Y
House No. Street Hamlet .•.
Onwer or Owners,of Property..... P 7 444 ..��:...V .l ��/.f��.................................
County Tax Map No 1000, Section .... F] ....... Block ..... Q .........Lot... 8 .................
Subdivision .................................... M:ip............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
llealth Dept. Approval..........................Underwriters Approval.. ....................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...........
11
Fee Submitted: $.,,�OQ.......................
(Zocv - I
9,A"So ° 0 k............ .`°:............... .
APPLICAN �.,. .
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LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT � � C � 97? - 6171 6�eo�
r & street
SUBDIVISION
NAME OF OWNER (s) _
OCCUPANCY /
(municipalit
HAP NO. LOT(s)
a
tvue) /l (owner -tenant
ADMITTED BY:�-H ACCOMPANIED.BY: �om-P
KEY AVAILABLE SUFF . CO . TAX MAP NO . G4JD — 2 _
SOURCE OF REQUEST: DATE: S —
DWELLING:
TYPE OF CONSTRUCTION
_# STORIES / # E%ITS -2"
FOUNDATION �� 11�� t CELLAR CRAWL SPACE �r
TOTAL ROOMS: IST FLR. 2ND FLR: 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE ajd-d( PATIO
BREEZEWAY FIREPLACE - GARAGE
DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING
TYPE HEAT,&4MZ WARM AIR HOTWATER -------
OTHER: OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER: 4aSig
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
9-11 z
N W. W"ni
.0_0'� /, ii/ int/ /s.r 0 '
r� NOW
OAF
-i
ENV
INSPECTED BY- DATE OF INSPION
TIME START %O ; dV END
AA
765-1802 *--
<;Re
BUILDING DEPT. �,
INSPECTION
[ ]FOUNDATION IST [ ]ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ J FRAMING [ q -FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: 00,Z/-
-P..-
n / /1 Av - /%
DATE IN8PECT0
A� 6 �/ --3 $-,
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ] 1 TION
Loe FINAL
m
DATE A(
1J
INSPECTION
P05j3rL1i4 the undersigned,
OvF,mer(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 StU f� �j V (p�Ge1 LQ,yti�
CRA4N PO uz:, tj -Which is shown and designated on the Suffolk
County tax map as District 1000, Section 6-7 , Block ZZ,_, Lot I
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:
P� rSnN G- Ajv r> '5;157,jN6- , 4
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.
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: 3-(0- a5-
(signatur
(print name)
(signature)
(print name)