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Home My WebLink AboutZ-19686No Z-19686 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date JANUARY 28, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 870 BAY SHORE ROAD GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 4 Lot 36 Subdivision Filed Map No Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19686 dated JANUARY 28, 1991 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 ONE CAR WOOD FRAME GARAGE The certificate is issued to MONA S. GIORGI (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. 17ha-A li' uilding Inspector Rev. 1/81 BUILDI�;G DEPC,RTNENT TO'dN OF SOUTHOLD, N. Y. HOUSIM CODE INSPECTION REPORT Location 870 BAYSHORE ROAD GREENPORT, N.Y. knumoer 6( street) (i,iunicipaiity) Subdivision Nap No. Lot(:,) Name of Owner(S) MONA S. GIORGI Occupancy A-1 (type o4rner-tenant) Admitted by: ALYCE G CWI-PASSAW Accompanied by: SAME Key available Suffolk Co. Tax No. 53-04-36 Source of request THOMAS PASSANAT 6 ALYCE GIORGI-PASSANANT 1Jate JAN. 9, 1991 D`'TELLING : Type of construction WOOD FRAME CEMENT BLOCK #stories ONE Foundation Cellar FULL Crawl space Total rooms, lst. Fl 4 2nd. F1 - 3rd. F1 Bathroom(s) 1 FULL Toilet room(s) Porch, type SIDE ENCLOSED, Deck NO HEXT� type Patio, types CONCRETE Breezeway Gara g� Utility room • Type Heat OIL - warm Air .Hotwater xx Fireplace(s) No. E:cits 2 Airconditioning Domestic hotwater YES Type heater Other ACCESSORY STRUCTURES: Garage, type const. 1 CAR WOOD FRAM Stora e g type const. Swimming pool Gtype const. VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PRF.VFNTTnm s. RttTT nrvr Remarks: Inspected by: OF Ci Date of Insp. JAN. 14, 1991 G J. FISH Time start 9:30 end 9:50 Form No. 6 X77— -:7 p� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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 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 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 ......./.. �..��.L........................ New Construction........... Old Or Pre-existing Building ....,........... Location of Property... '9.-2:f?.......... J'_.�Y: . ,!\4r� .............. House No. Street Hamlet Onwer or Owners of Property.. \ County Tax Map No 1000, Section ... ...... Block .. L. / .. /K3.14....... ��[� _ LL 5/i 9 /3 3 SubdivisiOn..1. C ?J�t .�. X57 g ,a ;,,,,Filed Map:�.4.1102!-1..Lot...t Cv . 7....... Alyn Permit No................Date Of Permit ................ Applicant. �AS.�`AlV#N�...4»oh�i�gY�bWnl Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $./CO. 0 6;,, .. AI A 44,4A+:k 6 : lt. . 1� IQ i ? Ar�l APPLICANT- POLE MIRE$ 0� BA YSHORE�,,N 00' 3 LOT ® a FRAME STORY __- NOLVE 0 � a — T6 FRAME r�r+o a GAAA°E w LOT E8e0 Z �- — — 100.001, M/OlF pOSLLICO ROAD LOT 8� - II S 78• 8,41 00 CO TION COW ANY' �C U LOT JiD 1O,94, OA. �'',o SURVEY OF '" LOTS 86 & 87 AMENDED MAP A OF "PECONIC BA Y ES TA TES" F&W MAY 10, lass FXE NO. W4 A T A RSHA MOMA Q UE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 53 - 04 - 36 Scale 1" = 20' Dec. 31, 1990 m CERTIFED TO: AOGEBOGW ABSTRACT CORPORA rM MONAS FRANCIS PASSANANT - AL YCE QIOM PASSANANT TOTAL AREA = 12,500 sq. ft.F Prepared in accordance with the maximum standards for title surveys u ostab#Wwd by the L.I.A.L.S. and &Wov d and adopted for such useby The Naw York State Land Tito Association. Y.S. LIC. NO. 49818 (518) 785 - $020 P. O. BOX 909 'MAIN ROAD P. CONSENT TO INSPECTION Owner(s) N e(s do(es) hereby state: , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at which is shown and designated on the Suffolk County tax map as District 1000, Section,5--3 Block ' Lot _3 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: c" rl-?- 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: / 9 t (signature) LrSS��u�� ( print name) �(sanatu e) (print n me) BUILDI:•:G DEPART:•IEiT T0.•lN OF SOUTHOLD, N. Y. HOUSINTG CODE INSPECTION REPORT Location C%Dmay. ag f . knumoer be street) i-iuni ipaiity) Subdivision Map No. Lot(s) 77. Name of Owner(s) Occupancy ` (type Admitted by: GLL-, kowner-tenant) Accompanied by:; Key available Suffolk Co. Tax No. JF -5 - Source -5 -Source of requestr.: l0 ate /b / IV D MLLING • Type of construction %tiMs�� #stories �•K..L�. Foundation--' � Cellar--Zq�_Crawl space -- Total rooms, 1st. F1 q2nd. F1 3rd. F1 Bathrooms) Toilet room(s) Porch, typeav& Deck, type Patio type&,.4"4,,� Breezeway Garage Utility room Type Heat =darm Air Hotwater Fireplaces) No. Exits WL Airconditioning Domestic hotwater !1 -" Type heater Other ACCESSORY STRUCTURES: Garage, type const. /anti. w �.,t., torage, type const. Sclia-nming pool Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location DeEcrivtion 1Art.1 Sec. Rem, arks Inspected by: Date of Insp. N Time start .-4o en