HomeMy WebLinkAboutZ-22466FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No
Z-22466 Date JULY 22~ 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2405 (aka 661) BAYSHORE RD.
House No. Street
County Tax Map No. 1000 Section 53 Block 4
Filed Map No.
Subdivision
GREENPORT ~ N.Y.
Hamlet
Lot 17
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-22466 dated JULY 22~ 1993
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 0~A~ DW~r~.ING WITH ACCESSORY STORAGE SHR. D *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLRASE SEE ATTACHED INSPECTION REPORT.
ABE JOSEPH GOLDRICH
Rev. 1/81
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOU~IOLD
HOUSING CODE INSPECTION REPORT
2405 BA¥SHOP~ ROAD (aka 661) GREENPORT, N.Y.
SUBDIVISION
(number & street)
NAME OF OWNER (s)
· MAP NO.
(municipality
LOT (s)
.ABE JOSEPH gOLDRICH
A-I RES. OWNER
OCCUPANCY
(type)
ADMITTED BY:.
KEY AVAIId~BLE
SOURCE OF REQUEST:
{owner-tenant}
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 53-4-17
I~ARCIA Z. ItEFTER, Al-fY DATE: gY 8, 1993
DWELLING:
TYPE OF CONSTRUCTION WOOD FP, A[~ ~ STORIES ONE ~ EXITS 2
FOUNDATION 'CEHENT BLOCK CELLAR PIT CRAWL SPACE
TOTAL ROOMS: IST FLR. 5 3RD FLR.
BATItROOM (s) ON~ FIJLL BATIt. UTILITY ROOM
PORCH TYPE EHCLOSED PORCH PATIO, TYPE
BREEZEWAY GARAGE
DOMESTIC HOTWATER YES AIRCONDITIONING
TYPE UEAT PROPANE & ELECTRIC HOTWATER
O~tER:
2ND FLR.
TOILET ROOM (s)
DECK· TYPE
FIREPLACE ONR
TYPE HEATER ELECTRIC
WARM AIR XX
ACCESSORY STRUCTURES:
GARAGE, TYPE OF cONST.
S~IMMING POOL
OTI~R:
STORAGE, TYPE CONST. SI4ALL ACCY S~RD
· GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY: ~/~ J.fFI~SH '
DATE ON INSPECTION JIJLY 124, 1993
TIME START 9:30 ENlJ 9:50
Form No. 6
BUILDING DEPARTHENT ,1 IlS k~
TOWN 0Ok - 8
765-i802
~PLICATION FOR CERTIFICATE OF OCCUPANCY _ BLD~.DE~.-~
?OW~ O~ $OUf~O~
This application must be filled in by typewriter OR ink and submitted t~ the b~%~
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. Co~ercial 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.
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 S50.00.
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
July , 1993
Date .........................................
n/a X
liew Construction ........... Old Or Pre-existing Building .................
: . ~ ~¢.~BavsP~re Boad, GreenDort, NY 11944
~ocation o~ ~roperEy ....... g .................................................................
House No. Street Hamlet
Abe Joseph Goldrich
~nwer or Owners of Property ..................................................................
:ounty Tax }!ap No i000 Cection 053.00 Block .P~,OO. .Lot 017.000
Map of Peconmc Bay Estates, ~de~
~ubdivision...~.A.a...~..p~.~p~ ............ Filed Map..~-:.~...Lot..~%.[%%.c~..~%~ ....
'ermit No...q~9 .......... Date Of Permit...~/~ .......... Applicant...Q~9 .......................
[ealth Dept. Approval.-.n~ .................... Underwriters Approval .... ~9 ..................
'lanning Board Approval ....... ~/~ ..............
Letter of Pre-Existin~ E
.equest for: Temporary Certificate ........... Final Certicate ...........
ee Submitted:
¢,m ° -
co 6
~'~ph f~~LiCAN~dr:ch by__ Marc:a Z. He fte ,
Attorney-in-fact
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