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HomeMy WebLinkAboutZ-26218FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26218 THIS CERTIFIES that the building DWELLING Date: 01/14/99 Location of Property 1175 AKA #9 SHORE DRIVE GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 047 Block 0002 Lot 024 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- 26218 dated JANUARY 14, 1999 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 ATTACHED CARPORT & ACCESSORY METAL SHED * The certificate is issued to GERTRUD S GEGENWARTH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTSnu DwDnDT Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 1175 AEP #9 SHORE DRIVE GREENPORT SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): GERTRUD S GEGENWARTH OCCUPANCY: SINGLE FAMTL•Y GERTRUD S GEGENWARTH ADMITTED BY: GERTRUD GEGENWARTH ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 47.-2-24 SOURCE OF REQUEST: HARVEY ARNOFF. 11/23/98 DATE: 01/14/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: --Z FOUNDATION: CEMENT BLOCK CELLAR: NO CRAWL SPACE: XX TOTAL ROOMS: 1ST FLR.: _. BATHROOM(S): 1.0 2ND FLR.: TOILET ROOM(S): 0.0 PORCH TYPE: SIDE ENCLOSED DECK TYPE: 3RD FLR.: -k UTILITY ROOM(S): PATIO TYPE: BREEZEWAY: NO FIREPLACE: NO GARAGE: CARPORT DOMESTIC HOTWATER: XX TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: XX HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: METAL SHED GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ! DESCRIPTION PRT SEC i i i i i 111060% INSPECTED BY: DATE ON INSPECTION: 12/29/98 %i3sM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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. 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. �.l Certificate of Occupancy on Pre-existing Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - _ .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...... Novgmper ,17.,..998 ............... aw Construction........... Old Or Pre-existing Building... X ......... ocation of Property ... ..9......... S.h4Fe.. }.y.q.............rIT6e11poTX..................... House No. Street Hamlet ower or Owners of Property.................GERTRUD S.. GE..... . .......... ounty Tax Map No 1000, Section .....4........Block ................Lot.. 24................. Greenport Shores1759 14 ubdivision....................................Filed Map ............ Lot ...................... CertrttdS ermit No................Date Of Permit ................ Applicant ........... . liege.... ealthDept. Approval..........................Underwriters Approval......................... lanning Board Approval ........................ equest for: Temporary Certificate........... Final Certicate........... ee Submitted:/ $............................. '< 1� ANTGertrud S, Gegenwarth... by her attorney-in-fact, HARVEY A. ARNOFF CONSENT TO INSPECTION GERTRUD S. GEGENWARTH the undersigned, Owner(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 9 Shore Drive, Greenport, New York which is shown and designated on the Suffolk County tax map as District 1000, Section 047 Block 02.00, Lot 024.OQO 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: Certificate of Occupancy for Pre -Existing Building (Dwelling) 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, Dated: ll/,23/98 rules or regulations of the Town of Southold. �v si ature) GERTRUD S. GEGENWARTH BY HER (print name) ATTORNEY-IN-FACT, HARVEY A. ARNOFF LOCATION: /7 n'. SUBDIVISION NAME OF OWNER (s) OCCUPANCY �t yL jv r ADMITTED BY: LE KEY AVAILABLE SOURCE OF REQUEST: DWELLING: BUILDING DEPARITIENT TOWN OF SOUTHOLD ING CODE INSPECTION REPORT r & street / (municipality WAD Mn 7 AT /..1 ACCOMPANIED BY: CO. TAX MAP NO. DATE: L f T� TYPE OF CONSTRUCTION jpt 61 je5getLnne # STORIES # EXITS Z" FOUNDATION A3 CELLAR r CRAWL SPACE TOTAL ROOMS: IST FI.R. 2ND FLR. 3RD FLR. BATHROOM (s)% /�/_ TOILET ROOM (s)-- UTILITY ROOM PORCH TYPEL5'jt,'rtg" DECK, TYPE _ PATIO, TYPE BREEZEWAY A/ D FIREPLACE /� (,] GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT WARM AIR HOTWATER OTHER: . ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: ---------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. REMARKS: INSPECTED BY:/✓ DATE ON INSPECTION TIME START L4