HomeMy WebLinkAboutZ-11801TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
~N~31N ~NF ~R-1V[? 1N 6- PR-I~lVr~ E~
THIS IS TO CERTIFY that the
No. Zl1801
July 22, 1983
/~'/ Land
/'~ [ Building(s)
/~/ Use(s)
located at 650 Bayview Avenue Greenport
Street Hamlet
shown on County tax map as District 1000, Section 052 , Block 05
Lot 042 , does ~eonform to the present Building Zone Code of the
Town of Southold for the following reasons:
The land~ buildings, and uses: a private one-family dwelling
and accessory garage, are permitted uses in this 'A' Residential
Agricultural Zone.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above ~conforming /_~/Land /X_/Building(s)
/_~/Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIF]]ED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate is issued is as follows: a private one-family dwelling and
accessory garage.*
The Certificate is issued to
of the aforesaid building.
MARJORIE D. HALLER
(owner,
Suffolk County Department of Health Approval n/a
UNDERWRITERS CERTIFICATE NO. n/a
*This C.0. also includes B.P. 5824Z issued 4/18/72 for a garage
& B.P. 5852Z issued 5/5/72 for side, rear yard fence. C.O.
issued 3/15/73, No. Z5042.
· Bui]'din~ intp~ct'o~' '
L~c~n 650 Bayview Avenue
(n~moer ~ szreez)
Subdivision Summer Haven
BUILDIEG
TO~[ OF SOUTHOLD, N. Y.
HOUSI?[G CODE I['~SPECTIO~[ REPORT
Greenport
(~unzczpa±~zy)
~a~ No. 1133 Lot(s),84 & 85
Name o£ Owner(s) Marjorie D. Haller
Occupancy R- 1
~type)
A~mitted by:
Marjorie H'aller
owner
(owner- ~enanv)
AccOmpanied 'by: same
Key available
Su££o!k Co. Tax ~o.52-5-42
Source of request
George C. Stank~vich
Date 7/19/83
DI~LLi~:
Type o£ construction
Foundation cement block
Total rooms, 1st. FI
Bathroom(s) 1
Porch, t~e. clo~d ~n
BreezewaM
Type Heat
Fireplace(s)
Domestic hotwater
wood framed
Cellar full
2nd. Fi
Toilet room(s)
Deck, type
Garage
Warm Air central
No. Exits 2
yes
#sTories 1
Crawl space
3rd. F1
Patio, type...
Utility room
Hotwater
Airconditioning
~ype heater gas
Other wood burner not connected to chimney
ACCESSORY STRUCTURES:
Garage, type const, wood, 1½ car
Swim,ming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location De~.
- ~ .... ~ ~on t Art. Seh.
kitchen gas stove--no shut off I V 52-52-E,6
This C.O. also includes B.P. 5824Z issued 4 18/72 for a
garage & B.P. 5852Z issued.5/5/72 for side, rear yard
Remarks: fence. C.O. issued 3/15/73, No. Z5042.
Curtis W. Hort~n ' Time start ~: 15 end 1:30
July 21, 1983
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing,
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topograph ic featu res.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00 c~ 5-/
2. Certificate of occupancy on pre-existing dwelling land use ~/ $5.00
3. Copy of certificate of occupancy $1.00
New Building ............. Old or Pre-existing Building . X ......... Vacant Land .............
Location of Property . .B.e,k'¥~-.e.w .~.v.e.q~tC,..,~Q~y_~q2~qt .....................................
House No. Street Ham/et
Owner or Owners of Property ...W..a.l~e.r...H.a.l. 1..e.r..a.n..d..M. c3r. j .o.r.i.e...H.a.l. 1. C.r ..................
County Tax Map No. 1000 Section ...5.2. .......... Block .... .5 .......... Lot....4.2 ...........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No...N~/.A. ..... Date of Permit ...Nz/.A. .... Applicant ..................................
Health Dept. Approval ...... .N./.A. .............. Labor Dept. Approval ......... N../.~ ............
Underwriters Approval ...... .N/.~. .............. Planning Board Approval ....... N../.A. ...........
Request for Temporary Certificate .Final Certificate
Fee Submitted $ .5.: 9.0 ........................
Construction on above described building an~ permit meets {~applic~tbl,e code% and regulations.
Applicant . .............
CONSENT
TO
INSPECTION
MARJORIE HALLE, R , 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 Bavvisw Avenue
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 52 , Block 5 , Lot 42
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 on pre-existin9 dwellin9.
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.
ff (s fgn'a~ti~Fe )-
MAI~JO RI E HALLER
(print name)
(signature)
(print name)