HomeMy WebLinkAboutZ-25507FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-25507
Date JANUARY 28, 1998
THIS CERTIFIES that the buildin~
Location of Property 57425 COUNTY ROAD J48
House No. Street
County Tax Map No. 1000 Section 44 Block 2
Subdivision Filed Map No.
ONE FAMILY DWELLING
GREENPORT, N.Y.
Hamlet
Lot 4
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-25507 dated JAN. 28, 1998
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 TWO CAR ~&RAGE *
The certificate is issued to HOWARD F. HARRIS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLRASE SEE ATTA~D INSPECTION REPORT.
Rev. 1/81
N/A
N/A
N/A
IIII I I.I) I Il(; I)I,~I'^IUI'IIICItT
'I'()~H OV !;I)ll'l'flOl.I)
· III)U~IIIII: (:OI)E III!iI'I".(:TIOtl I(I~.I)I)IIT
{.o(:^'rlott: 57425 COUNTY ROAD [48 GREENPORT~ N.Y .......
!;IJIII)I¥!S[ON HAl' NO. I.OT(~)
OCCUI'A~CY ~SIDE~I~
AI)HIT'I*ICI) IIY{ HOW~ F. ~IS ACCOtlI'fiNiICI) llY{
KEY AVAII.AII[.~' '~i~iPF]'~]-'~AK HAP ~O. 1000-44-2-4
......................................................
I)W{~I,[, l NO:
I I.,
:I'YI'I~ OF COtIWI'IIUCTION ~D F~ ....................................................... $ ~'I'OllIE~ O~ [ EX "". ............
FOUHI)AT]ON C~ BLUE (:m~{.LAR F~L CIIAUI. nt, m;m~
'FO'I'AI, IIOOH~: I~T FI.II. 4 2UI) FI.Il. 3lID FI.R.
....................................
IIA'I'IIROOtl ( 8 ) 2 T(} I ~.ET IU)Otl ({{) IITI I.
I'ORCII 'I'Yt'I~ S~M {IE(iK, 'l'Yl'm~ PATIO ~ISED BRICK PATIO
IIIIEI~ZmCMAY F I 1U~I'I.ACI~ O~ {IAIIA(}E 2 CAR
.........................
I)OtlEST[C IIOTMATER YES TYI'E IIEATI~I{ LILCO GAS AIIICONI)ITIOtllN{]
'I'YI'Ig Ill(AT LILCO GAS ~AIIH All{ IlO'r~ATIEI~
OTIIER{ WEK IN CLOSET & CEDAR CLOSET - ~I~ ~FINISHED BATHR~ IN ~S~
AC(;ES~ORY STRUCTUI~ES:
GAIIA('~E, 'I'YPI~, OF CONR'F.
~;UIIIHING fOOl.
O'l'lllr. l{.,
!|'I'()IIA(:I~., 'I'¥PF, C()H,qT.
, (illlt,!l'l', 'l'Yl'g (;OH,SIT.
Form Bo. fi
TOWN OF SOU'flIOI,I}
BU I [.DiN(~ D E pAIH'HI~.NT
TOWN IIALL
763-1802
API'LICATIOII FOR CERTIFI. CA'I'F. OF O(:¢:UPANCY TOWN OF SOUTHOLD
A. 'l'h[.~ application mu.~t be ftl.]e~ ]. by typewr.[ter fir I.k .mi md..l~ted I:o tho
I. Fl. onl m.trvey of property with nccurnte location of nl.I I)ttfldlltg~, property l lne~,
2. FI. hal Approval. from llenlth Dept. of water m~pply nml ~ewernRe-dtspo~nl(S-9 form).
3. Approval of e.tectrtc01 installation from Board of F.tre U
4. S~orn stntemeut from plumber eertlfytn~ that the ~ol. der used In ~yntem
1~ than 2/IO of IZ lead.
5. Co~erctat building, indu~trtM building, mul. tlp/e re~ble.ce~ and simtl, ar h. tldt.g~
and tnstallatton~, a certificate of Code Compl.~anee from architec~ or engi.eer
renpo.slble for dm b-Udlng.
6. Submtc Plannlng Board Approval of co~,pl, eted ntte pl;m req~ tre,~ent~.
B. ) F.r extstt.g butlding~ (prior to April 9 1957) mm-co.h~rml..~ u~e~ or h.l.l, dlu~
I. Accurate survey o~ p~oporty d~owing ntl properCy I I..en, ~tree~n, butlti.~
2. A properly completed application and a eo.am~e to l.~pect ~igned by dm nppttcnnt.
l.f n Certtflcnt~ of Occupnncy i~ deated, the Bulldl.~ lnnpector nhall sb~l:e the
rennn, n therefor In wrttl.g to the nppllca.t.
C. Fee~
I. Certificate of Occupn.cy - New d~eiifng $25.00, Addl. timm ~o duel.ll.n~ $25.00,
Al. terntJon~ to dueJlt.g $25.{JO~ Swimming pool $2~.O(1, Accessnry butld[n~
Adrift[ohm to nccemsory bullding $25.00. Businesmo~ $50.OO.
2. Certificate of Occupn.cy on Pre-ex~sHng But.ldJug - $1OO.OO
3. Copy of Certificate ¢,f Occupancy - $5.00 over 5 years - $lO.OO
Zs. Updated Certificate of Occupn.cy - $50.00
5. Tempornry Certtfient~ of Occupancy - Residential $15.OO, Commercial. $15.OO
0r pr ~ t'J 'l ...........................
........... .............
Ruhd Ivlsion .........
Fermtt No ................ Dn~n Of P~rmit ................ Appl {cn,e .............................
}lealth Dept. Approval .......................... Underwriters Approval ..........................
Hmm.l. ng Boar~ Approv~l ........................
l~,l,eSt for: Temporary Certificate ........... Ftna.[ C~tt[cate ....... ~.-~
, 0,o0 ...... . . /
Ormuth~zed aherador~ or addldo~
Edu~/4nnl. a~.
CONSI'~NT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
Tilnt the undersignr'd (is) (are) the owner(s) of the premises [n tl~e Town
, whlch i~ ~hown nnd ct~i~nnted o,~ lhe ~,,[foll~
. . _ ..
Cotnlty tax map as District 1000. Section Bh)ck ~ l~ot
That the undersigned (has) (bare) filed, or caused to be filed, nn applica-
tion in the Southold To~ Building Inspector'~ Office for the
That the undersigned do(es) hereby give consent to the 13uildb~g Inspectors
of the Town of Southold to enter upon the above described property, iucluding
any a,d all buildings located thereon, to conduct such inspectWns as they may
deem necessary with respect to the aforesaid application, includiug inspections
to determine that said premises comply with all of the laws', ordiuances, rules
and reffulatlons of the Town of Southold.
The undersigned, in consenting to such h~spections, do(es) so xvith the
knowledge and understandin~ that any [n[ormation obtained lu the conduct of
such iuspections may he used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town o[Sopthold.