HomeMy WebLinkAboutZ-19543FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19543
Date NOVEMBER 29r 1990
THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING
(a/k/a 108 WASHINGTON AVE. )
Location of Property 800 WASHINGTON AVE.
House No. Street Hamlet
County Tax Map No. 1000 Section 41 Block i Lot 32
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
GREENPORT ~ N.Y.
CERTIFICATE OF OCC. #Z-19543 dated NOVEMBER 29~ 1990
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 METAL S~.D *
The certificate is issued to
( owner )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*pLeASE SEE ATTACH~.D INSPECTION REPORT.
Rev. 1/81
JONAS E. HIGBEE~ JR.
N/A
N/A
· u~il~din/g Inspector
Location
BUILDI~IG DEPJ~RTi-~NT ' -.
T0';~l OF SOUTHOLD, N. Y.
HOUSIDG CODE IHSPECTION REPORT
800 Washington Avenue
Greenport, N.Y.
(numoer ~ s~ree~)
Subdivision
Map No.
Name of Owner(s)
JONAS E. HIGBEE
(i,iunzczpa±Z~y)
Lot(s)
Occupancy A-I
(type)
A~mitted by: ELLEN NEFF
Key available
Source of request
( own er- E enanr)
Accompanied by: SAME
Suffolk Co. Tax No.1000-41-1-32
JONAS E. HIG'B-EE
Date
OCT~ 17, 1990
DI'~LLI~IG:
Type of construction WOOD FENCE
Foundation CONCRETE BLOCK Cellar
Total rooms, 1st. F1 4 2nd. FI
Bat.broom(s) I FULL BATH Toilet room(s)
Porch, type
Breezeway
Type Heat PROPANE
Fireplace(s)
Domestic hotwater PROPANE
Other
#stories ONE
Crawl space
3rd. F1
Deck, type Patio, typ~
Garage Utility room
'Warm Air x FLOR n~aTE.RHotwater
No. ~cits 2 Airconditioning
Tyzoe heater
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
J
Storage, type const. METAL'SHED
Guest, tk-pe const.
VIOLATIONS:
_Lncation
.CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Description ]Art.[ Sec.
Date of Insp. OCT. 24, 1990
· Time start 9:30 end 9:45
~V-' ~37 Form No. 6
OF SOUTHOLD
~---/0~ ~ BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPA
LDo. Ob. PT.
TOWN OF ~r '~ ~'~'~%~
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.
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 .~.~.~.~9.~ ........................
New Construction ........... Old Or Pre-existing Building .................
Location of Property../.~..~ ...... ~.~/./J~'~ ~,.~.. ~'.~ ............... ~'.~e~ ~.~. · ........
House No. Street Hamlet
Onwer or Owners of Property..~z ~ ~J~. :~-' '
County T~x Map No !000, Section .... .~.~ ....... Block .... ~ ........... Lot ~-~
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $..l.~..~..~ ~~ ~:~ .~x~...
lo ............ ................
Owner(s) Name(s)
do(es) hereby state:
CONSENT
TO
INSPECTION
· the undersigned·
That the undersigned (is) Ca-re-) the owner(s) of the premises in the Town
· which is shown and designated on the Suffolk
County tax map as District 1000. Section ~// . Block I . Lot 2.~
That the undersigned (has) (J~%ve) filed, or caused ~o be filed, an applica-
tion in the Southold To~ Building Inspector's Office for the follow,g: __
That the unders~ned do(es) hereby give consent to the Bulldog 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. ~clud~g inspections
to determine that said premises comply with all of the laws. ordinances, rules
and regulations of the Town 6f Southold.
The undersigned, in consenting to such ~spections. do(es) so x~th the
knowledge and understanding that any ~formation obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for
lations of the laws. ordinances, rules or repletions of the Town of Southold.
(sign~re)
(print name)
(signature)
(print name