HomeMy WebLinkAboutZ-20162No Z-20162
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date AUGUST 23. 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 3495 ALBERTSON LANE GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 44
Subdivision
Block 3 Lot 5
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
CERTIFICATE OF OCC. #Z-20162 dated AUGUST 23, 1991
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 SEASONAL DWELLING *
The certificate is issued to JOHN & FRANCES HOLAHAN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
i
f Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
3495 ALBERTSON LANE GREENPORT, N.Y.
I
t11LUU C1- a , 1 -cels lMunicipality)
Subdivision Map No. Lot(s)
Name of Owner(s) JOHN 6 FRANCES HOLAHAN
Occupancy A -i REs. OAR
type owner- enan
Admitted. by: PAUL HEFFERNAN Accompanied by: PAUL HEFFERNAN
Key available Suffolk Co. Tax No. 44-3-5
Source of request JOHN 6 FRANCES HOLAHAN Date AUG. 8, 1991
DWELLING:
Type of construction CEMENT -BLOCK #stories 1 STORY
Foundation CEMENT BLOCK Cellar SLAB Crawl space
Total rooms, 1st. Fl 4 2nd. Fl 3rd. Fl
Bathrooms) 1 FULL BATH Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat NONE Warm Air Hotwater
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater YES Type heater ELECTRIC
Other
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks: THIS IS A SEASONAL DWELLING ONLY. BP 19453 CO Z-14983 ISSUED FOR ADDITION
Inspected by: X6;0 Date of Insp. AUGUST 13, 1991
GAR71,114- FISH Time start 9:30 end 9:40
IrNForm No. 6
Cg0if�=�
T014N Or SOUTHOLD
AUG - 91991 BUILDING DEPARTMENT
( TOWN [TALL
l 765-1802
f 9 BLD D FE i.... - 1
TOWN OF SOU7HOL0
APPLICATION FOR CERTIFICATE OF OCCUPANCY
�• This application must be
inspector with the following: fofilled in by typewriter OF, ink and submitted to the building
1• Final survey of r new building or new use:
property with accurate location of all buildings
streets, and unusual natural or topographic features.
2. Final A o Property lines,
pproval from Health Dept. of water supply and sewerag
3• Approval of electrical installation from Board of
tee-disposal (S-9 form).
Sworn statement from plumber certifying that the solder Fire Underwriters.
less than 2/10 of 1% lead.' solder used in
' S• Commercial system contains
building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code C mpliance from archi_ect or ens
responsible for the building.
6• Submit Planningoineer
Board Approval of completed site plan requirements.
For existing buildings
if Pro-existing" g (Prior to April 9, 1957) icon-conforming , or buildin
1• g land uses: d uses os and
Accurate survey of property showing all property lines, streets
unusual natural or topographic features. building and
2. A properly completed application and '
If a Certificate of occupancyis a consent to inspect signed by the applicant.
reasons therefor denied, the Building Inspector shall tothe in writing to the applicant. state the
Fees
1• Certificate of occupancy Alterations to occupacy - New dwelling $25.00, Additions to dwelling
Additions dwelling $25.00, Swimming pool $25,00 a $25.00,
to accessory building $25,00• 50.00. v building $25.00,
2. Certificate of Occupanc o Businesses $50.00.
3- COPY of Certificate of Occupancyexisting Building - $100.00
4• Updated Certificate of Occuanc- $5'00 over 5 years - $10.00
S• Temporary Cert 'Cato
Occupancy - $50.00
icate of Occupancy - Residential $15.00,
Commercial $15.00
ew Construction...Date •-
Ocatio r 3 y C% /�' 01 Pre-existing Building.... .............
n of Property.. , �-I �(-n, ► ��Cr_
House No.
Street •Hamlet• �••
iwer or Owners of Property.. �%
,unty Tax Map No...% ...•! ................
, Section.. " " '
:bdivision..1000
......Block.... ..........
...... ... ..........
...........................Filed i1ctp........... Lot
..•••••••••...
:rmit No.. Date Of Permi.t.. �N ,
..............Applicant. .1'•.
alth Dept. Approval.....
••••..Underwriters Approval.
Qnning Board Approval..
quest for: Temporary Certificate Final
Ccrticate.
Submitted: $• ltl�. (fb .......
APPLICANT ........................
Of
N R(?P�
NO �oLE
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■ • MONUMENT
05 a4
TITLE NO. 07 28118
F:
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S. t wortz
SURVEY FOR
JOHN HOLAHAN a FRANCES HOLAHAN
ARSHAMOMOQUE
TOWN OF SOUTHOLD
SUFF. CO., N.Y. GUARANTEED TO:
�� GUARANTEED TITLE DIVISION OF
SCALE: I = 40 AMERICAN TITLE INSURANCE CO.
JAN. 21, 1966. b//
PROFESSIO NGIN R AND
LAND SURVEY R, N.Y4.11C.N0.12845
RIVERHEAD, N.Y.
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■ • MONUMENT
05 a4
TITLE NO. 07 28118
F:
si
S. t wortz
SURVEY FOR
JOHN HOLAHAN a FRANCES HOLAHAN
ARSHAMOMOQUE
TOWN OF SOUTHOLD
SUFF. CO., N.Y. GUARANTEED TO:
�� GUARANTEED TITLE DIVISION OF
SCALE: I = 40 AMERICAN TITLE INSURANCE CO.
JAN. 21, 1966. b//
PROFESSIO NGIN R AND
LAND SURVEY R, N.Y4.11C.N0.12845
RIVERHEAD, N.Y.
TO:�d Or .,CJT:-:OLD, N. Y.
HOUSI17C CC Z I:iS?27CTION RF_ ORT
Location 5'1�
Subdivision 1"1a1)
N.' -'Ie o f 0 :•m e (s)
��•iu:-i�i� � acyl
No. Lots)
Occupa::cy A-1 Ce -o
t zyp - l
Ad:%il ted by: _ -Acs_'bmpanied
Key available
Source of request
DUELLING -
Suffolk Co.
o,.vner-,
by
Tax No.
Date
Type of construction ..-stories
Foundation C- IS. Cellar Crawl s-aace
Total rooms, 1st. Fl 2nd. F1 3rd. F1
Bathrooms) Toilet room(s)
Porch, type Deck, type "W Patio, type
Breezeway -- Garage Utility room
Type Heat p�1f_ ..arm Air Hot-water
Fireplace (s) No. E:.i is Air onditioni nZ
Domestic ho tauter Type heater _
Other
ACCFJSO?Y STRUCTURES:
- Garaoe, type const. /� Storage type const.
st.
Sali;;,;1i no pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFOUI TIRE PREVENTION & BUILDING CODE
Lncat-i on Des= i-nticn I Art 1 Sec
i I I
Remarks:
Inspected by:
Date of insp. .
' r
Time s .-rt . end
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE I DIST.
SUB. LOT
iFORMER OWNER
N
E -- ACR.
S 111' rr
W / TYPE OF BUILDING
7T
—r --,
RES.
SEAS.
VL.
FARM
COMM. CB. MISC. Mkt. Value
_--r
REMARKS
LAND
IMP.
TOTAL
DATE
�'�
��
Pry i Ff '.r•.,✓'
a, -"t' ,� r .,f R' �J /(.� `'
J��)
t7 -.
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable 1
Tillable 2
I
Tillable 3
Woodland
Swampland
FRONTAGE ON WATER
Brushland
FRONTAGE ON ROAD
House Piot
DEPTH
BULKHEAD
Total
DOCK I
1�
CONSENT
TO
INSPECTION
uwnerts)
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at vk,,�
which is shown and designated on the Suffolk
County tax map as District 1000, Section, Block 3 , Lot
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:
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 regulation the Town of Southold.
Dated: ri ( (sig u
04
(print name)
(signature)
(print name)
9 3U