HomeMy WebLinkAboutZ-38262 # � Town of Southold 4/22/2016
PFOj,fcdG� 53095 Main Rd
co Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38262 Date: 4/22/2016
THIS CERTIFIES that the structure(s)located at: 755 (aka 202)Knapp Place, Greenport
SCTM#: 473889 Sec/Block/Lot: 34.-2-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38262
dated 4/22/2016 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling covered front porch with accessoryygarage.*
The certificate is issued to North Fork Builders Inc
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Autho ' ed Signat e
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 755 (aka 202)Knapp Place, Greenport
SUFF.CO.TAX MAP NO.: 34.-2-8 SUBDIVISION:
NAME OF OWNER(S): North Fork Builders
OCCUPANCY:
ADMITTED BY: David Jannuzzi
SOURCE OF REQUEST: Udell, Jean DATE: 4/22/2016
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: cov. front DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: yes GARAGE:
DOMESTIC HOTWATER: street gas TYPE HEATER: gas floor furnace AIR CONDITIONING:
TYPE HEAT: floor furnace WARM AIR: HOT WATER:
#BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: MIKEV DATE OF INSPECTION: 11/6/2013
TIME START: 10:25am END: 11:05am
A�W
Form No.6 ) 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 �(J
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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 fonn).
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 I% 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 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$50.00,Additions to dwelling$50.00, Alterations to dwelling$50.00,
Swimming-pool $50.00, Accessory building$50.00,Additions to accessory building$50.00, Businesses$50.00.
Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00
Date. /Z7/13
New Construction: ,,//Old or Preexisting Building: (check one)
'2-0 2- !�•/U
Location of Property: A0 -
F'G� 1��l4 -SS �VAA0!`L • V1/ �Q.1't pd�l I
House No. /^^ Street Hamlet
C-
Owner or Owners of Property: lLo�— N f U 1 Nk
Suffolk County Tax Map No 1000, Section :3 Block Z Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ ✓
ID 131-13
Applicant Signature
CONSENT TO INSPECTION
-44"�- W/M //VK/\ , the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) ( e) the owner(s) o thremises in the Tow of
Southold, located at /_
which is shown (jq-
and designated on the Suffolk County Tax Map as District 1000, _
Section 3 , Block Z , Lot ' 14j( 4 -73"f 4%�v ff�Q
That the undersigned (has) (have) filed, or cause to be filed, an application in the 1
Southold Town Bu' i Inspect is 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 in subsequent prosecutions for violations of the laws, ordinances,rules or
regulations of the Town of Southold.
Dated:
(Signature)
1a iAJIG
(Print Name)
(Signature)
(Print Name)
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Extension
Interior Finish
Rooms 1st Floor
Porch
Porch
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SURVEY OF PROPERTY
SITUATE: NEAR THE VILLAGE OF &REENPORT »,
TOWN
SOUTHOLD hJ N
SUFFOLK COUNTY, NY
SURVEYED SEPT. 12, 2013 E
SUFFOLK COUNTY TAX # '
1000 - 34 - 2 - 8 ��OV►D� �� e�S .e�be1Z5 �6R- S
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NOTES:
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NO APPARENT DRIVEWAY JOHNC. EHLERS LAND SURVEYOR t
Area = q,785 50 FT OR 0.2246 AGRES
6 EAST MAIN STREET N_Y.S.LIC.N0.50202
6RAPHIG SCALE 1"= 30' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287in I I
REF.C:\Users\Tobn\Doc- m nts\My Dropbox\13\13-177.Wo
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LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S
OCCUPANCY:
(t ) e (owner-tenant)
ADMITTED BY: ACCOMPANIED BY: 1
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- —2.—
SOURCE OF REQUEST: E�•--Q. DATE:
DWELLING
TYPE OF CONSTRUCTION: _ �A4&�WL
# STORIES: #EXITS:
FOUNDATION: BASEMESPACE:
�# OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: _ "~
BATHROOM(S): C TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK, TYPE: _ �— PATIO-,, TYPE:
BREEZEWAY: FIREPLACE: y GARAGE: _: '
DOMESTIC HOTWATE YPE HEATER: AIR
CONDITIONING:
CONDITIONING:
C �
TYPE HEAT: WARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: � STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
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01.
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REMARKS:
INSPECTED BY: � DATE OF INSPECTION: %/3
TIME START: C®-�� END: