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Home My WebLink AboutZ-24999FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24999 Date APRIL 29, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 455 INLET LANE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 43 Block 4 Lot 28 Subdivision Filed Map No. 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-24999 dated APRIL 29, 1997 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 GARAGE & STORAGE SHED The certificate is issued to JAMES P. JENSEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Bu'ItJ Ing Ins ector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 455 INLET LANE GREENPORT, N.Y. number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) JAMES P. JENSEN OCCUPANCY SINGLE FAMILY type owner -tenant ADMITTED BY: BEATRICE JENSEN ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 43-4-28 SOURCE OF REQUEST: WILLIAM H. PRICE, JR, ATTY DATE: APRIL 18, 1997 DWELLING: TYPE OF CONSTRUCTION WOOD FRAMING / STORIES I -I2 # BRITS 2 FOUNDATION BLOCK CELLAR PARTIAL CRAWL SPACE PARTIAL TOTAL ROOMS: IST FLR. 5 2ND FLR. 2 3RD FLR. BATHROOM (s) I TOILET ROOM (s) I UTILITY ROOM YES- WASHER & DRYER) PORCH TYPE COVERED PORCH DECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER OIL TYPE HEATER AIRCONDITIONING WALL UNITS TYPE HEAT OIL WARM AIR HOTWATER OIL OTHER: ACCESSORY 9TR1TV1nMRR GARAGE, TYPE OF CONST. WOOD FRAME STORAGE, TYPE CONST. ONE - WOOD FRAME SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION ✓i BUILDING CODE LOCATION DESCRIPTION I ART. SEC. REMARKS: BP #920 - CO Z-493 (ADD) BP #3591Z -CO Z-3241 INSPECTED BY MICHAEL J AERITY DATE OF INSPECTION APRIL 22, 1997 TIME START 10:30 AM END 11:30 AM . [1111i SIV I TowN uF SUUT11OLU APR 2 1997 BUILDING DEPARTMENT TOWN HALL 765-1002 ' BLDG. DC=r^e. APPLICATION FOR -CERTIFICATE OF OCCUPANCY I A. This application must be filled in by typewriter OR ink -and submitted to the building Inspector with the followings for new building or stew use., 16 Final survey of property with accurate location of all buildings, property lines) streetsi and unusual natural or topographic featurea. 2. Final Approval from health Dept.,of,water supply and sewerage-disposal(S-9 form). 36 Approval of electrical installation from hoard of Fire Underwriters) 44 Sworn statement from plumber certifying that the solder used In system contains i. less than 2/10 of 17. lead. 5! Commercial building,,indus.trial buildings multiple residences and si+uilar buildings and installations, a certificate of Code Compliance from'arclsitect or engineer responsible for the buildings 64 Submit Planning Board Approval of completed site plan requirements: 86 For existing buildings (prior to April 9i 1957) non -conforming users or buildings and '+pre-existing" land usesi 11 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 ttte applicant: If a Certificate of. Occupancy is deuiedi the Building Inspector shall state the i reasons therefor in writing to the applicant: C+ Fees It Certificate of Occupancy - New dwelling $25.00* Additions to dwelling $25.00, Alterations to dwelling $25.001 Swimming pool $25+00* Accessory building $25i0Us Additions to accessory building $25.00+ Businesses $50:00• 2. Certificate of Occupancy oil Pre-existing Building - $100.00 3! Copy of Certificate of Occupancy - $5.00'6ver 5 years - $10.00 4q+ Updated Certificate of Occupancy - $50.00 5& Temparary Certificate of Occupancy - Residential $15.00s Commercial. $15.00 April 18, 1997 .. Date ! • i i ! i 1 : 1 i .. , i + • / . 1 .::. i . i : i New ConstructionJ16+16/1:s: Old Or Pre-existing Building.ii 1:16:1,:1+. �triggpp.9rv: ::. Locption of Property.•, 455 i1 •1+•1+1!l,�nl2tfi��l,ej.i1+11/: 11 l+ 6:1:/•+IlamleC Clouse Ela. Street Beatrice A r7en�e11 Onwer or owners of Property++/+•/11•llf.6i•i1 +6• i1+++ilii6il+/iJ1,11{6•L:i1iJi+.++i:il County Tax ,tap No 10001 Section++++04+1++++++Black11:.6i•s++•+++/.Lotl1li•Q�Y:+:1+ 1111 Permit tJo1+►.J++66•+'til*•Bate Of Permits .++•++++1++++++Applicant, "6J1il:1i/11:::+11-•++6+ Health Dept, Approvai.l:/11+J61J1//1166+6+116:•Underwriters Approval+•4J.:+1161+•1++•".:• 1 Planning Board Approval•+i+++6i+1+++4661++1+.". Request for: ,Temporary Certif lcnte6i6++++++++ Final Certicate++ i i XX+ 61 a Fee Submitteds $.A99: Y,1of 1661: 1+ 661& 66+ 1' 6+&6 C_Z�. APPLz r L N Ly N N h ti MANHANSET SURVEY OF PROPERTY SITUATED AT GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-43-04-28 SCALE 1"=20' APRIL 15, 1897 MO 14000A0 6530 K. MNLIN070IAVD0 "LE 111fWW.CL CIWAW 30 IAWIN[ N N01W CLuo "m 9MK Joseph A. h>ge910 Land Surveyor Waf! If1gfA-!W1 M 0w11Ylbf11 ��fNwM tllV Wm i CONS]rNT '1' O INSPLCTl6N Beatrice A. Jensen Owners) IV:une the undersigned, do(es) hereby state: That the undersigned (is) $ the owner(K) of the premises in the Town Of Southold located at 455 Inlet Lane, Greenport, New York Which is shown and designated on the Suffolk County tax map as District 1000, Section 043 , Block 04 Lot 028 That the undersigned (has) kbzm!4xfiled, or caused to be filed, an applica- tion in the Southold Town Duilding Inspector's Office for the following: Certificate of Occupancy for Private One -family Dwelling (Pre-existing Building) 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 lire Town of Southold. The undersigned, in consenting to such ixnspuctions, 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. Dated; 04/18/97 (signatu ) Beatrice A. Jensen (print name) (signature) (print name) di — �-7 Y—,z y w TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET _6" r\ VILLAGE DISTRICT SUB. LOT Jr 1`01`t MER OWNFR N ti oL I VIA TIS E ACREAGE S TYPE OF BUILDING RES.-�mokM,n RES. 2 /0 --- SEAS. VL. FARM OMM. IND. I CB. misc. LAND IMP. TOTAL DATE REMARKS 3SI I Z v., I —07 n 0 0 0 Q (MY 3;7e -4c> jeKsc=:I( A r BUILDING COINQ(Tr04 P/ NEW NORMAL BELOW Value Per Acre ABOVE Value Form Acre Tillable I Tillable 2 Tillable 3 Woodland SwarqDfand ----------- Drushland House Plot Total 0 ' E M. Bldg. .. p 0 Foundation Bath Extension Extension .' - . c i / Basement pF1 ►2'� ( Floors r/'Y ; , D U 3 p Ext. Walls Fire Place Porch o.�) . cfA (� Interior Finish Hernt �) )` - - --- --------_-__—___.. Extension Attic Porch Rooms 1 st Floor --- ---- Breezeway --- -- _ - -- Patio Rooms 2nd Floor � - -` -� Garage v ,� 7, ;� / y � ,3 �� 6 �� 00 3 t) �S Driveway y __ ------ �-- O. B. BUILDING DEPARTMENT TOWN OF SOUTHOLD j HOUSING CODE INSPECTION REPORT LOCATION:` x;-*� number & street municipality SUBDIVISION NAP NO. LOT(s) NAME OF OWNER ( OCCUPANCY owner -tenant ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE SUFF.CO. TAR MAP NO. 6 0y - 3 SOURCE OF REQUEST: DWELLING: TYPE OF C FOUNDATION a. 40;0 ' DATE: TOTAL ROOMS: IST FLR. 2ND FLR. BATHROOM ( s ) T A TO�I�LET ROOM ( s ) PORCH TYPE IA. -&a BREEZEWAY ^-� FIREPLACE _ DOMESTIC HOTWATER C<X TYPE HEATER TYPE HEAT WARM AIR OTHER: # STORIES112L EXITS_ CRAWL SPACE 3RD FLR. UTILITY ROOM�� DECK, TYPE - `__ PATIO -- -"^✓ GARAGE AIR NDITIONING HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.--`� (N�' STORAGE, TYPE CONST. a----V� SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY DATE OF INSPECTION �/�_lA TIME START END rl ��