The URL can be used to link to this page

Home My WebLink AboutZ-20252 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20252 DATE: SEPT. 30, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 67855 NORTH ROAD (C.R. #48) GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 33 Block 3 Lot 18 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 CERTIFICATE OF OCC. #Z-20252 dated SEPTEMBER 30, 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 DWELLING WITH ACCESSORY WOOD FRAME BUILDING The certificate is issued to CORNELIA C. KEOGH & BEVERLY J. HALLOCK (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. NOTE: THIS CO UPDATES CERTIFICATE OF OCCUPANCY #Z-19781 DATED 3/14/91 Bu' ding Inspector Rev. 1/81 _ - BUILDL;G DEP:;RT.•I~iT TO'rli`1 OF SOUTI-TOLD, N. Y. HOUSIi:G CODE INSPECTION REPORT Location 67855 NORTH ROAD (CR X48) GREENPORT, N.Y. tnumber r~ street Municipality) Subdivision Nlap No. Lot(s) Name of O~,~ner(s) CORNELIA C. KEOGH ~ BEVERLY J. HALLOCR Occupancy 2 STORY RESIDENTIAL (type owner-tenant) Ad,-aitted by: CORNELIA C. KEOGH Accompanied by; SAME Key available Suffolk Co. Tax No. 1000Y-33-3-18 Source of request CORNELIA C. KEOGH Date SEPT. 23,1991 D~~TELLI~IG : , Type of construction WOOD FRAME #stories 2 Foundation STONE Cellar PARTIAL Crawl space Total rooms, 1st. Fl 4 2nd. Fl 4 3rd. Fl Bathroom(s) 1 Toilet room(s) 1 Porch, type (2) WOOD Deck, type Patio, type_ Breezeway Garage Utility room Type Heat OIL FIRED •~Jarm Air gg Hotwater Fireplace(s) No. E:cits 2 Airconditioning Domestic hotwater xx Type heater ELECTRIC Other ACCESSORY STP.UCTURES: Garage, type const. Storage, type const. 1-•WOOFRAME Swir~,ming pool 1 Guest, type const. Other VIOLATIODIS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE Location Description Art.+~ Sec. 1 Remarks. BP #11865/CO Z-11557 ISSUED FOR INGROUND SWIMMING POOL Inspected by: ~ Date of Insp. SEPT. 26, 191 A FISH Time start 9=30 end 9:45 ~~~n~/7`r?~ Form No. 6 u v 1.5 TOWN OF SOUTIlOLD $Fp 2 3!991 BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG. DEPT. TOWN OF SOUTNOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OF, 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. a, 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. r1 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. i:, 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 Euilding - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 G,, Updated Certificate of Occupancy - $50_,.00_ ~ Z 97~~„~oA,c.ec~ 5. Temporary Certificate of Occupancy - Residenti/~al $15.00, Commercial $15.00 Date °Z I~./p ::ew Construction..... Old Or Pre-existing~~Bpuildin~yg. /~...C~~/~~. Location of Property..~.7G~~~....~,~..~..~..~.~.t,.-.:,/~:.~~~... House No.• Street Haml~f h~wcr or Owners of Property.~~ ~ : ~~/~'.°.~`..'~!Yt~:.:`: d.~ . . ;ounty Tax Map No ,11000, Section...~~.......Block...~a........!(.//.((//.Lot..~~ subdivision........!~~~ .......................Filed Map............Lot...................... 'ermit No ................Date Of Permit................Applicant............................. lealtti Dept. Approval ..........................Underwriters Approval......................... 'l;~nning Board Approval request for: Temporary Certificate........... Final Certicate......,.... 'ce Submitted: $ Q.~,- ~ a . ~~,~Q~Qn¢, Cn ~,o~Q~ZS.~ APPLICANT FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19781 DATE: March 14, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 67855 NORTH ROAD (C.R. #48) GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 33 Block 3 Lot 18 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 CERTIFICATE OF OCC. #Z-19781 dated MARCH 11, 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 DWELLING WITH ACCESSORY WOOD FRAME BUILDING " The certificate is issued to CORNELLA C. KEOGH & BEVERLY J. HALLOCR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building I pector Rev. 1/81 _ BUILDI::G DEP^,RT:I~;iT • T0:•nI OF SOUTHOLD, N. Y. HOUSIiG CODE Ii1SPECTION REPORT LOCatiOri 67855 North Road (C.R. 848) Greenport, N.Y. ~numoer 6c street) t ~i~iunicipality) Subdivision 1`Iap No. Lot(s) Name of Oi•~ner(s) CORNELIA C. REOGH ~ BEVERLY J. HALLOCR Occupancy 2 STORY RESIDENTIAL (type ovrner-tenant) Ad.aitted by: Cornelia C. Keogh Accompanied by: SAME Key available Suffolk Co. Ta:c iJo. t0ot1-33-03-18 Source of request CORNEl.IA C. KEOGH ~ BEVERLY J. HALL llgte March 5, 1991 D'rfELLI`1G • • Type of construction WOOD FRAME #stories 2 Foundation STOP Ce11arP~TTAi• Crawl space Total rooms, 1st. F1 4 2nd. F1 4 3rd. F1 1 Bathroom(s) 1 Toilet room(s) Porch, type (2) wooD Deck, type - - Patio, type Breeze:•~ay - - Garage - - Utility room - - • Type Heat OIL FIRED ' •~larm Air ~ .Hotvrater Fireplace(s) - - No. E:cits 2 Airconditioning - - Domestic hotwater g Type heater ELECTRIC Other ACCESSOR`f STP.UCTURES Garage, type const. Storage, type const. a - wooD FRAME S~•~i.aming pool 1 Guest, type const. Other VIOLATIONS: .CHAPTER 45-N.Y. STATE UNIFORM FIRE P13EVENTION S BIIILDING CODE Location Description ~Art.~ Sec. - RITCHEN COAL STOVE -CLEARANCE ~ 4 11191. 1b (4) Non Combustible barrier needed behind stove on wainscoting and on ceiling above flue pipe. 1 I I Remar'.-cs: BP 811865/CO Z-11557 ISSUED FOR INGROUND SWIMMING POOL Inspected by: 1 i Date of Insp. MARCH 8, 199' Vinep71Y R. Wieczotek • Time start 9'25 AM end 9.50 AM Form No. 6 (~t,Q~ 00 9 ~ TOWN OF SOUTHOLD ~ ~chiv.~ BUILDING DEPARTMENT TOWN HALL C. 0 • 765-1802 b 7d'S~1 ~ ' APPLICATION FOR.CERTIFICATE OF OCCUPANCY ~ " • 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(5-9 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 2J10 of 17 lead. ` 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a r~er*Af?.^-a.~" Cu.upiianoe from architect or engineer responsible for the building. ' 6. Submit Planning Board Approval of completed site plan requirements, ( B. / For existing buildings (prior to April 9, 1457) 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 Insgector 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. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. L'puateu Certificate of Uccupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date p~..... aew Construction.........7.. Old Or Pre-existing Building /a..:~ •l Location of Property.. 6 J.BJ~ ,J~ .....N° RT N ;~ot9(~ . ~C ~ ~ • ~'8~, 4?'" 1Q Ee P~~dR'T . House No. ` Street p~ 1Hamlet Onuer or Owners of Property ~OKrVe.~~/¢ Ce l~e%oC; ~t...~. Ue. ^•x• I I oG~ County Tax Map No 1000, Section, d ~,°~:~..°•...Block..~.~: ~v.......Lot.4 18.0°_•••_____•••__ Subdivision .............:.:....................Filed Map............Lot...................... ............Applicant Permit No ................Date Of Permit.... P PP stealth De t. A royal. ...................Underwriters Approval... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...l:i.,.... Fee Submitted: $ ~pa ....1.~.~.. • .-APPLI~ Q,pc.• yi3~8 co `~x. Cp ~ }9~g~ CONSENT TO INSPECTION LaRue%<} ~i • ~GUGIt ~ ~e?eR/y ~9~lec,f~ the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (ar,,/e) the owner(s) of the premises in the Town of Southold located at ~ ~~~~.5 Na QT N ~oq p R • l_ G ~e N~cit~r-- ~V y which is shown and designated on the Suffolk County tax map as District 1000, Section 03~ Block O 3 Lot d/ 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: C O' o+J blJE~c..° x ~ b T ~ N G Re s ~ v e RJ ~ e? ~.r UDd Al ! A//-~Fo R I'~ A T ~ ~N ~ ~cli a. ~ ~'oNs~ ~ Ru~T-~o lNIB7~ l.~h~Rk-s l.oa~y,,y faR o,ue J'y1~(~ eNNoN, 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 tivith 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 cf 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 regulations of the Town of Southold. Dated: ~AFIC~ 5 i94i l~..___- (signature) print n e yy~~,, (sign u e (pri name) _ _ 1 ~ !ni ~aq or ev~:e»s r~M~;v, i,,'~-rlrioNawvorkst3t@ Nf F G pl D /p / ~ ~ '^,rcmlose saw. l ~ ~ Ca=-!ss d ih19 «xva? ~ not ha=_ring 1 Cha land survevar a Ndu~6 real ar ailGa9&ad 98x1 shah /qt N aonaidelad . ~ . . ~ to bt s veld trtN ooP1• a.7r Z$ 1~.flu~S, caaranMas MieatsQ lrrssn chap non o::.Y to ttm osrsan far velwm tho su, "Y' ~ i ! ,S'Q Q ' !s preg.:rad, and en Ids babel! fa :`,o ! ~ E aannnom/. yoverrdnents!s 'y C.~ i . ~ ~ I ~ r r i7 itutbn pst.M hoeecn i 3 ri II > . inaes of the la~tC~n~ ~ ~ ~100~ I . a r C. srsss are note r 3s ~'.~r ai i rc98! dRCltldfon{ OC BUL'..aaJBFIS I C ~ ~ - m..c.e. ~ a dYC~ L- i I i~~ i ! .p Obi ~I! j i O, p N dir7 jl p s ~I ~ N q i v~,' a . )~1._ij' J,~: - ~ C'~ Cam. ~ } 7 3; ~ sur.~UE~~If: U F4~ ti i ! :~ti`U 1 y ? r. ` ~ : -e'- x- st'y. I s:j O o Q ~Y fr. Ho. „l ' _ c~ ~'7TI ~ Z~ a5 G: t7.:~ .'~'i~~=ia~ • t~ p'~. ~ o .sutrr.,'k a^t~. rnx rat?o,,;q~.. r8 O a o ~ y 90 ~ o f NEB, ~ ~ Dee!/: Libtr 7106 Pig. a5/ APE ~cK ~qy ro~\ ~ (y o~ r ~ r - + ~ ~o II ~ ~~yr o' CS 25~ry , SO.O _ i_ 4D5' i' r`o M~ t:oun LArre ~~t,~nlo5 v` S. x/`,28 ~Z'O"iN. iv'ctt6~ Mdsi~r _ ~ Surver~eo' ~eb..z5, x991 ~zode.•rck_ 1~~n Tfr~1; R G. ~l G ~ T H 1~ c7 A U i~ E/..,.. _ ;`G. ~6~ Lr~dr~r~rcd Lord .sirvveyw+•a t3Pi'Lt7~QY7 N, Y. ~v. t 1