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HomeMy WebLinkAboutZ-23243FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23243 Date SEPTEMBER 21, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING 25 STERLING PL. & Location of Property 405 (a/k/a 306) BRIDGE STREET GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 34 Block 3 Lot 51 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-23243 dated SEPTEMBER 21, 1994 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 * The certificate is issued to ARLENE J. LEWIS & ORS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-107021 - DECEMBER 13, 1989 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECT - Rev. 1/81 LOCATION: SUBDIVISION NAME OF OWNER (s) OCCUPANCY SINGLE FAMILY (type) owner -tenant ADMITTED BY: SUE LEWIS ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-34-3-51 SOURCE OF REQUEST: ARLENE LEWIS DATE: AUG. 22, 1994 HOUSING CODE INSPECTION REPORT (a/k/a 306 BRIDGE STREET) 25 Sterling Place & 405 Bridge Street Greenport, N.Y. number & street municipality MAP NO. LOT(s) DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 # EXITS 3 FOUNDATION POURED CONCRETE CELLAR PART CRAWL SPACE TOTAL ROOMS: IST FLR. 4 2ND FLR. 3 3RD FLR. BATHROOM (s) TWO TOILET ROOM (s) UTILITY ROOM NONE PORCH TYPE FRONT COVERED DECK, TYPE NONE PATIO NONE BREEZEWAY NONE FIREPLACE NONE GARAGE NONE DOMESTIC HOTWATER YES TYPE HEATER OFF BOILER TYPE HEAT OIL WARM AIR OTHER: FRONT ENCLOSED PORCH (NO HEAT) A!`PTQQlVlV q rvnrnmTRFS GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: OUT BUILDING AIRCONDITIONING HOTWATER YES STORAGE, TYPE CONST. GUEST, TYPE CONST. METAL SHED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION I ART. SEC. 17 DIV F41 INSPECTED BY�f A&_ /- 0y1. 7 / DATE OF INSPECTION SEPT. 1, 1994 / / ulm m. S TIME START 1:10 END 1:40 Form No. 6 TOvN OF SOUTHOLD -O - ' -2-71-/ BUILDING DEPARTMENT o TOWN HALL Q 2 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 Jibes, 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. B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and it 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4• Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15..00 Date y� .1 �,I New Construction......... Old Or Pre-existing Building., •. .• ••........... Location of Property..... )5 ................Jfefli.�%��.,�� •-� H .. !: (' .......... House No. . ! /Q7� 1 .. Street Hamlet p Onwer or Owners of Property .......... A C��..Y,C. . .. 'J ..........,�.. . County Tax Map J -/ � .............................. No 1000, Section.... .....,Block... ...�.1. .Lot. Subdivision.........NI .................... ....... .Filed Map............Lot....... Permit No................Date Of Permit . lealth Dept. Approval.. ...............Applicant............................. ....................... Underwriters App 'lanning Board Approval ........................ tequest for: Temporary Certificate..... 'ee Submitted: to C� a,.�,c. y4sysa _,Co�.a302y3 Final Certicate. V. D t� l5 11 2 2 1994 BLDG - LCA pAPPLINTS-.... .... .. ..... THE NEIN YORK BOARD OF FIRE UNDERWRITERS PAGE 1 35045 BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK tOb3t3 bate DECEMBER 13 ,1989 Application No. on file 66095389/89 N 107021 THIS CERTIFIES THAT only the electrical equipment los described below and introduced by the applicant named on the above application ntimber in the premises of NORMA LEWIS, 306 BRIDGE STREET, GREENPORT, N.Y. in thefolloscinp location; ® Basement ❑ Ist Fl. ❑ 2nd Ft. OUT .Section UTAck Lot was exarnined on DECEMBER 04,1989 andfound to be In compliance with the requirements of this Board. FI%TUBE OUTLETS ECEPTACLES SWITCHES FIXTURES RANGES COOKINCOECKS OVENS DISHWASHERS EXHAUST FANS INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K. W. AMI. K.W. AML K. W. AML DRYERS FURNACE MOTORS FUTURE A►PLIANCE FEEDERS ISPECIALItEC'PTI TIME CLOCKS I I UNIT TRANS. NEATENS MULTI.OUTLET srsTEAls OF FEET OIMIMERS AMT. K. W. OR N. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS, AML H. P.,NO. AMT. WATTS SERVICE DISCONNECT AMT. AMP. TT►E NO.Of METER EQUIP. S E R V I C E " "" """ I,e' 1W 1 ,e 7W 7 9 ]W 3 X AW OF CC. COND. A. W. G. NO. OF HbIFG A. W G• NO OF NEUTRALS A, W. G PEC! OF CC. COND. OF HI LEG OF NEUTRAL 1 100 CB 1 % 1 1 4 1 1 1 1 4 vineR AMARAIUS: MAHONEY ELECTRIC SERV. LIC.#2023 E 176 WHITE OAK ST. MIDDLE ISLAND, NY, 11953 bEfJ NAII MANIkook 11 per .I This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified, by their credentials. CONSENT TO INSPECTION I Owner(s) Name do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town Of Southold located at '25� ` 4; County tali map as District 1000, which is shown and designated on the Suffolk Section Block _? 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: �K E �)C 2.d'✓ i nJ6 C% 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 regulations of the Town of Southold. Dated: (sign re WIi& zat-0 ( S (print name) (signature) (print name) ,� Tt ,�'VN OF SOUTHOLD PROPERTY ORD CARD RECORD l/ -- 4l-.7:/, - .rr OWNER STREET " _ J, VILLAGE DIST.SUB. LOT FORMER OWNER N ,r E? ACR. S n W • / TYPE OF BUILDING RE %h SEAS. VL ,FARM COMM. C8. _ MICS. Mkt. Value LAND -IMP. TOTAL DATE REMARK L ✓ I,��J� /C/q 9.` 2 Y%7 -21 S AGE BUILDING CONDITION NEW NCRMAL BELOW ABOVE FARM Acre - Value Per Acre Vclue Tillabie ' FRONTAGB ON WATER Woodland I FRONTAGd ON ROAD G J r y --- Y' Meadowland DEPTH y iHouse Plot BULKHEAD 'Total "``' DOCK ' .. -..�.. s:Y�..:.�.-_. r "i rub • ; uaM � ,; i�H�A %'. +tf' .�=�N. � i '�S. � ai BUILDING DEPARl-MENT TOWN OF SOUTIIOLD vis (Z v HOUSING CODE I LOCATION: number & street SUBDIVISION NAME OF OWNER (s) OCCUPANCY S /' e ION REPORT kmunicipafity MAP NO. LOT (;;) (type) (owner -tenant) ADMITTED BY:� ��.Q Ltd/.S AC=1PANIE/D BY: KEY AVAILABLE SUFF. CO. TAX. -MAP NO,rB�. •... SOU&ZZ OF REQUEST: -ex-140- DATE: DWELLING: TYPE OF CONSTRUCTION�j(� 0 STORIES # EXITS FOUNDATION con, CELLAR CRAWL SPACE TOTAL ROOKS: IST FLR. 2ND FLR. 3RD FLR. BATUROO-4 (s) /GC110 TOILET ROOM (s) UTILITY ROOH ! 6 J A_' -a _ PORCH TYPE nW 1p DECK, TYPE �l� d7l.ti� PATIO, TYPE %�gic,,•- BREEZEWAY FIREPI..ICE )I �� kt.2� GARAGE /(%p DOMESTIC IIOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT loe WARM AIR HO •LATER OTIIE R : ~�'-��_�7yL. �L Com'it.t� ACCESSORY STRUCTURES: __.,r,, Ar . ov GARAGE, TYPE OF CONST., STORAGE, TYPE CONST. �.�/ �`'� C�wY� SWULMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CWTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE I14SPECT17D BY: DATE: ON INSPECTION TIME START /," /0 END 0