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