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HomeMy WebLinkAboutZ-28512 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- 28512 Date: 06/12/02 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 3805 BAY SHORE RD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 053 Block 0006 Lot 018 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- 28512 dated JUNE 12, 2002 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 SLATE PATIO AND ACCESSORY TWO CAR GARAGE. * The certificate is issued to ANNA MARCHHART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPO' ill,I I1.illf 741%6? ,.. Authorized Si./ature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3805 BAY SHORE RD GREENPORT SUBDIVISION: MAP NO.: LOT (8) NAME OF OWNER (S) : ANNA MARCHHART OCCUPANCY: SINGLE FAMILY ANNA MARCHHART ADMITTED BY: PAUL HEFFERNAN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 53.-6-18 SOURCE OF REQUEST: PAUL J HEFFERNAN DATE: 06/12/02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 6 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 2.0 TOILET ROOK(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: ENTRY WAY DECK TYPE: PATIO TYPE: SLATE BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTfATER: X TYPE HEATER: OIL AIRCONDITIONING: CENTRAL TYPE HEAT: OIL WARM AIR: X HOTfATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: TWO CAR WOOD * STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: * exterior tiolet room and bathroom - rooms above garage': with barh (no kitchen) family use VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP#9423 ADD CO#Z-19033 INSPECTED BY2HN21911f DATE ON INSPECTION: 06/04/02 M BOUFIS TIME START: 9:50AM END: 10:25AM Li Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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 th °Q.lead_ 5. Commercial building, industrial building,multiple residences and similar buildings and i9alqtilitis, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. r ;`.xiM, Y 2 8 2002 U b7 B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and` re- sting"land_uses 1. Accurate survey of property showing all property lines, streets,building and unusual n ural o�rcto ii aphic t features. =D 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 Building- $100.00 3. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. — a Z New Construction: Old or Pre-existing Building: (check one) n I Location of Property: (35- p\i/J � RO]q D �1 c�PO�� 1 V y!/ y `I House No. '�g1'y Street]� l (� 9 Hamlet Owner or Owners of Property: -A N 6\V U ' ��f^�ry p Suffolk County Tax Map No 1000, Section Block 10 Lot N Subdivision 1 \ N \ _1L fl Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: - Underwriters Approval: Planning Board Approval: \ , Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ ) 10 , 00 / n�o D- s 5 l PrOC 006Vi I(� G- \� .1i rSuture NAnp/�1 d1 f 6/1 19N /Q 1 �Y`� �P'��l� -- - --- - 3 ,d-Q • ,. •1 1-4.73"...)0.40-E'' p `.. F 147:0 " a" . . z _ 1 . ` ` 1E ' 4 4► i u o. a 4 t3 ; ot . .' V i 1 •y, r • :is IA LL • -- �;; -- �-ttbei U 43 , ,— if . 1 ; a � 4V ,• f, - -J --►ty-. �' `�! � , '4..3f a- cit , / n _ Sca1c : 40.-;1 Q ; a Sa+vaa Fe.fis 4 n • Z N� CSI wyer::r.uTr=Nir . 5141ftemia__ -4' a 1. - 4:-...:74: t . . - e5'T3'00'4filM, Feb,,,, i S' - - 9 "4��ot.ik 4'se �1 + 4 f . Ct.' �: Lai TO T -R i . 1 Na{� : Lai- ituseaors 5}locw.•. 'V 4 r 11 t -tee"Atte•A;I ea leap A of Pecoxic, 12. . 4! - ---. Esiqi�s",• -Wad t, 41.4e Sulk c, ,,..-1.,!.• S futons 1 1.24_ I MAP.Of- LANE) SURVEYED- FOR,� LOPE — tGuayci1�eat to i s....tisolci Sava - _ - f:)._..-ti, trod to"Cie.a Tills iivara.tlee 'AT Co i-eopit1 a, Surveyed Ji.ae 2109.7 ARSHAMGNtt! uL7 . VsirA T13YL * 3o14 - �, 1 '" _• urs 4FSvtl-"r1a1_o 1•4:Y. \, i 'y'-01:44t N.sup{� • .`J Lical-t e.S t_aNd ri?•.YY2goris CONSENT TO INSPECTION ANxN 'M C�, �a ,� „ the undersigned, ,,,,,,... Owner(s) Name(s) doles) hereby state: l That the undersigned (is) fps.) the owner of the premises in t Town of Southold locaited at ) S E�`!(�h boRk• Rt,(�t\ ()/(E0 20 \ N \`([� 111 �`uJ `� ,�,7 c\ , which is shown and designated on the Suffolk County tax map as District 1000, Section 133 Block `p , Lot . That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in-the Southold Town Building lnspeew� orc.., ro,. rhn fnlltnving: — Ems, 14 CO .c1) Pik— E)4.-1 Pe Iv I )1l U 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 builtings 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'he used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 5--9-- 6 2— / ////7 f (s r_Sture) - _ P t LV e - %mii (print name) kl iIie >o/tomo tY,404 (sig*natuf e) 7654802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: <-3764 Q�it.�ez QtitSsG� �(6 �t'G eta �, j/.ejCsoFf- ''r DATE . 9 .0Y INSPECT •• _ CONSENT TO INSPECTION ANx 'M {�C�, k/� d\ � ►"� the undersigned, Owncr}(s) Name(s) do(es) hereby state: That the undersigned (is) fere.) the owner( of the premises in t Town 010 A of Southold located at � I I .1 .81 Oi\ \` I\\\ U< 1 , which is shown and designated on the Suffolk County tax map as District 1000, Section 53 Block Cp Lot ,.r That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in-the Souttlold Town Building lnspc c��� C�.ff;a+o row. +hp fnllrnvina; k) - oAs.'r) 0 'cb/\. z- -/tv1/4)31)/Lbil • 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 underigned, in consenting to such inspections,. do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may'he used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: J - , 6 2- • (s '.f ture) (print ame) igfc fi/tAkfrou (signatu e) 11X//0 /Ver 4111— (print name) , _ __ )-A_I d_ -3 r.. , ' ._ j' TOWN OF SOUTHOLD PROPERTY RECORD CARD (NER STREET 3 <isros VILLAGE DIST. SUB. V LOT r G Cl I ... Mw C . h�► a ())-71- ,21,--/-C / OUtItirp44 / / 0 /1 , �e ,-(6, ✓%.: a•-.L ' . RMER OW EISank „ Nrt-1erN E ACR. -4/7,6/ ii,mr, S W TYPE OF BUILDING . ca AO SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND205- IMP. TOTAL DATE : REMARKS ylait__ • . b 6 6 .5 i 6 0 7 / 0 O , sup 7/i /7/ 1Y a, So 0 _? VCIO35 ✓ 0 0 041-774), 9 a a T1 . 1'E # 9413 2 bib 2 b , 10 as 7; �vi. eu r/Sr;vpa o Dlj Ja 2-S oI 1 � �D R 3zoo .i ao / P?o-u , iV t/ 190-L110 '3f3 /-2Ir7r)a fa ivlarch hart 4 395,do0 g 31M2 -L-i )519 f IIZ—Marcilhaif Maa4harfw/d. AGE BUILDING CONDITION JEW NORMAL BELOW ABOVE ARM Acre Value Per Value Acre liable 1 liable 2 liable 3 oodland rampland FRONTAGE ON WATER /0dei, 3 yam' 3 p v ushland FRONTAGE ON ROAD + {. ruse Plot DEPTH /7J BULKHEAD _ y-,_ otal DOCK , COLOR ! � -`f,ATRIM w. $, 1C 1 3,-4.4, - 7. 1 i-: yi h j /� x Icy 37 L9. '11 lt-- i"7 7 4-.ax — - ei M. Bldg. .. r /, S Foundation C.,x..t�t_ ,c '► Bath 2-- Dinette Extension s" " , Basement 10 C.— Floors ' Extension 7 96, ." I �U ' Ext. Walls Lid_ 3Af?Ce Interior Finish .,/,/,/ Asti - . LR. 4 Extension Fire Place ( Heat /o --1;*--- / Type Roof , A Rooms 1st Floor BR. Porch Recreation Room Rooms 2nd Floor FIN. B. Porch Dormer Breezeway - . Driveway Garage 2 9 X., . ( 4611 `'.f .-, /7,�1 e/ Patio /S—X;V — vPGQ ,io 36 O. B. Total 51,411 / LOCATION: 5 Q d 5 — - l6' number& str-et) ( SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): //1'404' /ZeAffe,e74 OCCUPANCY: �!/v- Vie 1„i/7 (the) (owner-tenant) ADMITTED BY: / 2M AZ /'/ -'I2. 'As/ACCOMPANIED BY: �4'►"—i KEY AVAILABLE: � SUFF. co. TAX MAP NO. 1 00- X3-'4- /2 4,�tc/ SOURCE OF REQUEST: ,. < C�YfQ� 9-I�/ DATE: . L1/ DWELLING: TYPE OF CONSTRUCTION: ma 4, l,.._ # STORIES: ©/ile #EXITS: FOUNDATION: 1 ,. CELLAR: FG ? CRAWL SPACE: TOTAL ROOMS: 1ST FLR: cv 2ND FLR: - 3RD FLR: — . BATHROOM(S): TOILET ROOM(S): - - UTILITY ROOM: PORCH TYPE:(W , 4 DECK,TYPE: PATIO,TYPE: ,m-7 'i BREEZEWAY: // FIREPLACE: 6/ GARAGE: DOMESTIC HOTWATER: TYPE HEATER: // AIRCONDITIONING: �� TYPE HEAT: (9 // WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: 94;) 4_w GARAGE, TYPE OF CONST.: O , 144 / . STORAGE, TYPE CONST.: SWIM G POOL: GUEST,TYPE CONST: OTHEPrAf r7'`bt/e//Zsry, 74-Sq ,. -- Ion A,C3o 1.41' a •ago j 4 etc_ VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION&BUILDING CODE LOCATIO DESCRIPTION ART. SEC. a4°-”, &:4-1r-c.24 A.4.1.44, ,geie 07 d d`%�c� ,, ,,"4 0 //\ b' n Pm ,-- c,-__P ____ __ REMARKS: INSPECTED B 01,1,/„llii A L.. DATE ON INSPECTION: d'" / TIME START: 97/V - END: /D /f 1 s