HomeMy WebLinkAboutZ-38670 guEF�t��, Town of Southold 11/29/2016
�+ a� 53095 Main Rd
} # Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38670 Date: 11/28/2016
THIS CERTIFIES that the structure(s) located at: 56525 CR 48, Greenport
SCTM#: 473889 See/Block/Lot: 44.4-25
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38670
dated 11/28/2016 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with covered front brick porch and rear slate patio on grade.*
Note:BP 4251 addition/alteration COZ-3530• BP 25115 roof deck COZ-26148;BP 40912 "as built"bathroom
alteration and utilities COZ-38669
The certificate is issued to Clarke, Marianne Clarke, John
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
uth ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 56525 CR 48,Greenport
SUFF.CO.TAX MAP NO.: 44.4-25 SUBDIVISION:
NAME OF OWNER(S): Clarke,Marianne
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Clarke,Marianne DATE: 11/28/2016
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: block CELLAR: x CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: cov front brick DECK TYPE: PATIO TYPE: rear slate on grade
BREEZEWAY: FIREPLACE: yes GARAGE:
DOMESTIC HOTWATER: x TYPE HEATER: oil BP 40912 AIR CONDITIONING:
TYPE HEAT: oil BP 40912 WARM AIR: HOT WATER: oil BP 40912
#BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 9/14/2016
TIME START: END:
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
V TOWN HALL
JUL 11 2016 765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
gUII,DIlIIG DEPT.
This applic, ewriter 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 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.
OB. 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. A properly completed application and 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. �2 L3
New Construction: Old or Pre-existing Building: (check one)
Location of Property: t6Vn4&nA 6r-ee11 vl�r+ �y
House No. StreetHamlet
Owner or Owners of Property: &Ian 17,e Vntarke
Suffolk County Tax Map No 1000,Section C4 Block Lot as
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ /00. OCA C� a.
Applicant Signature
CONSENT TO INSPECTION
/vlar i aline 4-&bn Clark-e ,the undersigned,do(es)hereby state:
Owner(s)Name(s)
That the undersigned(is) (are)the o er(s)of the premises in the Town of
Southold, located at
which is shown and designated on the S olk County Tax Map as districtl000,
Section 14LI Block_I Lot ;a!�L
That the undersigned(has) (have) filed,or cause to be filed,an application in the
Southold Town Building Inspector's Office for the following: Txe .CO
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 in subsequent prosecutions for violations of the laws,ordinances,rules or
regulations of the Town of Southold.
Dated: --213�)(,
�- (Signature)
.�ohn F7 C&Lr ke
(Print Name)
(Signature)
Mar-j d nne Llarm
(Print Name)
r' ;N—
" -- TOWN OF SOUTHOLD PROPERTY RECORD CARD
m
STREET,5b,575 VILLAGE DIST. SUB. LOT,
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LOCATION: 5
(number& street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S)':
OCCUPANCY: '
(ty (owner—
tenant)-ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABL . WrF. CO. TAX MAP NO. 1000-
SOURCE
000SOURCE OF REQUEST: DATE: d o
DWELLING
TYPE OF CONSTRUCTION: STORIES: #EXITS.
FOUNDATION: BASEMENT: V CRAWL SPACE:
# OF BEDROOMS: IST FLR: 2ND FLR: 3RD FLR:
BATHROOM(S): TOILET 1200M(S): �" UTILITY RO'M: _
PORCH.TYPE: -%,&w-kDECK, TYPE PATIO;TYPE: 07
BREEZEWAY: FIREPLACE: ngGARAGE:
DOMESTIC HOTWATER: !!! TYPE HEATER: �`'�'•`��AIRCOND TIONING:
Ste- &y C)9 l a.
TYPE HEAT: ARM AIR: _. HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT:- YES NO 6p q Dq 0
OTHER: `016
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: �—
SWIMMING POOL: GUEST, TYPE CONST:
OTHER: `
VIOLATIONS: CHAPTER 144 &N.Y. STATEUNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
4 ►
,�
REMARI ,: /L1 IIIS(/1441'✓, Ail m.yn� (otoorZ4
INSPECTED BY: DATE OF INSPECTION: Je44
1�/�/_ TIME START:. l�=ZS�a.► END: