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Z-23779
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No Z-23779 THIS CERTIFIES that the PRE EXISTING FICATE OF OCCUPANCY Date JULY 18, 1995 ONE FAMILY DWELLING Location of Property 1745 BAYSHORE ROAD GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 4 Lot 7 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-23779 dated JULY 18, 1995 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 BETTY MCFANN & DOROTHY LONDON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. **DWELLING HAS ELECTRIC HEAT. Rev. 1/81 N/A N/A BUILDING DEPARTMENT TOWN OF SOUTHOLD DOUSING CODE INSPECTION REPORT LOCATION: 1745 BAY SHORE ROAD GREENPORT,. N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAMI7 OF OWNER (s) ELIZABETH McFANN ✓i AND OCCUPANCY SEASONAL type]—- owner -tenant ADMITTED BY: DOROTHY DALY ACCOMPANIED BY: SAME KEY AVAILABLE. SUFF.CO. TAX MAP NO. 1000-53-4-7 SOURCE OF REgUEST: BETTY McFANN 6 DOROTHY LONDON DATE: JULY 7, 1995 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT POSTS&CEMENT BLOCKCELLAR PART TOTAL ROOMS: IST FLR. 5 2ND FLR. 3RD PLR. BATHROOM (s) ONE TOILET ROOM (s) PORCH TYPE DECK, TYPE BREEZEWAY FIREPLACE DOMESTIC n0'I'WATER YES TYPE HEATER ELECTRIC TYPE BEAT ELECTRIC WARM AIR OTHER: I STORIES CRAWL SPACE I i BRITS 2 PART UTILITY ROOM PATIO GARAGE AIRCONDITIONING IIOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST SWIMMING POOL. GUEST, TYPE CONST. OTHER: GARBAGE CAN SHED VIOLATIONS: CIIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION I ART. SEC. I REMARKS: SEASONAL DWELLING NOW HAS ELECTRIC HEAT AS PER AFFIDAVIT OF DOROTHY DALY DATED JULY 13,/r95. INSPeCTED BY M. BOUFIS DATE OF INSPECTION TIME START 9:30 JULY 12, 1995 END 9:45 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 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. B. 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 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 - $50.00 5. Temporary Certificate of Occupancy - Residential r$�1f5�.0 \Commercial $15.00 Date ..... W. ...................!...... New Construction............ Old Or Pr -existing Build' . Y........... -7 L7 I Location of Property..1. . 6........ ..41 ......��....... :n�Ol:'1............ House No. Street Hamlet Onwer or Owners of Property.CC:.Z � .. C.� nn.:�.. � :� • . U /,�//Jyy• County Tax Map No 1000, Section ..... �.... Block ...... ......Lot c . . ..... Subdivision!C;47On1C.. \ 4:,.�.� ......Filed Map. 1 �a.T.....Lot...................... rr Permit No................Date Of Permit ................ Applicant..6ki 2:r? 9 e -A Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submi $.�Q� ..................... fl iUbe n d1 eV R�T .. PLICANT ...... .. 417 7 736 e`0oy6 /V "` AP _... c0- .! O'.i `. INSPECTION Ovmer(s) Names do(es) hereby state: the undersigned, That the undersigned (is) 0 lie owner(s) of the premises in the Town of Southold located at / 7�1 -15, /irx(4�110 /iv, !%flP_s�iYD�l r�— , which is shown and designated on the Suffolk County tax map as District 1000, Section 5-3 Block #% , Lot That the undersigned (has) (Dave) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: )Y -e 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: / 1019 727/v QPA (#sigi ►6r 0 Al/ &-&,/ '/Ve 1 ('Print name) (print name) STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) DOROTHY AGUSTUS DALY, being duly sworn, deposes and says that she is the former owner of property located at 1745 Bayshore Road, Greenport. That she purchased the property on October 18, 1940. Thereafter, in the fall of 1963, we installed central heating in the premises. My husband and I continued to use the premises on an all year round basis since October 1, 1968 and have continuously resided in the premises until he passed away in 1985. That on March 26, 1985, I conveyed the property to my daughters Elizabeth J. McFann and Dorothy A. Lundon subject to a life tenancy and have continued to occupy the premises on an all round basis. Ab - Sworn to before me this r 3 day of PLfy, 1995 WOEX CAMINm Notary Public, State of New York No. 6581910 Commission Expires June 30,1 io a o --.s'3 — / - 9 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 17q6 VILLAGE DIST. SUB. v LOT _tr a 7 `f a FOR ER OWNER N E ACR. 9 �7c ��r S W TYPE OF BUILDING �2r�•Jf�.t' RES. SEA VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 66 D I le 3odo -t ,1000 �'z� f�f y_L -a 96 -t AGE BUILDING CONDITION NE4 NORMAL BELOW ABOVE FAR f Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD 00 House Plot DEPTH BULKHEAD Total DOCK e NOON ■■■ ■■O■NE■■O■■n■■■■ COLOR NOON■■■ ■■■■■■■■■■■■■■■■■■■■ 4- ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■�■ ■■■■■■■■■■■■■ MEN ■■ NOON■ ■ ������■■■ OEM ■■■■■■■■ ■■ NONE MONO ON ME IOmO=i IIYENOO■OE ■ ■...■.....NOON■. MEN E■■ - --� � MEMO ■■■N■N■II NN■■■■■I....��■. moll �■.EEN■■N■■■■. No NONE ...■■■■■■ ■ - - .......■■■■■.■.■.. ■■■■.. ■■■ NEON■■ SOME ■ ME :.. _ , .... nation :. .. moo:. - _ .. ©® BUILDING DEPARTMENT TOWN OF SOUTHOLD / HOUSING CODE INSPECTION REPORT LOCATION: r & street) 1 (municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s),� OCCUPANCY type I 1'- owner -tenant) ADMITTED BY: _1 o p— 1 ACCOMPANIED BY: ��Ikl KEY AVAILABLE SUFF.CO. TAX MAP NO.Jd2tpo — -5 _3 - 4! -' SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION �1,���� STORIES EXITS FOUNDATION %�� j-p�S ¢- 4f, /?1OCIZ CELLAR CRAWL SPACE e-z� TOTAL ROOMS: IST FLR. �j 2ND FLR. 3RD FLR. BATHROOM (s) ®/,i7,C - TOILET ROOM (s) UTILITY ROOM �- PORCH TYPE DECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER ���� _ AIRCONDITIONING-----�_ TYPE BEAT ��� WARM AIR HOTWATER®-- OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, GUEST, TYPE CONST. TYPE CONST.�f}� r VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. n l /�/j te 1 REMARKS: INSPCCTED BY DATE OF INSPECTION �M' TIME START /, �3n END