HomeMy WebLinkAboutZ-20379FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20379 Date NOVEMBER 26, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 54875 NORTH ROAD GREENPORT, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 44 Block 1 Lot 4
Subdivision
iled 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-20379 dated NOVEMBER 26, 1991
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 ACCESSORY TWO CAR GARAGE
The certificate is issued to ESTATE OF EVAN McCLAVE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
uilding Inspector
Rev. 1/81
BUILDI::G DEPART 17 T
T0,911 OF SOUTHOLD, N. Y.
HOUSI ,"G CODE INSPECTION REPORT
Location 54875 NORTH ROAD GREENPORT, NEW YORK
number & street tilunicipality)
Subdivision
Map No.
Name of Owner(s) ESTATE OF EVAN McCLAVE
Lot(s)
Occupancy A-1
(type) owner -tenant
Admitted by: ROSE CATALANOTTI Accompanied by: SAME
Key available
Source of request
Suffolk Co. Tax No. 1000-44-1-4
DANIEL C. MOONEY, ATTY
Date NOV. 11, 1991
i . ----- N
DWELLING
Type of construction WORD FRAME rstories 2 STORY
Foundation CEMENT BLOCK Cellar Crawl space PARTIAL
Total rooms, lst. Fl 5 2nd. F1 2 3rd. F1
1
Bathroom(s) FULL Toilet room(s) ONE
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat OIL Warm Air xx Hotwater
Fireplace(s) ONE No. Exits 2 Airconditioning
Domestic hotwater YES Type heater ELECTRIC
Other
ACCESSORY STRUCTURES:
Garage, type const. 2 CAR
Swimming pool
Other STAIRS TO BEACH
Storage, type const.
Guest, type const.
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION 5 BUILDING CODE
Remarks
Inspected by:Date of Insp. NOV. 18, 1991
J. FI
Time start 9:40 end 10:00
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT NOV 1 21991
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
1. 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.
W For existing buildings (prior to April 9,
"pre-existing" land uses: 1957) non -conforming uses, or buildings and
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 Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $115.000, Commercial $15.00
Date .. • %l ( 1'A f/
New Construction........... Old Or Pre-existing Building..•` ......•....•••.....••...•..
Location of Property ................. . /IJO/L.T- 2Q J'e t/T�o
House No. Street
Y
•. .•..•..••
Hamlet
Onwer or Owners of Property...f *'`.!� ,� . E✓�JW ^f- �L*fU �• . • • . • • .. • • • • • .. • • .
County Tax Map No 1000, Section.."q ....... Block .... ........... Lot ,••.••.•.••.•..•
. ,
'subdivision....................................Filed Map ............ Lot
......................
Permit No ................ Date Of Permit.
..............Applicant.............................
Health Dept. Approval..........................Underwriters Approval.........................
:'lanning Board Approval ........................
:)equest for: Temporary Certificate........... Final Corticate...........
:ee Submitted: $............................. �1�j�i �
C at,`i 3 6 ......Z✓..h.�....s'.
. ... .
Ld �a3 �� APPLICANT Sze ` 7ce�r G J"
NOV 1 2 '1091
CONSENT
TO
INSPECTION
vq w � r � O • ✓tea o ..� r.,�( RX.L.vt,�,...c� �-n.. .
�S-r � rE o r E ✓ A nl h. � c �, A ,, cc
Uwner(s) Namc(s) the undersigned,
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
which is shown and designated on the Suffolk
County tax map as District 1000, Section _Lot
Blocic
That the undersigned (has) (have) filed, or caused to be filed• an applica-
tion in the Southcld Town Building Inspector's Office for the following:
P� '
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: A) -D U 11
(signature)
(print name)
(signatuX-C)
print name)
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Subdivision 11lur -cica y-yJ
tiIap No .
'Lot(s)
Nam`= of Owner(s)
Occupa: cy
(-yp e
cu:(ilted by-.: ., ' Co•mer-��nar.z)
-Ac.s-'bmp :hied by
Key available
Suffolk Co. Tax No.
Source Of request C -
Date
Dr,IJLLI�TG : '
Type of construction
Foundation- „'stol ies �'
Total rooms, 1st. Fl Cellar____Cra:�l space
2nd. Fl ,2 � '
Bathroo.(s) LX—Al 3rd. Fl
Porch t- / Toilet rooms),
' Y e Deck, type type
Breeze:•�a Patio,
Troe Heat Gara— Utility room
Warm Air
Fireplace (s)Isot-wa t er
No . ac,
is circ �,
Domestic ho tt•mf ter � 1 o__diLion�Ila, �-
Other Type heater
ACCESSORY STQTT m
C_TT.7ZpS:
Garage, type const._c��
S%v,- i,.n,n'0 Storage, type const..
�' o ool Guest
Other _ 6—° type const.
VIOL,TTO�IS : CHAPTER 45--N-Y. STATE UNIFORM TIRE pREpENTIDN & BUILDING
CODE
Location
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Inspected by;
.� Dat e of Insp .
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