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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) 4\a _ ,{ f' ol '�: .ali �sllr }. Xi IYvMh >. r _ Cid i fY ► `\\�.� �1 r i V i'71 ?f JY7?CA: p"fit tt AfCrf ' v Z! PA;MW ttyAw «• (■} SFV& VYA+4P1Ru � 'h 92 4W SAAWA LOTS 12 MAP F �'�?�TY O• WA � f.t 00004 j A T AR" rowN OF .. OA 49 V. of - O l -�_ ✓ " 0 X , 199 Y 11Mti �, wo TO:iI Or :JCUIOLD, 11I. Y. (/ HOUSI::G CCL I:i:,PECl R -77-70,11T (Z--Umoer cx s z. ee J 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 DPcC-'-�t1C'1 I I Art. Sec I I . I I I I , I I I I I I Rena-ks : , Inspected by; .� Dat e of Insp . Time start ; end _