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HomeMy WebLinkAboutZ-39365 �guFFOt�co Town of Southold 11/29/2017 53095 Main Rd N Southold,New York 11971 yy'bp• -.,'l�bo��- PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39365 Date: 11/29/2017 THIS CERTIFIES that the structure(s)located at: 2295 Bay Shore Rd, Greenport SCTM#: 473889 Sec/Block/Lot: 53.4-15 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- 39365 dated 11/29/2017 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.* Notes: BP #1172 addition(breezeway and attached garage COZ-1343;BP #2514 additions COZ-2126;BP #40955 "as built"deck COZ-38852;BP 42092 "as built"air conditioner COZ-39364, The certificate is issued to Hahn IV, Arthur&Hahn,Russell (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. o . ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2295 Bay Shore Rd,Greenport SUFF.CO.TAX MAP NO.: 53.4-15 SUBDIVISION: NAME OF OWNER(S): Hahn IV,Arthur&Hahn,Russell OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Hahn IV,Arthur DATE: 11/29/2017 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil WARM AIR: forced hot air HOT WATER: #BEDROOMS: 3 #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: 10/11/2017 TIME START: 2:50pm END: 3:30pm Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL D [EQEDWR 765-1802 D APPLICATION FOR CERTIFICATE OF OCCUPANC OCT ® 3 2017 This application must be filled in by typewriter or ink and submitted to the Building Department with the following: BUMDI<NG DEPT. A. For new building or new use: TOWN OF SOUTHOLD 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 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. X42. 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: S/ W_ 16nd Omen oor House No. Street fiamlet Owner or Owners of Property: uT - e Suffolk County Tax Map No 1000, Section '!3 Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Prv,, ,5��h9 (,� Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ /06 . Applicant Signa 12 7 N HA H r �1�f1P 11 w ,I Ur1�l CONSENT TO INSPECTION ri h id` IeV 0611 Y#4 J Rfr«fr W. H'Al the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is (are)the 01 er(s)of the premises in the Town of Southold, located at 22 q5 I Mier' 6-0PaGr which is shown and designated orf the Suffolk County Tax Map as District 1000, Section }7? ,Block , Lot . That the undersigned(has) (have) filed, or cause to be filed,an application in the SoholdlTown Bui ding nspector's Office for the following: �r1fiole to I� .baric! 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: %/2 -7/1 7 �✓ �� (Signature <L 2�r� HAi�N , 12 (Si a re)�sfP�I � ti,,'`� (Print Name) J SOUTyo� �ycouff ,�`� i TOWN OF-SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLSG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 'V cw& hv'm Coll . w DATE INSPECTOR TOWN OF SOUT, 11OLD MbPIERTY RiCOR,D CAjtD O 1�lER' V STREET~ VILLAGE:,--*- T SUB. LST FORMER OWNER � N E ACREAGE n r . .$ 1777 rr ' W TYPE OF BUILDING RES. fb ; r SEAS. VL. FARM comm. I IND. � CB. � M1SC V� . l LAND [MP_ TOTAL DATE REMARKS LO N 3 7 C co .5oc 15 0 0 41,f QA4v,4 o Le.> 4c ©0 LO 0 3 o - � � S am -76c. ,1 2 z? � -L n !� AGE BUILDING CONDITI � _ h � l Ho Q NEW NORMAL BELOW ABOVE • Farm Acre Value Per Acre'' Value f U) Tillable lI r Tillable 2 P v c� ` r M TiItable, 3 U0 =_ � TJ--LIZ740 I) _r f�{4.hq �( /`l Ih�P epsA �. Woodland --- ----- f AA m Swampland o, `� � , L — m Brushtan m House PlotCN LO Cn Total # LN * / f 7 yT d :y 1� y F izl ��"•^ � '-z.S rs' � �- { NOON ,► 4 +� ■■MEN■■■■■■■■■■■■■■■ .... �'' NOON■■■NONE■■■■■■■■■ ■■N■■■■■■■■■■■■■■■■■ IMEMEMMIMEME ONE■mof ins: MEN MEN IN 0 ■ : ill■■■■■■ ■■■■CL■■■ �■■�■� NOON . .. Foundation :. yes ■ Ext. Walls i Rooms 2nd Floor �. ' i W-7 (j7) R id 1. 4r, 4'. Al J' 4 E TY AM UFP0" 'K Jc IA -HAP-'I f.7#1 I MI A'T yep , 20 "uPrMtb T. YL- IV z P f�-! `o, I-��11401 -;—11 b LOCATION: (numbeA& street) (mun cipality) SUBDIVISION: A. MAP.NQ.: NAME OF OWNER(S)': ffVVhvV 04V _iMA K OCCUPANCY: (type) (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP'NO, 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CO STRUCTION: 9 STORIES: VM,s # EXITS: !® � FOUNDATION: O,IIVI ,�I� � 1�ASVMENT: 'CRAWL SPACE: # OF BEDROOMS: 1ST FLPI 2ND FLR: _ 3RD FLR: BATHROOM(S): li/ TOILET ROOKS). UTILITY ROOM: ., v PORCHZYPE: •YI•Y DECK, TYPE: .. . PATIO;TYPE: BREEZEWAY: FIREPLACE: QARAGE:f {pG"il tyo DOMESTIC HOTWATER.: { t�� TYPE HEATERi (� AIRCONDITIONING: P�, TYPE HEAT: _ 1X WARM AIR: HOTWATER: # OF KITCHEN o 01 FINISHED BASEMENT:- YES_ N OTHER: ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST,'TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N,Y, STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. fizaaAimA ✓ rID1P t OL con ✓) _e REMARKS: 00- INSPECTED BY \\4 3ff0k%o DATE OF INSpE'CTION; 6 �l T TIME START: >o f o END: ��•�� P�1