HomeMy WebLinkAboutZ-28142FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 28142
Date: 01/07/02
T~IS CERTIFIES that the building DWELLING
Location of Property 1385 BAY SHORE RD GREENPORT
(HOUSE NO.) (STREET)
County Ta~ Map No. 473889 Section 053 Block 0004
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 CERTIFICA'r~ OF
OCCUPANCY NUMBER Z- 28142 dated JANUARY 7, 2002
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 *
(HAMLET)
Lot 003
The certificate is issued to ALICE G O'BRIEN
(OWNER)
of the aforesaid building.
SUFFOLK COUN~I"fDEPARTMEI~TOF~E~J~T~{APPROVAL
ELEC~£KICAL ~TIFICATE NO.
PLL~BERS CERTIFICATION D~r~
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
IXK~ATION: 1385 BAY SHORE RD
GREENP0RT
S~BDIVTSION:
N~a-ME OF OW~R (S): ALICE G 0'BRIEN
OCCUPANCY: SINGLE FAMILY DWELLING
ADMI'A'r~U~ BY: DAVID KAPELL
KEY A~K~ILABI~: SLwFF. CO. TAX N~P NO.: 53.-4-3
SOURCE OF R~ST: WM. PRICE, ATTY - 12/14/01
ALICE G O'BRIEN
ACCOMPANIED BY: SAME
hATE: oi/o7/o2
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME (BRICK VENIEER)
FOUNDATION: CEMENT
Tf~TAL ROO~S: 1ST FI,H.: 4 2ND FISH.: 1
EA~{i~O(O (E): 1.0 ~I~T RO(~ (S): 0.0
PORCH TYPE: ENCLOSED (REAR) DECK T"fPE:
BREEZEWAY: FIR~PI~%CE: ONE
D~ESTIC N~£~A~: YES ~"fPE HF~%~R: OIL
OTHER: * UNFINISHED TOILET ROOM ON 2ND FLOOR.
STORIES:
XX
2.0 # EXITS: 2
CRAWL SPA~:
3RD F~R.: 0
DTILIT~
PATIO
GARAGE: 1 CAR ATTACHED
P~IRCUNDITIONING:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIPING POOL:
NONE STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
INSPBt-r~u~BY:
DATE ON INSPECTION: 01/03/02
TIME ST~/~T: 10:00 AM END: 10:20 AM
. ~PLICATtO~ ~OR.CERTtFIcAT~ OF OC :Or~'
i.. 2a ~naL Apptovn~ Erold Ilea[Eh bepe~' oE.~aEer sOpp[~ hiid se~erege-d{sposd[(5-9 ~ot~)
~1. ~esa [halt 2/[0 o~ iX lefld, '
respotts~b~e Ecs ~ha but~d~8~ '
For ex~Se~ng bo{[d~ngs (p~or ed Apr~ 91 [957~ nmt-c~nfotm{ng ose&~ or build,ed ~i
Fees
i& ¢erk~iefled Of OCeUpdttey.- HeU d~ilL,~ ~25~00j idd{L{m~d ed d~eliJ, hg ~2~,OOt
'' A~tetaL~otid ~o d~e~flK ~&OOt ~U[~n~hg pOOL ~25tOOl Accessory bOJ. Jd~ltg ~25~00
4~ Updated Ce~e~E[eaed oE OceUpafic~ - ~50,00
I 5~ ~empotnty derE~f~edee el Oceupdtie~ - Res~deti~d~ ~[5~00l Co~otc~nJ.
December ~ 2001
Itouse Ilo, 9L~a~L II.~ee
Alice G O'Brien Revocable Trust
' ' 05~. O0
It
(k c. &o "76, ,5
WILLIAM H. APPLIcAJfr
' PRICE,' JR., a~ Agent"
INSPECTION
WILLIAM H. PRICE, JR., as Agent 'for the owner,
Alice G. O'Brien Revocable T~ust
the Undersigned,
Ownerls) lqame I.,O
do{es) hereby state:
That the undersigned (is) (are) ihe owner(s) et' the premises In the Town
of Southold locnted a[ 1385 Bay Shore Road, Greenport, New York
~ which is sJto%~ ~nd destO,sled on [he Suffolk
County tnx mnp ~s District 1000) Sect[on 053.00, Block 04.0q Lot 003.000
That the undersigned (h~s) (lmve) f[led~ or caused to be {[led~ nn nppHca-
ties in the Soufl~old To~vn Building inspeetoP*s Office for the followb~ff:
Certificate of occupancy on Pre-existing Building
That the undersigned do(es) hereby give connelfl to the Building inspectors
Of the't'o~vn of Souihold to ente~ Upon the above described property, including
any and all buildings located [heroon~ [o conduct s0ch inspedt[ons as [hey may
deem necessary xviUt respec~ to the aforesaid applicat[on~ ~cludh~g inspections
[o determine that snid pramises coml)ly ~vltb all of the laws, ordinances, rules
and refiuiaHona 9~ the 'l'owll of 5outhold.
TI~o under,[fined, in consenting tohuch ~speetions~ do(es) sowiththe
knowledge and understanding tha~ any hfformation obtnined in the conduct of
such inspections may be used as evidence in subsequent prosecution~ tot vio-
tation~ of the laws~ ordtnances~ rilles of re~lations of the Town of Southold,
Dated/ December 13.~ 2001
(signature)
W~lli~m H. Price, Jr.
(p~:int ,lame)
(ulj~l~atUrU !
(print nanle)