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Home My WebLink AboutZ-24950FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OFOCuuPANCY No Z-24950 Date MARCH 26, 1997 THIS CERTIFIES that the building Location of Property 2850 BAYSHORE RD. House No. Street County Tax Map No. 1000 Section 53 Lot 42 Subdivision Lot No. ONE FAMILY DWELLING Block 6 Filed Map No. GREENPORT, N. Y. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z--24950 dated MAR~H 26, 1997 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 GARAGE * The certificate is issued to REGINALD ADAMS ( owner ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLR%SE SEE ATTAu~D INSPECTION REPORT. ~ilding I~pector Rev. 1/81 BUILDING DEPAR1HENT TONN OF SOUTHOLU IIOUSING CODE INSPECTION REPORT LOCATION: 2850 BAYSHORE RD. (number &street) SUBDIVISION NAHE OF 014NER (s) REGINALD ADAHS HAP NO. GREENPORT. (mUnlcipality) LOT(s) OCCUPANCY SINGLE VANII~ (type) (owner-tenant) ADHITTED BY: JEAN,PODEYN ACCONPANIED BY: SAt4E KEY AVAILABLE SUFF,CO. TAX HAP NO. 1000-53-6-42 SOURCE OF REQUEST: P~ A. CAMINITI= ATTY DATE~ARCH I0~ 1997 DNELLING: TYPE OF CONSTRUCTION ~OOD FRANE I STORIES l-l/2 # EXITS FOUNDATION POURED CELLAR FULL CRA~IL SPACE TOTAL ROOHS: IST FLR. 4 2ND FLR. 4 3RD FLR. BATHROOH (s) I TOILET ROOH (s) I UTILITY ROOH PORCH TYPE 2 WOOD FRAI~ COVERED BECK, TYPE ~A~IO BREEZEWAY FIREPLACE GARAGE OONESTIC IIOT~/ATER GAS TYPE IIEATER STEAI4-OIL AIRCONDITIONING TYPE HEAT STEAH NARH AIR HOT~ATER GAS OTIIER: ACCESSORY STRuCTuREs: GARAGE, TYPE OF CONST. WOOD FRAI~ S~INNING POOL OTHER: STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CIlAPTER 45 N.Y. STATE UNIFORN FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. RENARKS: INSPECTED BY MIC L VERI , REINSPECTED NARCH 21, 1997 ,., DATE OF INSPECTION NARCH 13, 1997 TINE START 10:30 Al4 END 11:15 AN Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 1997 11. APPLICATION FOR CERTIFICATE OF OCCUPANCY ~.; ::~q This application must be filled in by typewriter OR ink and submitted to the butidiug inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property iines, 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 tnstalIatton from Board of Fire Underwriters. &. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of ~% lead. 5. Commercial buildiqg, industrial building, multiple residences and s~milar 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings nmi "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 mpplicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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-b~ildiag~,~.~. .2~ .2. cor~ificate of Occupancy on Pre-existinE Buildin~ - $I00.~ Copy of Certificate of Occupancy - . .25~ -_ Updated Certificate of Occupancy - $50.00 5. -Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Buil;i;;:::~:::::;;;: .................... . o, ..... House No. County Tax ~ap ~o 1000, Section ......... B~ock ~ .Lot. Sul~division .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. llealtb Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Fina! Certic~e .... ...~/~'. Fee Submitted: $...~...~...'...~....;... ...... i Oxm~er(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town ~'~eeMl>(~t~'~ , which is shown and designated on the Suffolk County tax map as District 1000, Section ff..~ , Block ~ , Lot 42-'- That the undersigned (has) (bare) filed, or caused to be filed, an applies- tiop in the South~d Town Building Inspector's Offi.e.e for the following:__ 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 Southold0 The undersigned, in consenting to such ~spections, do(es) so with the knowledge and understanding that any i.nformation obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions [or rio- or regulations of t Town o outhold. Dated: ~ K~ature) ~ ' ~ 5~/~ /f~,/W~ (print name) 7&F (print name) SURVEY OF LOT 124 AMENDED MAP A. PECONIC BAY ESTATES FILED MAY 1~,1933 AS MAP NO. 1124 A T ARSHAMOMOQUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N 1(. 1000 - 53- 06- 42 Scale, 1" = 30' Mar. 7, 1997 CERTIFIED TO' PETER WHITNEY DEBORAH WHITNEY FIDELITY NATIONAL OF NEW YORK NORTH FORK BANK TITLE INSURANCE COMPANY ~ % N.Y. L . (5161 765 - 50~~ P. O. BOX 909 1~30 TRAVELER STREET SOUTHOLD, N. Y. 11971 49618 97 - 125