HomeMy WebLinkAboutZ-25242FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF O~Ju~ANCY
No Z-25242
Date SEPTEMBER 5, 1997
THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING
Location of Property 370 BAY SHORN ROAD GRNENPORT,
House No. Street Hamlet
County Tax Map No. 1000 Section 53 Block 4 Lot 42
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 CERTIFICATE OF
OCCUPANCY NUMBER Z-25242 dated SEPTEMBER 5, 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 *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION RNPORT.
BARBARA RIC.~'£~R & VICTOR S. RDTIIOWSKI
N/A
N/A
/B~ ldin~ Inspector
Rev. 1/81
LOCATION:
BUI IA)ING DEPAR'I~4ENT
TOWN OF SOUTIlOLD
[lOUSING CODE INSPECTION REPORT
370BAY SHORE ROAD
GREENPORT, N. Y.
(number & street)
(municipality)-
SUBDIVISION
NAHE OF ONNER (s)
HAP NO. LOT(s)
BARBARA E. RICHTER & VICTOR S. RUTKOWSKI
OCCUPANCY SINGLE FAMILY
(type) (owner-tenant)
ADMITTED BY: BARBARA E. RICHTER ACCOMPANIED BY: SAI~
KEY AVAILABLE SUFF.CO. TAX MAP NO.
SOURCE OF REQUEST: WILLIAM H. PRICE, JR., ATTY DATE: AIIC..._I4; l_qq7 ___
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS:
BATIIROOM (s)
PORCH TYPE
BREEZEWAY
WOOD FRAME __# STORIES 2 [ EXITS
CEMENT BLOCK CEI~AR FULL CELLAR CRAWL SPACE
IST FLR. 5 2ND FLR. 2 3RD FI.R.
ONE TOILET ROOM (s) UTILITY ROOM MIlD ROOM
DECK, TYPE PATIO
FIREPLACE GARAGE
DOMESTIC HOTWATER XX TYPE I~ATER
TYPE tlEAT OIL WARM AIR
OTIIER: BILCO EXIT, FRONT VESTIBULE
ACCESSORY STRUCTURES:
GARAGE, 'I~PE OF CONST. !-1/2 CAR_WOOD
SWIMMING POOl,
OTHER:
OFF BOILER
AIRCONDITIONING
ltOTWATER ~y
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
VIOLATIONS: CIIAPTER 65 N.Y. STATE UNIFORM FIRE PREVENTION & BUll. DING CODE
LOCA'rION DESCRIPTION ART. SEC.
REMARKS: BP ~3519-Z -CO Z-2754 (ACCY GARAGE)
INSPECTED BY
DATE OF INSPECTION AUGU~ST ~8, 1997
TIME START 10:25 ~ END 10:50 AM
Fot-m [qo. (~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
:%.
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 buildiqg, 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.
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 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.
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-existinR Buildin~ - $100.00
3. Copy of Certificate of Occupancy - . .25~
&. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Da te ....... .A.u. qu..s .t ..... ,..!9. ~ 7 ...............
iew Construction ........... Old Or Pre-existing Building....X.X. ...........
.ocation of Property....3.7.0. ...... B..ay.s.h.o..r.e..R.o..a.d ...................... .G.r.e.e.n. pp.r.t. ............
House No. Street Hamlet
nwer or Owners of Property....B.a.r..b.a.r.a...E;..R.i..c.h.t.e.r...a.n.d...V.i.c.t.o. ,r..S.....R.u.t.k.o..w.s.k.i. ............
ounty Tax Map No 1000, Section .... q~ ....... Block ...... P~ ........ Lot ..... P~ ..............
ubdivision .................................... Filed Map ............ Lot ......................
ermit No ................ Date Of Permit ................ Applicant .............................
~ealth Dept. Approval .......................... Underwriters Approval .........................
lanning Board Approval ........................
equest for: Temporary Certificate ........... Final Certicate .... X~ ....
7?7'~ z~ ~
T( )
BLDG. DEPT.
TOWN 0 F~O~UTHOLD
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I);,,,:(l: 08/ /97
BARBA~ E. RICHTER