HomeMy WebLinkAboutZ-20373FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20373
Date DECEMBER 6~ 1991
THIS CERTIFIES that the building. ONE FAMILY DWELLING
Location of Property 75400 MAIN RD.(A/K/A 811 MAIN RD) GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 48 Block 1 Lot 5.1
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-20373 dated DECEMBER 6~ 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 WOOD FRAME GARAGE *
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
JOAN RICHTER & ELIZABETH DAVIS
N/A
~uildi~g Inspector
HOUSING CODE IHSPECTION REPORT
Location
Subdivision
75400 MAIN ROAD
GREENPORT, N.Y.
(i.iunlcipa±icy)
No. Lot(s)
Name of Owner(s)
JEAN RICHTER & ANO
A-i Res.
OI,'IIER
Occupancy
[type)
A~mitted by: DAVKKAFPEL
(owner-senanr)
Accompanied by: SAME
Key ~vailable
Suffolk Co. Tax No. 48-1-5.1
Source of request
WILLIAM H, PRICE
Date
NOV. 18, 1991
D%'~LL!~:
Type of construction
Foundation CONCRETE
Total rooms, 1st. F1
WOOD FRAME
=storzes
Ce!!arPARTIAL Crawl space
2nd. Fi 3 3rd. F1
1-1/2
Bathroom(s)
Porch, type FRO~ E~CLOSE~ Deck, type.
Breezeway.. Garage
Type Heat OIL 'Warm Air
Fireplace(s) NONE No. Fz~its
Domestic hotwater YEs
Other NEaR ENTRY WAY (MUD ROOM)
I FUI.L Toilet room(s)
Patio,
Utility room
Hotwater
2
Type heater
type
Airconditioning
OFF BOILER
ACCESSORY STRUCTURES:
Garage, type const.l CARWOOD FRAME
Swim, ming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS:
Location
.CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Description --)-~rt. Sec.
Remarks:
Inspected
~ J~. FISH
Date of Insp. NOV. 26, 1991
· Time start 9:30 end 9:50
Form
TOWN OF SOUTI. tOLO
TOWN Ib~LL
?65-tS~OZ
NOV i 9 ?::::;i
APPLICATION FOR CERTI¥ICATE OF OCCUPANCY
This application must be filled in by Eypcwrirer OR ink and submitted [o the building
insp~'[or wigh gh~ following: for new building or n~w usc:
1. Final survey of prmper[y wigh accuragc loca~ion of all buildings, proper~y lines,
2. Final Approval from Health Dept. of wa~ur supply and s~werag~-disposa~(S-9 form).
Approval of electrical installaEion from Board of Fire Underwriters.
4. Sworn uca[cmcnc from plumber c~r[ifying cha~ ~he 5oldug u~d i~ system c~ncai~s
and installations, a ~r~ifica~e of Cod~ Complianc~ ~rou~ archi~ec~ or engineer
raaponsiblg for ~he building.
6. Submi~ Planning Board Approval of com~lugcd ~i~e plan requirem~n[s.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing~ land u~s:
~. Accurate aurvuy o~ proper~y showing all prop~r~y lines, s~r~e~s, building and
unusual natural or ~opographic fca[urea.
2. A pro[]crly complegod applica[ion a~%d a conson~ Co inspac~ signed by ~h~ applicant.
If a C~'~cificaCa of Occup~ncy ia denied, ghe Building Iaspecgor shall stage [ho
rcaso[%s ~herefor in writing Co ~hu applicant.
Foes
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterarions [o dwelling ~25.00, Ewi:ml~ing ]tool $25.00, Accessory building $25.00,
2. Certificate Of Occupa~cy oil Pru-exia[iag Building -
3. Copy of C~r&ificage of Occupn~cy - $5.00 ov~r 5 years - $10.00
4. Updated Ccrgificage of Occu{)ancy -
5. 'temporary Ccr[ifica~e of Occupa~,cy - Residential $~5.00, Commercial $15.00
Nove .m~.e.r. ~.8 19.91
Date ,.... ......... .~o ........ o....o....
!:ow Construction ........... Old Or Pre-~xi?rin~ Building ~X. ..........
..8~.~1. Front Street
Location of Prop~..rty ............................. Gr~enport
........................................
' ~-~ u~e No. Srru~£ llamle~
Joan Richter & Elizabeth Davis .
County Tax Hal, No 1000, Suction. 048 .ntock. ,..Loc. 99P. sl
· ;ubdivision .................................... Filed Map ............ Lot ......................
?ermir No Date Of PermiE Applicant
lealch Dept. Approval .......................... U,lderwricers Approval..., .....................
,'lann~ng Board Approval ........................
Temporary Certificate ........... Final Cercicate., ~ .....
~' I'LI C,~tT
CONSENT
TO
INSPECTION
W/LLIAM H. PRICE, JR., as attorney for
'.Joan..P~.'.chter and Elizabeth Davis , ~ · the undersigned,
Owne~(s) Name(s)
do(es) hereby state:
attorney for
That the undersigned (is) (ag~) the owner(sO of the premises in the Town
of Southald located at
811 Front Street,
Green~qrt~ NY
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 048 , Block 01, , Lot qQ5
That the undersigned (has) (lm~ filed, or caused to be flied· an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy on Pre-existing Building
That the unders/gned 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
Dated: ~1/18/91
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowled~.e 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 reffulations ~~old.
/' //(signatd~e)
WILLIAM H. PRICE, JR.
(print name)
(signature)
(print name)