HomeMy WebLinkAboutZ-18352No Z-18352
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
CERTIFICATE OF OCCUPANCY
Date SEPTEMBER 7, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 550 CHAMPLIN PLACE GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 34 Block 03 Lot 38
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a private one -family
dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. Z-18352 dated SEPTEMBER 7, 1989
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 EDWARD T. ROUSE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD -PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE-EXISTING
PLUMBERS CERTIFICATION DATEDNO RECORD PRE-EXISTING
* PLEASE SEE ATTACHED INSPECTION REPORT
9- �"e4z
it ing Inspector
Rev. 1/81
BUILDIi':G DEPARTNE 1T
T0;9N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 550 Champlin Place Greenport, N.Y.
knumber & street Qunicipaiity)
Subdivision Map No. Lot(s)
Name of Owner(s) EDWARD T. ROUSE
Occupancy RES. R-40 OWNER
(type owner -tenant
Admitted by: EDWARD T, ROUSE Accompanied by: SAME
Key available
Source of request EDWARD T. ROUSE
DWELLING:
:
Suffolk Co. Tax No. 34-03-38
Date MARCH 9, 1989
Type of construction WOOD FRAME #stories ONE
Foundation CEMENT BLOCK Cellar FULL Crawl space - -
Total rooms, 1st. F1 6 2nd. F1 - - 3rd. Fl - -
Bathroom(s) 2 Toilet room(s)
Porch, type Deck, type Patio, type_
Breezeway ENCLOSED Garage 1 CAR
Type Heat OIL ',Yarm Air_
Fireplace(s) ONE No. Ecits
Domestic hotwater OIL
Other
ACCESSORY STRUCTURES: NONE
Garage, type const.
Swimming pool
Other
VIOLATIONS:
Utility room - -
Hotwater XX
_Airconditioning
Type heater BOCK
Storage, type const.
Guest, type const.
CHAPTER 45--N.Y. STA'T'E UNIFORM FIRE PREVENTION 6 BUILDING CODE
Lncation I Description
EXTERIOR EXTERIOR SURFACES SHALL BE MAINTAINED IN GOOD
CONDITION. SURFACES NOT INHERENTLY' RESISTANT
TO DETERIORATION SHALL BE TREATED WITH A PROTECT
COATING OF PAINT OR OTHER SUITABLE PERSERVATIVE.
Remarks. HOUSE IN GOOD CONDITION.
Art.) Sec.
CHAP . F
1242.5
E E
Inspected by: Date of Insp. JULY 5, 1989
GARY FISH - Time start 10:10 end 10:25
TOWN OF SOUTHOLD U U U
BUILDING DEPARTMENT
TOWN HALL
MR .0 ►989
�
SOUTHOLD, NEW YORK 1 197 1 .TOKEN OFSOOMEPT
uTHOL
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE y..9 949
NEW CONSTRUCTION .......OLD OR PRE-EXISTING BUILDING. X -VACANT LAND........
Location of Property..AAl. A-_RA/JP41 ✓.. _P1-A� ...GREEN�o,t
HOUSE NO. STREET HAMLET
Owner or Owners of Property.. Ja4P ✓A*q.P ... .. RA()-Is
County Tax Map No. 1000 Section ..3.(. Block ...3 ... Lot ... 8...
Subdivision ....................... Filed Map ........Lot..........
Permit No. ..........Date of Permit ..........Applicant ...................
Health Dept. Approval .................. Underwriters Approval..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate
Fee Submitted: $.Sjo*0O
APPLICANT. 494V_6 A.:��. , �u4=-� ...........
C 0 2k. 183_5�.
rev. 10/14/88
CONSENT
TO
INSPECTION
wner(s) Name(s)
do(es) hereby state:
rwr� U 1�I q
, the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
Of Southold located at aA/ CRAM IVAI PI-AcE �' R EENPo RT
which is shown and designated on the Suffolk
County tax map as District 1000, Section -3f/ , Block _ Lot.
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
cE�pT/F/C 7'� of OCCUR MCC
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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: MAReH % /!Zg9
(signature)
EDWARD 7- ROUSE-
(print
ouSF(print name)
(signature)
(print name)
t
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1!n»thrr. rs� stteraiwn ar adt!tion
to this Sur..oy Is a Violation of
I ec'non 72C� of the New York Stat
'ducation Law.
Conies of this s•rrvev man not bearing
:hp Ind SUr4eyof s InKed 4eai a.
R"aooF'i.ed sent shall not be considered
to b(' a Valid true cony
Guarantees hereon shall rem
/1ih i r
or to the av!son for wham the sur im
in t&red, ano on his Sartalf to the
n?', cnma any, aavernmen:al agency and
I;.r.dln;7 m,;nnitten listed horean and
to the cssignoes of the landing insti-
tution. Guarantees are not trensferahie
�'::� t �✓'vD ,B.
F? D fJ;�
to 16onal institutions or subsequent
Owners.
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`./
/a a a y ;? —3e TOWN OF SOUTHOLD
`r/
PROPERTY
RECORD CARD "144 -;,
-- —
OWNER
- --
STREET
- — -- —
VILLAGE
-
DIST.
-- - -
SUB. LOT
FORMEROWNER
i ,
E
ACR.
S
Z, h'U
W
TYPE OF BUILDING
RES.
SEAS.
VL.
FARM
COMM. CB. ! MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
/
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Vclue
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROADJi
Meadowland
DEPTH
House Plot
Total
BULKHEAD
DOCK
COLOR
TRIM
rAQ
-
-
— — — — —
— ----
—
WNW"—
— — — —
—
—
— — — —
e)
M. Bldg.
Exten�ionT
Extension
Extension
Foundation
Both
[Dinette
Porch
1
Basement
Floors
K.
-1
Porch
'Ext.
Walls
Interior Finish
JLR.
Breezeway
!Fire
PlaceI
Heat
DR.
Garage
(Type
Roof
Rooms 1st Floor
I T BR.
Patio
Recreation Room
Rooms 2nd Floor
FIN. B
0. B.
(Dormer
lDriveway
Total
Xi
rAQ
BUIiDIi;G DEPART -iE1T
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
(rumoer 6( szr t) 14unicj al ty)
Subdivision INIap No. Lot(s)
Name of 0%•mer(s)
Occupancy le- p t1
sty e --gyp owner-tenani)
Acl.14A.tzd by:-Accbmp4nied by:
Key available ' Suffolk Co. Tax No. 9
Source of request � Date��
D',TELLING :
Type of construction�o- F� __res tories
Foundation %3� CellarCrawl space
Total rooms, lst. F1 2nd. F1 — 3rd. F1 —
Bathroom(s) 02 Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage / tom. Utility room —
Type Heat_ Warm Air
Hotwater �
Fireplace (s) ��2_ - No . Fxits Aircondi tioning_
Domestic hotwate ,. Type heater
Other
ACCESSORY STRUCTURE'S:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING. COM
Remarks:_ C$�
Inspected by:
Date of Insp.
Time start %0: /o