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HomeMy WebLinkAboutZ-21142FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21142 Date NOVEMBER l0w 1992 THIS CERTIFIES that the buildin~ ONE-FAMILY DWELLING Location of Property 3255 BAYSHORE ROAD G~R~NPORTr NY House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 6 Lot 8 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-21142 dated NOVEMBER 10, 1992 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 PANTRY OFF KITCHEN AND SHED ATTACHED TO SOUTH SIDE OF DWELLING. ** The certificate is issued to DIANE SALERNO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A **PLEASE SEE ATTACHED INSPECTION REPORT. - /J Building Inspector Rev. 1/81 5UiLDi[i2 ZZP:'.~,T: LEUT TO',,';I CF SCUT[iOLD, N. Y. HGU.EiXC Cg~Z IUS?ECTIOU Location 3255 EAYSHOR~ ROAD Subdivision ,, ,Wnp GREENPORT Na~ne o£ Owner(~').. DIANE SA~_ERN0 Occupancy . A- I RESIDENTIAL [Type) Ad~.nittcd by: PAUL HEFFERMAN Accomp~-nied by: SAME Suf£olk Co. PAUL ~EFFERMAN Key available Source of request_. D!'~LLI~[G: ,Type of construction Foundation C~MENT Total roomS,.lst. F1 Bathroom(s). 2 FULL BAT~S . WOOD FRAME Ta:< ~!o. 1000-53-6-18 ,Date 4/8/92 .,-rs ~or!es _Cellar 3/{ Crawl space !/4 2nd. Fl. 5rd. F1 _:- Toilet room(s) Porch, t~-pe...REAR. ENCLOSED Deck, i-ypq ... Patio, type__ Breezeway ..... Garage Utility ro~3m Type Heat OIL ' '//arm. Air xxx Hotwater Domestic hotwater YES ,,Tyqpe h__.~-~ PROPANE , Other. PANTRY OFF TBS KITCHEN. S~ED ATTAC~ED. TO SO~ SIDE OD DWELLING .... Storage, type Const. Guest, type const. Garage, tyDe const. 0ther..~ .CIIAPT~R 45--N.Y. STATE UNIFOI~[ FiI~{ PKEVENTION & IIUILDING CODE De.~cri~tion j Art,. J Sec. Remarks: _ ? Inspected by.L~ Date o£ Innp.4/20/92 and 11/9/92 · Time start 9:30_ . end 9:~$ Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN t~LL 765-1802 B: 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 building, industrial building, multiple residences and similar buiIdings 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, t~e 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 accessor~_b~i]d~n~ $~_[z. OO. _ Businesses $50.00. 2')~-~--i~l~te of Occup~nc~v_~D-~e.x~st~ng Bui~ljzn~- ~!~00~00~ ~. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ........................ Planning Board Approval ........................ Request for: Temporary Certificate ........... Final ~e~ic~te.~~ Co ............................ Health Dept. Approval .......................... Underwriters Approval ......................... Permit No ................ Date Of Permit ................ Applicant ............................. New Construction ........... Old_Or Pre-existing Building..~ ............ / l.~.~...~ Locatio~ of Property..~.~ ~..~.~..~ ~h {',~.~.~.~.~.~'~.<.1 .. House N~. ' Street Hamlet C©NSENT TO INSPECT[ON t)x~'ner(s) 'Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(=) o[thc pram[se:; [n ~he 'That the undersigned (has) (~) filed, or caused to be filed, an applica- tion in the Southcld To~xm Buildin~ Inspector's Office for the follow.g: ~ 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 ail buildings located thereon, to conduct such inspections as they may deem necessary with respect to the afcrcsaid application, inc!udLn% inspections to determine that said premises comply x:'ith all of the laws: ordinances, rules and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understandin~ 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 regulation6~"~£ the T~own,~fSouthold. '" 4-?' (signature) (print nan]e)