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HomeMy WebLinkAboutZ-24570FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING C~RTIFICATE OF OCCUPANCY No Z-24570 Date August 13, 1996 THIS CERTIFIES that the building ONE FAMILY DNELLINC Location of Property 62675 ~ounty Road 48, Green~ort House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 1 Lot 9 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-24570 dated August 13, 1996 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 dwellin~ * The certificate is issued to of the aforesaid building. Helene J. Scbm~dt (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspect~~ Rev. 1/81 ~ LOCATION: 62675 County Road 48, (number & street) SUBDIVISION NAHE OF OWNER (s) BUILDING DEPARTHENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT Greenport HAP NO. Helene J, Sehmidt ~municipality) I.OT(s) OCCUPANCY S~n§le Family (type) ADHITTED BY: Lynda Lee Spangel KEY AVAILABLE SOURCE OF REQUEST: John T. Schmidt (o~ner-tenant) ACCOHPANIED BY: Smne SUFF.CO. TAX HAP NO. 1000-40-I-9 DATE: August 1996 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOHS: BATHROOH (s) PORCH TYPE BREEZEWAY DOHESTIC NOT~ATER TYPE HEAT Oil OTHER: Front Foyer Wood Frame ~ STORIES I ~ EXITS 7 C.B. CELLAR Full CRAI4L SPACE IST FLR. 6 2ND FLR .... = 3RD FLR. 2 TOILET ROOH (s) 2 UTILITY Rear Wraparound Rnciosed DECK, TYPE P~FIO FIREPLACE 2 GARAGE 2 Car Under X TYPE HEATER Oil Fired AIRCONDITIONING WAIOI AIR HOT~/ATER X ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWI~flqING POOL OTHER: STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOIOi FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DATE OF INSPECTION August 12, 1996 TIHE START 9:45 END 10:20 BLDG. DFpT. TOWN OF gOUTHO[D Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~.~' A?PLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building ctor with the following: for new building or new use: inal 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 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 n~ 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 c',f 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-existint Buildine - $100.00 3. Copy of Certificate of Occupancy - , .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date..ApGUS~.. ..1~...199{ ............................ tew Construction ........... Old Or Pre-existing Building ................. Location of Property..!~ .c?~ ??~ }~. ! .m~., ~9~. ~9 .AD)z. q~.s~qaL' ~W. ~,.. ~a9.4~ ................ aouse No. Street · Hamlet ),wer or Owners of Property.. H.~.L.E.N?.J.: .SC..HM.?.T.,.C/.O.J.O..HN..S.C~.D.T, .~.S.Q.Ut~ ........................... :ounty Tax Map No 1000, Section .... !~ ........ Block ...... 1 .......... Lot ........ 9 ............. ~ubdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... _l"'e.c , ,,_,C I 77¢ . . . ....... ............ ? J'UL :31 '96 15:48 511~4"~241,6 PaGE.U2 CONSENT TO INSPECTION HELENE J. SCHMIDT, C/O JOHN SCHMIIIT, ESQUIRE · ihe undersigned. Owner(s) Name(s) do(es) hereby state: Thai the undersigned (is) (are) the owner(s) of the premises in file Tow~ of Southold located at 62675 COUNTRY ROAD 48 (AKA NORTH ROAD), GREENPORT, NEN YORK. t~_9~4 . which is shown and designated on the Suffolk County tax map as District 1000, Section 40 , Block 1 , Lot 9 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: ~ That tbs 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 regulation~ of the Town of Southold. The undereLgned, in consenting to such inspections, do(es) so with the knowledge and understanding that any h~formatlon obtained in the conduct of such i~spections may be used as evidence in subsequent prosecutions for latinns of the laws. ordLnances, rules or regulatio~of lhe Town of Sou~,thold. JOHN SCHMIDT FOR HELENE J. SCHMIDT (print name) (sl~nsture) (print name) JlJt 31 '96 15:48 516~972416 PflGE. 03 // f'YIAP O~r TOWN OF