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
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f'YIAP O~r
TOWN OF