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Home My WebLink AboutZ-26095FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26095 THIS CERTIFIES that the building DWELLING Date: 11/09/98 Location of Property 75795 MAIN RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 045 Block 0007 Lot 005.003 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- 26095 dated NOVEMBER 9, 1998 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 GARAGE. The certificate is issued to ANCE C. & DELORES SHELBY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 SUBDIVISION: BUILDING DEPARTMENT TOWN OF SOUTHOLD MAP NO.: LOT (S) NAME OF OWNER (S): ANCR C. & DELORES SHELBY OCCUPANCY: A-1 RESIDENTIAL ANCE C. & DE ORES SHELBY ADMITTED BY: BRIAN SHELBY ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 45,-7-5.3 SOURCE OF REQUEST: BRIAN SHELBY - 9/28/98 DATE: 11/09/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: �. 2ND FLR.: 3RD FLR.: _q_ BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): ** PORCH TYPE: FRONT ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: ** REAR OF HOUSE WASHER & DRYER GARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: OTHER: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ! DESCRIPTION ! ART. ! SEC. ACCESSORY ROOFS SHALL BE MAINTAINED IN A WATERTIGHT i NYCRR i VOL 9B GARAGE i CONDITION i 1242.5 (D) STRUCTURAL MEMBERS SHALL BE PROTECTED AND MAINTAINED TO RESIST AND PREVENT DETERIORATION i 1242.7 (A) REMARKS: INSPECTE GARY J. DATE ON INSPECTION: 10/07/98 TIME START: 10:25 AM END: 10:55 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buil( inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lir streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fox 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buil 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 '-'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 applic: If a Certificate of Occupancy is denied, the Building Inspector shall state th( reasons therefor in writing to the applicant. C. 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-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - _ -250. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $115.00, Commercial $15.00 Date ....... !.. .... --9.� .......... . New Construction....... .. Old Or Pre-existing Building..X............ Location of Property.... ?�;?o.. f-%) .(&9EY.Y PL?je ................ House No. Street Hamlet Onwer or Owners of Property—Ve/oxfs..She/h 44 ..................................... County Tax Map No 1000, Section ..;.J ......... Block ................Lot.r3.... .... Subdivision....................................Filed Map ............ Lot ........... . .... Permit No................Date Of Permit ................ Applicant ................. HealthDept. Approval..........................Underwriters Approval.................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted:$. �.rr................. -553r .............. ............. C/'Q �Q�✓ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of !'IF I4. F I' l i� _rll , .,: ' ._ Rv T S 'REFT , CREENVCTT , NV in the following location; El Basement ❑M Ist FL M 2nd Fl. Section Block Lot was examined on 1-,1''.'�':E:R I. , iqq�. and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCE Tj FLUORESCENT OTHER AMT, K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. OUTLETS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKSBELL TRANS. UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS AMT. K.W. OIL X.P. GAS H.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. AMT. H. P. AMT. WATTS SERVICE DISCONNECT NO. OF METER EQUIP. S E R V I C E AMT. AMP. TYPE 1 0 2W I 0 3W 3 R 3W 3 0 4W NO. OF CC COND. pER 0 A. W. G. OF CC. GOND. NO. OF HI-LEG A. W. G. OF H1 LEG NO. OF NEUTRALS A. W. G. OF NEUTRAL OTHER APPARATUS: t t_I t11 p rlrn..y•rpe. ••A elm ca cu.:Ve S' ild.:_ been ITIadP ^f titer cxposf'd D!,rDPE "HELEY L L .: ;:F m kl7"V_ T r.�.. ' GP BEN,! U} _' . Ni . 1.1941 GENERAL MANAGER 11 LL Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their cred COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Title No.07-96390 yam/'%' _.o 1111 WASHINGTON DRIVE / �" Z� ?HONE CENTERPORT, N.Y. 11721 LAND SURVEYOR (516, 423-0117 UC. NO. 46021 /`PZL 0i ntWr` tZ TITLE SURVEY FOR ANCF, k DOLORES STELBY GUARANTEED TO AMERICAN TITLE ITIS. CO. F.1I.Ao SOLID STATE FUNDING CORP. AS SHOWN BLOCK .4c� � LOT(s) p�,,t J I� l MAP OF PROPERTY Q LOCATION GREENPORT, TOWN OF SOUTHOLD, SUFFOLK CO. N.Y. SCALE lin .- 30 ft, DATE 10/21/79 F NOTE; Pio ESTABLISHED GRAPE. STREET MAINTAINED BY TOWN. I �✓-thee/ 0,5/rich0 I N 6.4033[40"E 180.'95 •i Y � f U 9 20.3 a I � � 1 I r. 0 � �y Q r. J � O FSA Cj a i i r\ a I O � � OI 3 /Az 5fn Q) / rti j S89°33,30"w /. 5/ la/ 60./B FRONT S/ 5 i r. 0 �y N 1 r. FSA Cj i i r\ I O � /Az 5fn Q) / rti j $B 2F/ /. 5/ m S/ 5 a /80.[95 S TREE T CONSENT TO INSPECTION )G /ore5 and Br, an-c5)ieI4 the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at which is shown and designated on the Suffolk County tax map as District 1000, Section 'VV , Block % , Lot Y. 3 . That the undersigned (has) (have) filed, r caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Fre - C, O fog .fou 5 E- .q n.b 61 9RP9 a ( 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, Irules 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: (signature) )q A.) -S 4 EL6 (print name) (signature) (print name) BUILDING DEPAR111ENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: number` & street SUBDIVISION NAME OF OWNER (s) OCCUPANCY ADMITTED BY: KEY AVAILABLE SOURCE OF REQUEST: .municipality MAP N0. LOT (s) ACCOMPANIED BY: SUFF . CO. TAX MAP NO. 1c96 — CFS — DATE : DWELLING: TYPE OF CONSTRUCTION # STORIES `rte # EXITS FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FI.R. 2ND FLR. J 3RD FLR. �— BATHROOM (s) / TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC IIOTWATER -,' TYPE HEATER AIRCONDITIONING TYPE HEAT OTHER: WARM AIR HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. W STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: VIO[.ATIONS: CHAPTER 45, N.X. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ti��;��n rocs IIISI'ECTED BY: d DATE ON INSI'CCTTON TIME START