HomeMy WebLinkAboutZ-22045FORM NO. 4
ToWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, New York
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Z-22045
No. Date:
TUIS CERTIFIES that the building
Location of Property 54365 COUNTY ROAD ~48
House No. Street
County Tax Map No. 1000 Section 52 Block
Subdivision Filed Map No.
DECEMBER 17, 1992
ONE FAMILY DWELLING
GREENPORT, N.Y.
Hamlet
I Lot 7
Lot No.
conforms substantially to the Requirements for a One Faraily Belling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-22045 dated DECEMBER 17, 1992
was issued, and conforms to all of the requirements of the applicable
provisions of the la~. The occupancy for which this certificate is issued
is ONE FAMILY DWELLING WITH ACCESSORY TWO CAR GARAGE *
The certificate is issued to
DORIS SHERMAN et al
of the aforesaid building.
(o~ner)
SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS cERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED: N/A
*PLEASE SEE ATTACRED INSPECTION REPORT.
Rev. 1/81
Location
BUI~DI:,G DEP.~,T:'~?;T
TO':g,! OF SOUTHOLD, N. Y.
HOUSIHG CODE IHSPECTION REPORT
54365 COUNTY ROAD ~48 GREENPORT, NE~/ YORK
~n~mocr ~ s~ree=)
Subdivision
N~me of Owner(s)
Occupancy
~Iap No.
DORIS SBERMAN et al
A-i Res.
~i,iunlcipa±i~y)
Ad,,mitted by:
Key ~vailabl e
Source of request
l~ype)
MARILYN NORKELUN
~ owner- uenanz )
Accompanied by: SAME
Suffolk Co. Tax No. 1000-52-1-7
PRICE, A'I~I'Y'" ·
Date DEC. 7, 1992
D~'~LLI~:
Type of construction
Foundation CEMEICr
Total rooms, let. F1
Bathroom(s) ONE
WOOD F~ #stories
Ce!!ar FULL Crawl space
6 2nd. Fi 4 3rd. FI
Toilet room(s) 01~
Porch, type FRONT & BACK Deck, t-fpe
Breezeway Garage
Type Heat OIL 'Warm Air
Fireplace(s) ONE No. F~¢it s
Domestic hotwater YEs
Other NO HEAT 2ND FLOOR
Patio, type__
Utility room
.Ho~ater SXgi~
2 Airconditioning
ELECTRIC
Type heater
ACCESSORY STRUCTURES:
Garage, type const. 2 CA~ WOOD
Swim~ing pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS:
Lncation
.CHAPTEK 45--N.Y. STATE UNIFORM FIRE PI~EVENTION & BUILDING CODE
Descrio~i0n [-Art.'[ Sec.
If'
Remarks: BP ~2115n3 - CO Z-_ 22044 FOR DECK ADDITION
Inspected by: /~.~/~ ',/~~ Date of Insp. DEC. I?, 1992
FIS~
Time start 9:30 end 9:50
Form
TOWN OF SOUTttOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
. A?PL~CATION FOa. CEaT~F~CATE OF OCCUPANCY
This application must be filled in by typewriter OR ink' and submitted to the
inspector w~th the following: for new buildAng or new use:
1. Final survey of property with accurate location of all buildings, property
s~re~s, and unusual natural or topographic features.
2. Final Approval from Health Dept,~ of water ~upply and sew~rage-dis~.osal(S-9 f~).
3. Approval of electrical installation from Board of Flr~ Underwriters.
4. ~worn state,eh= from plumber cer~ifying that ~he solder used in system
less than 2/10 of 1% lead. "
5. Co~ercial building, indus, trial building, multi,lc residences and s~llar buddings
amd installations~ a certificate of Cod~ Com~lianc~ from~ar=hiteC= or
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 o£ 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-existimg Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
~. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date D ember .5 1.9.9.2 .
New Construction ........... Old Or Pre-existing Building..YJ~ ............
pti ty Route 48 GreenDort, N..e.w York, 11944
Loc on of Proper .... ..... ,
House No. Street Hamlet
O 0 f Prop ty Doris Sherman ,e.t.a..1
nwer or whets o er ......................~. . .....................................
County Tax Map No 1000, Section..Q~ ......... Block .... ~ .......... Lot...~Q7 ................
SubdiVision .................................... Filed Map ............ Lot ............. ; ........
Permit No ................ Date Of Permit ................ Applicant .............................
Realth Dept Approval Underwriters Approval
Planning Board Approval ........................
Request for: .Temp°rary Certificate ........... Final Certicate...y~ .... ..
Fee Submitted~ $. · 100.00 ' ~,,,,,..~~
CONSENT
TO..
iNSPP. CTION
William H. Price, Jr., Esc~., a,~torne¥, f.o]/ , 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 Route 48, Sou~hold~ New York
· which is shown nnd designated on the Suffolk
County tax map as District 1000, Section 052 . Block 01 . Lot 007 .
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:
two story frame house .wit.h detached Garage
and wood deck
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
knowled~_e 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 re,elations of the To%vn of Southold.
Dated:~ De~ember 7 , 1992 ~~ ...
William H. Pr.i~r Jr., Esq.
(print name)
(sigh'stere)
(print name)
I-OIN G 15 b^r',iD ~/3Ul'~ 0
R.58"F~'20"E. GO.CO
d
hlAP OF
5U iD. VEYEI) FOI:4.
iSABEL JEAN ALLCO-[7
ET AL
A'f'
.................. AP.E, 14A mO r,'iOq~_L__-" ....
To_w_~_~a.E ~..U'C~9.b?,b.Y..
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