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Home My WebLink AboutZ-14131FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z. 1.4. 1. .3.1 .......... Date . .J.~.n.u. ~..~.y..2. ..................... 1986 THIS CERTIFIES that t he buil ding .... O. ~ .E.. F...A ~.~.L. ~...D ~.E.L..L .~ .Nfl... .................... Location of Property 3955 BAYSHORE DRIVE GREENPORT County Tax Map No. 1000 Section . .. 5.3 ....... Block . .6. ............ Lot ... ! .9 ............ Subdivision· .~E..C.0.[~.C...B.fi.~...E.S.T.~ .T.E ........ Filed Map No ......... Lot No .............. ~ REQ~I~RE~NT~S FOR A PRIVATE ONE-FAMILY DWELLING BUILT PRIOR TO conlorms suos[antlany to the .t~l>~0~tli~l~ Y~X ~0t~ffi~ )P~ffrffi[ X~lff~lf~t~Xffilf~I)ffi[ ~gig Yo~tYm~)(oVa~l CERTIFICATE OF OCCUPANCY dated ...d.~.N. tJ..~.R.Y..2. ............... 1¢3.6. . , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tlfis certificate is issued is ......... 2 CAR GARAGE ACC¥. , GRZE i OUSE WrT STORAGE BUILDING The certificate is issued to C. RUSSELL SPINA of the aforesaid building· Suffolk County Department of Health Approval ....... ~ 9..R.E.C. 9.8.I3. ........................ UNDERWRITERS CERTIFICATE NO. NO RECORB Building Inspector Rev. 1/81 Location Subdivision FECONIC BAY ESTATE BUILDING DEP~LRTI'~?[T · TOW OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT BAYSHORE DRIVE GREENPORT (num0er & street) Map No. (Municipality) Lot(s) 70-71-72 Name of Owner(s) C. RUSSELL SFINA Occupancy R-~ (type) Admitted byMx~, SPINA OWNER ( owner- V enant) Accompanied by: SAME Key available Suffolk Co. Tax No.53-6-19 Source of request MR. SPINA Date 12/23/85 DYgLLING: Type o£ construction Foundation CEMENT BLOCK Total rooms, 1st. F1 ) Bathroom(s) 2 Porch, type screened Breezewa~ Type Heat OIL FIRED Fireplace(s), 2 WOOD FRAMES #storie~NE Cellar PARTIALCrawl space REST 2nd. F1 3rd. F1 Toilet room(s) Deck, type Garage 'Warm Air No. F~i%s 3 Patio, type Utility room Hotwatem xx Airconditioning Domestic hotwater YES-2 ~ype heaterTANKLESS & ELECTRIC Other.. F~ONT ~O~CH, GLASS, ROOF OVER ACCESSORY STRUCTURES: Garage, type const. 2 car Storage, type const. Swimming pool Guest, type const. Other OUTSIDE FIREPLACE, GREEN HOUSE WITH STORAGE BUILDING g ~ar gyrate has one roo~, fireplace and bathroom VIOLATIONS: Location Housing Code Chapter 45 N.Y. Stat¢.U~nifor~m=Fire Prevention ' & B~i~±minq ~ome . . Description I Art. I Sec. Remarks: Inspected by: Date of Insp. DEC. 27. CURTIS W. HORTON 'Time start 12:30 end 1985 1:15 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ... ~,. ............ ;, ........ New Building ............. Old or Pre-existing Building ...~.. ...... Vacant Land ............. Location of Property..~7.~?.5... House No. (~-~ Street- y H~,~t Owner or Owners of Property ..... ~...L .~.,f,-/,,~-~,. ~. J.~.... ~ ./~. · . .~'~4::%~ .................... County Tax Map No. 1000 section ...~..~ .... · .'~?./~lock ...... V.. ~ .... Lot ..... /./. ...... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .Applicant .~ .~..~...~....~--5/...~-~....~..~ .~::~ ...... Health Dept. Approval ........................ Labor Dept. Approval ....... , ................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate Final Certificate .... ~ ............... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ...... C, .' ~?..~..~.....~. ~/~..~..<,~,...: ............... Rev. 10-10-78 ' ',3 /gLO , q) C ~"l~'''''_ .............. /~ ~? AiP. SHA MOMA Q U£ Lt'ceet~wd Lttrt,d CONSENT TO INSPECTION Owner(B) Name(s) do(es) hereby state: · the undersigned, 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,~'~. Block ~ , Lot /~ 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 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 knowledge and understanding lhat 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: Term EY4~lm~ Mar~l ~0, 1 a ~ ' (signature) (print name) (signature) (print name)