HomeMy WebLinkAboutZ-24313No Z-24313
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date APRIL 29, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 205 MAIN ST. & 1220 WILMARTH AVE. GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 41 Block 1 Lot 12
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-24313 dated APRIL 29, 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 DWELLING WITH ACCESSORY TWO CAR GARAGE
The certificate is issued to HALSEY A. STAPLES
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECT
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION• 205 MAIN STREET & 1220 WILMARTH AVE. GREENPORT, N.Y.
number 6 street (municipality)
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) HALSEY A. STAPLES
OCCUPANCY SINGLE FAMILY WITH COMMERCIAL USE
type owner -tenant)
ADMITTED BY: HALSEY A. STAPLES ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-41-1-12
SOURCE OF REQUEST: HALSEY A. STAPLES
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME
FOUNDATION CEMENT CELLAR PARTIAL
TOTAL ROOMS: IST FLR. 3 2ND FLR. 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s)
PORCH TYPE SIDE COVERED DECK, TYPE
BREEZEWAY FIREPLACE
DOMESTIC HOTWATER gg TYPE HEATER LILCO GAS
TYPE HEAT LILCO GAS WARM AIR II
OTHER: (2) 2ND STORY STORAGE ROOMS
ACCR99nRY STRIiCTIIRRC e
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
DATE: APRIL 3, 1996
/ STORIES 1-1/2 / E%ITS 2
CRAWL SPACE
UTILITY ROOM IST FLOOR OFFICE ROOM
PATIO
GARAGE
AIRCONDITIONING
HOTWATER
2 CAR BLOCK, STORAGE, TYPE CONST.
, GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY
JOHN M. BOUFIS
DATE OF INSPECTION APRIL 25, 1996
TIME START 10:00 AM END 10:20 AM
V rv.m nv, v
TOWN OF SOUTD
BUILDING DEPARTMENT
TOWN 1lALL !
765-1802 lM -8
APPLICATION FOR -CERTIFICATE OF OCCUPANCY BLDG.pEpT
TOWN OF SOUTHOI_f?
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 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 17. 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.
B. 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 of Occupancy is denied, the Building Inspector shall state the
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 Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial. $15.00
Date AL) -V -l..3 ........1��.6 ..................
New Construction........,.. Old Or Pre-ex/istin�4 lding..X..............
Locgtion of Property... #.*..* i� � ./I(1 .�i":;vi Stre�t�............Gr.p,@Vppr.t..........
/ONOHouse No. Street Hamlet
Onwer or Owners of Property Halsey. A. Staples _ _6.
County Tax Map No 1000, Section..Q41e
OO,,,,,B1ock....Qlr
OO,,,,,,Lot„ O>,4fQ00,,,_,,,,,,
Subdivision.F1�1�.P ..19j�$h�Ag�S4P.
Heights ,,,,,Filed
Map„651„
,Lot,)and 0]44.000
... ..,1}41 .....:.......
.
Permit No....;......:...Date Of
Permit................Applicant............................
health Dept. Approval.....,,,..,, .... * ......... Underwriters Approval...... I.................
Planning Board Approval .......................0
Request for: Temporary Certificate.:.,....,.. Final Certicate...XX������
• ..
Fee Submitted: $ „ 100�00...............�.,,,
• S>>5� APPLIC�
Ce -?L -)93/3
CONSENT
TO
iNSPRCTION
PAM
i
BLDG. DEPT.
NA A; CiF SQI;?s; R
� uTLI
Halsey A. Staples the undersigned,
Owners) N;Lme(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at Main Street, Greenport, New York
which is shown and designated on the Suffolk
County tax map as District 1000, Section 041 Block 01.00, Lot 012.00Q and
4.000
That the undersigned (has) (have) filed, or caused to be filed. an applica-
tion in the Southold Town Building Inspectors Office for the following:
e
commercial building with detached storage shed
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 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: April 3, , 1996
1 �"
Sip
signature)
Halsey A. Staples
(print name)
(signature)
(print name)
I osiino�o M
{
{
'w'►trf'{,`�i?'�;•-i. T`v;r °els.,);
O t of
---_ - -A43 '54
I <- 15TCt<l' STEPS lato�
co�c:a�vErt FR. ! tC- �QNc. PC�2WFc.R[N.WIT1in
PXOrE0 ENTQ.Y
1
Uri
_01,4C WkLVE
to / -t D rn
n ; CONCH. VQIV E SFQI ps
TQTES :
i -LOT�'
_ N C5. tEFSs TO MAP C11F 1J,+i5N!tiGTCN HEtC7tiT5
FILED IW T;4 co c - �_
_ SUFF. _ _ LEuE�fS G���ic►r. RS MAP 651.
5UFC CC}. TAX MAP BATA 000 041-1-12 f 4
NAMPUN PLACE
MAP OF
SURVEYED FO re
Ok
! /r
i
/ SCALE 40'- l"
AREA= I?,250 S.F.
fi' CQ � MOWUMENT
AS SUQVEY'p MAt2. 31y996
fZOpEQ!CV
LOCATION:
SUBDIVISION
NAME OF OWNEI (s )
OCCl1PAIA',
s
ADMITTED BY: --1e
KEY AVAILABLE
SOURCE OF REQUEST:
BUILDING DEIPAR'I'MENT
TOWN OF SOUTHOLD
nous LNG COUE INSPECTION REPORT
1
(niunlc pali.t
number_b street
MAP NO.
P�
owner-ten.i}nt)
_
ACCOMPANIED BY: /�SVe;r
CO. 'TAX MAP NO._ — — /; -�
uwuI,iIlnc: �
TYPE OF CONSTRUCTION _ ^ ,,L F STORIES /? RXITS v
FOUNDATION � CELLAR___CRAWL. SPACE
TO'T'AL. ROOMS: IST FI.R. _2ND FLR. 3RD DLit.
IIATINtooM TOILET ROOM (s) �— — U'TuaTY Itooki �
PUltCll 'TYPE X1,0 DECK, 'TYPE --- PATIO
UREE7.EWAY FIREPLACE GARAGE _
DOMESTIC I10T'WATP.R -_7�_ TYPE HEATERL/ �Go �,�� AIRCONDI'TLONING
TYPE HEAT %Gp a -Al -S WARM AIR 110TWATGR —
OTIIER:
ACCESSOIY STRUCTURES:
GARAGE, 'TYPE OF CONST.A &4 8/6 � NIV STORAGE, 'TYPE CONST.
SWIMMING POOL GUES'T', TYPE.CONST.
0 rmit : --
--------------------------------------------------------------------------------
-----------7----------------------------------------------
VLOLA'T10NS: CIIAPITR 45 N.Y. STATE uNIFORM FIRE PREVENTION & BUILDING CODE
RRtIARKS :
INSPECTED BY
DA'1'li .OF INSPECTION
r
TIME START ���j,� END / D: 7-0--