HomeMy WebLinkAboutZ-23094FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
FICATE OF OCCUPANCY
No Z-23094 Date JULY 12,1994
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1600 SOUND DRIVE (ARA #58 SOUND ROAD), GREENPORT NY
House No. Street Hamlet
County Tax Map No. 1000 Section 33 Block 4 Lot 81
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-23094 dated JULY 12, 1994
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 A ONE FAMILY DWELLING WITH ACCESSORY STORAGE SHED.
The certificate is issued to AUGUSTUS STRAUSSNER & WIFE
(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 INSPECTION REPORT.
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1600 SOUND DRIVE GREENPORT
number h street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) AUGUSTUS STRAUSSNER h WIFE
OCCUPANCY SINGLE FAMILY DWELLING OWNER
type owner -tenant)
ADMITTED BY: MARYANN BOLLMAN ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-33-4-81
SOURCE
000- - -
SOURCE OF REQUEST: MARIE ONGIONI DATE. 7/1/94
DWELLING:
TYPE OF CONSTRUCTION WOOD CONSTRUCTION # STORIES 2 # EXITS 3
FOUNDATION
CEMENT BLOCK
CELLAR FULL
CRAWL SPACE
TOTAL ROOMS:
IST FLR.
4 2ND FLR. 2 3RD
FLR.
BATHROOM (s)
ONE
TOILET ROOM (s) ONE
UTILITY ROOM
PORCH TYPE
FRONT COVERED
DECK, TYPE PATIO
BREEZEWAY
FIREPLACE
GARAGE
DOMESTIC HOTWATER YES
TYPE HEATER OIL - OFF
BOILER AIRCONDITIONING _
TYPE HEAT
OIL
WARM AIR
HOTWATER YES
OTHER: FRONT FOYER h REAR
FOYER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. 1 CAR - WOOD FRAME STORAGE, TYPE CONST. SHED WOOD FRAME (EXISTING)
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
V-WLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION A BUILDING CODE
LOGATION DESCRIPTION I ART. SEC.
REMARKS: BP#897hZ - CO#Z7391 - Al
a
INSPECTED BY DATE OF INSPECTION 7/7/94
J M. BOUFIS TIME START 9:45 END 10:05
Form No. 6
D TOWN OF SOUTHOLD
BUILDING DEPARTMENT
j` ,IUN
30 L99A
TOS1N HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 19 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:
I. 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 - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15{.00, Commercial $15.00
fil
Date ........!.....7//!. ...................
New Construction........... Old Or Pre-exists Building....-,...........
Location of Property..'..C/LGkII................................................
House No. Street Hamlet
Onwer or Owners of Property.....!+t!�K!;!.E..,.5-07xtt,t'illia.,,,,,,,,,,,,,,,,,,,,,,,,,,,,
County Tax Map No 1000, SectiCoon:4� .... Block ... 09..y.....Lot...'F. f/...........
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant ..............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $.............................
APPLICANT•
CONSENT
TO
INSPECTION
Al- 7i ::7r
wner(s) Names
do(es) hereby state:
Fa R@a8VI
JUN 3 0 IM 1
L C. the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
14
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 33, 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 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:
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(sign ure)�s�
(print name)
(signature)
(print name)
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SUFF.co-TA& DATA: 1000 - 0,53-4 - 81
LIC-LANVIsuz/vOores
GREENPORT, NY
LOCATION:VC-/U
nu
SUBDIVISION
NAME OF OWNER
OCCUPANCY
ty
ADMITTED BY:
KEY AVAILABL
SOURCE OF REQUEST:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOU�SSING CODE INSPECTION
& street
MAP NO.
l (municipality
LOT(s)
^ UC
owner -tenant
ACCOMPANIED BY: J;{ owj
A% MAP NO. 1E36Li 3 3 _ g
DATE : 7
LWLLLING: t
TYPE OF CONSTRUCTION �L/��G # STORIES o� # E%ITS
FOUNDATION PN ��.� CELLAR CRAWL SPACEyru t
TOTAL ROOMS: IST FLR. 2ND FLR.- 3RD FLR. ,,,�99
BATHROOM (s) f�/j�J TOILET ROOM (s) O AI-rL UTILITY ROOM /!/Q)(l -e—
PORCH TYPE DECK, TYPE PATIO
BREEZEWAY PU FIREPLACE O dO F GARAGE
DOMESTIC HOTWATER S TYPE HEATER --
TYPE HEAT / f WARM AIR ,.HO�TWATER yQ s
OTHER: Oy .V�
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.lJpcCr&� STORAGE, TYPE CONST. zg� s�
SWIMMING POOL GUEST, TYPE CONST. �-----_
OTHER:
V_U)j.ATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
INSPECTED BY