HomeMy WebLinkAboutZ-27492FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27492
Date: 01/02/01
THIS CERTIFIES tlmt the building DWELLING
(aka 817 Flint St.)
Location of Property 110 FLINT ST GREENPORT
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 048 Block 0002
Sutx]ivision FiledMap 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~3MBER Z- 27492 dated JANUARY 2, 2001
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.*
(HAMLET)
Lot 028
The certificate is issued to RICHARD D VANBOLT & ORS
(OWNER)
of the aforesaid building.
SUFFOI~(COUN~fDEPAR~ENTOF}~ALTHAPPROVAL
EL~Ci~ICAL C~TIFICATENO.
PLUMBERS CERTIFICATION DA'I'F~3
*PLEASE SEE ATTACHED INSPECTIONS.A
Rev. 1/81
~2/6/oo
N/A
R 070~92
N/A
~ut~ori zed~ignature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
I&)CATION: 110 FLINT ST
SUBDMSION:
N;%~E OF OWN]~R (S): RICHARD D VA/~BOLT & ORS
OCCUPANCY: SINGLE FAMILY
AD~l'l-r~d3 BY: RICHARD VANBOLT
GREENPORT
MAP NO.: LOT (S)
RICHARD D VANBOLT & ORS
ACCOMPANIED BY: SAME
~Y AV]~II~BI~: SKIFF. CO. TAX F~a_p NO.: 48.-2-28
SOURCE OF REQUEST: RICHARD D VANBOLT & ORS DATE: 01/02/01
DWELLING:
T"fpE OF CONS"I~UCTION: WOOD FRAME # STORIES:
FOUNDATION: CONCRETE
B;~rf~KOO~(S): 1.0 ~I~ R~(S): 1.0
~R~ ~PE: DECK ~PE:
B~EZ~Y: FI~P~CE:
2.0 # EXITS: 2
CRI~NLSPACE:
3RD FLR.: 0
DTILITY RO(O(S): YES
AIRCONDITIONING:
ACCESSORY STRUCTURES:
GARDE, TYPE OF C(~ST.:
SWI~ING POOL:
OTHER:
S'£OP3%GE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CRAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P~: BP#26995Z ~iJ
DATE ON INSPECTION: 11/13/00
TI~ START: 10:35 AM END: 11:16 AM
ia;
TO' .... '-;~, ~ ~q,x~D
TOWN OF 20U'I'U. OL~
i~UILDI~IC
TOWN lbkLL
76~-l$Q2
APPLICATION FOR C~RT%FICATE OF OCCUPANCY
Thi-: appliaari,-,n mu:sc b~: filled in by ,'yp~wr%r,-,r OR ink an~
inupuc-"~r ~i,'~1 th= ~oll,~wing: loc n~w bui!din~ or ~.'.w ua,.:;
ca=pon~ibl= for ch~ building.
"pcc-uxl~in~" land u~Uu:
rua~on~ ~hurafur ia ~r~in~ Co ghu a~pligan~.
Fees
I. Ccrcificaaa of Occupancy - Nee dwelling $25,00, Additions co dwelling
2. C=~=ific~uu uf Oc=upm~cy on Pru-uxi~=~ ~ui~in~ -
4. U{~da=ad C=r=ifiaa~e of 0cau~ancy - $50.00
................
~.~[~ o~ ~,~....~. ~.u...G{~'n~.~.¢.~w~ ................... ~.~~...
~~.~X~ .................................
uo ~a0a, s~o~. P?.¢.~. · .a~o~- · · ~~'°~ .~..G~.-.9.~ .......
?urmiC No ................ Date Of Permit.. - . ........... Applicant .............................
'l~a,Lrh Dcpc. Approval .......................... Ut%d,",rwcicars Approval .........................
'tanninE Board Approval ........................ ~r~--~
h~quczc fur: Temporary Carrifi~a"e ......... Final C~r~ca~a ............
)
O~m~er(s) Name(s)
CONSENT
TO
INSPECTION
do(es) hereby stat(.':
· the undersigned,
That the undersigned (is) (are) the owner(s) of the prdrnises in the Town
~-D'q)or~-----~ , which is shoxma and designated on the Suffolk
County tax map as District 1000, Section 0~ , Block 0,~, Lot Og~ .
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 nece~ssary with respect to the aforesaid application, including inspections
to determine that said premises comply with ali 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 tn the conduct of
such inspections may be used as evidence in subsequent prosecutions for rio-
lations of the laws, ordinances, rules or regul~
Dated:
tszgnahu;ce)
(print
SURVEY OF LOT-'/~
HAP OI= I'6,REENPOI~T ORIVIN~ PARK"
FILED DEC,,. I, IqOq, PILl= No. ~,6q
SITUATE.- ~REENPORT
TOINN, 50UTHOLD
SUFFOLK COUN'F'r', N'r'
SURVEYED 10-16-00
SUFFOLK COUNTY' TAX :~
1000-48-2-28
N
w
$
E
CERTIFIED TO:
HARIO CARRIDO
COI'41'4ONINEAL TH LAND
TITLE IN.?~JRANC, E COI'4PAN"'r'
1o
LOT
q
LOT
S82°47'10,,17,
o 2'5
LOT
LOT
2 ~TOI~y'
FRAME
HOUSE
7'10"W
50.00'
LOT
NOTES:
· i',4ONUPIENT POUNu
AREA = 5,,625 SP OR O.l~. ACRES
®P-,.APHIC SCALE
I"= 20'
¢, L '. ~./,4, ~y
JOHN C. EHLERS LAND ,.~.s.
6 EAST ~AIN STEEET
RIVERflEAD, N.Y. 11901
369-8288 Fax 369-8287 REFAXHp scrverXdXPROSX20-268a.pr°