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Home My WebLink AboutZ-28512 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28512 Date: 06/12/02 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 3805 BAY SHORE RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 053 Block 0006 Lot 018 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- 28512 dated DUNE 12, 2002 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 SLATE PATIO AND ACCESSORY TWO CAR GARAGE. -- The certificate is issued to ANNA MARCHHART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPO Authorized Si ature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3805 BAY SHORE RD GREENPORT SUBDIVISION: MAP NO LOT (S) NAME OF OWNER (S) : ANNA MARCHHART OCCUPANCY: SINGLE FAMILY ANNA MARCHHART ADMITTED BY: PAUL HEFFERNAN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO_ TAX MAP NO.: 53.-6-18 SOURCE OF REQUEST: PAUL J HEFFERNAN DATE: 06 12 02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 6 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: ENTRY WAY DECK TYPE: PATIO TYPE: SLATE BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: X TYPE HEATER: OIL AIRCONDITIONING: CENTRAL TYPE HEAT: OIL WARM AIR: X HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: TWO CAR WOOD * STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: * exterior tiolet room and bathroom - rooms above garage`; with barh (no kitchen) family use VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: BP#9423 ADD CO#Z-19033 INSPECTED BY: DATE ON INSPECTION: 06/04/02 HN M BOUFIS TIME START: 9:50AM END: 10:25AM Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 th 410..of 1Yo lead......._....._._ 5. Commercial building, industrial building,multiple residences and similar buildings and 1 jall Fri tiO4s,a certif%cate ' of Code Compliance from architect or engineer responsible for the building. t 6. Submit Planning Board Approval of completed site plan requirements. t j MAY 2 8 2002 ; B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and" re-existing"land uses: f 1. Accurate survey of property showing all property lines, streets,building and unusual na ural or to alii T. features. 1sc�,= �u ,,-Ls_"t,T E�rp 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial$15.00 Date. — c2 New Construction: Old or Pre-existing Building: —4—:i(check one)- YI)qVQ Location of Property: 6/ 1/"'71 N1, 0QZ, IV House No. Street( l Hamlet Afmn (� Owner or Owners of Property: 1� "IAe `F^ Suffolk County Tax Map No 1000, Section _ Block�0 Lot Subdivision � N Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: - Underwriters Approval: 1'- Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) . Fee Submitted: $ ►(� G Clap li Suture JL wT 141K0' 230 45 • -� � t1y � c�4� of� � - Ci V11 �l8Q f;ICd trc +V4 Su ` !'c Gec.ri� MAP,6.F- LAND SiJRtilEYEu Fop- ; _ i - _ _ - �+::+�-3c C�rtcl `#v`�+.•�i �j'it{_s. vuarc +�fe�• � � .. .AT - �:oH-p�►+� dam- �e.;rv,e}�s,� Ju��2.i�4.9°`�' TVY 3at�s .AIDS}•-!A' + �s... `�� - 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: _ lei, DATE . INSPECTO r i I' CONSENT TO INSPECTION i the undersigned, Ownc (s) Name(s) do(es) hereby slate: That the undersigned (is) ( .) the ownerft of the premises in the Town i of Southold located at which is shown and designated on the Suffolk. County tax map as District 1000, Section b_, Block �, Lot That the u Idersigned (has) (have) filed, -or caused to be filed, an applica- tion in-the Sout old Town Building lnspc;c" C"ri-., ram. +hp fn11nwinjZ: I That the undersigned do(es) hereby give consent to the BuildingInspectors p ctors of the Town of Southold to enter upon the above described property, including I any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, includin "inspections i to determine that said premises comply with all of the laws, ordinances, rules I and regulations'of the Town of Southold. The under ligned, in consenting to such inspections,. do(es) so with the I knowledge and understanding that any information obtained In the conduct of such inspections maybe used as evidence in subsequent prosecutions for vio- lations of, the laws, ordinances, rules or regulations of the Town of Southold. i D 'lted: �_ � (s Lure) " (print name) fil[&*Lw�w (signatu e) (print name) I I I I i I TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET C),' VILLAGE DIST. SUB. LOT:I'- t , ER OW Elftaf►k�+' m rA� N. E ACR. rt:_ i a a&'�'Z4U L)/ r �n n S W TYPE OF BUILDINGl E : �ab SEAS. VL. FARM COMM. CB. MISC. Mkt. Value -- LAND IMP. TOTAL DATE . REMARKS. r ' / 7A /Z Z q D33 Ca' a a r? kp, n 9 d3 Z 73LZ Epp i e dv v is &-ri ,f o—Ld1�1' l—z1'�r�a fa 1�larch hQ�fte .395,E®c3 � � sz2 112- MCI r0hae AGE BUILDING CONDITION 14EW NORMAL BELOW ABOVE =ARM Acre Value Per Value Acre illable 1 illable 2 illable 3 foodland wampland FRONTAGE ON WATER ✓ 00 > 3 -;2'a y ushland FRONTAGE ON ROAD + ouse Plot DEPTH ZZJ BULKHEAD �tal DOCK MENSINSINNINESINNE■■■ MEEMEN�s ■■■■■■■■■■■■■■■■■■■■■■■■■■■;. S K sefi.lgc A a 8 ■■■■■■�!l.G�■■■■■■■■■■■■■■■■■■r w - ■■■ INVE N lei■■■■■■■■■■■■■■■■ ._ ■■■■,10Elm ■■■21■E■■■■■■■N■PJ■ „� ■■■■■■■ i■■■■■■■■■■■■■■■■Basement Foundation /) Ext. Walls Interior Finish Fire Place Rooms 1st Floor Recreation Room Rooms 2nd Floor, Dormer Driveway LOCATION: (number&str et) v (municipality) SUBDIVISION: 4 MAP NO.: . LOT($): NAME OF OWNER(S): &4— �¢ OCCUPANCY: (t e) // (owner-tenant) ADMITTED BY: ��- aAACCOMPANIED BY: KEY AVAILABLE: „. SUFF. C/O. TAX MAP NO. 1 00- �—�� SOURCE OF REQUEST: DATE: z� U DWELLING: �/ TYPE OF CONSTRUCTION: �� #STORIES: Ole— #EXITS: FOUNDATION: t CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: — BATHROOM(S): A- TOILET ROOM(S): — UTILITY ROOM: ---- PORCH TYPE: DECK, TYPE: PATIO, TYPE: . BREEZEWAY: FIREPLACE: Od l- GARAGE: DOMESTIC HOTWATER:.�_ TYPE HEATER: // AIRCONDITIONING: TYPE HEAT:. WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: 9� GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIM G POOL: GUEST, TYPE CONST: OTHE .r VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION&BUILDING CODE LOCATIO DESCRIPTION. ART. SEC. - A d, lam°° .� U'"`? �sfi"F✓�i !'c?.- ��... �.�..,�-,�G� /O G��GI�• � l� / d REMARKS: INSPECTED B DATE ON INSPECTION: TIME START: i r END:. �O l