HomeMy WebLinkAboutZ-20373 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-20373 Date DECEMBER 6, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property, 75400 MAIN RD. (A/K/A 811 MAIN RD) GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section, 48 Block 1 Lot 5..1
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-20373 dated DECEMBER 6, 1991
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 WOOD FRAME GARAGE
The certificate is issued to JOAN RICHTER & ELIZABETH DAVIS.
(owners)
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.
wilding Inspector
Rev. 1/81
BUILDI:rQ DEP,,gT:-E-'T
TO:+id OF SOUTHOLD, N. Y.
HOUSING CODE, INSPECTION REPORT
Location 75400 MAIN ROAD GREENPORT, N.Y.
krumoer & s Lree-t) ki•iunicipaiiLy)
Subdivision Map No. Lot(s)
Name of Owner(s) JEAN RICHTER & ANO
Occupancy A-1 Res. OWNER .
(type) owner-LenanZ)
Admitted by: DAVE KAPPEL Accompanied by: SAME
Key available Suffolk Co. Tax No. 48-1-5. 1
Source of request WILLIAM H." .PRICE' Date NOV. 18, 1991
DWELLING:
. Type of construction WOOD FRAME JL rs tories 1-1/2
Foundation CONCRETE Cellar PARTIAL Crawl space
Total rooms, lst. Fl 4 2nd. F1 3 3rd.- Fl
Bathrooms) 1 FULL Toilet room(s)
Porch, type FRONT ENCLOSED Deck, type Patio, type_
Breeze:•ray Garage Utility room
Type Heat OIL Warm Air Hotwater xx
Fireplace(s) NONE No. Exits 2 Aircor_ditioning
Domestic hotwater YES Type .heater OFF BOILER
Other REAR ENTRY WAY (MUD ROOM)
ACCESSORY STRUCTURES:
Garage, type const.l' CAR WOOD FRAME Storage, type const.
Swiriuming pool Guest, type const.
Other
VIOLATIONS : CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location Description Art. ++1 Sec.
I
Remarks:
Inspected 'by: Date of Insp. Nov. 26, 1991
J. FISH
Time start 9:30 end 9:50
Form No. 6
E NOV I 91,991
rocrN or sourlloLD
I3UILDING DEPARTMENT
TOWN 1-1ALL
TO-
APPLICATION FOR CE11TIFICATE OF OCCUPANCY
�• : This application must be tilled in b t inspector with the followin • y nawbuildYpwring OR ink and submitted to the building
1. Final survey of Property:
locationnew of all.buildings, property 1'
streets, and unusual natural or topographic features, p Y Ines,
2, final Approval from Health Dept, of water supply and sewerage-disposal(S-9 form) .
0• Approval of electrical installation from Board of Fira Underwriters.
+• Sworn scatemeric from plumber certifying that
less than 2/10 of chc solder used in system contains
1% lead. '
5. Conunercial building, industrial. building,. nuiltinresidences
and installations, a certificate of Code Com liancefroarchiteccso'rycnr buildings
responsible for Elie building• p engineer
6. Submit Planning Board Approval of completed site plan requirements.
3• For existing buildings
"p e-existing uses:
to April 9, 1957) non-conforming uses, or buildings and
L > c g�� land u,,�.,,.
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,
Additions co accessoryLbuildi n $25.0 Swimming, pool $25-00Businesses
Accessory building $25.00
2. Certificate of Occupancy on Pre-existing; Building 100.00,
3• COPY of CertifiCate of Occu lllc _ b - �10U.U0
+• Updated Certificate of Occupancy $5.00 over 5 years - $10.00
5. 'Temporary Certificate of Occu�ayc �50.OQ
l Y - Residential V 5.00, Commercial $15.00
Data , , . • November,_;8,,. .19.91•
:ew Construction. •
• ' • • • Old Or 1're-exit=tiny Building. ,XX
Location of Property 81.1 Front . • . ' ' . . . . '
Street.
-fdrJ Il�jtO/ Gr e e ri o r t
use No.
G,�i-E�1t�oi27 Street. hamlet. . . • . . . . . . • .
:Inwer or Owners of Property. . . . ,•;Joan•,Richter • Elizabeth Davis
County Tax Ma . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . .
Ii No 1000, Section. . . . 04.8 . . . . .Block. . . 01 005 J
. . . . . . . . .Lot. . . . ;
:subdivision. . . . . . . • . . . . . . • • • •
• . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . .I.ot.. . . . . . . . . . . . . . . . . .
urmit No. . . . .Date Of Permit.. , • •
. . . . . . . . . . .
. . . . . . . . . . . . . .Applicant. . . . . . . . .
'icalclt Di:pc. Approval. . . . . . . i . . . . . . . . . . . . . . . . . . . . .
. .Underwricers Approval. . . .. .
-'fanning; Board Approval. . . . . . . . . . . . . . . . • • . • .. • . . • • . . •. . . . . . . . . . .
3equest for: Temporary Certificate. , , ., ,
Final Ccrticate. . XX
Subuii'cced: $. . .100 .00 . . . .. . . . . .. . . . . .
&Q �a3 73 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
'PLIC�VIT
q
1 .91991
CONSENT
INSPECTION
WILLIAM H. PRICE, JR., as attorney for
'Joan Richter and Elizabeth Davis ,
OWtimer(s) Names) . the undersigned,
do(es) hereby state;
attorney for
That the undersigned (is) (age) the owner( of the premises in the Town
Of Southold located at 811 Front Street,
Greenport, NY which is shown and designated on the Suffolk
County tax map as District l000, Section 048 Block ol Lot 005 .
That the undersigned (has) ( filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspectors Office for the following;
Certificate of Occupancy on Pre=existing Building
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.
D ate d:_11/18/91
signat re)
WILLIAJ�l H. PRICE, JR.
(print name)
(signature)
(print name)
/ZB.73'
!�jI ;� h
V
x � gD LAJyDSG
LElt/l 9`
3-5
����F�y,�,c- ✓as,�r ,euryE,e ,Q.uT,�,uy,�'L�,�,v.�s�,�-/'
-ire
cuyR,9,urEEp Tc��IJ.G//7,F�O' TAT dii�.,�r+�.��iSl'�ME•e�3�i�i�l����if'97/O.1/�t"�1_'
,