HomeMy WebLinkAboutZ-18352 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall _
Southold, N.Y.
PRE
CERTIFICATE OF OCCUPANCY
No Z-18352 Date SEPTEMBER 7, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 550 CHAMPLIN PLACE GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 34 Block 03 Lot 38
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a private one-family
dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. Z-18352 dated- SEPTEMBER 7, 1989
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
The certificate is issued to EDWARD T. ROUSE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD-PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE-EXISTING
PLUMBERS CERTIFICATION DATEDNO RECORD PRE-EXISTING
* PLEASE SEE ATTACHED INSPECTION REPORT
Ail(ling Inspector
Rev. 1/81
BUILDI,dG DEPART.IKENT
TON OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 550 Champlin Place Greenport, N.Y.
number & street Municipality)
Subdivision Map No . Lot(s)
Name of Owner(s). EDWARD T. ROUSE
Occupancy RES. R-40 OWNER
type owner--tenant
Admitted by: EDWARD T: ROUSE Accompanied by: SANE
Key available Suffolk Co. Tax No. 34-03-38
Source of request EDWARD T. ROUSE Date 14ARCH 9, 1989
DWELLING•
Type of construction WOOD FRAME #stories ONE
Foundation CEMENT BLOCK Cellar FULL Crawl space - -
Total rooms , lst. Fl 6 2nd. F1 - - 3rd. Fl - -
Bathroom(s) 2 Toilet room(s)
Porch, type Deck, type Patio, type_
Breezeway ENCLOSED Garage 1 CAR Utility room - -
Type Heat OIL Warm Air Hotwater %X
Fireplace(s) ONE No. Exits Airconditioning
Domestic hotwater OIL Type heater BOCK
Other
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER..45--N.Y.. STATE- UNIFORM FIRE :PREVENTION & BUILDING CODE
Location Description
Art. 1 Sec. --
EXTERIOR EXTERIOR SURFACES SHALL BE MAINTAINED IN GOOD I. CHAPf. F
CONDITION. SURFACES NOT INHERENTi.T' RESISTANT .. 1242.5
TO DETERIORATION SHALL BE TREATED WITH A PROTECTIVE E
COATING OF PAINT OR OTHER SUITABLE PERSERVATIVE.
Remarks• HOUSE IN GOOD CONDITION.
Inspected by: Date of Insp. JULY 5, 1989
GARY . FISH - Time start 10: 10 end 10:25
R �
TOWN OF SOUTHOLD D
BUILDING DEPARTMENT MRO'®1,89
TOWN HALL
L .SOUTHOLD, NEW YORR 1 1 97 1 TOVVN OF SOU'OLD
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE.:\�/�i�
NEW CONSTRUCTION . . . . . . .OLD OR PRE-EXISTING BUILDING. -. VACANT LAND. . . . . . . .
Location of Property. .[ . .C.H/.4/yPL�!V. . pL�C - - -C�R �it!PoRT. . . _ . . . . . . .
HOUSE NO. STREET - HAMLET
Owner or Owners of Property. . 10ZAP.WJ R.J) . . 7.. . lT AU%5k . . . . . . . . . . . . . . . . .
County Tax Map No. 1000 Section . _3.y. Block . _ 3. . . Lot . . _3 5. . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . Filed Map . . . . . . . .Lot . . . . . . . . . .
Permit No. . . . . . . . . ..Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . .
Health Dept . Approval . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . .
Planning Board Approval . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . Final Certificate . . . . . . . . . . . . . . . .
Fee Submitted: $ .� .tOO . . . . . _ _ . _ . _ .
APPLICANT. . - - - - - - - '.�- -�� . . . . . . . _ . . .
� .. 3e ) 73
rev. 10/ 14/88
FF
; I
CONSENT
TO FLD3. DEri"�- _.
INSPECTION TOVs�l�! OF SU1_:-
A1P1.9 ARP T ROys e , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at AP / CAA/y AU11/ P4 CE 6-R E"PO RT
which is shown and designated on the Suffolk
County tax map as District 1000, Section 3y , Block 3 , Lot __3 8 .
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:
CARAT / CATS o,= OCC-00, AICY
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: MAge.H 9 1989 _ �zQ .,1'``��c.�.�.
(signature)
(print name)
(signature)
(print name)
20 •sa. 'ry L �q {
••i •• F�1:��1D 6
7.3
r ON
-,
►/ a Liner thor+xed alteration or addition
( ! to this survey is a violation of
Section 7202 of the New York Stitt
'} I Iducation Uw.
I
Copies of this sttrvey map not hearing
the iond sunisyor's,inked seal m
slnhossed sesi shall not be considered
to
a valid
a`rentee Aedirnwd hereon wham the run (I
or 1
�...'S i-OkVred.end on hi,!?ehaif to the
t titlx,coniUany,governmental agency and ,
i Iendmg institution listed horean entl
r"f', 1.sr;,"�/E C7 �'Q�G to the cssignaes of the lensing insti-
i;. orlon.Gucranteas are not transferable
ram_ to additional institutions or subsequent
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19
I
M. Bldg. I I �o I
Extension
Extension
I � III � 11
Extension
(Foundation / J t <=; Bath Dinette
I ,
Porch Basement Floors .� I K.
Porch I 'Ext. Walls "'t. Interior Finish LR.
Breezeway
`+ ) •,-0 l?.- _ (Fire Place l Heat DR.
2 i
Garage Type Roof Rooms 1st Floor 1 BR.
Patio lRecreation Room Rooms 2nd Floor FIN. B
O. B. ( Dormer Driveway
Total I i 0�I
1 �,
V
TOWN OF SOUTHOLD PROPERTY RECORD CAR®
OWNER STREET VILLAGE DIST. SUB. LOT
r;
F�RMER OWNER t�la I �� E ACR.
/` �_ .�1� /fit +—.E`;l �� r '.� �`f`1� (ii,�°. 1.' /;• %i_/' c ��5�
S W,; TYPE OF BUILDING
REST I SEAS. VL. FARM. COMM. CB. 1� MICS. Mkt. Value
41
LAND IMP. TOTAL DATE REMARKS . .� a J �
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
- ,�.'� . �f . .
Meadowl,and DEPTH r`
House Plot BULKHEAD
— ii�pp
Total DOCK.
BUILDIi•dG DEPARTI E:iT
TO411\1 OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location S� T
(n=oer & str ez) (Nunic � al ty)
Subdivision iMap No . Lot(s)
Name of Owner(s)
Occupancy
ty e (owner-tenant)
Ac�.iiltzd by:-- � _ -A&CbmP nied by :
Key available ' Suffolk Co. Tax No.
Source of requestce Date Ip�
D,'TELLING
Type of construction LJF, rs tories _
Foundation 134,'c4- Cellar—Z�&_Crawl space
Total rooms, 1st. F1 2nd. F1 — 3rd. F1
Bathrooms) 02 Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway c Garage / tom_ Utility room
Type Heat d-� 'alarm Air
Hot-water �
Fireplace(s) No. Exits Airconditioning
Domestic hotwater__Q� Type heater_
Other
ACCESSORY STRUCTURES: A 9-�2...,
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45"-N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location Description � Art. Sec.
4*5
01
�l
Remarks:
Inspected by: Date of Insp.
Time start /0-/b 'end /o L�