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Home My WebLink AboutZ-25038No Z-25038 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING FICATE OF OCCUPANCY Date MAY 8, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 17975 SOUNDVIEW AVE. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 1 Lot 7 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-25038 dated MAY 8, 1997 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 GARAGE The certificate is issued to HAROLD WILKINS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOITTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 17975 SOUNDVIEW AVE. SOUTHOLD N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) HAROLD WILKINS _ OCCUPANCY SINGLE FAMILY type owner–tenant ADMITTED BY: HAROLD WILKINS ACCOMPANIED BY- SAME KEY AVAILABLE SUFF.CO. TAX MAP NO- 1000-51-1-7 SOURCE OF REQUEST: HAROLD WILKINS DATE: APRIL 30, 1997 TYPE OF CONSTRUCTION BRICK I STORIES I I EXITS 3 FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE,_ _ TOTAL, ROOMS: IST FLR. 5 2ND FLR. 3RD FLR. BATHROOM (s) 3 TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO_ BREEZEWAY FIREPLACE ONE GARAGE. DOMESTIC HOTWATER XX TYPE HEATER ELECTRIC AIRCONDITIONING TYPE BEAT O=I, WARM AIR ___fig HOTWATER OTHER: GROUND LEVEL DOOR IN BASEMENT ACCESSORY STRUCTURES! GARAGE, TYPE OF CONST.—2 CAR BRICK _ STORAGE, TYPE CONST. METAL SHED (OLD) SWIMMING POOL _, GUEST, TYPE CONST. ' OTHER: WOOD DECK 6 STAIR CASE ON BLUFF (OLD) VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE REMARKS: INSPECTED IIY DATE OF INSPECTION MAY 6, 1997 TIME START 10:25 AN END 10:55 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 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 17 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. -Foyexisting buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 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, 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .251l. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date......................................... New Construction........... Old Or Pre-existing Building ................. Location of Property ..................... ....... House No. Streeet/ Hamlet Onwer or Owners of Property...../USS,,,,,,,,,,,,,,,,,,,,,,,,,, County Tax Map No 1000, Section.... SK .....Block ...... ........Lot....... .............. 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: $ ....................... b APPLICANT c0 �.2503� l �•. " .. X53. ti�'4o,Ci ,.cls • .�Tl Lam-- ¢, • i' , i �•.