HomeMy WebLinkAboutZ-40738 Town of Southold 10/1/2019
53095 Main Rd
H a
' Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40738 Date: 10/1/2019
THIS CERTIFIES that the structure(s) located at: 21695 Soundview Ave., Southold
SCTM#: 473889 See/Block/Lot: 135.4-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40738
dated 10/1/2019 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with front covered concrete porch.*
Note: BP 44188 "as built"HVAC and air handler COZ-40737
The certificate is issued to Murphy,Rachel
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
'�f(o
t 0
ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 21695 Soundview Ave., Southold
SUFF.CO.TAX MAP NO.: 135.-1-7 SUBDIVISION:
NAME OF OWNER(S): Murphy,Rachel
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Murphy,Rachel DATE: 10/1/2019
DWELLING:
#STORIES: 2 #EXITS: 4
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 5 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: front covered concrete DECK TYPE: PATIO TYPE: slate
BREEZEWAY.: FIREPLACE: 2 GARAGE:
DOMESTIC HOTWATER: gas TYPE HEATER: indirect AIR CONDITIONING:
TYPE HEAT: HW WARM AIR: baseboard HOT WATER:
#BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: partially finished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 9/16/2019
TIME START: 11:45am END: 12:22pm
Form No.6
TOWN OF SOUTHOLD
Pmt M°I 'l BUILDING DEPARTMENT
TOWN HALL
119' �o"lJ I 765-1802 r4AY
APPLICATION FOR CERTIFICATE OF OCCUPi
SEp
This application must be filled in by typewriter or ink and submitted to the Building Department withal& fgI ftyinal /
P
A. For new building or new use: ;; _.
1. Final survey of property with accurate location of all buildings, property lines, strretts ca[rkd �tusayna3ral or
topographic features -E�
sposal(S-9 form).
2. Final Approval from Health Dept. of water supply and sewerage-di
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of 1%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.
B_ For existing 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. , Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 G G
Date. R 1)4— I.00 -I
New Construction: Old or Pre-existing Building: �-�� (check one)
Location of Property: o V�1�1�`�
House No. `Street Hamlet
Owner or Owners of Proper R� �� Lei 1 n 1 '101 p IW
Y 1
Suffolk County Tax Map No 1000, Section � Block J Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final CertificatAApplicantSiAnakure
(c one)
Fee Submitted: 4c, 0�t) I
{
,d
CONSENT TO INSPECTION
l acW Lcu�VA Ro 0 , the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are) the o�y'ner(s) of jhe premises in the Town of
Southold, located at w(,octs �jr�V1,Vtv lv
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section Block D I , Lot .
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: C P car ��,��G
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 in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: �� V
( ig ature)
L.evth
(Print Name)
(Signature)
(Print Name)
SURVEY OF
PROPERTY
SITUATE
VILLAGE OF SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000- 135-01 -07
SCALE 1 "=30'
OCTOBER 18, 2017
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LONG ISLAND SOUND
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J SEAWALL o 41CONC. SEAWALL
HIGH WATER ALONG WOOD BULKHEAD
BOTTOM OF BLUFF CONC.
O WALL WALL TOP OF BLUFF
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BLUFF HEIGHT 10'
STONE WAS
v TOP OF BLUFF & STEPS
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GAZE 0MpO.BOX \
HYDRANT
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WATER METER
SPOT LIGHT �;O
GV GAS VALVE NOTE: LOCATIONS AND EXISTENCE OF ANY
SUBSURFACE UTILITIES AND/OR STRUCTURES
NOT READILY VISIBLE, ARE NOT CERTIFIED.
METES AND BOUNDS SURVEYING THUS SURVEY{S SUBJECT TO ANY EASEMENT
OF RECORD AND ANY OTHER PERTINENT FACTS
WHICH A TOTF SEARCH MIGHT DISCLOSE
53 PROBST DRIVE UNAUTHORIZED ALTERATION OR ADDITION TO A
SHIRLEY, NY 11967
SURVEY
IS AAVIOLA ON F ARTICLE 134.SECTION s
PHONE (516) 972-5812 EDUCATION LASUBDIVISION 2, OF THE NEW YORK STATE
surveydude@c)ptonline.net "Copies from the original of this survey map
-not marked with an original of the land
' seal oremosse
LOTS: 07 BLOCK: 01 SECTION: 135 DISTRICT: 1000 9nai not bInked
a considered aivalidtrue cope.'
PY•"
"Certification indicated hereon signify that
MAP OF: this survey was prepared in accordance with
the existing Cade of Practice for Land Surveys
adopted by the New York State Association of
Professional Land Surveyors. Said
SITUATED AT: VILLAGE OF SOUTHOLD certifications shall run only to the person
TOWN OF SOUTHOLD SUFFOLK .Y. for whom the survey is prepared, and on his
AREA = 44,01 4.1 SCI. ft. ' CO.,' behalf to the title company, governmental
agency and lendinginstitution.
1 .010 ac. Certifications are not transferable to
additional institutions or subsequent owners."
CERTIFIED
TO JOB NO.: 17-293
A I DATE- OCTOBER 18, 2017
7/ft/ Ll-g
OWNER STREET'' VILLAGE DIST. 'SU'B. - LOT
FO,�MER OWNER > N E ACR.
'� �,6a:i=' ,•'3 `�; Y`'��.,�,�-,�!m`1•,t f,l r� >p�• °';�"� .>�-.e?.¢`' -' ' �tn«�`�*�.�w�9,' �.=-c's a. s¢s �" I
S ; W TYPE OF BUILDING ,
,/',.6j�tea,�� � •�-r�.�„1 ?�..,��•`�, . --� r, '. �,�,.„„,, .� ..�;J... ,,.�•.
RES, SEAS. VL. FARM COMM. ;;'CB. MISC. ` Mkt. Value r
LAND IMP, TOTAL DATE REMARKS
'f $✓` �, f +"�.• w. 5,` �j� w...« .. aim a � °� X $orf ''< '—•
• f a
AGE BUILDING CONDITION
NEW I NORMAL BELO\^/ ABOVE
FARM Acre Value Per Veiue
Acre
Tillable 1 " m#' n
Tillable 2
Tillable 3
o
Woodland - - —
Swampland FRONTAGE ON WATER 's
Brushland FRONTAGE ON ROAD P . _
House Plot ' — '-- DEPTH
BULKHEAD
Total DOCK
TOWN'
� -
OWNER
- STREET ,VILLAGE,, ;DISTRICT j SUB, LOT _
€� pf € }'� S <�1 $s <. 4..Y3..,` .¢j3 k .Y��..e+�,/• —� � :' :. -<�.�ww�s:..•2 -, �__--___ < -'-_-__.—____. _____ ___.
FORMER,OWNER _ ` -F, §
�� N i i 'ACREAGE
E
4 S - Vy TYPE-OF BUILDING
RES. SEAS. VL. FARM _' COMM; I IND.'.., 4 ,� -CB ' misc.
LAND IMP.- TOTAL. ,DATE,F REMARKS: -
�"1 ,^^+ t'! •' .�Y -� ;Y '',- -)'',oq". -�.. f _.• ,�s r-°-,' d - �„ . .r w°"E ✓ .•"'�,', �' .� ,:
"7 `��f{ } e•? ry '� c"1 t�!� `��--.. :5� u sa£�: '`•�"'.ip��,�..�`. 1. � „ -" __ c:.-._ _� r"^ . W� ,�
_ �: -
:� ,
AGE BUILDING CON !TION
NEW �- NORMAL BELOW ABOVE
— i _ ___—_____ _ _ ___�_ ___ __ ,' ___r 3°�.R:..��.'t"� F!.s°`�✓�.N"t3-.FOS.—�A'��8-"'m,�,� .,7�*='#"'• "�� M _._._ >
Farm Acre Value Per ACTe "Value
:Tillable 1 - .. AAYSSS '•",�"""»"" .�".:-'�""�• =^.--=a'-;n;
f
Tillable 2
----- ----- - --
T€Ilable B ! -
Wcodland
f -
.j
E E
Swampland
House Plot-
-
Total
(-
1S
f •,"�,�'^�a , _ - —+--_ :y. *j}a � __.' � 'I`j �jyli:,,f '-�.^; i _ .'..'^___�•___ _Pte•-__.-_ _.'�.,
l -�' #`'k`'a*xs.�`s,...i• 3.+d� ��si:t 5 .. I � � •_ _ -� �"� �t.. i— I ,
M.,Bldg. „ ( • € a?f Bath. I ,
-
Foundatiat� {
r•„>.q§..°"$•`• ( Y 'a gym yC _
'Extension , " �—a� � - ; i .'i � Basement .. r ' �,�F. �M - Floors
Extension. ( , N
) y., ✓g .� i- 'Ext. Walls' �'' -Interior .Finish'
1/,0 �r 1 s'• "•,:.,' !i
E'tension >' _ 'Fire'Piace N-f' Heait 4
I• rPorch 's Attic,-
�X2
rf •;M ,£' ✓�.-: •Porch'.-, ._ ' Rooms,.Ist,Floor
..._f, ✓`p�" �f l>_Vin ''-✓ice i^7� ° �
Breezeway� i , :Patio' , Rooms,2nd Floor.i ~F
Garage" ' ' ,, - - Driveway
- wX - - - ; F , " �Y • ~Aar`• , ,• � '' ,n ^.. �r -
/ OF SOUIyo� � -
# c
TOWN OF SOUTHOLD BUILDING DEPT.
`ycou765-1802 &�, C fo
INSPECTION
f ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
A3
rf (AA.,
rO
DATE Clllbhgol INSPECTOR
LOCATION: Aw,
(number & street) (municipality)
SUBDIVISION: A MA •N'0.: LOT(S): ..
NAME OF OWNER(S)':
O'CCU'PANCY: Il i w o
(type) (owner-tenant)•
ADMITTED BY: _ ACCOMPANIED BY:
KEY AVAILABLE: SUPF. CO. TAX MAP'NO, 1000- •� "'
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: ,N STO-=S: #EXITS:
FOUNDATION: CfIJ ;BAS9,MENT: ^CRAWL SPACE:
# OF BEDROONLS T FLA: 2N'I7 FLA: _ 3RD PLR:
BATHRO"O.M(Sj:I T * ET WOWS): UTILITY
ROOM-
A
PORCH-TYPE ECK, TYPE: .. PATIO;TYPE: �.
BREEZEWAY:' , FIREPLACE: 04. QAIRAGE:
DOMESTIC HOTWATER,: J TYPE HEATEi: "A:IRCONDITIONING:(A-k, 14
TYPE HEAT: WARM AIR: � �
�., FIOT"UVATER:
# OF KITCHENS:'
moo 2
FINISHED BASEMENT:- YES f NO
OTHER:
ACCESSORY STRUCTURES CA4
GARAGE; TYPE OF CONST.:VV VINE, STORAGE, TYPE CONST.:
SWIMMING P'O-OL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE:UNIFORM FX PREVENTION & BUILDING CODE
LOCATION E PTION ART. SEC,
REMARKS:
INSPECTED BY,�O�h�.� DATE OF-INSP�'CTIO
TIME START; END: �� P=�-