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HomeMy WebLinkAboutZ-29881FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 29881 THIS CERTIFIES that the building DWELLING Date: 12/03/03 Location of Property 1805 PARK WAY SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 070 Block 0011 Lot 021 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- 29881 dated DECEMBER 3, 2003 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 ATTACHED TWO CAR GARAGE.* The certificate is issued to ROBERT & VIRGINIA LUDWIG (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 REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1805 PARK WAY SOUTHOLD SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S): ROBERT & VIRGINIA LUDWIG OCCUPANCY: SINGLE FAMILY ROBERT & VIRGINIA LUDWIG ANN ITTED BY: ROBERT LUDWIG ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX NAP NO.: 70.-11-21 SOURCE OF REQUEST: ROBERT & VIRGINIA LUDWIG DATE: 12/03/03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST PLR.: 6 2ND PLR.: 0 3RD PLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOK(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: TWO CAR DOMESTIC HOTWATER: TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: X ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: GAZEBO (UNDER 100 SQ FT DOES NOT REQUIRE PERMIT OR C.O. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. SEC. INSPECTED BY: r DATE ON INSPECTION: 10/31/03 SO N BOUFIS TINE START: 9:45AM END: 10 20A Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 4 inoj 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 than 2/10 of l % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect ,.r 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 $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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. i New Construction: Old or Pre-existing Building: _ (check one) Location of Property: l��5 P��k -L-"f1 /�� /c(7 ��%jG�/1v�0(� Ll✓` �oU7�D�V House No. Str 4 Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section l L/ Block / Lot O a) 2 oy Subdivision Filed Map. Lot: Permit No. Date of Permit Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) v Fee Submitted: $ 0 w L— LO 100 Applicant Signature TOWN OF SOUTHOLD PROPERTY RECORD CARD M-l,F ER �ir inia WI STREET 1a VILLAGE DISTRICT SUB. LOT COMM. ` IND. I CB. MISC. Est. FORMER OWN R A4 �Io j N E ACREAGE DATE S W TYPE OF BUILDING :ES. Zl0 SEAS. VL. FARM COMM. ` IND. I CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 000 -C // r© © S.g G t Pur tteT -zh� a 4 94f-CJr �d c �a sF C'c✓l /d z / o -Z) s�av �a ' --,z6 FL Ii6J) je -47 4p 6 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Fillable 2 DOCK Fillable, 3 Noodland swampland 3rushland -louse Plot rotal M. Bldg.Foundation 2y�X /6� G �s�J � 3 �� C73 Bath / Extension Basement v L Floors p,qr� , Extension Ext. WallsI GtJOUDS terior Finish $N6-E7Ir'IG/i Extension Fire Place Heat 0 V` Porch Roof Type Porch Rooms Ist Floor Breezeway Patio Rooms 2nd Floor Garage a X oZ S 3 2– /pa �t S y Driveway Dormer O. B. — - 3 � M-1802 BUILDING DEPT. l� a` ~ 510ECTI4jN [ ]FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY r, i u Bi [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL l -- DATE M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC" CCIIMNEY REMARKS:;-�� A DATE �'` J �''� INSPECTOR 516 567 9211 12-15-1997 10:ADAM FROM C 21 BAYS EDGE 516 567 9211 P.2 LOT I& ' 17364 t i 39 Zh ro I__ 1 �.. 31 �4 4 03 S. &CY 1?0'So' W. � NC7 a7 40, ACty Wt7om LA"C.` Innr or rRC )I-tMTY 17'l - !\1 1'l i fes/` . ►� ll�� MIE L J. I'1.!� 1 T T 'YC7WN Pt`' 4p�lTt9ciLM1, 1J.Y: •—SCALC! • 40'• r" LOT WUJAIWAS ISMI 14 Ntrtlt Tc7 "`hb%t* cat° �.lAelr+Ltx.sttIT TOL1T14wn'nb 11 tm)� to ttt T► rn��r! 1°gt.►5 ..,. CI Wk4TY-LZ 684`'S Ml•C`1CC- A4 µ.A (v ..� I WU4%^V , ?T41 akJA0%AwTlrE-*T0'fraFTITI-v CCw4P%I1Y 6--4" 7;7 Tutt'' ,• - " w starve 0Y.is f7 . Jut.:,/ ►E.. 1174 � #1,Cyr) P-P�►/lC(K VA 14 'TQ YL, 1 , W;4w%ra^T. v Y430t14 CONSENT TO INSPECTION Owner(s) Name(s) That the unde Southold, located at ! which is shown and d Section 77,-7- , Block 1 / , Lot the undersigned, do(es) hereby state: That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: C6RriF-1C1LTL of P2E jrxlsT/w/l, 0, r= 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: (Signature) !�0/3E2'T ZUDL�I�' (Print Name) (Signature U 10061nL)10 L-UDL� ly (Print Name) LOCATION: (number & street) SUBDIVISION: NAME OF OW OCCUPANCY: MAP NO.: (municipality) LOT(S): (owner -tenant) ADMITTED BY: l� Lt>t ir 4 ACCOMPANIED BY: KEY AVAILABLE: SUFF. O. TA MAP NO. 1000- 7 O ^//.- 2 SOURCE OF REQUEST: �c�,eATE: l 2 y DWELLING: TYPE OF CONSTRU TION: l� # STORIES: 01"-� # EXITS: FOUNDATION: 4 --CELLAR: CRAWL SPACE: •— TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): �— TOILET ROOM(S): UTILITY ROOM:.- PORCH TYPE: DECK, TYPE: PATIO TYPE• BREEZEWAY: FIREPLACE: �--- DOMESTIC HOTWATER: 4, TYPE HEATER: TYPE HEAT: WARM AIR: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: GARAGE: AIRCONDITIONING: r-- HOTWATER: STORAGE, TYPE CS GUEST, TYPE CONS �- It VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: Wv DATE ON INSPECTION:4'-3- *1 d TIME START: ,S' END: D,