HomeMy WebLinkAboutZ-30545FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 30545
Date: 11/12/04
THIS CERTIFIES that the building DWELLING
Location of Property 740 NORTH VIEW DR ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 013 Block 0001 Lot 004
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- 30545 dated NOVEMBER 12, 2004
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 ONE CAR GARAGE*
The certificate is issued to HEIDI SOMMERS &' ORS.
(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.
Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 740 NORTH VIEW DR ORIENT
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): HEIDI SOMMERS & ORS.
OCCUPANCY: SINGLE FAMILY HEIDI SOMMERS & ORS.
ADMITTED BY: BARRY NOVICK ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 13.-1-4
SOURCE OF REQUEST: PATRICIA C. MOORE, ATTY 10/22/04 DATE: 11/12/04
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 10.0 # EXITS: G00
FOUNDATION: CEMENT BLOCK CELAR: CRAWL SPACE:
TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE GARAGE:
DOMESTIC HOTWATER: YES TYPE BEATER: OIL AIRCONDITIONING:
TYPE BEAT: OIL WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: ONE CAR WOOD FRAME STORAGE, TYPE CONST.:
SWI34MING POOL: GUEST, TYPE CONST.:
OTBER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART.
REMARKS: BP 48914-Z-COZ-7375 (GARAGE ADD) -BP #30598Z-COZ30544 (ALT.BATHROOM)
INSPECTED BY:
GARY J. FISH
DATE ON INSPECTION: 08/09/04
TIME START: END:
SEC.
.JUL 2Z M
--,'—r)L 11� J
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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 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
f 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
a 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. 7-,,2 7 /
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 7 510 I/OYf-j
House No.11 Street Hamlet
Owner or Owners of Property: /--P� so
Suffolk County Tax Map No 1000, Section /3
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Request for: Temporary Certificate
Fee Submitted: $
c0_�2 3osY�
Block /
Filed Map.
Applicant:
Underwriters Approval:
Lot
Lot:
Final Certificate: (check one)
Applicant Signature
CONSENT TO INSPECTION
so lnl^-f�
Owner(s) Name(s)
/6J
/ the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 7116 NoYiA View A -Lw, Qrep2t ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section /3 , Block / , Lot Z -
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
nP - el 0
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 f
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.
L-� -
Dated:
�(Signature)
o�T7ZrCl'.f
(Print Name)
(Signature)
(Print Name)
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET — NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
P. MOORE
51020 MAIN ROAD
SOUTHOLD NY, 11971
Located at 740 NORTH VIEW ROAD ORIENT, NY 11957
Application Number: 2026841
Section: Block: Lot:
HEIDI SOMMERS
740 NORTH VIEW ROAD
ORIENT, NY 11957
Certificate Number: 2026841
Building Permit:
BDC: ns11
Described as a Residential 0-599 square 1 occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable. code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 14th Day of October, 2004.
Name
OTY
Rate
Ratine Circuit Type
Miscellaneous
as built bathroom -
date un -known
Appliances and Accessories
Exhaust Fan
1
0
F.H.P.
Wiring and Devices
Outlet
2
0
Fixture
Fixture
2
0
Incandescent
Outlet
3
0
General Purpose
Receptacle
1
0
General Purpose
Switch
4
0
General Purpose
Receptacle
1
0
GFCI
An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the'inetallation is believed to
be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring systcm. _
.seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
1�
TOWN OF SOUTHOLD 140PERTY RECORD CARD
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OWNER
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VILLAGE
DISTRICT
SUB.
LOT
S
FORMER OWNER
N)
E
ACREAGE
S
C. wA
W
TYPE OF BUILDING
14
RES. sd
SEAS.
I
VL.
I
FARM
comm.
IND.
CB. misc.
LAND
IMP.
TOTAL
DATE
REMARK�/ �/
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BUILDING COITI N
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NORMAL
BE w
�R
ABOVE
z S (D
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J
Farm
Acre
Value Per Acre
Value
Tillable I
Tillable 2
Tillable, 3
Woodland
Swampland
Brush lai-L—=,-
House Plot
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