HomeMy WebLinkAboutZ-31867FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 31867
THIS CERTIFIES that the building SEASONAL DWELLING
Date: 09/29/06
Location of Property 445 ISLAND VIEW LA GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 057 Block 0002 Lot 027
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- 31867 dated SEPTEMBER 29, 2006
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 SEASONAL DWELLING WITH SCREENED PORCH.*
The certificate is issued to ROBERT J & CELIA SWING
(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.
k
Au ori7Ad Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 445 ISLAND VIEW LA GREENPORT
SUBDMSION; MAP NO.: IAT (S)
NAME OF OWNER (S): ROBERT J & CELIA SWING
OCCUPANCY: SEASONAL ONE FAMILY ROBERT J & CELIA SWING
ADMITTED BY• ACCOMPANIED BY•
KEY AVAILABLE: SUFF. CO. TAY MAP NO.: 57.-2-27
SOURCE OF REQUEST: CELIA SWING DATE: 09/29/0
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME N STORIES: 1.0 $ EXITS: 2
FOUNDATION: LOCUST PIERS CELLAR: CRAWL SPACE:
TOTAL ROOKS: IST FLR.: 4 2ND FLA.: 0 3RD FLR.: 0
BATHROOI(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S):
PORCH TYPE: SCREENED PORCH DECK TYPE: WOOD FRAME PATIO TYPE:
BREEZEWAY• FIREPLACE: GARAGE:
DOMESTIC HOTfATBR: YES TYPE BEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: NONE MARK AIR: HOTMATER:
OTHER: CHIMNEY
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.: SHED FRONT YARD
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: BP9322 ADD COZ10352 BP20999SHED/DECK COZ21125
BP 32375"thimnev coZ-31866
INSPECTED BY: / CL&.4 h
GARY J
DATE ON INSPECTION: G9/27/06
TM14H START: END:
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
t _ 765-1802
MOLD
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.
% 1H or existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses:
p�.,�/ 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
12. 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
D 6
New Construction: Old or Pre-existing Building: (check one
Location of Property:
ouse No. ee t H t
Owner or Owners of Property:
r
Suffolk County Tax Map No 1000, Section Biock 0 Lot _a 7
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: $ _/ i t� d l�
CONSENT TO INSPECTION
the undersigned, do(es) hereby state:
That the undersigned 9s) (ar tli ow r(s)P the pr mikes in the Town of
Southold, located at i <f � ' � 0 Z
which is shown and designated n�ie Suffolk County Tax Map as District 1000,
Section S 7 , Block 6 A , Lot
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office four the following: n
o
hat the un ersi ed d eby give cent to the B ilding hisp t rs of
thIL 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.
z--�/
Dated:
A
(Print Name)
(Signature)
(Print Name)
7 TOWN OF SOUTHOLD
PROPERTY RECORD CARD
OWNER
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TOP OF 1 ST FL. '-O" C.H.
FIN.FL.EL= 9']" ��I__
- PF )P. 1ST. FL
TOP OF FOUNDATIONI �I'I { -GIC.11
FIN. EL 89" \\\ FIP L.EL= 99"
TOP OF SLAB= 7.1' IN FLOW/O T FLOW
4" SLAB
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DATE 5 �/� °l
MINIMUM CLEARANCE FROM UNDERSIDE
OF 1 ST. FLOOR JOISTS TO BE NO LESS
THAN 18" TO CRAWL SPACE SLAB
ZONE
AE (ELEV.8')
_PROPOSE
0
N/O/F LAND OF WEINER
N/O/F CA'
iml
DRAINAGE SYSTEM
;000OF RAINFALL
NEW FILL
SYSTEM # 1
ROOF - 2,400 X.1 67 = 554 CU.FT.
BASIN 1 - USE (2) NEW BASINS @ UHT
406 C F VOL
SYSTEM # 2
NFAf FILL - 2,200 X 0.167 = 368 CU FT
BASIN 2- USE (1) NEW BASINS @6'HT
226 CEVOL
TOTAL
BASIN - USE (3) NEW BASINS @ 6' H4 =
626 CF VOL.
224.56'
253.Og,
DESCRIPTION:
w.
PROP. ALTERATIONS TO SWING RESIDENCE ITEC N O L O G I E S
ARCHIT'EC141RE PLANNING CONSTRUCTION SERVICES
vEVIEw. GREENPORT NEW YORK 13405 Main Road, Mettimck, New York 11952
631.298.1129 fvu 631.298.1128
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