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Home My WebLink AboutZ-32321FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32321 Date: 05/02/07 THIS CERTIFIES that the building DWELLING Location of Property 9900 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 059 Block 0002 Lot 007 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- 32321 dated MAY 2, 2007 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* The certificate is issued to ROSE POSESS (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. s Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 9900 SOUNDVIEW AVE SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): ROSE POSESS OCCUPANCY: SINGLE FAMILY DWELLING ROSE POSESS ADMITTED BY: SUZETTE REISS ACCO14PARIED BY: SAME KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 59.-2-7 SOURCE OF REQUEST: ROSE POSESS 4/23/07 DATE: 05/02/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAE. CRAWL SPACE: TOTAL ROOMS: IST FLR.: 0 2ND FLR.: 0 3RD FLR.: 0 BATHROOH(S): 0.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: NO DOMESTIC HOTiATER: XX TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: ELECTRIC MAHM AIR: HOTWATER: XX OTHER: GAS HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: STORAGE, TYPE COMET.: GUEST, TYPE COMET.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: DATE ON INSPECTION: 04/30/07 GEORGE GILLEN TIM START: END: - l . APR &$ 20'' 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 I% 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. 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 New Construction: Location of Property: Date. U 2QQ Old or Pre-existing Building: (check one) �lUd .54)uAJl!NV1Efit/ AVf_ S0uTfio/!� House No. Street Hamlet / !r �%��✓ESS Owner or Owners of Property: J _ A%Liy i Suffolk County Tax Map No 1000, Section 73 Block Lot Subdivision Jelliled Map. Lot: Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Applicant: Request for: Temporary Certificate Fee Submitted: $ / ?V , gee (u 21-3,23 -� l Underwriters Approval: Final Certificate: (check one) Applicant Signature TOWN OF SOUTHOLD PROPERTY RECORD CARD MAIM OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNE ASPS S N , ` (/ E e R ACM, 3r • n ¢' S W TYPE OF BUILDING SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS �.. / 7 U O a v Z1 41^—,-1 e) / 1/ b'./?/ 1113o --L IZ015 SdS5 20sPS-S - �I "5 ¢ a g 7" AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre VGlue Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK 1AVG)��E V. G V4 S.4 4:-)- "ll IWA P 0,= F- Z' 0 p E Z-Iry ZUZVEYlG'D FOGS L A.D7-,4AJL-, . y PCS AT 5OU T1--) 0 L 5 � � 1z2 . 30'<1 .-I- loa /Vl 9 4 -4-4 CONSENT TO INSPECTION koiO pose -5s , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at _9900 SoundL," Ave� Id which is shown and designated on the Suffolk County Tax Map as District 1000, Section ,�; I Block 2 Lot I 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. a-f� 0 oh p rc -e x sono hu ld� N1 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: Y12�j / puaQ-00, p (Signature) 1\a5c pose SS (Print Name) (Signature) (Print Name) LOCATION: I q o o Atu,4...4� ap, f 1 4� (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: I MAP NO.: (municipality) LOT(S): (type) 41- (owner -tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- .S' J — o'L ?. SOURCE OF REQUEST: _ DATE: .5--SO-071 DWELLING: TYPE OF CONSTRUCTION: W" -A- # STORIES: # EXITS: v2 FOUNDATION: GPS,. CELLAR: CRAWL SPACE: _ j TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: —' BATHROOM(S): % TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: --- DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: /✓D GARAGE: I DOMESTIC HOM,WATE TYPE HEATER: G AIRCONDITIONING: TYPE HEAT: AIR: HOTWATER: OTHER: G/1EF woTt7e, / jam ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: Ala,4'E STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: _. -4DATE OF INSPECTION JI -.30 -o7 TIME START: END: