HomeMy WebLinkAboutZ-32574FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 32574 Date: 09/05/07
THIS CERTIFIES that the building DWELLING
Location of Property 10400 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 054 Block 0009 Lot 013
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- 32574 dated SEPTEMBER 5, 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 WITH 1 CAR GARAGE UNDER HOUSE*
The certificate is issued to MARY ANNE MURTAUGH & 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.
Aut rized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 10400 SOUNDVIEW AVE SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): MARY ANNE MURTAUGH & ORS.
OCCUPANCY: SINGLE FAMILY DWELLING MARY ANNE MURTAUGH & ORS.
ADMITTED BY: MARY ANNE MURTAUGH ACCOMPANIED BY: SAME
EEY AVAILABLE: SUFF. CO. TAX MAP NO.: 54.-9-13
SOURCE OF REQUEST: MARY ANNE MURTAUGH - 8/27/07 DATE: 09/OS/0
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 2
FOUNDATION: CEMENT BLOCK CELLAR: CRAWL SPACE:
TOTAL ROOKS: 1ST FLR.: 4 2ND FLR.: 2 3RD FLR.: 0
BATHROOM (S) 1.0 TOILET ROOK(S): 1.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: SLATED REAR YARD
BREEZEKAY: FIREPLACE: ONE GARAGE: 1 CAR UNDER HOUSE
DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE BEAT: OIL MARK AIR: HOTNATER: XX
OTHER: EXTERIOR SHOWER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE COHSE.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: BP#5630-COZ4687(ADD&ALT) 13P#11267Z-COZ13759 (ENCLOSE PORCH)
INSPECTED BY: DATE ON INSPECTION: 08/08/07
GARY ISH TIME START: 9:45 AM HND: 10:10 AM
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.
��or 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:
Dpte.
Old or Pre-existing Building: ✓/
(check one)
Location of Property: /O Q'5O�tiyl4k/zu,. )�� SS(���
House No. Streetj� Hamlet
Owner or Owners of Property: (1��LEh c yLL✓� �2 MU(�l l .Uca �1 �
Suffolk County Tax Map No 1000, Section Block9 Lot
9
Subdivision Filed Map. Lot:
Permit No.
Health Dept. Approval
Planning Board Approval:
Date of Permit. Applicant:
Underwriters Approval:
Request for: Temporary Certificate _ Final Certificate:
Fee Submitted: $
Qv�c-12a 5 0
&AQ Co -Z73�57`�
(check one)
Applicant Signature ��
!3 TOWN OF SO.UTHOLD PRPPERTY RECORD CARD
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
FO R OWNS
N y
E
ACR.
._
S
W
TYPE OF BUILDING
t �3 a/a .
Z- •t:'.
/ c _
RES.SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
17-10
,.
A
D
„17
( D
2 6YC143e k2G,.
7 � 0
e2,
3! � c>
S 8 c: z�
� /,� r
/ �., J n�� '". ',� (: ce e . �6 ✓,//-ii,. �'I r� r:.._�j.� r�I-_
- <5
260 0
Ap'.�t�s <
4/1
�5q
—- tb Iq i
4 dat
rOI
3�
Dov_
3
14U rf
/06 do2
23 3 7 -Cu Ma #d l 6 Aq nt A,
AGE
BUILDING CONDITION /
NEW
NORMAL
BELOW ABOVE j�/�, fj� � L 50 475 A4 P lqu nc�tgj�� 1)/C
FARM
Acre
Value Per
Value
Acre
�� ✓
Tillable
FRONTAGE ON WATER
�. d
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
House Plot
..
BULKHEAD
1600
r
Total
DOCK
ti COLOR
TRIM
7;2
NERIMEMON■
NSEMMIMMIME
INN
MENNEEMIENNEIN
EMMONS■
0
EMS
1100MEEN
EMENE0110MEN
No
0
�J
At
1MVN■ONiiNN
.'
ON
Foundation
Basement
�Ext. Walls
Interior Finish
Fire P11
ype Rc
Rooms Ist Floor
atio
IRecreation Room
Rooms 2nd Floor
Dorme
Total
7;2
7)°'IJ-11�1
CONSENT TO INSPECTION
Name(s)
h a--�- the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section —5y, Block_ 7_, Lot Z3
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Officefor the following:
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: O �EIZ4 (Oi–
i�fQ q
(Signature)
Hayr✓l U" Ll Mei i/l l�
(Print Name)
(Signature)
(Print Name)
I'.`�ti..i
IL
j L
i gni
m
"N
---
°Uj
Ll �
:r
--
ir-
v
�%
LL;
S
�
IL
j L
i gni
m
"N
---
°Uj
U
✓ Y 1
'1 114,42
1 it
DI LLOP4BAC k
Z
d.
CY
{ -1-1 7. Al n t' %
j
Al
rty
-o
m
S
�
z.
;n I
I
ZI
'1 114,42
1 it
DI LLOP4BAC k
Z
d.
CY
{ -1-1 7. Al n t' %
j
Al
rty
LOCATION:
(number & street) (municipality)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
(type)
MAP NO.:
LOT(S):
(owner -tenant)
ADMITTED BY: Ahfq 4pAN ACCOMPANIED BY: O�_ .
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 -
SOURCE OF REQUES . DATE:
DWELLING:
TYPE OF CONSTRUCTION: G��i Gds # STORIES: Z # EXITS: �-
FOUNDATION: CELLAR: CRAWL SPACE:
TOTAL ROOMS: IST FLR: 2ND FLR: 3RD FLR: �-
BATHROOM(S): 071_- TOILET ROOM(S):UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO, TYPE: wr„)
BREEZEWAY: FIREPLACE: 67GARAGE:
DOMESTIC HOTWy6.S TYPE HEATER: /— L. AIRCONDITIONING: .�
TYPE HEAT: A� ER: __T WARM AIR: HOTWATER:
OTHER: � � v -14-4-
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. I SEC.
REMARKS:
INSPECTED BY: f
DATE OF INSPECTION:
L /
TIME START: �'�� ri END: