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HomeMy WebLinkAboutZ-32733 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32733 Date: 10/23/07 THIS CERTIFIES that the bnilding DWELLING Location of Property 930 FOUNDERS PATH SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 064 Block 0002 Lot 016 Subdivision Filed Map No. Lot No. conforms substantially t0 the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NOlIDSR Z- 32733 dated OCTOBER 23, 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 ATTACHED GARAGE* The certificate is issued to DONNA FORTE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HSAI,TH APPROVA7 N/A ur.ur~mrCAL CERTIFICATE NO. N/A PLiR~IDSRS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. pp Aut orized Signature Rev. 1/81 i BUILDING DHPARTMBNT TOWN OF SOUTHOLD HOUSING CODE INSPECTION RBPORT IACATION: 930 FOUNDBRS PATH 30UTHOLD SOHDIVL4ION• lD1P HO. • I.O'P (S) HAM6 OP 01~ (S): DONNA FORTH OCCUPANCY: SINGES FAMILY DWELLING DONNA FORTE AilIQlTBp HY: KATHLHHH GOGGINS AL'O~AN17N/ BY: SAME REY AVAII.ABiB: SDFP. OD. TAY MAP HD.: 64.-2-16 SOORCB OP RNQDBST: GARY OLSEN, ATTY DATB: 10 23 07 DWELLING: TYPH OP C~STRQ(.TION: WOOD FRAME { S10R173S; 1.0 { S%IT6: 2 FOOffiIATIOM: CSt~NT HLOCR CBLLAR: FULL CRANE SPACE: TOTAL HOOMS: 1ST PLR.: 4 2ND FIB.: 0 3~ FLR.: 0 BATHRO(11(S): 0.0 TO]7.SP HOOM (S): 0.0 OTILII7 ROOM(S): PORCH TYPB: COVHRED FRONT DHCY TYPH: PAiiO TYPH: HRHESNIUY• F3YSPLACH: NO GABAGH• 1 CAR DptBSYIC ND17Q1TBB: YHS TYPE H8AT8R• A77NJOSID]TIOH73Ni- TYPB HEAT; GAS HARM A171: YE3 HOY9QITSR: YHS OTHBQ• HOT WATER H8AT8R ACCESSORY 3TRUCTURH3: TYPH OF OONST.• STORAGH, TYPE C0118T.• SNiMIlIIR' P()OL• GOSST, TYPS OONSY.- OTffi: II VIOLATIONS: CHAPTER 95 N.Y. STATB UNIFORM PIRH PREVENTION 6 BUILDING CODH LOCATION ~ DESCRIPTION ~ ART ~ SHC. BNMAHYS: BO#15932-CD21227(ADD)BP#335362-COZ32732 Iggpg(•THD BY: OH IMSPBCPIOH: 11 OS 07 GHORGH GILLSN TIME START: BND: Fm'm No. 6 w - - TOWN OF SOUT$OLD BUILDING DEPARTD/ENT TOWIVHALL 76s-lsoz 3 p APPLICATION FOR CERTIFICATE OF OCCUI~C3C 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 $oard of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Corrrrnercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect cr 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 [o the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $2.00, Swinuning 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, TemporaryrCertificate of Occupancy -Residential $15.00, Commercial 5.00 Date. October 23. 2007 New Construction: Old or Pre-existing Building: R (check one) Location of Property: 930 Founders Path Southold House No. Street Harrrlet Owner or Owners of Property: Donna Forte Suffolk County Tax Map No I000, Section FG Block 02.00 Lot 016.000 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval Underwriters Approval: Planting Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 100.00 OLSEN & OLSEN LLP 32495 MAIN ROAD ~~-`1~~~ CUTOHOG EXNY ~193g rcant Signature (~,~co-~ ~z~33 ~ TOWN OF SOUTHOLD ~OPERTY RECORD CARD ~ - z ~ b ' - /G /lI 9 OWNER ST EET VILLAGE DISTRICT SUB. LOT 3 ~nr~0. ~o~~ ~ FORMER OWNER N E .ACREAGE r Sc~ s C . rn, 5 ~ ~ S W TYPE OF BUILDING S Y1 c.J RES. j SEAS. VL. FARM COMM. I IND. I CB. MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS t , ~l~(J yt~o 4© 1 S .3. ~ ~ /D 23 6 ~Qo d SHOO .f 19 Gv 4 - /sa e .D er ~ -D'~- d3 a AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD 7~ f io ~ ~ ~ Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland ~ Brushland House Plot Total I ~ ~,..<s r, ti ~ ' - - ~ I i I i i i ! I I _ i ~ ~ ~ i i ~ i I I i i ~ i II i l~ ~ i I I A. Bld ~ ~ I Foundation i Both :xtension ~ ~ ~ Basement j Floors i _'t,~Q _~L~ w ~ ;Sheer ~ :Ext. Walls ~ ~<yti !Interior Finish _ ~ I ' ~ w~s~ I YoCi4 t- T- xtension ,Fire Place I t i Hsat ' f f~.~,Y ' _i ~K~ Porch ' ~ Roof Type j' _ ~ i Porch ~I ~ Rooms 1st Floor ' ~ ' treezeway ~ ! ~ 'Patio ~ Rooms 2nd Floor ~ F ~ ~ I i iarage ~ I ~ _ Driveway ~ ~ Dormer B. I ,3 +.NGr4a(fMXA4rArt rJ sWl .ew A Mf MfLV1) O rl eP.rRf r¢anAw 4....RR ~ no ewAVesv~ Ar lQl M WI4Mt uYYw,w! Mr Yu C/ p/ N 84'DKi'NO"E i48.7J' T MfMwu{nsiRe w.mrrw ro vn Y fI M Y 1 fl'Iihd I YMa01 M f[tC1 lA! tl O Rr Nr Ref JM¢lMM<.M 2 - N ~ ~ 1. 1.5'- y /r s[. a/w...v..., Y.. M..WpA 0 ~ N M L40 ReRfArA Ir1~0 ZY fail IV - ~ t A i i ~ ~ ~ a ~arrrsfarar. n¢v rA.r P , ~ cl[ SiWlf Rv 5 e^~ Mra4reC new a j^" 4 r" fT1 r.1 LOI Ia ° ..o ~ Y~ .'s. ; yR~ COY.[ i IMl MfM • Ala'ILIlA' I9 LYAWfY 7004 VV V i`,_ at/lC 1': 20' er ~ ~ ~ ~ i wu-n.J~aiASe g~ .~=i~' 0.)S5 AGES rrr S ~ i -1. ~ lOf JI 1 ~ ay ~ fN([ JLfo .Wr r4 IA7r yww.r ar LO7 .30 _ rnl laaa-oaf-ae-uln ~~IANOON ROAD SU601VIS0N MAP OF FOUNDERS ESTATES snrsw. Yrn m vum mu wlc p SRUA7E STANLEY J. 17gN9ENs•; SOUTHALD Tfl~•a;~fz OF S0`'`(i;7~~'01..0 as sox ssa4 SUFFtiIlt L:V~JN'r`(f IY' r. Nk'N SU ifJLJt. NYN aJ Y- 7J -SSJA cUNANf1F0 ILL• awd r. afpuav SURVEYED Fi7R: JtNBV 1. eIERDAN aarW a. fUA1E DONNA M. FORTE A7L iulE e05/RAGr cony, L ENSED '.SU fP1fORC/N ClatSE aafY 175 UG. ~9? i . sz. F: sk CONSENT TO INSPECTION nary F1---^- ~?cep as Attornev for Donna Forte , the undersigned, Owner(s) Name(s) do(es) 1?ereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town v of Southold located at 930 Founders Path, Southold which is shown and designated on the Suffolk County tax map as District 1000, Section 64 Bloclc 2 Lot 16 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in"the Southold Town Building lnspecw. or.cc~., co.. *ha fnllnwin~+: !1 familX ~ ??tn +*h front porch and rear brick patio That the undersigned do(es) hereby give consent to the Building Inspectors of the Town oC 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 tl?at any information obtained In the conduct of such inspections may he used as evidence in subsequent prosecutions for vio- lations oC the laws, ordinances, rules or regulations of the Town of Southold. Dated: nr tnbPr 2007 ~ (signature) Gary Flanner Olsen (print name) (signature) (print name) OLSEN & OLSEN LLP 32495 MAIN ROAD PO BOX 708 CUTCNOGUE,NY 11935