HomeMy WebLinkAboutZ-32759
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
1II0: Z-
32759
Date: 11/29/07
THIS CERTIFIES that the building
DWELLING
Location of Property 1805 YOUNGS
(HOUSE NO.)
County Tax Map 1II0. 473889 Section 060
AVE
(STREET)
Block 0001
SOUTHOLD
(HAMLET)
Lot 004
Subdivision
Filed Map lIfo.
Lot 1II0.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY lII1JMBBR Z-
32759
dated NOVEMBER 29, 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 MARY ROSE MINER
(OWNER)
of the aforesaid building.
SUFFOLK COUIIlTY DEPARTMJnIIT OF HEAL'1'II 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
LOCA'I'IClIl:
1805 YOUNGS AVE
SOUTHOLD
SUBDIVISI(B:
MAP 110.:
un (s)
lIAMB OF OIBBR (8): MARY ROSE MINER
OCCUPAIICY: SINGLE FAMILY DWELLING
MARY ROSE MINER
ALwu.:L'""J:15U BY: DAVID CICHANOWICZ
ACCOIPAIIIED BY: SAME
IBY AVAILABLB:
SOPP. CO. TAX ImP RO.: 60.-1-4
SOURCR OF RBQORST: DAVID CICHANOWICZ 11/20/07
DATIl, 11/29/07
DWELLING:
TYPB OF u..R:i1:KU\,;1:.Li3I': WOOD FRAME
. ll'mRIIlS, ~ . EXITS, ---2
POlIIIDATJ:OII ,
BRICK & CEMENT
CELLAR, 1/2
CIIAIIL SP1ICB, 1/2
'l'OTAL lKX>>IS: lS'l' P'LIl.: -2
2IID PLR..' -2
roILft IIOC>>I(S), ~
3RD PIiR.: ---9.
IlImIIl(QI(S), ~
lJTILI'l'Y IIOC>>I (S) ,
PORCH TYPE: FRONT COVERED
DECK TYPE:
PATIO TYPE:
1ID~:
P'IIIBPLlICB ,
NONE
Gl\IlllGB ,
nmoarrIC 1IO'l'IIATBR.: YES
TYPE BRATRR.: KEYSPAN
.AIRCmlDI'l'IOIIIRG:
TYPE BBA'J": OIL
IIARM.AIR: XX
1KnWArER,
O'IBBR.: PANTRY OFF KITCHEN
ACCESSORY STRUCTURES:
GARAGR. TYPB OF COIIST.: ONE CAR
S".l'OJlAGB. TYPE <XIIST.:
811............,. POOL:
GOBST. TYPE <XIIST.:
lJ'l'BRR ,
VIOLATIONS: CHAPTER 45 N. Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
DRKODXR, BP#2473Z-COZ2565(ALT)OPEN BP#33555Z(REPAIR PORCH)BP#33556Z-DEMO GARAGE
IIISPBCTED BY:
Ay J. /M/
GAIlY J. ..!sa /
DATIl 011 DIllPBCrIOII, 11/26/07
TDIR STAll'I': 9: 30 AM BRD: 10: 00 AM
'00
R fc n l:\1I j::
U; _I) .' ~J "1'
Nov,20 2; i101
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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 il!l<: and submitted to the Building Depaliment with the following:
A. For new building or new use:
I. Final survey ofpropeliy 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 2/1 0 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,
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" lanel uses:
I' Accurate survey of property showing all property lines, streets, building and unusual natural or topogTaphic
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 tlierefor in writing to the applicant.
C. Fees
I, 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, Celiificate of Occupancy on Pre-existing Building - $100,00
3. Copy of Certificate of Occupancy - $.25
4, Updated Celiificate of Occupancy - $50,00
5. Temporal)' Celiificate of Occupancy - Residential $15,00, Commercial $]5,00
Date. NDv' ~O( e:2~ 7-,
New Construction:
Old or Pre-existing Building:
,/
(check one)
Location of Property: /gos
House No,
Owner or Owners of Property: _ fVJ~
Suffolk County Tax Map No 1000, Section
c.;OVIV4"~ live
/'" Street
Sovttdd.
Hamlet
fVllrI~
(Po
Block _------L_____ Lot
oy:
Subdivision
--_____________ Filed Map ___.__..____ Lot
Pemul No
.---.-- -----.._-~-_..-
Dale of Permit.
ApplicanL_________ _______
Health Depl Approve I
.__ ____.._____ Underwlllers Approval
PlarUling Board Approval ._________.__
Request for:
Temporary CeJ11ficate
Final Certificale:
(check one)
Fee Submitted $
/67J,
---
~ 7 ~Cf'-S
6/fJL Co-c 3.;1. ') ~9
Applicant Signature
--~--~
- ~/
:.. 1/ TOWN OF 5OUTHOLD PROPERTY RECORD CARD
STREET 1:05
-
V1UAGE
DlST.
SUB.
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IIOLVING
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Lie. No. 50467
SURVEY OF PROPERTY
SITUATE
SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-60-01-04
SCALE 1 "=30'
NOVEMBER 5, 2007
'.
AREA = 22,521 sq. ft.
0.517 cc.
..
CERTIFIED TO:
DAVID CICHANOWICZ
.
~. ....
..
\
~
UNAlJl'HORIZED Al'TERATlON OR AODmON
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATlON LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE lAND SURVEYOR'S INKED SEAl OR
EMBOSSED SEAL SHAll NOT BE CONSIDERED
TO BE A VAUD TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHAll RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHAlF TO THE
TITlE COMPANY. GOVERNMENTAl AGENCY AND
LENOING INSTITImON USTED HEREON. AND
TO THE ASSIGNEES OF THE lENDING INSll-
TUnON. CERTIACATlONS ARE NOT TRANSFERABLE.
THE EXISTENCE O. RIGHTS O. WAY
AND/OR EASEMENTS O. RECORD. I.
ANY. NOT SHOWN ARE NOT GUARANTEED.
Nathan Taft Corwin III
Land Surveyor
Title Surveys - Subdivisions - Site Plans - Construction Layout
PHONE (631)727-2090
Fox (631)727-1727
MAJUNG ADDRCSS
P.O. Box 1931
Riverhead. New Yorl< 11901-0965
OffiCCS LOCATE:O AT
322 Roanoke Avenue
Riverhead. New Yorl< 11901
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PREPARED IN ACCORDANCE WITH THE tottNtMUM
STANDARDS FOR mLE SURVEYS AS ESTABU5HED
BY THE L1.A.LS. AND APPROVED AND ADOPTED
F'OR SUCH USE BY THE NEW YORK STATE lAND
TITLE ASSOCIATION. ..---
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N.Y.5. Lie. No. 50467
SURVEY OF PROPERTY
SITUA TE
SOUTHOLD
TOWN OF SOUTH OLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-60-01-04
SCALE 1 "=30'
NOVEMBER 5, 2007
AREA = 22,521 sq. ft.
0.517 cc.
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CERTIFIED TO:
DAVID CICHANOWICZ
..
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~
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UNAUTHORIZED ALTERATION OR ADDmON
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STAlE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE lAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHAll.. NOT BE CONSIDERED
TO BE A V,6JJD TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHAll. RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TTTl.E COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TImON. CERTIFICATIONS ARE NOT TRANSFERABLE.
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASE~ENTS OF RECORD. IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
Nathan Taft Corwin II
Land Surveyor
Title Surveys - Subdivisions - Site Plans - Construction Layout
PHONE (631)727-2090
Fox (631)727-1727
MAlUNG ADDRESS
P.O. Box 1931
Riverhead. New York 11901-0
omcES LOCATED AT
322 Roanoke Avenue
Riverheod. New York 11901
CONSENT TO INSPECTION
M~1o vV1 (~z.,
wner(s) Name(s)
, the undersigned, doe es) hereby state:
That the undersigned (is) (are) the owner(s) ofthe pre,rpises in the Town of
Southold, located at I Ro~ ~Ul0GS J So..;tt:?oJt (J.JJj.
which is shown and designated on e Suffolk Courtty Tax Map as District 1000,
Section (,,0, Block / ' Lot CD</.
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
-f1ZG- c..~+-,(J<-;T.:; t (!)t!..C</~~/VL.'1 '
That the undersigned doe 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 South old.
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: /01
;)...&,
J
~oP7
~g:
u I'r1/I I Co f!-t4"';,}W1 L Z-
(Print Name)
(Signature)
(Print Name)
LOCATION:
(number & street)
(municipality)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
LOT(S):
(type)
ADMITTED BY: ~~-; ,'>-, C4Mn w /ez....
KEY AVAILABLE:
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY: ~
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING:
TYPEOFCONSTRUCTION; wo-=f A~ # STORIES: ,;2
FOUNDATION: tqi- 'r~k..q- CELLAR: ~~
TOTAL ROOMS: 1ST FLR: .5 2ND FLR: ~
BATHROOM(S): t~ TOILET ROOM(S): - .
PORCH TYPE: ~!d_ ~) DECK, TYPE:
BREEZEWAY:' "'------ FIREPLACE:~
DOMESTIC HOT'Y ATER: ?~ TYPE HEATER: ::r-f',4M
TYPE HEAT: ~C WARM AIR:
OTHER: ~ ~~ ..6..tz.Ia. ',t!!1fI1J
# EXITS: .3
CRAWL SPACE: 0---
3RD FLR:
UTILITY ROOM: -
PATIO, TYPE:
GARAGE: -
AIRCONDITIONING:
HOTWATER:
----.
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
~ Chi--
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
------.
....-...
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
ART. SEC.
~
~
REMARKS:~33,')'5"57--~~q~LC)Q!V"6'~ )....J.rt?:rt':3~<;Sc,.z. Dp/mn M'.
INSPECTED BY:
DATE OF INSPECTION:
TIME START:
9/3<;
,
/0 ; dO
END: _