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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 ------1 I bLl. ~j (' 'f'~. TQ..~LD0'-':lIHO:1l__ 73<(- 79:23 'ff{5 -lfg-75 oJI~ cdR- 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. ...~' '" - .."" y~ .3 ') LOT a,.~ cJl C- i ;;~ '. E - -...,4....t ACR. ~ TYPE OF BUILDING ~~ ~,tSC. t...tld. Value CL $, J- f) 'lAND SEAS. IMP. CONiM. ca. REMARKS -- -. ~ "-bi_:z.~li.!:t-_..uL~~_-__-- , ....iJg-{L,..C'-.e.1i ..fo rrp~r" f&f - ~/Ih~;'f M JY1J/~ dtce~f:1 (de. "47rLfif ) -. . NORMAL Aae BELOW Value Per Ar:re ABOVE Vcilue OJ IS) If) 0\ If) <D t- ~ f') - <D ~ AGE BUILDING CONDITION ,,"-" - FRONTAGE ON WATER FRQNTAGE ON ROAD DEPTH BULKHEAD '" - a. ~ ------- !:f H __________________ '3 H fil Cl .___ d I '" El liable t. ibble 2 '.!able 3 "6 to;" or-. # ~n .,. IS) If) - -< 31. "" I t- IS) IS) OJ I IS) OJ I -< -. hI ~. DOCK I ' I, ; 20S6S9Ll~9l Ld30 ~NIOilna OiOHLnOS v0:Sl L002-02-ll '~4-+J.+--hf 1 I 1 I I I I i , 'I "j II I I , . " I I ~ ~r-: ,.-' .! ~l ;~ ~ ..~ ; \;~ ,; "'(~ , 11(" )< j .. i "II ~f ~ ~ , !,.....;: I --:--k::JJJJL. )1 ~ ~ 11 '. '.'~. :;:.~Ji. 239t:kl 'I, :'. '/ , , ~ I , ~., 8 '" , _...I, '~"-"r-'J' ~l ~~ i-' I 11 _L-::L___. J I i I , ;:~;~;"i:J;t""';'if':::.:;;i;i,~:,:-;'~;,:'T . .it 'it' <<i ~ .,. . a!; ,Ii of g "'~"",OCQu. , ,~~ ~ I ~j ~ ~ '~J"': " " .\: 'it~ dJ... 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JOp \ \ '41 ....-; ".4> .: .." .. ,.,,<: .~ ~ GAA\lEl. ,.9 1<0'" sE" ~fSP- "'to'S. ~ Bl.OCK p,\lH IN DIRT '!\%",,)\ \\ ~~\t ~\ '" \ ~ ~ .... .' \ ~~t\ G~~~) e\l\\.OlllG COllC~('l~ \ S,O~'{ ~~ .". \N' ~ ,.~~,",O\lS~ f~,.IA~ \ S,O~'{ ~o1>>"P ) "B-1>>\\.. IF ..", LLC N/O CO!lPJU" IIOLVING V.v.C. <...\..o~G 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 I:l ':,,- n .-> 0lU; lJ''-> 'O~, Ol,'b~ ';r. o t""' '2.z z__.... <;>0 --.... n..., o ';::. ""<:l ... Z '"" t""' t""' n ~ 0" t. ~ 1 A.~I'~ ut%'i-.~~ 0" ~" 1'S.~9'0 t~ "'. 'N' . A' ~~O:\, ~/o/J1J\Jtj(E d~ }.. JO" ~ ..... " 0" ._,c," t\E1)G~ ~ ~~&,5. " ..4" .' ~ aLOC1' p,,1tI IN OIRT o~ ~~\\~ a~. J>Ot"lc,_ 1,"5. . t"I "Z, ~ ~. , (<I ...~ i .00 't,U: J 00 . O. ~..~ . , S10\l.i f\l.J'\A~ !l."G~ G~\"G) 1l1l1\.OlllG COllC!l.~1~ , S10!l.i LLC ~Op."O) ~p.\\-. 'Il "\l.~~OIlS~ \l.i f\l.,,\A~ , S10 !</O/~O)lP~Y 1l0LVJ!<G v--I'\"O G \'3 (\-.01'\ V.v.C. )h..~ .p.. 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. ..--- l?fJoo: ',if"", .... "'''.'', l. ".{" y ....-'--:::''''''"..., ~ Q,0 /.'Z.... -~~ !:...'~. r F"n......" IT - (~~,~'~-,.:/:, \!~:'.,N;'"~--\..'\. 1 i ........ ., ,- -'f;. , i "./.:';: , . \ ;.: 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. .: .<' .. ~ ~.. ., 't-. , C :~ CERTIFIED TO: DAVID CICHANOWICZ .. ~ ~ ~ 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: _