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HomeMy WebLinkAboutZ-32783FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32783 Date- 12/13/07 THIS CERTIFIES that the building DWELLING AND ACCESSORY (aka 17 Sound Road) Location of Property 275 SOUND RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 035 Block 0001 Lot 005 Subdivision Filed Nap 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 N@IDER Z- 32783 dated DECEMBER 13, 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 ENCLOSED FRONT PORCH AND ACCESSORY TWO CAR * The certificate is issued to PATRICIA A MOTTO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL Q PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A Autioriz d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 275 SOUND RD GREENPORT SUBDIVISION: NAP NO.• IAT (S) NAME OF OWNER (S): PATRICIA A MOTTO OCCUPANCY: ONE FAMILY PATRICIA A MOTTO ADMITTED BY: LOUIS BLANK ACCOMPANIED BY: SAME ABY AVAILABLE: SUFF_ CO. TAX MAP NO.: 35.-1-5 SOURCE OF REQUEST: LOUIS BLANK DATE: 12/13/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS- 2 FOMMATXON: STONE & CONCRETE CELLAR. 1/2 CRAWL SPACE: TOTAL ROOMS: LST FLR.: 2 2ND FLR.: 2 3RD FLR.: 0 BATBROOM(S): 1.0 TOILET ROOM (S): 1.0 UTILITY ROGM(S): YES PORCH TYPE: ENCLOSED FRONT DECK TYPE: PATIO TYPE: BREEZEWAY: FIXIMLACE• NONE DOMESTIC NDTTATER: YES TYPE BEATER: OFF BOILER AIRCOIDITIONING: TYPE BEAT: OIL MARK AIR- X BOT7ATER• X ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE COMET.: SMIMMIPG POOL: GUEST, TYPE COMSY.• VIOLATIONS: CHAPTER 95 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: RE -INSPECTED 12/10/7 c INSPECTED BY: DATE ON INSPECTION: 11/19/0 GARY J/" B TINA START: 9:40AM END: 10:05AM 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 1 % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance fi om 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" land uses: 1. Accurate survey of praperty showing all property litres, 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. Temporal), Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. / r/ / ),/o New Construction: Old or Pre-existing Buildings (check one) Location of Property: talcI ;n le House No, Street Hamlet Owner or Owners of Property: �A I t" r1i4 ANN //n Suffolk County Tax Map No 1000, Section 3 S Subdivision Permit No. Date of Permit. Health Dept. Approval Planning Board Approval. Request for Temporary Certificate Fee Submitted: $ /60. bo Block I Lot Filed Map. _— Lot: Applicant: Underwriters Approval: Final Certificate: (check one) /W 0,x,,,,4 Applicant Signature 177p�4 CONSENT TO INSPECTION ' '7 It 0,13 13 / "' ° 040 the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s)pf the premises in the Town of Southold, located at ,77S S,7,, ac W,na-r/ which is shown and designated on the Suffolk County Tax Map as District Section /fid , Block �, Lot , 35 1000, That the undersigned (has) (have) filed, or cause to be filed, ap application in the Southold Town Building Inspector's Office for the following: 4z"( 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: //L5 107 (Signature) Z-ec : r /! 4n/ - - (Print Name) (Signature) (Print Name) TASKIeiZ frfutw hopes J. BIZANDI b, *' 3 Z � 3 Q w N � rl d 100.ZS MAP of Pzoprlia-rr SURVEYED rom CHAQLES * SOPH{E VAYIJO2 U�autnwirdl alter.den a .dditbn ,AT rodW Z12MNa ftN—nd 3evt1uUMLB dtiw New Ypk gene `.i i��E0.irV�T - EAa:eeon law. �/ Cade. d twa amw mw nd M�lae Toww op SouT► oLo,NJY ma,am.mrrar. xta..r a - robe avaNd Uu oaM• 6uYaree.e==the dwN no eaN ro die aww is paowd. end on NL behi f to tln .. mb oomp.nY• 9a+Rnow"ol *vWwend _.. gndnc la."Wo n Aaed Moen and ro n,e ee an.ea of ow wrdbw ruw• . Cn,ara+ni 1 f� I Fta Infer— C& %+4 turbo. Gu" raest are nail VeudareDl► arsdORtarlin.dodbnamwbequerd .. - GuamMfj 40 MOf" 14119 ll l&MX "j aweers. -- Sr -41e: 20"91" Q < l wonvmon+ as survFyad (� IMM _ O • Iron ptp. ANTUYL* SOW r�- �.., Litertsrd kind - f Greenport , New York i • • • A4_;z2 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST.! SUB. LOT til l - n o'f% /�-r,, ,, 1d �rsc• F RMER OWNE N; v !� E ` O ACR. , S W TYPE OF BUILDING RES. 1p SEAS. VL FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS a 0 h " ,� �; /k7 O o a� 30 o � �y p�2 6 , 717 — Jo ci /He Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD _ Meadowland DEPTH House Plot BULKHEAD Total AOf S00% 1. C9n-e.-woo y "X�k +� �`.— w—-- J lK MP# TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 -� INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRER CONSTRUCTION [ ] FIRE RESISTANT PENETRATION l JZF r-� 0 DATE o INSPECTOR /"' X-� LOCATION: (number & street) (municipality) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: (type) MAP NO.: LOT(S): (owner -tenant) ADMITTED BY: Cp r ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: # STORIES: # EXITS: 02 - FOUNDATION: BrD>vC CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: a-+ 2ND FLR: 3RD FLR: �— BATHROOM(S): test.-, TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: olv GARAGE: DOMESTIC HOTWATER:-- TYPE HEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES.- GARAGE, TRUCTURES.GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: W'RAGE, TYPE CONST.: GUE T, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ATION DESCRIPTION ART. SEC. a REMARKS: INSPECTED BY: '` DATE OF INSPECCTION: TIME START: ` ` �� END: (Or" Or