HomeMy WebLinkAboutZ-32935
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-
32935
Date: 03/19/08
THIS CERTIFIES tbat the building
DWELLING
Location of Property 3005 YOUNGS
(HOUSE NO.)
COunty Tax Map No. 473889 Section 063
AVE
(STREET)
Block 0001
SOUTHOLD
(HAMLET)
Lot 025
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
OCCUFANCY NOMBIlR Z-
32935
dated MARCH
19, 2008
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 ACCESSORY BARN, 2 SHEDS, OUTHOUSE,
PUMP ROOM & CHICKEN COOP.
The certificate is issued to DANIEL CHARNEWS
(OWNER)
of the aforesaid building.
SUFFOLK COUllTY DEPAR~ OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
.PLEASE SEE ATTACHED INSPECTION REPORT.
~~.
Authorized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATICWI ,
3005 YOUNGS AVE
SOUTHOLD
SUBDIVISION:
MAP HO.:
LOT (S)
IIAMB OF OIIRKR (8): DANIEL CHARNEWS
OCCOPAllCY: ONE FAMILY RESIDENCE
DANIEL CHARNEWS
AI>>II'l'TED BY: DANIEL CHARNEWS
ACalIIP.AIIIED BY: SAME
ltEY AVAILABLE:
sow. m. TAX MAP HO.: 63.-1-25
SOURCE OP REQOEST: DANIEL CHARNEWS - 3/13/08
DArB, 03/19/08
DWELLING:
TYPE OF UJl\I:i:a:Ku\;:a:~OII: WOOD FRAME
. STORlllS, ~ . EXITS, .
POONDATIOB :
BRICK
CKLLAR.: FULL
CRAWL SPACE:
'J'U'l"AL R<X>>IS: 1ST PLR.: ..2
2JID PLR.: ~
3RD PLR.: .......Q
BM'IDlO(>>I(S) , ~
TOILET ROaI(S) , ~
UTILITY ROaI(S) , -L-
PORCH TYPE:
COVERED
DECK TYPE:
PA:l"IO TYPE:
BIlEBZBIIAY ,
FIIlKPLACB ,
YES
GARllGB ,
JJCMBSTIC BO'l'WA'I'ER.: YES
TYPE IIBATER.: RADIATORS
AIRCOIlIDITIOIIDIG:
TYPE BRAT:
STEAM
1IAIlM AIR:
BO"l'IIATKR.: YES
0TBBIl. ,
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CORST.:
S"l'ORAGB. TYPE C!BIS'l'.:
BARN
llWDMIliG POOL,
GOBST, TYPE COIIST.:
OTBRR: 2 SHEDS. OUTHOUSE. PUMP ROOM & CHICKEN COOP.
VIOLATIONS: CHAPTER 45 N. Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARKS: BP#19824-Z-CQZ-19921 (REBUILD PORCH)
IBSPBCTED BY'~ ~)7L DArB CWI IBSPBCTICWI, 03/19/08
GIIORGE GILLER
TIME START:
IlRIh
3l, 1- Y l 0 - ;) (5"C;8
L
APPLICATION FOR CERTIFICATE OF OCCUPANCY,
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
..) I,
.!
13 08'
-
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:
I. 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 2/1 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" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and a consent to inspect signed by the applicant. Ifa 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 - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
;y - n-O~
New Construction: Old or Pre-existing Building: V
Location of Property: 'J. 1 ~ s '10 flM. ,"; <; A ~ J2
House No. Street
(check one)
S(J(r/~ofcfJ
Hamlet
Owner or Owners of Property:
DtUt,..}
f~...jJ .. 'V-1.,,(f../L. CLu/L'1.(.J'w>
" ., Block ( Lot ;2 5
Suffolk County Tax Map No 1000, Section
Subdivision
Filed Map.
Lot:
Permit No.
Date of Permit.
Applicant:
Underwriters Approval:
Health Dept. Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
)J~'P- ~
Applicant Signature
&"'RA. 7 3 ~ '] /.
~~-t: 907 g ~ 5
CONSENT TO INSPECTION
D d.M.;J) f{<('I",o",j} <J 1iA~;,.lc
Owner(s) Name(s)
CLt d IUU!i",)
, the undersigned, doe es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold,locatedat ;;;l.1"6'5 '/OW-<qS Ave
which is shown and designated on the Suffolk County Tax Map as District I 000,
Section G3> ,Block ( , Lot ;ZS'
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
PAe NS1 CO
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of South old 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 South old.
Dated:
3-/J-07"
v~7-~
(Signature)
J)cUt;eJ p.. C4<?/-<<.ewf
(Print Name)
(Signature)
(Print Name)
// ~ A'-, i
, ,'I
OWNER
""V?L}';,
A
FORMER OWNER
.,
,:~...j -
/"
:f
dArneQ)S "f. I
RES.
LAND
I t)-' J- c D
~ :;eM 6
t-. l'e ')
(e>O
~ ~'" 6
(; ) L'U
AGE
NEW
FARM
Tillable
Woodland
Meadowland
House Plot
Total
! SEAS.
IMP.
.....:, ::! ,cO .)
6 -.,
,3 ..s- ~ <)
3/:>-"'0
""4;;0
~L:fa (.)
5/00
NORMAL
Acre
,
;>
/
TOWN OF SOUTHOLD PROPERTY RECORD CARD
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~j \~
~
".I
II >
STREET ,_;/[DS
(/
l .
VILLAGE
I
v,," J';<... (r )
EI \1Il
_:-".,"",/"1 tl.',"/!'
DIST. SUB.
LOT
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j--
I
i
2. . 110 t
TYPE OF BUILDING
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.",
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.;
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VL.
MICS.
CB.
Mkt. Value
TOTAL
DATE
REMARKS
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to
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..-
.70
u
t, .(/ }"Jv/..' 0'
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r,"" -- ~' /',-
BUILDING CONDITION
r
I J:.,. ~'c:.
~,,,Jl.-":" ,
I..L; -;:..:-
BELOW
ABOVE
Value Per
Acre
Value
17,000,'
::.-
" .'
<a:.--/ ,"l
:;-
r'
-
,,- -.'
/~ ,:') CJ
),.OD
/'
&5"1..-s
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
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1411 2-8 ~ J 9~ I I I I I' / /' I I i ; i , , i I
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Extension I /~S..Jvi I , I ,
I .:l. 0" 1 ;> ~DO </'-' C I.J. a (:I I ! , I I i I I !
~ ! i I ! :
--
Extension
:. 1
,
'"
Porch
orch--
.:......--:;
5/ Z-S
-x
;q5
Breezeway
Garage
Patio
O. B.
fuJv,., '<I
try .;.~
""- /"
Total
'c
,I'
__._____~~~_. ~-----T
COLOR
W #1" i'
TRIM
Isl-1
~..5o I
I
I
I
(:ll) I
5':0
I I Dinette Ii
p,,,. ,- iK.
... ... i !
'A",.; Fl.. ILR. I
u..>l..., 8. )1 I
I <' T' -, h' ,,;' DR .
~ . C,,' I .
Foundation
. J...~
-. '\.
Bath
13 h' .
Basement
Fe) L l
Floors
I Ext. Walls
/151:'.
Interior Finish
-"0
,--
Heat
,
I Fire Place
,.)
I
'R I
lType oof '1
I Recreation Room I-
I - I
," I. Dormer I
., (J 0 .
I~o'/ ~ ~5f71
~~...,~~_ I ?-C:.J~ ....
~ ;_~ 50 'l-r("(j
'-.-/
1 Driveway
I
I
Rooms 1st Floor
BR.
FIN. B I
Rooms 2nd Floor
n
(;.;:l-'{:
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