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HomeMy WebLinkAboutZ-33162FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33162 THIS CERTIFIES that the building DWELLING AND ACCESSORY Date: 07/21/08 Location of Property 20275 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 051 Block 0004 Lot 008 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 OCCUPANCY NUMBER Z- 33162 dated JULY 21, 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 AND ACCESSORY 2 CAR GARAGE.* The certificate is issued to JOAN D SELBY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 20275 SOUNDVIEW AVE SOUTHOLD SUBDIVISION: NAP NO.• LOT (S) NAME OF OMNER (S): JOAN D SELBY OCCUPANCY: SINGLE FAMILY JOAN D SELBY AEQTTED BY: ACCOMPANIED BY: KEY AVATT.SAr.R: SUFF. CO. TAM NAP NO.: 51.-4-8 SOURCE OF REQUEST: JOAN D SELBY DATE: 07/21/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME ; STORIES: 1.0 i EMITS: 2 FOU[IDATION: CEMENT BLOCK CELLAR: 3/4 CRAML SPACE: X TOTAL ROOMS: IST FLR.: 6 2ND FLR_: 0 3RD FLR.: 0 BATHHOQI(S): 2.0 TOILET ROOK(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECE TYPE: PATIO TYPE: PATIO BLOCK BRES2691AY- FIREPLACE: 1 GARAGE: DOMESTIC HO17WTRR: OIL TYPE SEATER: OFF BOILER AIROOMDITIOMING: TYPE HEAT• OIL MARK AIR: BDTIRITER• X ACCESSORY STRUCTURES: GARAGE, TYPE OF COMET.: 2 CAR WOOD FRAME STORAGE, TYPE C0NST.: SN312FENG POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE REMARKS: BP 34021 ALTER COZ-33161 INSPECTED BY: DATE ON INSPECTION: 07/21/08 GARY J FIS TIKE START: 10:00 AM END: 10:30 AM Form No. 6 1 i- TOWN OF SOUTHOLD BUILDING DEPARTMENT R 14 TOWN HALL 765-1802 i APPLICATION FOR CERTIFICATE OF OCCUPANEV-- ' 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 from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. OB 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 to the applicant. oA 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. 2O Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. q �10 I OK New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: C L 7 j Se Y 1\e\ 'ke. / �1,1-4P- House No. `` \ Street Hamlet Owner or Owners of Property: �) C C1 Suffolk County Tai Map No 1000, Section % 8 �'j 't{-'Bloek Lot Subdivision Filed Map. Lot: Permit No. Date of Permit._ Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ / C C . C C Com, �331b2 I0. Applicant Sigt CONSENT TO INSPECTION t the undersigned, do(es) hereby state: Owner(s)tie(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at___:?- � �- 7 S S e 6'JO oC L-; NO -e which is shown and designated on the Suffolk County Tax Map as District 1000, Section , Block , Lot 4 7 � 8 ? (I 5-J t _ � _ V That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: C-- o 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: � � 10 (0 53 (Print Name) (Signature) (Print Name) LONG ISIAND SOUND N 89'37 15' E 34.09 _—____ S 81'5240" E N\58 _� �rz;.�.:.,...,..o. - ---17.74•_._-_ '9 SURVEY OF PROPERTY X177/ATED Al' _ ' •� 50U'I'fI01,D TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ... S.C. TAX No. 1000-51-04-08 ,. SCALE I"=20' JULY 6, 2005 gy S,qY fuY[ NOUY AREA - 16,227O22 ap. 11. yy ° •� na nr-o 0,373 l44 n o o � ' 19 I ..I I I mi •z � Rrc 9a ha, \ 3 _ __ M __aa.aa • o _ nr tEpf NF p,�us¢rr.,. 4 b # N .q. w 66.64• m Jo eph A.Ingegno 56[JNll Land Surveyor VII',11 .1\,'l vllt., latln2„­,-. TOWN OF SOUTHOLD 11OPERTY RECORD CARD • OWNER STREET( -: VILLAGE DISTRICT SUB. LOT JCQ�% j . I FORMER OWNERG l ,kglpvdo's N E� ACREAGE / ' r tf S W ,- TYPE OF BUILDING RES. SEAS. VL. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS o /�zc'cl 2�/DDLl ao o h st L4 '-L ji RSM: M. Bldg. ,/�j 0 �� Foundation C Bath / Extension /J� (� Basement T //a ('—f Floors Extension v" / Ext. Walls W Gi Interior Finish Extension e13 ire Place N D Heart V/—,Y/'Z Porch Attic 5--I�y W Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage 1 C i.'x l _ j2 ✓ 7f/ > /riveway O. B. Aoid i /-/- 7 TOWN OF SOUTHOLD ROPERTY RECORD CARD 141, OWNER STREET %-)_- - VILLAGE DISTRICT I SUB. LOT S-06 FORMER OWN ERC. /Os N �' E < r _ ACREAGEi :r�C�r'_ .-�.e .:2-. ,.a�1- S �, C`•r '�c i,L�.i p 'f W _ �I� � TYPE OF BUILDING �1 y. RES. SEAS. VL. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS cw �., &- /,,z z�dDLl 10o v `. AGE BUILDING CONDITION ���3�Gj�-j_ �j %�t�i �� l —'�� j%( ���) ;�UlOS)e-st A rlk2'a NEW NORMAL BELOW ABOVE Farm Tillable 1 Acre Value Per Acre Value Tillable 2 Tillable 3 Woodland Swampland Brushland House Ppt o Tctal M. Bldg. j Foundation Both / Extension G ,A' ��� jv��r Basement 'y7 a' + Floors„ .._ Extension / , y, f� Ext. lls Interior Finish Extension z,13ire Place Heat ^' 1',Y/7 Porch Attic Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage °� �T_ jx / l� L .1(riveway 0. B. A=ld Reek T� LOCATION:1 Z �S (number & street) (municipality) SUBDIVISION: NAME OF OWNER(S): J OCCUPANCY: ADMITTED BY: _ KEY AVAILABLE: SOURCE OF REQUEST: !a n' LOT(S): (type) ' (owner -tenant) ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000 - DATE: DWELLING: , 1 TYPE OF CONSTRUCTION: W • 44-mr— # STORIES: # EXITS: v�— FOUNDATION: % CELLAR: ,� CRAWL SPACE: TOTAL ROOMS: IST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): ,I- TOILET ROOM(S): UTILITY ROOM. PORCH TYPE: DECK, TYPE: - PATIO, TYPE: gBREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOT3Y TER: - TYPE HEATER: r AIRCONDITIONING: TYPE HEAT:. WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.:O,C� STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. 44 3 r In REMARKS: INSPECTED BY- DATE OF INSPECTION: �700A TIME START: �© �oRi r� END: