The URL can be used to link to this page

Home My WebLink AboutZ-34052FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34052 Date: 11/04/09 THIS u~TIFIES that the building DWELLING AND ACCESSORIES Location of Property 18075 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (H3%MLET) County Tax Map No. 473889 Section 051 Block 0001 Lot 008 subdivision Filed Map No. __ Lot NO. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursva-t to which CERTIFICATE OF ~uuwANC"~ ~BE~ Z- 34052 dated NOVEMBER 4, 2009 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 STOPJ~GE BUILDING AND CONCRETE WALK AND TERRACE.* The certificate is issued to ELIZABETH P & ROY I MARTIN TRT ( OWNER ) of the aforesaid building. SuFMOI=K COUI~I"~DEPARTMENTOFHIZALTHAPPRO~-AL RT.R~-i'KIC3%L CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£~U3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A fized Signature Rev. 1/81 BUILDING DEPARTMENT TO'tN OF SOUTEOLD ROUSING CODE INSPECTION P, EPORT DWELLING: ACCESSORY STRUCTURES: C, AP~, T~ OF C~.: ~T(IR~, ~UfPE C~.: 22 ' X 14 ' WOOD FRAME VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. I~: BP8637 ADD COZ7683~BP20703 ADD COZ21048 BP35075 ramp add & alt accy COZ35050 &COZ35051 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: 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 2/10 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. 'B. 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 pr°perly c°mpleted application and consent to inspeet 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 °f Occupancy - New dwelling $25.00, Additious to dwelling $25.00, Alterations to dwelting $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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: 'Loeation of Property: Old or Pre-existing Building: House No. Street Owner or Ownen of Property:. / Suffo~ County T~ Map No 1000, S~tion Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Date of Permit. Temporary Certificate Date,.. ~qJo ~-/ca ~ ~ (cheek one) Block ! Lot Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: (check one) Hami~t ,y Fee Submitted: $ icant Sigr~ature c~ CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold. locatedat /J'O?¢- .Co.~,~.~o./~-co /fcic. which is shown and designated on the Suffolk County Tax Map a~ District 1000. Section ~-? .Block / _.Lot ~' That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Buj,lding Inspector's Office for the following: ///~- c*. tv. That the undersigned do(es) hereby give consent to ~he 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, roles 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. (Signature) (Print Name) (Signature) (Print Name) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING ROUGH PLBG. INSULATION FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESi .STANT C~NSTRUCTION [/) ] FIRE R .~. ~ANT PENETRATION REMARKS. ~ DATE ~ INSPECTOR .. 765-1802 INSPECTION ~...~-~-F~ATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRU~'TION[ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR__/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I,~ULATION [ ] FRAMING / STRAPPING [,/~FINAL~,~ ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANTPENETRATION I?~EMARKS: ~'j~d6~t~ /~-~'~-~-.~ ~ ~c.~ ~c~~ TOWN OF SOUTHOLD PROPERTY RECORD CARD ~r~ Y/ OWNER STREET r ~ VILLAGE I DISTRICT OWNER ~ ~ 'I ACREAGE ~,-~h ,.~C ~"~ ~ r '/-~/~ ' TYPE Of SEAS. VL. FARM COMM. I IND. IMP. TOTAL DATE REMARKS ::?gOO illc~ble 1 illoble 2 illoble 3 /oodlond ~ampland rushlond louse Plot oral ,a SUB. LOT MISC. tension tension tension lrage F,~undation Basement Ext. Wafts /?~3z= ~oa Fi're Place Porch ,.~'0 ,.~ / Porch ~.,~e_~.~ Patio Bath Floors Interior Finish He~ Attic Rooms 1st Floor Rooms 2nd Floor 5URVlS"r' OF: PROPF:RT'r' 51TUATE.' 50UTHOI_I::> TOHN.. 50UTHOLD 5UF:F:OLK Cx:~qT'¢, N'f' N89°54'30"E 100.00' Sound · HONUHENT Propert9 Zone R 60 Area = 56,-F/~ S. F. ~RAPHiC, .SC. ALE EAST MAIN STREET RIVERHEAD, N.Y. 11901 REF.\\Compaqserver,v ros\90S\09-148.pro N.Y.S LIC. NO. 50202 3(¢)-8288 Fax 369-8287