HomeMy WebLinkAboutZ-34274FORM NO. 4
TOW/q OF SOUTHOLD
BUILDING DEP~TMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 34274
Date: 04/16/10
THIS CERTIFIES that the building SEASONAL DWELLING
Location of Property 22035 SOUNDVIEW AVE
(HOUSE NO.)
Co%knty Tax Map No. 473889 Section 135
Subdivision
SOUTHOLD
(STREET) (HANfLET
Block 0001 Lot 012
Filed Map NO. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which u~KTIFICATE OF
OCcupANCY NU~ER Z- 34274 dated APRIL 16, 2010
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 SEASONAL DWELLING WITH DECK.*
The certificate is issued to PETER & WENDY ROSENBERG
( OWNER )
of the aforesaid building.
SUFFOLK COUI~TY DEPARTW~SNT OF HEALTH APPRO%5%L N/A
ELECT~ICAL C~KTIFICATE NO. N/A
PLUMBERS c~KTIFICATION DA'r~u N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
BUILDING DE P/~RTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
DWELLING:
· 'FPE OF C~UCTIC~: WOOD FRAME # ~TORIES: 1.0 # EXITS: 2
1~: POSTS (~: NO (~ SP~:
ACCESSORY STRUCTURES:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
GEORGE GILLEN ~ ~T~RT: EI~O:
TOWN Or SOt, T.OLD I[ <1
BUILDING DEPARTMENT /il Ill
TOWNHALL I.U LII EAR ] 8 20 0
765-1802 / I
APPLiCATiON FOR CERTiFiCATE OF OCCUPINCY BLDG. 0£P,.
TOWN 0F SOUT~0L§
This application must bc filled in by typewriter or ink ~nd submitted to thc Be~ldin~ Department with th~ following:
Ao
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 2/1 0 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.
Bo
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 therefore in writing to the applicant.
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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. March 16, 2010
New Construction:
Location of Property: 22035
Old or Pre-existing Building: XX
Soundview Avenue
(check one)
Southold
House No. Street
Owner or Owners of Property: Wendy & Peter Rosenberg
Suffolk County Tax Map No 1000, Section 135
Subdivision N/A
Permit No. Date of Permit.
Health Dept. Approval: N/A
Planning Board Approval: N/A
Request for: Temporary Certificate
Fee Submitted: $ 100.00
Hamlet
Block 1
Filed Map.
Applicant:
Underwriters Approval: N/A
Lot 12
Lot:
Final Certificate: X
OF SOU?HOLD I~OPERTY RECORD CARD
OWNE~
FORMER o'wN D~ j" "J
RES.
LAND
SEAS. '~m,O VL
fMP.
TOTAL
DATE
VILLAGE
COIVW,.. J IND,
DISTRICT SUB, LOT
ACRF-6GE
, ./-,j'-~
TYPE OF BUILDING
CB. t MlSC' t
REMARKS
AGE
NEW NORMAL
Farm Acre Value Per Acre
Tilld:~ie I
Tillable 2
Tillable 3
W~odland
Swampland
Brush. land ~
House Plot
Total
BUILDING CONDITIOI'
BELOW
ABOVE ...
Value
M. Bldg.
Extension
Extension Ext. Walls
Extension
Breezeway
Garage
O,B.
~TJ:oundetion
Basement
FirePlace
i~ati°
Driveway
Porch
Porch
Bath
Fleors
] ntei:io'r Finish
Heat
Attic
Rooms 1st Floor
Rooms 2nd Floor
CONSENT TO INSPECTION
, the undersigned, do(es) hereby state:
Nme(s) ~
That the undersigned (is) (are) the owngr(s) of the l;lremises in the Town of
Southold. located at ,,-~,620::~>,..%~' .....~Ot.t.r~tt~te~.a.) /~-~.
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section ., Block , Lot
That the undersigned (ha.q) (have) file& or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
That the undersigned do(es) hereby give consent m 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:
(Print N~
EN-CONSULTANTS, INC.
1319 No~h Sea Road
Southampton, New York 11968
631-283-6360
Fax: 631-283-6136
www. enconsul~n~.com
ENVIRONMENTAL CONSULTANTS
TO WHOM IT MAY CONCERN:
This letter will authorize En-Consultants, Inc. to represent me and act on my behalf with
regard to environmental matters and/or permits.
'Signature
Print
Datea:
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 7150A
Date of Receipt of Application: August 18, 2009
Applicant: Peter & Wendy Rosenberg
SCTM#: 135-1-12
Project Location: 22035 Soundview Ave., Southold
Date of Resolution/Issuance: August 19, 2009
Date of Expiration: August 19, 2011
Reviewed by: Board of Trustees
Project Description: To replace the collapsed cesspool located on the landward
side of the existing dwelling.
Findings: The project meets all the requirements for issuance of an ~
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
application received on August 18, 2009 and survey stamped approved on
August 19, 2009.
Inspections: Final inspection.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
Board of Trustees
James F. King, President
Jill M. Deherty, Vice-President
Peggy A. Dickerson
Dsve Bergen
Bob Ghosio, Jr.
Town Hail Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
COASTAL EROSION MANAGEMENT PERMIT
Permit #7150C
Date: August 19, 2009
SCTM#135-1-12
Name of Applicant/Agent: Patricia C. Moore, Esq.
Name of Permittee: Peter & Wendy Rosenberg
Address of Permittee: 22035 Soundview Ave., Southold
Property Located: 22035 Soundview Ave., Southold
DESCRIPTION OF ACTIVITY: To replace the collapsed cesspool located on the
landward side of the existing dwelling.
CONDITIONS: None
INSPECTIONS: Final inspection.
The Coastal Erosion Management Permit allows for the activities as indicated on the
application received on August 18, 2009 and survey stamped approved on August 19,
2009.
Jam F~. King, Presi~t
Board of Trustees
JFK:lms
ELIZABETH A. NEVILLE, RMC, CMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor thfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Mrs. Wendy Rosenberg
22035 Soundview Ave.
Southold, NY 11971
August 24, 2009
RE: 135-01-12
Dear Mrs. Rosenberg:
Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic
Tank/Cesspool System for which you applied.
AFTER the system is installed but prior to being used, an OPERATION PERMIT IS
REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is
Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non-
residential system. Your check should be made payable to the "Southold Town Clerk". An
application form is enclosed. Please complete the requested information and return the
application, proper fee, and LOCATION MAP (map must indicate the location of the
cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools
and distances between the pools.
Should you have any questions concerning this matter, please do not hesitate to contact this
office.
Account Clerk
Enclosures
~ELIZABETH A. NEV~T J.E, RMC, CMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS'MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD NASTEN~I'~ DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3893 R
Fee $ 10.00
PERMIT ISSUED TO:
Name
Address 1
Residential X Non-Residential .......
Septic X Cesspool
WENDY ROSEIqBERG
22035 SOUNDVIEW AVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
A~PROVEDAS SUBMI'rr~D. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WAT~i~ BODIES.
EXCAVATION INSPECTION REQUIRED. TRUSTEES PERMIT REQUIRED WAS ISSUED
Name Of Owner WENDY ROSENBERG
Mailing Address 1 170 W 78TH STREET
City St Zip
Property Address 1
NEN YORK NY
22035 SOUNDVIEW AVENOE
City St Zip
Tax Map NO. section
Cross Street
Building Permit Number Cross Reference:
SOUTHOLD NY 11971
135.00 block 1 lot 12. 000
GOLDEN LANE
Issue Date: 8/24/09
Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS iViA/qAGEMENT OFFICER
FREEDOM OF INFOR1ViATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor thfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
.APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 :/or Non-Residential ~ $25 .__
Owner Name
?
Owner Mailing Addrel~
Owner Property Address
Owner Telephone No.
Application No. __
Permit No ...... ~-
Lot
Tax Map No: Section , > .~, c' ~ Block
Cross Street ~t.~.~; ~ ~ .... ~.-
Please check each that applies:
New Construction.
Alteration to Existing System :~-
Residential .// Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and system; give north arrow and approximate distance in feet from system to building
and closest road. New construction may submit copy of survey with SCHD approval.)
//..~,,~ ~ ~ ~- - --. ~ ' ''
S~gnature of Applicant Date
Received by:
Town Of Southold
P.O Box 1179
Southold, NY 11971
Date: 09/22/09
* * * RECEIPT * * *
Receipt~:
59750
Transaction(s):
1 1 Septic Permit - Operation - Resid.
Check#: 683
Reference
3893
Total Paid:
Subtotal
$10.00
$10.00
Name:
Rosenberg, Wendy
22035 Soundview Ave
Southold, NY 11971
Clerk ID: CAROLH
Intemat ID: 3893
°
S
x~
NOTES:
SURVEY OF PROPERTY
SITUATE
SOUTHOLD
TOWN OF $OUTHOLD
SUFFOLK COUNTY, NFW YORK
S.C. TAX No. 1000-135-01-12
S.O. TAX No. 1000-135-01-13
SCALE 1"=10'
FEBRUARY 9, 2010
AREA = 6.548 sq. fl.
(TO TIE LINE) 0.150
1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1988 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS: ~
FFL - FIRST FLOOR
2. FLOOD ZONE INFORMATION TAKEN FROM:
FLOOD INSURANCE RATE MAP No, 56105C0158H
ZONE VE. COASTAL FLOOD WITH VELOOI~ HAZARD (WAVE ACTION);
BASE FLOOD ELEVATIONS DETERMINED
ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL OHANOE FLOODPLAIN,
THE EXISTENCE OF RIGHTS OF WAY
ANDZOR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT OUARANTEED*
N,YS Lic. No 50467
Nathan Taft Corwmn III
Land Surveyor
PHONE (651)727-2090
Fox (651)727-1727
;JO-OK,