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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,