HomeMy WebLinkAboutZ-35335No: 35335
Town of Southold Annex
54375MainRoad
Southold, New Yorkl1971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
12/13/2011
12/13/2011
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot:
Subdivision:
conforms substantially to the requirements for a
APRIL 9, 1957
280 Sound Ave, Peconic
67.-1-7
Filed Map No.
built prior to
pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-
Lot No.
35335
dated 12/13/20 l 1 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
one family dwelling with finished basement and cement patio.*
NOTE: BP 9910 addition with deck and central a.c. updated C/O Z-35334.
The certificate is issued to
Terranova, Paulina
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
~t/iz~Si~t Ure
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 280 Sound Ave, Peconic
SUFF. CO. TAX MApNo.i 67.-1-7 SUBDIVISION:
NAME OF OWNER(S): Terranova, Paulina
OCCUPANCY:
ADMITTED BY.'
SOURCE OF REQUEST: Terranova, Paulina DATE:
12/13/2011
DWELLING:
FOUNDATION:
TOTAL ROOMS:
BATHROOM(S):
TYPE OF CONSTRUCTION:
cement block
IST FLR.: 2ND FLR.:
2 TO'ET ROOM(S):
PORCH TYPE: DECK TYPE:
BREEZEWAY: FIREPLACE:
DOMESTIC HOTw~TER: yes TYPE HEATER:
TYPE HEAT: electric WARM AIR:
# BEDROOMS: 4 # KITCHENS: 1 BASEMENT TYPE:
OTHER:
# STORIES: 1 # EXITS: 4
CELLAR: CRAWL SPACE:
3RD FLR.:
UTILITY ROOM(S):
PAT10 TYPE: cement
I GARAGE:
propane AIR CONDITIONING:
HOT WATER: yes
full - finished
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS:
REMARKS:
INSPECTED BY: ~~
DATE OF INSPECTION:
TIME START: /~95 ~'0
~rm No. 6
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF occUPANcY
Tl~ application must be filled in by typewriter or ink and submitted to the Building Department with. the falloyting:
For new building or new use:
1. Final survey of property with accurate'location of all buddings, propen'y linos, streets, and unusual natura~ or
topographic featurds.
2.Final Approval from Health Dgpt. of wate~- supply and sewerage-disposal (S-9 form).
3..Approval ofoloetrieal installation from Board df Fire Underwriters.
4.'8w.om statemegt from plumber certifying that tho solder nsedin system contains le~s than 2/10 of 1% lead..
5. Commeroial building, industrial building, m01tiplo residanoea and similar buildings and installations, a ccrtifieate
of Code Complia~ace'from arohitect or enginoer responsible for the building;
-6.Submit planning Board Approval of completed site plan requiremonts.
(~For 9, aon-ccnfo~ning us~, or buildings and "pre-existing" laud uses:
buildings
(prior
to
April
1957)
1. Accurate survey of property showing all property line~, stre~s, building and. unns~al ustumi or topographic
features. .--
2. A properly c~mpleted application and consent to in~pcct signed by the applicant. Ifa Certificat~ 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00,.
~. Ceytifieate 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
How Construction:.
Location of Property:
House i'4o.
Own6r or Owners o~Proporty: '~flU ~-t w~
8Uffolk .County Tax Map bio 1000, Section
8~flxl~vi~ion
l~tmit lqo.
Health Dept. Approval:
Planning Board Approval:
Request fo~. Temporary Certificate
Foe Submitted: ~; ~ C 0 , (~
Old or Pre-e;xisting Building:' / (check one)
Street
ap. //7
Da~ of P~a~L
Und~
Final C~ificate: / ~ (ch~k one)
Hamlet
Applicaut Signature
CONSENT TO INSPECTION
/~'/'~>~n,o u,q / r'~'z/sz-~ . , the undersigned, do(es) hereby state:
Owner(s) amo(s)
Tl~at tho unde~igned (is) (aro) tho owner(s) _of the premises in the T~own of
Southold, locatedat ~gO --~0~ ~V¢O, f~co~ ~ I/?,~ ~
which is shown and designated'on the Suffolk County Tax Map as District I000,
Section ffJ~ y , Block ! , Lot '7
That the und6rsigned (has) (have) fled, or cause to be filed, an application in the
So_uth01d Town Building Inspector's Office for~the following:
That the undersigned do(es) hereby give con~ent 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 detemaine that said premises
comply with all of the laws, ordinances, roles and'regulations.of the Town of South61d.
The undersigned., in- ~onsenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be usod in.subsequent proseautions for violations of the laws, ordinances, rotes or
regulations of the Town of Southold.
Dated:
.--~ (Signa_.~e)...
5. / vou,q
(Print Name)
'(Signature)
(Print Name)
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
(type)
ADMITTED BY: ?~_~
KEY AVAILABLE:
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY: ~ ~
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION:
FOUNDATION:
# OF BEDROOMS: 1ST FLR:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: ~-- ~'~-F_.~
# OF KITCHENS:
FINISHED BASEMENT: YES
OTHER:
.~t*~_~ # STORIES:
BASEMENT:
~ # EXITS:
CRAWL SPACE: '"'"'
2ND FLR: 3RD FLR:
TOILET ROOM(S): ~ UTILITY ROOM:
DECK, TYPE: PATIO, TYPE:
FIREPLACE: ~ GARAGE:
TYPE HEATER: ~r~ AIRCONDITIONING:'
WARM AIR: ~ ~ HOTWATER:
~NO
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY:
DATE OF INSPECTION:
TIME START: /e~/5°°3 END:
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 119714)959
BUII,DING DEP~
TOWN OF SOIITHOI.11
APPLICATION FOR ELECTRICAL INSPFCTION
Telephone (631) 763-1802
rog er. richer t ('~,t~w(~n.ts) o~ u~5o~(~, n y. us
REQUESTED BY
Company Name:
Date:
~lame:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Cross Street: ~/~ c ~ ~
*Phone No.:
Permit No.:
Tax Map District:
1000 Section: (~6 ? Block:
/ Lot:
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed}
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
~/NO Rough In ~
YES / NO
3Phase 100 150 200 300 350 400 Other
Underground Number of Meters Change of Service Overhead
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
OWNER
OF SOUTHOLD ~OI)ERTY RECORD CARD
N
VILLAGE
W
S
D[S-I'RICTSUB.
XChEA~E
TYPE OF BUILDING
FARM J COMM.JlND. rcB.
MISC.
lest. Mkt. VOlue
LAND
IMP.
/90-0
2o0
IIo ~
//~kGE
NEW
Farm
Tillable 1
TilLable 2
Titfable 3
Woodfand
Swamp]and
Brush[and
House Plot
Totel
J/00
NORJ~AL
TOTAL DATE J REMARKS
~-~ A 7 / ~'--~0.~ ~',~
BELOW ABOVE FRONTAGE ON WATER
Valge Per Acre Value FRO~AGE ON ROAD
BULKH~D
DOCK
' I !
.,.i Basement ~ ~ FJoors
~t. Walls ~r%~=. ! Interior Finish
Fire Prate / Heat
Porch. i A~f Type
r,,ge
Porch
· //~ ~ ~ot~a
, I Driveway J
!
Roor~ ]st Floor
Rooms 2nd Fleor
Dormer
P., .~.q- %?,o ' 0 67 ,/¢ - ~t; O , 0
.5c~/~ 4-0' =/"