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Home My WebLink AboutZ-36655 dvy~K Town of Southold Annex 12/12/2013 54375 Main Road A1X7jkNq-'.') Southold, New York 11971 ~L } aqt 10 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36655 Date: 12/4/2013 THIS CERTIFIES that the structure(s) located at: 20795 Soundview Ave, Southold SCTM 473889 Sec/Block/Lot: 51.4-13 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36655 dated 12/4/2013 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling_.* The certificate is issued to Costas, Anna (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A`7 Auto orizid Si iature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 20795 Soundview Ave, Southold SUFF. CO. TAX MAP NO.: 51.-4-13 SUBDIVISION: NAME OF OWNER(S): Costas, Anna OCCUPANCY: ADMITTED BY: Penelope Nikolakakos SOURCE OF REQUEST: Costas, Anna DATE: 12/4/2013 DWELLING: # STORIES: I # EXITS: 2 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: Nat. Grid WARM AIR: X HOT WATER: # BEDROOMS: 2 # KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST: SWIMMING POOL: GUEST, TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 12/10/2013 / TIME START: 9:40am END: 10:00am '13C(- G`-{O Sr 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: 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. 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 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. C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 /z/ Date. New Construction: Old or Pre-existing Building: q~ (check one) Location of Property: 7Q~~ 10N/ C11~w (/A&t House No. Street Hamlet Owner or Owners of Property: ,A 6; j 7/~7 Suffolk County Tax Map No 1000, Section JF' Block Lot 43 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: $ L'-zL 7,e7,- Applicant Signature ° CONSENT TO INSPECTION Owner(s) Name(s) the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the pr ses in the Town of Southold, located at_ 24) 7~ r z / d, which is shown and designated on the Suffolk County Tax Map as District 000, Section .I5'S1 , Block.'Lot 3 That the undersigned (has) (have) filed, 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 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: (Si afore) (Print Name) E v E (Signature) D (Print Name) BLDG. DEPT. , TOW P; GF SD'n ~HDID TOWN 6F $0 "RD UT141OLD PROPERTY OkOND CA ~O(YVPfER STREET Z~7 5 VILLAGE DISTRICT SUB. LOT f1 *4 ~a. lam" L,- FORMER OWNER J p~ E d.dj . ~•g 4.n~.. S + W TYPE OF BfYILDIFIG uG~rc RES. - SEAS. 6\d VL. FARM COMmt. r .F 'IND: '6B. MISC. V LAND I P. TOTAL DATE REMARKS f n 7- -Z 14 S 3 (0 wo 04 - s, o =a°-rlra - 8e e' ~rl~. oD - ~,xrs r air. I AGE BUILDING 'CONDITION NEW NdRMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 lJel~ ~fi ¢~Q ~o.'a Tillable 2 a 29FIQNA aa~ 2G! ' n Tillable 3 s Woodland Swampland Brushlando'" House Plot v Toto f f 1 :22 ro Sr I A Bfdg. ( i-y~: Y Foundation Bath Extension x Basement -L L Floors rz 4 r - Extension Extension t. Walls Interior Finish 'Ile Fire Pfcce .Beat f y 2.fi d? 8 C Porch Attic V Pp'rcfi Rooms lst Floor Breezeway -s Patio = - Rcoms 2nd Floor Gv !rq e I Drive y tS. 6. to J4"Q . - N SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-51-04-13 SULK 1'=30' SOUND MAY 16, 2006 ,KJLY LONG ISLAND UGUSOIL 20 3 (UAPDATE)ER090N HAZARD UNE) M.NM:M. KDMD gAA AMD BWdFADs I,uonc ne ur+U 53'~ 96.00 5g X ~ 3 N75h7'52•E DLDI o:E WIL o m%ly O Jpi C A 8 32. RT ~ N+MTT o 3o i STY. fR. HS? so' ram Q r, ^m< 6 6T 26f 7 \ Z O O N ' tO A ~ 1 _ 117.86' S83'S0'00'W POLE fDD~ or PAST SOUND MEAT AVEX" CERTIFIED TO: PENELOPE NIKOLAKAKOS MARIA AKCELIK SoOFNEWk OURANIA ARGEN TINIS, ITS SUCCESSORS AND / OR ASSSIGNS 0tP T met 0 LANDSTAR TITLE AGENCY INC. OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY ~O COASTAL EROSION HAZARD LINE FROM COASTAL EROSION HAZARD MAP PHOTO 55-578-83 AREA-22,660 SO. F7. TO TIE LINES `AND ..S LIC. NO. 49616 ANY AL7ERA77ON OR ADaRON 70 IHIS SURVEY IS A KOLA 77ON CONIC YORE P.C. OF SEC77ON 720" THE NEW YORK STATE EDUCADON LAW. EXCEPT AS PER SEC77ON 7200-SUBMWMON 2 ALL CER77RCATTONS (63f) 765-5020 FAX (631) 765-1797 HEREON ARE VAUD FOR WS MAP AND COMES THEREOF ONLY IF MONUMENT P.O. BOX 909 SAID MAP OR COMES BEAR THE IMPRESSED SEAL OF THE SURWKR =vE~ 11971 T VV _IVF+ WHOSE WGNA7URE APPEARS HEREON. • --REBAR SET SOU7HQL0 LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ~COMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: # STORIES: IZ~t~ # EXITS: 2~ FOUNDATION: C ,may- ~l Uy~ BASEMENT: Lr"k CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): O'er- TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: T~ DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: O-^ GARAGE: DOMESTIC HOTW" ATTER: C TYPE HEATER: -AIRCONDITIONING: TYPE HEAT: /"/7 Ln WARM AIR: HOTWATER: # OF KITCHENS: FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTIOCN~' TIME START: END: