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HomeMy WebLinkAboutZ-26954FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26954 Date: 02/28/00 THIS CERTIFIES that the building DWELLING Location of Property 10020 SOUND AVE (HOUSE NO.) County Tax Map No. 473889 Section 122 Subdivision MATTITUCK (STREET) (HAMLET) Block 0002 Lot 008.001 Filed Map No. -- Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26954 dated FEBRUARY 28, 2000 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 BARN & FOUR ACCESSORY STORAGE BUILDINGS. * The certificate is issued to FRANCES K ACER of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A A/horized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 10020 SOUND AVE SUBDIVISION: NAME OF OWNER (S): FPJiNCES K ACER OCCUPANCY: ~INGLE FAMILY DWELLING ADMITTED BY: FRANCES K. ACER FRANCES K ACER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 122.-2-8.1 SOURCE OF REQUEST: ~RANCES K. ACER 2/7/2000 DATE: 02/28/00 TYPE OF CONSTRUCTION: WOOD FRAME ~ STORIES: ~,O # EXITS: 3 FOUNDATION: CONCRETE CELLAR: PART. CRAWL SPACE: __ ~IDTAL ROOMS: 1ST FLR.: 3 2ND FLR.: 4 3RD FLR.: --0 BATHROOM(S): ~,O TOILET ROOM(S): ~,O UTILITY ROOM(S)~ YES* PORCH TYPE: ENCLOSED NON-HEATED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ~ GARAGE: DOMESTIC HOTWATHR: YES TYPE HEATER: LIPA GAS AIRCONDITIONING: ~PE HEAT: QIL WARM AIR: HOTWATER: XX OTHER: *ON FIRST FLOOR VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE pREVENTION & BUILDING CODE DESCRIPTION R~KS: BP $26344Z'DECK-COZ26949-ACCYS'COZ'26951&26952.ADD TO ACCY COZ~26950 DATE ON INSPECTION: 02/10/00 TIME START: 9:45 AM END: 10:30 AM Fern No. 6 TOWN OF SONTIIOLD BUILDING DEPARTMENT TOWN I1ALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to tile buildi.g inspector with tDe following: for new bail. ding or new Use: I. Final survey of property with accurate location of all bnildings, property l~.es, streets, and ueusual natural or topogrnpDic features. 2. Fica]. Approval from tlealtb Dept. of water m~pply aud sewer~ge-d~sposal(S-9 form). 3. Approval of electrical instaliat~on from Board of Flre Underwriters. Sworn statement from plumber certifying that the so]der used in system cootalos less than 2/10 of 1% lead. 5. Commercial buildit~g, industrial building, mul. t:lp]e residesces and similar buildings a,d tustallatious~ a certificate of Code Comp[lance [rom architect or eugiueer respousible for the bulldlng. 6. Submit Planeing Board Approval of completed site plan requirements. For exi,ting buildings (prier to April 9, 1957) ,ou-cooformiug uses, or bull.dings m~d "pre-existing" land uses: I. Accurate survey of property showing al. 1 l~roperty liues, streets, buil. di,g end unusual natural or topographic features.. 2. A properly completed application and a consent to luspect sigued by tbe sppl. icant. If a Certificate of Occupaucy is dealed, tim Building Iuspector slmll state the reasons therefor in writing to the applicant. C. Fees I.. Ce~tificate' r of Occupancy - New dwelling $25.00, Additious to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Busiuesses~. 2.'Certificate of Occupaucy on Pre-existing. Butldin~IOO.O~ 3.Copy of Certificate of Occupancy - . 4.Updated Certificate of Occupaucy - $50.00 5.Temporary Certificate of Occupaucy - Residential $15.00, Commercial $15.00 Date ..................... New Lm~structtm~ ........... old Or [re-existing3uiidiug. ..~..~ ..... l,ocatleo of Prnperty /~ ~0~0 Douse No._ Street llamlet O,,wer or Owuers of Property...~[~ ................ Comlty Tax Map No lO00, Section ............. Block... /¢Z ............................. S~bd 1vision .............. Filed Map Lot Permit No ................ Date Of Permit ................ Appiicsut ............................. llealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... 1~.,[( .575 ~,G APPLICANT CONSENT TO INSPEC FION · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southoldlocatedat 10o,20 g uaO · which is shown and designated on the Suffolk County tax map as District 1000, Section [2~ · Block ~ , Lot ~ / That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold To~ Building InspectorVa Office for the following: __ That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon tile 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 as evidence in subsequent prosecutions for v[o- latlons of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (signature) (signature) (print name) -t0~ - FORMER OWNER A~d~ew - S OF SOUTHOLDPROPERTYRECORDCARD SUB. W TYPE OF BUILDING CB. MICS. Mkt. Value ,GE ON WATER kGE ON ROAD COMM. REMARKS (1~. ¢ ~ BULKHEAD ~.~. ~./~ ' , SEAS. VL. FARM ( LAND -IMP. TOTAL DATE. R A~ BUILDING CONDITI~ ~ ~ q~ NOeL BELOW ABOVE :A~ ~m Value Per Value FRO DFP' _ t-~ ~ ~ BUL tel 2 ~ ' LOT COLOR ~-~/Y'/~' ~ TRIM -=? ~ '~ Z '(/ Tota.t... Foundation Ext. Wells Fire Place Recreation Room /- Floors tnteribr Finish Heat RoO~ns 1st Floor Rooms 2nd Floor Drivewoy Dinette II_P,. DR, BR. FIN. B 4 iO