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