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Home My WebLink AboutZ-22429FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22429 Date JULY 1~ 1993 THIS CERTIFIES that the building Location of Property 17915 SOUNDVIEWAVENUE House No. Street County Tax Map No. 1000 Section 51 Block 1 Subdivision Filed Map No. ONE FAMILY DWw. T,LING SOUTHOLD ~ N.Y. Hamlet Lot 6 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-22429 dated 073LY 1~ 1993 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 DW~.T,T,ING WITH 1 CaR GaRaGE UND~ HOUSE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ALFRED & JOAN BARTOSIEWICZ NOTE: BUILDING PERMIT REQUIRED FOR ABO~, GROUND SWIMMING POOL. i Inspector Rev. 1/81 LOCATION: SUBDIVISION - NAME OF ONNER (s) BUILDING DEPARTMENT TOWN OF SOU~IOLD HOUSING CODE INSPECTION REPORT 17915 SOIINDVTR~ A~I~.~ (number & street) SOuTuOLD. N.Y. (municipality MAP NO. LOT (s) ALFRED & JOAN BARTOSIE~ICZ OCCUPANCY A- 1 RES. O~NER (type) (owner-tenant) ADMI'rrgD BY: JOAN BARTOSIE~flCZ ACCOMPANIED BY: SAI~ KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-51-1-6 SOURCE OF ~QUEST: JOAN O. BARTOSIEWlCZ 3AE: JUNE 21, i992 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: IST FLR. 5 BATHROOM (s) 2 PI~L RATBS · PORCH TYPE BREEZEWAY DOHESTIC NOT~ATER TYPE HEAT OIL OTHER: WOOD FRAI~ I/ITH BRICK FACE OR VENEER C~NT BLOCK FRONT COVERED 2ND FLR. TOILET ROOM (s) DECK· TYPE FIREPLACE TYPE HEATER WARM AIR ~ STORIES ONE ~ EXITS 2 CELLAR FULL CRANL SPACE 3RD FLR. R~AR WOOD 0HE OFF ROLLER UTILITY ROOM PATIO· TYPE GARAGE I CANtrNDER HOUSE AIRCONDITIONING HOTI/ATER IX ACCESSORY STRUCTuI0gS: GARAGE, TIrE OF CONST. S~IHHING POOL OIimR: DECK & STAIRS STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. I. Permit required for above ground pool. NYCRR 9 (B) PART. 720 2. Deck & stairs to beach in need of repair. NYCRR 19 (B) PART. 1242.5 (c REHARKS: DATE ON INSPECTION JUNE 24, 1993 TINE START 9:50 ANENIJ 10:20 AM Form No. 6 BLDG. DEPT. TOWN OF $O~II'IOLD ~ ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 I% 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. ' t' Submit Planning Board Approval of completed site plan requirements. ~ '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 a 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 I. 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 - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction .......... Old Or Pre-existing Buildin~ ........ Location of Property. [./..~..t../..~. ......... ~. ,~..~j'.E.~...~?.~.. ...... [[:: ~.~ .0./.~.. i ........... House No. Street Hamlet 0 O of Property Ev,,'~ .~ nwer or wners ......................... County Tax Map No I000, Section .... .~./ ....... Block ...... l ......... Lot ....... ~. .............. Subdivision .............................. Filed Map Lot Permit No ............... . Date Of Permit ................ Applicant ......................... .... Health Dept. Approval ................ ......... . Underwriters Approval.... ........ . ......... .. . Planning Board Approval ..................... .. . Request for: Tempora~ Certificate ........... Final Certicate ........... Fee Submitted: $....~../..~..~. ..... i ............ q(,3¥?' . .e. . ,. ........... CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at County tax map as District 1000, Section which is shoxvn and designated on the Suffolk , Sloc / , Lot 5 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion 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 compIy 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 vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. /- (signature)- - ~,/ (print name) (signature) (print name)