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Home My WebLink AboutZ-37658Town of Southold 53095 Main Rd Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY 7/14/2015 No: 37658 Date: 7/14/2015 THIS CERTIFIES that the structure(s) located at: 1555 Bayview Ave SCTM #: 473889 Subdivision: Sec/Block/Lot: 52.-5-11.1 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- 37658 dated 7/14/2015 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 with wood rear deck, slate patio and partially finished basement.* Note: BP 2530 - addition C/O Z-12877, BP 5434 - Addition C/O Z-4781, BP 18175 - Alteration C/O Z-22637, BP 20773 - Alteration C/O Z-20974, BP 21671 - Alteration C/O Z-22639, BP 25735 - Pool Fence C/O Z-26851, BP 26257 - Alteration C/O Z-27133, BP 28251 - Deck C/O Z-28587 and BP 31566 - Alteration C/O Z-31651 The certificate is issued to Goodman, Alan & Seibert, Elena (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ;' ;?L4 Autho ' e igna ure BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1555 Bayview Ave SUFF. CO. TAX MAP NO.: 52.-5-11.1 NAME OF OWNER(S): Goodman, Alan & Seibert, Elena OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Goodman, Alan & Seibert, Elena DWELLING: # STORIES: 1 # EXITS: FOUNDATION: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: oil # BEDROOMS: 4 OTHER: 2 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: VIOLATIONS: REMARKS: 6 cement block TOILET ROOM(S): DECK TYPE: FIREPLACE: yes TYPE HEATER: WARM AIR: yes # KITCHENS: 1 SUBDIVISION: DATE: 7/14/2015 CELLAR: partial CRAWL SPACE: 2 UTILITY ROOM(S): wood PATIO TYPE: slate 1 GARAGE: oil AIR CONDITIONING: HOT WATER: yes BASEMENT TYPE: partial finished partial storage STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: INSPECTED BY: GARYF DATE OF INSPECTION: TIME START: 7/13/2015 END: J ; ( 0UYi ba 2 CD✓-tac-f pprsoi\D Form No. 6 TOWN OF SOUTHOLD L'' o" 2 7 8- S 3 a, 4 BUILDING DEPARTMENTJ u l �l (3 , Z 0 I S 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 New Construction: Location of Property: Old or Pre-existing Building: Date. 1:2_ , %•�� S I.� (check one) House No. IStreet Hamlet Owner or Owners of Property: AA_ bot 6604mou . �( P.P/�� -)(Z[ & , 4 Suffolk County Tax Map No 1000, Section DEQ-, O 0 Block t Subdivision Filed Map. Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ Applicant: 5°0Z) Lot ®Bl .0p r Underwriters Approval: Final Certificate: Lot: I (check one) CONSENT TO INSPECTION ham at-ot 6®8�w4�i -5ej- °lhe undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at I S Sc AewV1%0--W AV C14 Q,2 , S6 a*b Id which is shown and designated on the Suffolk County Tax Map as District 1000, Section 05Z aa, Block OF, CC) , Lot Olt > 00 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office, for the fo owing: I'1 ano �C'�ii f1.0 au 11CeAi � V1Wi 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 na e (Print Name) LOCATION: (number & street) (municipality) SUBDIVISION: _ _ . _ MAP NO.: _ _ LOT(S):.. NAME OF OWNER(S)': OCCUPANCY: (type) (owner -tenant) - ADMITTED BY: _ ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: W 614::Q41— # STORIES: # EXITS:_ FOUNDATION:. C. BASEMENT:RAWL SPACE:;L # OF BEDROOMS: IST FLR: i 2ND FLR: �—' 3RD FLR: BATHROOM(S): l TOILET ROOM(S): UTILITY ROOM: 311z)G PORCH -TYPE: DECK, TYPE: , .cS PATIO; TYPE: SfAy OJh--7 BREEZEWAY:' --FIREPLACE: 047Q� GARAGE: DOMESTIC HOTWATER: —QI'lz—J. TYPE HEATER: —:— AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS: FINISHED BASEMENT:- YES/�7,k NO OTHER: ACCESSORY STRUCTU S GARAGE, TYPE OF CON _ STORAGE, TYPE CONST.: SWIMMING P'O'OL: OTHER: 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:. END: RECORD CkRD FORMER OWNER ND me ZA �%bI 3 6:11and Ise Not JAI.-.0-JEL-L itwub SURVEY OF PROPERTY A T ARSHAMOMAQUE TOWN OF SOUTHOLD IFFOLK COUNTY, N. Y. 1000-52-05-11.1 SCALE 1'=20' DEC. 14, 2001 JUNE 16, 2075 BAYVIEW AVENUE S 37'30'00' E I n FEW v 107.91 '