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Home My WebLink AboutZ-24104FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PR~ EXISTING CERTIFICATE OF OCuu~ANCY No Z-27067 Date MAY 8, 2000 THIS CERTIFIES that the building ON~ F/%MILY DNK~J.ING Location of Propert~ 9955 SO~NDVIEWAVE. SOu'£~OLD House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 2 Lot 5 Subdivision 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-27067 dated MAY 8, 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 OWE FAMILY DWELLING * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED MIRIAM KLEIN N/A N/A N/A *NOTE: THIS UPDATES P~ECO Z-24104 DATED 12/31/95. BP ~22398S-COZ-24103 ISSu~m FOR ADDITION & ALTERATION ON 12/29/95. BP %26472--Z--~OZ-27063 ISSUED FOR ~%TING SYST~ TO CON~KT TO - /~uil~'ing Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCcupANCY No Z-24104 Date DECEMBER 31, 1995 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property 9955 SOUNDVIEWAVE. SOuT~OLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 2 Lot 5 Subdivision 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-24104 dated DECEMBER 31, 1995 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 SEASONAL DWELLING * The certificate is issued to GAIL BUc~,.~Y (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT.~SE SEE ATTAu~i~O INSPECTION REPORT. Rev. 1/81 / N/A N/A N/A Bu'il~ing& Insp~ BUILDING DEPAR'I~4ENT TOWN OF SOUTIIOLD llOUSING CODE INSPECTION REPORT LOCATION: 9955 SOUNDVIEW AVE. (number & street) SUBDIVISION NAHE OF OI4NER (s) GAIL BUCRI~Y SOUTHOLD, N.Y. NAP NO. (municipality) LOT(s) OCCUPANCY SEASONAL SINGLE FAHILY (type) ADHITTED BY: GAIL BUCICLEY KEY AVAILABLE SOURCE OF REQUEST: GAIL BUCKLEY OI~NER (owner-tenant) ACCOHPANIED BY: Si~{E SUFF.CO. TAX HAP NO. 1000-59-2-5 DATE: SEPT. 8, 1996 DkIELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOHS: IST FLR. BATHROOH (s) NONE PORCH TYPE WOOD F ILAI~ CEMEWf PIERS REAR ENCLOSED BREEZEWAY NONE DOHESTIC UOTS/ATER YES TYPE HEATER TYPE HEAT NONE WARH AIR OILIER: FRANKLYNWOOD STOVE OUTSIDE SHOI~ER CELl. AR 5 2ND FLR. TOILET ROOH (s) ONE BECK, TYPE FIREPLACE # STORIES I { EXITS 2 NONE CRAWL SPACE NONE 3RD FLR. UTILITY ROOH OUTSIDE PIJHP HOUSE FRONT STOOP PATIO NONE GARAGE LILCO GAS AIRCONDITIONING UOTWATER ACCESSORY STRUCTURES: GARAGE, ~YPE OF CONST. SWIHHING POOL OTtIE R: STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CI1APTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REHARKS: BP {22398-Z - CO z-24m03 ALT & ADD JOHN M.- BOuI~IS ~ __ DATE OF INSPECTION SEPT. 19, 1994 TINE START 9:50 END 10:20 TOWN OF SOUTItOLI) BUILDING DEPARTMENT TOWN HALL 765-1802 Bo APPLICATION FOR CERTIFICATE OF OCCUPANCY Co 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: ]. 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. 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. Fees 1. 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 Buildinm - $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 ........... Old Or Pre-existing Building ........ : ........ Location of Property .... .~.~...5~.. ............ ~ ..... ~ House No. Street Hamlet Onwer or Owners of Property ........................................... County Tax Map No 1000, Section .......... Block ........... Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Fin~:Fin rticate ........... Fee Submitted: $.~.~..%.Q_,~:...~ .......... ~,, ~ ~_ (~.~..~.~ APPLICANT " BUILDING DEPARTMENT TOWN ]~LL ! ~ BLDG. DEPt. 765-1802 I ~ TO~ OF $O~TiflOLD ~PPLICATION FOR CERTIFICATE OF OCCUPANCY 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 lihes, 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 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 1. 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-existinR Buildinm - $i00.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....... .~/..~.~...~¥..; ...... New Construction ............ Old Or Pre-existing Building.~.~ ....... Location of Property ..... fM~..~.~. .~.~//.~~z~ :' ~ - - ' .......... ..... x ...... . Onwer or Owners of Property .... .~j~.~Z.x/~. ..~..e.~ _/~_ ~ ,/ County Tax Map No 1000, Section...~..~./.. ..... Block. ~ ~..., '' · ........... Lot. . .............. Subdivision ................................. Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant .......... · ................... Health Dept. Approval ' .......................... Underwriters Approval Planning Board Approval ........................ Request for: Temporary Certificate ........ Final Certlcat~/.~[...~... Fee Submitted: $ ............................ ~~~....~.. .......... ................. do(es) hereby state: (CONSENT TO INSPECTION · the undersigned, That the undersigned (is) (are) the owner(s) of thc premises in the To,wa County tax map as District 1000, Section~Block ~;~ , Lot ~ That the undersigned (has) (have) filed, or caused to be filed, an apptica- tio.n in~h~ Southold Totem Building Inspector's Office for th.~ 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 as evidence in subsequent prosecutions for vfo- lations of the laws, ordinances, rules or re~o-ulations of t~e Town of Southold. Dated: , , / (si~uature) /ff '(print r~ame) ~ (signature) (print name) 8 ILl ~ o