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HomeMy WebLinkAboutZ-26970FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26970 Date: 03/10/00 THIS CERTIFIES that the building DWELLINGS Location of Property 10270 SOUND AVE (HOUSE NO.) County Tax Map No. 473889 Section 122 subdivision MATTITUCK (STREET) (HAMLET) Block 0002 Lot 012 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- 26970 dated MARCH 10, 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 CONCRETE PATIO AND ONE FAMILY DWELLING WITH DECK ADDITION.* The certificate is issued to WENDY DAVIS 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 Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION ~AEPORT LOCATION: 10270 SOL~D AVE SUBDIVISION: ~U%ME OF OW~R (S): WENDY DAVIS OCCUPANCY: A-1 P. ESIDENTIAL ADMIT'fED BY: WENDY DAVIS MAP NO.: __ LOT (S) __ WENDY DAVIS ACCOMPANIED BY: ~AME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 122.-2-12 SOURCE OF REQUEST: WENDY DAVIS DATE: 03/10/00 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1,0 # EXITS: _~ FOUNDATION: CE~NT BLOCK CELLAR: PART. CRAWL SPACE: __ TOTAL ROOMS: 1ST FLR.: ~ 2ND FLR.: _~l 3RD FLR.: ~ BATHROOM(S): 1,0 TOILET ROOM(S): Q,Q UTILITY ROOM(S): __ PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: ~ HOTWATER: OTHER: GARAGE, TYPE OF CONST.: SWIPING POOL: OTHER= STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE SEC. RE~Ut~KE: BP#21002 INSTALL WINDOWS CO#Z26847. DATE ON INSPECTION: 03/01/00 TIME START: 9:50 AM END: 10:30 AM BUILDING DEPARTMENT TOWN OF SOUTHOLD SOUSING CODS INSPECTION REPORT LOCATION: 10270 SOUND AVE MATTITUCK SUBDIVISION: MAP NO.: __ LOT (S) __ NA~ OF OWNER (S): WENDY DAVIS OCCUP~CY: A-1 RESIDENTIkL WEN'DY DAVIS ADMITTED BY~ WKNDY DAVIS ACCOMPANIED BY: SAF~ KEY AVAILABLE: SUFF. CO. TAX MAP NO,: 122. -2-12 SOURCE OF REQUEST: WENDY DAVIS DATE: Q3/10/00 TYPE OF CONSTRUCTION: WOOD FRAME ~ STORIES: 1.0 # EXITS: ~ FOUNDATION: CQNCRETE POST & CEMENT PIERS CELLAR: CP. AWL SPACE: X TOTAL ROOMS: lST FLR,: __~ 2ND FLR.: --0 3RD FLR.: --0 BATHROOM(S): l~Q TOILET ROOM(S): O,O UTILITY ROOM(S): -- PORCH TYPE: DECK TYPE: WQQD FP. AME PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC EOTWATER: YES TYPE HEATER: PROP/GgE GAS AIRCONDITIONING: TYPE HEAT: ~WA~M AIR: HOTWATER: OTHER: GARAGE, TYPE OF CONST.: SWIPING POOL: OTHER: STORAGE, TYPE CONST,: GUEST, TYPE CONST.: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ; DESCRIPTION ART. SEC. RE~KS: BP14278 ADD. CO~Z13958:BP26377 DECK C0#Z26969, INSPECTED BY~ DATE ON INSPECTION: 03/01/00 TIME START: 9:50 AM END: 10:30 AM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and sub~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buil~ streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerag 3. Approval of electrical installation from Board of Fire Under 4. Sworn statement from plumber certifying that the solder used less than 2/10 of 1% lead. Rtted q,o th~ ~uildin~ ings, property lines e-disp0~al(S-9 form) writers. in system contains 5. Commercial building, industrial building, multiple residences and similar buildi~ 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 a~ "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 applican~ 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. 2. Certificate of Occupancy on Pre-existing Buildin~?.0~0~ 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 P.~e-existing Building ............ Location of Property .................................. 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 ........ 'F~e Submitted: $.../.~.0~.~. ...... . Final Cer ticate ........... wner(s) CONSENT TO INSPECTION 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 lg)~./)O ~n/..~c/ .~V~. /Cfl~'/ff~ , which Is sho,~ and designated on the Suffolk County tax map as District 1000, Section /~ , Block ~ ., Lot 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: J . / 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 vio- lations of the laws, ordinances· rules or regulations of the Town of Southold. v ~--'(sig~at~r e) (l~rint name) (signature) (print name) SURVEY OF PROPERTY A T MA TTITUCK TOFgN OF SOUTHOLD SUFFOLK COUNTY, NEY YORK 1000-1~2-0;~-12~ SC,al.R: 1"--30' FEB 14, 2000 S B6'56'00' E ~43 64' {EPTIFIEI} TO: T)'I,,1 E SUENTENS AOUEBDGUE ABSTRACT AREA = tSp$1 mq ft. ANY AL I£~RA[IUN ij]P ADDITION TO THIS 5URVEY IS A VIOLATION £1f '7£CF[ON 7209 ~g iHE NE~ Y~RK STATE EDUCATION LA~ EX(7[PT A5 F)L~ ~i !]~N 7809-SUBDIVISION ~ ALL CERTIFICATIONS HER[ON AR[ vAI IB FO~ THIg ~AP AND C~PIES THEREOF O~ Y Ii ~AID ~AP DR OPIE:~ BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE JIGNATURE APPEAP~ HEREDN I FA)<: 6319 765-1797 ~'[.~ [.L T