HomeMy WebLinkAboutZ-25795 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- 25795 Date: 06/25/98
THIS CERTIFIES that the building DWELLING
Location of Property 20675 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 051 Block 0004 Lot 012
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- 25795 dated JUNE 25, 1998
was isaued, 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 WITH DECK & TWO ACCESSORY WOOD
STORAGE BUILDINGS*
The certificate ie isaued to JOSEPH FERRARO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inep for
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION RHPORT
LOCATION:
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): JOSEPH FERRARO
OCCUPANCY: SEASONAL DWELLING JOSEPH PERRARO
ADMITTED BY: JOSEPH FERRARO ACCOMPANIED BY: SAMH
XEY AVAILABLE: SUFF. CO. TAX MAP NO.: 51.-4-12
SOURCE OF REQUEST: JOSEPH FERRARO - 3/13/1998 DATE: 06/25/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORMS: 1.0 # EXITS:
FOUNDATION: CEMENT BLOCK CELLAR: PIT CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: ~ 2ND PLR.: 0 3RD PLR.: ~
BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: XX PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: XX TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: L.P. WARM AIR: XX HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: (21 WOOD STORAGE
SWINA7ING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 46 N.Y. STATE UNIFORM PIRE PREVENTION S BUILDING CODE
LOCATION I DESCRIPTION ART ' SEC
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REMARKS:
INSPECTED BY: DATE ON INSPECTION: 06/16/98
OHN M. BOUFIS TIME START: 10:40 AM END: 11:15 AM
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION 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 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 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-existing Building - $100.00
3. Copy of Certificate of Occupancy - .25C
4. Updated Certificate of Occupancy - $50.00
S. Temporary Certificate of Occupancy - Residential $15.002, Commercial $15.00
Date ....~:1.3.:1.~
New Construction........... Old Or Pre-existing Buildin/g.
Location of Property...~?-.~..~7.~....54.<1.~:.~.lJl~. ...~t~~...r.~.l.~~Y........
House No. Street Hamlet
Onwer or Owners of Property... ~P~r%~-~.Ll....l...~"~.Q~e~~4~-: ~ .
County Tax Map No 1000, Section.... 5~......Block...~..........Lot..~.°L'
Subdivision ....................................Filed Map............Lot......................
Permit No ................Date Of Permit................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Tempor/ary Certificate........... Final Certica~........
Fee Submitted: $...l.QO:.~ G~~~/C,~.!!.(/...........
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C.ONSI'sN T
'1'O
iNSI'1sC'}'lON
r~~T~ _ the undersigned,
Owt .r(s) Name(s)
do(es) hereby state:
That the undersigned (is) (:tre) the owner(s) of the prem[ses in the Town
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oC Soulhold located at ~0~~~ ~~rt~~ V I~ Jet-~-`~h3`~
tahich is shown and designated on the Suffoll;
County tax map as District 1000, Section Block ~ Lot
'T'hat the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town P.,uilding Inspector's Office for the following:
'T'hat the undersigned do(es) hereby give consent to the I3uilding Inspectors
of the 'T'own of Southold to enter upon I:he 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 oC the laws, ordinances, rules
and regulations of the Toum o[ Southold.
The undersigned, in consentLig to such inspections, do(es) so with the
knowledge and understanding that any i.nCormati.on obtained in the conduct of
such inspections may be used ;is evidence in subsequent prosecutions for vio-
lation~ oC the layw~sG, Qor~dinances, rules or regulations of the 'P own of Southold.
Dated: 3` ~3 _ 1 "
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