HomeMy WebLinkAboutZ-26947FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26947 Date: 02/25/00
THIS CERTIFIES that the building DWELLING
Location of Property 19525 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 051 Block 0001 Lot 022.001
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- 26947 dated FEBRUARY 25, 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 ACCESSORY TWO CAR GARAGE
The certificate is issued to JERRY & MARY GEORGES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTI
Rev. 1/81
N/A
N/A
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: 19525 SOUNDVIEW AVE SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) TcoRV F MARY GEORGES
OCCUPANCY: SINGLE FAMILY _ JERRY & MARY GEORGES
ADMITTED BY: RILL COOPER ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 51.-l-22,1
SOURCE OF REQUEST: DEBORAH DOTY, ATTY 01/07/2000 DATE: 02/04/00
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 7
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: IST FLR.: __fj
BATHROOM(S): 3.0
2ND FLR.: __I
TOILET ROOM(S): 1.0
3RD FLR.: 0
UTILITY ROOM(S): INSIDE
PORCH TYPE: REAR SLATE DECK TYPE: 2ND STORY PATIO TYPE: REAR BRICK
BREEZEWAY:
FIREPLACE: TWO GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: CENTRAL
TYPE HEAT: OIL WARM AIR: XX HOTWATER:
GARAGE, TYPE OF CONST.: WOOD 2 CAR STORAGE, TYPE CONST.:
SWIMMING POOL:
OTHER:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION i ART. ' SEC.
INSPECTED BY:�'v!2w �� /r�— ATE ON INSPECTION: 02/04/00 reinspected 2/24/00
M. BOUFIS j/ TIME START: 10:00 AM END: 10:30 AM
Form No. 6
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 - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date....1/7/00
.....................................
New Construction........... Old Or Pre-existing Building .................
Location of Property......19525 (f/k/a 18565) Soundview Avenue, Southold
House No. Street Hamlet
0er or Owners of Property., Jerry. &. Mary.Georc1es...........................................
County Tax Map No 1000, Section ... 51 ......... Block ... 1 ............. Lot. ..22•�...............
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate.YP-S.......
100.00
Fee Submitted: $.......................
1�
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cd to 7 Ll APPLICANT
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.. .. :,:� AJLNCT AND
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LIMING 1; t'tl :z P. i.C.'
CONSENT
TO
ILMS PE'C'I'1OIN
Jerry & Mary Georges the undersigned,
0%"Iler(s) Name(s) .
do(es) herel>v state:
That the undersigned (is) (are) the owners) of the premises in the Town
of Southold located at 19525 (f/k/a 18565) Soundview Avenue, Southold
u•bicb is shown and dcsignated on the Suffo ll<
County tax map as District 1000, Section 51 Block 1 , Lot 22.1
That the undersigned (has) (leave) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
pre -C/O on old part of dwelling (see Bp annexed)
0
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 hispections, do(es) so with the
knowledge and understanding that any information obtained In the conduct of
such inspections inay be used as evidence in subsequent prosecutions for vlo-
lations of the Iaws, ordinances, rules or regulations of the 'i'own of Southold.
Dated: 1/2/()o _
��
S1gllatUl'e)
Deborah Doty, as attorney for owners
CONTACT: Bill Cooper at Hahn (477_0551) (print name
sif! 11MUrc
print name
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
number & street . municipality
MAP N0. LOT (s)
OCCUPANCY ,�//y j'��
type owner -tenant a
ADMITTED BY: - ACCOMPANIED BY:
KEY AVAILABLE SUFF. �C,OO.. TAX MAP N0,/.*' —,r-% —1 -• �Z_/
SOURCE OF REQUEST : C '� /'reDATE:
DWELLING:
TYPE OF CONSTRUCTION ®O� // STORIES S EXITS
FOUNDATION CELLAR %=u.// CRAWL SPACE ---
TOTAL ROOMS: IST FI.R. 2ND FLR. 3RD PLR.
BATHROOM ( s ) TOILET ROOM ( s ) (�iL �_ UTILITY ROOM'6/S I.d'e';-
PORCH TYPE/mil `� DECK, TYPE �jJy� PATIO, TYPEr Q�
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER toeTYPE HEATER Q/ AIRCONDITIONING
TYPE
YHERHEAT E�
// WARM AIR HOTWAT
h+Gs
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. (j STORAGE, TYPE CONST.
SWIMMING POOL , GUEST, TYPE CONST.
OTHER:
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VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE.
REMARKS:
INSPECTED BY:
DATE ON INSPECTION
TIME START Id END �QrC