HomeMy WebLinkAboutZ-19214FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19214 Date JULY 13~ 1990
ONE FAMILY DWELLING
THIS CERTIFIES that the building
Location of Property 20485 SOUND VIEW AVENq/E
House No. Street
County Tax Map No. 1000 Section 51 Block 4 10
Subdivision Filed Map No.
conforms substantially to the requirements of a private one family
dwelling built prior to: APRIL 9~ 1957 pursuant to which
SOUTHOLD~ N.Y.
Hamlet
Lot
Lot No.
CERTIFICATE OF OCC. #Z-19214 dated JULY 13~ 1990
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 F~TLYIY~W3~.ING *
The certificate is issued to ERIC F. G~F.~.N & JOCK C. TRUMAN
( owners )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD - PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
*pLEASE SEE ATTACHED INSPECTION REPORT
Rev. 1/81
BUILD I'.":G DEPART:'LENT
TO':m OF SOUTHOLD, N. Y.
HOUSIi.[G CODE IHSPECTION REPORT
Location 20485 SOUNDVIE~AVENUE
~numDer ~ s~ree~)
Subdivision
SOuTHOLD, NEW YO~K
~'iunlcipa±£sy)
blap No. Lot(s)
Ne~me of 0wner(s)
ERIC F. GREEN & JOCK C. TRI~AN
Occupancy ONE FAMILY H~ELLING
(type)
Admitted by: OWNER
OWNER
( owner- ~ enanr )
Accompanied by: SAME
Key available
Suffolk Co. Tax No. 51-4-10
Source of request
PAUL A. CAMINITI,
Date
7[5[90
D%'fEW~LI~:
Type of construction F~
Foundation CEMENT BLOCK
Total rooms, 1st. F1 5
Bathroom(s) 2
Porch, type FRAME(ENCLOSED) Deck,
Breezewa~ Garage
Type Heat GAS
Fireplace(s) !
Domestic hotwater
Other
#stories
Cellar PART. Crawl spaceUNDER PORCH
2nd. F1 i 3rd. F1 - -
Toilet room(s) --
type Patio, type
~ (~CLOSED) Utility room - -
'Warm Air PIPELESS .Hotwater --
No. ~¢its 2 Airconditionlng
- - Type heater GAS
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Lncation ~ Descriotion -- -- t-A~rt-.-} Sec.
Remarks: Building Permit #46~7-Z for '
CO ZZ38ff~~ ~ ~/ addition & alterations-garage to room
Inspected by-~z~,~w~. ~//-/~/~ ' Date of Insp. July 11, 1990
</'/ ?~/~S/ J.'Fishe~ ' Time start 9:40 end !0:~0
Form No. 6
TOWN OF SOUTHOLD ~~
BUILDING DEPARTMENT
TOWN HALL
765-1802
~ APPLICATION FOR CERTIFICATE OF OCCUPANG
· %. 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 l~nes,
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 cont~-s
~ less than 2/10 of 1% lead. ,.
5. Commercial building, indus, trial 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 amd
unusual natural or topographic features. °.'
2. _A properly completed application and a consent to inspect signed by the applicant.
If a Certificate o£ 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,
t Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses,~9~O~
~ 2. Certificate of Occupancy on Pre-existing Building ~,$100.00__.~
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $I0.00
-~ ......... ~zmcate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.~,0. ~mmercial $15.00 '
:;ew Construction .......... Old Or Pre-existing Building. .~...
House No. Street Hamlet
County Tax Map No 1000, Section. ~/ ..Block ...... .~. ........ Lot.. /O
SubdiVision ' '
.................................... Filed Map ............ Lot ...................
Permit No ................ Date Of Permit ................ Applicant .............................
~lealth Dept Approval
Underwriters Approval ,~
Planning Board Approval ' ? '"
Request for: .Temp°rary Certificate .......... Final Cer~icate ..........
/ APPLICANT '. .
Scala : 40'=1''
1'1'f1¢ NO.
CONSENT tlJl
TO ~
O~er(s) Name(s)
do(es) hereby state:
That the unders~ned (is) (are) the owner(s) of the premises in the To~
~g'C~ ~ . which is sho,m and des[~nated on the Suffolk
County tax map as District 1000. Section ~/ , Block 0 ~. Lot / 0
That the undersigned (has) (ha~e) filed, or caused to be filed, an applica-
tion in the Southeld To~ Building Inspector's Office for the follow.g: ~
That the unders~ned do(es) hereby ~e eonsen% to the Bu[ld~ inspectors
o[ ~he To~n o[ Sou~hold to enter upon ~be ~bo~e described property, ~nelud[n~
~n[ ~n~ ~[[ b~ild[n[s located thereon, to conduct such ~nspeet[ons &s they
deem necessary w[~h respect to the ~foses~d ~ppl~e~t~on, ~clud~ ~nspeet~ons
to determine that s~id prem~s comply wZth ~11 o[ the l~ws, ordinances, rules
~nd regulations of the Town of Southold.
The undersigned, in eonsent[n~ to such ~speet[ons, do(es) so ~th the
knowled[e ~nd unders~nd~n~ that ~ny ~form~t~on obtained in the conduct o[
such inspections m~y be used ~s evidence in subsequen% prosecutions for
l~t[ons o[ the l~s, o~d[n~nces, rules or re~l~tions of the ~own o[ Southold.
/ ~(sign~e) ~
'
(print name)
(siRnature)
(print name)
BUILDI.}:G DEP.*dRT,'.LENT
T0;'~I OF SOUTHOLD, N. Y.
HOUSIDG CODE IHSPECTION REPORT
[numoer ~ s~ree~)
Subdivision Map No.
Occupanc ./
A~mitt ed by:
([4unlcipalizy)
Lot(s)__
O ner-genan~) / .
Accompanied by: ,.~,~_~
Key available '/ Suffolk Co. Tax No.
Source of request~/~z~f ~ ~7~. Date
DI'fELLING:
Type of construction ~z~-,~v #s~ories
F°undati°nJ~/~ ~ - Cellar crawl space
~ . . ~~ . / ~ra. ~'~ ,
~at~oom(s) ~ / ~ Toilet room(s) ~
Breezeway arage ility room
~e Heat ~ 'Wa~ Air ~~ ~otwater
Fireplace(s) / No. ~it~ / ~ Airconditioning.
Domestic hotwater / ~e heater ~
Other /
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS:
--Location
.CHAPTER 45--N.¥. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Descriotion
Sec.
Remarks:
Inspected by:
· Time start,~/~ ~end