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HomeMy WebLinkAboutZ-24046FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCy No Z-24046 Date NOVEMBER 27, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 19895 SOUNDVIEW AVE. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 4 Lot 2 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 2-24046 dated NOVEMBER 27, 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 DWELLING * The certificate is issued to MARTHA JACOBS (owner) Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED =/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 RUII.DING DE.PAR'rMGNT TOWN OF SOUT1101.0 HOUSING CODE. INSI'ECTION ltErmu' LOCATION: 19895 SOUNDVIEW AVE. SOUTHOLD, NEW YORK -- �it,nbcr 6 street Ztn„It«ipali[y SUBDIVISION IIAI' NO. NAME Or OWNE.I( (s) 14ARTRA JACOBS 000III'ANCY SINGLE FAMILY DWELLING --- -- — ---- �ype�-- (owner -tenant -- - ADMI'rT'GU IIY: WILLIAM JACOBS ACCOHI'ANIED BY: SAME KEY AVAlLA141.1% `)DI-'F.CO_ TAX MAI' NO. 1000-51-4-2 — ___-- som(CG of RIiy111iS'I': MARTHA JACOBS DA't'f?: NOV. 17, 1995 - - UWE1.1.1 NC - TYPIi OF CONS"1-ItIICTION WOOD FRAME, STUCCO & BRICK FOUNDATION BRICK 6 CONCRETE CEI.LAlt FULL S'I'oltms 2 1 EXITS 3 CItAWI. SPACE TOTAI. ROOMS: IS'r FI,It. 5 2ND FI.R. 4 31(D FIX. — IIA1'IMOOM (s) ---2 - TOILET ROOM (s) one UT'ILIT'Y ROOM I'ORCII 1'Yl't? FRONT ENCLOSED UNHEATED/REARC0117RED WRAP DECK, 'TYPE PA'1'10 I4RE.EZ@WAY F IItLPLACE ONE2 _ GAItACIi CAR UNDER- DomI,'.s'ric 110'1 -WATER II _ TYPE IIIiATIi ( LILCO GAS AI11COND1TIONING T'Y1'E NIiAT LILCO GAS _ WARM Alit II -- 110"ItiIA'1'E.W O'r11Rlt: FRONT BALCONY (2nd STORY) - REAR 2nd STORY COVEMU PORCH — Af.CRSSI112Y S'rltl if-rn yr. c. GAItA('E, TYPE Or CONS"P. SW I MPf I NG 1'001. OTI IE It : --------------------------------------------------------- ------------------ -- ---------------------------------- ------------------------------------- VIOI.ATIONS: CIIAPTER 45 N.Y. STATE IINIFORM FIItE PlIEVENT'ION 6 1111LIMING CONE STOItAGE, TYPE. CONST. cul"ST, T'YI'1? CONST. LOCATION DGSCRIPT10N ---�- AR"r. SGC a u REMARKS: INF:PGC"1Ily(_ llAT'i'. OI' INSI'GCI'ION NOV. 22, 1995 JOHN M. BOUFIS — -- — Y4— TIME START 9:30 END 10:00 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 showing all property lines, streets, building and unusual natural or opograp is features. 2. A properly completed application and a consent to Jasper-- 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 -ex; GtBuild iil�-._IQQ.QO 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....1.7.1y.�...... . ............... Jt9uL�tllC.lal.lf?!4 I House No. Street Hamlet i Onweror Owners of Property ..% ................................... County Tax Map No 1000, Section. -Or/ ........ Block .... /. [ ...........Lot.... o< .............. Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health'Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ....................... Request for: Temporary Ce/rtific--atte........... Final Certicate......... Fee Submitted: $....../ /1 ............. APPLIC�NP gee co a 4 0 y 4 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY F BS JOHN STREET, NEW YORK, NEW YORK 10038 +-A1F'1lBFR 'bpi ( a:,� �rl ,ae_; •es. }� Date Application No. on file THIS CERTIFIES THAT only the electrical equipment described bejosqand introduced by the applicant named on the above application number in the premises of �JTLI,.T:F;11 S'�1"�F+;S. tnt7NLPt'FE;Hi A'JEldl7F;. ;OIITIiOLd'1, N.Y • _� _ e_n_._e__ r-.__.___. � a___.___. � T.. cT 9...a F7 l., FiR ,".1C.J`} Section Block Lo[ was examined on Mt�l'F;p.iP,gg i, 3 'f a.";�and found to be in compliance with the National Electrical Code. F1 TURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS NCANDESCENT. FLUORESCENT OTHER AMT. K. W. AMT. K. W. AMT. K.W. AMT. I K. W. AMT, H. P. RECEPTACLES OUTLETS SWITCHES I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT TRANS. HEATERS MULTI.OUTLET SYSTEMS NO.OF FEET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. All, AMPS, AMT. H. P. AMT. WATTS SERVICE DISCONNECT NO. OF S E R V 1 C E AMT AMP TYPE METER EOUIP. 1 0 2W 1 •q 3W 3 Ar 3W 3,e AW NO. OF CC. COND. PER % A. W. G. OF CC. COND. NO. OF HI -LEG �`' W. G. OF HI -LEG NO. OF NEUTRALS A. E G' OF HE OTHER APPARATUS: 11?KE DFTEC'Ti-;R : -1 *N�7 V, SIIAL, REFECTt "An >lwct:r:ical nLa(AT> t)t tpLw t;a,os d ] ri a1 e7LzipnlE-l;t: tri 'Litt: j . ul >atl i:a +.nry cf,ikditj.on was f thrlr9. FAUI, R. BURNS LIC.#3897E P.0 BOX 1061 c'OUTff01,1? , W , :11971 -0932 GENERAL MANAGER 11 C_ Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Lo, SpuN� hig4. war _ - , ertarye - d l �1 O n14P codePCr2?'Y Stlts'V$Y�© F VVIL L .,., /4A-1 4T SOC.m4oL o �P�EOF Nfkl /CF N.Gg'1340"4Y. - SoUNO va�w 15788 akereNan oraOAbn \\: S y b a oblation of Section of the New Vork Stab Edeetlon Lars the mrrl ernbas to be a only '� to Me ae bdon. G X. ba0diLi �ommm s survey m. -, -r tsaring eyot's inks,' —. 'Cf >al shall nc: t _--:13mal two COP/. indicated hereon shall run n for w.1 Lha aurvey don his belay to rhe ovemmental agency anal IlisteO hereon WW Yrg Y 1 the IBnCu14 nt are not traruleerebla Sca 142. 40 'at 1 q = ta'+arttlrrte n f 5u 114 r MW4 f Tax /kk b C sr Oi s4- 1000, 5*C+ 4C)31, 61k. 4, ftJ. . Its, 1,`, ; e ' 1 Ti+142 N0. S- 654614a i G 7YLYrl"�t!!p� fU 'Ift 2926't f-0 S@CL1f^!( T!'{iQ ¢ �triJC;f'sYtTftj i, 'Middle 2botd as survter iJan. 29,198t, 120CE921C1C V4N-rUY4.. AVGNU6F Licexatat Lwnei &irv-4w;y*,-s *r+e�rr�xstr-t ^� Nervv Yorft 1 CONSENT TO I\SPLCTION r(s) Name(s) do(es) hereby state: theundersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at /YdP%) SdUti/D V/eA,, �Yc - ,,f 14-�14PZ D Whir_h is shown and desipwited on the SuffOl: County tax map as District 1000, Section PS -1 —, Block y , 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: 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 vio- lations. of the laws, ordinances, rules or regulations of the Town of Southold. Dated: l�� — r (signatu e) (print name) signature print name BUILDING DEVARTMEN'f TOWN OF SOUTHOLD MUSING Cont: INSPECTION REPORT LOCA'T'ION: number 6 sLree SIIIIDIVISION NAME OF OWNI? I( (s) OCCUPANCY MAI' NO. UM icipaliLy LOT(s) 412-1101�( a? , r4 -- owner-LenanL�-- — ---- ADMI'I"1'ED 11Y:�j�-� __ ACCOMPANIED IIY:__=JC KEY AVA1LAlll.l: --- — Slll'I ..CO TAX MAI' No..SOURCE 01. RE(tl)EST: nA'I'1? .------ )WE 1.1. I N_G : -- -- — —------- ----- -- --- I'YI'E OF CONSTRUCTION modsmRIES �r / EXITS FOUNDATIU /' — N Jam' �C'i''' I� �s1n _A�& CELLAR q G'.�,� --- CRAWL SPACE_ TOTAL ROOMS: ROOMS: IS'f PLit• _2ND FLR. 31RD PLI(._ BATHROOM (s) _ c�' I'01 -ET ROOM (p) (p) — n ll"1'I LL'I'Y ROOM I'ORCII TYPE — — �1r(i/.TYPE PATIO ISItEIiLEWAY _ to F IItEI'LACE '� GARAGE,,)Q Oil DOMESTIC 11OTWATER _ TYPE IIEATGR /-- r` r /Ira AIRCONDITIONING TYPE IIEA'f WARM ALRy 11O1WATER' — --- — OTHER:�%�2�� ACCESSORY STRNC-1'1jRES: ` GARAGE, TYPE OF CONST. STORAGE, 'TYPE CONST._ SWIMMING fool. GUEST, 'TYPE CONST. O1'I l E It : �—'- ------------------------------------------------------------------------- VIOL.A'TIONS: CHAPTER 45 N.Y. S'T'ATE UNIFORM FIRE PREVEN'T'ION & 1111ILDING CODE LOCATION DESCRIPTION — — ---- i —_ ( ART. SEC. 0 REMARKS: 0 INf:I'r Cl'1:1) IlY j( ✓ + , t�%, — DATE 01 iNSt'E(:1'LON TIME' S1'Alt'I'/ Z IiND 1/ too TOWN OF SOUTHOLD XOPERTY RECORD CARD OWNER ' )STREET C/ VILLAGE DISTRICT SUB. LOT a PW a.. aco bs FORMER OWNE I IaC�'S 4�'� N 0�c���� E/� G� ACREAGE • o 1111 //-- // .Ut�JoK K- T• d A v� j .�- dPFP�C S � RES.SEAS. VL. FARM W - . , TYPE OF BUILDING �— COMM. I IND. I CB. I MISC. LAND IMP. TOTAL DATE REMARKS c a 1 0 O� DD �' w,� e. �:r s Q.�✓,s �' o _ .7 .1>o�dP,✓ 'o -v 0 o 6o o o G �O 7� U d �� 600'zso a o »� �� i Sa,( ��'• �,3 -_ or5i ealpee,C -?o - LA A, CD 41 J- 4 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1/a'r`i G rz 1•�c p,`!% / �2G,c,1--/ Tillable 2 Tillable, 3 Woodland Swampland Brushland ,Z o 3a /a'3 ytc v - 1 House Plot Tota I M. Bldg. ( 'y y 1 X 3 �� - z- 9 � a i/9� ■M r- �/_ Bath y - ! Extension asement ( Floors 5 MElong No Extension Ext. Walls InFinish , Extension _ Fire Place Heait — --- ------ 3 ;7— � Porch Attic �ft� Porch M. Bldg. ( 'y y 1 X 3 �� - z- 9 � a i/9� 'Foundation r- �/_ Bath y - ! Extension asement ( Floors 5 Extension Ext. Walls InFinish , Extension _ Fire Place Heait — --- ------ 3 ;7— � Porch Attic �ft� Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage ��,t— Driveway O. B. V/