HomeMy WebLinkAboutZ-26568FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26568
Date: 07/19/99
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property 20205 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 051 Block 0004 Lot 007
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- 26568 dated JULY 19, 1999
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 ACCESSORY TWO CAR GARAGE.*
The certificate is issued to ALEXANDER G LITRAS
(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
ROUSING CODE INSPECTION REPORT
LOCATION: 20205 SOUNDVIEW VE SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): ALEXANDER r_ LITRAS
OCCUPANCY: ACCRSSORy GARAGE ALEXANDER G LITRES
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 51 .-4-7 _
SOURCE OF REQUEST: DATE: 07/19/99
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: 1ST FLR.:
BATHROOM(S): 0.0
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
# STORIES: 0.0 # EXITS: 0
CELLAR: CRAWL SPACE:
2ND FLR.: _Q 3RD FLR.: _9
TOILET ROOM(S): 0.0 UTILITY ROOM(S):
DECK TYPE: PATIO TYPE:
FIREPLACE:
TYPE HEATER:
TYPE HEAT: WARM AIR:
OTHER:
HOTWATER:
GARAGE:
AIRCONDITIONING:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME* STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: *WITH ELECTRIC
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ' ART SEC
j
REMARKS:
INSPECTED BY: Lot, R DATE ON INSPECTION: 07/13/99
JOIN M. BOUFIS TIME START: 9:30 AM END: 10:00AM
A.
C
rt
JUL
b 1989 _.j
_ L G.. DEPT.
Th' 4, T be filled in by typewriter OR ink and submitted to the building
or with the following: for new building or new use:
Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
Approval of electrical installation from Board of Fire Underwriters.
Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 17, lead.
Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
Submit Planning Board Approval of completed site plan requirements.
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
1.
2,
3.
4.
LP
N
o e C C-)
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.
Certificate of Occupancy on Pre-existing Buildine - $100.00
Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...rl,Ilo' j�. .....
New Construction...... Old Or Pre-existing Building
�... *..(C?�tG�g
Location of Property...��ciOs
House No%.� Street Hamlet .....
Onwer or Owners of Property.../ 1.!Q ��a- �. 1~ t a 1C9�
County Tax Map No 1000, Section.o� ) 4 D. , ,Block. oto co , , , , . ,Lot. 6C� 7: Q, ,
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant ..............................
Health Dept. Approval..........................Underwriters Approval......................,..
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Cer
Xrcate..,.........
Fe Submitted.--�$,
...... . .`...`....C
LICANT
1
Owyner(s) Name(s)
do(es) hereby state:
CONSENT
To
iNspcurioN
the undersigned,
That the undersigned (is) (are) the owner(s) of the promises in the Town
of Southold located at C�C) oaofs;
zo"°,k�kc� \L , y:hich is shown and designated on the Suffolk
County tax map as District 1000, Section 651 Block Oq , Lot 0)f7
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 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
Dated: rl l 6 \i
1111 IN
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