HomeMy WebLinkAboutZ-39394 SUfF04 Town of Southold 12/11/2017
53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 39394 Date: 12/11/2017
THIS CERTIFIES that the structure(s)located at: 21225 Soundview Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 135.4-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 39394
dated 12/11/2017 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with enclosed glass porch and accessory wood frame garage_*
Note:BP 42196 "as built"alterations COZ-39393
The certificate is issued to Mcmahon, Robert&Mcmahon, William
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
u rized Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 21225 Soundview Ave, Southold
SUFF.CO.TAX MAP NO.: 135.-1-1 SUBDIVISION:
NAME OF OWNER(S): Mcmahon,Robert&Mcmahon,William
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Mcmahon,Robert DATE: 12/11/2017
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: partial CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: enclosed glass DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: yes GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: Hydronic air
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
SWEMIING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 11/14/2017
TIME START: 11:08am END: 11:35am
N-I&- l q4
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. /( - -7
New Construction: Old or Pre-existing Building: /\ - (check
one) /
Location of Property: `phot ��U1?Q(✓/�G(1 • / /(►
House No. /,� Street / ,H/amlet
Owner or Owners of Property:
&,,.t ,y( C 2�nch�► 4 �/i��Ld�c J . k 4 , lU1 04-
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:
O&fi Gi 6 0I
/1r4-1? Applicant Signature
CONSENT TO INSPECTION
the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned(is) (are)the owner(s) of the premises in the Town of
Southold, located at " S c5xJo7CI(//,reu ALe 6SA wl ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section , Block / , Lot
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold To Buildin 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 in subsequent prosecutions for violations of the laws, ordinances,rules or
regulations of the Town of Southold.
I
Dated:
(Signature)
Qa6et Mc M"C"
(Print Name)
(Signature)
(Print Name)
BVI MAW
of Soy
2-1
courm,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]
FOUNDATION-1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: I mwt+ arn6 e, a. f vyk
l �L of th
DATE 1 l INSPECTOR
A, OA4ov✓ Q� c
pE SOU "�
� ys
�ycou N
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND NSULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS. � Mo6.9
Qk�
Qy, , Qrr� c4eu
DATEINSPECTOR
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:)�v - nti - -<�:.t^'e; •i:::- - •�}t= + ark: -'_•�' - - •�.- � - — - -.._ - _
l j - '-r = �+•' .--1,�•'-E'C.$y+:_ - =7�` _ - _�- _� .ri _ - - _ y -r' _ o�.i Z e{. "4.3
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CT: ,� "`"' . _';�"� • � P �j --
'. = J 5 ':,SUB, LOT
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FORMER OWNER i ur ti N ACREAGE
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LAND IMP. TOTAL DATE REMARKS-
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE `
Farm Acre Value Per Acre Value
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Lo
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UD
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Total
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LONG ISLAND
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12 WIDE DECKING
MHWM AT N511212°E 51.09' ON TOP OF AT DULKHEAD
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ON TOP OF AT BULKHEAD CONCbLOGK 12
OTTO Ib ��REY WALL SURVEY OF PROPERTY
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N� TOWN OF SOUTHOLD
s. EL.16 z °� SUFFOLK COUNTY, N.Y.
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SOUNDVjgW AVE
■ =MONUMENT
ELEVATIONS AND CONTOURLINE5 FROM NAVD 88
FLOOD ZONE FROM FIRM 36103C,0158H
MAP EFFECTIVE DATE 5EPTEMBER 25, 2009
l NY.5 LIG NO 49618
*(63
IC URVEYORS, PCANY ALTERATION OR ADDITION TO THI5 5URVEY I5 A VIOLATION AREA=10765 SC�.ft. 11 765 - 5020 FAX(631) 765-1797
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW
EXCEPT AS PER SECTION 7209-5U5DIV1510N 2 ALL CERTIFICATIONS P O 60X 909
HEREON ARE VALID FOR Ti-115 MAP AND COPIES THEREOF ONLY IF TO TIE LINE 1230 TRAVELER STREET
SAID MAP OR COPIES BEAR THE IMPRE55ED 5EAL OF THE SURVEYOR Fl 7-094
WH05E SIGNATURE APPEAK5 HEREON. 5OUTHOLD, NY 11971
ell,
A
LOCATION: Y 7 PM� ?/-
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S): ..
NAME OF OWNER(S)': i t
OCCUPANCY: lrj � w-ed Im
(type) (owner-tenant)-
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: A UFF. CO. TAX MA 0. 1000^ —
SOURCE OF REQUEST: o G Ot�I , . . DATE:
' DWELLING � �
TYPE OF CONSTRUCTION: .W_ 9� 11 f--I(WMV # STORIES: ' # EXITS:
FOUNDATION: CbMA, 401 BASgMENT:�nvat CRAWL SPACE:'
# OF BEDROOMS: IST FLR: 9-Oor 2ND FLR: � 3RD FLR:
BATHROO (S l TOILET It;00M(S): UTILITY ROO''M:
PORCH-TYPE:fi%&k64I DECK, TYPE. PATIO;TYPE: oe
BREEZEWAY: FIREPLACE: US QARAGE: l3eA.
DOMESTIC OTWATER: _ TYPE HEATER: A-IRCONDT ONING: -
TYPE HEAT: , o (V WARM AIR: HOTWATER: h Nvol
# OF KITCHENS:
FINISHED BASEMENT YES- NO
OTHER:
ACCESSORY STRUCTURES\
GARAGE; TYPE OF CONST.:v �� ''�� STORAGE, TYPE CONST.:
SWIMMING POOL: -_ GUEST,TYPE CONST: _
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y, STATE UNIFORM FIRE PREVENTION & BUI•LDING CODE
LOCATION DESCRIPTION ART. SEC.
;4" or
11 $tic An'v .Gt.� / o W;17
b e-
m t wl to bS
REMARKS:
INSPECTED BY'0 VdSIAt DATP, OF INSPECTION:
TIME START: i 01 n END: 5A*J