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HomeMy WebLinkAboutZ-22616FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22616 Date SEPTEMBER 24~ 1993 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING Location of Property 20365 SOUNDVIEWAVE. SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 4 Lot 9 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-22616 dated SEPTEMBER 24~ 1993 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 (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *Pr.RASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 CF.T.F. STE PANOUSOPOULOS N/A N/A B~lding Inspector LOCATION: BUILDING DEPART~:NT TOWN OF SOUTIlOLD [lOUSING CODE INSPECTION REPORT 20365 SOUNDVIEW AVE. SoUTHOLD, NEW YORK (number &strcet) suBDIvISION NAME OF OWI~ER (s) CELESTE PANOUSOPOULOS MAP NO. (municipality [.OT (~) OCCUPANCY A-I RES. OWNI~R (type) ADMIi~D BY:. FRIEND KEY AVAILABLE SOULC~ OF REQUEST: CELESTE TlflgOPItILOS (owner-tenant) ACCO~ANIED BY: SA~E SUFF. CO. TAX MAP NO. 1000-5m-4-9 DATE: SEMT. 7, 1993 DWELLING: TYPE OF CONSTRUCTION FOUNDATION ~NTBLOCK TOT/~L ROOMS: IST FLR. BATHROOM (s) 2 PORCH TYPE BREEZEWAY D0~STIC HO~ATER YES. TYPE HEAT OIL O~IER: '4 2ND FLR. TOILET ROOM (s) DECK, TYPE FIREPLACE TYPE HEATER WARHAIR { STORIES I # EXITS 2 CELLAR PARTIAL CRAWL SPACE 3RD FLR. 1~ WOOD NONE LILCO CAS UTILITY ROOM PATIO· TYPE GARAGE AIRCONDITIONING HO~{ATER XX ACCESSORY STRUCTURES: GARAGE, I'YFE OF cONST. S~IHHING POOL O~R: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #m2321z - co z=-i6605 .ADD INSPECteD BY: G/I~J. FISH DATE ON INSPECTION TIME START 12:00 SEPT. 9, 1993 ENI~ 12:20 PM P. , o~.P ? t993,!t .. I BLDG. DEPT, " .~ L~_wN oF ~OU~OLD _. J APPLiCATiON FOR CERTIFICATE OF OCCUPANCY~'~ · This applica~ion mus~ be filled in.by :ypewriter OR ink and submitted ~o the building inspector with the following: for new building or new u~e~ I. Final su~;ey of property wi~h accurage location of all build~ngs, proper~y lines, streets, and unusual natural or ~opographic 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 statemen~ from plumber certifying ~hat 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 Comptian%e from architect or engineer responsible for ~he building. 6. Submit Planning Board Approval of completed site plan. requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic fee[utes. 2. A properly completed application and a consent to inspect signed by the applicant, ~f a Certificate of Occupancy is denied, the Building Inspector shall s~ate the reasons therefor in writing to the applicant, Fee~ 1. Certificage of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swim~ing pool $25.00, Accessory bui~ding $25.00, Additions to accessory building $25.00. · ~usinesses $$0.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updaged Certificate of Occupancy - $50.00 5. Temporary Cert%fica~e of Occupancy - Residential $15.00, Commercial $15.00 .......- ....... ew Construction ........... ~O%~,~~o,,~v,f.~_~.~,i~x~Ool!or P~-~x~ting ~uiiding .... :.~...-- ~.". ..... ... House No. Street Ha~et ..... ............................. ounr7 Tax ~ap No [000, Section .... ~[~.~ ...... Block ............. Lot ........ ~., ubdivision .................................... Filed Map ............ Lot ...................... ermit No ................ Da~e Of Permit ................ Applicant ............................. ealch Dep[- Approval .......................... Underwriters Approval ......................... %anning Board Approval ........................ eques~ for: Temporary Certificate ........... Final Certicate..,.~z... .... ee Su.bmi[~ed: $ ............... (~:, q ~$~ ...' .......................... CON=ENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: · the undcrsigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southotd located at 2 0 3~z'~- -~./b~t ~'/v~Fw /f'.r. .-~M ~ ~,-f,~ · which is shoxvn and designated on the Suffolk County tax map as District 1000, Section ~'/ , Block ~ , Lot .7 .' That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Toxma Building Inspector's Office for the ~ollowing: __ 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 afcresaid application, including inspections to determine that said premises comply with ali 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 reomalations of the Town of Southold. (~gnature) (print name) [:_.,.~,.Tq~wjLc25 ?,: (signature) (print name)