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)