HomeMy WebLinkAboutZ-26202FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26202
Date: 01/06/99
THIS CERTIFIES that the building DWELLING
Location of Property 510 YOUNGS AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 064 Block 0001 Lot 004
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- 26202 dated JANUARY 6, 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 SINGLE FAMILY DWELLING WITH ACCESSORY GARAGE*
The certificate is issued to BRUCE J PARKHILL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTI
Rev. 1/81
1
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 510 YOUNGS AVE SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): BRUCE J PARKHILL•
OCCUPANCY: SINGLE FAMILY BRUCE J PARKHILL
ADMITTED BY: BRUCE PARKHILL ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFP. CO. TAX MAP NO.: 64.•1-4
SOURCE OF REQUEST: BRUCE PARKHILL DATE: 01/06/99
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: _ 3
FOUNDATION: CINDER BLOCK CELLAR: PULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 2ND FLR.: 3 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S):
PORCH TYPE: FRONT DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: NATURAL AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: X
OTHER:
ACCESSORY STRUCTURES,
GARAGE, TYPE OF CONST.: ONE CAR WOOD FRAME STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION E BUILDING CODE
LOCATION ! DESCRIPTION 1 ART SEC
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REMARKS:
INSPECTED BY: 11 v� /// l� - " N ✓ DATE ON INSPECTION: 02/18/98
JON M BOUFIS / TIME START: 9:10 END: 9:30
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200.00
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200.00
SCALE. - 30'% 1 "
0 % MONUMENT
CAARANTEED TO -THE SECURtrY TIrLS
COMPANY. AS SU qVV-Y W JVLY201[%L7
VAN TUYL 4 SON-
t10Efi15Ep i.ANI'�;SUR1fEYOC25
GRssf4pown
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Glassf4pown N.Y.
TOWN OF SOUTHOLD n C) -7 T
BUILDING DEPARTMENT \-.4
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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.
V
existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and
e -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.
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-existing Building - $100.00
3. Copy of Certificate of Occupancy - .250.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $115.000
Date.... . . 1. b ...........
aw Construction....... Old 0 Pre-existing uilding...X ............
kation of Property... %% �.... TQ W(Sr� .... H .�( :............� x.44 Q �: �........ .
House No. v� Street Hamlet
iwer or Owners of Property...... ! u�.... ��-.o:�.!�................................
msnty Tax Map No 1000, Section .... !4.......Block...............Lot..... 4 ..............
ibdivision....................................Filed Map ............ Lot ......................
armit No ................
�Date Of Permit ................ Applicant .............................
aalth Dept. Approval.../..'.....................Underwriters Approval.........................
Lanning Board Approval ....................... /
equest for: Temporary Certificate........... Final Certicate.... .....
ee Submitted: $....... app._. ............... _
.... �✓! s ....................
P, ccZ a� APPLICANT
&- s SW4
CONSENT
TO
INSPECTION
UNce -t'aY�"\hi
Owner(s) Name(s)
do(es) hereby state:
the undersigned,
That the undersigned (is) (axe) the owner( of the premises in the Town
of Southold located at
which is shown and designated on the Suffolk
County tax map as District 1000, Section Block ( Lot i
That the undersigned (has) (hovel filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
A ^ ,
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 of the Town of Southold.
Dated: -Dec. Ib_, lag_
(signature)
(print name)
I
LOCATION:
SUBDIVISION
BUILDING DEPAR111ENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
MAP NO. LOT (s)
NAME OF OWNER (s)ti��1%_
OCCUPANCY
qty e) owner-tenantl
ADMITTED BY: �� /�� ACCOMPANIED BY: Allo =
KEY AVAILABLE_ / SUfFF F. CO. TAIL MAP NO. )000' -
SOURCE OF REQUEST: /G�/� !/ /� DATE:
DWELLING:
TYPE OF CONSTRUCTION# STORIES # EXITS
FOUNDATION+ 1 &4C s CELLAR CRAWL SPACE_
TOTAL ROOMS: IST FI.R. 2ND FLR. 3 3RD FLR.
BATHROOM (s) (V M -4e . TOILET ROOM (s) &-2tA-'—'— . UTILITY ROOM
PORCH TYPE /"407t-7- DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE 0,f/.4 _ GARAGE
DOMESTIC HOTWATE TYPE HEATER --;1 AIRCONDITIONING
TYPE HEAT WARM AIR HOTWATER
OTHER: .
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST I &Wj It lJ S� �K STORAGE, TYPE CONST.
SWIMMING POOL --- , GUEST, TYPE CONST.
OTHER:---�--�
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE,
REMARKS:
INSPECTED BY: %� DATE ON INSPECTION A
TIME START ' / U END
\ Ol
/if" _ 4+, 4z' TOWN OF SOUTHOLD PROPERTY RECORD CARD
�^' C --p 2e
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
FORMER ANER
N
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E
�f3 1e r' ,-C
ACR.
,
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S
.d, ��
W� ,
TYPE OF BUILDING
.
RES. o
SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
Z6 Z7 0-6 4"
a a
8o d
�3
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
v v
Meodowland
DEPTH
o
House Plot
BULKHEAD
Total w-- -"
.two
DOCK
.s..e ert;.�ue���ar^
5 I Ems'
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