HomeMy WebLinkAboutZ-22799FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22799 Date DECEMBER 17. 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 320 LAKEVIEW TERRACE EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 09 Lot 13
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-22799 dated DECEMBER 17, 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 WITH CARPORT ATTACHED TO ACCESSORY
GARAGE
The certificate is issued to GENEVIEVE SALMINEN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
BUILDING DEPART:IENT
TOWN OF SOUT11OLD
HOUSING CODE INSPECTION REPORT
LOCATION: 320 LAKEVIEW TERRACE EAST MARION, NEW YORK
ny
SUBDIVISION MAP NO_ LOT (s)
NAME OF OWNER (s) GENEVIEVE SALMINEN
OCCUPANCY A-] RES. OWNER
(type (owner -tenant)
G. SALMINEN SAME
ADMITTED BY:. ACCOMPANIED BY:
KEY AVAILABLE SUFF. Co. TAX MAP NO. 1000-31-09-13
SOULZZ OF REQUEST: __ GENEVIEVE SALMINEN DATE: DEC. 13, 1993
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME Q STORIES
FOUNDATION CEMENT BLOCK CELLAR FULL
TOTAL ROOMS: IST FLR_ 4 2ND FLR. 3 3RD FLR.�
BATHROOM (s) ONE
PORCH TYPE CLOSED IN PORCH
BREEZEWAY
DOMESTIC UOTWATER YES
TYPE HEAT OIL
OTHER:
ACCESSORY STRUCTURES:
TOILET ROOM (s)
DECK, TYPE
FIREPLACE
TYPE HEATER
WARM AIR
GARAGE, TYPE OF CONST. WOOD FRAME
SWIMMING POOL
OTHER:
0 EXITS 3
CRA14L SPACE
UTILITY ROOM
PATIO, TYPE
GARAGE
AIRCONDITIONING
HOTI•IATER XX
CARPORT
STORAGE,
GUEST,TYPE CONST.
ATTACHED TO GARAGE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
REMARKS:
INSPECTED BY: -"w DATE ON INSPECTION DECEMBER 15, 1993
*G4
H TIME START 9:45 END 10:15
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT DEC 3W
TOWN HALL
765-1502 -
�.•„_.�?,�i"die
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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.
BO Forexisting buildings (prior to April 9, 1957) non -conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate__suryey 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 uilding 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 Building — $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00 -
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction........... Old Or Pre-existing Building...��.... ..
�a..............,�'okf,eigw..lerrq�......kjst!Y��' *qo. .7. 11 y;3y
Location of Property. r
House No. Street Hamlet
i �-j
Onwer or Owners of Property.... G? -n -eV, ! c ✓.e,....ti/� m.� ncn .............................. .
County Tax Map No 1000,,Section.....�!....... Block .... f ........... Lot. A .................
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................ , /
Request for: Temporary Certificate........... Final Certicate.. v .......
Fee Submitted: $,.....
Q�c,�i �31I .. ..........
�� �n APPLICANT
L.
L�Tow�v
CONSENT
TO
INSPECTION
�-� n �� e v� �A m �`►7e n , the undersigned,
Owner(s) Name(s)
do(es) herebv state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at_,,?,2() Vi'ew lerraee F&t Nan'dn I
/I4/3� which is shown and designated on the Suffolk
County tax map as District 1000, Section) Block Lot /3
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 used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:�� 3
(signature)
(print name)
signature)
(print name
,a,
TnwN n; snl1TNOLD PROPERTY RECORD CARD
r 40 0'— 7_1a -
— ----
--
- - - -
OWNER
STREET
3
VILLAGE
DIST.
SUB. LOT
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n eIriQ
^ .
FORMER OWNER
N ^
a a Vol
E
ACR.
i
S
I W %tocu #- a,.fp
TYPE OF BUILDING
AES. b
SEAS.
VL.
FARM
COMM. CB. ISC. M .Value
LAND
IMP.
TOTAL
DATE
REMARKS
16 0
.s D v
Y� 0
-30o
oo
a3co✓
13
3110 % `%
�o/yir// — 7i
/y.� fTiiy
r. Laiylr ice• rte.(
AGE
BUILDING CONDITION
y ya
�;- 6,9-
f /
NEW
NORMAL
BELOW
ABOVE
, L9310 ra&j -' i
r%vi
vlvelkxoy4�;�t
FARM
Acre
Value Per
Value
Acre
Tillable t
Tillable 2
Tillable 3
Woodland
Swampland
FRONTAGE ON WATER
—v
Brushland
FRONTAGE ON ROAD
House Plot
DEPTH
"- .7
BULKHEAD
Total
DOCK
R,
I �-
I
Ij
27>_-10 Z- SQ. ::?-r.
A,7-
G. .�:}. titer r
,7 -
15r Iz/
6 0 Yf:r -,I- e --;
Unauthorized alterptlon or addition
to this survey is a violation of
Section 7208 of Lis,'I
Education Law. 'aw Ybek Stew
Copies of this surisy map not bearing
the land surveyces inkscl seal or -
embossed seal shall not be considered
to be a valid true copy.
Guarantees Indicated hereon shall run
only to the person for whom th o survey
is Prepared, and on his behalf to the
title company, governmental agency and
lending institU!I,L,-: hereon and
to the assigner—, lending instl-
-z; n -.1 L-ansferable
tution. Guarar—
to additional cr subsequent
Mloal.
mitis Fp
LAND
19
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