HomeMy WebLinkAboutZ-24611FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-24611 Date SEPTEMBER 11, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 6815 SOUNDVIEW AVE. SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 59 Block 6 Lot 1
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-24611 dated SEPTEMBER 11, 1996
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 KENNETH SCHOLD
(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.
it ing Inspector
Rev. 1/81
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rnwu OF SOU FHO III)
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I.OUA I'l OVI!____6q_SQQNMEK -AVE, --------------
number 6
S1111MVISION
NAIM. OF OVIFIrIt KENNETH SCHOLD
0 C C0 VA I A-1 RISS
OWNER
ADMITFIrO IJY! GEM GRAESIK
ACCOII PAll I F'D BY YERRY GRAMIK
KEY AVAII.&Io.F%
MIFF ---TAX HAP 110, 100059:Z -T
SOURCE OF RFOURSI,!7/30/96
RUDOLPH BRUER, ATrY 0 ATE. -
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01-YI)v OF Cous'ritllrr I oil WOOD FRAME
I 8,101t11l's ONE I iou -1,!; 3
CHAWI.
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IIECK, TYPE. VATJ 0 SLATE
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DOHEISTIC, 1101WATER YES TYPE.
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INSPECTFID Ily- OATV. OF I fISITC1 1011_ AUGUST _27, 1996
GARY F TIMKI PIAIII' 9:40 M KNO 10:00 AN
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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.
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 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.
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.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25C
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00,, Coqercial $15.00
Date.......7/.3. /...0..........
New Construction........... Old Or Pre -sting Buuilding. .....
Location of Property...................�DV I 1 d o.... ve,
House No.�% Street Hamlet
Onwer or Owners of Property..... S.................I.................. 41.................
.ounty Tax .lap No 1000, Section.... Y..!......Block..............Lot.... .................
ibdivision....................................Filed XFap........... PL t........'j...'.�.y...........
rmit No................Date Of Permit ................ Applicant ... .. 6 ....."..........
filth Dept. Approval..........................Underwriters Approval.........................
nning Board Approval ........................
test for: Temporary Ce�r%t�ificate.......
Submitted:$..< V :.'..............
... FinaJ.CerticateK.......
�..5...................
APPLICANT
CONSENT
TO
INSPECTION
reo 4 C
Owners) Name(s
do(es) hereby state:
co the undersigned,
That the undersigned (is) (are) the owner('s)of the premises in the Town
of South d located at S() U�1
n 6 v I e.4,j Ave-
i�604L
which is shown and designated on the Suffolk
County tax map as District 1000, Section Block !�J , Lot
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:
n
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 re
Dated: 7
of the Town of Southold.
L/j( U(signature)
(grin name)
(signature
print name
4w
TOWN OF SOUTHOLD
Mw
PROPERTY
RECORD CARD
M
ri
NNER
STREET ( / ::- 7TV1LLAGE7�__
DIST.
SUB. LOT
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)RMER OWNER
N
EACR.
A
S
W r F' �� <:' Ca, TYPE OF BUILDING r
/0
SEAS.
VL.
FARM
COMM. CB. MISC. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
_
v
O
GE
s n
UILDING CON
i
EW
NORMAL
BELOW ABO E
IRM
Acre
ValuePer ,�(al
Acre
table 1
1
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able 2
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able 3
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odland/`
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Impland
d'
�QIWNTAGE
ON WATER
shland
l
FRONTAGE ON ROAD
ase Plot _
DEPTH
BULKHEAD
al
,.r
DOCK
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TOWN OF SOUTHOLD PROPERTY RECORD
CARD
-,.I___7no/
OWNER
STREET , � �j VILLAGE DIST.
r w ✓
SUB. LOT
,e11W A1bA1
.3 -
FORMER OWNER
N ��//// J �% E ACR.
eenne�fk SA p/d
SW 914FFa /4,YC TYPE OF BUILDING
tES. f
SEAS.
VL.
FARM
COMM. CB. MISC. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
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/U
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UILD N ON 7 _ M _ P Pr �2�f'•i•
NEW
NORMAL
BELOW ABO
FARM
Acre
Value Per
Acre
Value
rillable I
rillable 2
Tillable 3
Noodland
>wamplend
FRONTAGE ON WATER
3rushland
FRONTAGE ON ROAD
louse Plot
DEPTH
zo
BULKHEAD
.► ftft.
.•.
LAL
fr
fI11ILDING DEPAR-r:U;N-r
TOWN OF SOU111OLD
.ilOUSING CODE INSPECTION REPORT
LOCATION:
knumber % s[reet
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY 1-14F`
kmuntctpart ty
MAP NO_ Lo'r (n)
(type) " ' :_w
m (owner -tenant)
ADMITTED BY: , �X_ ACCO.'[PANIED BY: y
ILEX AVAILABLE SUFE. CO_, T&X MAP N0.
SOUr.;;;: OF REQUEST:
DUELLING:
TYPE OF CONSTRUCTION W�127 6jt� # STORIES �Lf�, # EXITS
FOUNDATION C��AJr a�Oc� CELLAR _ CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. 3RD PLR_
BATHROOM (s) � TOILET R0011 (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE
GARAGE p2 c_
DOMESTIC ILOTIJATER TYPE HEATER �..�/,�r/i AIRCONDITIONING
TYPE HEAT [`��C WARIi AIR
OTHER:BOTHATER
ACCESSORY STRUCTURES: 0"
GARAGE, TYPE OF CONST.®
SWUNING POOL
OTILER:
STORAGE, TYPE CONST-
, GUEST, -TYPE CONST.
VIOLATIONS: CHAPTER 45 N -X. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
REMARKS:
DESCRIPTION
eA J-2�
ART.
INSPECTLiD BY:
iDATE ON INSPECTION
TIME STARTar , END
0
SEC.