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HomeMy WebLinkAboutZ-29881 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29881 Date: 12/03/03 THIS CERTIFIES that the building DWELLING Location of Property 1805 PARK WAY SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 070 Block 0011 Lot 021 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- 29881 dated DECEMBER 3, 2003 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 ATTACHED TWO CAR GARAGE.* The certificate is issued to ROBERT & VIRGINIA LUDWIG (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 INSPECTION REPORT. Authorized Sig ture Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1805 PARK WAY SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): ROBERT & VIRGINIA LUDWIG OCCUPANCY: SINGLE FAMILY ROBERT & VIRGINIA LUDWIG ADMITTED BY: ROBERT LUDWIG ACCOMPANIED BY. SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.. 70.-11-21 SOURCE OF REQUEST: ROBERT & VIRGINIA LUDWIG DATE: 12/03/03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 6 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 2.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: TWO CAR DOMESTIC HOTWATER: TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: X OTHER: ACCESSORY STRUCTURES: GARAGE. TYPE OF CONST_: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: GAZEBO (UNDER 100 SQ FT DOES NOT REQUIRE PERMIT OR C.O. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP#29896 CENT L A/C CO Z-29880 INSPECTED BY: DATE ON INSPECTION. 10/31/03 J0 M BOUFIS TIME START: 9:45AM END: 10:20AM Form No.6 'r _r__ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ±� 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 Ln-engineer responsible for the 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: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and 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 Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 1 Date. New Construction: Old or Pre-existing Building: X (check one) Location of Property: l e,-2S PAP-IC it1 /f k LI✓ s-o C) House No. `S�tree Hamlet Owner or Owners of Property: Po/3 t-f 2�e�V1 !C�I v 1,4 L y y) u I Suffolk County Tax Map No 1000, Section ! y Block 1 Lot 0 A �y Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ /0 0�v �LJO S_\100 Applicant Signature I ' i I i a i = I I I. I I i NO I i I i M. Bldg. I Foundation Bath Extension Basement � � � Floors Extension Ext. Walls l000D S I terior Finish 5kt f c� C Extension Fire Place Heat r Porch Roof Type Porch Rooms 1 st Floor Breezeway Patio Rooms 2nd Floor Garage X �--,�- �� - Driveway Dormer ` O. B. - TOWN OF O - S UTHOLD PROPERTY RECORD CARD ER �a- �Gc �u�w� STREET %�, VILLAGE DISTRICT SUB. LOTrwl ,FORM ER OWN R N E ACREAGE a a S W TYPE OF BUILDING -T: :ES. SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. �+y TOTAL DATE REMARKS o 0 f o U o L r© 0 -.S'/41 e P ZG L- -2 4 .q4-- A-rGh r Lafin( c ems d e-C l AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable . 1 BULKHEAD Tillable 2 f DOCK Tillable. 3 dVood land Swampland 3rushland ;-louse Plot Total M.1802 BUILDING DEFT. SPECTI.ON [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS /' �C� s b DATE �( � � INSPECTO 765-1802 BUILDING DE". INSPECTION FOUNDATION 1ST ROUGH PLBG. FOUNDATION 2ND INSULATION FRAMING FINAL FIREPLACE— CHIMNEY Y REMARKS: �! ��'`vY'z'..,%�' �.-- �Jf �-' ,,'ram If < 'OR DATE :��__I_NSPECTORc 51G 567 9211 12-15-1997 10:40AM FROM C 21 BAYS EDGE 516 567 9211 P_ 2 ' : '- � . ; . . .• .; '. LET i 17 6.4 -'MAL KF kit �. : . rim.,tw"ato L_:7'J ; 4. ts . t>� ...s o c t'J L.n t�.f E. . -. IAA- 'rarrw.+.•..•��a...w.wyr 7 w...�uer�►wr•Iii��i��w�MW��MM1���wyP..rlin ty w4.�sWef r.wr�uY.��ar��a- - I-T'Lj S C L,3 'i-t«L 0 LET Nt:!/hf�tS�4'f 51•{t7g1#t Ohi=j'�I�t� T?:)"INN t7{L TOLITA'CV000 1 IU-0t-•[PI'ri TL�4J� :t.tyil,f� ' -aw►�itk.aseuc• ram—'--�— �-:' .. sum.hunwbown,weroE � � , ;,�* nu®aopy �,tidil'►ltihi' �}�Ci::r 'i' rift- /A1`D!►�CAty 1y.Ti.W �.�.�..._.. ?i�il►VR=`I(t�:lT '!. .1�.3't.'/'.tB.T 1` T�. •14 i CONSENT TO INSPECTION d �t 1`r �111 �1� It , the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned a (are) the owner(s) of the premises in the Town of Southold, located at - FW-E$a C'mY A1,K4 /-) L Q FACH(,moo l LL , which is shown and designated on the Suffolk County Tax Mdp 1000, Section -7Q"> , Block I ( , Lot o-( That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: C�2T iF/cA-T& vt- PiZE Fx/STbu (; Use 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 in subsequent prosecutions for violations of the laws, ordinances,rules or regulations of the Town of Southold. Dated: 1 - V (Signature) (Print Name) (Signature) /k61dUIof �-U1)r.1I C (Print Name) / LOCATION: / D5 -- (number& street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S OCCUPANCY: L-� emu, type) (owner-tenant) ADMITTED BY: 4 >t ACCOMPANIED BY: KEY AVAILABLE: SUFF. O. T MAP NO. 1000- 7 O^//.. Z SOURCE OF REQUEST: ATE: l 9a y DWELLING: TYPE OF CONSTRUCTION: j,!/ # STORIES: # EXITS: FOUNDATION: ez 45�_— CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: o1 DOMESTIC HOTWATER: >4-- TYPE HEATER: ! / AIRCONDITIONING: r— TYPE HEAT: WARM AIR: HOTWATER: . OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE C NS .: SWIMMING POOL: GUEST, TYPE CONS OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE LO ON DESCRIPTION ART. SEC. dz 42 e REMARKS: INSPECTE , DATE ON INSPECTION: TIME START: jS`� END: /D, �