HomeMy WebLinkAboutZ-31994 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- 31994 Date: 11/15/06
THIS CERTIFIES that the building DWELLING
Location of Property 2205 BAY AVE EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 031 Block 0017 Lot 006
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- 31994 dated NOVEMBER 15, 2006
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 SEASONAL DWELLING*
The certificate is issued to RITA A & CURTIS M WINKLER
(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.
y
A hori ed Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2205 BAY AVE EAST MARION
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): RITA A & CURTIS M WINKLER
OCCUPANCY: SINGLE FAMILY SEASONAL DWELLING RITA A & CURTIS M WINKLER
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 31.-17-6
SOURCE OF REQUEST: PAUL CAMINITI, ATTY 8/29/06 DATE: 11115106
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2
FOUNDATION: WOOD POSTS CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: NONE WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP ##2122-CO Z-1722 (ADDITION)
INSPECTED BY: DATE ON INSPECTION: 09 13 06 reinspected 11/14/06.
GARY ISH TIME START: 10:30 AM END: 11:00 AM
f .- - --1 -Y Form No.6
TOWN OF SOUTHOLD
I r.��•f, ;' jj BUILDING DEPARTMENT
4 2 9 ._l': TOWN HALL
- -— 3 765-1802
—];,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:
I. 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 y.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 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$25.0 to accessory building$25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buil g- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00
Date. F—"?ay ^ 6
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 07 0�Qa OA t l AV E �f(�f //7A 410&/ W
House No. ��AA Street Hamlet
Owner or Owners of Property: C(� ��ej M • o [l Lee— '{/9 �/ <Ja�C el
Suffolk County Tax Map No 1000, Section S/ Block / Lot ro
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: $ to
S
7(�i � � ^3 �7 +pG�n�gnatur
TOWN OF SOUTHOLD OROPERTY RECORD CARD
a4j -1z1 -17 - 9
,OWNER STREET e---) VILLAGE DISTRICT SUB. LOT
-307
FORMER OWNER kM-4- 4-40vje— E ACREAGE
VA.7
S W TYPE OF BUILDING
RES. SEAS- ✓(,6 VL. FARM ' comm. rl IND. I CB. I misc. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
L -G2(7- &p5�9- Fri�--d wo r-i
co 2 U--
-6 0
C$
-P6
)
AGE BUILDING CONDITION 20
NEW NORMAL BELOW ABO FR Z?NTAGE ON ATE �fowe Vj y7kley 31" 060
7
Form Acre Value Per Acre
Value' FRONTAGE ON—ROAD
Tillable I BULKHEAD 13
Tillable 2 DOCK
Tillable, 3
Woodland
Swampland
B rush land
House Plot
Total
- . N■ �n� ■n
_ ■■■■■ OMEN
In■� e■N■■N■
■■■■SINEMI ■■■■■
- - ■■■■■ ■ ■nN■N
NEW"(111PATZA-A
. . i
Ext. Walls
- .
Rooms 2nd Floor
Driveway . -
�3y��lZ'�DyE
. 0 b
D
D � �
unauthorized alteration or addition
to this survey is a Vlohdion of
pV 'W Law.
7208 of ft Now ra M h SI '' "- 6p LA!r p
Eduea*m L . } "Y
coo"of dtb eurr WAP nee I -1 `O 41.L E Wq
tobaa"dtaraW. Ut
i
n GuaranteM Ydowd hmrl did ma N
/Gi O' \ only to 8u paaon faetrilrern tiM eurq► * L t
\ `' tadeM.nd,andalliehMtedbttM�
O a ` ler-A q�Lion hladio �oe0e1d�
lA , to ttw"Strom"of tha Itt�+dnp kaw"t. � �
`D Guaraftessroratnans1Kahl. �T a36s
to additional insdiudom ar subeMMI
Nowners. E O f WE a
yr�.' /Ua•0�
j,9 y 144146,vv�
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Gy.9.rAVWTEBO 75, eyWTi0"19W�•�J.E'LE.2,��ayliNa./yt/f.QCT.S/.1,��/�T/1r.E/ .P.3�i�YE�o.
CONStNT,
TO
INSPECTION ,
�u2Ti5 IllI P,�fl-Uj the .undersl*ii dj
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the oWher(s) of the premmses in, the Town
of Southold located at I?P-q A-Vrs ,
�A5r4 ' /
�� � �� ��y which is shown and deslgtiated on the' 5tiffolk .
County tax map as District 1000, Sectloh �/ ; Block 17 j`.Lot .0,6 :.
That the Undersigned (has) (have) filed; 'or caused to,be filed; ,an applica-.
i
tion in the Southold Town Building Inspectorls Office for the. following;
��1
That the undersigned do(es) hereby give consent to t)ie Btllid Ind inspectors
of the Town of Southold to enter upon the above described property; including
any and all buildings located thereon, to conduct stick insp.ectlo, n� as they tray '
deem necessary with respect to the aforesaid appii0atlon3 - including lnspectiohs
to determine that said premises comply with all. of tiie hiiVs"j. 'oiditia, hcesj rL,I'
and regulations of the Town of Southold:
• i .
The undersigned, In consenting to such thspectionsj 'do(es) so with the
knowledge and understanding that any information obtkii eld In the conduct of
such inspections may be used as evidence in subsequent prosecutions for'vio
lations of the laws, ordinances, rules or regulations ofie �d'owii oy 'out,hold,
I .
bated: "
(signature): '
print nai-ne
J � (si�ria lire) "
co A � -
' print name)
7K_ �3�3
LOCATION:
(number&street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
z (fie) (owner-tenant)
ADMITTED BY: ACCOMPANIED:BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING:
TYPE OF CONSTRUCTION: # STORIES: _#EXITS:
FOUNDATION: CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: _ 2ND FLR: 3RD FLR:
BATHROOM(S): OX.0, TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK,TYPE: PATIO,TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTW TER: 65'. TYPE HEATER: 0 AIRCONDITIONING:
TYPE HEAT: ()A)46 WARM AIR: HOTWATER:
OTHER:
ACCESSORY STIWCTURE �'� ,�
_.GARAGE, TYPE OF CONST.. STORAGE,TYPE .
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION&BUILDING CODE
gATION DESCRIPTIOlY-` ART. SEC.
ic/ >
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REMARKS:
INSPECTED BY: DATE OF INSPECTION: , l3 ��
TIME START: Q: 34 END: