HomeMy WebLinkAboutZ-34052 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- 34052 Date: 11/04/09
THIS CERTIFIES that the building DWELLING AND ACCESSORIES
Location of Property 18075 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 051 Block 0001 Lot 008
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- 34052 dated NOVEMBER 4, 2009
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 ACCESSORY STORAGE BUILDING AND CONCRETE WALK
AND TERRACE.*
The certificate is issued to ELIZABETH P & ROY I MARTIN TRT
(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.
utho ized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 18075 SOUNDVIEW AVE SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): ELIZABETH P & ROY I MARTIN TRT
OCCUPANCY: ONE FAMILY DWELLING ELIZABETH P & ROY I MARTIN TRT
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CA. TAX MAP NO.: 51.-1-8
SOURCE OF REQUEST: MARY ANN BOLLMAN, REAL ESTATE AGENT DATE: 11/04/09
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 5
FOUNDATION: CEMENT BLOCK CELLAR: CRAWL, SPACE:
TOTAL ROOKS: IST FLR.: 5 2ND FLR.: 0 3RD FLR_: 0
BATHROOM(S): 3.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: YES HOTWATER: ELECTRIC
OTHER: ONE BATHROOM CONTAINS WASHER AND DRYER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST_: 22' X 14' WOOD FRAME
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: CONCRETE WALK AND TERRACE AT WATERS EDGE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP8637 ADD COZ7683,BP20703 ADD COZ21048
BP35075 ramp add & alt accy COZ35050 &COZ35051
INSPECTED BY: DATE ON INSPECTION: 11 04/09
GARY FIS T1ME START: END:
Form No.6
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:
L 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.oi 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:
i. 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. Certif Cate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00, Alterations to dwelling$25.00,
Swimming pool$25.00, Accessory building$15.00,Additions to accessory building$15.00,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
Date:
New Construction: Old or Pre-existing Building: (check one)
.Location of Property: w.7 S' SU c.CGei<SlJ! Ft� cJ ,
. /Q S6 a. %�L
House No. Street.
Ham et
Owner or Owners of Property: 11--g f*
Suffolk County Tax Map No 1000, Section $`/. Block Lot
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: $
3� C)
��� l A,plicant Signature
CONSENT TO INSPECTION
y ���� /�i �-/�C�c S'= , the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned (is) (are) the owner(s) 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 5% ,Block / , Lot
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Buydi�g 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 regu ld:
lations of the Town of Southo
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:
(Signature)
iA t �4 Ala,• �vLL�t
(Print Name)
(Signature)
(Print Name)
OF SOUTyo
COMM
,N�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT7.le--
UCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
a
DATE �� � `� INSPECTOR
�pf SO(/Ty
o� Ol
� o
coutm,�
OWN OF SOUTHOLD BUILDING DEPT.
765-1802
1 N S P E C T 10 N
UNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRU TION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE �® INSPECTOR
,rjf SO so
courm,��'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING / STRAPPING [ - FINALlp G
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAWYENETRATION��__
MARKS.
DATE //Ok INSPECTOR
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER uS _ STREET ' VILLAGE DISTRICT SUB. LOT
cil.
FOR&ER OWNER N `.P E ACREAGE
L
/ S W A . TYPE OF BUILDING
iwA - ':ES. ��d( SEAS. VL. �� FARM COMM. I'ND. CB. MISC.
LAND IMP. TOTAL DATE REMARKS
-C� 41ra o o O-. o f0: 7c -cam " d CJ
3
3?cam % moo /2 g -L 1JgSoz 1'7- GfK rl a&lll S %'
illa,b,le 1
illable 2
illable,
✓ood land
,vampland
i
rush.land
i
louse Plot �� 5
otal
Foundation Bath
Qtdg-
' Floors
tension Ext. Wal'Is Interior- +,
.tension frre Place
Po rch Attic
r ® Porch Rooms I st Floor
-1_ ._ova �,�,� u
••IC
•
Rooms • Floor
Driveway
Jl
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SURVEY OF PROPERTY
SITUATE: 5OUTHOLD N
TOM: SOUTHOLD
SUFFOLK GOUNT r, NY E
SURVEYED: AUGUST 26, 200ci '
SUFFOLK COUNTY TAX #
1000 - 51 - I - 8 LOng 5Oun S
CERTff-M TO:
N89054'30"E 100.00'
ROY MARTIN,AS TRUSTEE _
FHRST A CAN. �I.SU ANC'1(.' TIE LINE ALONG A.H.W.M.
cC(C)hOANY O1F NEW YORK
B E A C H
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NOTES:
■ MONUMENT <�o _ �O
1lrnitl o 4 d alteration or oddit—tan �n�
Property Zone R 80 ,ap°enr"n naensed to d s,> •.yore eeal b a �� LAf30 9
iolatbn of sectbn 120%sub-divbbn 2,of the
Area
New York Stole Education Law.'
A ea = 56,1161 C,. F 'only copses from tha oriq' l of thls savoy
Area = 1.33s Acres ma ad with o o gFnl of t�land swveyo's JOH�. C a IEH LEERS L� SURVEYOR
stomped seal Shan ba considered to b valid true
copses'
'Lertificotbrn IMicated hereon slgYfy that thb
6 EAST MAIN STREET N.Y.S.LIC.NO.50202
btI Lode of Prance for Land of led
by the flew York Slate erttfaotf of Prolesslornl
GRAPH I G SGALE 1"= 50' Lands rveyors.Sold certif a brts shall run only RWERHEAD N.Y. 11901 369-8288 Fax 369-8287
to the person for whom the sl,rvey b preyed, ,
on his behalf dllto Uie Nlle ca+pQy,gave
toia,en9°tfrMr , d listedherean.aro REF.\\Compagserver\pros\90S\09-148.pro
to the assl noes of tlia lend tiW[lon. Lerllflco-
liotb are_t trorisferable to ad lk_l_tUtto.
BRbI 9 R� \ \a610a-NO