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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 a 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 wood TEE TOP OF BLUFF P �y l � GONG•�WALK po LA c ve l g x_ E�510 , :r N HAZARD LINE i 5T�C1� x 3® 0 EW ern, 1 f, 14.0 I , •� 0 m �O � N `s 0 v, 00 A 9 9 -C � 2� O n �3 o a a A 111 � t` `tN l` 1 OC 4 `1t i rn 73 ,1QQ ,3Q"w -c 3oQ S,j3�2� of h�iv Y hp`t rood 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