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Home My WebLink AboutZ-34274 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- 34274 Date: 04/16/10 THIS CERTIFIES that the building SEASONAL DWELLING Location of Property 22035 SOUNDVIEW AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 135 Block 0001 Lot 012 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- 34274 dated APRIL 16, 2010 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 WITH DECK.* The certificate is issued to PETER & WENDY ROSENBERG (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. r ' Auth sized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 22035 SOUNDVIEW AVE SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : PETER & WENDY ROSENBERG OCCUPANCY: SEASONAL ONE FAMILY DWELLING PETER & WENDY ROSENBERG ADMITTED BY: WENDY ROSENBERG ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO_ TAX MAP NO_: 135.-1-12 SOURCE OF REQUEST: PETER & WENDY ROSENBERG DATE: 04/16/10 DWELLING: TYPE OF CONSTRUCTION- WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: POSTS CELLAR: NO CRAWL SPACE: TOTAL ROOMS: 1ST FLR_: 4 2ND FIR_: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: YES PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: GAS AIRCONDITIONING: TYPE HEAT: NONE WARM AIR: HOT WATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST_: SW331MING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. SEC. PJDUUZ S: INSPECTED BY: DATE ON INSPECTION: 04/16/10 04, GEORGE GILLEN TIM START: SND: Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL MAR 18 2010 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP NCY BLDG.DEPT. TOWN OF SOUTHOLD 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 2/1 0 of I% 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 consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefore 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 Date. March 16,2010 New Construction: Old or Pre-existing Building: XX (check one) Location of Property: 22035 Soundview Avenue Southold House No. Street Hamlet Owner or Owners of Property: Wendy&Peter Rosenberg Suffolk County Tax Map No 1000, Section 135 Block 1 Lot 12 Subdivision N/A Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: N/A Underwriters Approval: N/A Planning Board Approval: N/A Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 100.00 Ap Iicant Signature TOWN OF SOUTHOLD OROPERTY RECORD CARD OWNER STREET27-035 VILLAGE DISTRICT SUB. LOT FORMER OWNER N E ! -ACR GE r TYPE OF BUILDING go RES. t SEAS. VL. FARM CONN. I i ND, I CB. � MISC. � LAND IMP. TOTAL DATE REMARKS & 0 0 vha I 4r:��q j IVY AGE BUILDING CONDITION 19- 69nben P � NEW NORMAL t BELOW ABOVE i S - - Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable: 3 Wcodiand Swampland ! i Brushland �o House Plot l i I I - i Total � fir :"" �'^-_ ..it:.-}'.� ■ ■®■■■■■�■ zc M. •• ;;FoundationBoth Extension1.0 • 1 loors �J I WallsExtension Ext. .. `. ]nterjor finish F-xtension Fire ■ • ce Heat >_I 46 Porch Attic ® L� Porch ■ Rooms Floor Breezeway Patio • • Roams Floor Garage- Driveway i CONSENTTO INSPECTION ,.tlte undersigned;do(es)hereby state: er(s)Name(s) That the undersigned(is)(ate)the owners)of the renuses in the Town of 'z Southold. located which is shown And designated on the Suffolk County Tax Map as District 1000, Section ,Block ,Lot That the undersigned(has)(have)f led;or cause to be filed,an application in the. Southold Town Building Inspeetot's Office for the following': That the undersigned do(es)hereby'giV:econsent to the Building Inspectors ofthe Town of Southold to enter upon►the above described property,including any and all buildin s 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 used in subsequent prosecutions for violations of the laws,ordinances,rules or` regulations of the Town of Southold: Dated: l �11�nature) VAX4 . Prm e) Si nature) (Pnnt N: _ 1319 North Sea Road Southampton, New York 11968 ^� 631-283-6360 136 EN-CONSULTANTS, W ® wwwenconsult 8t 6com ENVIRONMENTAL CONSULTANTS TO WHOM IT MAY CONCERN: This letter will authorize En-Consultants, Inc. to represent me and act on my behalf with regard to environmental matters and/or permits. ignature 5Print 1 / Signature Print Dated: /0 j ' James F.King,President ��Of SOUj�o Town Hall Annex Jill M.Doherty,Vice-President �O l0 54375 Main Road P.O.Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G Q Bob Ghosio,Jr. � Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7150A Date of Receipt of Application: August 18, 2009 Applicant: Peter &Wendy Rosenberg SCTM#: 135-1-12 Project Location: 22035 Soundview Ave., Southold Date of Resolution/Issuance: August 19, 2009 Date of Expiration: August 19, 2011 Reviewed by: Board of Trustees Project Description: To replace the collapsed cesspool located on the landward side of the existing dwelling. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The. issuance of an Administrative Permit allows for the operations as indicated on the application received on August 18, 2009 and survey stamped approved on August 19, 2009. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Jame F. King, Presid Board of Trustees James F.King, President �*0 sO(/�yO Town Hall Annex 01 Jill M.Doherty,Vice-President l0 54375 Main Road P.O.Box Peggy A.Dickerson Southold, New Yorkk 11971-0959 . Dave Bergen G Q • �O Telephone(631) 765-1892 Bob Ghosio,Jr. OIy��UNTY Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit#7150C Date: August 19, 2009 SCTM#135-1-12 Name of Applicant/Agent: Patricia C. Moore, Esq. Name of Permittee: Peter & Wendy Rosenberg Address of Permittee: 22035 Soundview Ave., Southold Property Located: 22035 Soundview Ave., Southold DESCRIPTION OF ACTIVITY: To replace the collapsed cesspool located on the landward side of the existing dwelling. CONDITIONS: None INSPECTIONS: Final inspection. The Coastal Erosion Management Permit allows for the activities as indicated on the application received on August 18, 2009 and survey stamped approved on August 19, 2009. Jam F. King, Presid t Board of Trustees JFK:Ims riF.SU(/Tyol ELIZABETH A.NEVILLE,RMC,CMC O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER • �O� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER O�y Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER CoII southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 24, 2009 Mrs. Wendy Rosenberg 22035 Soundview Ave. Southold,NY 11971 RE: 135-01-12 Dear Mrs. Rosenberg: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. Very truly ours, Carol Hydell Account Clerk Enclosures so�r�y® ELIZABETH A.NEVILLE,RMC,CMC � �!3 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER ® Y� RECORDS'MANAGEMENT OFFICER �� arrV � Telephone (631) 765-1800 ®u southoldtown.northfork.net FREEDOM OF INFORMATION OFFICERId s�,� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3893 R Residential X Non-Residential . -- Fee $ 10.00 Septic X Cesspool PERMIT ISSUED T0: Name : WENDY ROSENBERG Address 1: 22035 SOUNDVIEW AVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. TRUSTEES PERMIT REQUIRED WAS ISSUED Name Of Owner WENDY ROSENBERG ------------------------------ Mailing Address 1 170 W 78TH STREET ------------------------------ ------------------------------ City St Zip NEW YORK NY �7-1 v -------------------- -- ---------- Property Address 1 22035 SOUNDVIEW AVENUE ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Tax Map No. section 135.00 block 1 lot 12.000 Cross Street GOLDEN LANE Building Permit Number Cross Reference: L --------- ----------------------- Issue Date: 8/24/09 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) ELIZABETH A.NEVILLE a y� Town Hall, 53095 Main Road TOWN CLERK C** P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICER y • �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER l �a Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK r Residential @ $10 /or Non-Residential @$25 Application No. Permit No. %v Owner Name Owner Mailing Address Owner Property Address Owner Telephone No. Y•. - `� I Tax Map No: Section Block v Lot Cross Street ;ram Please check each that applies: New Construction Alteration to Existing System Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) SignatutE of Applicant Date Received by: Town Of Southold P.O Box1179 Southold, NY 11971 * * * RECEIPT * * * Date: 09/22/09 Receipt#: 59750 Transaction(s): Reference Subtotal 1 1 Septic Permit-Operation-Resid. 3893 $10.00 Check#: 683 Total Paid: $10.00 Name: Rosenberg, Wendy 22035 Soundview Ave Southold, NY 11971 Clerk ID: CAROLH Internal ID:3893 f SURVEY OF PROPERTY SITUATE o SOUTHOLD o TOWN ' OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. - TAX No. 1000- 135-01 - 12 o 0 S.C. TAX No. 1000- 135-01 - 13 SCALE 1 "=10' �( 1 � FEBRUARY 99 2010 AREA' _ ,6,548 sq. ft. (TO TIE LINE) 0.150 'QC. ' NOTES: S �5 045, , LO 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1988 DATUM � `3�•58' EXISTING ELEVATIONS ARE SHOWN THUS: O Q F.FL - FIRST FLOOR / G.FL. - GARAGE FLOOR 2. FLOOD ZONE INFORMATION TAKEN FROM: c"' " wnTER K FLOOD INSURANCE RATE MAP No. :36103CO158H j ZONE VE: COASTAL FLOOD WITH VELOCITY ,HAZARD (WAVE ACTION); BASE FLOOD ELEVATIONS DETERMINED ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. ' St,' vN s 0 � o Cn Vp O OL�� CJ� / o �t^�c^ ✓tfl 0, / o 9 / p �p�`�a \O / / `�►�, o ! I q .-5 � 10. ' CIO : X 6.3 pr WOpO W �' 9 g5 y 9.0 (J' � cC. .� 70J SCaM� •� e e NOVSE Na ARO p�\D AREA FR t9 / ER p �� . �J PME / / OS\O 5\ON N OF A9 E�°fie , 5\OR't13.8 CON �Op V�V\&D 83 SNEER K WR •' / � / X FROM pF S 55,5 A' N�0 Na• 7 � j` K / x 12.3 p -� X _ / J. X N O i 69 �� 41 Xia.s ZONE VE�EL. 6� i Op. O QO ZONE X 13.6 -� x 13.3 r ` X • .•,.. 7 - 5 d v ° d 4 • ,rS�GN a 4• °' c �° X d t2.� C�y\ T a 4d a' . •d . • a a. d• d d .a ptER e ° a V v d Y a d VVVj X �\ ,\C C Q X PREPARED IN ACCORDANCE WITH THE_MIUft ` STANDARDS FOR TITLE SURVEYS H BY THE L.I.A.L.S. AND APPRO Er, DN \ FOR TITLE UASSOCIATION.USEBY THE N S. aT, �INFT C AND N.Y.S. Lic. No. 50467 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF Nathan . Taft Corwin "I SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. I COPIES OF THIS SURVEY MAP NOT BEARING �� Surveyor � THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN NLY TO THE PERSON FOR WHOM PREPARED, AND T SURVEY ON HIS BEHALF THE S _ Title Surveys Subdivisions Site Plans Construction Layout i LE COMPANY, LENDING INSTITUTIONERNMENTAL LISTED HE EON,CANDND TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main.Road P.O. Box 16 ' ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 : Jamesport, New York 11947