HomeMy WebLinkAboutZ-26568 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE -OF. 00CUPANCY
No: Z- 26568 Date: 07/19/99
THIS CERTIFIES that the building ACCESSORY •GARAGE
Location of Property ,20205 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 051 Block 0004 Lot 007
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- - 26568 dated-JULY 19, 1999
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 ACCESSORY TWO• CAR GARAGE.*
The certificate is issued to ALEXANDER G LITRAS
(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
Building In ector
5
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT I
LOCATION: 20205 SOUNDVIEW AVE SOUTHOLD
SUBDIVISION: MAP NO.: -'LOT (S)
NAME OF OWNER (S) ; Ar EVAAmirR [ T•TTRAS
OCCUPANCY: ACCESSORY GARAGE ALEXANDER G T,TTA�S
ADMITTED BY: ACCOMPANIED,BY:
KEY AVAILABLE:. SUFF. CO. TAX MAP NO- 5 -4-7
SOURCE OF REQUEST: DATE: 07/19/99
DWELLING:
TYPE OF CONSTRUCTION: #• STORIES: 0.0 # EXITS: 0
FOUNDATION: CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR. : _Q 2ND' FLR. : - 0 3RD FLR. : -k
BATHROOM(S) : 0:0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER:. AIRCONDITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCT RRS;
1
GARAGE, TYPE OF CONST. : 2 CAR WOOD FRAME*_ STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST. :
OTHER: *WITH ELECTR C
VIOLATIONS: CHAPTER 4.5 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION ' ART SEC
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REMARKS:
INSPECTED BY: DATE ON INSPECTION: 17/11119
J N M. BOUFIS TIME START: 9:30 AM END: 10:00AM
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- V C v CJ wV.p
Form No. 6
tA I,$-
TOw',q OF SOUTHOLD
BUILDING DEPARTMENT 5� " 3 Co
TO[JN BALL
a 765-1802
' JUL
,`1� :APPLICATION FOR CERTIFICATE OF OCCUPANCY
L C, DEFT.
A. Thi, --.4 T _be filled in by typewriter OR ink and submitted to the building
4 or with the following: 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 17 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:
I. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a 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.
Certificate of Occupancy on Pre-existing, Building - $100.00
Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . .�.Ib 'C1q . . . . . . : . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . <<':�?)
Location of Property. . .(�)0c)os. . . :��� ec�7, , , . �:ev�v:2, . . . . . . . . .
House No. Street Hamlet . • • • .
Onwer or Owners of Property.. .�.IQ;
County Tax Map No 1000, Section.('' ,)Q 00, , .Block. .6L4!� . . . . . .Lot. 5?��:qpQ. . , , , , , , ,
Subdivision. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . .PP .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning. Board ,Approval.
Request for: Temporary Certificate. . . . . . . . . . . Final Cer ate. . . . . . . .
bmi
Fe Submitted: $.
^ -;-2— a�� ��. . . . . . . . . . . . . . . . . . . . . . .. . . . .
v( / . . . . . 4°v�+o�t .
►""G LICANT
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/ INSPECTION
the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 0-to�
v.,hich is shown and designated on the Suffolk
County tax map as District 1000, Section ��� Block _ OL, Lot O�)'7
I
That the undersigned (has) (have) filed, or caused to be filed, '.an applica-
tion in the Southold Town Building Inspector's Office for the following:
41
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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations o t f ut
Dated:
s•gnature)
(print name)
(signature)
a�
(print name) ';
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%:. TOWN' O� S®UTHOLD P OPERTY RECORD CARD j�. �•\. .;
OWNER w STREET VILLAGE DISTRICT SUB. LOT
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FbhMER OWNER N D E , ACR GE
F k MMXi' Q h0 S W TYPE'OF BUILDING
ND. r\. I CB. I -MISC.
RES. COM . a
SEAS. VL. FARM {vl.
LAND IMP. TOTAL DATE REMARKS
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NEW NbO,MAL BELOW ABOVE �g-��Q�G� `fD ��' 5 eDIS [
Farm Acre Value Per Acre Value
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