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Z-18096
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-18096 Date JUNE 8, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 9500 SOUNDVIEW AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 7 Lot 1 Subdivision M/o KENNEWOOD Filed Map No. Lot No. 27 conforms substantially to the requirements for a private one family dwelling built prior to: April 9, 1957 pursuant to which CERT. OF OCCUPANCY. #Z-18096 dated JUNE 8, 1989 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 The certificate is issued to WILLIAM MANOS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. wilding Inspector Rev. 1/81 BUILDIING DEPART11•L iT TOWIN OF SOUTHOLD, N. Y. HOUSIidG CODE INSPECTION REPORT Location 9500 SOUNDVIEW AVENUE SOUTHOLD,' N.Y. (nun, ber & s zreet) 4unicipal1"ty) Subdivision lMaD No . Lot(s) Name of O:•lner(S) WILLIAM MANOS Occupancy RESIDENTIAL R-40 OWNER type (owner-tenant). ' �.tim.11 t.tea y: WILLI�AM MANOS ._t. •...: -Ac;cbmpanied by : SAME • Key available ' Suffolk Co. Tax No. . 59-7-1 Source of request WILLIAM MANOS Date MAY 31, 1989 D? =ING Type of construction WOOD FRAME ONE Iistories_ Foundation CEMENT BLOCK Cellar ''z Crawl space Total rooms, lst. F1 6 2nd. F1 3rd. Fl Bathrooms) ONE Toilet room(s) Porch, type Deck, type Patio, typereareof thethe Breezeway Garage Utility room house. Type Heat OIL Warm Air %% Hotwater Fireplaces) ONE No. Exits 2 Airconditioning Domestic hotwater OFF BOILER Type heater Other ACCESSORY STRUCTURES: NONE Garage, type const. Storage, ty pe ype const. Sivim ming pool Guest, type const. Other VIOLATM\TS: CHAPTER 45==N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Description Art. Sec. I Remarks• HOUSE IN GOOD REPAIR BP # 11'01-Z Additions Co Z-17963 Inspected by: A4 - Date of Insp. 6/5/89 Gary Fish 11 Time start 9:30 end 9:50 Building Inspector CONSENT TO 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 Qy q-p goo lyp vl4z,�; AVr �o417-140417 which is shown and designated on the Suffolk- County tax map as District 1000, Section d� 9 , Block Lot ©®%•oQ 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: r ®C C-tJ/P/�-�cJ C°f 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 of the Town of Southold. Dated: (signature) (print name) (signature) (print name) Q TOWN OF SOUTIIOLD MAY 3 11989 f BUILDING DEPARTMENT c TOWN HALL � - n•==: ..- ____,,._ -s__, SOUTHOLD, NEW YORK 1.1971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY _s DATE NEW CONSTRUCTION - _ . -OLD OR PRE-EXISTING BUILDING. f ._VACANT LAND. . . . . . . . Location of Property. ?5� yv. : ' u'voillew 4vE' Sou r/-OOL/ / y //,9 7/ HOUSE NO. STREET HAMLET Owner or Owners of Property. . " `//LL�'4 M, _ /,9/41�� � County Tax Map No. 1000 Section .� _ Block . . .? . _ . Lot. . . : . . . d®�"• O D Subdivision- - - - - - - - - - - - - - - - - - - - - - - File d Map . . . . . . . .Lot . . . . . . . . . . Permit No . . . . . . . . . . .Date of Permit . .Applicant . . . . . . . . . . . . . . . . . . . Health Dept . Approval . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . Planning Board Approval Request for Temporary Certificate Final Certificate . . . . . . . . . . . . . . . . a^r� Fee Submitted : $ . . . . . . . . . . . . . . . . . APPLICANT. . . . :^. v` . . .'- - - - - - - - - - - - - - - - - c.0 igo9� rev- 10/ 14/88 FORM NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings 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 of 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 solder used in system contains less than 2/10 of 12 lead." 5. Commercial buildings, industrial buildings; multiple residences and similar buildings and installations, a certificate of code compliance from the 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, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25-00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - 'Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial APPLICATION ON BACK rev- 10/14/88 M/ i ? � �-•��`.Y _ t�,� ` �/'-!'_.J.,- S+ a1�'/O-�'f.•4:' ^JYI 4�I�. �$tQ. �t C-,�'�1 f✓ ��.`v�, ^`i;t . a 3 j ttra::ho;lamed e� r�tia t or ac!:!_ivn J TO V-FS st"'I?y is a"'Wation of section 7�;? at tiYe wawa Pori,StaYt r•Jucetion Law. ,5 uh: CO- '.r" o ccpi3 s of this Stirvay map no?bearing \ v j ;he iand surveyor's inked sea{o, C-- b-sed seal Shaft not be considered _FNI �` to be a valid true cca j. , 2 "F Gutsr>tntees ini;iczYed f}err on shy if run � 1 only to the perc Or,iCr is rrepareci.8n6 Gil ill tL al:'is Y ;z 0 .� G ...':�:_ ,'ir .--.• ..._.- .f ®.. e.. •E t t'tie CoiTl 3i'i, L �' (X u`'�"\$ 'tea ".. �_.' _ -...._ ,i- _.. ..,•.+ i U'+c nrrc.} t f and t( • ' ` fCri,tir,';r,;-ts'i>utirr list—or, her co"')o-i _d Q - i .a.,,.r?S ,, .+> .� f` ♦ A' a jig, r`r to"he ass,•,:,e,of the fancl:nt3-n„ii_ _ 1 c,..t F?,.;•E.`, ' :..�r6-..`! G,+`iFf a ` l :uticn.Guarantees are not transsrad}ie ` �, C S 25�to 3:>difional instituifons or Su3�sequeni 1 • t J BUILDI'•;G DEPART ENT T041',T OF SOUT:OLD, N. Y. HOUSING CODE INSPECTION REPORT Location fsnp (number & s zreet) (�iunicipaiity) Subdivision INTap No. Lot(s) Name of Owner(s) Occupancy <�cp gyp e owner-tenant) A;ci:�ilted by°: =Ac•s�cimp4nied by : Key available ' Suffolk Co. Tax No. Source of request_ Date D?,E LLING Type of construction fit/ rs-tories 6xe_ Foundation Cellar 1 Y Crawl space Zy Total rooms, 1st. F1 2nd. F1 3rd. Fl Bathrooms) Toilet room(s) Porch, type Deck type— � Patio, Breezeway — Garage Utility room -- Type Heat_ Idarm Air L s� Ho water Fireplace(s) 6hQ No. Exits o? Airconditioning Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: CHAPTER 45_-N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Description JArt. 1 Sec. I. I . . Remarks:_ Inspected by: Date of Insp. 5 Time start end %