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Home My WebLink AboutZ-24391FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRS EXISTING CERTIFICATE OF OCCUPANCY No Z-24391 Date MAY 31, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1900 PINE NECK RD. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 9 Lot 3 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-24391 dated MAY 31, 1996 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 SHED The certificate is issued to LORRAINE M. VICARELLI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECT Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1900 PINE NECK RD. SOUTHOLD, N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) LORRAINE N. VICARELLI OCCUPANCY SINGLE FAMILY type owner -tenant) ADMITTED BY: JOAN BREWSTER ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-70-9-3 SOURCE OF REQUEST: PAUL CAMINITI, ATTY DATE: MAY 16, 1996 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 f E%ITS 2 FOUNDATION BRICK CELLAR PART CRAWL SPACE PART TOTAL ROOMS: IST FLR. 3 2ND FLR. 5 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) ONE UTILITY ROOM EXTERIOR SHED ATTACHED PORCH TYPE FRONT ENCLOSED DECK, TYPE PATIO CEMRNT WTTH AWarxr_ BREEZEWAY FIREPLACE DOMESTIC HOTWATER YES TYPE HEATER TYPE HEAT OIL WARM AIR OTHER: OFF BOILER GARAGE AIRCONDITIONING HOTWATER XX ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST SWIMMING POOL GUEST, TYPE CONST. OTHER: WOOD FRAME VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY JOHN M. DATE OF INSPECTION_ TIME START 9:45 MAY 23, 1996 END 10:15 9JiVEYED FOR:- L O Q PA /n/ E V/ CAR E L L / CGUAR,'T"7-E > O 7'0 IWCATED AT - SOC.J ThN O L O , 5 UFF- Co • �.i� EMMiGQAwT 5-4V/n/05 BAn/A:f MIT /s L-)ESG, /i./pEpE.iOEn/C� ABST2.acT MP OF A-5 s f -/own/ Tl74-jir u. S. A KALE1"- 40' L022,q/n/E _V�CA,HELL / _ (EF5 it % �✓a00 law, G, -At a4 LiNmr V � V As PH • 0/H/ -SIAWti RV f I S • 2' P5 20 tn/ GF f aN 1'-j 23 7-3-d 0 CaNC- � FQ owe. Ing n A 3.70 I., 4/•5• q.o � N 4 237.34 V 0 ' N UNAUTHORIZED ALT-_a.;T;o:; On .camoN TO (HIS SUR,,Y ,G LL �ECiiD1 72'^ U: fdE t{.:1 YLK.: LIjO..•.�IUiI �. - JG 16 MM ......-1.i -.i VcY -::E 17 Arlo TI.� ...,,. 1 AND To IHc t;STI- TUTION. G1J1��, :ccS A1YG LOT Tr.,NSFERARLE TO ADDITI INSTITUTIONS OR SUBSEQUENZ OWNERS. ��'��'\111111 1 �"I f t A VIE • SURV ED J � 19 �,/LAwN u E 5, 67 WILLIAM R. SIMMONS III 70 WEST MAIN STREET EAST ISLIP, L. I., N. Y. FILE NO. PAGE GRID 3 q` 'r W � 'T -SIAWti RV f I S • 2' P5 20 tn/ GF f aN 1'-j 23 7-3-d 0 CaNC- � FQ owe. Ing n A 3.70 I., 4/•5• q.o � N 4 237.34 V 0 ' N UNAUTHORIZED ALT-_a.;T;o:; On .camoN TO (HIS SUR,,Y ,G LL �ECiiD1 72'^ U: fdE t{.:1 YLK.: LIjO..•.�IUiI �. - JG 16 MM ......-1.i -.i VcY -::E 17 Arlo TI.� ...,,. 1 AND To IHc t;STI- TUTION. G1J1��, :ccS A1YG LOT Tr.,NSFERARLE TO ADDITI INSTITUTIONS OR SUBSEQUENZ OWNERS. ��'��'\111111 1 �"I f t A VIE • SURV ED J � 19 �,/LAwN u E 5, 67 WILLIAM R. SIMMONS III 70 WEST MAIN STREET EAST ISLIP, L. I., N. Y. FILE NO. PAGE GRID Form No. 6 TOWN OF SOUTHOLD 14AY 16 M BUILDING DEPARTMENT TOWN HALL BLDG. DEPT._ 765-1802 ��Q � ��1 i ✓1 t- f 2 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector 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: 1. 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 insQect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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-exi_stinQ.Buildine - $100.00 3. Copy of Certificate of Occupancy - _25c 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date........1 3 ' ................ I........... ,ew Construction........... Old OrylPre-existing Buil®ding`.... ....... -ocation of Property.........11. i..... ... Q ...... ® Ul ..��...... House No. Street 'J �1 Hamlet )nwer or Owners of Property..... D...... ..L�..... ; , ,Y9��A!C LL ...... . ...... . ......... . ;ounty Tax Map No 1000, Section....7 0 ...... Block ..... C.......... Lot ...... ............... subdivision....................................Filed Map ............ Lot ...................... 'ermit No................Date Of Permit ................ Applicant ............................. -iealth Dept. Approval..........................Underwriters Approval......................... Tanning Board Approval ........................ request for: Tempor�aer�y Cer if icate........... FinACerticaee Submitted• /K.. .. .. ................7ef`s APPT.TCAT%7 CCa,4!AJ.E iOlYl-ler(s) N'arllo(s) do(ea) horelly stale: CONSENT TO IINS P1;!C'I V101\4 V ICAI-SIC 1 IIIc III dcrsignod, That the undersigned (is) (are) the owner(s) of the premises in thr• Town of Southold IOCated at / Wo /;ale #ec L �50C) / /UZYL whir.h la t;hi�wo ileo( clesil;aaled oil lho Seffoll; County tax map as District 1000, Section nioct( �Lot That the undersigned (has) (hove) filed, or caused to he filed, all apptica- (loll in ilia Southold Town Building faspector's Office for the following; z 12- s %� N fie. o�r� -� � << Well V9 ;e 0 That the utulersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enlcr upon the above described properly, includinf; any Iind all buildings located thereon, to conduct such Inspections as they may deem necessary lv(lh respect to the aforesaid aplllicalion, fllcltldir,l; hlspect(ous to determine Ilial 'solid premises cornply with all -of the laws, nrdlnances, rules and rel(lllaliolls of the '('own of Soolhold. The llliderslgned, In oonsen111)(1 to such hlspaclloils, do(es) so with the I(IlowIedge arid undersl:uuling that ally infol-Imitioll oblahleci in the cl.luducl of such his pi" cllolls ivay be used ns evideoce ill ,;kkhseclucnt prosecrlllons for vlo- latious of the laws, ordinaucor;, I•ules or rel;nlatlous�ei�he 'Tow,01"of Soulbold. bated: cow 4'Vl M ale 5 -I6 -q6 lilmt4ee-- .JOAN -1 t3UW-Sre p-- @1%41,56 - 7(v,5 -a17? i3a IL coouul>; cepeAq 1(77-d730 L' (Stgriahli'e) kL.k ..Cffw Iv, /-I— I-(Yr-Int Ilallle) S>a� 76f �`�l r Y- ---- — ------ �iaifillalllre) prhlt nalue LOCATION: / SUBDIVISION NAME OF OWNER (s) OCCUPANCY BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT r 6 street MAP (municipality LOT(s) I type (owner -tenant) ADMITTED BY: -J,j? A -Al ACCOMPANIED BY: KEY AVAILABLE, SUFF.CO. TAX MAP NO. /DO6 _ -,76 3 SOURCE OF REQUEST: Ala ��a„l�`=�, ,f /tom✓ DATE: DWELLING: TYPE OF CONSTRUCTION# STORIES EXITS FOUNDATION CELLAR CELLAR vG CRAWL SPACE TOTAL ROOMS: 1 ST FLR.,' 2ND FLR. =:5 , 3RD FLR. BATHROOM ( s ) 0/)l &, ' TOILET ROOM ( s ) UTILITY ROOM PORCH TYPEj_QQA2�- DECK, TYPE PATIO ",&'hl_li"' f_ BREEZEWAY -------It- FIREPLACE GARAGE DOMESTIC HOTWATER t TYPE HEATER ��°ip/�p� AIRCONDITIONING TYPE HEAT / r WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, GUEST, TYPE CONST. TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED B �'�` ('�i"� DATE OF INSPECTION TIME START / END