HomeMy WebLinkAboutZ-42967 oS�Ffp Town of Southold 4/2/2022
jo oy , 53095 Main Rd
N Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 42967 Date: 4/2/2022
THIS CERTIFIES that the structure(s)located at: 475 Rabbit Ln,East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-17-13.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 42967
dated 4/2/2022 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
seasonal wood frame single family dwelling.*
The certificate is issued to Patinella,Peter&Marisa
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. `
u o ze Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 475 Rabbit Ln,East Marion
SUFF.CO.TAX MAP NO.: 31.-17-13.5 SUBDIVISION:
NAME OF OWNER(S): Patinella,Peter&Marisa
OCCUPANCY:
ADMITTED BY: owner
SOURCE OF REQUEST: Patinella,Peter DATE: 4/2/2022
DWELLING:
#STORIES: 1 #EXITS: 3
FOUNDATION: piers CELLAR: CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: none WARM AIR: HOT WATER:
#BEDROOMS: 2 #KITCHENS: BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 3/29/2022
TIME START: 10:45am END: 11:15am
q,1W TOWN OF SOUTHOLD—BUILDING DEPARTMEN -� �-,r�5W1'
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ill Town Hall Annex 54375 Main Road P..O. Box 1179 Southold,NY 1=Q95 �
Telephone(631) 765-1802 Fax (631) 765-9502 https://wvc,w.southol -o iny_.e� ' P0
22
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OU4iNER(S QF PtOPEEtTY. � f � �3� � �s
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Name �� ._...... . _._ . ._r..! _./tea_._. _... . . .. . .__.__....__ Date .. ,
Physical Address SCTM#1000
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Phone# `T ._.,. .. _. _ �..._._._.... Email _.... .(. .�..
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Mailing Address
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i.�NTQ4r PER5tN, �, sq a`fi`31.a tl�`?F e .`',"�'a. s �� �''� 1
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Name: �r
Mailing Address
Phone# Email
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To apply for a Pre C.O.for an existing building(prior to April 9, 1957) provide the following:
® Accurate Survey
e Floor Plan
e $100 Fee
CONSENT TO INSPECTION
That the undersigned does hereby give consent to the Building Inspector 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 egulations of the Town of Southold.
Owner's Signature Date
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at the above address, do hereby authorize
to apply on my behalf to the Town of Southold Building Department for
approval as described herein.
Owner's Signature Date
wo
Ql~1VJ�
pFSOUTh�Io "{ �Ag
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* # TOWN OF SOUTHOLD BUILDING DEPT.-
.
`yi'ourm, 765-1802 3� t�.-� l3,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING- [ ] FINAL
[ ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL)
[ ] CODE VIOLATION [ PRE C/O
REMARKS:_ AN
DATE INSPECTOR
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W TYPE OF' BUILDING
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LANDIMP. TOTAL DATE o
_ REMARKS
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Extension a °' B°asemen, '
Floors
'Extension F1Nalls. I,nteri.or.Finish. —
Extension.
f ire.Riace Heat. �1
Porch
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LOCATION: a ri
(number & street) (municipality)
SUBDIVISION; MAP,N'O.: _ LOT(S):
NAME OF OWN R(S)-:
OCCUPANCY.:
(type).
type (owner-tenant),
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUP'F.'CO. TAX MAP'NO. 1000- •�' •
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONS'TRUCTI'ON: 9 STO-MS: �-Y EXITS,,
FOUNDATION: .'CRAWL SPAC-E:�
r -
# OF BEDROOMS; 18T FLA: 2ND FLR.: 3R.D FLA:
,BATHRO"OM(S): l TOILET AGom(S): UTILITY R00'M
PORCH.TYPE: _ --� D'E-CK, TYPE:,��.�Io -PATIO;TYPE:
BREEZEWAY;' FIREPLACE: �� GARAGE:
DOMESTIC HOTWA'T'ER.: TYPE HE TER: A's AIRCONNDITIONING:
TYPEOA", S FARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT:,- YES � No
OTHER:
v ,
ACCESSORY'' STRUCTURES '
GARAGE; TYPE OF CONST:: STORAGE,TYPE CONST.:
SWIMMING P'O.OL: GUEST,'TYPE CONST:
OTHER:
VIO',LATIONS:. CHAPTER]44 &N.Y, STATE:UNIFORM FX PREVENTION & BUILDING CODE
LOCATION D4SCWTION ART. SEC.
S
yf3 ,
REMARKS:
INSPECTED BY: J . J DATE OF INSPECTION:
Affi
TIME START: �t�� END: