HomeMy WebLinkAboutZ-43875 Town of Southold 3/4/2023
¢�o�osOfF�lK�oay� 53095 Main Rd
S Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 43875 Date: 3/4/2023
THIS CERTIFIES that the structure(s)located at: 4000 Youngs Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-2-15
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements fora built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 43875
dated 3/4/2023 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame single family dwelling with unfinished basement and attic storage.*
The certificate is issued to Palooka 4000 LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Autho iz d igna e
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 4000 Youngs Ave, Southold
SUFF.CO.TAX MAP NO.: 55.-2-15 SUBDIVISION:
NAME OF OWNER(S): Palooka 4000 LLC
OCCUPANCY:
ADMITTED BY: Mike Sirico
SOURCE OF REQUEST: Palooka 4000 LLC DATE: 3/4/2023
DWELLING:
#STORIES: 2 #EXITS: 3
FOUNDATION: concrete block CELLAR: full CRAWL SPACE: partial
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: stoop DECK TYPE: PATIO TYPE: on grade
BREEZEWAY: FIREPLACE: wood stove GARAGE:
DOMESTIC HOTWATER: oil TYPE HEATER: oil AIR CONDITIONING:
TYPE HEAT: steam rads. WARM AIR: HOT WATER:
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished w/laundry
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
i
REMARKS:
INSPECTED BY: NANCYD DATE OF INSPECTION: 2/21/2023
TIME START: 1:00pm END: 1:30pm
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny$Zov
APPLICATION FOR PRE-EXISTING CERTIFICATE OF OCCUPANCY
OWNER(S)OF PROPERTY:
Name: Date: .
-- - - _rAl cook - - _ _l.l_ .002. c�2.? -
Physical Address: 4�� SCTM#1000-
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name: 1'lA
Mailing Address _4.S65S . . -..CR. 413--. 0_1�b
Phone#: 6 u , R�.. Email: ��i`� _ AIA 9 h l.ca ,._ .
To apply for a Pre C.O.for an existing building(prior to April 9, 1957) provide the following:
• Accurate Survey
• Floor Plan
• $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 respec the aforesaid application, including inspections to determine that said premises comply
with all of the laws, ordin c s, rules and regulations 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
Pofy t t Town of Southold Building Department for
approval as described herein.
NOV — 2 2022
10Q Owner's Signature ,p"mGDEPT. Date
THE EXISTENCE OF RIGHTS OF WAY UNAUTHORIZED ALTERATION OR ADDITION
DRAWN MM CHECKED MM DATE OCT. 2022 DRAWING & JOB NO. 22-746 AND/OR EASEMENTS OF RECORD IF TO THIS SURVEY IS A VIOLATION OF
ANY, NOT SHOWN ARE NOT SECTION 7209 OF THE NEW YORK STATE
GUARANTEED. EDUCATION -LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S L OR
Area 9,133 s.f. Premises known as: EMBOSSED SEAL SHALL INOTDBEECONS DERED
TO BE A VALID TRUE COPY.
4000 Youngs Avenue, Southold GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. GUARANTEES ARE NOT TRANSFERABLE.
TO LOT 14
NOW OR FORMERL GG
N7 g•47 00 a
N 45.00 iLA
p.6 N stockade fence i r �o
asphalt o % O ��
driveway v_
°slockode � ;I ri
UA 1 chimney 8.8P fence
'O 30.0' 'J 14.8' 1.0'
walk 4.1' 2 1�2 rn patio
Story r xl o
o g 25.9' I Frame o
�o
co 1_21 Residence _ x J
O voter roof over N 11� fence
meter londing — %x x x
o tank _
p co 12.8'
O- tree row centerline 00"*
G .�. O - - link fence
S7T
CDD
p - - chain
7 --' ---
os's - 145.00 TPJt ►0T 16
`V NOW !OR FORMERLY HOUSNER
r
O '
Ul
J
OF NIEW
North Road
(Middle Road) C.R. 48
tAND
Certified to:
MICHAEL SIRICO Survey of Described Property
situate at
Southold
Town of Southold
Michael W. Minto, L.s.P. C. Suffolk County, New York
LICENSED PROFESSIONAL LAND SURVEYOR
NEW YORK STATE LICENSE NUMBER 050871 District 1000 Section 55 Block 2 Lot 15
87 Woodview Lane Scale 1 "= 30' Surveyed October 29, 2022
Centereach, N.Y. 11720 GRAPHIC SCALE .
PHONE/FAX: (631) 580-1202
CELLULAR: (631) 766-9714 30 o t1 so so i 1
W EMAIL: mikemintolspc®gmail.com
( IN FEET )
1 inch = 30 ft.
ON
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PWDR.
BATHROOM �0 BEDROOM �, KITCHEN
lug
0 I' DINING
OO ROOM cL 00
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ONDN
CL B.I.
ON
`-� BEDROOM BEDROOM FOYER LIVING SUN
UP ROOM ROOM
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CL UP
VESTIBULE CL
ON
SECOND FLOOR PLAN QRST FLOOR PLAN
su�u.•-•w "...yr io
1 Issued for Permit 12.20.21'
i
N.J.MAZZAFERRO, P.E. DRAWN BY:ZEN
PROFESSIONAL ENGINEER 12.20.21
P.O.BOX 57,GREENPORT NY,11944
516.457.5596 EMAIL maz-lin@msn.mm SCALE:1/4"=1'-0"
NFLOOR PLANS SHEET NO:
4000 YOUNGS AVE A��
SOUTHOLD,NY 11971
PRE C/O INSPECTION SURVEY
LOCATION: qM pv S SCTM#:1000-6-5',;i- b
SUBDIVISION: MAP#: LOT(S):
NAME OF OWNER(S):
OCCUPANCY TYPE:
ADMITTED BY: K(ke, ACCOMPANIED BY:
KEY AVAILABLE: SOURCE OF REQUEST: DATE:_
STRUCTURE:
8 agg, LAm dot
TYPE OF CONSTRUCTION #STORIES° # EXITS J
FOUNDATION:' G� �La BASEMENT CRAWL SPACE. JAC
#OF BEDROOMS ,� +��- 1ST FLOOR: 2ND FLOOR: 3RD FLOOR:5
BATHROOM(S):-, TOILET ROOM(SP> UTILITY ROOM: L
PORCH, TYPE: `W0 DECK, TYPE: PATIO, TYPE e gyp
BREEZEWAY: / FIREPLACEWtV4 1phile GARAGE:
DOMESTIC HOT WATER 01 � TYPE HEATER o( A/C:
TYPE HEAT: �� [�- WARM AIR: HOT WATER: ®i
# OF KITCHENS`w4 FINISHED BASEMENT:
OTHER:N �"nA I-
ACCESSORY STRUCTU E:
GARAGE, TYPE OF CONST: /' STORAGE, TYPE OF CONST:
SWIMMING POOL: / GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS: CHAPTER 144& NYS UNIFORM CODE:
LOCATION: DESCRIPTION: ARTICLE/SECTION:
s _
REMARKS: va ve. o-A
INSPECTORS: DATE: ol
TIME START: TIME END: 1:5J5