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Home My WebLink AboutZ-30077FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30077 Date: 03/11/04 THIS CERTIFIES that the building STRUCTURE Location of Property 855 PINE NECK RD (HOUSE NO.) County Tax Map No. 473889 Section 070 Subdivision SOUTHOLD (STREET) (HAMLET) Block 0005 Lot 033 Filed Map No. __ Lot No. -- conforms substantially to the Requirements for a STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPi~/~C~f ~q~BER Z- 30077 dated MARCH 11, 2004 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 NON-HABITABLE STRUCTURE & SMALL ACCESSORY SHED* · ~ne certificate is issued to MICHAEL ANERELLA (OWNER) of the aforesaid building. SUFFOLK COUNT"fDEPARTMENTOF~RALTHAPPROVAL N/A 'EL~-i~ICAL c~KTIFICATE NO. N/A PLUMBERS c~RTIFICATION DA'rmu N/A *PLEASE SEE ATTACHED INSPECTI~. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SONTHOLD HOUSING CODE INSPECTION REPORT LOC3%TION: 855 PINE NECK RD SDBDIVISION: N~ OF OW~ (S): MICBAEL ANERELLA OCCUPANCY: NON-HABITABLE STRUCTURE ADMITTED BY: ANNA ACKER SOUTHOLD MAP NO.: __ LOT (S) ~ MICHAEL ANERELLA SOURCE OF REQUEST: ANNA ACKER 1/30/04 DATE: 03/11/04 DWELLING: TYPE OF CONSTRUCTION: WOOD # S~RIRS: 1.0 # EXITS: 2 FOUNDATION: WOOD POSTS C~.T~%R: C~ SPACE: TOTAL RO~S: 1ST FIR.: 4 2ND FLR.: --0 3RD FLR.: --0 BA%~O0~(S): 1.0 TOILET RO(~(S}: 0.0 UTILITY ROOM(S): __ ACCESSORY STRUCTURES: VIOLJ~TIONS: LOCATION SEC. CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DESCRIPTION ART. 1. PRE-CO CANNOT BE SATISFIED SINCE BUILDING IS MORE NON-CONFORMING. 2. NEW METER & ELECTRIC DATR (AN ]~SPECTION: 02/03/04 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department 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 fora0. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of ! % 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. 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 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. 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-existing Building- $I00.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: v" (check one) Street Hamlet -1 c~ Block o~' Lot 3-~ Filed Map. Lot: Date of Permit. Applicant: Underwriters Approval: Final Certificate: / (check one) Applicant Signature House No. Owner or Owners of Property: A Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Co ocy7 7 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:~///L~I~' ~6~L~ -~- 7~ ~-~+'~ ~ DATE INSPECI ~~_ CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at <~ ~ ~ f~ ,' ~ C~ ~ ~ Io~ cl. which is shown and designated on the Suffolk County Tax Map as District 1000, Section '-~ o , Block o~, Lot ~-a~ That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. (Signature) (Print Name) (Signature) (Print Name) 4NY AL TER4 TION OR ADDI1'~ON TO I'H~ $URVEY I$ .4 OF SECTION 7~09 OF THE NE~I YORK STATE EDUCATION EXCEPT AS PER SECTION TEO~-~ ~. ALL C~7~TFICATRON$ HB~ON ARE VALID FOR ~ t44P ,4HD COPIES ~OF Or4. Y IF ~ OR COPIES ~ THE I~il~E,~EED SEAL OF 774E ,SURVEYOR SIENA TURE ~E~R$ H~REOt4 ~)OITIOI¢~LL Y TO COMPLY FILTH D~41D LAW THE TERM 'ALTERED MUST 8E UEED SY ~ ~ ALL ~ U~ A C~Y ~T-T~A~ ~ ~T ~ ~ ~TH ~ AREA = 1. 2017 ~c. The Iocetions of wells nnd cesspools shown hereon ore fro. re. field obServotions end or from dale obfo~ned from ofhers. I era le~i~r ,~ I~ $T~ ~ ~V~ ~ SYS~ F~ ~ F~Y ~S ~ ~ c~l. '/°o4.E.k N. 85'4~'00. W. I~.97' P/NE NECK /~OAD CONTOUR LINES ARE REFERENCED TO N.G, V,D. CERTIFIED TO, MICHA~J. D. ANERELL,4 ROS}~N C~ TO AI~RELL,4 ~:UT~ON L,~NO ~ERVICE'$, ~IC. SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 70 - 05 - 33 SCALE. 1" = 50' OCT. 1, 1998 JUL Y 16, 1999 (conlour lines ) NOV. 24 ~00~ DEC. , ~ 20C · [ ~EBAR SET) ~ PECONIC SORV~"OR,~~9' (516) 765 - 5020 P. O. 80X 909 1250 TRAVELER' STREET SOUTHOLD, N.Y. 11971 98 - 315