HomeMy WebLinkAboutZ-44882 ag�ff0�C Town of Southold 1/21/2024
53095 Main Rd
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Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 44882 Date: 1/21/2024
THIS CERTIFIES that the structure(s)located at: 270 Park Ave Ext., Mattituck
SCTM#: 473889 Sec/Block/Lot: 123.-8-27
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- 44882
dated 1/21/2024 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 seasonal cottage.*
The certificate is issued to Giacone, Michael&Giacone,Nicholas
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Au o 'ze igna e
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 270 Park Ave Ext.,Mattituck
SUFF.CO.TAX MAP NO.: 123.-8-27 SUBDIVISION:
NAME OF OWNER(S): Giacone,Michael&Giacone,Nicholas
OCCUPANCY: J
ADMITTED BY:
SOURCE OF REQUEST: Giacone,Michael DATE: 1/21/2024
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: wood piers CELLAR: N/A CRAWL SPACE: N/A
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: 3 #KITCHENS: 1 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: 8/29/2019
TIME START: 12:14pm END: 12:55pm
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:
A. 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 1% 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 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.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. August 2, 2019
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 270 Park Avenue Ext. Mattituck
House No. Street Hamlet
Owner or Owners of Property: Michael J. Giacone and Nicholas Giacone
Suffolk County Tax Map No 1000, Section 123 Block 8 Lot 27
Subdivision Map of Maratooka Point Filed Map. 331 Lot: 1
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: J (check one)
Fee Submitted: $ 50.00
i
licant Signature
Robert E. Herrmann, Coastal Mgmt. Specialist
En-Consultants
1319 North Sea Road, Southampton, NY 11968
CONSENT TO INSPECTION
Nicholas A.Giacone ,the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned (is) (are)the owner(s) of the premises in the Town of
Southold, located at 270 Park Ave.Ext.,Mattituck,NY 11952
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 123 , Block a , Lot 27
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Pre-Existing Certificate of Occupancy
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.
L
Dated: 7ZI
(Signature)
Nicholas A.Giacone
Sworn to bef 1'rie (Print Name)
this i�,GLday_ �o� N/A
(Signature)
1T1� N/A
Notary ubli ounty (Print Name)
di ";"Lyoq l►
.:NolaryP(ibr tate'oi!,NewYork
4ti4r d ri Reosselaer,Co6nly
Reg No:;O1LY50a99 5'
6ommtssion;EtCpires-6 23
CONSENT TO INSPECTION
Michael J.Giacone , the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned (is) (are)the owner(s) of the premises in the Town of
Southold, located at 270 Park Ave.Ext.,Mattituck,NY 11952
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 123 ,Block a , Lot 27
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Pre-Existing Certificate of Occupancy
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.
Dated: 7 17�t?
(Signature)
Michael J.Giacone
Sworn to befor me (Print Name)
this/- mac day_` 2019 N/A
(Signature)
N/A
Notary ubli _ _— p�,ty (Print Name)
Nofa�i}'tb a;�'ot�i�euY�lfor��,
�QuaNfied in.Rei�sselaei,Cnly
R W, C YSQ$947
.6omii�issic�r- i ,
A-vb 14Wt&.- 1_100� 1. )10�
SOUTyo�
# # TOWN OF SOUTHOLD BUILDING DEPT.
Comm 765-1802 C
INSPECT10if, "
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.-
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAUL G e�� j L 1,
REMARKS: t i:Sb va
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DATE INSPECTOR
' O�apF SOGTyolo -
f TOWN OF SOUTHOLD BUILDING DEPT.
cou 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIR RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL)
[ ] CODE VIOLATION [ PRE C/O [ ] RENTAL
REMARKS:
uvU
DATE INSPECTOR
1
TOWN OF SOUTHOLD P � � �
. , PROPERTY ItECORI 1 � 3/a��
OWNER � -- - - --- - _
STREET VILLAGE DISTRICT SUB,.-
LOT
FORMER OWNER N --�i E - - _.-
� �,'j�/�1(j) 'IG�3'1 ACREAGE
i
m
S
TYPE
OF BUILDING
�__
RES. SEAS. VL. FARM CO/v1M. I IND. ( CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS '
--- -
c°'�",.wz
aro ,fir` �-,
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER - ' /}____ � �;• s r am. ells e'
Farm'-7 Acre Value Per Acre Value FRONTAGE ON ROAD ..
Tillable—I-- -- ......_ .....--- _ ---- . BULKHE
Tillable 2 DOCK
Tillable 3 +
_.... - --- ---- -- a
Woodland
Swampland A,
--- -
Brushlan -
House Plot __�- -- ------
Total ---------
t t
T j+
� e
1
:—_. �.......... .. — �....._ ._.�_ .. :..
-- _ t.1
Tu
'r
123.-8-27 3/25/2019
t �
M. Bldg. .. t l I Foundation Bath
.....,_.._ _ '"`
Extension Basement �` Floors f
... _ ....- -- — .___ ....___ _._.. _ ...........
.......
_.....__..__
Extensio ; t � Ext. Walls Interior Finish 1
Extension Fire Place ✓ " lV d Heatf C)'
__......... _:_-...... _.. ._ ___._-- ------__
C, porch Roof Type
i Porch Rooms lst Floor )
—.....,...____ __._._.... --_.__ -___- f __._-.---.__-— __.__-.-._ _ _-._ _ -------
Breezeway _ ____
Patio ;Rooms 2nd Floor i
Garage Driveway Dormer ..
O. B.
1
L
I •
LOCATION;
(number & street) (municipality)
SUBDIVISION: MAP•N'O.: --LOT(S): ..
NAME OF OWNER(S)':
OCCUPANCY; M, W, 1 Y
(type) (owner-tenant)-
ADMITTED BY: _ACCOMPANIED BY:
KEY AVAILABLE: SUEF. 'CO. TAX MAP' O. 1000- L
SOURCE OF REQUEST: DATE: Y
DWELLING
TYPE OF CONSTRUCTION: 9 STO-MS; '# EXITS: y.
FOUNDATION: .. 1-CNJ ; tASVMENT; IJ � 'CRAWL SPACE:
4 OF BEDRO(I IS: IST FLR: 2ND FLR: 3RD FLR: .
BATHRO'O1VX(S): TOILET A'OOM(S): UTILITY ROOM:
C�
PORCH.TYPE: DECK, TYPE: JO&ATIOj TYPE:
� P-
'�p Li 4--) ��
BREEZEWAY: FIREPLACE; wo QARAGE:
DOMESTIC HOTWATER: TYPE HEATE\' AIRCONDITIONING:
TYPE HEAT: O WARM AIR: � HOTWATER: �
# OF KITCHENS:
FINISHED BASEMENT:- .YES IV NO
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: _ STORAGE, TYPE CONST.:
SWIMMING POOL; GUEST,'T'YPE CONST:
OTHER:
VIOLATIONS:. CHAPTER]4.4 &N.Y. STATE°UNIFORM FX PREV$NTION & BUILDING CODE
LOCATION DIySC PTION ART, SEC.
REMARKS;
INSPECTED BY. "
,S I(�I DATE OF INSPECTION:
TIME START; END: