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Z-45317
OS�Fpalkl' Town of Southold 6/30/2024 53095 Main Rd y $ Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 45317 Date: 6/30/2024 THIS CERTIFIES that the structure(s) located at: 3075 Oregon Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 100.-2-7 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- 45317 dated 6/30/2024 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 single family dwelling with walk-up attic storage,deck and enclosed front porch, accessory wood frame garage with walk-up loft, accessory barn and accessory shed.* The certificate is issued to Badagliacca,Raphael (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. l 0- t Sri d ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3075 Oregon Rd,Mattituck SUFF.CO.TAX MAP NO.: 100.-2-7 SUBDIVISION: NAME OF OWNER(S): Badagliacca,Raphael OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: RPMS Inc LLC DATE: 6/30/2024 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: stone&cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: enclosed front porch DECK TYPE: wood PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: steam #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: wood frame shed SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: wood frame barn VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 2/3/2020 TIME START: 11:55am END: 12:35pm Form No_6 �7 ) TOWN OF SOUTHOL.D I BUILDING DEPARTMENT TOWN HALL I ^^� � "(•� y I�� i �i 765-1802 � � �y � �. �Y l� APPLICATION FOR CERTIFICATE OF O CCUPA�N' - OCT 222019 This application must be filled in by typewriter or ink and submitted to the But Department with the following: A. For new building or new use: � ��1 O� 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$15.00 Date. New Construction: Old oorrPre-existing Building: (check one) Location of Property: © vV r _ House No. S treet Hamlet I��n Owner or Owners of Property: 11 Suffolk County Tax Map No 1000, Section po Bloc Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: ' Temporary Certificate Final Certificate` (check one) 1 Fee Submitted:$ `00 A licant Signature Inc,K-& k!_VK� �O�aO Ulyo<o # TOWN:OF SOUTHOLD BUILDING DEPT. 765-1802 [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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: i tvx "&w &wwylv IF AaNvisAAArv r- &wpyz � 0 � •1 IV DATE INSPECTOR CONSENT TO INSPECTION SL LL e undersigned, do(es) hereby state: Owne (s) Name(s) That the undersigned (is) (a he oiwnner(s) o the�pre rgises in the o of Southold, located which is shown and designated on the Suffolk County ax Map as District 1000 Section b, Block Lot . 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. Dated: C) � I ` Signat e I (Print Name) (Signature) (Print Name) FOl�4U��2 - 49.54r oo- i S.25'-10 00,E — I 581.0 I ! I Ell tj Wtndentl� m i� �_s � � �_ � �� N � (tfe r'trte'�0!►fOt1, 1,(�$,o�Gorr Shed L? t 0.9 clear raMt Of Posh ELU445 LANE N.25'40'00"W. Ss1.0 over , t MAP of Petry s SUQYFYEO Poe AN C 4 0 t ,,viE D41\114 C. C4 ,SSOi' 4-- - Tfie NO.60-52-3mi } _ AT MATT TU,-.-� - 5o' TowN oi= Soun4oi.c,N-Y. (,uMUMNof 4 Guaran to + i 7114 7 sq.f f. IS A Ytotwno" ,yy U -5.Life Tiiie fr,surance Cor*tiq and T�4gl(?71 Ci M,%Tii Yaer.�ur-1 If TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT PYl'� tc- or Lk(-, FORMER OWNER N E � ACR. L(ti5 �L I tIffA a)-p S W / CODE DATE OF CONSTRUCTION LAND IMP. TOTAL DATE REMARKS /„�fla � �dGc _�d o ���/ f'0 y/�G .So/off �Ra �`C GDD �GY►Qucr �a �asS'cy}e L oa S/moo boo 3 . �- ne. �► �' A E n -- 7/0-7- 1 a U C q51 PM 5 I/1G L -n L Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Tara 1 5�a MEMO■■■■■■EMCAM■■■■■ MEME■E■O■■■MnOMME■■■ �! . �"• ■■■OEM■■■ �M'�■■■■■ MMONNOMMEMEMMEMEME MEN MMEN�MM■EM■■■■■■■ ■■MME■■■MM■MEMEEMEEO OEM :. .. ' .. LOCATION: 90 o Or (number & st et) (municipality) SUBDIVISION: _ MAPNO.: _ LOT(S): NAME OF OWNER(S)': _ O-CCUPANCY: onsiw MR to CIO (ty e (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUET. 'CO. TAX MAP' 6 0 1000. /w.^ Y SOURCE OF REQUEST: DATE: L VW DWELLING ' TYPE OF CONSTRUCTION: �STO-=S, '# EXITS: _ X �� FOUNDATION: . .� `SENVILNT: �Pf 'CRAWL PACE: u1, � # OF BEDRQMLR: 2ND FLR � —BATHRO`OM(S): TOILET-`1�00M(S); UTILITY ROOM: �.r PORCH.TYP [ OA_D'E'CK) TY.'Ei PATIO,TYPE: BREEZEWAY.' FIREPLACE: GARAGE: DOMESTIC HOTWATER.: _ TYPE HEATER: . AIRCONDITIONING: TYPE.HEA�T'; 01 l/4.. WARM_ AIR: _ HO WATER: # OF KITCHEI� FINISHED BASEMENT YES NO —V//— OTHER: ACCESSORY STRUCTURES �, 1! WOO W(,1 GARAGE; TYPE OF CONS ; S'T-O•IZAGE, TYPE CONST. I YV SWIMMING P'0'OL: GUEST,'TYPE CONST: OTHER; .eti. VIOLATIONS:. CHAPTER]44 &N.Y, STATE:UNIFORM F; E PREVENTION & BUI,LDING CODE LOCATION DIaSC . PTION ART. SEC, MCI ' + r dl� REMARKS: INSPECTED BY: ar1H �td%,H DATE OF INSPECTION; TIME START: END: