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Home My WebLink AboutZ-30557F0P[d IPJ. 4 TOWIT OF SOUTHOLD BUILDING DEPARTMEIIT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTIPIG CERTIFICATE OF OCCUPANCY No: Z- 30557 Date: 11/15/04 THIS CERTIFIES that the building DWELLING Location of Property 295 GROVE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 080 Block 0004 Lot 012.001 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 30557 dated NOVEMBER 15, 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 ONE FAMILY DWELLING WITH ACCESSORY GARAGE & ACCESSORY BARN. The certificate is issued to THOMAS D NOLAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 6034 10/12/04 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. i Aut orized Signature Rev. 1/81 B IT I LD LII; DE PAP TIIE UI Tvi41J CF 6JUIHOLD HDUSIHG CODE IHSPE_TIOH REPORT LOCATION: 255 GROVE DR. SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : THOMAS D PIOLASI OCCUPANCY: SIUGLE FAMILY DWELLING THOM-S D UCLASI ADMITTED BY: KATHLEEN SCHEUEPMAN ACCOMPANIED BY: LANE KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 80-4-12.1 SOURCE OF REQUEST: THOMAS D. DOLAN, 5j10;04 DATE: 11;1E 04 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: FOUNDATION: CONCRETE BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: IST PLR.: 4 2ND FLR.: ? 3RD PLR.: 0 HATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPH: FRONT BRICK. DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: YES (11 GARAGE: DOMESTIC HOTWATER: YES TYPE BEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL-HOTAIP. WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WCOD FRAME STORAGE, TYPE CONST.: 1400D FRAME SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UITIFORM FIRE FREVEIITIOU & BUILDING CODE R124ARKS: BP #15961-L CO3-1-464 (ADDITION; INSPBCTED BY: i J DATE ON INSPECTION: 05:24;04 & reinspected OD 101181(Y4 MICBARL S. VERITY TIME START: 10:00 AM END: 10:45 A[4 J - Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 gy- 7.27—o�C)30 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 l°'u 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 Planting Board Approval of completed site plan requirements. oQJ r existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 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 $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 - $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 I Date. `I hold l New Construction: Old or Pre-existing Building: �_ (check one) p Location of Property: 9S- e ar, e House No. Street Hamlet Owner or Owners of Property: –T t orrt r7S n ba l A,—) Suffolk County Tax Map No 1000, Section 0 Block y Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ I o o Od 5V ra-a- 5oss 7 Final Certificate: (check one) Applicant Signature ✓ice (L Z_- P e, �, �� T- CONSENT TO INSPEC"CION TJ6m7 3 D. A) N rj 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 3Ir Gre-e Q(-, V which is shown and designated on the Suffolk County Tax Map as District Section �F 6 _, Block q , Lot /.2- 1 1000, That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: ON 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: I/ q/ 0g _ �1/ / X G I o (Signature) Tl z r ns D 11,,1 l)ej (Print Name) (Signature) (Print Name) i6,:. Nassau Suffolk Electrical Inspections, Inc. S.A Canal Street • Center Nloriches, Neu York 11934 • Tel: 63 1-878-3500 • Fac 631-878-3764 Application: 6034 Date: 1012,04 Issued to: Nolan .address: 295 Grove Dr Village: Southold Introduced By: A%ec Electric License 4:5120-E was examined and approved up to the above date and was in compliance with the NEC Attic 1 st Floor Residential ❑x Pod Det Garage Basement 2nd floor Carmerdd Hot Tub Addition l acrnrr i lu �.� �I•<Yri< erl.9,10 iirc_ This certificate must not be altered in any manner Switches Receptacles Fixtures G F.I. 1 Range Hood Whirlpool Oven Carbon Fans Dishwasher Washer'Amps Dryer!Amps Range!Amps Monoxide Smoke Bell Furnace Oil Gas Heat Zones Detectors Transformers Meter Amps Phase Motors Serv,ce 1 200A Oh 1 Other Equipment: OUt.Res l acrnrr i lu �.� �I•<Yri< erl.9,10 iirc_ This certificate must not be altered in any manner 5' r - - , .� E F - e ",'' - i• '+.� W �, rr'y'�9�i1. 15+.5 TY �f I. 'C000 90.0 BARBARA 1 -`�I `- y" 940 30 a I..�/r RBARA NI 'E BI:.,. F C _. ; . - - <v.,�r t •t� aARN a.s pj SUG_Tw>L TDWN.0 r5DJ.THQLq, N..Y. y O I •Y r,�.: � .,.� .. 5.7 0000 E. 60.0 - 9D A 3ao UNAUTHORIZED ALTERATION W AUH"OW TO THIS SURVEY IS A VIOLATION O � � 4 SECTION 720 OR THE NEW YORR STATE ♦ 1 1 EDUCATION LAW. ' S COPIES OF THIS SURVEY MAP HOT K"QW SHE LMD SU:.VpOR'S IM1.D SGS Ole ' EMRDS510 S(AlSHALL NLS AL CONND W FAT -(O wTO,� �Y ; A VAUD DUE C 11, OUAAANTE:S INCIzArLD H(R]ON SHALL RIM C, 6) � 1 fiN 1•p�k - Y TO SNA iL Si. SDA LI,K M THE SUAVE. + W, �i AbL) 19rf PIIARUA m: u, HS S -HALF TO II, . I 1 �T?'� _ ' �• Cow"" wV.S,UALN,AL AOMICV APy S f- IXSTRUT O,I USIW 1,111001, ASO zw x S •`. IN ASLoeu OF DO &.0,10 rwr K ' • GUARAwas AN TOT WAPW S M6EDUE(DEs Ds nmoo! t h w N 20 NOTE'• Lor NQ'5, H 1`4 R ' "MApOF'RE`�t?ON SHORES . l3tACl� ' G ON FtLF-IN TH5uFFQ-LCQVN . '• 3t OFI' ICt: AS M1PYh t�a6 '- 3 :Y ' . .1�3 ,pv.►x4cu •�' GROVE r e -r TWE MAW Irl I AMC it COM AS SUWEY15D Y6 lam -SCALE'(�LL aryl�.�rtF.nt Q cY !IA'.4't t om; garmw Lmo su V f 051FAN P'lF?F INGL.UDt_ r1i1L.Ys�jO'OF� •I .:� �t'NApCt?'.►+t.Y. ;` ;3uFFOLK CO..TAK_MAP DG51CCNA G�1 T. 56G _�IBO ,K iS?11ta`12. T �N' OF SOUTHOLDOPERTY RECORD CARD OWNER STREET _ L r VILLAGE DISTRICT SUB. LOTS =ORMER OWNER A 4 a /1 p N E ACREAGE �e5er G. tFarracGn . S W TYPE OF BUILDING -S. SEAS. VL. FARM COMM. I IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS /Ob //D J + ., SA.1e. - /° pMgd-T�- a 4 G/e6e2 6-0 Zap 3 ✓ / z - n N O sl Q �� 'z- '�/��7 l3P 1��d6! �•oo�(i��v r�,�wu��.�u.>C�c.�oy - � scx> Servo loZc-)c� 1!V1c, 9 ..2/-7/ - L-VJ Lwrx arc DO acv AGE BUILDING CONDITION a///95-L/17/¢o9L,-Alber40n0•-o do/Gn - •v/c.. NEW NORMAL BELOW i ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD liable 1 BULKHEAD liable 2 DOCK liable, 3 'oodland iampland ushland )use Plot .... �' rtal STREET VILLAGE DISTRICT SUB! LOT �O/��{W7 ^NER pp FORMER OWNER N E ACREAGE � �14 S W TYPE OF BUILDING SEAS. VL. FARM COMM. I IND. CB. MISC. 4 t. Mkt. Value LAND IMP. TOTAL DATE REMARKS y�D be Jd 5-0 do`' 0 n 3 seO 38°C� 3O d d L 9 ZJ/7 2rvv 0,v AGJ BUILDING CONDITION NEVE NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD x / 6 - (`� Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Total T STREET VILLAGE DISTRICT SUB. LOT �OWWNER FORMER OWNER N E ACREAGE . k r S W TYPE OF BUILDING / RES. SEAS. VL. 211 FARM COMM. I IND. CB. MISC. Esj/Mkt. Value LAND IMP. TOTA�yL DATE REMARKS —Y L) AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD DOCK Tillable 2 Tillable 3 Woodland Swampland Brushlond House Plot Total M. Bid` g = Flo Ly -- Extension E&aeon \/+ X -L Extension &eezeway — GarageY Y / "1-tJ--= 4/ �/ C) - O. B. iloc Foundation 1CvwuM/ Bath 1. Bcsement — f4A, Q(, —[Floors +--�y-- -�--: Ext. Walls �(�-"rtii Ilnterior Finish - - Fire Place _-1 _r Heat I1/- 4 4 -- Porch, Roof Type ` Porch Rooms 1st Floor Patio I Rooms 2nd Floor i 'A Driveway --- Dormer '� k k�, CA I 1 A l .,+- Foundation 1CvwuM/ Bath 1. Bcsement — f4A, Q(, —[Floors +--�y-- -�--: Ext. Walls �(�-"rtii Ilnterior Finish - - Fire Place _-1 _r Heat I1/- 4 4 -- Porch, Roof Type ` Porch Rooms 1st Floor Patio I Rooms 2nd Floor i 'A Driveway --- Dormer '� k k�, M. Bldg. Foundation Bath— Extension Basement Floors —_ Extension — Ext. Walls Interior Finish - Extension Fire Place Porchi Porch Heat Roof Type -- Rooms 1st Floor -- -IL — Rooms 2nd Floor Breezeway Patio — Garage 24 K L1 Hs/� _� -2. 2Z Driveway --- Dormer —--- — O. B. I � i I J LOCATION: 2 A" (number & street) SUBDIVISION: MAP NO.: NAME OF OWNER(S): D. OCCUPANCY: (municipality) LOT(S): (typgy v (owner -tenant) ADMITTED BY: �� CCOMPANIED BY: `4AV-� KEY AVAILABLE: SUFF. CO. TAX MAP NO.1000- SOURCE OF REQUEST:.,_ DATE: D g o 9pse DWELLING: TYPE OF CONSTR CTION: # STORIES: 2 _ # EXITS: Z FOUNDATION: CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): fit. TOILET ROOM(S): — UTILITY ROOM: -- PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: lily. %) GARAGE: DOMESTIC HOTWATER: TYPE HEATER:' AIRCONDITIONING: TYPE HEAT: &C:e- WARM AIR: HOTWATER: OTHER: ACCESSORY STMUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: ....� SWIMMING POOL: GUEST, TYPE CONST: --- OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DESCRIPTION - I'M lir--- _ PMM�� REMARKS: INSPECTED BY: ✓�2 �f DATE OF INSPECTION: 0 71A 50 6 TIME START: A9 oo END: A0 y/w