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HomeMy WebLinkAboutZ-30743FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30743 THIS CERTIFIES that the building DWELLING Date: 02/03/05 Location of Property 6495 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 0010 Lot 021 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- 30743 dated FEBRUARY 3, 2005 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 WOOD FRAME GARAGE * The certificate is issued to CAROLE A & KEITH LOSCALZO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. c. Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 6495 GREAT PECONIC BAY BLVD LAUREL SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): CAROLE A & KEITH LOSCALZO OCCUPANCY: SINGLE FAMILY DWELLING CAROLE A & KEITH LOSCALZO ADMITTED BY: KEITH LOSCALZO ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAB MAP NO.: 126.-10-21 SOURCE OF REQUEST: KEITH LOSCALSO 01/21/2005 DATE: 02/03/05 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: 3/4 CRAWL SPACE: 1/4 TOTAL ROOMS: IST FLR.. 5 2ND FLR.. 2 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE: CONCRETE BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTKATER: YES TYPE BEATER: HOT WATER AIRCONDITIONING: TYPE BEAT: OIL WARM AIR: BASEBOARD HOTWATSR: YES OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD FRAME STORAGE, TYPE CONST.: ** SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. 1 SEC. REMARKS: **ACCESSORY STORAGE BUILDING HAS BEEN REMOVED. INSPECTED BY: DATE ON INSPECTION: 02/01/05 AI r GEORGE GILLEK TIME START: 9:50 AM END: 10:25 AM Form No. d TOWN OF SOC7THOLD BUILDI14GDEPARTMENT 04 TOWN HALL 765-1802 APPLICATION POR CERTIFIC.A,TE OF OCCUPANCY 111s application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new buDding or new nse: 1, Final survey of property with accurate location of all buildings, property lines, streets, and utlasual aa" 2z `I topographic features. 2, Fiscal Approval ftom H+;ailth Dopt. of water supply sud sewerage -disposal (S-9 fonx). 3. Approval of electrical, lustallation front Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used at system contains less than 2/10 of 1% lead. 5, C:oxrnriercial building, industrial building, multiple residences and similar buildings and installstlone, a certificato of C©4e Compliance from architect or engineer responsible for the building - 6. Subinit Plarming Board Approval of completed site plan requirements, B. For existing buildings (RK or to Aril 9,1,St�7,� non�conforming uses, or buildings and ►►pre-existing►' land uses: 1. Accurate survey of property showing all property lbaes, streets, building and uuiusuol natural or topographic features, 2. A properly completed applicationk and ooment to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building inspeotor shall state the reasons therefor in writing to the applicant. C. Vaes 1. Certificate Of OccupailCy - New dwelling $25.00, Additions to. dwelling $25.00, Altmdons to dwelling $25,00► Swimming pool $25.00, A mwsory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Colrtifioat3 of Oceupaney ori Pre-existing BWlding � $100.00 3. Copy of Ccrtiflcate of Occupancy - $.25 4. Updated Certificate of Occupancy - "0.00 5, Tensporaty Certificate of Occupancy - V-esid©ntial $15,00, Commercial $15.00 Date. 12 I2 c 120 0 � Now Constructibty Old or Pre-existing Building: X __ (check orte) 6495 Peconic Bay Boulevard Laurel, New York Location of Property; —� Rause Nie_ Street Hamlet Owner or Owner's of property: Keith Loscalzo Suffolk C ounty Tax Map No 1000, Section 126.00 T Block 10.00 l,ot 021.00 Subdivision Filed Usp, _ Lot: Poniiii No. -Date of Permit.,,,,,, Applicant: 1; Coalth Dept. Approval: _� Underwriters Approval: planning 13oxrd Approvd: _ — — Request fox' Temporary Cclrbi0icatc Fizlal Certificate: 'res Submitted, $ 100.00 (,;;-) , �c., � I (a 5 C� e„_ c 0 -q- 36-? N 3 X (chook one) TOWN OF SOUTHOLD ftOPERTY RECORD CARD DWNER STREET G VILLAGE DISTRICT LOT =ORMER OWNER N E ', t.M ACREAGE (�rGtt-4pY ,LU �J-.ckti�J uLD�CG=/�stD) S ¢,7 'o�es�/C/J.► j� W TYPE OF BUILDING ES. Z SEAS. VL. FARM COMM. I IND., I CB. I MISC. ` Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS ( Dl 0 /0l7S (%� % % s L E i Tr/Q �%, �u 1 G"Gk �1S t E777-07 40 ISO e' 7szD, p,Ce, ;"2"79-1 Z 80,44 4 j— AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD 4 v illable 1 BULKHEAD liable 2 DOCK (table: 3 00 0 oodland vampland ushlan4,,, :)use Plot )tal lidsil WiL - 0 It use CONSENT TO INSPECTION Keith Loscalzo , 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 6495 Peconic Bay Boulevard, Laurel, New York , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 126.00 , Block 10.00 , Lot 021.00 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Application for. Certificate of Occupancy for a Pre-existing Building 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. Theundersigned, 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: 'r ® J (Print Name) (Signature) (Print Name) SURVEYED tet:- &F! 7iW ...% �` CdJeOL �' LOCATED AT L .4LA2EG LOT MAP OF �OESCQ/8E'+� I��O•a�.eTY SCALE I".- SUFFOLK ".=SUFFOLK CO. TAX MAP DATA: - DIST �104710'AD SEC /26 Do j ,� 05CAL.20 ,TOWN OF Vim' OL%f�/17L� BUC./D.DD LOT02/fro A-1 •�/'�!o /o"W `1 OFFSETS FROM STRUCTURES TO RELATIVE BOUNDRY LINES, ON SURVEY, ARE FOR A SPECIFIC USE ONLY AND h DRAVVM BY j L Njf ../OaE�osr P �Ss•�ev�,�.s CO. CLK. NO. e o• opo ;V Sal• p.� •.��-.-.�itlK.cJ�vv�l owiclE7� ..� ��.�.� Q x wmm-pqmmz x- x ,L//FILE NO. /;�3f.� ro 8�t�faoE/-rE Ae G.e�✓�Y , SUFFOLK COUNTY N.Y. 0 m U 0 U SURVEYED SEP77 /p 1987 BY WILLIAM R. SIMMONS JR. P/O BOX 377 JAMESPORT, L. I., N.Y. 11947 PAGE 23 GRID ASO SHOULD NOT BE USED FOR CONSTRUCTION Qy OF FENCES v OR OTHER STRUCTURES,` �C h DRAVVM BY j L Njf ../OaE�osr P �Ss•�ev�,�.s CO. CLK. NO. e o• opo ;V Sal• p.� •.��-.-.�itlK.cJ�vv�l owiclE7� ..� ��.�.� Q x wmm-pqmmz x- x ,L//FILE NO. /;�3f.� ro 8�t�faoE/-rE Ae G.e�✓�Y , SUFFOLK COUNTY N.Y. 0 m U 0 U SURVEYED SEP77 /p 1987 BY WILLIAM R. SIMMONS JR. P/O BOX 377 JAMESPORT, L. I., N.Y. 11947 PAGE 23 GRID ASO LOCATION: SUBDIVISION: 10Cc01Vlc B,4Y BLVD, (number & street) NAME OF OWNER(S): OCCUPANCY: I � Lj6ge\�L, (municipality) MAP NO.: LOT(S): oSc:A L -7 - (type) (owner -tenant) ADMITTED BY: ACVl �'05 �' �� ACCOMPANIED BY: - KEY AVAILABLE: S 14 /1 A!E SUFF. CO. TAX MAP NO. 1000- . / D � a.1 SOURCE OF REQUEST: A P I c 7-1 ON DATE: / - ,:k-/^ DWELLING:p� TYPE OF CONSTRUCTION: wo- O 'D )rko # STORIE :� # EXITS: FOUNDATION• c ,l c' n L J �' CELLAR: 3 CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: 1" BATHROOM(S): I TOILET ROOM(S): UTILITY ROOM: — ORCH TYPE: ZEW C L-0.S� .� DECK, TYPE: -'- PATIO, TYPE: �=�i 041 REEZEWAY: --Wow FIREPLACE: GARAGE: DOMESTIC HOTWATER: 5 TYPE HEATER: Ib' w 7Z' AIRCONDITIONING: --- TYPE HEAT: co)1L VVi �9i HOTWATER: YDS OTHER: ACCESSORY STRUCTURES: 1 - LA K GARAGE, TYPE OF CONST.: \4 ab `jEl9 A ' STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: s--" OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE 51 INSPECTED BY: `/ ` DATE OF INSPECTION: /1® �' TIME START: 9'-�d *At/A.s'^ END: '