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Home My WebLink AboutZ-31193FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31193 THIS CERTIFIES that the building DWELLING Date: 10/06/05 Location of Property 3600 ROCKY POINT RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 021 Block 0004 Lot 006 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- 31193 dated OCTOBER 6, 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* The certificate is issued to PETER T NICOLELIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL wiz PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A A h ized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3600 ROCKY POINT RD EAST MARION SUBDMSION: MAP NO.: IAT (S) NAME OF OWNER (S): PETER T NICOLELIS OCCUPANCY: SINGLE FAMILY DWELLING PETER T NICOLELIS ADMITTED BY: PETER NICOLELIS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAY MAP NO.: 21.-4-6 SOURCE OF REQUEST: PETER T. NICOLELIS - 9/28/05 DATE: 10/06/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME $ STORIES: 1.0 $ EKITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOKS: 1ST FLR.: 5 219D FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROCK (S) 0.0 UTILITY ROOK(S): PORCH TYPE: DECK TYPE: WOOD PATIO TYPE: CONCRETE BREEZEWAY: FIREPLACE: NONE GARAGE: DOMESTIC HOTMATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE BEAT: OIL WARM AIR: HOTHATER: X ACCESSORY STRUCTURES: GARAGE, TYPE OF COMET, NONE STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP ((206'782-COZ-24658 (DECK ADDITION) INSPECTED BY: DATE ON INSPECTION: 09/29/05 GARY S. I TIME START: 10:05 AM END: 10:45 AM a 2 8 2M5 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. Swom 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. r 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accesson' 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 Date. New Construction: Old or Pre-existing Building: w,' (check one) Location of property: :Bncm 45C%.C7 Pn C;PE i05T M,_,N V3 Hous Owner or Owners of Property Suffolk Count), Tax Map No 1000, Section 2( !0 _ Block _ Lot _ (2) Subdivision Permit No. Health Dept. Approval: Planting Board Approval: Filed Map. Date of Permit._ Applicant: Request for: Temporary Certificate Fee Submitted: $ (9-0-C•(of01D &ADr"0-9 31)93 Underwriters Approval: Final Certifrcat Lot: m N m N m t` m m N 0 0 w m w N U) CC LL 0 A X 0 w Q Ln N N 0 Lf) 0 m N Q d U) 1,16 A. -)/- V -(- TOWN OF SOUTHOLD PROPERTY RECORD CARDj� , OWNER STREET .3 VILLAGE DIST SUB. LOT �'I�"TF�4 l, N/cot • �slf,5 C X R 7` dd, Cu _ 4 3 b t's, FORMER OW�nnl R N ° r Nico(elrs rCUf 5 ►-.STN Il. <UwF E ACR._I i S e �//i✓AN S/A rCoLrL�s a C(ff^P W ' • If p CIV ' f TYPE OF BUILDING / 2ES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 3 5- 0 O &t5; SO4 0 000. (Amd A heoY1,.$ /4 '#,calfla *OAPs. P sg J d G a 3 /=L 11,23 .zz8-Illi' leh's 16,,s Y -o Allcolelis Itif 1o�&Az Od 00 S G bll 9a-�P'�a 6 -Const i 3 o a at o 3b o . o y �1 �'!_d7e ( 0,- ; . 1300See, 3SO(D Z I J12?_ 92 BUILDING CONDITION BELOW ABOVE AGE N NORMAL FA —Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Moodland Swampland FRONTAGE. ON WATIto _ 3rushland FRONTAGE ON ROAD -- �f 0 House Plot DEPTH BULKHEAD Total DOCK 7-�� J ��i�ra g N�. �� -- .. - � CONSENT TO INSPECTION t k4=4DLrm1—t5P the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the o er(s) of,r�l,a premises in the Town of Southold, located at 156co ��CT% - Ks�, A3T 42►Ow1 �, ,/ 11931 which is j4own and designated on the Suffolk County Tax Map as District 1000, 1 Section .�, Block _ .. _, Lot C That the undersigned (has) (have) tiled, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: C:::,.NL1Z.— tfLL=oTa 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�i?i 2� r2CYJFj w r 1CVO S (Signature) �T�2�"• 1V 1 G SLE L l s (Print Name) (Signature) (Print Name) SURI'EY OF PROPERTY SITUATE: EAST MARION TOWN: 50UTHOLD SUFFOLK COUNTY, NY SURVEYED 09-19-2005 SUFFOLK COUNTY TAX # 1000-21-4-6 "m NOTES: ■ ow MONUMENT FOUND AREA = 31,014 S.F. or 0.849 acre 6RAPHIG SCALE I.= 30, or FOrrnc;rly 'f ,tc ino 8 Kcal eri Reytglno Land Nnw- AndrE Ishe1I I en' I, N S or FOrme:rl` of On"t.arlL lne; VCan �e`;I to` I_Und �1Ow (",atrigr-Inc:-✓Orac�c' OSS 50 �-3A-_"� - LAND SV ,, JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.—Z:\pros\05\05-295.pro LOCATION: 6 (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: (type) MAP NO.: (municipality) LOT(S): (owner -tenant) ADMITTED BY: P '4t_N j CIO C-�-4. S ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: -_. # STO ES: # EXITS: FOUNDATION: CELLA E -.&e CRAWL SPACE: TOTAL ROOMS: IST _ 2ND FLR: 3RD FLR: BATHROOM(S): 041-9— TOILET ROOM(S): UTILITY ROOM - PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: --- DOMESTIC HOTWATER: TYPE HEATER: ' AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: �"�}✓� GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: X 'tVS"� END: 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. ` ]FOUNDATION 2ND [ ] IN SU TION [ ]FRAMING [ INAL [ ]FIREPLACE & CHIMNEY [ j -FIRE SAFETY INSPECTION REMARKS: