HomeMy WebLinkAboutZ-31198FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NO: Z- 31198
Date: 08/18/05
THIS CERTIFIES that tha building DWELLING
Location of Property 6825 GREAT PECONIC BAY BLVD LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 126 Block 0010 Lot 017
Subdivision FiledMap 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- 31198 dated AUGUST 18, 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 WILLIAM A CAGGIARO
(OWNER)
of the aforesaid building.
SUFFOLK COU~T"fDEPARTMENT OF HF~%LTHAPPRO%~L
ELBc£~ICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DI~'~u
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
~~~Authorize~
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
SINGLE FAMILY DWELLING
6828 GREAT EECONIC BAY BLVD L~UREL
MAP NO.: ~OT (S)
WILLIAM A CAGGIANO
SO, CE OF I~: GARY 0LSEN, ATTY - 8/12/05 DA~: 08/18/05
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME
FO~TI(~: CEMENT BLOCK
STORIES:
f"~,T.~%N.: FULL
ACCESSORY STRUCTURES:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
I~: BP~8472-COZ4411(ACC¥)BP#28099Z-COZ29424(ALT ACCY) BP#28099Z-COZ29424
(ALTS) BP #31442-Z-C/~-3! ]97 (DECI()
IIAI~ ~ INSI~TI~= 08/18/05
TIME START: 10:20 AM ~D: 10:50 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
YO~,VN H.~LL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to th~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.
" 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. Cornmercial 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:
l. Accurate survey of property showing all property lines, streets, building aud 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.
Swirmmng 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
Date. August 11, 2005
New Construction:
Location of Property:
Old or Pre-existing Building: X
6825 Peconic bay Blvd., Laurel, New York
House No. Street
(check one)
Hamlet
Owner or Owners of Property:_ William A. Caggiano and Margery A. Caggiano
Suffolk County Tax Map No I000, Section 126 Block 10
Lot 17
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval:
Plarming Board Approval:
Underwriters Approval:
Request for: Temporary Certificate
100.00
Fee Submitted: $
cog:
Final Certificate:
OLSEN & OLSEN LLP
~2495 MAIN ROAD
PO BOX 706
[check one)
Applicant Signature
OLSEN ~50LSEN, L.L.P.
ATTORNEYS AT LAW
GARY FLANNER OLSEN
ATTORNEY AT LAW
DAVID WORTHINGTON OLSEN
ATTORNEY AT LAW
32495 MAIN ROAD · EO. BOX706 ° CUTCHOGUE, NEWYORK 11935-0706
PHONE 631-734-7666 · FAX 631-734-7712 · olsenlaw@optonline.net
August 11, 2005
Re: Caggiano to Yosca
Our File 8536
To Whom It May Concern:
Enclosed herewith please find the following:
1. Application for pre-existing CO.
2. Consent to Inspection Form.
3. Survey.
4. Check in the sum of $100.00 payable to the Town of So,~rt~
Please contact William or Margery Caggiano for the ins)~ction (2~8-4662).
./
/
Very au yours, "'
GFO:lmk
Enclosures
Town of Southold Building Department
Town Hall - Main Road
Southold, NY 11971
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
iLand
Building(s)
-- Use(s) ~
located at 6825 Great Peconic Bay Blvd.
Pre- C.O.~Z12793
Date Sept.20,1984
Laurel
Street Hamlet
shown on County tax map as District 1000, Section 126 , Block 10
Lot 017 , does~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area, insufficient side yards.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /Z/Land ~./Building(s)
/_--/Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's' Office, the occupancy and use for which this Certifi-
cate is issued is as follows: One and ~ story wood fra~ed one family
dwelling with accessory garage and accessory shed. This property
situated in the A-Residential-Agricultural Zone with access to
Great Peconic Bay Blvd. a Town Maintained Road.
The Certificate is issued to CROOKS,MARIE (Plage,A~toinette)
{owner,
of the aforesaid bu~lding.
Suffolk County Department of Health Approval N/A
UNDERI~ITERS CERTIFICATE NO. N/A
NOTICE IS HEREBY GIVEN that tbs owner of the above prsmises HAS
NOT CONSENTED TO AN ~/~SPECTION of the premises by the Bulldinz Inspes-
tor to determine if the premises comply with all applicable codes and ordin-
ances, other than the Building Zone Cods, and therefore, no such inspection
has been conducted. This Certificate, thersfore, does not, and is not intended
to certify that the premises cornply with all other applicable codes and regula-
tions.
But)ding ~nspector
CONSENT
TO
INSPECTION
Gary Flanner 01sen as Attorney for Wi],liam A. Caggiano , the undersigned,
Owner(s) Name(s) and Margery_- A. 6aggiano
do(es) hereby stab::
That lhe undersigned (is) (are) the owner(s) of the premises in the To,wa
of Southold located at 6825 Peconic Bay Blvd., Laurel, New York
· which is sho~rn and designated on the Suffolk
County tax rnnp as Dis%riel 1000, Section 126 , 131ock 10 Lot 17
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in'th~ Southoid Town lJu~lding lnspeu~,~, .~ or~;.~o ~o., +h~ rnllmvin~:
one family dwelling and detached'~garage
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, iuclud[ng
any and all buildl,gs located thereon, to conduct such inspections as they may
deem necessary with respeet to the aforesaid application, including"inspections
Lo 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 undurstanding that any information obtained In the conduct of
such inspections may'be used as evidence in subsequent prosecutions for vio-
lations o~ the laws, ordinances, rules or regulations of the Town o[ Southold.
August 11, 2005
Dated:
William A. Caggiano
(prin~ name)
~Js i~f~a t u r e ) 0
Margery A. Caggiano
(primt name)
OLSEN & OLSEN LIP
~2495 MAIN ROAD
Iff