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FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z-
32139
Date: 01/16/07
THIS CERTIFIES that the building
DWELLING
Location of Property 32155 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 014
(STREET)
Block 0002
ORIENT
(HAMLET)
Lot 015
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-
32139
dated JANUARY
16, 2007
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 KATHLEEN M. CORAZZINI
(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.
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
SUBDIVISION ~
32155 MAIN RD
ORIENT
MAP NO. ~
LOT (5)
NAME OF OKNBR (S): KATHLEEN M. CORAZZINI
OCCUPANCY: SINGLE FAMILY DWELLING
ADMITTED BY: KATHLEEN CORAZZINI
KATHLEEN M. CORAZZINI
ACCQMPANIIID BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP BO.: 14.-2-15
SOURCE OF REQUEST: KATHLLEN CORAZZINI, 2/27/06 DATE~ 01/16/07
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION: CEMENT BLOCK
TOTAL ROOMS: 1ST FLR..: ..:d
BATHROOM (S): ---.!..:...Q
PORCH TYPE: COVERED PORCH
BREEZEilAY:
IXJMESTIC HOTWATER:
21m FLR.: -1
TOILET ROOM(S): ~
DECK TYPE:
1= STORIES: ~ 1= EXITS: ~
CELLAR: 1/2 CRAKL SPACE: 1/2
3RD FLR.: ~
UTILITY ROOM (S) : *
WOOD FRAME
PATIO TYPE:
GARAGE ~
AIRCOHDITIONIHG :
XX
FIREPLACE: NONE
TYPE HEATER:
TYPE HEAT: OIL
OTHER ,
WARM AIR:
XX
HOTWATER :
ACCESSORY STRUCTURES:
GARAGE, TYPE OF COHST. :
SWIMMING POOL:
OTHER ,
STORAGE, TYPE COHST. :
GUEST, TYPE COHST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
INSPECTED BY:
DECK ADD) (REINSPECTED 1/12/07)
REMARKS: BP
DATE ON INSPECTION: 03/10/06
GARY TIME START: 9:35 AM END: 9:55 AM
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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FEB 2 7 i"J
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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 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.
;: 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
L 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.
(y-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
New Construction:
Old or Pre-existing Building:
Location of Property: ?,;L \~ rt n t lJ. ~ "-
House No. Street )
OwnerorOwnersofproperty: CnVD.3)\n \ \ DPr\Ar-;\ ~")jl\ Q 0 HA
Suffolk County Tax Map No 1000, Section / Y Block c>2. Lot
Date.~~/\Dlo
v---- (check one)
D V\( lA +-
Hamlet
J5
Permit No.
Date of Permit.
Filed Map.
Applicant:
Lot:
Subdivision
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
~ (check one)
Fee Submitted: $
~. 7'~~5
~ UJt3~/39
CONSENT TO INSPECTION
4 \ :\IRvICl * ~'""'" ""(~) h_"."
wner(s) Name(s)
That the undersigned (is) (are) the own of the remises in the Town of
Southold, located at , +-
which is shown and d signated on the Suffolk County Tax Map as District 1000,
Section J Y , Block ~, Lot / "5 .
That the undersigned (has ) (have) filed, or cause to be filed, an application in the
Southold Town . ding Ins ector's Office for the following:
,0.
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.
D"OO.&~I\QQ
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(Signaturet
~lppn n~ui I
(Print Name)
(Signature)
(Print Name)
LOT #17
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LOT 15 IN MAP OF PEITY'S BIGHT AT ORIENT
FM#5859 filED JAN 26, 1973
FORMERLY SLEDJESKI
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OLD
MAIN
ROAD
SURVEYED: 15 SEPTEMBER 2003
CUARAN TEES INDICA TED HERE ON SHALL RUN
ONL Y TO THE PERSON FOR \tHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
mz.E COMPANY, GOVERNMENTAL AGENCY,
LENDING INSTITUTION, IF USTE:D HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
SCALE 1 ": 40'
SURVEY OF
DESCRIBED PROPERTY
AREA : 40,245.54 SF
~R
0.924 ACRES
UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIOLA nON OF SECTION 7209 OF
THE NEW YORK STATE: EDUCATION LAW.
SITUATE
ORIENT, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
Nor BE CONSIDERED TO BE A VALID TRUE
COPY.
SURVEYED FOR: DAVID T. CORAllINI, JR.
KATHLEEN M. CORAlllNI
TM# 1000-014-02-015
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW SUFFOLK. N.Y. 11956
6.31-7j4-58.35
GUARANTEED TO:
DAVID T. CORAZZINI, JR.
KATHLEEN M. CORAZZINI
COMMONWEALTH LAND TITLE INS. CO.