Loading...
HomeMy WebLinkAboutZ-32255FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32255 Date: 03/19/07 THIS CERTIFIES that the building DWELLING Location of Property 475 WOOD LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 043 Block 0004 Lot 020 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- 32255 dated MARCH 19, 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 LAWRENCE A LAVEGLIA (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. Au orized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 475 WOOD LA GREENPORT SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S): LAWRENCE A LAVEGLIA OCCUPANCY: SINGLE FAMILY DWELLING LAWRENCE A LAVEGLIA ADMITTED BY: DIANE CARPENTIERI ACCOMPANIED BY: SAME KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 43.-4-20 SOURCE OF REQUEST: LAWRENCE LAVEGLIA 2/28/07 DATE: 03/19/07 DWELLING: TYPE OF CONSTRUCTION-. WOOD FRAME i STORIES: 1.0 $ EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRANL SPACE: TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0 BATHROON(S): 1.0 TOILET ROOM (S) 0.0 UTILITY ROOM(S): PORCH TYPE: CEMENT 2 PORCHES DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: NO GARAGE: DOMESTIC HOTMATER: YES TYPE HEATER: OIL BURNER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: YES OTHER: BILCO DOOR ENTRANCE ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: 8.3' X 12.1' GUEST, TYPE COMET.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: GEORGE GILL® DATE ON INSPECTION: 03/19/0 TIME START: BeID: 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. 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. 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. 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: Location of Property: 4 House Owner or Owners of Property: Date. _ A ����D 7 Old or Pre-existing Building: ✓ _ (check one) ha0 revlcC Suffolk County Tax Map No 1000, Section Subdivision Pernut No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Subndtted: $ / 0 0 6�., 012 61k c0 t 3.2A.55' DOS ka l //Street ha v eef azr y-Jl Block Filed Map, Underwriters Approval: Pe 7-. Adll9c/y Lot (0o'�ya I Lot: _ -W Cr, ti, - Final Certificate: ✓ (check one) ,,y Applicant ignatu CONSENT TO INSPECTION -- kC-LLV2b1ee— 4 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 ¢-W (-0 m©C-grKC- u epct-1 which is shown and designated on the Suffolk County Tax Map as District 1000, Section Block , Lot a© 4- A I That the undersigned (has) (have) filed, or cause to be file an applicati n in the n Southol Town Building Inspector's Office for the following: c �' 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: 3 I a- ( D (Signature "WAer- Iq //\�d�GGisf (Print Name) (Signature) (Print Name) I �V _ 3— y _ 2 o TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT LGYV�1rPX1C,e, QV is 4L I It , L 6t 1 L. T-_ /" /6 e g c. FORMER OWNER L aWFq- nC.,,7- Lave N A�va E Tion .tee_ ACR. las T- S 1 Ye TYPE OF BUILDING RES.. SEAS. 0 L. FARM COMM. Ci MICS. Mkt. Value LAND -IMP. TOTAL DATE REMARKS 300 oov j60 5 g; 41 o 5 0 0 n aAl Zd- L Z i{�✓�- Ve �I ✓5 . AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD �'v oa Y Meodowlond DEPTH J House Plot BULKHEAD Total K S.C.T.M. NO. DISTRICT. 1000 SECTION: 43 BLOCK: 4 LOT(S):20&r21 LAND N/F OF RPBERT KRUSZESKI LAND N/F OF JOHN & DIANA RETOS X02"55'00'E 100.00' WOOD FE. eD 6 3.1 12.1 4.1' FR. FR. Cm SHED SHED a o m o w N p in .r W z W d a x U k. [r. O BILCO O Cr. DOOR z CONI. z In STOOP 28.4 qJ��7` 1 STY. .aW FRAME e O N DWELLING n W O O to O 28.4 O 4.1 OCONC. Ljz STOOP (o co pi100.0 Z ' O MON FD U O U P N4 MON FD SO2"55'00"W 100.00 U.F. 47 WOOD (50') LANE 22't ASPHALT PAVEMENT THE WATER SUPPLY, WELLS AND CESSPOOL LOCA71ONS SHOWN ARE FROM FIELD OBSERVA TONS AND OR DATA OBTAINED FROM OTHERS. AREA: 10,000 S.F OR 0.23 ACRES ELEVATION DATUM. ------------------------- UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA 7ION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: LAWRENCE A. LAVEGLIA; MAP OF: FILED: SITUATED AT: GREENPORT TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S. SUFFOLK COUNTY, NEW YORK Land Surveying and Design 44>vd/ P.O. Boz 3, Wattituck, New York, 11952 FILE p 27-16 SCALE: 1"=20' DATE: FEB.19, 2007 ----- PHONE (891) 298-1588 FAX (891) 298-1588 N. Y. S. LIC NO. 50227 maintaining the "Cords of Robert J. Hennessy LOCATION: 77_5— W&4*- ge_� (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: I '(type) U (owner -tenant) i ADMITTED BY �� ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- T3 - — SOURCE OF REQUEST: DATE: �- �' —0 7 *gym DWELLING: TYPE OF CONSTRUCTION: f #STORIES: # EXITS: FOUNDATION: CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: It 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: ,-- PORCH TYPE: J DECK, TYPE: PATIO, TYPE: �— BREEZEWAY: FIREPLACE: GARAGE: -' DOMESTIC H TWATER: YE5 TYPE HEATER: 0 Xft7� AIRCONDITIONING: r— TYPE HEAT: L WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: END: 7 ��OF SOUT,y� .4 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ [ ] FOUNDATION 2ND [ [ ] FRAMING/ STRAPPING [ [ ] FIREPLACE A CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ REMARKS: ] ROUGH PLOG. ] INSULATION ] FINAL A-4- cj ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE -3 INSPECTOR