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Home My WebLink AboutZ-32256FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32256 Date: 03/20/07 THIS CERTIFIES that the building DWELLING Location of Property 375 BROADWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 0012 Lot 006.001 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- 32256 dated MARCH 20, 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 WITH ACCESSORY COTTAGE* The certificate is issued to ANTHONY SAVASTANO (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. AuCrhorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 375 BROADWATERS RD CUTCHOGUE SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S): ANTHONY SAVASTANO OCCUPANCY: SINGLE FAMILY DWELLING ANTHONY SAVASTANO ADMITTED BY: JASON SCOTT ACCOMPANIED BY: KIRK SEUBERT KEY AVAILABLE: BUFF. CO. TAY MAP NO.: 104.-12-6.1 SOURCE OF REQUEST: ANTHONY SAVASTANO - 3/15/07 DATE: 03/20/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME $ STORIES: 1.0 F EXITS: 4 FOUNDATION: CEMENT BLOCK CRT•*•AR: PART CRAWL SPACE: PART TOTAL ROOMS: 1ST FLR.: 6 2ND PLR.: 0 3RD FLR.: 0 BATHROCK(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: 2-CONCRETE&SLATE&CONCRETE BREEZEWAY• FIREPLACE- DOMESTIC HOTWATER: YES TYPE BEATER: OIL-H.WATER AIRLONDITIONING: TYPE HEAT: OIL WARM AIR: HOTHATER: YES OTHER: •SEPARATE HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF COMET.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: WOOD FRAME ONE BEDROOM* OTHER: •COTTAGE ON SLAB-KITCHEN,BATH,LIVING ROOM,FIREPLACE,ROOFED OVER PORCH VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: - DATE ON INSPECTION: 03/19/0 GEORGE GILLSH TIME START: END: 62LI6-675-1aYS Form No. 6 uap' 5 2OO(TOWN OF SOUTHOLD 177�R 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 a 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 I. 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. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / ,^ Date. New Construction: 4 Old or Pre-existing Building: n (check one)) / Location of Property: 5.S S 6100 � W -a t x�-v5 14',C4LK7tr-h0 9 it ? 3 -3— House No. C �J Street ,�f Hamlet Q // Owner or Owners of Property: / /�7 / 0✓1 <L S�lU g S / Vn o Suffolk County Tax Map No 1000, Section �/ ly t Block Id-- Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 10 Final Certificate: check one) plicant Signature CONSENT TO INSPECTION —.Zk,�G�S�e the undersigned, do(es) herebystate: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) o£the premises in the Town of N Southold, located at S fj/doa +-> Ott C which is sh wn and designated on the Suffolk County Tax Map as District 1 000, Section Block Lot �• That the undersigned (has) (have) filed, or cause to be filed an application in the Southold Town Building Inspector's Office for the following: 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:S(71 " Signa td�tu� (Pnn NN/aame) (Signature) (Print Name) m - D &,' TOWN OF SOUTHOLD . PROPERTY RECORD CARD OWNER STREETs� VILLAGE DIST. SU LOT (� . koad Ou Ac- tie drsdvP.:,tG/�61�f.op, «.a. aaWwa.NY-r ve 'FORMEROWNER N E ACR./ '�� ✓ +' 9 S W TYPE OF BUILDING c /LI4 T G�-ee� /may y--) . .ES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. DATE REMARKS �� /Q/ 9 �� Jia�P G0 4 t � c16 : 9oa �� dQ lT�O/TAL ii tl bQ j / Y1431 1Vo i�d Oa s--7oa Yi 6w .�,rroodAd p f r A gr ee Te /Or, / 0200O �S4006 Gy«n 1�0Sa/a.ST�no /i�c%97 200C) 2 0 o zeo ! 8b Z Z/ 06 & AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre -illable 1 'illable 2 'illable 3 Voodland wampland FRONTAGE ON WATER rushland FRONTAGE ON ROAD 1&4 ty 7F obi p louse Plot ( 0 1 300 DEPTH 3�j-7 X vei-y e BULKHEAD 'otal _ - DOCK 11 w PROPERTY RECORD CARD STREET 7S �Jlpdulwa.Ae / odC/ VILLAGE DIST. SUB) LOT W �/9p CU/CLia v< d' u io'A, 44, Tho 0 �wc. N E ACR. �. t CTF<terJ S W TYPE OF BUILDING SEAS. VL. 9 FARM COMM. CB. MISC. Mkt. Value ND IMP. TOTAL DATE n p / REMARKS f, /� �- G QO iH c G4(i L�oJ� �[/ , / .e p`��^'. /;, /yl1,7, GJre e, / � ReRe 6:�ev A *- di Sa�� ¢SsOoa tech eycStaHo AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD ��/ �f a n ia �w a7�e. r I�omtlo/ 4 ' ,' 77 -louse Plot DEPTH Y% V aha q BULKHEAD dotal DOCK y a 'e�gdli'ns , s err .'vi-� afar 0-7 °i ti X, 0 9, 2oc�s 'Ny^ N. o6.4i8'!O"W. 1?ce FLa14t"S i 0 — 2iOD.0 6? ° is = rf'1pl�is�+r'Q�rt•F• Y QQ V IR !9(: Vi t.[rOL r>t.i.rrb�•w. $fpyyFi i.wG;�,• fm "4*1" dovi iv?dp q :sae %�F: rst2 3' COO, SeCYL 104, Blocr ; , Fi 1 ...li t+ . ai i" Tif/e Nn.�-icl?7LRZ 2m"ieed to -Eire ewrwr and ft+ He ccx rft' 7714—,* GL"rt nrh j cc"a#g,,y I Sc.H^veyerf Seat S,ICr`7'fs OC lCK V4" 7Ziye_, P(--. ��6®c! Lcvrk•�( Scnvwforfs r t`- Mery Vor•'k LOCATION: -S-55 flP-e 0 W, -7`E -P S Of', C g j c H IDG Lt f�:- (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): _ NAME OF OWNER(S): NT oA1 -34 V A ST A10 OCCUPANCY: /Z Y, D (type) (owner -tenant) ADMITTED BY: SC0 %�7' ACCOMPANIED BY: ' /RA -54N- P EIRT KEY AVAILABLE: 11, BUFF. CO. TAX MAP NO. 1000- 10EA--5- SOURCE OF REQUEST: 4W7'1101vY -5,IVAST-/!V ® DATE: DWELLING: TYPE OF CONSTRUCTION: 1�a ° ��'� # STORIES: # EXITS: FOUNDATION: Com? GK/7 La Cj< CELLAR: f"7- CRAWL SPACE: & TOTAL ROOMS: IST FLR: 40 2ND FLR 3RD FLR: ---- - BATHROOM(S): d TOILET ROOM(S): _ : r,4 r/o COVC —1C PORCH TYPE: DECK, TYPE: PATIO, TYPE: cr , BREEZEWAY: FIREPLACE: GARAGE: — DOMESTIC HOTWATER: j TYPE HEATER: AIRCONDITIONING: TYPE HEAT: 0 WARM AIR: HOTWATER: OTHER: r� o f `— T -te--:nem- - ACCESSORY STRUCTURES: V/v SL.'M ) GARAGE, TYPE OF CONST.: SWIMMING POOL: GUES TYPE CONST: L�Nn`-0-bOTHER: §S � VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: -� DATE OF INSPECTION:, 6' — jam. a 6 -- TIME START: d 10 AY END:j �u )r r�