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HomeMy WebLinkAboutZ-32398FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32398 Date: 06/12/07 THIS CERTIFIES that the building DWELLING Location of Property 2575 LIGHT HOUSE RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 050 Block 0003 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- 32398 dated JUNE 12, 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, ACCESSORY TWO CAR GARAGE & X 15 STORAGE SHED* The certificate is issued to STEPHEN & ANGELA L PUTZI (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. / 44k /"-Itho3Azed Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2575 LIGHT HOUSE RD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): STEPHEN & ANGELA L PUTZI OCCUPANCY: SINGLE FAMILY DWELLING STEPHEN & ANGELA L PUTZI ADMITTED BY: STEPHEN PUTZI ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 50.-3-6 SOURCE OF REQUEST: PAUL A. CAMINITI ATTY 6/6/07 DATE: 06/12/07 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4 FOUNDATION: POURED CONCRETE & STONE CELLAR. 1/2 CRAWL SPACE: 1/2 TOTAL ROOKS: IST PLR.: 6 2ND PLR.: 3 3RD FLR.: 0 HATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: FRONT & BACK COVERED DECK TYPE: 12 X 15 SIDE YARD PATIO TYPE: _ BREEZEWAY: FIREPLACE: TWO GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: KEYSPAN GAS AIRCONDITIONING: CENTRAL AIR TYPE HEAT: YES WARM AIR: HOTWATER: OTHER: GREENHOUSE & SUNROOM ADDITION & CARPORT ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: 8 X 15 SHED - WOOD FRAME{ SWIMMING POOL: NO GUEST, TYPE COMET.: OTHER: *ATTACHED TO GARAGE PLUS OVERHANG REAR OF GARAGE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP10326ZCOZ9820-BP10464ZCOZ9821-BP2481000Z25981-BP25005ZCOZ25982- BP26916ZCOU7465-BP28040ZCOZ28416-BP29992ZCOZ30422-BP29994ZCOZ31257 c INSPECTED BY: DATE ON INSPECTION: 06/07/07 MR71IF154 TINS START: 10:05 AM END: 10:40 AM Form No. 6 J TOWN OF SOUTHOLD BUILDING DEPARTMENT Z� I TOWN HALL I 765-1802 IZ�r "" 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 I% 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 properly 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. 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. (a 07 New Construction: Old or Pre-existing Building: V (check one) Location of Property: A 6 % A/10 House No. Street Owner or Owners of Property: S %C PXe-W k TZ Suffolk County Tax Map No 1000, Section .i0 Block X .3 Lot Subdivision Permit No, Health Dept. Approval: Date of Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ /Q e+i Filed Map. Underwriters Approval: Final Certificate: Lot: one) / Applicant Signature Hamlet 0 06/05/2007 10:17 631-765-5902 PAIL A CAMINITI PAGE 02/03 06-05-2007 09:19 SOUTHOLD BUILDING DEPT 16317659502 PAGE2 ill■lRiO®SIRiIIRIlRlRll�l•i�•IR6Y9Riiq.S46Rl1,YlIlFtlIR WI R UGHTHOUSE • RR /F sresl s N VWE r � R 4 R fig/' 1 O l II N. mxar�bApYN �w.R �suvsa� p¢ 'Lin „ rax" Ya.oeKAra&o m E gyp,+ ,xu q N � ro �� tOuem � N4/%Q IO MAP OF PROPERTY am/= 4r HORTONS PONT, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK sau 1,H0, N S✓rn7 SO/YNou, ma C£RAF?O M. 46 NanNnp NI/I OHM LISA WOLF JOT WMIL4 AS 0/x NOh. NYS 17746 J GYRI N�o7 ARSOLUTE ABSTRACT, MC. FMFUTY NAMAWL ARE INSCO, LA RFF.NO. 11453 ARE YO.M 1474-5 (651) me -1675 Faa sm-1076 T P j Q-� N.Y.S. UC N0. 4Re67 • R• 06-05-2007 09:19 SOUTHOLD BUILDING DEPT 16317659502 PAGE2 TOWN OF SOUTHOLD PROPERTY RECORD CARD /%- 6 OWNER STREET '} VILLAGE DIST.1 SUB. LOT Sk e F04 R OWNER N ,, , E .; ACR. s�rv1' G t.,, .,, . ; �� S ) W ' TYPE OF BUILDING,. fir" � _�. ,4�✓-�J � LOCA P RES --21/0 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS e OfC:IF4,41," ✓ l _ b JSJ % .2,72 �.i �. © O / O O a Z Lvm 100, .�- , X24 V 2.Ay. -® Y..2 /*,41, " '1 2-�O-IJ �80 0 QQ� � �O ///d ��fl Aw./ .513 �4o/iT9.Y+e Ta i.fY%eH^i✓7"," C3�/�3�'l( 7r v,a�f_Qcx>Ai wG?t��rcuu (? , /oT- - L t 1K5 if- A Esn Pu 2-107' 7/9/98 Bf�aScaoS-�^Z;; A' r, f _, 4: o o— [C, roflr+ AGE BUILDING CONDITION 40�,� NEW NORMAL BELOW ABOVE I0-4 & a8o - add, f oll FARM Acre Value Per Value t G0�jOY;j} 8� Acre c. j�p� � g CC e % 5 v J! FRONTAGE ON WATER Woodland FRONTAGE ON ROAD,8 ' Meadowland i DEPTH - i House PIotr /,e; d --O BULKHEAD � v Total I �, r„ DOCK aasJ �-.�''� f . � i��. 06/05/2007 10:17 631-765-5902 PAUL A CAMINITI PAGE 03/03 06-05-2007 09:20 SDUTHOLD BUILDING DEPT 16317659502 PAGES m i I i i e II II ' W n 1 i d 0 r 1, a i C ... S s......... _. ....... ....ti WCY✓� 5�14.Ow 06-05-2007 09:20 SDUTHOLD BUILDING DEPT 16317659502 PAGES CONSENT TO INSPECTION 7, 12– the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned is ( e) the owner(s) of the premises in the Town of Southold, located at d - r779 &A t� which is shown and designated on the Suffolk County Tax Map as District 1000, Section .6�O Block )6 3 Lot 6 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 6L&q,,,r/46 STe4/c&,o(2 15v/Lf (OVI&5� �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: 6 --4-- Q % (�,,,(Print Name) ,41&,Vec1 Ri igwtlP,- Signature) (Print Name) LOCATION: (number & street) (municipality) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: LOT(S): (type) (owner -tenant) ADMITTED BY: S'0is�� Lnz ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING: r TYPE OF CONSTRU TION: # STORIES: # EXITS: FOUNDATION: CELLAR: CRAWL SPACE - TOTAL ROOMS: 1ST FLR:2ND FLR: .3 3RD FLR: BATHROOM(S): �o OILET ROOM(S): --- UTILITY ROOM: �ORCH TYPE: 6( DECK, TYPE: Lx/ ,/ c PATIO, TYPE: REEZEWAY: .— FIREPLACE: %,vo GARAGE: r_ DOMESTIC HOTWATER: S TYPE HEATER: AIRCONDITIONING: -Oj�t/L TYPE HEAT: WARM AIRS HOTWATER:y£S. OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CON T.:,/'�- kk- %�STORAGE, TYPE CONST.: SWIMMING POOL: ,V6? GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: 710 TIME START: !© " t0_r END: