HomeMy WebLinkAboutZ-32653
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-
32653
Date: 10/04/07
THIS CERTIFIES that the building
DWELLING
Location of property 50 LIGHT
(HOUSE NO.)
County Tax Map No. 473889 Section 055
HOUSE RD
(STREET)
Block 0001
SOUTHOLD
(HAMLET)
Lot 002
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-
32653
dated OCTOBER
4, 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 BARN'
The certificate is issued to HARRIET DONOPRIA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPAR'IMENT 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
LOCATIOH:
50 LIGHT HOUSE RD
SOUTHOLD
MAP NO.:
LOT (S)
SOBDIVISIOH :
NAME OF ONRKR (S): HARRIET DONOPRIA
OCCUPANCY: SINGLE FAMILY DWELLING
HARRIET DONOPRIA
ADMITTED BY: MARY ANN SAWICKI & CATHY DOLSO ACCOMPAlfIED BY: SAME
KEY AVAILABLE:
SOURCE OF REQUEST:
SUFF. CO. TAX MAP NO.: 55.-1-2
CHRISA PASQUALONE, ATTY 9/25/07 DATE: 10/04/07
DWELLING:
TYPE OF COliISTRUCTIOH':
'l'OTAL RCXJMS:
BATHROOM (S) ,
PORCH TYPE:
BRKIl:ZEllAY:
DOMESTIC HOTIIATER:
1ST FLR.:
1.0
4 2ND FLR.: 4
TOILET ROOM (S) ,
. STORIES: ~ . EXITS: ~
CELLAR: 1/5 CRAWL SPACE: 4/5
3RD FLR_: 0
1. 0 IITILITY ROOM (S) ,
WOOD FRAME
FOUNDATION :
BRICK
DECK TYPE: REAR BRICK, SIDE SLAB
FI:R:KPLACE: ONE GARAGE:
PATIO TYPE:
YES
TYPE HEATER:
AIRCONDITIOHIltG:
TYPE HEAT: OIL
OTHKR ,
tmRM AIR:
HOTIIATKR: XX
ACCESSORY STRUCTURES:
GARAGE. TYPE OF COHST.:
SIIIMMDIG POOL:
OTHKR ,
STOIU\GE. TYPE COHST.: ACCESSORY BARN
GUEST. TYPE COBST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
RllMARKS ,
INSPECTED BY:
DATE ON DlSPBC"ITOH: 10/01/07
TIME START: 10:00 AM EHD: 10:30 AM
.
09-05-2007 11:25 SDUTHDLD BUILDING DEPT 16317659502
PAGEl
Form No.6
TOWN OF SOllTHOI.O
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLlCATION FOR CEHTlFICATE OF OCCUPANCY
This applicatiun must be fdle<lm by typewnter or Ink and suhmitted tolh" Building llepal1ment with the following;
A. For new buildinl( or lIew u,e:
1, Finr:lI survey of.' prop(,,:-J,1y wilh (l(:<.:urat<.: locution uf H11 buildings, prnpclty ljfl<.:s~ I-itn:c-Ui, and lJIllwualllHtund or
topographic features. .
2. l'inal Apptoy,,1 1"1'0)11 He"llh Depe of'watel' 'C1Pply and "cw,-,wge-di.posal (S-9 f,mn).
3, Approval of d"etrical installation from Board ofbre Underwrite".
4, Swom statement from plumber cel1ifying that the .older used in "ystcm conlains less Iha1l2l1O of 1 'Yo I\:"d,
5. Cornrnerdal huilding, indufltdal building) umltiple 1'e~idc11{;CS and ~imilar buildings and illRtallnlions) n cl:rtificate
of Code Compliam:,c rrnm lnc,}litect nt. c:.:ng1TlCer f'eflpnn~jbh: fur t.hf.~ building.
C" Submitl'lannillg Board Approval of complcttod site pllln re.quirement..
R. Fot existing huilcliug~ (lJdor to April 9, 1957) Ilon-conforlning u~~_s, or buildings and "pre-existing''' land uses:
1. Accurate Rurvey of property showing all property lines, streets) huilding .md un\1~llal natul"nl or topographic
rt:8lurcs.
L. A prnpC'rty t:(JTTlpl~l.cd Cipplic,i"ll.ioll amI COllSellt to inspect signed by l..hl.~ applicant. If il C!..~liiticatc of OCCUP"IlC)-' i~;
denied; lhl: Building ln~;pl;cl.or Shill! Alate th(~ rea!;()w: therefor in writ.ing tC) t.hl.~ applicant.
C. Fees
1. CorlificHtt: of Oct:ur:"'t:y Ncw dwolling $25.00, Addition' III dwclling $25,00, AJIt:ralion" 10 dwelling $25,00,
~wjmmjnt, pool $25,(1), Acc,,,,;ory building $25.00, A{hlilion, to accessory building $25,00. Businesse. $50.00.
2, Ccrtifk"lt: oI'Oe'up"ne,. onl'n:.c",ting Huilding - $]00.00
:1. Copy orC(;rlifkllt.c oroccupalll;Y ~ $.25
4, Upllatcd C{:)1ifieatc: <.>1' (kc:up;tlIcy' $50.00
S. Temporary Ccrtiflcale ofOccopallcy . RCf:idential $15.00, CntTllJlcrcial $15,00
Date. c,) 2.:slol
New Cnnstrul.;lion:
Old or Pr~"cx isHtlg Building: ../
(check one)
Location of l'r('pc'1y: ,..5..0 ..'k-:;~n.\\ao.-.">~ \?c4 <0.,<:'''' \\--.-,,4 "-"/ II'" .., \ 6l~b
House. l~ ~tr<.~cl
Owne,' or Owne" ofPropellY:__)'(."r..bG..-d J Dc"", pn C. ( d<.<.tt,,,..,c\) '.c\:\qrr\c~
SUff"lk County Tax Mal' No lOOO, Scclioll ___ 5....5....______... Block
Halllkt
I::x::Jnop'" ,0-
Lot 'x._._.___
Subdjvi~iol1
Filed Map,
Lot:
Ptltllil Nt).
!"Jal{: olPcnnil.
Applic"'lt.:
Ilealth Depe Approva];
\Jndel'writers Approval:
lllanning Board Approv"l:
Reque"t hlr:
TCltlTHlrary Ccrlifl(:Hte
. -- PRe CIO
l'inal Certificate: ./
(check one)
Fee ~llbmilte,d $
\l'll)' CO
I:MCL~ ~"'-~\@. ( kt
_ (\\i,~, -:JQ; ~6,J:l:~ ~
~nt Si~turc ciJ:::G-f
\AI cd
6--.<.A-,7l-y\ ?J'
().\Q I 0 ~ 3;)~53
(6{\\DC\ ~ i\JlS-5400
09-05-2007 11:25 SOUTHOLO BUILDING DEPT 16317659502
PAGE2
CONSENT TO INSPECTION
\"\6<<\<" \. DC'-"u;fr I c.-
Ownel'(s) N, e(s)
_.._' the undersigned, do(es) hereby slate:
That the undeniigned (is) (arc) the owner(s) of the premises in the Town of
Southold, located at Sol \ ~n 1-Y-c\1)€' \7 ('~'So~~J Ir-,,,\(I. >:,)\.1 \ I CI ~l,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section _?::L ,mock \ , Lot __~. _'
That the unden;igned (has) (have) tiled, or Cause to be Jiled, an application in the
Southold Town Building Inspector's Office for the t()l1owing:
-Pi e. (l 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 appl ication, including inspections to delcmline that said premises
comply with all of the laws, ordinances, rules and regulations-of the Town of80uthold.
The undersigned, ill consenting to such inspections, do(es) so with the knowledge
and understanding that any infiJllllation obtained in the conduct of such inspections may
be used in subscquent prosecutions for violations of the laws, ordi nances, nlles or
regulations of the Town of 80uthold.
Dated: C'~ \? 'S \ Ci"i
(Signature) .
_ . \-\0 d\-f':Lv.Ql\opr1G---
(Print Name) ,
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DESCRIBED PROPERTY
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SOlfTHOLD. TOWN OF SOUHTOLD
SUFFOLK COUNTY. N.Y.
SURVEYED FOR: KIRK STEPHEN MIllER
ALICE RYAN
~ 7 SEP1EM8tlt 21X17
SC\(.[ 1~.. ..0'
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