HomeMy WebLinkAboutZ-34029FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~qTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 34029
Date: 10/22/09
T~IS CERTIFIES that the building ACCESSORY STORAGE
Location of Property 4850 SOUND AVE MATTITUCK
(HOUSE NO.) (STREET) {HAMLET)
County Tax Map No. 473889 Sectiou 121 Block 0003 Lot 006
Subdivision Filed Map No. __ LOt No. __
Accessory Building
couforms substantially to the Requirements for a ~~~
built prior to APRIL 9, 1957 pursuant to which U~TIFICATE OF
~UO~/~C~f I~q~BER Z- 34029 dated OCTOBER 22, 2009
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 ACCESSORY STORAGE BUILDING. (BUILDING D ON SURVEY)
The certificate is issued to FRANK & DONNA M SCAROLA
( OWNER )
of the aforesaid building.
ELECTRICAL CERTIFICATE NO.
PLOUghERS C~RTIFICATION DA'£K~
o nature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ItALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This applieation 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 natusal or
topographic features.
2. Final Approval from Health Dept. of water supply and sewemgn-disposat (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. Commemial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance.from architect or engineer r~ponsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
(~For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
i. 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
t. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00 Alterations to dwelling $25.00,
Swimming pool $25.0C, 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 Oceupancy- Residential $15.00, Commercial $15.00
Date.
Old or Pre-existing Building: V'/
House No. Street
New Construction:
Location of Property:
Owner or Ownem of Property: fft]'"~ ~-;-- ~:~ ~-~t:;~
Suffolk County Tax Map No 1000, Section [ ~-' ] Block
(check one)
Hamlet
Lot ~
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ?004 OO
Filed Map. Lot:
Underwriters Approval:
Date of Permit.
Final Certificate:
one)
~;~pplicant Si~a~ ~
CONSENT TO INSPECTION
Owner(s) Name(s)
· the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) oft_he premises in the Town of
Southold, located at ~ ~ ~ '~Wl..Oo'Z~ ~--~/~-'--A.,rO"~',
which is shown and designated on the Suffolk County Tax Map ~ District 1000, ''
Section ~ Block '~ , Lot (~
That the und6rsigned (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 ~he Building Inspectors of the
Town of Southold to emer 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, roles and'regnlations 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, roles or
regulations of the Town of Southold.
Dated:
(Signature)
(Print Name)
(Signature)
(Print Name)
~'~'~'~ F SOUTHOLD BUILDING DEPT.
/~1,~-/~/~'~ 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~)/~:~ ,~ ~--- ,~/-~ ~
DATE
INSPECTOR~~
SOUND
ARE/q= 2.2170 ACRES
PECOW4,C--,9'i~RVEYORS
(516) ~65 - 5020
54655 ~AIN ROAD
SOUTHOgD~ N. Y.
A V~Nu~
~'00'
Prepared in accordance with the minimum
standards for title surveys as established bp
~O~e LI.A.L$. and approved and adopte
',-:',;.';:.L:~,,:,', '"" ..w Ya,,, S,o,..,._
'.
SURVEY FOR
RANDALL J. FEINBERG
AT MATTITUGK
TOWN OF 50UTHOLD
SUFFOLK COUNTYs N.Y.
I000 -121 - 03 05
SCALE '1"=60~
OCT. II, 1985
LIC. NO. 49518
ENGINEERS ~ P. C.
CERTIFIED TO:
TICOR TITLE GUARANTEE
RANDALL d. FEINBERG
85 - 35 5
TOWN OF SOUTHOLD PR PER RE4~ORD CARD
F~R,MER~)V~ER ' , I~ ' , r ' SOr4tl~ E
~ND IMP. TOTAL DATE
AGE BUILDING CONDITION
Fa~ Acre Volue Per Value I [ I
I
Tillable I ~l~/~Lrla~-qoq-
Tilloble 2
/ill~ble 3
Noodlond
5wompland FRONTAGE ON WATER
3rushlond FRONTAGE ON ROAD
douse Plot DEPTH
BULKH~D
total ~ ~ DOCK
COLOR
M. Bldg.
~xtension
Extension
Extension
Porch
Porch
~ndation
Ext. Walls
Fire Place
Type Roof
~l~creation Room
Dormer
Breezeway Driveway
Sa rage
Patio
Bath
FJoors
Interior Finish
Heat
Roo~ns 1st Floor
Rooms 2nd Floor
Dinette
DR.
BR.
FIN. B.
Total