HomeMy WebLinkAboutZ-36859
Town of Southold Annex 4/11/2014
54375 Main Road
Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 36859 Date: 4/11/2014
THIS CERTIFIES that the structure(s) located at: 5485 Main Bayview Rd, Southold
SCTM 473889 Sec/Block/Lot: 76.-3-35
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36859
dated 4/11/2014 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling.*
The certificate is issued to Carosotto, Emily
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
jt4/Si aturc
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 5485 Main Bayview Rd, Southold
SUFF. CO. TAX MAP NO.: 76.-3-35 SUBDIVISION:
NAME OF OWNER(S): Carosotto, Emily
OCCUPANCY:
ADMITTED BY: Sandra DeRose
SOURCE OF REQUEST: Carosotto, Emily DATE: 4/11/2014
DWELLING:
# STORIES: 1 # EXITS: 2
FOUNDATION: concrete block CELLAR: 1/2 CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: offboiler AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: X
# BEDROOMS: 2 # KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST:
SWIMMING POOL: GUEST, TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 4/9/2014
TIME START: 10:15am END: 10:30am
Mar.13.2014 01:55 PM Paul Carosotto 6316671779 PAGE. 1/ 1
03/13/2014 13:52 631-765-3903 CENTURY 21 ALBERTSON PAGE 02/03
worm NO. s
TOWN OF 9O UTHOLp~(j-
BUILDING DEPARTMENT
TOWN HALL
765-1302
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 user
I. 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).
1 Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 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) no"onfarming uses, or buildings and "pro-exbtinge 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 s Certificate of Occupancy is
denied, the Building Inspector shalt stay the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling SS0.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to necessary building 550.00, Businesses $50.00,
2. Certificate of Occupancy on Pre-misting Building - $100.00
3. Copy of Certificate of Occupancy -S.25
4, Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15,00, Commercial 515.00
Date.
New Construction: Old or Pre-existing Building: V _ (check one)
Location of Property: frip"n~ftultau a5Srt4 lad
House No. r Street) Hamlet
Owner or Owners of Property. i 4 YL 'co
Suffolk County Tax Map No 1000, section Brock Lot
Subdivision Filed Map. Lot:
Permit No. , Date of Permit. _ Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval;
Request for: Temporary Certificate Final Certificate: (check one)
Fcc Submitted: $ _ /co V pplicantSignalure
eat(/
03/13/2014 13:52 631-765-3803 CENTURY 21 ALBERTSM PAGE 03/03
CONSENT TO INSPECTION
r ~7, Wn l DSO the undersigned, do(es) hereby state:
Owr=(a) Name(s)
That the w0ateigtted (is) (are) the owner(s) of the premises in the Town of
Southold, boated at !r` eW ram ,3arguF Size 4,04 A
which la d w atid. d/siQna6ed on the Su9b1k County Tax Mapes District 1000,
Samoa Blush-'. ,'Lot .3r
That the undfireigaw (haa) (have) Sled, or auee to be filed, an application in the
Southold Towti'Building Itupe0or's Office fix-the followirW
d7LA Qk ~F-r ,Sr.vr ?t.14Z -n~LO
That the undwelgned do(es).heseby give con6ent to the Building Inspectors of the
Town of Southold to enter upon the above described pmpaty, lacluding any and all
buildinV loci* thereon,. to obudad such inspections as they may dem necessary with
respect to the aforaaaid application, including taspootlona to determine that said premises
coniplywith all of the laws, ordinances, roles aria regulations,of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that anyintbtrnattca obtained in the conduot of such inspections may
be used fnri.aubsequent proeeeutlom fbr violations, of the laws, ordinances, rules uY
regulations of the Tinto of Soudiold,
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(.Print Name)
T /T '3DKd 6LLTL99TE9 oT4090xP3 Tnua wa ES:TO 710Z'ET-aRW
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DISTRICT SUB. LOT L 7 A
FORMER OWNER N E ACREAG
S W TYPE OF BUILDING
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.ES. Zld SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS Z
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD / v lJ ~i=ucd v
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Extension - -
Fire Place Heat
Extension -
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Porch Roof Type
Porch Rooms 1st Floor
Rooms 2nd Floor
Breezeway Patio
Garage Driveway Dormer
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UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK
STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE SURVEYOR'S INKED OR 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 TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
PROPERTY SITUATED AT: SOUTHOLD
A. SPLESCIA, P.L.S., P.C. L?ND S
SUFFOLK COUNTY NEW YORK SURVEWNG CONSULTANT 05E $ ~'R6
LOT: 73 P/o LoTs: 72 a 74 BLOCK: SECTION: 3229 POPLAR PLACE
WANTAGH, NEW YORK
,
MAP OF: GOOSE NECK SITUATED AT BAYVIEW TEL (516)826-1066
TOWN OF SOUMM SUFFOLK COUNTY NEW YORK
CERTIFIED T0: SCALE: 1 ao
PAUL & ELIILYCAROSOTTO SURVEYED: APRIL 2, 2014
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: STORIES: 01--Q-# EXIT
FOUNDATION: C_ b BASEMENT: CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO, TYPE:
BREEZEWAY: FIREPLACE: gARAGE:
DOMESTIC HOTWATER: {TYPE HEATER: ~ p_~"~'AIIRRCCONDITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
# OF KITCHENS: /
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CO ST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION ART. SEC.
M
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
TIME START: A"/'-f- END: