HomeMy WebLinkAboutZ-27783FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27783
Date: 06/29/01
THIS CERTIFIES t~at the building DWELLING
Location of Property 1470 CENTRAL DR MATTITUCK
(HOUSE NO.) (STREET) (KAMLET)
County Tan(Map No. 473889 Section 106 Block 0002 Lot 012
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
OCC~U-PANC~f NI~BER Z- 27783 dated JI/NE 29, 2001
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 PATIO.*
The certificate is issued to FREDERICK & AMPARO ABATELLI
( OWNER )
of the aforesaid building.
SUFFOLK COUN~"ZDEPARTMENTOFHEA~THAPPROVAL
ELBC~rRICAL CERTIFICATE NO.
PLUMBERS c~KTIFICATION DArmu
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
//ut h/ri z ea 'Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTEOLD
HOUSING CODE INSPECTION REPORT
I~TION: 1470 CENTRAL DR MATTITUCK
SOBDI~fISION: ~ NO.:
NA~ OF O~ (S): FREDERICK & AMPAR0 ABATELLI
OCC~ANCY: SINGLE FAMILY FREDERICK & AMPARO A~ATELLI
DWELLING
ACCESSORY STRUCTURES:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P~: BP #19728 ALTERATION CO #Z20121
DATE ON INSPECTION: 06/28/01
TI~ START: 10:15 AM E~: 10:35 AM
Form No. 6 ~ ~
TOWN OF $oUTHoLD ~,c~?~~/
BUILDING DEPARTMENT ~
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by tyPewriter OR ink a~d submitted to the building
inspector with the following: for new building or new use:
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).
3.Approval of electrical installation from Board O{ 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 building~
and installations, a certificate of Code Comp!ianoe from ardhitect 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, orbuildings and
Ppre-existing" land uses:
1. Accucate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. Aproperly completed application and a.consentto inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasone 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 $25f00,
Additions to accessory building $25.00. Businesses $50.00..
2.Certificate of Occupancy on Pre-existing Buildinm - $100.O0
3.Copy of Certificate of Occupancy - i '~
4. Updated Certificate of Occupancy - $50.00
5. Temperary Certificate of Occupancy - Residential $15.00,'Commercial $15.00
~Construetion ........... Old Or Pre-existing Bniiding .................
Location of Property .............................
House No. · Street Ummlet
O~wer or. Owners o~ Proper ty..~, ,~,~,~. ~,/,~ ,~,i ~. ~, ,~,~. ~(~. ,,~.. ~/~, ~[.q. ~, z,'~. ~.~- ~/~,'.
County Tax Hap ~o 1000, ection ...... B~ck ........ Lot .....
Subdivision ...... 4 ............................ Filed Hap ............ Lot .....................
Permit No Date Of Permit ' Applicant '
Health Dept Approval Underwriters Approval
Planning Board Approval ...............
Request for: Temperary Certificate ........... Final Certicate ........... ·
ee Sub~gitted:_ $ ............................ ~ ~ ~ . /-~ · --.
q'!'g - '
CONSENT
TO
INSPECTION
Owner(R) Nan~e(s)
do(es) hereby state:
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
· which is shown and designated on the Suffolk
County tax map as District 1000, Section .~ ..~, Block 6~ , Lot ~
That the undersigned (has) (have) filed, ~or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following: ~-d~
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, irules
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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:Jc~l,t~.. ~ ~Z. 0o !
(signature)
(print name)
(~i~na[~e)
c.
(p~lnt name)
C ~ NTI~AL
~c~ o~ Co~¥c~i~ ~:{d~ ~s+c~e$°',
MAP OF' LAND
~-I~gO~l~ CK d. ABATELL!
MATT
'Tow~,,~ of
LOCATION:
SUBDIVISION
'(number & stree{)~
NAME OF OWNER (s)
.(municipality
NO, LOT (s)
OCCUPANCY
(type)
ADMIItgD BY:
KEY AVAIl. ABLE
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY:
SI/FF. CO. TAX MAP NO.
DATE:
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS: IST FLR.
BATHROOM (s)
PORCH TYPE
BREEZEWAY
DO~STIC BOT~A~R
TYPE HEAT
,
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
~-- 2ND FLR.
TOILET ROOM (s)
DECK, TYPE
FIREPLACE
TYPE HEATER
WARM AIR
3RD FLR.
~ EXITS ,~'
CRAWL SPACE
UTILITY ROOM
PATIO, T~PE
AIR~ON~ITIO~IN~
HOTWATER
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
ZZZZ;7 ..................... 7 .................................. = ....................
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIHE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
~ ~., ~/4~
..::,,~: -/:,~.-~-e TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
FORMER OWNER ~ I ~/ ~
N
VI LLAGE
DI.STRICT
ACREAGE
W
SUB.
TYPE OF BUILDING
77
RES.
LAND
~00
AGE
NEW
Farm
Tillab. le 1
Tillable 2
Tillable, 3
Woodland
Swampland
Brushland
House Plot
Total
SEAS.
IMP.
NORMAL
Ac re
VL.
TOTAL
FARM
DATE
REMARKS db -~- ~O/'o~l
It I/I?Y
BUILDING CONDITION
B E LOW
Value Per Acre
ABOVE
Value
~ ~XlO : $o .~0 I~ ~t. Wolls ~X, SA. Interior Finish
Extension Fire Place ~O ~ ¢ Hea*
Porch Attic
Porch Rooms 1st Flor
~reezeway Patio Rooms 2nd Floor
~arage ~6 ~ l~ ~ Y~ ~ ~ y ~ Driveway
).B.