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Home My WebLink AboutZ-23719FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRS EXISTING CERTIFICATE OF OCCUPANCY No Z-23719 Date JUNE 21, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2125 PINE TREE ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 1 Lot 13 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-23719 dated JUNE 21, 1995 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 ACCESSORY 1 CAR WOOD FRAME GARAGE The certificate is issued to GERARD & HUGUETTE GALLIANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. NOTE: THIS UPDATES PRE CO Z-20454 DATED JAN. 8, 1992. ,- "4 k. ;'/'Z/ /1�1 Bu lding Inspector Rev. 1/81 BUILDING DEPARTMENT TOW&RITJODDUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2125 PINE. -TREE ROAD CUTCHOGUE, N.Y. number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) GERARD GALLIANO OCCUPANCY A-1 RES. OWNER type owner -tenant ADMITTED BY: GERARD GALLIANO ACCOMPANIED BY: SANE KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-98-1-13 SOURCE - - SOURCE OF REQUEST: GARY OLSEN, ATTY DATE: JUNE 15, 1995 I DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. BATHROOM (s) 3 PORCH TYPE S CELLAR PARTIAL 2ND FLR. 3RD FLR. # STORIES ONE CRAWL SPACE TOILET ROOM (s) UTILITY ROOM DECK, TYPE PATIO BREEZEWAY FIREPLACE ONE GARAGE DOMESTIC HOTWATER YES TYPE HEATER OIL AIRCONDITIONING TYPE HEAT OIL WARM AIR Xx HOTWATER OTHER: ATTACHED STORAGE ROOM ON FRONT. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE # EXITS 4 LOCATION DESCRIPTION I ART. SEC. I REMARKS: BP #4917Z -CO Z-5330 (Addition & deck) BP #11821Z -CO Z-11348 (ACCP GARAGE) BP #20363Z-COZ-20453 (ALTERATION -PATIO ENCLOSURE & BATHROOM ADDITION) INSPECTED BY DATE OF INSPECTION JUNE 7, 1995 TIME START END . Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 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) non -conforming uses, or buildings and "pre-existing" 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 a 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 UPDATEDCO Date . j.WlA .1.3.,. .1.9.9.5 .......................... . New Construction........... Old Or Pre-existing Building ................. Location of Property.... 2125, Pine. Tree Road.,, C_ut, hggg e,, New. York . . . . . . . . . ................... . House No.•. Street Hamlet Onwer or Owners of Property. Gerard, and. Huguette Galliano.................................... County Tax Map No 1000, Section.98...........Block............... Lot..13,,,,,,,,,,,,,,,,,, Subdivision....................................Filed Map ............ Lot ............... ....... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval.. ................. Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate. ........ 50.00 GARY FLANNER OLSEN, ESQ. Fee Submitted: $ .....................f% BOX -706 CUTCHOGUE, 1.1•. N.Y. 11935... ............................... . ... Ito"1 ...••... APPLICANT REDWOOD VZOIAD -rFOLI: 0 * 0 S.85 09 w W. MAP Wr " PQOPERTY A2TNU(2_i ESTNE12 MRTELL AT CUTCROGUE TOWN OF SOUTHOLQ N.Y. I n 2, 2I 1 ± S.F. NOTE: LOT 1Jf S. REFER. TO MAP OF t -i / 5AU F:AQMS' FILED IL4-,T4C- SUFF. Co. CLERIC'S OFFICE AS:,t-%f NO. I I -M. SUPP. CO. TAX MAP NO. tOOO - 17- 8 - I:z 2LARANTEED TO PEWkPCA�RAg tnR4 FOQIe- BANW, A5,5Uf&,EYEP QOPERICV. VAN TUV W. LIC. Unauthorized aftere8own or addlbn to this survey is a violation of Section 7208 of the Now York Stall Education Law. Copies of this SUPAY MGP not 11119*11111 the land surveyors k*od small Of .rnbo&wd Beat shelf not be to be a valid true CaPY. Cuar,--!,. ;c!jcated hereon shag no Illi :-.. �z; i --,r whom the survey _,,,t( --, his behalf tothe ,,,cmientalaqQnCyWd IcUig insUlIlion listed hereon and to the assignees of the lending bmill- tution. Guarantees are not ttattaNrabU to addiffimilit inaillutigm or milltmeqM OV8111111111. NOTE: LOT 1Jf S. REFER. TO MAP OF t -i / 5AU F:AQMS' FILED IL4-,T4C- SUFF. Co. CLERIC'S OFFICE AS:,t-%f NO. I I -M. SUPP. CO. TAX MAP NO. tOOO - 17- 8 - I:z 2LARANTEED TO PEWkPCA�RAg tnR4 FOQIe- BANW, A5,5Uf&,EYEP QOPERICV. VAN TUV W. LIC. No Z-20454 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date JANUARY 8, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2125 PINE TREE ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 1 Subdivision Filed Map No. Lot 13 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-20454 dated JANUARY 8, 1992 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 ACCESSORY 1 CAR WOOD FRAME GARAGE* The certificate is issued to GERARD GALLIANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. uilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOJN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 2125 PINE TREE ROAD CUTCHOGUE, N.Y. number & street (ilunicipa ity Subdivision Map No. Lot(s) Name of Owner(S) GERARD GALLIANO Occupancy A-1 Res. OWNER (type) (owner- tenant Admitted. by: GERARD GALLIANO Accompanied by: SAME _ Key available Suffolk Co. Tat No. 98-1-13 Source of request GERARD GALLIANO Date JAN. 2, 1992 DWELLING• Type of construction Foundation CEMENT BLOCK Total rooms t. F1 Bathrocm (s) FqLL BATH Porch, type #stories ONE L_Ce."Llar Crawl space 2nd. Fl 3rd. Fl Toilet room(s) Deck, -type Patio, type Breezeway Curage Utility room Type Heat Warm Air Hotwater Fireplace(s) ONE No. Exits 4 Airconditioning Domestic hotwater YES Type heater OIL Other ATTACHED STORAGE ROOM ON FRONT. ACCESSORY STRUCTURE'S: Garage, type const. 1 CAR WOOD Storage, type const. FKAM Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: BP 14917-Z CO Z-5330, BP 11182-Z CO Z-11348, BP #20363-Z CO Z-20453 Inspected by: Date of Insp. JAN. 3, 1992 -FSH Time start 2:00 end 2:20 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN D JAN - 21992 BLDG. DEPT. _-.-TOWN OF SOUTHOLD CY inspector with the following This application must be filled in by typewriter OR ink and submitted to the building • 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 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. 3. to For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and pre-existing" 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 a 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .....!�2 q 2 ........................ ::ew Construction........... Old Or Pre-existing Building. Location of Property ...................... House No. Street Hamlet ............. Onwer or Owners of . I&.Q r .. �, �d�/,� ' I' 1.11'r Property.. Q�' 7• /a:�l. �'T! �!'.`.!�. l,N�.f. �!.................... :ounty Tax Map No 1000, Section. A........Block.. // •� ...../........Lot....`. ............... .subdivision....................................Filed NzIP ............ .......... 'ermit No................Date Of Permit ................ Applicant .............................. !calLh Dept. Approval..........................Underwriters Approval......................... 'lanninb Board A equest for: Temporary Certificate....... ]7.Zsr4a� GiG�f6�fiG(C�-}7• .... Final Corticate.. . a . ee Submitted: • . . . . . . . . . . .. . . . • . . • . . . . y g,_v.Lf3/7 y ys y P..... . ........... LCAN� co SIT ... Q=S, xr," A& Owner(s) Names do(es) hereby state: CONSENT TO INSPECTION the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at �'�ru_ \ 1\AX A4_ C'�jj L�J , which is shown and designated on the Suffolk- County uffolkCounty tax map as District 1000, Section Block Lot That the undersigned (has) (have) filed, 'or caused to be filed, h"n applica- tion iritbe Southold Town Buiicling inspeci.v.L o.rri .o row. +ha fallowing: /\ ! 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of a To uthold. Dated:�_N�' (signature) 7 (print name) (signature) (print name) TO:01•1 Or :.CUT; OLD, M. Y. HOU^� I:i;.: _ RT CI':G Ze- IG;,; R-7:v Loca -icn/�,5'- - kzumoer scree) Subdivision l!•�un�,c1. ap No N,Me of 0wner(s)"&� -- Occupar.c, ) -/ 4 , t Cy e) A(t- A_ted by., 'Ac.cumoaniL-di by �� o Key available --' • Suffolk Co. Tac No. Source of request `. Date �y DWELLING.:- Type W LLINGType of construction Founda tion lstor ies , Ap CellarCraal spac s Fl Total rooms, i 2nd. F1 3rd. F1 Bathro om (s) Toilet room(s) Porch, type.- Deck, type Patio, BreezewayGarae type CZ -.. Ty-je Heat Utility room r ,farm Air Ho t.'wat er Fireplaces) �o„ No.E"�� -`s Aircon ;t Domestic ho Llwater S - d` `'coni-�� Other Type heater ACCESSORY ST1:)TTCmT7.:�VSZ. : U Garage, type const. Sebe, SWi...mi no pool type const. Other Guest, type const. ------------------ 11T�r ;"`'= CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location D�'scr_�ticn A_rt . Sec. Remar'-cJ : Inspected by: le c®* -a- I / �K Date of Insp. • -Time starter r' nd _-