HomeMy WebLinkAboutZ-33829 Town of Southold 5/24/2016
��'/N51. �fot��eGy 53095 Main Rd
' Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 33829 Date: 5/23/2016
THIS CERTIFIES that the structure(s)located at: 905 Nokomis Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 78.-3-26.2
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- 33829
dated 5/23/2016 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 with covered porch and accessory one car garage.
This Pre-Existing Certificate of Occupancy is an update of Pre-C/O Z-34791, issued 1/10/11.
The 2 accessory storage sheds under 100 sq. ft. do no require building permits or Certificates of Occupancy.
The certificate is issued to DeVito,Daniel Azcona,Alejandro
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Au o ed .gnature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 905 Nokomis Rd, Southold
SUFF.CO.TAX MAP NO.: 78.-3-26.2 SUBDIVISION:
NAME OF OWNER(S): DeVito,Daniel&Azcona,Alejandro
OCCUPANCY:
ADMITTED BY: Maryse Bransfield,Realtor
SOURCE OF REQUEST: DeVito,Daniel DATE: 5/23/2016
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: covered DECK TYPE: PATIO TYPE:
BREEZEWAY: - FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: off boiler AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: X
#BEDROOMS: 3 #KITCHENS: BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: accy 1 car STORAGE,TYPE OF CONST: 2 sheds under 100 sq ft
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 12/15/2010
e",(7fr 7142/ TIME START: END:
603/-965-- 15-qq0
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT D IJYi
TOWN HALL D
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCYMAY 1 2 216
This application must be filled in by typewriter or ink and submitted to the Building Dep 1Iyving:
TOWN OF SOUTHOLD
A. 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. 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 Occupancy-Residential$15.00,Commercial $15.00
Date. 01/ 2// 6,
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property: gosr /VdId" i'J /Qo a. d Jd U )7'i�c/�, M/ j17 3-1
House No. Street / Hamlet
Owner or Owners of Property: Al as,G'lde- /gz c-avl /e./ az,V f v
Suffolk County Tax Map No 1000, Section 7 f Block 45 3 Lot -2 6.2
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)
Fee Submitted: $ 51)
6‘)
(-45Applicant Signal re
CONSENT TO INSPECTION
A-k-eirr -ot 2 un-+� pcp ,e/ - ,the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersin ed(is) (are)the owner(s) of the premises in the Town of
Southold, located at 'YDS. A/ &c ,f ivy /173-) ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 71- ,Block 4 3 ,Lot P/o
That the undersigned(has)(have)filed,or cause to be filed,an application in the
Southold Town Building Inspector's Office for the following:
Co Ca-rec.-4- d/Pd✓' d -k-ax riv9nu/��1er-
C? v1d,r 7 cf OcGcerc
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 in subsequent prosecutions for violations of the laws,ordinances,rules or
regulations of the Town of Southold.
Dated: � �2 // fi .�.oG•�..�
Signature)
A14:54,-,c4-0 A 3 Cr/KA-,
(Print Name) ,
( ignature)
1032 14 11)
(Print Name)
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Extension I
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Extension ° Fire PlaceyetA Heat
ro S } - Porch164 II/
Roof Type 1
le
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Breezeway I _ f 1..41'5" a-7 Patio Rooms 2nd Floor III
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LOCATION:
(number& street) (municipality)
SUBDIVISION: MAP NO.: LOT(S): ,
NAME OF OWNER(S):
OCCUPANCY: ,
(type)d, e ��J F (owner-tenant)
ADMITTED BY: / 4_Y5 - Atli-x)s- i44 5 - ACCOMPANIED BY: .
&1--,.—
KEY AVAILABLE: ( . SUFF. CO. TAX MAP'NO. 1000- .
SOURCE OF REQUEST: DATE: -
\ \
DWELLING
NN° V , _
TYPE OF CONSTRUCTION: �' #STORIES: # EXITS:
FOUNDATION C , '1—_, 1.( c/ BASEMENT: izt.0 CRAWL SPACE:
' # OF BEDROO S: R
1ST FL :4,, i 2ND FLR: 3RD FLR: .
BATHROOM‘ G.-- TOILET ROOM(S): UTILITY ROOM: .
PORCH..TYPE: 41/4/--",--e-5\ DECK, TYP NI , . PATIO;TYPE:
BREEZEWAY: FIRI✓PLACE: ®/ Cl � GARAGE:
DOMESTIC OTWATER: y4S TYPE HEATERCONDI ONING:
TYPE HEAT: N' 2- WARM AIR: /
HOTWATER:
# OF KITCHENS:
' FINISHED BASEMENT:. YES , NO
OTHER:
ACCESSORY STRUCTURA\N N
GARAGE, TYPE OF CONST.: / .CI-1/2— • STORAGE, TYPE CONST.: 2"- -`14/( c4 G-
SWIMMING POOL: _ GUEST, TYPE CONST: C-,``J'J' r/� /ego
OTHER: '
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
/1
REMARKS: . .
INSPECTED BY: At7
.( DATE OF INSPECTION: /L- /Y /p
' TIME START:, END: