HomeMy WebLinkAboutZ-38568 suEFQdk Town of Southold 10/11/2016
�a�A cQG 53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38568 Date: 10/11/2016
THIS CERTIFIES that the structure(s) located at: 2828 Great Peconic Bay Blvd, Laurel
SCTM#: 473889 Sec/Block/Lot: 128.-6-22
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- 38568
dated 10/11/2016 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 and accessory wood frame garage_*
BP #39342 electric service COZ-37308,BP 40992 new foundation and alts COZ-38565
The certificate is issued to Mastropolo Jean Irrev Tr Mastropolo, Janet
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
orized Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2828 Great Peconic Bay Blvd,Laurel
SUFF.CO.TAX MAP NO.: 128.-6-22 SUBDIVISION:
NAME OF OWNER(S): Mastropolo Jean Irrev Tr&Janet
OCCUPANCY:
ADMITTED BY: Marie Bemnati
SOURCE OF REQUEST: Mastropolo Jean Irrev Tr DATE: 10/11/2016
DWELLING:
#STORIES: 2 #EXITS: 2 -
FOUNDATION: BP 40092 CELLAR: X CRAWL SPACE: X
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: see BP 40092 DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: yes GARAGE:
DOMESTIC HOTWATER: BP 40092 TYPE HEATER: BP 40092 AIR CONDITIONING:
TYPE HEAT: cast iron WARM AIR: HOT WATER:
#BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: MIKEV DATE OF INSPECTION: 7/25/2016
TIME START: 9:48am END: 10:30am
d
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL —7��,
765-1802 —/ l5P 7—,)
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 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$15.00
Date.
New Construction: _Old or Pre-existing Building:�� (check one)
Location of Property: � .`? w#' 1`�� aQ 17)IIA {,I (d
House No. { Street Hamlet
Owner or Owners of
Suffolk County Tax Map No 1000,Section 00 Block _ DD _ _ Lot 0 2-2 000
Subdivision Filed Map. Lot:
Permit No. __ Date of Permit. Applicant:
Health Dept.Approval: _Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate _ _Final Certif cater " (check one)
Fee Submitted:$
O1
Applicant Signature
CONSENT TO INSPECTION
the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 08a g e&y.V k( (StiA4Blvd LdAwv
which is shown and designated on the Suffolk County ax Map as District 1000,
Section 1 a 8 Block(, Lot ;�a .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
OW ap �aL i gun '1"C�d� t 1`fii LC .Ann .4 r
0'
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: UU ()b60N6
(Signature)
-1—o c
Print Name)
(Signature)
(Print Name)
SO(�jy®l
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 , �Q roper.riche rt(ab-town.southoId.ny.us
Southold,NY 11971-0959 Q
C®UNTV,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mastropolo
Address: 2828 Great Peconic Bay Blvd. City: Laurel St: New York Zip: 11948
Budding Permit#: 40992 Section: 128 Block: 6 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: "AS BUILT" DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS"
Notes: Electrical Survey of House and Garage to Include; Gas Furnace and Water Heater.
Inspector Signature: Y f, I /
Date: October 6, 2016
0-81-Cert Electrical Compliance Form.xls
G V�SP
lin 0 �
q so
,moo �o
Town Hall Annex Telephone(631)765-1802
54375 Main Road p�aaxx(631)765-gg5Q2 f
P.O.Box 1179 G Q roger.richert .IOWn.SOuf 5ol5.ny.us
Southold,NY 11971-0959
ly�4UNi`1,��
BURDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY. AfI4,tt6 Date:
Company Name:
Name: -
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information) !
f
*Name:
*Address: , IA5, v I
*Cross Street:
*Phone No.: r�7 I- �-3S" [!�
Permit No.: L4 0 -*-1 6P.
i-
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
ES NO Rough In - Final 1
*Do you need a Temp Certificate:
YES/ NO
Temp Information(If-needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
qC) �.
82-Request forinspection Form I r q__1
I
TOWN OF SOUTHOLD PROPERTY READ CARD
w OWNER STREET �� SUB. LOT
VILLAGE Dl .
<
e
FORMER O •NeR_ N E ACR
I j D1v .
�- W HYPE OF BUILDING
RES. S VL. 'LO FARM COMM. CB. MICS. Mkt. Value
w
LAND IMP. TOTAL DATE REMARKS
w
LO
o
- t z -3
lL
Ln 1
m
LO
Lo
m
LO
I -52
v Tillable I FRONTAGE ON WATER All
b � 6
m Woodland
FRONTAGE 411 ROAD
ao
m Meadowland DEPTH
N House Not BULKHEAD
m Toto I
;•
t :eh:
; V� Y`,.
=x N k. r•Y• I■■■■■■■■■■■■■■■■■■■■■■■■■■■■
y
NONE■■■S■■■■■■■1111■■ NOON■■ ■
■■■■■■■■■■■■■■■■■■ ■
'I i. ■■■■■■■�1■■■�:■�■■■ ■■■■■■
■■t■■■■■moi■■t■ ■■■■■■■■■■■■11
11011
mmummommom IMM MOORE
moommoon
ME ME
A&
I Ilk
. . ■■ NOON■■■■■■■�r ■■■■■■■■�■■
■■�i�ii■■■■��■�■■■:�■■■■■■■■■■■ ■■
_ ■�■■■■■■■■■fie■■■11■■11■■■■■■■■
: .. ■■■■■■�■■■■.�■■■■■■■■■■ NOON■■
• ■■■ENNE
MINIMUM-
�■ ■■■1111■■■■�■■■■■■■■■■■_■■
■ � . .. .
Interior Finish
,Rooms I st Floor
Recreation Room
r
r
i -
A , SURVEY of PROPERTY
SITUATE
LAUREL,TOWN OFSOUTHOLD
SUFFOLK COUNTY,NEWYORK
5 Ucr_ LAND URV N(3 F, Suffolk Tax Map No.:1000-128io6-22
AI}reySoh�tdR21I DATE SURVEYED-6/17hoi6 I
SCALE:="=30'
110 SOUTH 4th STREET
Lindenhurst, New York
MIScsLce@mjs1Rndsurvey.com ,
P:631-957-2400 F:631-226-2400
sORURWN8Y Y O )DS NOSZr— �')
MI& r MOS14 V.Y
CONI--BAS 0
1 w
o.:
S 63046'00" w
1
CIO 91
N s3°96'00".._.E I .99 I
.._.91:99'•...._ .... � Dix s•sroaEwe� F�
__ _� _ �� r�ir..dl5 ur✓ii it O.7N I qti
mA FR GAR fNO
I ASRUlINT — d•r u.�„i 6.4'
I 'm✓195'•r•'9 1
I O
O
03
CO
cq I I
I I 5
I o
w
a
' MY r• ,,2 d i o
4.5
x tl 4STONER
OW\ I 26.1'
SI Q
h -% e
Czi
�� 3"m sumn1 I O
RF I NirlfiS•r 1�
w ��~jI q cmi
�y�Z Z NDtt�6/E
PAM Ftm. cv
PONIED
i
CO
a
7.0
3�01B 5 �� �EOF NEIv�
p
14 3 LOT AREA ���°"J' ��Q)
{� 20,217.74 S.F.
1' 0.46 ACRES)
BENSONS—UPDATES•-AMMONS l¢F H4 0508.6" =04
MTE DF"ACti1PT1ON: CANS
GHECHFD s1: y`�+Ev
T --- --- ---
z i
(1)L^aKIIXCliL9 AMMrM OR AOOT.DN TO IHS SWAY NAP 1 EWE A LILMO Wm SO1ThYO M SFX.M A N =N OF SELYM T10R.Slid-iTJISCN 2.of lC'JI YfJIX SAIL MWAIMS L Y(2)Guy L'g"C.W m1v ANM W911MLI EIDryETL�fl J HAJOSSLU
STAL 111;OD•L 191'_ANO GOR'Ea COPES Of THE StT'Vc TN:Wj",W:Tp MD 019&M.(])CFRffMATd1J5.:N DO EIDLND�a SORILY W SGN4Y THAT 1FIE 41D WS Fi•_? M W.l„^SgDyh'E WN O¢MkUNT DMIG:CIE Of PR—E FOR MV
SU9EYS YCPIFD BT 111E hF21 YOR<STATE A3ClJAKW GF PR:iL^Sfitl'LY1D S01OT]'CRS,Cm Mi CFAIIFiGICN i5 LUFT0 TO PSR=.FOR LLYDD IPE FiQINDAR,'vR.M1FI Wi G RTFPMFD,l°1Nc TRE CDN�MY,TO tYC WSA•��pFAL I.:CMCY,ML TO TFC
IE�0.�L t� pON Lm[➢av THa 6mn..v¢uT 3mEv wP lQ ixC CEA1[+,CcTW�S r yiN uE ROc 141I5FEN8.E(S THE L000411 Of Ub tROPMD WFR.VIIFMS OR E43hUC.30=MZ VO•AL-5 nl.T.h. Ci'IFN V=EE M WTM r l
IPm mE icI wpRRY3mm-OO mtAu TIMMS ew OR -c SN N THE IOPRL1ELfH15 Ci ACR0�1OT1S IRE=1 C"RFA T>r IH7 SLL Vr(u)*X 0�(Ce OO OngM)SHORN HEREON FRp11 ME S n'VCIIRIES Rl THC F FW Loa=-APC FOR A
•'ST•EONC RKPOSE MO WE XID T1EWVIE TO_x O''C E..00OW Of TE CES,°ETA:mOL POTS PAS gAtm+G A E-,—TO C,.TILupS.AE XII OIHFR I OF C°S*•IMKO9`.(T)--MRTI C—ER NI-NEMS WERE H07
SET M PYO V THSEY(4),NIS=Mf wAS FEFFORUD WCIR A SPErr PC=SO RMRIOO TOTAL MIM
,I
;24,9 yS `
LOCATION: '
(number & street) (municipality)
I ,
SUBDIVISION: AP NO.: _ LOT(S):
NAME OF OWNER(S)':
OCCUPANCY: r
(type) , Of OF (owner-tenant)-
ADMITTED BY: ACCOMPANIED BY: "'�
KEY AVAILABLE: i SUFF. CO. TAX MAP NO. 1000-0-0
SOURCE OF REQUEST: DATE: 6 _
i
DWELLING
TYPE OF CONSTRUCTION: 1-" , # STORIES: EXITS:#
(# � � _
OO\NoDMTION: VMENT: ✓ CRAWL SPACE:
GoS-7•
�0
# OF BEDROOMS: IST FLR:�► ,_ 2ND FLR: _ 3RD FLR:
BATHRO'OM(S):� 4.- ,T-ECK,
INET R�dOM(S): UTILITY ROOM:
.!PORR�.TYPETYiPE: PATIO;TYPE:
,a .
6•r
BREEZEWAY:' '"�� FIREPLACE: GARAGE:
� . _
-bol
DOMESTIC
DOMESTIC HOTWATER: _/ ' TYPE HEATER: AIRCONDITIONING:
TYPE HEAT:G ' WARM AYR: HOTWATER:
# OF KITCHENS: N
l
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: '- GUEST, TYPE CONST:
1
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE!UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
rj
y_
toe
R EgA S: 04V
. a
INSPECTED BY: ATE OF INSPECTION:
e.o.. J}o8 TIME START: _ • m� END: Ito•,3Do+•..