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HomeMy WebLinkAboutZ-28714FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28714 Date: 08/20/02 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 495 JACKSON ST NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 0009 Lot 004.001 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- 28714 dated AUGUST 20, 2002 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 OPEN SIDE PORCH AND REAR FLAGSTONE PATIO AND AN ACCESSORY TWO CAR GARAGE.* The certificate is issued to CHRISTOPHER PERRETTA & ANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. //uth/rized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 495 JACKSON ST NEW SUFFOLK SUBDMSION: NAP NO.: LOT (S) MAKE OF OWNER (S): CHRISTOPHER PERRETTA & AND OCCUPANCY: SINGLE FAMILY CHRISTOPHER PERRETTA & AND ADMITTED BY: BARRY NOVICK ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF_ CO_ TAX MAP NO.: 117.-9-4.1 SOURCE OF REQUEST: DEBORAH DOTY, ESQ DATE: 08/20/02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: IST FLR_. 4 2ND FLR.: 4 3RD FLR.: 0 13ATHR0014(S): 2.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: OPEN PORCH ON SIDE DECK TYPE: PATIO TYPE: FLAGSTONE ON REAR BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: YES TYPE BEATER: AIRCONDITIONING: CENTRAL AIR TYPE BEAT: OIL WARM AIR: HOTWATER: X OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: ACCESSORY SHED* SWIMMING POOL: GUEST, TYPE CONST.: OTHER: *UNDER 100 SQ. FT. NO BUILDING PERMIT REQUIRED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP13249 GAZEBO COZ16415 (GAZEBO NOT ON PROPERTY) BP#23805 ADD COZ-25184 INSPECTED BY: DATE ON INSPECTION: 08/14/02 GARY J 4ISH TIME START: 9:30AM END: 10:00AM Contact Barry Novick Form No. 6 (734-5657) for access 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 6f 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 $15.00 8/9/02 Date ....... ..........I...................... yes New Construction........... Old Or Pre-existing Building ............... Location of Property., 495 Jackson Street,. New Suffolk.. , House No. Street hamlet Christopher Perretta & Katherine F. Perretta Ofer or Owners of Property .... ...... ........... .............. I....... I...................... County Tax Map No 1000, Section..��?..... ...Block....9...........Lot....4;1. . Subdivision.....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ........................ ,.... Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate.Yer$....... Fee Submitted: .$..IQQ,QQ......... ..... 1' 321 � _�-4. _ ............... . Contact Barry Novick (734-5657) for access CONSENT. TO II SPIs'CT10N Christopher Perretta & Katherine F. Perretta the undersigned, Owner(s) Names) . do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 495 Jackson Street, New Suffolk -which Is shown and designated on the Suffolk County tax reap as District 1000, Section 117 , Block 9 , Lot 4.1 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tonin Building Inspector's Office for the following: Pre-existing C/O for original portion of the dwelling as depictted on annexed 4/12/84 survey That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that §nid premises comply with all -of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting; to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the 'Town of Southold. Dated: 8/9/02 a signature Deborah Doty, as attorney for owners (print name) L v � � 11.1• � r ♦•• � Jf +nom R "•9 � *o , �$• of 'Y 1j • I 07Op� � Ir N`SO4e MAP OF DESCRIBED PROPERTY AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK CO„ N.Y. AREA 34,/29 SOFT. OR 0.7833 ACR Rol. _ _ 14.• � 5 epi a0• - �•�.- sl - OF 4 No. 494b1 CERTIFIED TO: COMMONWEALTH LAND TITLE INSURANCE COMPANY ROBERT ✓. B JOAN G. KIRSCH donack associates 313 west main street riverhead ,new york 11901 (516) 369 -1717 APRIL 12, 1964 Job No. 64- 496 1000-117-09-03804 Scal9, 1••■ 40• h Rl,O, �5,91°° ,F 4 vE aI••, 44K . FFNc f `n Rcc I � ♦O.p �,yra r� ti o•• ar �• J7. ar uuO 0� N L v � � 11.1• � r ♦•• � Jf +nom R "•9 � *o , �$• of 'Y 1j • I 07Op� � Ir N`SO4e MAP OF DESCRIBED PROPERTY AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK CO„ N.Y. AREA 34,/29 SOFT. OR 0.7833 ACR Rol. _ _ 14.• � 5 epi a0• - �•�.- sl - OF 4 No. 494b1 CERTIFIED TO: COMMONWEALTH LAND TITLE INSURANCE COMPANY ROBERT ✓. B JOAN G. KIRSCH donack associates 313 west main street riverhead ,new york 11901 (516) 369 -1717 APRIL 12, 1964 Job No. 64- 496 1000-117-09-03804 Scal9, 1••■ 40• TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT I IND. (CB. ��IS6. Ar LAND IMP. FORMER OWNER N New StA�,=Jk Aye E 6 a ee, Hy C4 �Ae k ACREAGE 0 lso—/ Ij Ij G 3 e4 0,-rs <D 6 o4T ! 26,0 0 0. f. i, 0 k-- . 0 v IZS4 r:s c -h S , Wf� BUILDINGTYPE OF v . ( e RES. SEAS. VL. FARM comm. I IND. (CB. ��IS6. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 17 j--6 vr; 661 lso—/ Ij Ij G S5 6 o4T ! 26,0 0 0. f. i, 0 k-- . 0 v IZS4 v . ( e 14Q 7O� 54 CC) ` !> oc� 8-7,010 2 12 61'r7 vp(- 4v� rre, Ji4--t4W4Q6-4vz)n GE (00 BUILgPG NDITIO Co / q?54,03~,j NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD y32, 2- Sze Tillable 2 DOCK Tillable 3 Woodland Swampland Brushlarfd House Plot Total Bldg. 2-1 �V-3 Foundation Both tension t �rvls'L'tl- -je- Basement Floors !10 Ext. Walls Interior Finish .tension Fire Place Heat,. L,/, t I so Porch Roof Type " Lj) r Porch Rooms I st Floor Patio Rooms 2nd Floor reezeway orage Driveway Dormer B. 1-Z TOWN F SOUTHOLD PSOPERTY Mr^11151% HOLD ROPERTY RECORD CARD RES. 3 STREET VILLAGE DISTRICT SUB. LOT i e N/ JV 7 i t I MISC. n LAND OWNER N�, Ale vt/�. v:t �6jw Iq!/0, E �/ A4 -et Utz ryes ACREAGE /.j UfZP-r r S W 16 CO'S TYPE OF BUILDING RES. 3 SEAS. VL. FARM COMM. I IND. I CB. I MISC. , Est. Mkt. Value LAND IMP. _TOTAL DATE REMARKS J G IV 71Y �3 or5?©d UfZP-r , SGLD / d F. 0 0 C L /_b V f- -X236 SR6 ( i �, `'--'.a ia.. t Y`faG c� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD�- Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Piot Total Cake" T� M. Bldg. L 2 8 - ZO 5� Foundation �, g 'Bath I Extension Z x k 0 Basement Floors ExtensionExt. Walls j I Interior Finish Ex eaasieq � jlve..s�.4 AC PQ�c 5 K 1©' rte_ �U I tv pare \u K2'3 � �5 I ! 5 3 �I .?� S Gkx , � f ZA o Fire Place Porch Porch ; �c j I - � I Heat Roof Type � Rooms 1st Floor Q I- L p DR K ( 9�-rm•p/J J Ot , r I Ch Akl' u,. Breezeway % Patio Rooms 2nd Floor 4 PSR. S 2 Garage Driveway Dormer O. B. ZS 31� 1 Cawd (pZSZ C_e,�dt L _" LOCATION: +L1&Xyn) cf7' (number & street) (municipality) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: LOT($): (type) (owner -tenant) ADMITTED BY: �- ACCOMPANIED BY: CJS KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: #STORIES: #EXITS: FOUNDATION: CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: V 2ND FLR: 3RD FLR BATHROOM(S): % 01 ET ROOM(S): � UTILITY ROOM: PORCH TYPE: ECK, TYPE: PATIO, TYPE: BREEZEWAY: IREPLACE: GARAGE: DOMESTIC HOTWkTER: TYPE HEATER: AIRCONDITIONING: TYPE HEAT: r WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.:__ . TORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: ./%Z /' y/ DATE ON INSPECTION: 011-f 701", 45�z' f TIME START: END: F/ 4r00