HomeMy WebLinkAboutZ-29267FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~TMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 29267
Date: 02/13/03
T~IS CERTIFIES that the building RETAIL W/DWELLING & ACCESSORY
Location of Property 45475 MAIN RD
(HOUSE NO.)
County Tax F, ap No. 473889 Section 075
SOUTHOLD
(STREET) (HAMLET)
Block 0002 Lot 012
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Requirements for a BUSINESS STRUCTURE
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 29267 dated FEBRUARY 13, 2003
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 RETAIL SHOP WITH ATTACHED ONE FAMILY DWELLING WITH RAISED FRONT PATIO,
CONCRETE BLOCK PATIO ~ ACCESSORY STORAGE BUILDING.*
The certificate is issued to MICHAEL SCICCHITANO
(OWNER)
of the aforesaid building.
SUFFOLK COUIF~Y DEPARTMENT OF ~RAL'r~ APPRO~rAL
ELECTRICAL CERTIFICATE NO.
PLUq~BERS CERTIFICATION DAT~U
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
I&)CATION: 45475 MAIN RD
SUBDIVISION:
NAME OF OWNER (S): MICHAEL SCICCHITANO
OCCUPANCY: RETAIL SHOP WITH ATTACHED ONE FA
ADMI'I-r~u BY: LISA SCICCHITANO
SOUTHOLD
MAP NO.: ~ (S)
MICHAEL SCICCHITANO
ACCOMPANIED BY: SAME
~ A%~%II,%BLE: ~3FF. CO. TAX ~ NO.: 75.-2-12
SOURCE OF P~UEST: PATRICIA MOORE, ATTY DAW: 02/13/03
DWELLING:
TYPE OF CONST~UCTION: WOOD FP~AME # STORIES: 2.0 # EXITS: 4
FO~NDATION: CONCRETE BLOCK C~J~: 1/3 ~ SPACE: 2/3
T~TAL ROOMS: 1ST FR.: 6 2ND FLR.: 4 3RD FR.: 0
BA~{RO(O(S): 3.0 ~3ILE'f RO0~(S): 1.0 ~3TILIT~f RO(O(S):
PORCH TYPE: DECK T~PE: PATIO TYPE: CONCRETE BLOCK PATIO
T"fPEHEAT: OIL W]%~M~-IH: X H(YrWA~R:
O~I~ER: SMALL RAISED PATIO FRONT OF BUILDING
ACCESSORY STRUCTURES:
GARAGE, ~YPE OF CONST.:
SWIMMING POOL:
S~)P, AGE, ~'YPE CONST.: WOOD FRAME
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P.]~=gK~: BP#3311 ADD COZ-2696; BP~29087 BATHROOM C0Z-29266
INSPEcr~u BY:
DAT~ ON INSPECTI(~: 06/18/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
1CATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
ho
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.
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. Ifa Certificate of Occupancy
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Co
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 - $25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00
Date.
Old or Pre-existing Building: X
c/3'-,-/75- DTa,4 c,'h
House No. Street
New Construction:
Location of Property:
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Date of Permit.
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
(check one)
Hamlet
_~S-- Block c~ Lot
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate:
,)(- (check one)
Applicant Signature
CONSENT
TO ·
INSPECTION
owne (S) 6amc(s)
do(cs) hereby state:
That the undersigned (is) (are) tile owner(s) Ot the premises in the Tovrn
, which ts sho%~ and designated on the Suffolk
co tr tax map~as District 1000, Section 'T~ · Block ~ , Lot
That the u~dersign~have): filed, 'or caused to be riled, an applica-
That the unders~ned do(es) hereby give con~en~ ~o the BuBd[ng Inspectors
or the Town o~Southold to enter upon the above described property, including
any and all bu[l¢ings located thereon, to conduct such inspections as they ma7
deem necessa,g with respect to the aforesaid application, ~clud~-inspections
to determine tlmt said premises compl7 with ail of the laws, ordinances, rules
and re~ulations~of the Town of SouthOld.
The undersigned, in consenting to such ~sp~ctions,~ do(es) so x~th the
knowledge and Understandin~ that any ~formation obtained In the conduct
such inspections may'be used as evidence in subsequent prosecutions for rio-
lations of the lqws, ordinances, rules or regulations of the Town of Southold.
Dated: ~///
" --' (signature)
{p~int name) / d
(signature)
............... PAGE
/ _......~. LAND NOw OR F'OR/'.'IERL¥ .c'
OVf~IANIK 0
N 65'55'30" E 48.00'
72.25' , ~ ,/ ~ :
MAIN ROAD
Barrett, Bonacci g Van Weele P.C. o,~o],~.,~,,,,,.,o~
CIVIL ENGINEERS/SURVEYOr/PLANNERS ~ WOL*~
175A Com~r~ Prk., Haup~ug~, NY J1788 .
TEL 631/4~-1111 FAX ~1/,35-J022 G~
LOT; ---- ' ' ' ~LOOK: ~'~ R~S~ONS: '
C~RTIFIED TO: TI~E NO,: 02370442542 ~eOSS~
GREENPOINT MORTGAGE COMPANY ~_~ r~uE
MICHAEL SC/CCHITANO JOB NO.:
)R. DSP CH. Wd~ $~E; 14 - 30' DIST. 1000 '$E~. 75 eL~. 2 LOT 12