HomeMy WebLinkAboutZ-32255 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 32255 Date: 03/19 07
THIS CERTIFIES that the building DWELLING
Location of Property 475 WOOD LA GREENPORT
. (HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 043 Block 0004 Lot 020
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- 32255 dated MARCH 19, 2007
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*
The certificate is issued to LAWRENCE A LAVEGLIA
(OWNER)
of the aforesaid building.
0
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Au6iorized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 475 WOOD LA GREENPORT
SUBDMSION: MAP NO.: LOT (S)
NAME OF OWNER (S) : LAWRENCE A LAVEGLIA
OCCUPANCY: SINGLE FAMILY DWELLING LAWRENCE A LAVEGLIA
ADMITTED BY: DIANE CARPENTIERI ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 43.-4-20
SOURCE OF REQUEST: LAWRENCE LAVEGLIA 2/28/07 DATE: 03 19 07
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0
BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: CEMENT 2 PORCHES DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: NO GARAGE:
DOMESTIC HOTWATER: YES TYPE BEATER: OIL BURNER AIRCONDITIONING:
TYPE BEAT: OIL WARM AIR: HOTWATER: YES
OTHER: BILCO DOOR,_ ENTRANCE
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: 8.3' X 12.1'
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. I SEC.
R]DtAR AS:
INSPECTED BY: DATE ON INSPECTION: 03 19 07
GEORGE GILT. TIME START: END:
-l'3 u
.. Form No.6
TOWN OF SOUTHOLD /
BUILDING DEPARTMENT II��
TOWN HALL
765-1802
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 fiom 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:
l. 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 applicantAf a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
L Certificate of Occupancy -New dwelling$25.00, Additions to dwelling $25.00, Alterations to dwelling$25.00,
Swinuning pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, Businesses $50.00.
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. _Ja�IU 7
New Construction: ,1` Old or Pre-existing Building: (check one)
Location of Property: 4q<s o d ]_Q,vt (e-�:F,U 7— Ad.
House No. Street Hamlet
Owner or Owners of Property: k a o Y eyi c e A w e L'o -.
Suffolk County Tax Map No 1000, Section OF Block Lot 0 a
Subdivision Filed Map. Lot: Q/—VGi Cr,
PermitNo. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Plaruung Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $J 0 O
ApplicaWignat
�_cn � 3a�ss
CONSENT TO INSPECTION
4 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 VJ oo 90-oz 1'o a, 0
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section Block Lot Q:O _VA
I
That the undersigned (has) (have) filed, or cause to be file an applicati n in the
SoutholA Town Building Inspector's Office for the following: e
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: �'(0
(Signature)
(Print Name)
(Signature)
(Print Name)
O - _ OF SOUTHOLD P_7OPE_,TY _,ECORD C"_,D
OWNER STREET VILLAGE DIST. SUB. LOT
L Q v0 rP.�w- Gi V a
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L. Y'C
FORMER OWNER N E l ACR14
L a W e Ce- ' La I` A R I A r1,S — A Pvb
S TYPE OF BUILDING
7 .�'k,
RES. . SEAS. VL. FARM COMM. C . MICS. Mkt. Value -
d
LAND IMP. TOTAL DATE REMARKS
` r...
��U / v CJ �C/ �� /fJa�:! C :1.r• .cE !1` l/��.� �.1 .l CC %<.1�
3 00 ' . 0 o .v 01 j 60 5
I - LQ��e L,a✓e /L-F .
AGE BUILDING CONDITION
NEW NORMAL- BELOW ABOVE
FARM Acre ' Value Per Value
'Acre
Tillable FRONTAGE ON .WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH �J
House Plot BULKHEAD
Total DOCK
Si
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,.Porch Basement
■■■■■■■■■■■■■■■■■■■■■■■■■■■■
s�
Breezewav, Fire Place
• ,.
• ••- __ • ••• Rooms Floor
I'
Recreation Room Rooms 2 nd Floor
• • __Dormer
- Driveway
, -
S.C.T.M. NO. DISTRICT: 1000 SECTION: 43 BLOCK: 4 LOT(S):20&21
LAND N/F OF
RPBERT KRUSZESKI LAND N/F OF
JOHN & DIANA RETOS
X N02055'00 'E 100.00'
WOOD FE. 3.2' W
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C
WOOD (50') LANE
22't ASPHALT PAVEMENT
THE WATER SUPPLY, WELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA: 10,000 S.F OR 0.23 .ACRES ELEVATION DATUM: -------------------------
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. -
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: LAWRENCE A. LAVEGLIA;
MAP OF:
FILED:
SITUATED AT: GREENPORT
TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S.
SUFFOLK COUNTY, NEW YORK Land Surveying and Design
P.O. Boa 3, Mattituck, New York, 11952
FILE # 27-16 SCALE: 1n=20' DATE: FEB.19, 2007 ----- PHONE (631) 298-1588 FAX (631) 298-1588
N. Y. S. LIC NO. 50227 maintaining the records of Robert J. Hennessy
LOCATION: 7 S \" " "0' gr''"'e-
(number& street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S): It off— ^1
OCCUPANCY:
(type) (owner-tenant)
c
.ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE: �2-9- -0 7
DWELLING:
TYPE OF CONSTRUCTION: w - # STORIES: # EXITS:
FOUNDATION: CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR:
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: d ECK, TYPE: PATIO, TYPE: r—
BREEZEWAY: FIREPLACE: *`0 GARAGE:
DOMESTIC H TWATER: _>'a TYPE HEATER: 4 R1 CAP AIRCONDITIONING: �—
TYPE HEAT: W O 1 L WARM AIR: HOTWATER: IFS
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: ��3 X �,
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY: DATE OF INSPECTION: -3 _110-D 7
TIME START: END:
pf S0(/l�o
coury
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL ?"--c'
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
A6
DATE INSPECTOR