HomeMy WebLinkAboutZ-35811 SU pF l�. Town of Southold Annex 7/10/2012
Qom ° 54375 Main Road
� Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 35811 Date: 7/10/2012
THIS CERTIFIES that the structure(s)located at: 5800 CR 48,Mattituck
SCTM#: 473889 Sec/Block/Lot: 140,240
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- 35811
dated 7/10/2012 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 front porch and accessory two car garage with attached storage(garage in
disrepair).*
The certificate is issued to Lomaga Family Trust
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Autho d igna re
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 5800 CR 48,Mattituck
SUFF.CO.TAX MAP NO.: 140.-2-10 SUBDIVISION:
NAME OF OWNER(S): Lomaga Family Trust
OCCUPANCY:
ADMITTED BY: Tom McCarthy
SOURCE OF REQUEST: Lomaga Family Trust DATE: 7/10/2012
DWELLING:
TYPE OF CONSTRUCTION: #STORIES: 1.5 #EXITS: 3
FOUNDATION: cement block CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 2ND FLR.: 3RD FLR.:
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: X DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: national grid AIR CONDITIONING:
TYPE HEAT: WARM AIR: HOT WATER: X
#BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: 2 car garage with storage
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
TIME START: Z O : d 0 try END: /p
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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 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$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
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 hh
Date. 6
New Construction: Old or Pre-existing Building: V (check one)
Location of Property: ffiohjr Md
House No. treet Hamlet
Owner or Owners of Property: X4-&'bl —d" an 0 Till
Suffolk County Tax Map No 1000, Section D Block Lot / 0
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 ne)
Fee Submitted: $ , 1
9 09 App is t ign
CONSENT TO INSPECTION
the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned(is) (a the own f the emises in the Town of
Southold, located at 00 er ,
which is shown and designated on the SuffolktCounty Tax Map as District 1000,
Section�, Block c: — , Lot AD
That the undersigned (has) (have) filed, or cause to be Ale , an a lication -the
Southol 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: W ,
a q4kq��- � s
(Print Name)
(Signature)
(Print Name)
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RECEIVED 06/21/2012 11:01 6317655816 MCCARTHY REAL ESTATE
JUN-21-12 11 :00 AM SHOPWITHUS;BSHOREHAM 6318215629 P. 02
P
r..
4' LOM FAMILY TRU
:fI I JOMAR ROAD !
SHOREHAJ4, STY 11786
1'June 20, 2012
To Whom It May Coucem; �
1,John Lomaga,owner of property located�t S900 County Road 48, Matt ituck, NY
11951,SC TM 4' 1000-140-2-10 authorize 71ion1'4 J. McCarthy and/or McCarthry
> i4nagement, Inc.,to act on my behalf in re��t4ls`to Real F:st�ltc. C'unstruclion,and
.Development matters, Thank you.
' Jtihn Flonluga
{ .. 4S'
.151
i
T® SOUTHOLD PROPERTY RECORD CAR®
OWNER STREET VILLAGE DIST. SUB. LOT
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FORMER OWNER r �E ACR.
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RES. �.�
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LAND IMP. TOTAL DATE REMARKS
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AGE BUILDING CONDITION
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Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD ' � ° p �� �r��J,q.� �� 7 ca--U = ' 8 0 .
Meadowland .. DEPTH
House Plot BULKHEAD
Total I DOCK
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SOUTy�Io
olyCO�41
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] I!!-S-ULATION
[ ] FRAMING/STRAPPING [ FINALk
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS.
/�
DATE INSPECTOR �G� .
LOCATION:
(nu ber & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)
ADMITTED BY: `oral ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- i7
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: � ��# STORIES: _l /�#EXITS: 3
FOUNDATION: C O��c� BASEMENT: I CRAWL SPACE: —'
# OF BEDROOMS: IST FLR: -- 2ND FLR: 3RD FLR:
BATHROOM(S): PQ- TOILET ROOlb1(S): 6%-. . UTILITY ROOM:
PORCH TYPE: a_z'� ECK, TYPE: PATIO, TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: f1_ TYPE HEATER: AAr-__C-,Y�LS.AIRCONDITIONING: �-
TYPE HEAT: WARM AIR: HOTWATER:
# OF KITCHENS: �
FINISHED BASEMENT: YES NO
OTHER: -
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: 2r-/A-- STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
C9,E .e
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
TIME START: �0 .�o(�,�_ END: /4-=ac9_ ,