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Z-23426
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-23426 Date DECEMBER 28, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 560 MASTERS ROAD LAUREL, NEW YORK House No. Street Hamlet •County Tax Map No. 1000 Section 126 Block 9 Lot 20 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-23426 dated . DECEMBER 28, 1994 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 ACCESSORY GARAGE The certificate is issued to ALBERT MASTROPAOLA (owner) of the aforesaid building.- SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. //1 uilding Inspector Rev. 1/81 7 BUILDING DEPARTMENT TOWN .OF SOUTHOLD HOUSING-CODE -INSPECTION REPORT - LOCATION: 560 MASTERS ROAD LAUREL, NEW YORK (number street) (municipality) . SUBDIVISION MAP N0. LOT(s) NAME OF OWNER (s) ALBERT MASTROPAOLA OCCUPANCY OWNER (type) (owner-tenant). ADMITTED BY:, JOHN HARRISON ACCOMPANIED BY: SAME KEY AVAILABLE SUrF.CO. TAX MAP NO. 126-9-20 SOURCE OF REQUEST: WILLIAM MOORE, ATTY DATE: DEC. 20, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME STORIES ONE # EXITS TWO FOUNDATION CEMENT BLOCK "ULL CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 3RD FLR. BATHROOM (s) ONE TOILET.ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO BREEZEWAY FIREPLACE ONE GARAGE DOMESTIC HOTWATEk YES TYPE HEATER LILCO GAS AIRCONDITIONING TYPE BEAT OIL WARM AIR xx HOTWATER OTHER: ACCESSORY STRUCTURES:' GARAGE, TYPE OF CONST. 1-1/2 CAR - STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER.- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: A INSPECTED BY J Z, DATE OF INSPECTION DECEMBER 27, 1994 TIME START 9:30 END 9:50 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT V:�- DEC 2 0 TOWN IIALL 765-1802 !; BLDG.DEFT Zt T®WIy r1r SOU°rLjt%l APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the bni.lding inspector with the following: for new building or new use: 1 . Final survey of property with accurate location of al-1 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 17 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 ].fines, 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 of Occupancy is denied, the Building; Inspector shal..l 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 $1.5.00, Commercial $15.00 Date . �2 ". . '.q`f . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. .,.. . . . . . . . . . . . . Location of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street . liam.l e t Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . County Tax Map No 1000, Section. . . � ..A ( . . . . . .Block. . .0 . . . . . . . . . .LoL. ! . . . . . . . . . . . . . . . . . Subdi.vision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .Filed Map. . . . . . . . . . . .Lot.. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ileal.tli Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Appr.oval. . . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Cer. ticate o. . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . nPP1,ICANT i N s OPJ, yo'°i r . PRE \02• ro 0 0 62026 3 •i e"`� m /r i o -4. tPC ? CD •W st 2 49 d z Q ��`R, ,,� �• J �, AND .4() n n' C-1• {e 19 V 5. OJ m N/olF � Mc P QERMorr �P �G 0� �G Q SURVEY FOR JOHN C• & BA RBA RA E. HA RR/SON A T MA T TI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 126 - 09 - 20 CERTIFIED TO: Scale: 1" = 30' JOHN C. HARRISON �a LAND S� BARBARA E. HARRISON May 27, 1994 ����N T.MFrl 9� FIDELITY NATIONAL TITLE �c> >o cc9 L4 INSURANCE CO. OF NEW YORK 0.N Area = 11096 s q.f t. OF N Prepared in accordance with the minimum !4f. Y.S. LIC. NO. 49618 standards for title surveys as established by the L.I.A.L.S and approved and adopted PECONIC SURVEYORS, P.C. for such use by The New York State Land (516) 765 - 5020 Title Association. P. 0. BOX 909 MAIN ROAD SOUTHOLD, N.Y. 11971 . 94-197 CONSENT DEC 2 0 1994 TO JNSPE, urioN BLDG.DEPT. TOWN OF SOUTHOLD MA K*+ MARAO V%/. j1P*V C)wner(s) Names) tile undcrsir,tjcd, do(es) hereby state: That the undersigned (is) (are) the Owner(s) of the prem ises it, the Town Of Southold located at V W rv1ATv vt 44r— 9 �?FC 0 OA-,e Which is shown and desirrmited On the Suffolk County tax map as District 1()00, Section 12 (r , Block Lot 20 That the undersigned (has) (have) filed, or caused to be filed, an applica- tio.n In the Southold Town Building Inspector's Office for the following: eq?T,r, A�1' oc��t���c7 That the undersigned do(es) hereby give consent to the Building Inspectors of the .Town Of Southold to enter u.pan the above described property, including any (and all buildings located. thereon, to conduct Such inspections as they inay deem necessary with respect to the aforesaid application, including inspections to determine that said premises Comply with all of the la-%vs; ordinances, rules and regulations Of the Town of Southold. The undersigned, in consenting to Such inspections; do(es) so with tile knowledge and understanding that any information obtained It, 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 Toxvil of South() I d Dated: VS13ignaitur`e) BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT '. LOCATION: VW© MAS( number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER '(s) _ STr�o LApCA OCCUPANCY type) (owner-tenant)- ADMITTED BY: f o 4,J NA4tlf0A ACCOMPANIED BY: Cl � KEY AVAILABLE SUFF.CO. TAX MAP NO. SOURCE OF REQUEST: ! �}vr� M.c ,� DATE: 14.1�OA; DWELLING: TYPE OF CONSTRUCTION (/� ��� ' # STORIE� EXITS 2 - FOUNDATION n /�. CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FLR. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) - UTILITY ROOM PORCH TYPE DECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER 'S TYPE HEATER AIRCONDITIONING TYPE HEAT WARM AIR �J HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST/ STORAGE, TYPE CONST. _ -^!� SWIMMING POOL -- GUEST, TYPE CONST. - - OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ` DESCRIPTION ART. SEC. REMARKS: INSPECTED BY DATE.OF INSPEC(9�TION /L TIME START < END !G (rip. o-N'066--. "'�jf•c Erg, Z4 v. OF SOUTHOLD '.'PROPERT RE CARVI OWNER VONE D�IST. STREET '�-<SUB-- VILLAGE tv fo�M ORMER OWNER N ------- E ACR`z:'""C),a C oe, S W, TYPE OF BUILDING mc, 0 enr(1i o4+ RESJ-c2 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value IAND imp. TOTAL DATE REMARKS L:1 ber Z4 6, ME BUILDING CONDITION fi NEW, z NORMAL BELOW ABOVE FARMQ Acre Value Per. Value Acre T1111a6le` 1 LTi1IIabI6.,'.-2 . 3 "o'nd S"pl,dnd FRONTAGE ON WATER Io'nd FRONTAGE ON ROAD DEPTH BULKHEAD DOCK .r.: , .h .._^ram ®.rP. -" �"="_• •. 'r - .-�.:1` 1 _ax.j` 4 . h 4 iL IIIIIIIIIIIIIIIIN ... 1 � iP " " ■■■■■■ ■■■■■■■■■■■■■■■■■■■ NONE■ ■■■®■■■■■■■■■■■■■O■ =a zJi'i gi c - r r a► sa NONE 's•. �el gym` `�� �. r 4L OMNI solo v■■■■■■■■■■■ ■■■■■■■ ■■■■■■■■■■■■■■■■■■■ M■■EE■■ ■■■O■O■IM■■■■■■■■EEO IQ MEMO ■ME■■OM■M■■■■ .. �Foundaltion • f , • . Basementr .. Ext. Walls interior Finish ! Rooms 1 st Floor Ira 'Recreation Room Rooms 2nd Floor Dormer LDriveway MOO M.