HomeMy WebLinkAboutZ-23993 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-23993 Date OCTOBER 30, 1995
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2860 SIGSBEE RD. LAUREL, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 126 Block 5 Lot 15
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-23993 dated OCTOBER 30, 1995
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 & ACCESSORY STORAGE BUILDING
The certificate is issued to PASQUALE & LODA ROMANELLI
(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.
ui ding Inspector
Rev. 1/81
Illl 1 LD I NG DEPARTMENT
TOWN OF SOUT110I.D
IIOUSING CODE INSI'ECI'ION REPORT
LOCATION: 2860 SIGSBEE RD. LAUREL",-,-,'N.Y.
number 6 street municipality
SIIIIDIVISION HAI' NO. LOT(s)
NAME OF OWNER (s) PASQUALE ROMANELLI?& WIFE
OCCIJI'ANCY A-1 RES. OWNER
Iype�-- owner-tenant
ADMI' TE-D IIY: MR. ROMANELLI ACCOMPANIED ISY: SAME
KEY AVAII.AIILL S[JFF.CO. TAX MAP NO. 100 - - -
SOIIRCI? OF REyIIEST: PASQUALE ROMANELLI DAZE: OCT. 12, 1995
DWEIAA NG:
TYPE OF CONSTRl1CrION WOOD FRAME A STORIES 2 EXITS TWO
FOl1NDA'1'ION CEMENT CELLAR PARTIAL CRAWI. SPACE.
TOTAL ROOMS: 1ST FLR. 5 2ND FL-R. 2 3RD FI.R.
IIAT11ROOM (s) — ONE TOILET ROOM (s) ONE UTILITY ROOM
PORCH TYPE DECK, 'TYPE PATIO
JIREEZEWAY FIREPI ACE ONE GARAGE DOMESTIC JIOTWATE-R YES TYPE NEA'1'Elt OIL AIRCONDI'r10N 1 NG _
'TYPE HEAT OIL _ WARM .AIIt � 110"ItiJA'rER
OTIII:R:
ACCESSORY STRIJCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. ACCESSORY SHED
SWIMMING POOI. GIJEST, TYPE CONS'1'_
OTIIER
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VIOI.ATIONS: CHAPTER 45 N.Y. STATE 11NHORM FIRE PREVENTION & I111I1,I)ING CODE
LOCATION DESCRIPTION ART. SEC_
REMARKS: BP #10566Z— CO Z-13687 (ADDITION & ALTERATION)
INSPECTED BY DATE. of INSPECTION OCTOBER 23, 1995
J. FISH TIME START 9:30 AM END 9:40 AM
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OCT 16 1995
I
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SURVEY FOR
I
PASQUALE 8S LUDIVOICA ROMANELLI
MA-rT-ITUCK I
TOWNOFsourHOLo
j SUFFOLK COUNTY, N.Y.
(:UARANI'EED TO:
INTER-COUNTY TITLE GUARANTY
NO fF AND MORTGAGE COMPANY.
■ =MONUMENT -
SCALE' I"= 30 NORTH FORK BANK AND TRUST CO.
LOT NUMBERS REFER TO AMENDED MAP OF MATT(- , OCT 17, 1966 .� •2
I UCK PARK PROPF_RTIES,FILED IN THE OFFICE OF THE �
CLfRt,; OF SOFFOLK COUNTY ONJAN.12,1906 AS MAP NANO SURVEYOR
I NO. 001. i N.Y.S. LIC. NO. 29725
—__------------... ----- RIVERHEAD,N.Y.
l:r•"J•r
cG'riUiy
PASQUALE ROMANELLI AND LUDIVOICA ROMANEL_ LI , the untlrrsignr_rl.
O ncr(n) Namefs)
do(os) hrr by state;
That the ri riders lurred (tL) (arc) the, owner(s) or tlin plre tisutr in the Town
of Southold 1nr ited ,nt 2860 SIGSBEE ROAD
MATTIT',.'UCK,NY ^, which Is :3hovm and dr-signr ted on the 5ur£olli
Cvunty trix map as Mstrir.t 11100, St3uL1U11 126 , Blacic 05 Lot 015
That the undcrgi.gned (has) (have,) filed, cw r.srnttFd to be filed, an applica-
tion in L1rN .9outhold To= Building Inspector's Orfine for the followLrig:
LETTER IN LIEU OF CERTIFICATE OF' nr('_U2&XCX
DWELLING PREDATES THE ISSUANCE OF SAME
That the Undersigned do(cs) hnrehy give cvnst ttt to the F3ulldin(; inspectors
or the Tuwn of Southold to rnt(�r neon the above claserrlbed property, including
any and all lruildings located tharrrn, to ronduf:t such inspections, as they may
d�e:n-i nri:.r 5ury with respect to the aforesaid application, incliuling inspections
to dcterminr. thA ti:ild premises comply with all-of thr la%vs, nrdinanccs, rules
send regulations of the Town of 5outhnirl,
Thu urud4:relgned, in tonsi-miing to such insrwctivus, dv(eti) ou with the
knoa'Iuages and undorstanding that any inh-.n.—rialiou ubtained in the conduct of
such invpeetionne, may ha ,ispri ea n_vl.dence in suLeeyueart prouecutiono for vla•-
1utiuri, or t1le law-, ordinances, rules or vegulations of the Town of Southold,
Datnd; 10/12[95
s;ignatux•e)
PASQUALE ROMANELLI
Sprint name)
,�D n(Si}�rraitur•ir1
m f.1
LODA ELLI
r� OCT 16 19P..5
ELL:TOI '
rti, E�rc'�
Eu AUVJ Pa ' 1 .,I.:a's%'e'l;1:5 lldylt"�^y's� r.•S' �66lf�1J613
S
F o r rn N q. 0
OCT 16 igg5
ToWN or SOUT1101,E)
1
L
BUILDINO DEPARTMEN'T
TOWN RALT.
`T 763-1802
TOWN- OF 1*S:; "Ho!.!�
APPLICAnON FOIL QERTIricA-ru OF OCCUPANCY
A This aPP'Lic8tion must be filled in by CYPewriter OF, ink and submitted Lo the b.kTilding
inspector with the following: for new building
4ng or new tise;
I . Final survey of Property with accurate location of all buildings, Property lines ,
streets, and unusual natural or topographic Features,
2, Final Appr,)val from Health Dept. of %,7;icer supply and 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 2/1.0 of 1.7. lead-
5. Commercial building, industrial building, multiple residences and similar buildings
and instal la't ions., a certificate -of. Code Compliance from architect or engineer.
responsible for the building.
6, Submit Planning Board Approval of completed site plan requirements,
D. For existing buildings (prior to April 9 , I957) 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 Vp�ication and a consent to insp_Rct, vigped by the applicant,
If a Certificate of occupaniE�J.S' denied , Lhe B6T1,7J_11_1g Inspector shall state the
reasons therefor f,n writing to the applicant.
G. 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 Buildine - $100.00
3. Copy of Certificate of Occupancy -
4 . Updated Certificate of Occupancy - $50.00
3. Temporary Certificate of Occupancy - Residential $15-00., Commercial $15.00
Date
New Construction. . . . . . . . . . . old or Pre-existing Building, , X, I . . . . . .
Location of Property. ... . . . . . . . . . . . . .
•
douse No. 2860 Street SIGSBEE RD. Hamlet MATTITUCK
anwer or Owners of Property . RASQUALN,ANP ,CODA 49MAMELLI
"ounty Tax Map No 1000, Sac tion . 126. . . . . . . . . 05. . . . . . . . . . . . .Lot.
. . . . . . . . . . . . . . . . . .
;ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ed NoP . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
"ermit NO. . . . . . . . . . . . . . . .Date OC Permit
'ISA101 Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . . .Undav-writers Approval . . . . , . . . . . . , . . . . . . . . . . . .
'lanning 00,1rd Approval. . . . . , I . . . . . . .
'"qucst for: Temporary Certificate. . . . . . . . . , . Finni Corticite
_5
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®®rosement - ..
Walls
Extension �ire Place
.. :.
Rooms 2nd Floor'
s
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
WNER STREET 2 VILLAGE DIST. SUB. LOT l � '
/C, LL.
P'!
ORMVR OWNER N E ACR.
S W TYPE OF BUILDING
S D SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
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AGE BUILDING CONDITION
;EW NORMAL BELOW ABOVE
ARM Acre Value Per Value
Acre
liable 1
[able 2
lable 3
i
)odland
ampland FRONTAGE ON WATER
ishlond FRONTAGE ON ROAD J-
use Plot DEPTH
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