HomeMy WebLinkAboutZ-30706FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 30706
Date: 01/21/05
THIS CERTIFIES that the building DWELLING & ACCESSORY GARAGE
Location of Property 1010 HOLBROOK LA MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax }4ap No. 473889 Section 113 Block 0006 Lot 012
subdivision Filed }{ap No. __ Lot No. __
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursu~nt to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 30706 dated JANUARY 21, 2005
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 REAR SCREENED PORCH AND WOOD PATIO AND
ACCESSORY TWO CAR GARAGE WITH ATTACHED STORAGE SHED.*
The certificate is issued to GEORGE W ARGENTIERI & WF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTYDEPARTMENTOF~ALTHAPPROVAL
ELB~-£KICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'£~3
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
/~~A horiz~
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1010 HOLBROOK LA MATTITUCK
SUBDIVISION: MAP NO.: ~ (S)
NA~ OF OW~ (S): GEORGE W ARGENTIERI & WF
OCCUPANCY: SINGLE FAMILY
;~l'rr~u3 BY: MICHAEL ARGENTIERI ACC~PANI~ BY: SAME
SO~RCE OF P~ST: MICHAEL ARGENTIERI P.O.A. 3/18/03 DAT~: 01/21/05
GEORGE W ARGENTIERI & WF
DWELLING:
TYPE OF CX)N~'~UCTION: WOOD FKAME
FOU~ATION: CEMENT BLOCK
# STORIES: 1.5 # EXITS:
2ND FLR.: --4 3RD FLR.: __0
DECK TYPE: PATIO %"YPE: WOOD
ACCESSORY STRUCTURES:
C~E, ~IYPE OF CONST.: WOOD FRAME TWO CAR S~P~E, TYPE CO~ST.: SHED ATTACHED TO GkRAGE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P~: BP 30868 ALTER COZ-30705
INSPEL-~'~ BY:
~ /~~ DA~E ON INSP~ION: 01/04/05
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: ~ I 8 ~
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natura~or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form)L 7 ,...._j
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. Fog ~ b¥i[ ~d~,~i~.~' to A,p, ril 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
;~~~~.~:~t~Stl~ ~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
Date. '~ gO
New Construction:
Location of Property: / l>/~
House No.
Old or Pre-existing Building:
k /_ ,,,,.,:
Street
(cheek one)
Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
-6.
Block
Lot
Filed Map.
Lot:
Permit No.
Date of Permit.
Applicant:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
#
Fee Submitted: $ /O15.
Final Certificate:
(check one)
Located at
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY
CERTIFIES THAT
Upon the application of
E.F. MALONEY
P.O. BOX 6070
1007 route 25 A
MILLER PLACE, NY 11764,
10038
upon premises owned by
MICHAEL ARGENTIERI
PO BOX 403
SAYVILLE,, NY 11782
1010 HOLBROOK LN MA'I-]'ITUCK, NY 11952
Application Number: 2021753
Certificate Number: 2021753
Section: 113 Block: 6 Lot: 12 Building Permit: BDC: ns11
Described as a Residential 0-$99 square ff. occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Detached Garage, Outside, Attic,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 24th Day of September, 2004.
OTY Rate Rating Circuit Type
SaBle
Miscellaneous
as built 1984
Wiring and Devices
Outlet
Fixture
Outlet
Receptacle
Switch
Receptacle
14 0 Fixture
14 0 Incandescent
8 0 General Purpose
2 0 General Purpose
4 0 General Purpose
3 0 GFCI
An as built inspection, of thc delineated electrical installation, determined that an obvious hazard is not present and thc installation is believed to
be in comformance with the applicable reference standard for the estimated period of eonsmmtion of the premises wiring system.
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
CONSENT TO iNSPECTION
Owner(s) Name(s)
, the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of,
Southold, located at ./O!a .t~Ogt~Jt~-tg~/2~
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section ~/73~I~, Block , Lot · //..~ -
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for th~ following:
air
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:
(Signature)
/r)]/g/4/Wz(s;gnature¢7-
(Print Name)
.J
MATTITUCK OR HOWARD'S CREEK
t'
NOTE:
· ' MONUMENT
Survey for
GEORGE W. ARGENTI ERI
Mottituck
Town of Southold
Suff. Co, N.Y.
Scale: 1"=40'
Sept. 19,1958
GUARANTEED TO:
INTER-COUNTY TITLE GUARANTY
MORTGAGE CO.
RIVERNEAD, N.Y,