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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,