HomeMy WebLinkAboutZ-26614FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26614 Date: 08/06/99
THIS CERTIFIES that the building DWELLING
Location of Property 470 MARLENE LA LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 143 Block 0002 Lot 023
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- 26614 dated AUGUST 6, 1999
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 CONCRETE PATIO AND ACCESSORY ONE CAR
GARAGE. *
The certificate is issued to VICTOR & MARIAN F ALES, TRUST.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 10/18/96 N 400374
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
Building Inspect~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
SUBDIVISION:
NAME OF OW~R (S): VICTOR & MARIAN F ;%LES
OCCUPANCY: SINGLE FAMILY DWELLING
ADMITTED BY: SUSAN SUTTON
KEY AVAILABLE:
SOURCE OF REQUEST:
LAUREL
MAP NO.: __
LOT (S) --
VICTOR & MARIAN F ALES
ACCOMPANIED BY: SAME
SUFF. CO. TAX MAP NO.: 143.-2-23
DATE: 05/06/99
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: ~,~ ~ EXITS: ~
FOUNDATION: CONCRETE BLOCK CELLAR: FULL CRAWL SPACE: __
TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: O 3RD FLR.: O
BATHROOM(S): 1,O TOILET ROOM(S): 0.O UTILITY ROOM(S): --
PORCH TYPE: DECK TYPE: PATIO TYPE: REAR CONCRETE
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: ~
OTMER:
GARAGE, TYPE OF CONST.:
SWIS~4ING POOL:
OTHER:
ONE CAR WOOD STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE pREVENTION & BUILDING CODE
LOCATION ~ DESCRIPTION ART.
SEC.
J~. BOUFIS / TIME START: 10:15 AM END: 10:35 AM
TO~N OF SOUTHOLD
BU [LDINC DEPARTMENT
TOWN IL~LL
765-1802
APPLICATION FOR CERTIFICATE OF'~CCUPi\NCY
This application muse be filled in by typewriter OR ~nk and submitted co she building
inspector wi~h ~he following: for new building or new use:
1. Final survey of property wi~h accurate location of all buildings, proper~y lines,
s~ree~s, 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 s~atemen~ from plumber c~rtifying that ~he solder used in system contains
less ~han 2/10 of 1% lead.'
5. Commercial building, indus~ria1 building, multiple residences and similar buildings
and installations, a certificate of Code C~pliance from archizect or engineer
responsible for the building.
6. Submi~ Planning Board Approval of comploeed sics plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
I. Accurate survey of property showing all properey lines, s~reets, building and
unusual natural or topographic feaCuros.
2. A properly completed application and a consen~ to inspect signed by she applicant.
If a Certificate of Occupancy is denied, the Building Inspec:or shall sca~e
reasons therefor in writing co ~he applicant.
Fees
i. Certificate of Occupancy - New dwelling $25.00, Additions co dwelling $25.00,
Alcerations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $5.00 OVer 5 years - $[0.00
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
3.
4,
5.
NewC°nstruction ...... OIdotPre-existingBuild;ng ....X ........ Vacant Land .............
Location of Property 407 Marlene Lane, Mattituck, 'NY
- - House No. Street Hamlet
Owner or Owners of Property . , .v..ic. c.o..r .9.n.d..~.a.r.i.a.n..A.l.e.s ...................................
County Tax Map No. 1000 Section ....1.4.3 ......... Block ....2. i ......... Lot ..... 2,3. .........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Aporoval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted S .l_.0p., p.0 .......................
Construction on above described building and permit mee~s all applicable codes and regulations.
...................... .......
THE NEW YORK BOARD OF FIRE UNDERWRITERS
'~;~-i,l~t,~ BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
Oat. OCTOBER 1~19~6 ApplicetionNo. onfile 12610796/96 N
in t~ followlng l~ezion; ~ B~ement ~ I.t FI. ~ 2nd ~. OUT
~ examin~ on OCTOBER ~ 5 ~ 1 99 6 and~ound Io be in compl~nce ~:h the N~on~ E~ect~c~ Code.
~ ~s] ~ ] .XTUff~ ~ES ~tUO ~S I O~NS I mSH WA:~::: EXHAUST FANS
1 t~ CB 1 X 1 2 1 2
OTI41~ A~ARATUS:
TWIN FORK ELECTRIC
P.O. BOX 48
..La2~ESPORT, NY, 11947
LIC. #3488
CONSENT
TO
INSPECTION
Victor Ales and Marian Ales ' , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 470 Marlene Lane, Mattituck, New York
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 143 , Block 02 · Lot 023
That the undersigned (has) (have) filed· or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following: __
Pre-existing C.0. - One family dwelling with
detached garage.
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 as evidence in subsequent prosecutions for gio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
~sxgnaxure~
Marian Ales
(print name)
(slgnature}
(print name)
TOI~N OF SODTItOLD
HOUSING CODE INSPECTION REPORT
& street)
SUBDIVISION HAP NO,
OccUPAncY ~/~~/c ~'/7'
~Y AVAI~
so~c~ UE ~s~: ~~
(municipality
LOT
(o~rner-tenant)
ACCOHPANiED BY:~'~ff~
DI~ELLING:
TYPE OF CONSTRUCTION ~/~
FOUNDATION ~---~/~ ~
TOTAL ROOHS: IST FLR.
BATRP. O0~ (s)
PORCH TYFE
BREEZEWAY
DOHESTIC HOT~ATER
~E ~.AT
O~R:
- ~ S~ORIES ~,t/-~ ~ EXITS ~
CELLAR ~ CRA}IL SPACE
TOILET ROOH (s) ~
DECK, TYPE "--'"-
3RD FLR.
UTILITY ROOH ~-
FIREPLACE ~ ' ~ GARAGE
TYPE HEATER ol~--"f~O//~-'l.,, tIRCONOITIONING
I~ARH AIR - HOTI~ATBR ~
ACCESSORY STRUC'fuaES:
GARAGE, TYPE OF CONST.~. dg~/t ~ff/'~J. STOP, AGE, 'rYFg CONST.
S}iII~ilNG POOL , GUEST, TYPE CONST.
OTIiI~R:
VIOLATIONS: CHAPTER 65 N.Y. STATE UNIFOR~ FIRE PREVENTION & BUILDING CODE
LOCATION . ~SCRIPTION ART. SEC.
INSPECTED BY:
/-
DATE ON INSPECTION
Tilde START /O,'I lrEND ,lOt, ~