The URL can be used to link to this page

Home My WebLink AboutZ-23322 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRS E%ISTING CERTIFICATE OF OCCUPANCY No Z-23322 Date OCTOBER 31, 1994 THIS CERTIFIES that the building ONS FAMILY DWELLING Location of Property 540 RDCHELS PLACE MATTITIICK, N.Y. House No. Street Hamlet county Tax Map No. 1000 Section 144 Block 5 Lot 24 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-23322 dated OCTOBER 31, 1994 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie issued ie ONE FAMILY DWELLING WITH ACCESSORY 2 CAR GARAGE The certificate ie issued to PHILIP M. & ffi.ISABSTH S. FAHSY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A tPLEASB SSE ATTACHBD INSPECTION REPORT. Building Inepe or Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 540 ROCHELE PLACE MATTITUCR, NSW YORK number ~ street municipality SUBDIVISION MAP N0. LOT(s) NAME OF OWNER (s) P. FAHEY ~ WIFE OCCUPANCY SINGLE FAMILY DWELLING type owner-tenant ADMITTED BY: JAKE SOLECRI ACCOMPANIED BY- SAME REY AVAILABLE SUFF.CO. TAX MAP NO. 10• - - - SOURCE OF REQUEST: PHILP 6 ELIZABETH FAHEY DATE• OCT. 14, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 4 E%ITS 2 FOUNDATION CEMENT BLOCK ~ BRICK CELLAR FULL CRAWL SPACE TOTAL ROOMS: 1ST FLR. 7 2ND FLR. 3RD FLR. BATHROOM (s) TWO TOILET ROOM (s) 1 UTILITY ROOM PORCH TYPE FRONT COVERED DECK, TYPE RAISED REAR PATIO BREEZEWAY FIREPLACE OME GARAGE DOMESTIC HOTWATER YES TYPE HEATER LILCO GAS AIRCONDITIONING TYPE HEAT GAS WARM AIR LILCO GAS HOTWATER STEAM OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OFS<~,,,,,2 CAR WITH STORAGE STORAGE, TYPE CONST. wixn-vir~ SWII~lING POOL , GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION fi BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #224202- CO Z-23321 DECK ADD INSPECTED BY ~ DATE OF INSPECTION OCT. 24, 1994 M. BO S TIME START 8:45 AM END 9:15 AM _ \ M Form No. 6 ~ X11 TOFTN OF SOUTHOLD . ~ - BUILDING llL• PARTPIENT ~ ~ 1 ~ 1~~ TOWN HALL 765-1802 ~ E3LDG. DEPT. TOWN 0FSOU7H0LD~ APPLICATION FOP. CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disposal(S-° 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. B. 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 property lines, 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 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date !.~~J.k`l ~ New Construction.. Old Or Pre-existing Buildning......?..... Location of Property.....~!;~C? o.<•;-f,~4~.~... (C!a;C~............~~,7/~.% i, I,i t; e.~....... House No. Street Hamlet . . Onwer or Owners of Property...... ~~ft ~?1:...~ K ...~Lr~~.~ e ~2,~ . ~[4!f4' County Tax Map No 1000, Section...~.~:`f......Block.....:!.........Lot......' Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval itequest for: Tempo/r~ary Certificate........... Final Certicate........... Fee Submitted: $..p(.~~.~...•.•.••••••••.•••- n APPLICAN i.` i;`r ~ Q~ ~ CUNSLNT ...s 'I'O INSPEC'i ION P ~ fJ ~ ~ L / 2~~y F/.}- J-I-L~ , the undersigned, Uv:mer(s) Name(s) doles} hereby state: That the undersigned (is) (are) the owner(s) off~t~h~e premises in the Tovvn of Southold located at .t-/tf y v e ~.f ~ L ' E ~I/H%/ i Z~~ i I vchir_iv is shown and designated on the Suffolk County tax map as District 1000, Section / ~ ~ Block Lot ~ That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Toam L'uilding Inspector's Uffice for the following: K That the undersigned do(es) hereby give consent to the Building Inspectors of the Tovvn 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 he used as evidence in subsequent prosectaions for vio- lations of the laws, ordinances, rules or reb lations of the Town of Southold. • ~ Dated: /o f it./ ~i~~_ ' If-f/~~® /~7 ~rf~ (print name) (signature? ~ ~ ~ (print mime) ~ m y Q w Z ~ Z ~ . a Z +r.. O yti 2° O h, ..L~. `dip o^ O~ Q ~~~t7 ~ M J ~ ~ ~~orn z M < z a ~ Y O~ ~ 1 Q~ ~ p W O z~ 2 O~W mpppppp~z 2 J ` M ~O ~~.r O~ ~ ~~~~o~ q > ~0-C 4 ~ T w t f1 O , ~34Wj O~Q ¢ ~ L ~ J ~ 44U2v, t~ -~~4,0 o v, O2041W~ ~Nh~ Win, ~ ~ hUJWO W~?12.,. ~ ~ Z~ ~I ~~/~C~ ~-~Q}"Q t~Jg3 p2 ~ ~ ~ ~ O~ v J >aWNWvi Ex"OVZ 2ti C1~ Q O Q a~~ llz Wz 1"a~¢ao Q~w° ~o w~ n ooou.~'~ "~~z wti w ~y~N~~~ ; CAW ~ mj Q22 ¢W 4>-Ka tq 0,n d'U Zcr~ rig. 4ti-O0rp4 O¢~,C K'}' <a~ OWZ Q,,, OOUWW¢ U}jam N N~ enO F- vtui~a.W oma4 ,n F- y~ a~W a2hoW[0~ Q=442]7 II J4 jcW.9 ~qZ,_W ~°-`LQ0-~ ZmO~ zz 24 W Q~~o~~ o~QO lqU o~' o- v }.tnWWp0 pOWa ~ ....ice 2y xy~y~~4} Q~O~ Q '=OWSN ~a~ Q dnW .OS"b b~ ~ ~ ,OZSb2 rr~~ 7 ~1 a ~ ~O ~ f 5 ?°40'00,. as w~` - ed 1 P ~6 ~ = X ~o ha' a a~ ~ a ~.T ; r ` 6 v ~ ~ c~ . a' ~ 3 `r O o _ rn ~ \ Q 1 ,o o 'Q, ~ o a. 1 ~ 'h ~ e- ~ (f ~ ~ d ' a ~ LL I/'~ X0.57, Map`.. ~ ~ a o ~ Q~'L ~ 37 2 ~ , i ~ ~ ,7 ti` d y s ~t ti~ W• • i p 0 ~ t ~r? ~ ~ Z° ~ ~ w~ a ~ ~ i~ N. ~ r sr ~ ~ - ~ ~ ~ \ ,a - 3 y i Lp'~ 20 3 a, r0Zq o , u, ~ a~ z ~ ~ ~ ~ ~ 90 ~Z ~ o. ~ ~ ~pT ~ w° ~ 2~°~~ ~PI% 9 ~w v~ / ~,o~ R a' oz ~ ~ ~ A WW ~o CJ z' w O N 0 ~ ~ 0~