HomeMy WebLinkAboutZ-26986 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- 26986 Date: 03/14/00
THIS CERTIFIES that the building DWELLING
Location of Property 2135 MARLENE LA MATT/LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 144 Block 0003 Lot 012
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- 26986 dated MARCH 14, 2000
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 ATTACHED ONE CAR GARAGE
The certificate is issued to RAYMOND FLANAGAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
~
ut rized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
w0 IN- OD. rNCP. TTON RHpORT
LOCATION: 135 ant N a aTT/ n roF
SUBDIVISION: MAP NO.: LOT (S)
NAMH OF OWNER (S): RAYMOND FLANAGAN
OCCUPANCY: A-1 RRgTDFNTTAL RAYMOND FLANAGAN
ADMITTED BY: JOAN TYRHR ACCOMPANIED BY: SAME
ABY AVAILABLE: SUPF. CO. TAX MAP NO.: 144.-3-12
SOURCE OF REQUEST: AmrNiTr & rHBON P - / /DO DATE: 03/14/00
nwn..r.rmn.
TYPH OP CONSTRUCTION: WOOD PRAMS ~ STORIES: 1.0 q EXITS:
POVNDATION: CBt448NT BLOCK CELLAR: 3/4 CRAWL SPACE: 1/4
TOTAL ROOMS: 1ST FLR.: ~ 2ND FLR.: ,S 3RD PLR.: ~
BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPH: COV. HD FRONT HN .O ED DECR TYPE: PATIO TYPE: SLATS
BREHZEWAY: FIRHPLACE: ONE GARAGE: 1 CAR
DOMHSTIC HOTWATER: YHS TYPE HHATHR: LIPA GAS AIRCONDITIONING: YES
TYPH HEAT: LIPA GAS WARM AIR: XX HOTWATHR:
OTHHR:SHED ATTACHED TO RHAR OF HOUSE
ACCHCSORY STRi TiDiPC.
GARAGE, TYPE OF CONST.: STORAGH, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHHR:
VIOLATIONS: CHAPTHR 45 N.Y. STATE UNIFORM FIRE PRHVENTION 6 BUILDING CODE
~L.OCATION ' DESCRIPTION RT H
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RBMARRS:
INSPHCTHD BY: DATE ON INSPECTION: 03/13/00
. P H TIME START: X0:20 Am gND: 10:40 AM
~
. ~ Form Nn. 6 -
TOWN Or S01J'TUO1,D
BUILDING llfPAR1'M6NT
'TOWN HALL
765-1802
~
APPLICATION COR CLR1'IPICAI'li OP OCCUPANCY >
A. 'I'h i.a application must be Gilled in by typewriter OR ink and submitted to the bu SZCJir>'g
inspector w:Lth the following: For new bul.l.ding or. new use:
1. Final survey of property with accurate location of, ell buildings, property line
streets, and unusual. natural or, topographic features.
2. Cinal. Approval Erom Nealtlr Dept. of water supply and sewerage-disposal(S-4 form).
3. Approval of. electrical installation from Board of Tire Underwriters.
4. Sworn statement from plumber certifying that the solder used iu system contains
less than 2/10 of 17, lead.
5. Commercial building, industrial building,, mui.tipl.e residences and similar build]ngs
and installations, a certificate of. Code Compliance from architect or englneet
responsible for the building.
G. Submit Planning Board Approval of completed site plan requirements.
I1. I'ur exiakinq bui.ldinga (pride Co Apr-.I,I. 9, 1.957) nun-cunCoeming uses, or buil.diups nn4
"pre-existing" land uses:
1. Ar.curake survey of property showing al.l. 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 1s denied, Che Building Inspector shall state the
reasons therefor in writing Co the applicant.
C. Pees
1.. Certificate of Occupancy - New dwel.linp, $25.00, Addltious to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Addltiona to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy nn Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25C
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certiflcate of Occupancy - Residential $15.00, Commnercial $15.00
IJate .~/~.7./Q ~
New Construction...........^^Old OLr~
Yre-exisCing~,7BuL/tdAi/n1gn.. ~C/
I,ocatlon n[ Pr.operty.....dlc~? ........~Cl,/~,C;!"lfC..l-~7L4. ......::l~~L!/ve~.....
(louse No. _1 p,S~treet f Ilamlet
0nwer or Owne r.s of Proper Cy ~SfATe ..t~~./~ ~"~7 MBA(O F~/~I(//~gg/~~
County 'l'ax Map No 1000, Section... ~ ~!.....B1ock.....~.........Lot...~ ~
Subdivision ....................................Piled Map............Lot.......................
Pe nn 1.C No ................Date OE Permit................Applicant.............................
lleal.th Dept. Approval ..........................Underwtiters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... rival Certicat
Fee Submitted: $
C~zr..:h6t7
~ ~ ~~090 PLICANT. GG2~............
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° M - ..R~`~i~ONO ~ EDNA F~.ANAGAN' .
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v, ~ c~ C` ~ TOWN dF SOUTNOLOE Y. 3