HomeMy WebLinkAboutZ-22566FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22566
Date SEPTEMBER 1~ 1993
THIS CERTIFIES that the buildin~
Location of Property 1250 MARLINE LANE
House No.
County Tax Map No. 1000 Section 144
Subdivision
ONE FAMILY DW-ELLING
MATTITUCK ~ N.Y.
Street Hamlet
Block 2
Filed Map No.
Lot 38
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-22566 dated SEPTEMBER 1~ 1993
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 *
The certificate is issued to MARY FL~-ANOR MALONEY
( owner )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTAC~R.D INSPECTION REPORT.
~' - / Bu~din~ i~pector
Rev. 1/81
LOCATION:
SUBDIVISION
NAME OF O~R (s)
[250 L~T.ENE ~
(number & street)
BUILDING DE PAR~'~ENT
TOWN OF SOUT]IOLD
HOUSING CODE INSPECTION REPORT
MATTITUCK, NEW YORK
(munic [pal
HAP NO. LOT (s)
}{ARY ELEANOR MALONEY (CAROL & RALPH PALMIOTTO CONTRACT VENDEE)
OCCUPANCY
ONE FAMILY DWELLING
(type)
VAC~
(owner-tenant)
ADMI'i-rED BY:. RALPH PALMIOTTO
KEY AVAILABLE
SOUKC~ OF REQUEST: CHART.ES CUDDY, ATY
ACCOMPANIED BY: SAME
STIFF. CO. TAX MAP NO. 144-2-38
DATE: SEPT. 1, 1993
DWELLING:
~x~E OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS: 1ST FLR.
BATHROOM (s) 1
PORCH TYPE
BREEZEWAY
DOMESTIC HO~ATER X
TYPE NEAT NATI/IL/kL GAS
O~IER:
FRAME
CLEMENT BLOCK
SCREENED IN
4
2ND FLR.
TOILET ROOM (s)
DECK· TYPE
FIREPLACE
TYPE HEATER
WARM AIR XX
1
NATURAL GAS
~ STORIES I # EXITS 2
CELLAR 80Z CRAWL SPACE 20%
3RD FLR.
UTILITY ROOM
PATIO, TYPE CONCRET
GARAGE XX
AIRCONDITIONING
HO~{ATER
ACCESSORY STRUCTURES:
CARAGE, I'YFE OF cONST.
S~IMMING POOL BP ~11276Z CO Z-!2667
O~R:
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: OPEN BUILDING PERMIT FOR INTERIOR ALTERATIONS BP ~21620Z
INSPECTED BY: TItoI~ J.f/FISHER ' /
? ·
DATE ON INSPECTION AUGUST 31, 1993
TIME START 10:00 ENIJ 10:25
Form No. 6
T0~N OF SOUTHOLD.
BUILDING DEPARTMENT
· TO~N" HALL ·
765-1802
Ae
This application mue~ be f$11ed in. b~"'c~pswri~er OR ink and s~bmi~ed ~o the bulldin~
/nspec~or with the following: for new bu/lding or new' uSel
1. Final survey of property wtth.acourat~ location of all buildings, property 1/nes~'
' streets, and unusual na=ucal or Copo$~aphic features.
2., Final A~proval from Health Dept. of water supply and sewerage-disposal(S-9
3. Approval of.electrical installation from'Board of Fire underwri~ers' '
4. Sworn statement from plumber cer=lfytn~ ~ha~ =he solder used in system ~onEains
leas than 2~10 of 1~ lead.' ' '
5o Commercial buildin~, ~ndustrtal build'nS; mul~ipie res±deuces and similar bulldi~g$
and installaCions~ a cer~ificate of ~ode Complian~e from ar~hi~ect Or
· responsible ~or the building, . . · ·
6, Subait Plannin~ Board Approval.of'compl~ed $i~e plan requirements.
For ~xi~tin~ buildings (prior to April 9, 19S?) nonL~onformin~ usss, or bui~dlmss and
-pre-ex~st~n~, land uaes~
Accurate survey of proper~y showin~ all property lin~s~ s~reets,
unusual natural or topotraphi~ ~ea~ures, ..' bulldXa~ and
2. 'A properly aompleted appl±ca~ion and a consent to inspect'sX~ned by ~he applicant~
I£ a ¢~rtiSicate o£ Occupancy is denied~ ~he Buil~int Inspector shall
reasons there£or fn wrlt±n~ ~o ~he applicant;''
Fees
1. Certificats o£ Occupancy - Ns~ d~alling $2~,00, Additions ~o dvellln~ $25.00, "
Alterations to d~e£1in~ $25.00~ S~tmmin$ pool $2S.00, Accessory buildln~
Additions to accessory builS£n8 $2S.00. Businssses $50.00.
Certif£~a~e of O¢¢upanay on Pre-existin~ Buildfn~ - $100.00
Copy of Certificate of Occupancy - $~.00 over 5 years - $10.00
Updated Certificate of Oaaupancy - $$0.00
Temporary Certificate of O~¢upancy - ~esidentlal $15.00, Co~mercial
Date .... .....
:~ew Cons:ruction ........... Old Or Pre-existin~ g'u£1din~ ....
~ocation of Property.. 1250 Marle~? Lane Mattituck
House No. Street Hamlet
)nwer or Owners o£ Property Mary £1eano~ ~PA~
'ount¥ ~ax ~ap No i000, Section..~44.00 Bloc ..0~ ...... Lot.03~_O00 .....
ubdivision '
.................................... Filed Map ............ Lot ......................
ermit No ................ Date Of perml~ ................ Applicant .............................
eal~h Dept Approval '
· ' ......................... Underwriters Approval .........................
lann/ng Board Approval '
equest for: Temporary Certificate ........... Final Certica=e ...........
~e Submi:ted: $ 100 00
CONSENT
TO
~NSPECTION
CHARLES R., CUDDY
Ovmler(s) Name(s)
· the Undersigned,
do(es) hereby state:
That the unde,'si ned t .t fo fhe¥% = Ae
of Southoldluc~tedat J250 Ma~leen Lane, M~ttituck
, which Is sho~ =nd desl~nated on the Suffol~
County tax map as D~tmct 1000, Section ~ 44 · Block 02 . ~t 038
That the unde=s~ned (has) (~) fiIed,'*or caused to be filed, an applica-
tion ~ the Sou~old To~ Building ~spector~s Office for the ~o~o~gl
Certificate 0f Occupancy 0n Pre-Existin9 5uildin~
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 afcresaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersiCned, in consenting to such inspections, do(es) so with the
knowledt~e and understandin~ that any information obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for vie-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: 8,~/'/ 93
(signature) ~ .
Charles R. Cu'ddy
" ('~rint ~me) ......
(s ianature)
(print name)
oo
~u
150.00'
~..d
0