HomeMy WebLinkAboutZ-24235No Z-24235
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
FICATE OF OCCUPANCY
Date MARCH 25, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2100 BAY AVENUE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 144 Block 3 Lot 38
Subdivision
Filed Map No
Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to:
OCCUPANCY NUMBER
APRIL 9. 1957
Z-24235
pursuant to which CERTIFICATE OF
dated MARCH 25, 1996
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 FLORENCE MAHONEY
(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 ATTACHED INSPECTION REPORT.
lding Inspec or
i
Rev. 1/81
I.00ATION :
IMILDING DEPARTMENT
TOWN OF SOUTDOLD
IIOUSING CODE INSPECTION RRPOR'I'
2100 BAY AVENUE
number 6 streeC
MATTITUCK, NEW YORK
(municipality
SUBDIVISION MAP NO. I.O'I'(s) _
NAME Or OWNER (s) FLORENCE MAHONEY
OCCUPANCY A -I RES. OWNER
types Zowner-C'enant
ADMITTED BY: JOHN deREEDER ACCOMPANIED BY: SAME
KEY AVAILABLE SUrr—co. TAX MAP NO. 1000-144-03-38
SOTIRCE Or REQUEST': MAUREEEN L. SMITH
DATE: MARCH 12, 1996
UWL'LL1NG:
TYPE OF CONSTRUCTION WOOD FRAME f S'T'ORIES 2 f EXITS 2
FOUNDATION
POURED CEMENT
CELLAR PARTIAL
CRAWL SPACE PARTIAL
'1'O'1'AI. ROOMS:
IST FLR.
4 2ND FIR. 3 3111) FI.R.
BATIIROOM (a)
ONE
TOILET ROOM (s) NO
UTILITY ROOM
PORCII'TYPE
SIDE ENCLOSED/FRONT COVERED DI?CK, 'TYPE
_ PATIO
-
BREEZEWAY
FIREPLACE
GARAGE
DOMESTIC 110'TWATER YES
TYPE HEA'T'ER LILCO
AIRCONDITION1NG
TYPE IIEA'T
OIL
WARM Alit XX
110TWATER
01,11 1, 11:
ACCIRRRORY R'1'R11rT11RR9u
NONE
GARAGE, TYPE OF CONST.
SWIMMING POOL
o'TNE11:
_ STORAGE, TYPE CONST.
GUEST, 'TYPE CONST'.
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VIOLATIONS: CIIAPTER 45 N.Y. STATE UNIFORM FIRE. PIIIiVL'N'I'ION S BIJl1.DING CODE
REMARKS:
INSPEC'T'ED
J
DATEI OF INSPEC'T'ION
TIME S'T'ART 9:40
MARCH 20, 1996
END 10:00
FROM : Panasonic FRX SYSTEM PHONE NO. : Jan. 24 1996 03:37PM I
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPART?Y.?T
TOWN HALT
765-1802
APPLICATION FOR CERTIFICAT= 0: OCCUPANCY
A. This application must be filed in by typewriter OR 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 eL buildings, property lines,
streets, 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 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.?la.nning Board Approval of completed site plan requirements.
3 For existing buildings (prior to April 9, 1957) non-coniorming uses, or buildings and
" land uses:
1. AccurAte survey ofoperty showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed applicat on and acons o <�
�SS signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shzil state the
reasons therefor in writing to the applicant.
Fees
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling S25.00,
Alterations to dwelling S25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
Cartifira.te of Occupancy on ?re-existiux Buildins - $100.00
3. Copy of Carti°icate of Occupancy -
4. Updated Cerr.+.ficate of occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $1 .00
Date .......v3�(�l.l.lo
;Jew Construction.......... Old Or ?re-existing�Building .. /�y/.� !�
Location of Property....s �.V. SI..... ....r? �.E� ... I' !.0/2 " /* 7 J ��
..........
House No. Street Hamlet
Onwer or Owners of ?rcoertq ........ .(�. .. ................
county :Tax Map No 1000, Sactioa.... / 4 ... Block .... O, ........ Lot......................
iubdivisioa...... '
..............................Fi'_ed *Sap...... .Lot......................
?e mit ,No................Date Of Para:t................ Applicant .............................
3aalch Dept. Approval..........................Underwriters Approval.........................
?lanniag Board Aporovz ........................
Reauest Lor: Temporary Cart' -Licata........... Final Certicate...........
:sa Submitted: S ...... ✓.0.O . ...........
j?y�c�t uLeQ� ........... .. -..i ......... .
A2?LICANT
a�a 35
FROM Panasmic FAX SYSTEM PHONE NO. : Jan. 24 1996 03:37PM I
CONSENT
TO
IIN.9 Pr,CT10N
tha undersigned,
Owner(s) Names)
do(es) hcrehy state.:
That the undersigned (is) 0.ma) the ownerW) of the premises In [Ito Town
or Southold located nt i
Which is shown and doslannted on the Suffolk
Counly tax snap as District 1000, Scctton Block 03 I-ot O:jpfo
That the undersigned (has) (Hew) filed, or caused to be filed, an applica-
tion in the Southold Town Building InspectorIsOffice for the followings
It
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, iucludhig
any find all buildings located thereon, to conduct such Inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that 4aid premises comply with all -of the laws, ordinances, rules
and regulations of (lie Town of Southold. -
'Vila insdersigned, 1u euusentingi to such inspections. do(es) so with the
knowledge and understanding; that any hiforntation obtained In the conduct of
such Inspucllons inny be used its evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules ov regulations of the Town of Southold.
Dated:
(signature) y
eEjSdz k
(print name
(aIgnalure)
name
I
I t
UTILITY LINE ` A
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-L)" F t TA'X' lvdAC �-;AiTA, X`: - 144- -a
Unauthontrd ^%^ration oreddMln"
to this survey is a tioLlion of
5ertmn 7208 of the New York State
! -.jcetion Law.
t ,pies of this survey map not bearing
t -e land surveyors inked sea! or
,,bossed seal shall not be conslderod
to be a valid We CM.
ri ;oarantees keCated hereon shall n:
o^ly to the peraat for whom the surrey
is prepare4 end on his behalf to the
t li n Company. governmental agency end
len^ing institution listed hereon and
t ii e rss graes of the lending inA-
t t C:: .:. s are not transferabie
to ai`d's-.r -.:rs or sabseuuen,
O�er5
F� �/1�r� pp Q` tom` �I
F+.f YY:1 T �.lJd(f. ♦ ��Gil �r T iTAME"IF
AI�f
i
J
LOCATION:
SUBDIVISION
')-/Op
number b s
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
t
municipality
MAP NO. LOT(s)
NAME OF OWNER (s)
OCCUPAVCY 411-1
(—type) owner -tenant
ADMITTED BY: rJ���,(��C ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX MAP NO. -
SOURCE OF REQUEST:— 1'Tf�fF.r/ �. (�yvj
llWELLING:
TYPE OF CONSTRUCTION STORIES_ EXITS
FOUNDATION CELLAR SPACE
TOTAL ROOMS: IST FLR.2ND FLR. ? _ 3RD PLR.
BATHROOM (s) TOI.L.ET ROOM (s) _ � UTILITY ROOM
PORCH TYPE SISf �''prE av' DECK, TYPE PATIOS'
BREEZEWAY FIREPLACE" '--------' GARAGE —
DOMESTIC 110TWATER TYPE HEATER /AIRCONDITIONING
TYPE HEAT WARM Alit IIO'TWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
OTHER:
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VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY .vcr� --- DATE OF INSPECTION
TIME START �i_ ENT)
i
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
eA.
-- t
(p
FORMER OWNER
y�/�
E
ACR.
f
S
��/V,t ASCv
W
Lb, -C - %i oNay
TYPE OF BUILDING
6 Fka A4,1
ES.
SEAS.
VL.
rARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
i O d
3/aa
y o 06
912— 717Y
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per y
Acre
Value
r'
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
'
/240
House Plot
q— 44w
Total
BULKHEAD
i
DOCK