HomeMy WebLinkAboutZ-22882FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22882
THIS CERTIFIES that the bui
Date FEBRUARY 23, 1994
ONE FAMILY DWELLING
Location of Property 100 FAY COURT MATTITUCK, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 123 Block 5 Lot 13
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-22882 dated FEBRUARY 23, 1994
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 SEASONAL DWELLING WITH ACCESSORY GARAGE *
The certificate is issued to
of the aforesaid building.
RICHARD F. & MAGDALANA L. MONAGHAN
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-039464 - FEBRUARY 16, 1994
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
BIJILDING DEPART "T
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 100 FAY COURT
number h street
SUBDIVISION MAP NO.
NAME OF OWNER (s) RICHARD F. MONAGHAN
OCCUPANCY SINGLE FAMILY (SEASONAL DWELLING)
(t e
MATTITUCK, NEW YORK
municipality
LOT (:; )
j 1 towner—tenant)
ADMITTED BY RICHARD MONAGHAN SAME
KEY AVAILABLE
SOUL,ZZ OF REQUEST:
ACCOMPANIED BY:
SUFF. CO. TAx MAP NO- 1000-123-5-13
RICHARD MONAGHAN DATE_: JANUARY 14, 199 ►T
D14ELLING:
TYPE OF CONSTRUCTION WOOD FRAME 0 STORIES 1-1/2 # EXITS 2
FOUNDATION CEMENT BLOCK CELLAR 3/4 CRAWL SPACE
TOTAL ROOMS: IST FLR. 4 2ND FLR. 2 3RD FLR.
BATHROOM (s) I TOILET ROOM (s) UTILITY ROOM
PORCH TYPE CLOSED SCREENED DECK, TYPE PATIO, TYPE
—1T'RO
BREEZEWAY FIREPLACE 1 GARAGE
DOMESTIC HOTWATER %% TYPE HEATER ELECTRIC AIRCONDITIONING
TYPE HEAT NONE WARM AIR
OTHER: HOTIdATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. WOOD FRAME
SWL`L`TING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOI.ATTONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
Lu-AIIUN DESCRIPTION ART. SEC.
LIVING ROOM Damper in fireplace is steel plate, has no operating
handles -(Installation Questionable) SHOULD NOT
UNTIL CORRECTED.
N.Y. State Code Title Executive B. Subchapter C-1163.9
REMARKS:
INSPECTED BY:
DATE' ON INSPEC'T'ION Jan. 20, 1994
TIME START 10:00 END 10:25
INEff2
Form No. 6
ry ui ing $25.00. Businesses $50.00.
Certificate of Occupancy on Pre-existing Building_- $100.00
'3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date q.jN A I„�, f �,1 � 1 . .....................
New'Construction...... Old Or Pre-existing Building.. ,f
Location of Property.. j:) o ..q....`:flU.�� A?�.�f;�CI��.Y'.e��..
House No. y►� . • • Street Hamlet • • • . • • ... • .
Onwcr or owners of Property�•�n� ,!,;! 1��,{%AN �IAG6pI,gKA I�0rfy4(Of4A►f,
County Tax Map No 1000, Section.,�.,Block .... 5......Lot...
..., �,
3 .................
Subdivision....................................Filed Map ............ Lot
......................
Permit No................Date Of Permit ................ Applicant ..............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate..........
Fee Submitted: $,700. �04
1� k ut 2
Final Certicate...........
APPLICANT .. .. .
Y.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A.
This application must be filled 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 all buildings, property lines,
streets, and unusualnatural or topographic features.
2.
3.
Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
4.
Approval of electrical installation from Board of Fire Underwriters.
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 Planning Board Approval of completed site plan requirements.
CFor
"pre-existing"
existing buildings (prior to April 'g, 1957) non -conforming uses, or buildings and
land uses:
1.
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 accesso b 'ld'
ry ui ing $25.00. Businesses $50.00.
Certificate of Occupancy on Pre-existing Building_- $100.00
'3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date q.jN A I„�, f �,1 � 1 . .....................
New'Construction...... Old Or Pre-existing Building.. ,f
Location of Property.. j:) o ..q....`:flU.�� A?�.�f;�CI��.Y'.e��..
House No. y►� . • • Street Hamlet • • • . • • ... • .
Onwcr or owners of Property�•�n� ,!,;! 1��,{%AN �IAG6pI,gKA I�0rfy4(Of4A►f,
County Tax Map No 1000, Section.,�.,Block .... 5......Lot...
..., �,
3 .................
Subdivision....................................Filed Map ............ Lot
......................
Permit No................Date Of Permit ................ Applicant ..............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate..........
Fee Submitted: $,700. �04
1� k ut 2
Final Certicate...........
APPLICANT .. .. .
Y.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK. NEW YORK 10038
Date P"1b It LIA4-1. Application No. on file
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
F Wt NA HN q FAY ueT, MATT,I,U
in thefollowing location; El Basement lst Fl. ❑ 2nd Fl. OUT Section Block Lot
1 E l3 1 t A U,, i R t o U n
was examenea on ----- ------ ----
----
FIXTURE
OUTLETS
ECEPTACLEs
$w1TCHES
FIXTURES RANGES
COOKING DECKS OVENS DISHWASHERS
EXHAUST FANS
INCANDESCENT FLUORESCENT
OTHER AMT.
K.W.
AMT.
K.W. AMT.
K.W. AMT. K.W.
AMT. H.P.
DRYERS FURNACE MOTORS
FUTURE APPLIANCE FEEDERS
SPECIAL REC'PT TIME CLOCKS
BELL UNIT
TRANS.
HEATERS
MULTI -OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
AMT, WATTS
AMT.
K. W. OIL
H. P.
GAS H. P.
AMT. NO.
A. W. G.
AMT.
AMP. AMT.
AMPS.
AMT.
I H. P.
SERVICE DISCONNECT
NO.OF
S E R
V I C
E
MIT.
AMP. TYPE
METER
EOUIP.
1 A' 2W 1 ,e 3W
3 9 3W
3 X AW
NO. OF CC. COND.
PER 8
A. W. G.
OF CC. GOND.
NO. OF HI -LEG
A. W. G.
OF HIAEG
NO. OF NEUTRALS
A. W. Tj
OF NEUTRAL
OTHER APPARATUS:
N^ Ail 1SCIA L `)y F Ts; 'Au I t:!,,+1
of 011e 2�.pnsH,'
„�?C1 GI'�I! ,,:xl;tliUF_'flY iCl l.f:E
ol,viecs
ULA+d_i`: IfY L!CL'I,
'n6 C0Nt'OP ':STPEF1'
FAST W I f !a I S T Q, N, WY' 1 5 9 h
GENERAL MANAGER
1-!
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOP. T. TPHS N'= P' IU T ,(L° ra ' INER.
•� G:l.<7C��iVT�.F_"..'� � '::J T/-/F� /A/7•F.,K'••C'UUN'T�Y.
•7", ,, 'Tr;/7ti T'"Y .� /`'9c%,`":TGi<)C�Fr.;` Gd.
AS
L rc.•,J'sv'i-.7 rd S✓r veyar5'
f
.)
Q
,$b V-,4-V\A(�6ALAWA
Owner(s) Name(s)
do(es) hereby state:
CONSENT
TO
INSPECTION
WAGgA-/
V
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at -LO Q P(Aki U k
UAtIZ f�
-. _- _ -- ---, which is shown a,nd desi-.,nated on the S,.,f;'olk
County tax map as District 1000, Section 1 a`3 Block V S Lot
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:
A QA
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 ; espect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town cf 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 vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
--I
Dated:,JA',(vAAA.t I ,,J'\ClL4
p (signature)
LAA A,
) - V44r4
(print name)
(signature
(print name)
i")C7r,_ /7;z_,�- i-?
M
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER F STREET
VILLAGE
DIST.
SUB. LOT
FORMER OWNER N`
E ,QIle Alve.
ACR
S
Ri– — C RL E �. J'4 co (V, f-
W `�
�r.VJ,-`e oad
TYPE OF BUILDING / y ��t
RES. G�
SEAS
VL.
FARM
COMM. CB. MISC. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
!a T.
d r"
/' Gr
� � s �7 /G� /o a S 7 A 14 4% e )9. Me /r't t �s� fi r'
,:; 2
54 e �'✓ >%3 /'1� la�l �srER Te lr Mon��� L AIV
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable 1
Tillable 2
Tillable 3
-
Woodland
Swampland
FRONTAGE ON WATER
Brushland
FRONTAGE ON ROAD
o
House Plot
DEPTH
`oo
-..
BULKHEAD
Total -
DOCK
llw_ I
ip
"ti �M�z Malf
O'l YIN
t7
LOCATION: le)6
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY 15�
ADMITTED BY:.
KEY AVAILABLE
SOUr,ZZ OF REQUEST:
BUILDING DEPARTMENT
TOWN OF SOUTIIOLD
¢HOUSING CODE INSPECTION IZEPOItT
number S street
MAP NO.
<a�/ / l
municipallty
LOT (s)
;f �lrl/ ACCO.`iE'ANIED BY
SUfFF. -CO. TAX MAP NO._Z
DATE:_
DWELLING:
TYPE OF CONSTRUCTION fj� STORIESESITS
FOUNDATION (' CELLAR CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYP dECK, TYPE ---=- PATIO, TYPE �-
BREEZEWAY FIREPLACE �/) GARAGE
DOMESTIC HOT14ATER TYPE HEATER e�Lo & , AIRCONDITIONING
TYPE HEAT p �j � WARM AIR HOT14ATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
NALE'lTIO-AS:
CHAPTER 45. N.Y. STATE UNIAORM FI6 PREVENTION & BUILDING CODE
DESCRIPTION SEC.
—IA�T-
/MA
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