HomeMy WebLinkAboutZ-25339FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-25339
THIS CERTIFIES that the buil
Date OCTOBER 27, 1997
ONE FAMILY DWELLING
Location of Property 945 FLEETWOOD ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 137 Block 4 Lot 23
Subdivision
Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957
OCCUPANCY NUMBER Z-25339
pursuant to which CERTIFICATE OF
dated OCTOBER 27, 1997
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 WITH ACCESSORY GUEST COTTAGE*
The certificate is issued to TIMOTHY McNALLY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECT
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 945 FLEETWOOD RD.
(number S streeCT
SUBDIVISION
NAME OF OWNER (s)
MAP NO.
TIMOTHY & DENISE McNALLY
CUTCHOGUE, N.Y.
-------- --
(municipa
I.o'r ( s )
ty
OCCUPANCY GUEST COTTAGE
---- ---- - - - - -- - -- -- — --
type (ovner-tenant)— --
ADMITTED BY: TIM McRALLY ACCOMPANTED BY:
KEY AVAILABLE -- SUFF.CO. TAX MAP NO._Io90-137-4-23_------_----_------._.
SOURCE OF REQUEST: DENISE McNALLY_________________
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME / STORIES i / EXTTS 2
FOUNDATION CEMENT BLOCK I CELLAR DIRT FLOOR CRAWL SPACL+
TOTAL. ROOMS: IST FI.R. 4 2ND 111,14- LOFT 3RD FI.R.
BATHROOM (s) ONE TOILET ROOM G) 11,111LITY ItooH ASHE$, DRYER
PORCH TYPE_ DRCK, TYPE REAR & SIDE PATIO
BREEZEWAY FIREPLACE GARAGE
DOMESTIC )IOTWATER II TYPE HEATER L.P. GAS AIRCONDITTONTNG
TYPE HEAT L.P. GAS WARM AIR 4X IIOTWATER
OTHER: WOOD STOVE
ACCESSORY STR111:TIIRES z
GARAGE, TYPE OF CONST. WOOD - I CAR STORAGE, TYPE CONST.
SWIMMING POOH. GUEST, TYPE CONST.
OTHER:
--------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
REMARKS: 71,f�29-Z - CO Z-25337 (DECK) BP #11188 -Z -CO Z-25336(ALT)
INSPECTED BY
27 -Z -CO Z-25338 (ACCY GARAGE)
JOHN M. BOUFIS
DATE OF INSPECTION 7/23/97
TIME START 11:15 AM END
11.Sn AY
BUILDING DEPARTMENT
TOWN OF SOU1'HOLD
HOUSING CODE INSPECTION REPORT
LOCATION:___
945 FLEETWOOD RD. CUTCHOGUE, N.Y.
_
number S street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) TIMOTHY 6 DENISE McNALLY
OCCUPANCY SINGLE FAMILY
type (owner -tenant
ADMITTED BY: TIM McNALLY ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX MAP NO. 100-137-4-23
SOURCE OF REQUEST: DENISE McNALLY DATE: 7/16/96
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 # EXITS- 1
FOUNDA'T'ION CEMENT BLOCK CELLAR YES CRAWL SPACE
'T'O'TAL ROOMS: IST FLR. 4 2ND FLR. ATTIC 3RD FLR.
BATHROOM (s) ONE 'TOILE'T ROOM (s) UTILITY ROOM
PORCH 'TYPE DECK, TYPE PATIO
BREEZEWAY FIREPLACE GARAGE UNDER
DOMESTIC HOTWATER Xg TYPE HEATER OFF BOILER AIRCONDITIONING
TYPE HEAT OIL WARM AIR HOI'WATER ZZ
OTHER.
ACCESSORY STRUCTURES:
GARAGE, 'TYPE OF CONST. S'T'ORAGE, 'TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER: DOCK — TRUSTEES PERMIT #1881
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
REMARKS:
INSPEC'T'ED BY �� DATE OF INSPECTION JULY 23, 1997
JOHN M. BOUFIS TIME START 11:15 Am END 11:50 AM
Form No. 6
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 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 Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and
"pre-existing" 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 accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
Copy of Certificate of Occupancy - .25,
4. Updated Certificate of. Occupancy - $50.00
5,. Temporary Certificate of Occupancy - Residential $1111�5.00, nnCommercial $15.00
Date .....�J,,�.��.`1 ........................
New 'Construction........... Old Or Pre-existing Building .... N ...........
Location of Property. .��Q6..... L.QQQ...J�.... .rC.tA:1.I�.1.�i:...t+'7�.1J
House No. Street Hamlet
Onwer or Owners of Property... J!.mS�j�,... ���s'...r'��.t.��' ..............
County Tax Map No 1000, Section.... J..... Block .... 4 ..........Lot.. ...............
Subdivision ................................. .FFiled Map p Lot.....................
Permit No................Date Of Permit. 1 y Qo" 21211. 1 pplic .............................
Health Dept. Approval..........................Underwriters Approval...................
Planning Board Approval ........................ M��IJ aL75
House GDTTAEaE .
Request for: Temporary Certificate........... Final Certicate........... 51r
0Er�51[iE
Fee Submitted: $....lU.....J... .lob�....
......................a. ...... .
APPLICANC !'
�o�.2S339
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tJSURAPICE Cr
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LICIAW 9JOVEYOUS — GREEt4POIZT N.'r.
MAP 4F PROPERTY
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TIMOTHY C,-TNALLYAT
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InWN OF SOUTHOLP, NY
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TITLE N0. 2ta9V6 !
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SUARANTEED -M Cl MPM�� IW_ E1LLTN LAND
tJSURAPICE Cr
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LICIAW 9JOVEYOUS — GREEt4POIZT N.'r.
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IIVsPI ( IC)IV
---------- _--_-_ H q,4,u,---- --- tile u
e ndersil;ned,
_. - --- - - - -- - — - - -
here I,y '.lair';
That the unde:I-;ait;oc:cl (la) (;u c) the ownr:r(s) of the prc:nfises in Ihc: 'I'owrt
of soulhold located al ",O� F���rWooD CUTct'lOF
' -----1E--`. � whir I, i;; ;Itc,wu alld desif�unted oIt Ill(! tic,fl'r,ll;
(:(nilly lax n'utp as M) ,oriel .10tH), Secliofi
(3�'_• Block 1,01. Oq
Thal the andel-;;Maned (I,,cs) (I lit filc,cl, or caused to he filed, an appl]c;t
-
Iit'll in the; Soil thold'I'own HniIdfill, Inspeclor's Office for Life following:
I'llit l the uncic:rsit ,nccl clo(cs) Ifr;rcl,y I;tw consrff( to Lhe Jill iIll inl; Insl,cc:lof
of the 'I'owrf of SnntIIoI(I to c IIh:r upon I.he above otescrlhr:d properly, iucludlu8
illy allot all huildings I()(:: it (her(!on, to conduct such if) sI)ecllone as Lhey fn,fy
dc:efn necessary with respect lc, I.he aforesaid applicalion, including inspections
to dutt;l•Inhfe that said preofil;c:s confply ""th al] of (he laws, ordinances, rules
anti r(:l;ulalions of thr; 'fowl) of soulhold.
'I'hc: till(lcrsigned, iu con;;c:uling to shell in:;ptictioos, do(es) so with the
I:un^-lf:<Il,e: au<I unclursl'.audiuh Ilial etn.y infof nfaliru, ohlainecl In the conduct of
;cuch iff: peetions Iuay he its( :(l n:; r;vlotenec: in :;uhseciuelft pI•osecntious foI• t-io--
I.flic,ii:: of (hc: lenvs, cn'din<fuc:c: rules or regillr,liolis of Lhe 'I'owu of Soulhold.
1)rfl(:d: �3U-I�f --145 {__)_997
(stgnahir•e) -
- (NQS.
(priul nano:) -
:;ifJnalure)
1,rinl mine)
LOCATION:
er & .street
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SUBDIVISION ,,a
NAME OF OWNER ( s ) �,� �'G� e A;:te
�=
OCCUPANCY
CODE INSPECTION REPORT
(munic
MAP NO. LOT(s)
owner -tenant) ,
ty
ADMITTED BY: ACCOMPANIED BY: -
KEY AVAILABLE —T SUFF . CO . TAX MAP NO.
SOURCE OF REQUEST: AA!6V2- DATE:
DWELLING:
TYPE OF CONSTRUCTION �(5� # STORIES E%ITS
FOUNDATIONS CELLAR / CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR.! L 3RD FLR.
BATHROOM (s) TOILET ROOM (s) '�� UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER TYPE HEATER �� �.� AIRCONDITIONING
TYPE. HEAT / / WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
' 1
SWIMMING POOL .�-� ,� GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N -Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY �L DATE OF INSPECTION If
TIME START �� END x
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
number S street
SUBDIVISION
NAME OF OWNER (s)
MAP NO.
LOT(s)
pality
OCCUPANCY 7--
type % owner -tenant)
ADMITTED BY: ACCOMPANIED BY: �-
KEY AVAILABLE �sS�U�FF . COQ. TAX MAP NO
SOURCE OF RE—QUEST: a Js�� T DATE:
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
# STORIES EXITS
FOUNDATION - CELLARCRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. — 3RD FLR. J
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM//01&,�
PORCH TYPE �— DECK, TYPE �i�s� PATIO
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER ✓ TYPE HEATER 4- AIRCONDITIONING
TYPE HEAT / ® 'r , !q -
WARM AIR HOT6dATER
OTHER:,
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.---�
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION
ART. SEC.
GAO— A
tri' .�"'.. •
+'
yew
REMARKS:
INSPECTED BY
DATE OF INSPECTION ?2e Mf
TIME START ,� END �b