HomeMy WebLinkAboutZ-23299No E-23299
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
FICATE OF OCCUPANCY
Date OCTOBER 20, 1994
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1605 MILL PATH SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 56 Block 1 Lot 4.2
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-23299 dated OCTOBER 20, 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 DWELLING & ACCESSORY BARN LIKE SHED *
The certificate is issued to MARY RYAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING - OCTOBER 20, 1994
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Bu'lding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1605 'ILL PATH SOUTHOLD, NEW YORK
umber h street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) MARY RYAN
OCCUPANCY A-1 RES. OWNER
type owner—tenant
ADMITTED BY: CLAIRE GLEW ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000_ -3Z_ -5T-_4.2
SOURCE OF REQUEST: MARY RYAN DATE: OCT. 14, 1994
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME S STORIES 2 0 EXITS 2
FOUNDATION BRICK CELLAR PARTIAL CRAWL SPACE
TOTAL ROOMS: IST FLR. 3 2ND FLR. 2 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE FRONT COVERED DECK, TYPE PATIO
BREEZEWAY FIREPLACE NO GARAGE 3 CAR WOOD FRAME
DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING
TYPE HEAT PROPANE WARM AIR SPACE HEATER HOTWATER
OTHER: MUDROOM OFF REAR OF KITCHEN
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. BARN LIKE SHED
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE
LOCATION DESCRIPTION
ART. SEC.
OUT
STRUCTURAL MEMBERS SHALL BE PROTECTED AND MAINTAINED TO RESIST
1242.7
(a)
BUILDING
AND PREVENT DETERIORATION.
NYCRR
9 b
CEILINGS & WALLS SHALL BE MAINTAINED IN SAFE AND SOUND
1242.7
(c
CONDITION.
REMARKS:
INSPECTED BY / DATr OF INSPECTION OCT. 20, 1994
TIME START 9:20 AM END 9:50 AM,
1.
n
Is
oar
180
6 DG. DE
TOVVN OF SO®, l!®THOI?) J
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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
"prsting" land uses:
I. 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.
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
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..l!!.. /. .......................
ew Construction........... Old Or Pre-existing Building......
ocatio_, of Property. )ko- ... rnSLL..#Q': r.T1...........--,;. .4;7z11'
/.11 �.�4�.:.................
House No. /� �q�S]treet Hamlet
nwer or Owners of Property... p ! :. V/. A ��2i �1 �l ....... ... �:?ll y�
ount Tax Ma No 0 Section 73 0 ��Block ' _ t
....... .. .. ....
y p 10 0, S tion ........... ............... ..Lo ..
abdivision....................................Filed Map ............ Lot ......................
armit No................Date Of Permit ................ Applicant .............................
,alth Dept. Approval..........................Underwriters Approval.........................
Lanning Board Approval ........................
aquest for: Tempora //C��eJJr��tificate........... Final Certicate..'r.....
00 ae Submitted: $.....::.!.. ............
Q'� LM 1 6 ...........I ....-Ili2.yV. :...................
_._ eN C0 i:a3�2 �PPLTCAI�IT f 9
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1.
8050522 BUREAU OF ELECTRICITY
F 85 JOHN STREET, NEW YORK, NEW YORK 10038
Date OCTOBER 25 ,1994 Application No. on file 06556794/94 FI P431.07
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
MARY RYAN, 1605 MILL ROAD, SOUTHOLD , N.Y.
in thefollowing location; 0 Basement Q lst Fl. IN 2nd Fl. OUT .Section Block Lot
was examined on OCTOBER 20, 1.994 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES
OUTLETS
SWITCHES
INCANDESCENT
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS
EXHAUST FANS
1.
FLUORESCENT
OTHER AMT. I
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.
K. W.
OIL
H. P.
GAS
H. P. AMT. NO.
A. W. G. AMT.
AMP.
AMT.
AMPS.
AMT.
H. P.
AMT.
WATTS
SERVICE DISCONNECT
NO.OF
METER
EQUIP
S E R V I C E
AMT.
AMP.
TYPE
10 2W
1 ,0 3W
3 ,0' 3W 3,0' 4W
NO. OF CC. COND.
PER A'
A. W. G.
OF CC. COND.
NO. OF HIAEG
A. W. G.
OF HI-LEG NO. OF NEUTRALS
A. W. G.
OF NEUTRAL
OTHER APPARATUS:
*ATO V.CSUAL, DEE'EC`,TS: "An electrical
surveil has been trade of the exposed
ele,ctrical e u1ipiTient in the
premises indicated. " "No obvious
un-satisfactory condition was found.
MARY RYAN
119 SWEENEY AVE,
RIVERHEAD , MY, 11901 GENERAL MANAGER
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 FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Y R
Owner(s) Name(s
do(es) herebv state:
CONSENT
TO
INSPECTION
0
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
;LL
which its shownanddesignated on the Suffolk
County tax map as District 1000, Section 7� �J lock l _, 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:
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 aforesaid application, including inspections
to determine that said premises comply with all -of the laws, ordinances, rules
and regulations of the Town of 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.
Date d:1) _/L% - C/f
(si;*natur0
print mune)
/-,/,,,.:TOWN OF SOUTHOLD PROPERTY RECORD CARD
a/ M -6y
OWNER
STREET
VILLAGE
DIST.
7 SUB. LOT
C l�_
1I n or 5 W�
F RMER O N
N�/\\�[�/
E L/
�RdW
aACR.
S
TYPE OF'BUILDING �
.1
RES._16
SEAS.
VL.
FA A
COMM. CB. MISC. kt. Value
LAND
IMP,
TOTAL
DATE
REMARKS
TO
S50 O Sao - G }40`•� 40 ke I I!X-
i OD
oO6
o 0
fl G 9- ( B r 't7 c f,� -
a il9 Minor �uhdIvis 10n /a00ydl3�9a)
�71/V c,
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Value
Acre
Tillable 1
.�
,Z a o
Tillable 2
It(24
Tillable 3
Woodland
Swampland
FRONTAGE ON WATER
Brushland
bFRONTAGE
420
ON ROAD
House P of
°"
`�t�4
DEPTH
+
BULKHEAD
Total
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