HomeMy WebLinkAboutZ-26669FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26669
Date: 09/07/99
THIS CERTIFIES that the building
Location of Property 715 HAY AVE
(HOUSE NO.)
County Tax Map No. 473889 Section 143
DWELLING
MATTITUCK
(STREET) (HAMLET)
Block 0004 Lot 003
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- 26669 dated SEPTEMBER 7, 1999
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 WOOD FRAME GARAGE *
The certificate is issued to MARTIN J TARPEY.JR.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 715 BAY AVE
SUBDIVISION:
NAM~ OF OWNER (S): MARTIN J TARPEY.JR.
OCCUPANCY: A-1 RESIDENTIAL
ADMITTED BY: MARTIN TARPEY
MAP NO.: -- LOT (S) --
MARTIN J TARPEY.JR.
ACCOMPANIED BY: SAME
KEY AVAILABLE: -- SUFF. CO. TAX MAP NO.: 14~,'4-$
SOURCE OF REQUEST: MARTIN J. TARPEY. JR. 4/19/99 DATE: 06/17/99
TYPE OF CONSTRUCTION: WOOD FRAME
FOUNDATION: BRICK
TOTAL ROOMS: 1ST FLR.: _~ 2ND FLR.: -A
BATHROOM(S): 1.0 TOILET ROOM(S):
# STORIES: 2.0 # EXITS:
CELLAR: FULL CRAWL SPACE:
3RD FLR.: -~l
1.0 UTILITY ROOM(S): --
PORCH TYPE: SIDE ENCLOSED WRAPAROUND DECK TYPE: SIDE DECK-WOOD FRAME PATIO TYPE:
BREEZEWAY: FIREPLACE: NO GARAGE:
DOMESTIC EOTWATER: YES TYPE HEATER: __~ AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: ~
OTHER: PANTRY OFF KITCHEN
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE CONST.:
SWI~94ING POOL: ~ GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ] DESCRIPTION ART.
SEC.
Pd~MARKS: BP#20749Z-COZ-26667 (A/G POOL)BP325787Z-COZ-26668 (DECK)
INSPECTED
DATE ON INSPECTION: 06/17/~9
TIME START: 10:10 AM END: 1Q~40 AM
FORM NO, 6
TOWN OF SOUTHOLD
· · Building DalJartmont
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec-
tor with the following: for new buildings 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 of Health Dept. of water supply and sewerage disposal-{S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
-For existing buildings Iprior to April 1957), Non-conforming uses. or buildings and "pre-existing"
land uses:
1. Accurate survey of pzoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certi[icate.
C. Fees:
1. Certificate of occupancy $25~00 -- BUSINESS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $5;'00, over 5 yeats $10.00
4.Vacant Land C.O. $ '20.00 ,A. pri.~ .19., .1.9.99
5. Updated C.O. $"50.00 Date ...................
House with attached porch and detached garage -
NewConatruc~ion OId or Pre-existing Building x Vacant Land
595 Bay'Ave Mat'tituck NY 11952
Location of Property ·' ·
House No. Str~ut Hamlet
Barbara Thompson as owner of 1/2 of subject prq~ises
Owner or Owners of Property ,under .ha~..W~]~]~ .entc~ .~e's't'a~e~'c' ~f' Martin' 5: · Tarpey~ · deceased:
143.00 04.00 003.000
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approvnl ........................
Underwriters Approval ........................ Planning Board Approval ..............
Request for Temporary Certificate ......... ; ..... ~,,~inal Certificate ...............
Fee Submitted $...l(~(~,O0'. ................. .~ //
Construction on above described building and pe~t~;;/.a.~le cod;s and regulations.
· ,, :. ', , :
~UAI;ZANTY 60MP,~N',~-~;AND TO TH~= N(
FO~, 8AN~ AND ,TQU~T, COMPANY-:,' ....
SU'EVEYED-JUNB 15
' VA~ TUW~
CONSlgNT
TO
INSPECTION
O~4ner(s)
do(es) hereby stat,::
That the undersigned (is) (are) the owner(s) or the premises in the Tow~
or Southold located at 595 Bay Ave., Mattituck, NY 11952
· which is shown a,d designated on the Suffolk
143.00 04.00 003.000
County tax mat, as District 1000, Section , ]3lock , Lot
That the undersigned (has) (have) filed, 'or caused to be riled· an applica-
tion Jo"th,, Southold Tow~ 13ullOing lllSpet:t,.,~..,.~ o~£Lo,-, £.-,., +ha fallowing:
One family dwelling with attached porch and detached garage
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'"inspeetions
to determine that said premises comply with all or the laws, ordinances, rules
and regulation~ of the Town or Southold.
The undersigned, in eon,~;enting to such fl~speetions, do(es) so with the
knowledge and understanding that any information obtained In the conduct or
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the lawso ordinances, rules or regulations of the Town orSouthold.
( print
(signature)