HomeMy WebLinkAboutZ-25757FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25757 Date: 06/02/98
THIS CERTIFIES that the building DWELLING
Location of Property 10939 MAIN RD EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 031 Block 0004 Lot 028
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- 25757 dated JUNE 2, 1998
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 LILLIAN M WALLACE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
R
Buildi Inspecto
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: 10939 MAIN RD EAST MARION
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): LILLIAN M WALLACE
OCCUPANCY: SINGLE FAM_IL•Y LILLIAN LIAN M WALLACE
ADMITTED BY: LYNDA SPANGEL ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 31.-4-28
SOURCE OF REQUEST: DONALD M. MCGAYHEY. ATTY -5/27/1998 DATE: 06/02/98
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: _3
FOUNDATION: BLOCK
TOTAL ROOMS: 1ST FLR.: 0
BATHROOM(S): 1.0
PORCH TYPE:
BREEZEWAY:
CELLAR: FULL CRAWL SPACE:
2ND FLR.: 3RD FLR.: 0
TOILET ROOM(S): 1.0 UTILITY ROOM(S):
DECK TYPE:
FIREPLACE:
GARAGE:
PATIO TYPE: CONCRETE
DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING:
TYPE HEAT: OIL * WARM AIR: HOTWATER:
OTHER: *BASEBOARD
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 5 BUILDING CODE
REMARKS: BP #2628 -CO Z-2240 - GARAGE ADDITION AS APPROVED BY ZBA
INSPECTED BY:
MICHAEL J. VERITY
DATE ON INSPECTION: 05/29/98
TIME START: 10:25 END: 11.10
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OF, ink and submitted to the buildii
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property line:
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 build:
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.
B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings
"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 applicar
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 Buildin¢ - $100.00
3. Copy of Certificate of Occupancy - - .2-W-
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...A/". X774 e4r................
New Construction........... Old Or Pre-existing Building..Jr ...........
Location of Property.. /"v. . .. Af"V. 160. Z> ................... 4✓7.5.r. ...... .
House No./'/ Street Hamlet
Onwer or Owners of Property. .//6.&4/ A.lrY¢lllC�....................................
County Tax Map No 1000, Section. d►3 1 .......Block. a4l ..........Lot..4S ............
Subdivision....................................Filed Map ............ Lot ..................
i
Permit No................Date Of Permit ................ Applicant .........................
Health Dept. Approval..........................Underwriters Approval.....................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate ..........
Fee Submitted: $.............................
APPLICANT
Boarl of ,lira 111bawrittao
BUREAU OF ELECTRICITY ^ A
s 85 JOHN STREET jam+; 9
NEW YORK 38, NEW YORK
tp Dai
(Tjl{g (ertt firo, That the Electric
by Theodore Rohloff
onihe Basement & First
as per application on file in this office, and consisting of,
May 16, 1957 Application No. G002928
Equipment as described below and introduced
in premises o} Lester Wallace
floorofNo. E/S of Private Rd. 5001 N/of
ou eVe_-)-0VV' rjast of E. 11S,
Church. East Marion, No Ye
OUTLETS FOR FIXTURESI
OR UMP RECEPTACLES
7
ATTACHMENT RECEPTACLE
OUTLETS WITH RECEPTACLES
14
SWITCH OUTLETS
WITH SWITCHES
5
FIXTURES AND LAMP RECEPTACLES
8-60Watt
FOR 1_/ MPs
MOT RS
1-1/8 hp a moor s
for oil burner.
t' ii' -6 611&t9�'
�3p
& Cont r o
1-1/12
of
HEATING APPARATUS-
I 3 Wire #6 service 6
r •
hp. Pump
U1rcu11 PELIIUle
was examined on date of May 91 1957 and found to be in compliance with the requirements of this Board as of this date.
)1 y ,1 •^y X11 �.{ 1�.
....+..........
s
..A ,.. W:
....�....s..s.=
•.
Theodore Rohloff
iiii•.iiiiiiiii.
ii
Orchard Street
STATE SUPER NJ" DENT
Orient, N. Y.
L
_j Per
This Certificate moat not be alterad in any manner; "turn to the office of the Board it
Incorraet. Inepectom maybe Identified by their credentials.
i
rr
,
THE NEW YORK''BOARD OF FIRE UNDERWRITERS ,PAGE i
BUREAU OF ELECTRICITY
I 85 JOHN STREET. NEW ,YORK, NEW YORK 10038
F
Date OCTOBER 1011990 ApplicelffonNo.otljltio 40841486/90 N 154703' "'ll
THIS CERTIFIES THAT "';,
only the efectHcof equipment as descidbed belotc olid iritt»duced by the appficoNt hooted an khe oboud bppliedtlarL nUrnber in the Pref ds4b cif
ESTER WAI_LACE1 10075 KETCHAM LANE, POLE #289-2, FAST MARIONI N.Y.,
idthefollolcinplocation, ® Rasement ® IstFl. ❑ Ind tL OUT •Sectido block Lot
imsexorninedort OCTOBER.0111990 andJouildtobeihcoinphanceu•iththereilitit-eirienisq+'Utislloard: „' 11
FTURF
ECEPTAClES
SWITCHES
XTURES RANGES COOKING DECKS OVENS DIS W SH RS
EXHAVST FANS
INCANDESCENt fIUORESCENt
I OTNER AMT. :. k. W. AMt.
k'W', AMt.
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AMT:
OUTLETS
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL hEC'Pt
TIME CLOCKS
EEII
ItAN�.
UNIT NEAtut
MULTI -OUTLET
SYSTEMS
NO.OF FELT
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NO. CC. COND.
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NO. OF HbIE13 GF H6lEG �' Oi NFUTAAIS 'I • t�EUTIG� ___
1,
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OTHER AMARATUS:'�� ll , i I�•, y t i I;i.,.. ,I I 1 '!:: iI:
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SERVICE ONLY -1 d! I �„ 1 1, "i ' Ill i'u, If
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PAUL RL BURNS LIC,; #282E II I+ l;is I„ n , 111<..
275 TOWN 'HARBOR LANEIf!
SOUtHULD, NY 1197,1 otnr RA1 A"Adik,
- f
•n ,
nl `I'hbF"1 ' 11'
This certificate must not be altered in any inanner;,r6turN to th4 office of the Ill 11 Infortect.' irispefloiL tngy s 1deril!68d by MtieirtcrddeN}iols:'
'
P ..
1
1 ,-
CONSENT
TO
INSPE'C'TION
do(es) hereby state:
the undersigned,
' A6FidT 11;�:A
That the undersigned (is) (ft; -e) the owner( -mi of the premises in the Town
of Southold located at /093s 4-04z;? ST�.�d�i1�.✓�
11
Wel- SCRI which i, shown and designated on the Suffolk
County tax map as District 1000, Section D31 , Block al Lot 2$
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:
Az-- z5xiST/,./6 .1;4--_ y�!�.✓�'`i _.__
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to cater upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
s
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.
Dated: J W _
(s' natu e)
/Zoe/a/.!!,�/Gi�yr
(print name)
signature
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LOT 27 x
OL
LOT 24
N/F
LOT 25
N/F '�
BEGORA IP
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LOCATION:
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY
(type
ADMITTED BY:
KEY AVAILABLE
SOURCE OF REQUEST:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION R PO
3
number 6 streetl kinunicipality
NO. LOT (s)
..9
towner—tenant)
ACCOMPANIED BY:.
SUFF . CO.
TAR MAP NO. Moo —
DATE:
DWELLING.:
TYPE OF CONSTRUCTJON STORIES# E%ITS
FOUNDATION CELLAR CRAWL SPACE
TOTAL ROOMS: IST FLR. 11AA&4_2ND FLR. - 3 FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM e---
PORCH TYPE DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING
TYPE HEAT —� WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
, GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE