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HomeMy WebLinkAboutZ-26534FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. pRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26534 Date: 06/30/99 THIS CERTIFIES that the building DWELLING Location of Property 45805 MAIN RD SOUTHOLD (HOUSE NO.) (STREET} (HAMLET) County Tax Map No. 473889 Section 075 Block 0002 Lot 014 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- 26534 dated JUNE 30, 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 GARAGE & TWO WOOD STORAGE SHEDS. The certificate is issued to THERESA A WESTERLUND & ORS. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A H--064740 - 6/24/1999 N/A BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 45805 NLAIN RD SOUTHOLD SUBDIVISION: M-~P NO.: __ LOT (S) -- NA~ OF OW~R (S): THERESA A WESTERLUND & ORS. BATHROOM(S) WARM AIR: *~ HOTWATER: *WA~R · Dgy~E ~ STORIES: ~-0 # EXITS: 4 CELLAR: PART CRAWL SPACE: 3RD FLR.: O UTILITY ROOM(S): -- PATIO TYPE: SIDE CONCRRTE GAP, AGE: AIRCONDITIONING: G;tRAGE, TYpE OF CONST.: 1 CAR WOOD STORAGE, TYPE CONST.: 2 OLD WOOD SWIPING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFOP~4 FIRE PREVENTION & BUILDING CODE ~ DESCRIPTION ART. NOTE; 2ND FLOOR AREAS NOT HEATED & PLASTER IS MISSING IN MANY AREAS. IF HEATING SYSTER IS INSTALLED, TEE BUILDING ~gJST BE INSULATED TO N.Y. STATE CODE WITH A BUILDING PERMIT. SIDE DECK EAS BEEN P~EMOVED. P~S: BP ~5841-ZF~Z~5829{BUSINESS BLDG.) INSPECTED BY: REINSPECTED 6/28/99 Fo gr~ No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION' FOR CERTIFICATE OF OCCUPANCY This application must be filled in by cypewriter OR ink and submitted Co the building inspector with the following: for new building or new use: 1. ~inal survey of property with accurate location of all buildings, property lines, streets, and unusual natural or :opographic features. 2. Final Approval from Health Dept. of wa=er supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber cer~ifyimg thac the solder used in system contains less than l/~O.of 1% lead. 5. Commercial building, industr±al building, multiple residences and similar buildinss and installations, a cergificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of comp!e=ed site plan re~uiremenr.s. For exis:ing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vprs-exis~ing" land uses: 1. AccuraTe su~;ey of property showing all property lines, s~reets, buildin~ and unusual nature! or topographic features. 2.. A properly completed applica~ion and a consent to inspect si~ned by the applicant. If a Certificate of Occupancy is denied, the Building Inspecuor shall s=ace reasons =herefor in writing ~o ~he applicant. Certificate of Occupancy - New dwelling $25.00, Additions ~o dwelling $25.00, Ai~erazions to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions co accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-e×is~ing Euildlng - $I00.00 3.. Copy of Certificate of Occupancy - $5.00 ove~ 5 years - $i0.00 Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial June , 1999 Date .............................. New Cons~ruc:ion ........... Old Or Pre~e~xisting guildinE....X.X~. ........... Local±on of Property ................. South.old ............... ...... , 58o5 .............................. House No. S~reet Hamlet Onwer or Owners of A'. T:. .L County Tax Mao NO [000, ~ec~zon... 75 .Block. 2 14 ' ' . .Lot ...... Subdivision ......................... . .. ....... . Filed Map...... .... ..Lot ...................... Permit No ................ Date Of Pe~it ............... . Applicant ....................... ...... Health Dept. Approval ......................... . Underwriters Approval ........................ Planning. Board. Approval ................. . .. Request for: Temporary Cer=ificate ........... Final Cer~icate ........... Fee Submi==ed: $... ~QQ:QQ .................... ~S~22, ...... APPLICA~IT Theresa wester~un CONSENT TO i NS PEC'I*ION Theresa Westerlund , the under'si~ne¢l, ...... ov ' r(s) ' ........ do(es) hereby slate: That the undersii~ned (is) (are) the owner(s) of the premises in the of Southold looated at _,55~_ Main Rqadj__.~0uthold, New York .... . whlch is shov~ end desiRnMed on the Suffolk Coun%~ taw map ss Distpict 1000, Section 75 , BI,2ck 2 . Lot 14 That the undersigned (ha~) (have) f~led, or caused to be filed, an t~on i. the Southold To~ Buildb%g [nspeetoP's O[fice fo~ the fo]]ow~: l~ter of Dre-exi~o~p~.e_~or a,,t~9~t~9.~p3se, .,f~me gargle and fr~e shed That the unders~ned do(es) hereby ~ive consent to %he Bu[ldb%~ Inspectors of the Town of Southold to enteP u~on the above descPibed property, includin~ any ~nd all but]dtn~S 1ocated thereon, to conduct such inspect{one as ~hey may deem necessaP3, w~th ~espect to the afo~essid application, inclt~din~ to determine that smd 9pemJses compl3, with ail of the l~ws, o~dlnane.z, rules ~nd regulations of the Town of Southold. The undersigned, tn eonsentlnR to such inspections, do(es) so w~th the knowledge a~d undepstandinR that any information obtained ~ the eonduc[ of such inspections may be used as evidence in sub~.quen{ 9Posecutions fop lations of the laws. opdJnanee~, rule~ or PeRulations of the Town of Southold, D~ted: June, ~---.~ ,(,1999.__ _ (si~natuPe) Theresa Westerlund (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS [:~)?{,C~i? BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date JUL[E 24,1999 Application No. onfile i~;'} 165'?~,/~9 ',[ THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant na~ned on the above application number is in the premises of JCT ASS.2CIATES, 45805 t~,IN ROAD, SOUTHOLD, icl in the following location; [] Basement [] 1st FI. [] 2nd Fl. ATTIC/£!UT Section Block Lot was examined on ,JlJ~ !7 ~ ~997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS OUTLETS FLUORESCENT OTHER DRYERS SYSTEMS NO. OF FEET S E R V I C NO OF CC COND A.W.G. A W G NO. OF NEUTRALS PER $ OF CC COND. NO OF HI-LEG OF HI-LEG OTHER APPARATUS: 'N~? VISUAl_ DEFECTS: 'An e!~ctrical survey haB been made o~ the exposed electrical e~ulpment in the prenlises ir~dica'ted." "Nc obvious ,_msatisfactory ~ondltion w~s found. JOE STEPNOWSKI 75E BENNETTS LANE SOUTHOLD, N~f, 11971 GENERAL MANAGER This certificate must not be altered in ony 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. .J /L