HomeMy WebLinkAboutZ-27435FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~LRTMENT
Office of the Building Inspector
Town Hall
Southold,
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27435
Date: 11/29/00
T~IS CERTIFIES that the building DWELLING
Location of Property 530 MECH3%NIC ST SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 061 Block 0004 Lot 013
Sulx~ivision 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- 27435 dated NOVEMBER 29, 2000
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 STORAGE SHED *
The certificate is issued to THOMAS J.
of the aforesaid building.
& WAYNE D. WILLIAMS
(OWNER)
SNFI~DLK COI]lqT"fDEFAR~ OF
EL~-£~ICAL CERTIFICATE NO. H-069645
PLUMBEiLg CERTIFICATION D~rmu
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
]0/23/CD
~/A
- Au~h~r~z ed ~nature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
NOUSING CODE INSPECTION REPORT
LOCATION: 530 MECHANIC ST SOUTHOLD
SUBDIVISION: P2%P NO.: LOT (S)
N;~ OF OWNER {S): THOMAS J. & WAYNE D. WILLIAMS
OCCI/PANCY: SINGLE FAMILY THOMAS J. & WAYNE D. WILLIAMS
SOURCE OF REQUEST: PAUL CAMINITI, ATTY 9/22/00 DAT~: 11/29/00
ACCESSORY STRUCTURES:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
i~: BP #26912 -COZ-27434 (2ND FL.DECK & 1ST FL.PORCH ADDITION)
· NSP~ur~ NY: DAT~ ON ~Nsp~crio~: lO/O6/oo reinspecred 11/22/00
Para ~o, 6
i
TOWM OF SOU'FI1OI,U
BUILD/NO DEPARTHENT
TOWN IIAL.L
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
ThJ. s applicstion must be fiJled in by typewriter OR ink and submitted to the building
inspector with tile following: for uew building or new use:
]. Final survey of property with accurate locatioo of ail but]dings, property lines,
streets, and unusual, nntural or topogrnphic featttre~.
2. Final Approval from IIealth Dept. al water sapply mud sewerage-disposal(S-9
3. Approval of electrical instal]at,on from Board of Fare Underwriter~.
Sworn stntemeat from plumber certifying that the solder osed fu system cont:~ins
les8 than 2/IO of 1% lead.
5. Commercial buildit~g, industrial, building, multiple res:ideates and similar buildings
and iestallatlons, a certificate of Code Compl. im~ee [rom archikeck or engi~eer
respoasible for the building.
6. Submit PLanning Board Approval of compleked site plaa requiremeuts.
V.r extnting bttJ, ldings (prior to AprJI. 9. 1.957) not~-conforndng uses, or bniidings nod
"pre-existing" land uses:
1. Accurate survey of property showing all ~roperty lines, streets, building hud
sausaal natural or topographic features. ·
'2. A properly completed applicstion nad a consent to lnspect signed by the ~npp]lc~at.
l[ ,a Certificate of Occupm%cy is desfed, the Building Inspector shall state the
reasons therefor in writing to the app.licant.
C. Fees
1. Certificate of Occopancy - New dwe]lJ,g $25.00, Additions to dwelling $25.00,
ALterations to dwelling $25.00, Swlmmiog pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Buslnesse~Q.
2. Certificate of Occupaacy on Pre-existin~ Buildtn~~
3. Copy of Certificate of Occapm~cy - . .25~
4. Updated Certificate of Occ~q~ancy - $50.00
5. Temporary Certificate of Occupmlcy - Residential $15.00, Commercial $15.00
....................
New Cti~strtct~on ........... o~d Or l'~e-exLst~tlg Bu:Lld~ng .................
,.o~,,,, o[ ~,,,~.. 5. ~. ~ .... B.~c~s&o. ~ ...... ~ ....... ~ ~~ ~ ~.- .....
Ilouse No. Street llamlet
O,,wer or Owners of Property.~?...~).~ ~.~.~ ...........................
c,,~,,~ .,.~ ~. ~o ,o00. ~o,,..~ ........ ,,~o~ .... ~ .......... ~o~ .... ~.~ ...............
Sobdivlsion .................................... Filed tlap ............ Lot ......................
Permit Nc) ................ Date Of Permit ................ Appl. icant .............................
llealth Uept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificste ........... Final Certicate~..--~
Fee Sublal t ted: $.. ~ ~77.. .......................
~--~, 5~;,Y~ ........................ '~ ' ' '-' ............
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~:,'~ i~ U' BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10030
................ % ~ A~pllca~o. No. on file .... .... '~ it {369645
THIS CERTIFIES THAT
only the e~c~al equ~ment ~ desexed be~w a~ in~uced by the app~ant named on the ~ove applicaHon nu~er ~ in the premises of
in the following location; [] Basement [] 1st FL [] 2nd FL OUT Section '~ ~ Blocld4
was examined on !' -' ~ ! ~ E~ 1 ~: , EOk%~I and found to be in compliance with the National Electrical Code.,
DRYERS I FURNACE MOTORS FUTURE APPLIANCE FEEDER~
AMT. K.W. O L H.P. ~AS H.P. AMT. NO. A.W. ~.
OTHER APPARATUS:
*NO VISUbi~ DEPSi'TS: ".Ar: electrical
survey has been made of the exposed
electrical equipment in the
premises indioated." "No obvious
unsatisfacto~7 ::ondition was ~ound.
RANGES
SPECIAL REC'PT
E R
COOKING. DECKS OVENS DISH WASHERS
AMT. K.W, AMT, K,W. ~MT. K.W.
C~,~INITI & GIBBONS
54e75 ~IN ROAD
SOUT80LD, Fl, 11971
Lot ! ~
V I C E
I DIMMERS
OF ~. COND. NO. OF HI-LEG
1'hit certificate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be identified Dy their credentials.
COPY FOR BU'.LDfNG DEPARTMEN'F THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
CountytaxmapasDistrict 1000, Section L.~I , Block q , Lot I_'~
Tha~ the undersigned (has) (have) filed, 'or caused ~o be filed, an appHea-
~to~ ~he Southold To~ Building Inspector's Office for ~he following:
That the unders~ned do(es) hereby give con~en~ to ~he Buildkg Inspectors
of the Town of Sou[hold to enter upon the abo~e described p~ope~[y, includLn~
any a~d all buildiuga located thereon, ~o conduct such inapeetLon~ as the~ ma~
deem necessar~ with respect to the a[oresatd applies[ion, k~ludtng
[o determine that said premises comply with all of ~l~e laws, ordinances, rules
and regulations o[ the Town of Southold,
The undersigned, in consenting ~o such ~apec[ions, do(es) ~o ~th ~he
knowledge aud understanding that any ~fforma~ion obtained
such ~uspections ma~ be used as evldenae in subsequent prosecutions [or