HomeMy WebLinkAboutZ-27757FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27757 Date: 06/18/01
THIS CERTIFIES that the building
Location of Property 150 WEST LA
(HOUSE NO.)
County Tax Map No. 473889 Section 031
subdivision
DWELLING
EAST MARION
(STREET) (HAMLET)
Block 0015 Lot 008
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
OCCUPANCYNUMBER Z- 27757 dated JUNE 18, 2001
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 ENCLOSED PORCH.*
The certificate is issued to CAROL A & WOODS & ORS.
( OW/FER )
of the aforesaid building.
SUFFOLK COL~TYDEPARTMENT OF HEALTHAPPROVAL N/A
EL~t-£KICAL CERTIFICATE NO. 9/24/99 N 501890
PLUMBERS CERTIFICATION DA:r~,u N/A
*PLEASE SEE ATTACHED INSPECTION RE~.
/ !
Authorized S~ e
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTEOLD
NOUSING CODE INSPECTION REPORT
I~TION: 150 WEST LA EAST MARION
SOBDMSION: ~ NO.: LOT (S)
NA~ OF O~ (S): CAROL A & WOODS & ORS.
OCC~ANCY: SINGLE FAMILY CAROL A & WOODS & ORS.
ADMI-I-£~ BY: CAROLINE BOUCOS ACC(~P~/FI~) BY: SAME
· ~Y A~-~I~I~: S~F. CO. TAX ~ NO.: 31.-15-8
SOL~CE OF P~EQU~: WILLIAM N PRICE~ JR~ ATTY DATE: 06/18/01
ACCESSORY STRUCTURES:
VIOLATIONS: CHAPTER 45 N.Y. STATE LINIFOPd4 FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
H~: REINSPECTE~ 6/11/01
TOUH oF SOUTIIoLD
765-l§02
r~n~ AppCova~ E~om Itea~h Dep~' of ~a~e~ suppXy
r~spon~{b~e fo~ the butld~.g~ ,
For ex{aCing b~Id~ngs (prior eo hpr~ 91 t957~ non-conforming
~pCe-~xisking" land usest '
m~UeUal .atUral or topographic ~eaeUres~
It a Certificate oE OccupanCy ia deu~ed~ the BuiId~ng Inspector sh~l~ sLa~e the
reasons therefor ~tl ~r~ttng Lo the al, pL~eanL~ ,
Fees
a~tetaLfonS to dwelling ~25~00~ Sul~.l.g pool ~25~00~ Accessory buJ. ldtltg
Add~o,s to accessory J)u~ld~n~ ~25~00m BOstttesmea
Copy of Uertifica~e oE OccUpancy - JS.00'6ver 5 year~ - $10~00
Temporary Cer~f~fcate of OeeUpdttey -- Res{deuL~dl ~[5,00~ Commercial ~15.00
~50 Wes~ Lane
Itouse tlo~ SLreek
'
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~E~
1195(~9~ BUREAU OF ELECTRICITY
!
40 FULTON STREET. NEW YORK, NY 10030
Date SEPTEMBER 24,1999 ~.on ~. ~.~ 19~41699/99 N 5~189~
MRS BUSHMANN, WEST LANE, POLE 4 LI, E. ~.RION, NY
in the following location; [] Basement [] 1st FI. [] 2nd Fl. OUT Secao, Block Lot
was examined on SEPTEMBER 21,1999 and found to be in compliance with the National Electrical Code.
FIXTURE I
DRYERS[ FUR.ACEMOTORSI FUTURS^BPLIANCEFEEDER~
s~.v,~ ~,sco..~CT s
,
I 150 CB 1
NOiOF X
METER
EQUIP. le2W $~3W 3e3W
RANGES
MT. K.W,
~PECIAL BEC'PT.
AMT. AMP.
R
NO. OF CC COND.
PER ~
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET
SYSTEMS
AMT. AMPS. TRANS. NO. OF FEET
V ~
EXHAUSTFANS
AMT. H.P.
DIMMERS
AMT, WA~S
JIM SAGE ELEC. INC.
PO BOX 38
GREENPORT: NY, 11944-0038
LIC.#3635E
Per llGENERAL MA~.~ER
This cefflflcate mUEt not be altered in any manner; return to the office of the Board if Incorrect. Inspectors may be identified by their credentials.
CONSENT
TO.
INS PI~C'I'ION
William H. Price, Jr., as attorney 'for Joyce E. 'Schlec~:~eg, Carol
~oods, and Theodore H. Bushmann/ ~II,
,, ~ tim Undersigned,
do(es) I~ereby state:
the atkorney for
That the undersigned (is)/~ tim owner(s) of il~e premises in tho To~n~
of Southold located at . ..150. West Lane, E.a~.t Marion, New York
; which ls shown and designated on the Suffotk
County tax map as District 1000, Section 031.00 015.90L
_ , Block _ et 008.0p
Tha~ the undersigned (has) {have) filed, o~ caused ~o be filed, an appHca-
t[on in tile Soutl]old Town Butldtnh, Inspeetor*s Office for the followh~§:
Certificat~ of Occupancy on pre-existing building
That the undersigned do(es) hereby give torment to tile Building Inspectors
of the Town of Southold to enter tapes the above described property~ inelUdinfl
any and all buildings located thereon, to conduct such inspedttons as they may
deem necessary with respect to the aforesaid application, ~clud~ inspections
[o determine that said premises comply with all of the laws, ordinances, rules
and reRulattons 0f the q'ow*l of Southold.
The undersl~ned~ in eonsent[n~ to such ~:speetions, do(es) so with {he
knowledge nnd undePstandinff thai any hfformatlon ob[Mned in the condec{ of
such inspections mag be used as evidence in subsequent prosecutions for vio-
ordhmnees~ rules or re~la~ions of {he Town of Souihold.
2001
latton~, of the laws,
Dated~., ~qay
//.,~signature)
William H. Price, Jr.
· '"' (p'rint name)