HomeMy WebLinkAboutZ-32397
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z-
32397
Date: 06/13/07
THIS CERTIFIES that the building STORAGE BARN
445
(HOUSE NO.)
County Tax Map No. 473889 Section 075
CAT ALLEY
(STREET)
Block 0002
SOUTHOLD
(HAMLET)
Lot 017.002
Location of Property
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Requirements for a X~I)~':X STRUCTURE
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-
32397
dated JUNE
13, 2007
was issuedl and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is STORAGE BARN.*
The certificate is issued to JON T LAKE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
2031916
11/15/04
~A
PLUMBERS CERTIFICATION DATED
N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
~~,-
Authorized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
445 CAT ALLEY
SOUTHOLD
SUBDIVISION :
MAP NO. :
LOT (8)
NAME OF OWNER (S): JON T LAKE
OCCUPANCY: STORAGE BARN JON T LAKE
ADMITTED BY: JON T LAKE ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 75.-2-17.2
SOURCE OF REQUEST: JON T LAKE
DATE: 06/13/07
~~~x STORAGE BARN
TYPE OF CONSTRUCTION: WOOD FRAME
# STORIES: ~ # EXITS: ~
FOUNDATION: CEMENT BLOCK
CELLAR: 1/4
CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 2
2ND FLR.: 1
3RD FLR.: --9.
BATHROOM{S): ~
TOILET ROOM (S) : 0 . 0
UTILITY ROOM{S) :
PORCH TYPE:
DECK TYPE:
PATIO TYPE:
BREEZEWAY:
FIREPLACE:
GARAGE:
DOMESTIC HO'l'NATER:
TYPE HEATER:
AIRCONDITIONING:
TYPE HEAT:
WARM AIR:
HO'l'NATER :
OTHER ,
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. :
STORAGE, TYPE CONST.:
SWIMMING POOL:
GUEST, TYPE CONST.:
OTHER ,
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARKS: BP33121 BATHROOM ADD COZ32396
INSPECTED BY:
.//~ ~DATE
ON INSPECTION: 04/05/05
GEORGE GILLEN
TIME START: 1Q:30AM END: 11:00AM
...
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Departru
RU:'G. LTP7.
-t'OlD
A. For new building 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 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 buildings 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 and "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 applicant. 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 Building - $100.00
3. Copy of Certificate of Occupancy - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Old or Pre-existing Building:
Date. :J L'3 \ (0 )
(see bel )
x (check one)
Location of Property: 445 Cat Alley, Southold, NY
House No. Street
Hamlet
Owner or Owners of Property:
Jon T. Lake
Suffolk County Tax Map No 1000, Section
75
Block
2
Lot 17.2
Date of Permit.
Filed Map.
Applicant:
Underwriters Approval:
Lot:
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate: x
(check one)
Fee Submitted: $ 100.00
Continuous use for storage and parking
of equipment, vehicles, trucks, etc.
Agriculture related business
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
40
BUREAU OF ELECTRICITY
FULTON STREET - NEW YORK, NY
10038
CERTIFIES THAT
Upon the application of
upon premises owned by
JON LAKE
PRIVATE ROAD
OFF MAPLE ROAD
SOUTHOLD, NY 11971
PRIVATE ROAD OFF MAPLE ROAD SOUTHOLD, NY 11971
GOODALE ELECTRIC CO NT INC
P. O. BOX 1190
MATTITUCK, NY 11952,
2031916
Certificate Number:
2031916
Block:
Lot:
Building Permit:
BDC:
ns11
Described as a Commercial occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, work shop, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 15th Day of November, 2004.
Name OTY Rate Ratio!! Circuit ~
Miscellaneous
as built-1996
Appliances and Accessories
Electric Heater Unit
Electric Heater Baseboard
Pump Motor
Wiring and Devices
Outlet
I 0
I 0
I 0
1000
20
I
Watts
Amps
H.P.
IS 0
12 0
3 0
14 0
8 0
6 0
I 0
I 0
I 0
20 amp
50 amp
Fixture
Incandescent
Flourescent
General Purpose
General Purpose
General Purpose
Special
Special
GFCI
Outlet
Receptacle
Switch
Receptacle
Receptacle
Receptacle
Service
I Phase 3W
seal
Service Rating 200 Amperes
Continued on Next Page
of 2
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This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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I Section:
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
40
BUREAU OF ELECTRICITY
FULTON STREET - NEW YORK, NY
10038
CERTIFIES THAT
Upon the application of
upon premises owned by
JON LAKE
PRIVATE ROAD
OFF MAPLE ROAD
SOUTHOLD, NY 11971
PRIVATE ROAD OFF MAPLE ROAD SOUTHOLD, NY 11971
GOODALE ELECTRIC CONT INC
P. O. BOX 1190
MATTITUCK, NY 11952,
2031916
Certificate Number:
2031916
Block:
Lot:
Building Permit:
BDC:
ns11
Described as a Commercial occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, work shop, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 15th Day of November, 2004.
Name OTY Rate Rating Circuit ~
Miscellaneous
Commercial Inspection Fee
Service
Service Disconnect:
Meters: I
I
200
cb
An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to
be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system.
seal
2
of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
LOCATION: 4-Lf-S C;ti ALL. EY (11t1l'k I/VE:) )
(number & street)
.5 0 LLTtI ot..'p
(municipality)
SUBDIVISION: - MAP NO.:
NAMEOFOWNER(S): ::roN T. Llf~
OCCUPANCY: S-ro;e.1'I Gt= Slf~_
(type)
-
LOT(S):
\rOM 1/ l-/fkE
(owner kiB!tIN)
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
'JuN t. I..-tr-kE ACCOMPANIED BY: G~~en LitKe-
1\ II SUFF. co. TAX MAP NO. 1000- 75 - ~ - 17.:).
(Jo)J T. L-11/(e DATE: 'I-/-oS-
-81-, ~l.lJIIS.
Bt1~tJ
WJC~ Ff(I/11 €:. # STORIES:
BLvc-K: CELLAR:
^ 2ND FLR: I
TOILET ROOM(S): -
DECK, TYPE: --
FIREPLACE:
'- TYPE HEATER: _
WARM AIR:
# EXITS: tf-
CRAWLSPACE: ~
3RD FLR: -
UTILITY ROOM:
PATIO, TYPE:
GARAGE:
AIRCONDITIONING:
HOTWATER: Yc.>
:J..
'/If
TYPE OF CONSTRUCTION:
FOUNDATION: CcMe-NT
TOTAL ROOMS: 1ST FLR:
BATHROOM(S): 'Yes.
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: -
, 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
LOCATIO
DESCRIPTION
/'
,
INSPECTED BY: ~, ~DATEOFINSPECTION: 1---5 -oS
TIME START: (D:}iJ END: / / ~
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CONSENT TO INSPECTION
Jon T. Lake
, the undersigned, doe es) hereby state:
Owner(s) Narne(s)
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 445 Cat Alley, Southold
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 75 , Block 2 , Lot 17.2
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Pre-C/O
That the undersigned doe 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 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, doe es) so with the know ledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: '3 ("'n / o~
I I
(Signature)
on T. Lake
(Print Name)
~~~
t"$ 1- 77'-1 -~I:Z~
(Signature)
(Print Name)
,- -"',
/dtD -
OWNER
--
7J:' :z. _ /7- 2-TOWN OF SOUTHOLDPROPERTY RECORD CARD
STREET VILLAGE DIST. ' SUB.
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LOT
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A~~'p.s:- v' UJ-cJ5 tLSL 87
TYPE OF BUILDING
LAND
IMP.
VL. ..Ill-
TOTAL
FARM
CONtM. CB. MICS. Mkt. Value
RES.
SEAS.
/!)o
&,(JO
-s-~o
t1' tH1 /
DATE
Tillable
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
PI
Woodland
Meadowklnd
71' 1/
House Plot
Total
c
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TRIM
.
.
.
- -'7.5.2.1llbanl 2104 ._c. .c.. .,
M. Bldg.
Extension
Extension
Extension
Foundation Bath Dinette
Porch Basement Floors K.
Porch Ext. Walls Interior Finish LR.
Breezeway Fire Place Heat DR.
Garoge . . Type Roof Rooms 1st Floor BR.
P.atio Recreation Room . Rooms 2nd Floor FIN. B
..
O. B. J?M'II ,JdO Dormer Drivewoy
Total 3'00
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