HomeMy WebLinkAboutZ-34644FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPD=RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 34644 Date: 11/03/10
THIS CERTIFIES that the building DWELLING
Location of Property 800 BAYVIEW AVE
(HOUSE NO.)
County Tax Map No. 473889 Section 052
Subdivision
GREENPORT
(STREET) (HAMLET)
Block 0005 Lot 044
Filed Map No. LOt NO.
confo~lns substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 purs,,~t to which u~KTIFICATH OF
~UU~ANC~ NI~B~ Z- 34644 dated NOVE~ER 3, 2010
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 ATTACHED ONE CAR GARAGE.*
The certificate is issued to CRAIG P & MIGNON OSMER
(OWNER)
of the aforesaid building.
SUF~IDI~K C~DI~YDEPAR~TOF~{~i~RO%L~L N/A
RLRL-I'RICAL CERTIFICATE NO. 10/18/10 for Pre C/0 Z34644 ~
t~ERS CERTIFICATION DA'£~O N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
ROUSING CODE INSPECTION REPORT
ACCESSORY STRUCTURES:
VIOLATIONS: CF~5--DTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P.~%~ES: BP13184 PORCH COZ15618, BP13775 SHED C0Z25838
]~s~m_-~-~u ~Y: Gary Fish m~ (H~ l]~sPEcl'i(~: 06/15/10
GARY J FISH ~ START: 9:45 AM ~: 10:15 AM
Form No. 6
· TO't~N OFSOUTHOLD
BUILDLNG DEPARTMENT
'/'OWN HALL
76~-1802
APPLICATION FOR CERTI~'ICATE OF OCCUPANCY
This application must be filled in by lypewrlt~ or ink and submitted to thc Building Del: at~,rz,¢n; 's'tl& rh,~ .~*ll )~ i~,
A. For new building or new use:
1. 'Fina~ survey of pmp~'ty with aeenmt¢ loeati°n of~ buildings, propen~ lines, s~mets, nnd ~muzual netur~J or
topograpl~ic fentures,
2. Final Approval from Heaith Dept. of water ~upply and sewernge.disposal {S.9 form).
3. t~oproval of olaf/cai htstalhttiou f~om Board of Fh-= Underwriters.
4. Swom~ta~llent fi'om plurobct certif~g that th~ solder used ia system contaim~ leza tl~n 2/10 of 1% lead,
5. C~mmercialbuikru~d~-'ialbui~ding~mu~tip~¢msidences~adsin~a~buildingsandinstal1aii~"s~ace`rti~at~
of Code Compliance from architect, or eup, me~r r~pons/ble for the building,
6. Submit Plan~/nl/Board Approval of ¢omplitdd s/le plsa requirements.
B. ~r exisltagb~ffidiag~.(pr/or to April 9, 1957) uon. eollformlng uses~ or b~/Idi~lls ~nd "preexisting'* had
I. Ac~urat¢survey~fp~pertysh~wi~i~a~lpr~p~rty~ine~swc¢ts~b~i~di~gaudunusaa~natural~rwp~graphic'
fcalu~.
2. A properly ¢ompleteg application aud conietlt ~o inspect ~/Ipled by the applicant. If a Certificate of Occupan0y ts
denied, tho Building Inspector shall state the reasons therefor in Writing to r. he applicant,
~ulxlivision
Filed Map.. ...................... Lot ..................
Permit Nc,. 'Date of Pm~nit A.pplica~:
H~:alth Dept. Approval:
Undcrwnttrs A~pr~val: ___
planning Boa:cd Appv~vaJ: . j
Request for: Ien,4~0ntry Ccrtiiicat¢ ......................... Final Certificate: __-- ~/ (check o~e)
Applicant Signature
54;175 Mare Road
P.O. Box 117!)
Soulhold. Nh' 11!)7 l-It!).5!)
'1 clcphonc (631) 765- [ 802
Fax ((;3 [ ) 765-95()2
ro.qer.dchert~town.southold.n¥.us
Issued To: Osmer
BITILI)ING I)I;J~ARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRIClAL COMPLIANCE
SITE LOCATION
Address: 800 BayviewAve
City: Southold St: NY Zip: 11971
Building Permit #:p(-~.. ~_10;:~, ~%l{.,t~ q Section: 52 Block: 5Lot: 44
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential ~] Ind°°r R Basement ~ Service Only~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ Ceiling Fixtures ~ HID Fixtures ~i i~
Service 3 ph Hot Water GFCl Recpt Wall Fixtures Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture ~ 1~ Pumps
Transformer Appliances Dryer Recpt Emergency Fixture~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equipment: 1 well pump
Notes:
Inspector Signature:
Date: Oct 18 2010
81-Cer[ Electrical Compliance Form
CONSEINT 'ID E~$PECTI~)N
'il-mt tlc ~'ld~igned (is)(~) ~e o~s) of~ pr~ in ~e T~wn of
wmon m shown ~ d~J~,~t~ on ~e ~ffo& ~T~ ~p m Di~ 1~: ........... , Blook , ~t ....... .
~t fl~ und~s~ do(~) h~ ~v~ ~ns~tt ~ ~e Buildip~ ~p~tors of ~e
Towa ~f ~ou~old to.vnet ~on ~e above dm~ pro~, inalud~ my ~d ~I
b~d~ lo.tM ~ m ~du~ such i~om a~ ~ey may d~m n~s~ wi~
md ~vrs~ding ~at my ~aflon ob~M in ~e ~nduct ofi~ imp~tions may
be u~ ~,subs~u~ pms~ons for ~ohfiOn~ bf&e la~, o~inm~, ~t~ or
(Print
~(Signamre)
(Print Na~e)
.FORMER OWNER..... J
P.'Jlc w.
TOWN OF
STREET
N
SOUTHOLD PROPERTY RECORD CARD
VILLAGE
W
DISTRICT SUB. I LOT '//~I~ 7-0' ?.~.~C ;'
~PE OF BUILDING J
FARM
LAND IMP. TOTAL DATE
COM~.
I IND. J CB. MISC.
REMARKS
AGE BUILDING CONDITION
NOP~AL
BELOW
ABO~E
NEW
I
FQrm
Tilloble 1
TilLable 2
Tillable, 3
Wcodland
Swampland
Brush]and
House Plot
Total
Acre
Value Per Acre
Value
~ i ~,,~,i ~ Faundotion I
~tension J BQsement
~ ~ i Interior Fin]sh
~tenslon ~ ~t. Walls
Extension ~ Fire Place ~ He~ i/E 5
Porch Rooms ist Floor
Breez~ ' Patio [ Rooms 2nd FIoo~
Garage /~ · · · ~ ~ ~ ~ ~/ Driveway
To~m H~I Aml~
$4375 Ma~n
P.O..Bo~ 1179
. .Sou~hold, NY 11971-0959
Telephone (6~1}
BUH 3~]2~G DEPARTMENT
TOWN OF SOWFtioLn
APPLICATION FOR ELECTRICAL INSPECTION
ESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION:
*Name:,
*Address:
· *Cross Street:
*Phone No.:
Permit No,:
Tax Map District: 1000
(*Indicates required information)
Co on '
Section: . oS 1-
*BRIEF DEscRIPTION OF WORK (Please Print. clearly)
(Please Circle NI That Apply)
*is. job ready for Inspection:
*Do you need a Temp Certificate:
YES / NO
Rpugh In Final
Temp'information (If needed}-
*Service Size: 1 Phase 3Phase 100
*New Service: Re-connect Underground
Additional Information:
150 200
Number of Meters
PAYMENT DUE WITH' APPLICATION
300 350 400 Other
Change of Service Overhead
c/\~AO
for Inst~ectJon Form
N52o30'00"E
150.00'
S52°30'00"W
150.00'
JOHN C. EHLERS LAND SURVEYO!
6 EAST MAIN STREET N.¥.S. LIC. NO. 5020
LOCATION:
(number &/street)
(municipality)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
LOT(S):
(type)
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING:
TYPE
OF CONSTRUCTION: ~ # STORIES: ~ # EXITS: ~-~
FOUNDATION: ' ~- '
~c-'*'a/~; ~-r~/c- CELLAR: ?~t.~/~ CRAWL SPACE: ---.-.--
TOTAL ROOMS: 1ST FLR: ~ 2ND FLR: ~ 3RD FLR:
BATHROOM(S): ~ TOILET ROOM(S): ~- 7 UTILITY ROOM: "------
PORCH TYPE: DECK, TYPE: ' PATIO, TYPE: -.
BREEZEWAY: ~ , ,~FIREPLACE: -- ..,. ~ GARAGE:
DOMESTIC HOTW&~TE~:
TYPE HEAT: ~ ~ TYPE HEATER:~~x~iRCONDiTiON-" iN~G~
~ WARM AIR: ~ - HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNiFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY:
DATE OF INSPECTION: