HomeMy WebLinkAboutZ-35224Town of Southold Annex
54375 Main Road
Southold, New York 11971
11/3/2011
No: 35224
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
10/11/2011
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot: 42.-1-13
Subdivision: Filed Map No.
conforms substantially to the requirements for a
APRIL 9, 1957
220 Maple St, Greenport (aka 620)
Lot No.
built prior to
pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-
35224
dated
10/11/2011 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwellin~ with rear entry foyer.*
The certificate is issued to
Wells, Lauretta
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
1000-42-1-13
A~uth.nzfi~Sig'~tur~'
BUILDING DEPARTMENT
TO WNOFSOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 220 Maple St, Greenport (aka 620)
SUFF. CO. TAX MAP NO.: 42.-1-13
NAME OF OWNER(S): Wells, Lauretta
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Wells, Lauretta
SUBDIVISION:
DATE: I0/11/2011
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: IST FLR.:
BATHROOM(S): 1
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: oil
tl BEDROOMS: 2
OTHER:
cement block
2ND FLR.:
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
yes TYPE HEATER:
WARM AIR: x
# KITCHENS: I
# STORIES: 1 ti EXITS: 2
CELLAR: CRAWL SPACE:
3RD FLR.:
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
oil AIR CONDITIONING:
HOT WATER: yes
fi~ll unfinished
BASEMENT TYPE:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS:
REMARKS:
INSPECTED BY:
TIME START: J ~)
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
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 I% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from amhitect 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 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
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
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. 9/21/11
New Construction:
Location of Property:
Old or Pre-existing Building: x
620 Maple Street
(check one)
Greenport
Hamlet
01.00 Lot 013.000
House No. Street
Owner or Owners of Property: J. Ernest Wells
Suffolk County Tax Map No 1000, Section 0/42.00
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Cer
Fee Submitted: $ 100.00
Date of Permit.
Block
Filed Map.
Applicant:
Underwriters Approval:
Lot:
x (check one)
Apphcant S~gnatule
W±ll±ara H. Pr±ce, Jr.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 119714)959
Telephone (631) 765-1802
Fax (631) 765-9502
ro.qer, richertC, town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Michael Herber[ C/O Ernest Wells
Address: 620 Maple Street City: Greenport St: NY Zip: 11944
Building Permit #: Section: 42 Block: 1 Lot: 12
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 [X~ Basement ~ Service Only~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures ~ HlDFixtures ~s~~
Service 3 ph Hot Water GFCI Recpt Wall Fixtures M Smoke Detectors
Main Paeel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture M Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 1508 overhead service
Notes:
Inspector Signature:
Date: Oct 3 2011
81-Cert Electrical Compliance Form
TOWN
ITHOLI~
DEP~
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ]FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (FINAL)
DATE
INSPECTOR
CONSENT TO INSPECTION
William H. Price, Jr., as Agent for
J. Ernest Wells
Owner(s) Name(s)
, the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at ~?n M~,,],~ ~r,.,,,,r_ m-,~onnnre: tq~,~, ¥,,r~,
which is shown and designated'on the Suffolk Count~, Tax Map as District 1000,
Section 062.00, Block 01.00 , Lot 013.000 .
That the undersigned (has) ~$fl~ filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: Appl -i entJ on for Certif±cate
of Occupancy
That the undersigned do(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, do(es) so with the knowledge
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:
9/21/11
'' (Signature)
William H. Price, Jr.
(Print Name)
(Signature)
(Print Name)
J~. J. Ernest Wells - SCTM#1000-042.00-01.00-013.000
Pursuant to your request, enclosed please find our check in the amount of $125.00
represent your fee for the electrical inspection for the Certificate of Occupancy.
Please advise us when the Certificate of Occupancy is ready and we will pick up
same.
Thank you.
Town of Southold Building Dept.
IO P.O. Box 1179
Southold, New York 11971
WILLIAM H.. PRICE JR.
ATTORNEY AT LAW
P. o. BOX 149 - 828 FRONT STREET
GREENPORT, N. Y. 11944
PHONE: (631) 477-1016
~ 9/21/11
Certificate of Occupancy - 620 Maple Street, Greenport, New York
SCTM#1000-042.00-01.00-013.000
Enclosed please find Application for Certificate of Occupancy, Consent to Inspection, Survey,
and my check in the amount of $i00.00 to cover your fee for the Pre-existing Certificate of
Occupancy.
Access to the premises can be obtained through the real estate broker, Michael Herbert at
Community Rentals (298-9300).
Please return the Certificate of Occupancy to this office upon issuance. Thank you.
Town of Southold Building Dept.
P.O. Box 1179
IO Southold, New York 11971
WILLIAM H. PRICE JR.
ATTORNEY AT LAW
P. o. BOX 149 - 828 FRONT STREET
GREENPORT, N. Y. 11944
PHONE: (631) 477-1016
/~0--~,~-/-/,~ TOWN OF SOUTHOLD PROPERTY RECORD CARD
OW, NER STREET ~r ~-~ ~'~ VILLAGE DIST. SUB. I~
E'~'~"¢' :~e' ~c~.t '""
~o~ OWN~ ~ ~ I
S W ~PE OF BUILDING
RES.~O S~S. VL FA~ COMM. CB. '' MISC. Mkt. Value
~N~ ,~P. TOTAL ~ATE R~ARKS ~[~ ~q ~qs¢ ~e[~
.90 0 I ~ ~0 /~ ~o ~8J~-LIO~7 p~
t -/ '1
AGE BUILDING CONDITION
N~ NORMAL BELOW ABOVE
FARM Acre Value Per Value.
~re
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGEON ROAD ~- ~ / ~,, & ~ : ~ ~
House Plot DEPTH
~ I,~ '
BULKH~D
Totol D~K
M. Bldg.
Extension
Extension
Extension
Porch---~--~~
/5'"-
COLOR
TRIM
~oundation
Basement
Ext. Walls
Fire Place
Type Roof
Bath
Floors
I~ te 'or Finish
Recreation Roorr
Porch Dormer
Breezeway Driveway
Garage
Patio
Total
Heat ~ -
Rooms 1st Floor
Rooms 2nd Floor
N
Lot $8
$O. oo,
SURVEY OF PROPERTY
A T GREENPORT
TO WN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-42-01-15
SCALE: 1'--20'
SEPTEMBER 1, 2011
SEPTEMBER 12, 2011 (cerlificafion)
SEPTEMBER 13~ 20// (cerHficstions)
LOt 44
LOI' '13
LOi' '12
CERTIFIED TO
MAPLE STREET 6REENPORT LLC
FIDELITY NATIONAL TITLE INSURANCE
COMPA N Y
BANK QF ,4MERiCA, NA
: 0 F
LOT NUMBERS REFER TO "SUBDIVISION MAP, PART OF
THE ESTATE OF THOMAS F PRICE, SR" FILED IN THE
SUFFOLK COUNTY CLERK'S OFFICE ON NOVEMBER 29,
AS FILE NO. 851.
1927
AREA=7,500 SO. FT.
ANY ALTERA770N OR ADDIIION TO THIS SURVEY IS A ~40LAIION
OF SEOIION 72090F THE NEW YORK STATE EDUCA?70N LA~
EXCEPT AS PER SECIION 7209-SUBDIt4SION 2. ALL CER17FICATlONS
HEREON ARE VALID fOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
~/HOSE SIGNATURE APPEARS HEREON,
· =- PiPE
49618
(6,31) 765-5020 FAX (651) 765-1797
P.O. BOX 909
,2 o TRA LER S EET' 11--196
SOUTHOLD, N.Y. 1~971
Towa Hall Annex
$43?$ Main Ro~d
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
· (631) 76.~. ~0
ro.qer, nchertC~,J~wn sou~oJZd.n¥.us
BUILDING DF_,PARTMEaNT
TOWN OF SOUTHOI,D
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.: C/~'~t
Phone No.:
JOBSITE INFORMATION: (*Indicates required informatiOJq) ~
*Cross S~reet:
*Phone No.: O~ g~l-
Pe..u No..
Tax Map District: 1000 Section: Block:
*BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady)
Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
YES / NO Rough In Final
YES / NO
Temp Information (If needed]
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
3Phase 100 150 200 300 350 400
Underground Number of Meters Change of Service
PAYMENT DUE WITH APPLICATION
Other
Overhead
82-Request for Inspection Form
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
(type) (owner-tenant)
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION: ~ ~ # STORIES: ~ # EXITS:
, OUNDATION: BASEMENT: CRAWL SPACE:__
# OF BEDROOMS: 1ST FLR: ~ 2ND FLR: 3RD FLR: --
BATHROOM(S):
TOILET ROOM(S):
UTILITY ROOM:
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER: _~t~ TYPE HEATER:
TYPE HEAT: ¢~ WARM AIR:
DECK, TYPE:
FIREPLACE:
# OF KITCHENS: ~ ·
NO
FINISHED BASEMENT: YES
OTHER:
ACCESSORY STRUCTU2
GARAGE, TYPE OF CONST.:
SWIMMING P~OOL:
PATIO, TYPE:
GARAGE: ~
AIRCONDITIONING:
HOTWATER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY:
DATE OF INSPECTION: ?/~7/'~/~r
TIME START: ~; ~) ~'X/END: