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Home My WebLink AboutZ-35720Town of Southoid Annex 54375 Main Road Southold, New York 11971 5/30/2012 No: 35720 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 5/30/2012 THIS CERTIFIES that the structure(s) located at: SCTM #: 473889 Sec/Block/Lot: Subdivision: conforms substantially to the requirements for a 58473 Route 25, Southold 55.-6-33.2 Filed Map No. Lot No. built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35720 dated 5/30/2012 was issued and conforms to all the requriements of the applicable provisions of thc law. Thc occupancy/'or which this certificate is issued is: wood frame one family dwelling and accessory barn.* (rcinspection done 5/29/12) NOTE: BP 34419 deck COZ-35302 The certificate is issued to Yellin, Helen & Yellin, Rachel (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N 285927 Barn only BUILD1NG DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 58473 Route 25, Southold SURF. CO. TAX MAP NO.: 55.-6-33.2 SUBDIVISION: NAME OF OWNER(S): Yelhn, Helen& Yellin i Rachel OCCUPANCY: ADMITTED BY.' Angie Johnson SOURCE OF REQUEST: Yeiiinl Helen & Yellin, Rachel DATE: 5/30/2012 DWELLING: TYPE OF CONSTRUCTION: # STORIES: 2 # EXITS: 2 FOUNDATION: concrete CELLAR: CRAWL SPACE: TOTAL ROOMS: IsT FLR.: 2NI) FLR.: 3RD FLR.: BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: # BEDROOMS: # KITCHENS: BASEMENT TYPE: fifll OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: Barn VIOLATIONS: REMARKS: INSPECTED BY: ~ GARYF ~, DATE OF INSPECTION: TIME START: 9:00am 7/6/1993 END: 4:00pm Form HO. 6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP,~xICY application must be filled in by tyl~writer or ink and submitted to the Building Department with the folio.wing: A. For new building or new use: 1. Final ~urvey of property with aocdrate'location of all buildings, property lines, s~ects, and unusual natural or topographic featur6s. 2. Final Approval from Health Dgpt. of water supply and sewerage-diSposal (8-9 form). 3.. Approval ofelec, trieal installation from Board 6fFire Underwriters. 4. 'aw.ora statem .~gt from plum.bev c~ifying that the raider used in system contains less than 2/10 of 1% lead.. 5. Commercial building, industrial building, mtiltipte re~id~ne~ and similar buildings and installations, a certificate of Code Compliattc~'from amhitect or engineer responsible for the building; .6. Submit planning Boan:l Approval of completed site plan requirements. lB. For existing buildings (prior to April 9, 1957) Son-conforming u*~, or buildings and "pre-existing" land nse~: 1. Accurate survey of property showing all property line~, streets, building and. unusuil naturai or topographic features. 2. A properly c~mpleted applicatign and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 3. 4. 5. New Con?traction: Location of Property: House No_ o. ro Owu=orProp = Subdivision P~rmit No. Da~ of P~L PI~ Boad ~p~val: R~ fon . T~o~ Certificate Old or Pre-existi~lg Building: C. ertificaie of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, SwimmiV-g po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~ Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $:25 Updated Certificate of Occupancy - $50.00 TeraporaD' Certificate of Occupancy - Residential $15.00, Commercial $15.00 (check one) Street Hamlet Filed Map. Lot: Undea'writeti Approval:, . Final Certificate: ~ (check one) CONSENT TO INSPECTION Own s) am s) S ' That the .under~igned (is) (ar~) the own~e~s.) ofthe premises in the Town of oumold, located at ~--(t~-Z~ . /~/~/~ /~j~ ~ ~ which is shown and designated on the Suffolk Cou~t~ Tax Man a,YDi~o.~ Section ._~'-5'~ , Block ~ , Lot ~ ~ c~ .' f ' ......... ' That the und6rsigned (has) (have) filed, or cause to be filed,Am app. lication in the Southold Town Building Inspector's Office for.the following: ~"~ · , the undersigned, do(es) hereby state: That the undersigned do(es) hereby give consent to ~e Building Inspectors of the Town of Southold to enter upon the above described property, including any and ail buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and'regUlations of t.he Town of South6ld. The undersigned, in ~onsenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used insubsequent prosecutions for violations of the laws, ordinances, rules or regulations of tho Town of Southold. Dated: ,~ ($~gnat~rp) · (print l~ame) '(Signature) (Print Name) --THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001071 i BUREAU OF ELECTRICITY ["-- ~ ~ - I '', ~ JOHN STREET. NEW YORK. NEW YORK 10038 Date A~UGU~T 1~1~.1~9 Appl~afionNo. on/ile ~4849393/93 N 2~5927 THIS CE{IFIE[ THAT PAT MOONEd, ROUTE 25, SOUYHOLD,'{.Y. ~ examifl~ ofl ~U~ ~6,[993 a~ fou~ to ~ in comp~ce w~h the N~on~ Elec~c~ ~e. DRYERS FUENAC~ MOTOES FUTURE AI~dANC~ FKED~RS,1-3 ! 10 BAHEMgNT TO B,%SKMiHiT ?ANlgLBOARDS:I-4 CIR. 30 RANGES ~K. CIAL EEC'PT R EXHAUST FANS DIMMERS COOKING D~KS OVENS OISH WASHERS v I G & S CONTRACTOR BOX 215 SOUTHOLD, NY, 11971 LIC.f578-E Per This ~ifica~ mint ~t ~ aNered in any manner; return ~ ~e off~ of ~ ~ard if incor~. Insp~ors may ~ ide~fi~ by their c~e~als. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERT{, ICATE ~UST NOT BE ALTERED IN ANY MANNER. THE EXISTANCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Joseph A. Ingegno Land Surveyor 77tie Surveys -- Subdivisions -- Site Plans -- Construction Layout PHONE (516)727-2090 OFFICE5 LOCATED AT One Union Square Aquebogue, New York 11931 Fax (516)722-5095 I~JLING ADDRESS P.O. Box 1931 Riverheod, New York 11901 N,¢.S. Lic. No. 4-9668 I z RAibBoAD ~oO~m O. CONC. ,4~3RON ~ .g,,,/. ~o. - CHIMNEY SURVEY OF PROPERTY SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-55-06-33.2 1000-55-06-P/0 SCALE 1' :.50' MAY 17, 199..3 33.1 CERTIFIED TO: RACHEL VOEGELIN CHICAGO TITLE INSURANCE COMPANY PARCEL I AREA = 87,120.00 sq. ft. 2.0000 ac. PARCEL II AREA = 14,895.00 sq. ff. 0.5419ac. TOTAL AREA = 102,015.00 sq. ff. 2.5419 \ ', \ S.C. TAX No. 1000-55-0~ 1000-55-0~ SCALE 1"=50' MAY 17, 1995 CERTIFIED TO: RACHEL VOEGE CHICAGO TITLE PARCEL I ARE PARCEL II ARE TOTAL AREA = LOCATION: BUILDING DEPARI~IENT ' TOWN OF SOU~IOEO HOUSING CODE INSPECTION REPORT (number & street) SUBDIVISION NA~ OF O~IgR (s) OCCUPANCY (type) HAP NO. (municipality LOT (s) (owner-tenant) SOURCE OF REQL'~$T: ACCOMPANIED BY: SUFF. CO. TAX ~ NO. DATE: DWELLING: TYUE OF CONSTRUCTION FOUNDATION BATUROOH (s) TOI~T R~M (s) PORCR ~E DECK, ~E B~EZE~AY FI~PMCE DO~STIC HOWA~R ~. ~E ~A~R ~E ~AT ~ / ~AIR O~tER: STORIES 3RD FLR. # EXITS ~. CRAWL SPACE U~ILITY ROOM PATIO, TYPE GARAGE AIRCONDITIONING ROTWATER / ACCESSORY STRUCTURES: GARAGE, T¥~E OF CONST. S~II~ilNG POOL STORAGE, TYPE CONST.'~~&t) ~'~ · GUEST, TYPE CONST. OTItER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOP~ FIRE PREVENTION & BUILDING CODE ~OCATION DESCRIPTION ART. / SEC. RENARKS: / INS~CTED BY: , DATE ON INSPECTION ~ ff~y~ TIME START ?,~ ENI~ ' THE NEW yORK BOARD OF FIRE UNDERWRITER~ Form No. ~ CERTiFiCATEOFCOMpLIAN~_~f~..'."~., TOWN OF SOUTHOLD ELECTRICAL INSTALIJ~ION ~ ~,~v=n=~ iN AN APPUC.~O. ~NOTED SELOW. BUILDING DEPARTMENT ~NS,~O ~ . ION FOR CERTIFICATE OF OCCUPANCY --~- ~= ~ed in by nypewriter OR ink and submitted to the building inspector with the following: 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. Co~ercial 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, buildimg and unusual natural or topographic feanures. 2. A properly completed application and a consenn no 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, Swiping pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. ~ Certificate of Occupancy on Pre-existing Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00 Date April ~Q, ~993 .... New Construction ........... Old Or Pre-existing Building .... ~ ......... ... Lo ation of Property f · · ................. Spqthold House No. Street Hamlet 3nwer or Owners of Property ~%~!~. ~: MOONEY County Tax Map No 1000, Section.0~0O ...... Block..~OP Lot ~ ~'~ ~ubdivision ............................... Filed Map ............ Lot ...................... ~ermit No Date Of Permit ................ · ............. Applicant .................... {ealth Dept. Approval ................ .......... Underwriters Approval ..................... ~lanning Board Approval ............. %equest for: Temporary Certificate .... Final Certicate ........... ~ee Submitted: $ .............. THE NEW YORK BOARD. OF FIRE UNDERWRITERS ELECTRICAL DEPARTMENT POND TO: A.J. REED, GENERAL MANAGER ~ ~ t ~] 85 John Street J [2 41 State Street I E] 570 Delaware Avenue J E] 217 Lake Avenue E3 202 Arterial Road (212) 227-3700 ~ (518)463-2122 (716)884-1155 (716) 254-0141 (315)463-8552 THIS 1~ A REPORT OF (SEE BOX CHECKED HEREUNDER) ' A. [] NON.INSPECTION B. ~ INSPECTIOI~ C~.~.LECTRIb'~ SURVEY ANON-INSPECTION: We have received your application for an inspection of the electrical installation made by you at the premises named herein but we have been unable tomake the inspection for the follow ng reason: [] Floor location and name of tenant not furnished [] Premises locked, no entry possible. ~ Floor I~cation of building not furnished [] Other ~' - Inspector's Signature Da~_ Please provide the necessar~ informatiOn or suggest! arrangements for'our access to the ,premises on ~he green form attached and~:l~t~rn it to this ~)ff~e. ' · App fican't~'Sig,0at, u r.e. Date INSREC,'t'tON OR ELECTP, I~;AL:~i~R~E¥: We have ~tt~'aJ the premi~ n~'d~ h~ein to inSpe~t~.~e'61eCtrical installation ~'r~t that we can~'~,~S~ a ~rti~ate of ~apce for the rea~.~};~t~ h~eunder Con. Died w~ ~t a~sed ~ufficmnt y . r~ '~UdlUonal'*e~d~[~ork~found f~ which'ho application foci~sRection. ~; for ~specti~'h~'be~-received ~ Ihst[, lation not c~gJe~ed sufficie~ly , ,.~ Electrical ;~ps~E~l~oes not co~p~ with 'National for inspeCfl~. '" - ' El~trical Co~ ~r-~easons listed'~reu~r.: ~e rever~ ~ide~for ~x~ap~ o~coding) ~ ' Inspeptpr's,Sianature .~ ~'~'~ *. ~ ~J ~ Date- NOTICE T~.~P~_~EIC~NT; ~ll[~e,sign; dat~'end ~turn:g[~n.~ of, ihls '", ~ ~;:; ..; ~,,., ~.~ form to request re-inspection when modifications have been ~ade. APeL~NT'S a~A~RE " NOTE: IF THIS IS A REPORT OF ELECTRICAL S~RVEY, A N~ APPLICATION MUST BE MADE FOR RE-INR BUILDIN~ DEPT. CONSENT TO INSPECTION PATRICIA A. M00NE~ · the undersigned· Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ~ Road, Southold, NY · which is shm~n and designated on the Suffolk County tax map as District 1000, Section 055.0~]Block 06.00, That the undersigned (has) (4~,~e~- filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy for Pre-existing building 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 fl~spections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: April 30, 1993 _ (signiture) J> (signature) (print name)