HomeMy WebLinkAboutZ-35884Town of Southold Annex
54375 Main Road
Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 35884
Date:
8/16/2012
8/16/2012
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot:
Subdivision:
conforms substantially to the requirements for a
APRIL 9, 1957
285 Riley Ave, Mattituck
143.-4-22
Filed Map No. Lot No.
built prior to
pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-
35884
dated 8/16/2012 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 dwelling, accessory wood frame two car garage and two accessory storage buildings.*
NOTE: BP 37422 plumbing alterations COZ-35883
The certificate is issued to
Woodhull, Rutharme & Berliner Jr, Willia
(OWNER)
of the aforesaid build'rog.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
143-4-22
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 285 Riley Ave, Mattituck
SUFF. CO. TAX MAP NO.: 143.-4-22
NAME OF OWNER(S): Woodhull, Ruthanne & Ors
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST:
SUBDIVISION:
Woodhull, Ruthanne & Berliner Jr, William
DATE:
8/16/2012
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: oil
# BEDROOMS: 3
OTHER:
cement block
1ST FLR.: 2ND FLR.:
i TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
BASEMENT TYPE:
yes TYPE HEATER:
WARM AIR: x
# KITCHENS: 1
# STORIES: 1 # EXITS:
CELLAR: 75% CRAWL SPACE:
3RD FLR.:
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
National Grid AIR CONDITIONING:
HOT WATER:
unfinished
2
25%
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
1 accy gar, 2 accy sheds
VIOLATIONS:
REMARKS:
INSPECTED BY:
GARYF
DATE OF INSPECTION: 6/18/2012
06-08-12;19:58 ; 7651823 ; # 3/ 3
TOWN OF SOUTHOLD
BU]0LDING DEPARTMENT
TOWN HALL
765~I$0Z
~ ~or n~ baH~g or ~v-u~:
f~tu~.
d~i~ the Bai~]~ Insp~or s~l state the ~ns ~for in writing to i~ ~pli~m.
New Constmclion: ._ _ Old or Pro~istiog B~tlding: i
Own& or O wno"s o.f Proper fy:. _
~h~ft'olk .County Tax Map No'lO00,
)'ubdivi.si~)n
'eradt No.
,, Dato Of Pormic
alth l t. ,Approval: _
'lashing Boanl Alrpro,,~l:
:e~lm, st tot: Temporary Ce~ficata
Submitted; $
..... Fina} Certificate: ~x~_. (check one)
Applicanl Signatu~r
06-08-!2;19:58
7651823
· t~riat N~mo)' ~
2/ 3
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. NY 11971-0959
Telephone (631) 765-1802
Fax (63 I) 765-9502
rofler, richert~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Bediner
~,ddress: 285 Riley Ave City: Mattituck St: NY Zip: 11952
~uilding Permit #: Section: 143 Block: 4 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
.Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Su~ey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCl Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
Ceiling Fixtures ~[~1~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
ELECTRICAL SURVEY of existing house "no visual defects"
Inspector Signature:
Date: Jue 22 2012
81-Cert Electrical Compliance Form.xls
Town Hall Annex
$4B75 M~n Road
P-O, Box 1179
Southold, NY 11971-0~$9
Telephone (631) 76,%1802
ro.qer, dchert(~.~w(~)s) o~ u~'l~o~l, ny, ,~
BU~,DING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Address:
Phone No.:
Date:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: .~.~
*Cross Street:
*Phone No.:
Permit No.:
Tax Map Di.stdct: 1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
Block:
Lot:
(Please Circle All That Apply)
*is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information(If neededt
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
3Phase 100
Underground
YES / NO Rough In
YES / NO
150 200 300 350 400
Number of Meters Change of Service
PAYMENT DUE WITH APPLICATION
Final
Other
Overhead
82~Reauesl for Insoection Form
OWNER
FOR~ER OWNER
TOWN OF SOUTHOLD
STREET ~ ~,, ~-
N
js
RES. ~!~ S~S. VL.
JFARM [ COMM.
PROPERTY
VILLAGE
W
RECORD CARD
DISTRICT SUB.
ACREAGE
TYPE OF BUILDING
D
LOT~,
LAND
IMP.
TOT^L
DATE
27
AGE BUILDING CONDITION
NEW NORMAL
Farm Acre
Tillable 1
T'illable 2
Ti tlable 3
Woodland
SwamPland
Brushland
--House Plot
Tota[
BELOW
Value Per Acre
ABOVE
Value
FRONTAGE ON WATER
FRONTAGE ON ROAD
BULKHEAD
DOCK
7,/-X 33.?'
tension i. ~° _-_ sA
:tension I
~tens[on
i I
__.or~J T~oo~1st FJoor
?(~tio ~ J gaoms 2nd Floor
j Dormer
__ I
'i
N?O°31 'O0"E 75.00'
_~ 5.8', I
u t, S S70'31 '00''~,, /
RILEY (~o') A~NUE m~ ~a~ ~.~ ~L~S a~ ~s~
REMO~ ENCHR~CHMENT 06-05-12 ~D ~ DAtA ~TA/NED Fe~ O~ER~
AREA: ~5,065.00 S~.~. Or 0,58 ACRES u. Pl~ ELEV~rI~ O~TUM..
MAP NOT 8EA~ING ~E LAND SUR~YO~'S EM~OS~D SEAL ~Att NOT ~E CONSIDERED tO BE A VALID ~UE
LIS~D HERE~. AND TO ~E ASSI~EES ~ ~E LENDfNG ~NSn~no~, ~ARAN~ES ARE NOT ~ANSFERABLE.
~E OFFSE~ OR DIMEN~S ~0~ HERE~ FR~ ~E PROPERTY LINES TO ~ S~UC~RES AR~ F~ A ~EClFIC PURPOE ANO U~ ~EREF~E ~EY ARE
NOT IN~NDED TO MONUMENT ~E PR~ERTY LINES ~ TO GUIDE ~E ERECnON ~ FENCES, ADDITIONAL S~UC~RES ~ AND O~ER fMPRO~MEN~ EASEMENTS
~L[o: NOV. 27, 1928 No.186
TO~ 0~: SOUTHOLD ~ ~. ~OYC~ ~.
SUFFOLK COUNTY, NEW YORK ~/ ~ ~d ~e~g .d De~
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
(type)
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION:
FOUNDATION:
# OF BEDROOMS: 1ST FLR:
BATHROOM(S):
STORIES: / # EXITS:
2ND FLR:
TOILET ROOM(S):
3RD FLR:
UTILITY ROOM:
PORCH TYPE:
DECK, TYPE:
PATIO, TYPE:
BP~EEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: ~
# OF KITCHENS:
FIREPLACE:
TYPE HEATER:~
FINISHED BASEMENT: YES
WARM AIR:
GARAGE:
AIRCONDITIONING:
HOTWATER:
OTHER:
ACCESSORy STRUCTURES
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
'~F~'-GdqG~RAGE, TYPE CONST.:
GUEST, TYPE CONST:
DATE OF INSPECTION:
TIME START: frt~J/
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL )~/.~ ~-~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTIO# [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
~ATE-~~ INSPECTOR ~~//~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) <~~IC~ (FINAL)
REMARKS:
DATE