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HomeMy WebLinkAboutZ-36505 Town of Southold Annex 9/18/2013 54375 Main Road Southold, New York 11971 * �v PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36505 Date: 6/17/2013 THIS CERTIFIES that the structure(s) located at: 650 Old Woods Path, Southold SCTM #: 473889 Sec/Block/Lot: 87.-1-19 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z 36505 dated 6/17/2013 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 cottage with covered porch and wrap around deck accessory cottage with deck accessory carport and outhouse.* NOTES: BP 12419 add to cottage COZ-11961, BP 38311"as built" foundation COZ-36504 The certificate is issued to Wells South Harbor Corp (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. onz Sign ure BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 650 Old Woods Path, Southold SUFF. CO. TAX MAP NO.: 87.-1-19 SUBDIVISION: NAME OF OWNER(S): Wells South Harbor Corp OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Wells South Harbor Corp DATE: 6/17/2013 DWELLING: #STORIES: I # EXITS: 7 FOUNDATION: CELLAR: CRAWL SPACE: open BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: deck PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: none WARM AIR: HOT WATER: #BEDROOMS 3 #KITCHENS: none BASEMENT TYPE: OTHER: this page for cottage#2 ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 6/18/2013 TIME START: END: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 650 Old Woods Path, Southold SUFF.CO.TAX MAP NO.: 87.-1-19 SUBDIVISION: NAME OF OWNER(S): Wells South Harbor Corp OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Wells South Harbor Corp DATE: 6/17/2013 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: CELLAR: CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered porch DECK TYPE: wrap around PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: none WARM AIR: HOT WATER: #BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE: OTHER: - - - ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: accy carport STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: outhouse VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 6/18/2013 �,✓ TIME START: END: '/ - _ - 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: I. 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 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 $50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building$50.00, 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 New Construction: Old or Pre-existing Building: V_ (check o e) Location of Property: (/� l��� �J�/y� ��/��'Je/W House No. ,n,// Stree � Hamle Owner or Owners of Property: IA'e)a��4� Suffolk County Tax Map No 1000, Section Block / 0 Lot Subdivision _ Filed Map. Lot: Permit No._ Date of Permit. Applicant: Health Dept. Approval:_ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Ap ' not Signature � 3 7 CONSENT TO INSPECTION C&I �S the undersigned, do(es) herebystate: Owner(s) Name(s) That the undersi egis) (are )of th rem' �n Town of Southold, located at �' Fi//� which is sh d designated on the Su oIk�ounty ax Map as District 1000, Section Block Lot That the undersigned (has) (have) filed, or—cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 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: (Signatur / (Print Name) 69N;Ik-4 j e �!{a ti ) t• if. ., . \ � rM1• y ; ')' ! ii f ti )a "Ss h ri•saw\ _,` : fFti.'1 / Electrical Inspection Certificate =Y� Electrical Inspection Service, Inc. 1 375 Dunton Avenue - \ ,/a East Patchogue, New York 11772 (831)286.8642 - w " Date: 04/12/2001 Application No. : 50687 u»? r Issued to: Cara Wells r" R1. . Street: 640 OldWood Path Village: Southhold Zip: 11971 Town:Southhold Section: Block: Lot: ra Introduced by: Lademann Electric Inc. Lic.# 4141-E 7 n was examined and found to be in compliance with the National Electrical Code �\ ❑Attic W1st Floor ❑Indoor Se Residential ❑ Pool _j Det. Garage { . 7 „ ❑Basement ❑2nd Floor [7Outdoor ❑ Commercial ❑ Hot Tub ❑ NV Defects y . .{ Switches Receptacles Fixtures GFI Heaters A/C Fans df 16 21 15 3 dam” x Dishwasher WashedAmp DryedAmp Oven Range/Amp Garbage Disposal , , Furnace Oil Gas Circulator Smoke Detector Bell Transformer •, a fs. i1r)ty. !sib Meter Amps Phase UG/OH Telephone Television Carbon Monoxide <mrN> 100 ❑ / © <, /'`�_ • ,ate �f 1tiFFiS Other Equipment: 2 ach, �s J Hito S. Surdi } President1 This certificate must not be altered in any manner ) Building Permit No. Vis. i Inspectors may be identified by their credentials / 1000121 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 10038 Mgi)ate Septneber 27, 1983 Application No.onfile 234727/83 N 618109 > THIS CERTIFIES THAT > only lite electrical equipment as described below and introduced by the applicant named on the above application number in the premises of >: Wells Bouth Harbor Corp, South Harbor Road. , Southold,N.Y. in Nrrfollou�in„location: ❑ BasementIlk r /st FL J and FL Section Block Lor > uvtse.lnntinedon September 22, 1983 andfound to be in conrplianev with the requirement.of this Baard. > HX"/RE FIXTURES _ RANGES COOKINODECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES_INCANDESCENT.FLUORESCENT _ NvaVMY AMT. K.W_ AMT. K.W. AMT. N W. AMT. 4 6 5 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS > — RAN SYSTEMS AML K-W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT, AMPS. TRANS. AMT. NO.OF FEET AMT. WATTS ER _.� _. --_ ( VICE DISCONNECT �O.OF 5 E R V I C E AMT. AMP. TNPE ODIP I,R RW 1 p 3W 3,e 3W 3 g AW NO.OF GC COND. A.W G NO.OF HbLEG A'W'G' NO.OF NEUTRALS -- PER 8 OF CC GOND. OF HbLEG OF NEUTFAL I OTHER APPARATUS. 1-4.5kw Hot water Heater. Paul Burns Town Harbor Lane Southold, N.Y. 11971 Lie. 282 GIN MANA 11 ' Per— This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY ' 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date November 13 a 19 4 . THIS CERTIFIES THAT 7 PPuoatianry o on,(Lle 6,63889 N 193898 on1v the electrical equipment"described ed 6elom and introduced by the applicant Homed on the above application number in the premises of Well's South Harbor Corp . , Borgesson Rd . Southold J I . , off South Harbor Rd. in the lullmving location: Basement 4/At Fl. ❑ 2nd Fl. Icn..,.,.,Nined"n outs i.de Section Blxk Lal November 11 , 1974 and found to be in compliance with the requirements of this Board. Ft%TURF HXTURES OUT ECEPTACLES SWITCHES RANGES COOKING DKKS OVENS DISH WASHERS EXHAUST FANS '-- -- — INCANDESCENT.FLUORESCEN} RA Rr T. K.W, AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECTT TIMECLOCKS REU AMt- K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS, TRANS. AMT..HEALT ERS MULTI-OUTLET DIMMERS SYSTEMS NO.OF FEET AMT. wares `I SERVICE DISCONNECT NO.OF -- -- }� 5 HMT. T AMP. ttPE METER E R _V 1 C E --'–' – E0 IP. 1 A]W 1 0 3W 3 0 3W 3 8 AW NO.OF CC.COND. OF CC.COND. NO.OF HI LEG A.W G Of HbLEG NO.OF NEUTRALS A.W G OF NEUTRAL_ _ ICC CB X 1 OTHER APPARATUS: - 2 l 4 1� Paul Burns , wn Town Harbor Lane, Southold, L.I. 11971 GENERAL MANAGER a+ This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors maPbe identified by their, TOM 3 OWNER STREET VILLAGE DISTRICT SUB, LOT FORMER WNER N E ACREAGE 9G} p Q S W TYPE OF BUILDING l / R S. SEAS. J VL. FARM comm. IND. CB. I MISC. LAND IMP. TOTAL DATE REMARKS 66 1266 22-6 6 a �. a a 3� ou .24 (ni�6o ' /c .i'/ �sV/ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tilloble 1 Tillable 2 Tillable, 3 Woodland Swampland Brushlon'&' 4,0 House Plot dnow Total ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ Mrs ■■i �7■.�1a9■■IC■■■■ 00 Interior ■■■I■fi1i��GiOe{ii■■■■■■ice■■■ W_ ' -� SURVEY MAP y, 4 WELLS SOUTH HARBOR �^ CORPORATION ° TOWN:SOUTHOLD qy a SUFFOLK COUNTY,NEW YORK o ,� v \ a 4p I� % i b � k JOHN C.EHLERS LAPID SURVEYOR � S o�aoF Sour,, N�et�v TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL ..// [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REM RKS: G " G V W DATE 3 INSPECTOR LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING Zi TYPE OF CONSTIIA`07)_7' # STORIE�f #EXI S: FOUNDATION: BASEMENT: CRAWL SPA # OF BEDROOMS: T FLR: 3 2ND FLR 3RD FLR: BATHROOM(S): TOILET ROO ): UTILITY ROOM: PORCH TYPE: DECK, TYPE- PATIO, TYPE: BREEZEWAY: �— FIREPLACE: ` GARAGE: -' DOMESTIC HOTWATER 4t5 TYPE HEATER: AIRCONDITIONING: TYPE HEAT: �9•J� Y WARM AIR: HOTWATER: # OF KITCHENS: �- FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: X-A_ VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: zz INSPECTED BY: DATE OF INSPECC�TI))OAAN: �J TIME START: END: