HomeMy WebLinkAboutZ-26132FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26132
Date: 11/27/98
THIS CERTIFIES that the building DWELLING
Location of Property 50 STARS RD
(HOUSE NO.)
County Tax Map NO. 473889 Section 022
Subdivision
EAST MARION
(STREET) (HAMLET)
Block 0002 Lot 036
Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 26132 dated NOVEMBER 27~ 1998
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 ACCESSORY ONE CAR GARAGE *
The certificate is issued to ALICE BALDES
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION ~P0~T.
~ev. 1/81
N/A
N/A
N/A
Buildi~
BUILDING DEPARTMENT
TOWN OF SOUTSOLD
LOCATION: 50 STARS ~D
SUBDIVISION:
NA~ OF OWNER (S): ALICE BALDES
OCCUPANCY: SINGLE FARILY
ADMITTED BY: ALBERT COOK
EAST MARION
MAP NO.: __LOT (S) __
ALICE BALDES
ACCOMPANIED BY: SAME
DWELLINg:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 ~ EXITS:
FOUNDATION: CONCRETE CELLAR: FULL CRAWL SPACE:
ACCESSORY STRUC~rd~S:
GARAGE, TYPE OF CONST.:
SWINEING POOL:
OTSSR:
ONE CAR WOOD FRAME STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHANTER 45 N.Y. STATS UNIFORM FIRE pREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART.
SEC.
~~~/~ DATE ON INSPECTION: 11/05/98
M. BOUFIS ~ TIME START: 10:30 AM END: 10~50 AM
t
ToWN OF SOUTIIOLD
UUILUILIG D EPARTHE['i'[
'[OWN HALL
7~-~02
· ,~PLICATION fOR.CERT.I. FICATE OF OCCUPAHCY
This application'must be filled in by typewriter OR ink'and submitted to the building
inspector with the fellowingl for new building or qew use:
1. Final survey of property Mtth accurmte location of all buildings, propect~ llees,
s~reecs, and unusua~ natural or topographic features. '
2, Final Approval from Health Dept.' of water ~upply and ~ewegage-disposal(S-9 fo~}.
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn state~en~ from plumber cer~lfying that the solder used im system conk~s
less than 2/10 of 1% lead. "
5. Co--atrial building, .indus. trial buildtng~ multiple residences and s~tlar buddings
and installations, a certificate of Code Compliance from~archibec~ or engineer
respon~ible for the building,
6. Submit Planning Board Approval of completed cite pia~ requirements.
For existing buildings (p~ior to April 9, 1957) non-conforming use~, or buildings aed
npre-existing" land uses.'
1. Accurate survey of property showing all property lines, streets, building aad., ...
unusual natural or topographic features.
2. A properly completed application and a conseitt to inspect signed by' the applicaet.
If a Certificate o£ Occupancy is deuled, the Building Inspector shall state the
reasons therefor itt wrlting to I'he applicant.
l, Certificate of Occupancy - New dwelling $25.00~ Additions to dwelling $25.00,
Alterations to dwelling $2§.00, Swilmning pool $25.00, Accessory building $25.00,
A. dditions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00*ever 5 years - $[0.00
4. Updated Certificate of Occupancy -
5. Temporary Cecbiftcate of Occupancy - Residential $15.00, Co~e~ciai
October ~),, ~9)~
. XX
New Consbructiom ..... ,. .... Old Or Pre-existing Building ..... . ......... ,.
ario
noc~t%on of Property...,.P~ .......... ,,.q~gf.P~%Y¢ ......... East
' House No, Street Ila~et
Estate of Alice Baldep. ..... ,. ..... . ........ , ...........
0 6
' 022 . .Block .... P~, ........ Lot ..... P ..... ~ ........
Couety Tax Hap No 1000~ section,,,~,~.,..*. , '
Subdi$ision ' ' Filed Hap Lot '
· ' Appli
Permit I'[o,~,,i,,,,,,c~.~.Date Of Permtt,,~.,,,.,**.*,~ cant.,.,..~.*,,..~.,,*~ .....
Ilealth Dept. Approval.,.,.***.,, ..... ***,,,***.Underwriters Approval..,,,.,~ ..............
Planning Board Approval~,...,,,,,~, ....
, XX
Request for: .Temp°rary Ce~tifieate.,...~*.... Final Certicate.,,..~.....
$ ~00.00 '
Fee Submitted ~ ..................
APPLICAtOr
CONSENT
TO
INSPI~CTION
Albert G. Cook, as Executor
_.' Estate of Alice Baldes
Owner(s)
do(es) hereby state:
· the undersigned°
That the undersigned (is) ~ tim Owner(x) of the preml,,'e:~ In the To~q~
of Southold located at_ 395 Cedar Drivet East Mari0~, Ny
· which is sho%~ and des[gna~ed on ibc Suffolk
County fax map as District 1000, Sec~ion~ 022? Rlock 02 , Lot_036
That tile undersigned (has) ~filed, or caused to be filed, an applica
tion in ~he Sou~hold Town Buildh~l~ Inspcctor.s Office for the
- Pre-exiStin~ certificate of ~cu an coverin the
private one-f~ily dwelling and detached ara e
That the undersigned do(es) hereby give conscllt to the Buildh]~ Inspectors
of tile Town of Southold to enter upon the above described property, includin[I
any and all buildings located thereon, to conduct such inspections as they may
deem necessary %vigl respect to the aforesaid application, ~clud~ inspections
Lo determine that said premises comply with all of the laws. ordinances, rules
and ~eRulations of tim Town cf Southold.
The undersigned, in consent[ng to such h~spections, do(es) so with tile
knowledge and understanding that any hIformation obtained [n the conduct of
such inspections may be used as evidence in subsequent p~osecutions fo~ vio-
lations of the laws, ordinances, rules or ~e~lations of fha Town of Sou[hold.
Dated:. 10/219/98
(signature)
ALBERT G. COOK
(print name)
(siRnatur~)
(print name)
THE NEW YORK BOARD OF FIRE UNDERWRITERS 1
~"~?~;4~?'? BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Date NO%~EHBER 19,1798 Application No. onfiic 171886?8/98 H 062194
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
i~,LBEI~T 2'OOK, 295 CEDAR DRIVE, EAST I£~RION, hnf
in the following location; [] Basement [] 1st Fl. [] 2nd Fl. Section Block Lot
was examined on NO?Et'~BER 1~, 1998 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTAC~$ SWITCHES
OUTLETS
DRYERS FURNACE MOTORS
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS
FLUORESCENT OTHER
FEEDERS iPECIALREC'FT. TIMECLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT S E R V I C E
OTHER APPARATUS:
N'~ VZSUAL DEFECT$-i
*NO VISUAL DEFECTS: "~ electrical
s~tvey has been made Of the exposed
electrical equipment in the
~.remmses indicated." "No obvicus
unsatisfactory condition ~as ~ound.
ALBERT COOK
321 6TH A~NL~
GP~ENPORT, NY, 11944
NO. OF CC COND. A, W, G, NO. OF HI-LEG
PER · OF CC, COND.
A. W.G. NO. OF NEUTRALS A.W.G.
O~; HI.LEG OF NEUTRAL
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board If incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
c¥
10' 146' 00' E
FE COR.
W 0.5
--ZSO'
STOCKADE
0.7' 20.1'
TAX MAP NO.
1000-022-02-,56 --
FENCE
S 1.2'
12.6'
~CREENED 9, 9'
PORCH
I STORY
FRAME RES.
56.2'
[-'4°$'
r~-END FENCE
S O.O
E 0.6'
N 10' 46' 00" W
CEDAR
SURVEYED FOR : R/CHARD S.
N/F SAUVIGNE
DRIVE
SURVEY OF
DESCRIBED PROPERTY
SITUATE
EAST MARION, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
100.00'
FENCE .E.,NO~ E~NCE
TAX MAP NO.
__----.m.
1000-022-02-,57 ~
SURVEYED BY
100.00'
SURVEYED 19 OCTOBER, 1998
SCALE 1~=20,
AREA= 12,000 SF
OR
0.275 ACRES
PILLES
GUARANTEED TO
~CHARD ~ PILLES
NORTH FORK BANK
~RST AMERICAN ~E INS. CO.
TOWN OF SOUTHOLD
STANLEY J ISAI¢SEN, JR.
P.O. BOX 294
NEW, SUFFOLK, NY 11956.
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]~_LATION
[ ] FRAMING [ F~ FINAL
[ ] FIREPLACE~ & CHIMNEY .~
TEST LABORATORIES, INC.
ENVIRONMENTAL TESTING
377 SHEFFIELD AVE. · N. BABYLON, N.Y. 11703 · (516) 422-5777· FAX (516) 422-5770
LAB N0.984767.09 11/20/98
ATTN:
John W. Hallman Limited
P.O. Box 423
Shelter Island Heights,
NY 11965
SOURCE OF SAMPLE: Cook, A., 395 Cedar Dr., East Marion
COLLECTED BY: JH/EcoTest DATE COL'D:ll/16/98 RECEIVED:Il/16/98
SAMPLE: Water sample, kitchen c.w. tap
ANALYTICAL PARAMETERS
T.Coliform, 100 mL
Absent
ANALYTICAL PARAMETERS
cc:
REMARKS:
Total Coliform is within NY State and Federal
standards for potable water.
rn= 27981 NYSDOH ID# 10320
DIRECTOR
LABORATORIES, INC.
ENVIFIONMENTAL TESTING
377 SHEFFIELD AVE. · N. BABYLON, N.Y. 11703 · (516) 422-5777 · FAX (516) 422-5770
LAB 1/0.984359.01 11/04/98
ATTN:
John W. Hallman Limited
P.O. Box 423
Shelter Island Heishts, NY 11965
SOURCE OF SAHPLE: Cook, A., 395 Cedar Dr., East Marion
COLLECTED BY: JH/EcoTest DATE COL'D:10/26/98 RECEIVED:lO~26~98
SAMPLE: Water sample, kitchen c.w. tap
ANALYTICAL PARAMETERS
T.Coliform, 100 mL Present
Chloride as C1 mg/L 15
Iron as Fe mg/L 0.54
Nitrate as N mg/L 4.5
pH (lab) units 6.3
MBAS as LAS ms/L <0.1
Mansanese as Mn mg/L 0.07
E.Coli, 100mb Absent
ANALYTICAL PARAMETERS
rn= 25557
cc:
REHARKS:
Total Coliform and Iron concentrations exceed NY
State and Federal standard8 for potable water. All
values tested are within limits.
other
NYSDOH ID# 10320
//y",',
LOCATION:
BOII,DING DEPAR1~IENT
TOWN OF SOUTIIOLD
NOOSING CODE INSPECTION REPORT
(n~mb~ & at£eeO
SUBDIVISION "~f ~~..~
KEY AVAILABLE
SOURCE OF REQUEST:
~P NO,
(municipality
LOT (s)
(owner-tenant)
ACCOHPANIED BY:.~
sum co. TAX MAP NO.,/~-~-~ --~ --
DWELLING:
TYPE OF CONSTRUCTION ~/~J~"~
FOUNDATION ~?
TOTAL ROOMS: IST FLR. ~ 2NO FLR.
~A~OO~ (~) ~ ~O~L~T ~ (~)
PORCH ~PE~ ~~ DECK, TYPE "
B~EZE~AY ~" FIREPLACE ~
DO'STSC HO~A~R
O~ER:
- · ~ STORIES
CELLAR /~r~.,~,~
~ 3RD FLR.
----'" UTILITY ROOM
PATIO, TYFE
GARAGE --
AIRCONDITIONING
"OTWATER
TYPE HEATER ~'/~.~-
WARN AIR ~"'~'
ACCESSORY STRUCTURES:
GARAOE, TYPE UE CONST./~ /.../~'-~ ,- STORAGE, TYPE CO,S~.
sw~i.c~oo~ .~ ~ , GUES~, ~P~ co. sT. ~ ~
LOCATION ~ DESC.RIPTION z~ ' ~ ART. SEC .
-
REMARKS
INSPECTED BY:
DATE ON INSPECTION
TI.E START /9/