HomeMy WebLinkAboutZ-24058FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Offioe of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF O~uU~ANCY
No Z-24058 Date
DECEMBER 5, 1995
THIS CERTIFIES that the building
Location of Propert~ 1250 PEQUA~H AVE~U~
House NO. Street
County Tax Map No. 1000 Section 103 Block 11
Subdivision Filed Map No.
ONE FAMILY DWELLING
UU'&~HO~UE, N.Y.
Hamlet
Lot 10
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-24058 dated DECEMBER 5~ 1995
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 Dgn~T~.IN~WITHATTAu~t~U GARAGE *
The certificate is issued to M. RECK & ANO.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N--371134 - NOVEMBER 22, 1995
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTA~U~D INSPECTION REPORT.
/ ~uilding Inspector
Rev. 1/81
IHI I I,I) I IIG I)I:~I~^IUI'III£H ~'
'l't)~ti OF SOUFIIOIA)
IIOtiSltt(; COI)I~ I[ISIH~.C'I'ION IIEI'ORT
I.OI;ATION: m25o PEQUASH AVE.
{...,her & stree(~
,';ti B D I V I ~ [ Oti
HAHE (}F ()~HI<R (,) M. Beck & Ano.
OC(3II'ANCy A-] Res.
A[)H ITTEI) BY: John Beck
gEY AVAI I,AIH.E
cirrCHOG~, N. Y.
}IAI' IlO. I,OT(n)
^CCOIII)^I{ I El! flY: SAM~
!;IIFF.Co. T^X {IAI' BO. ]OOu-IU3-1I-TO~ .........
· qOIIItCl'~ OF RIr. qlII<ST: JOHN BECK, JR.
.' ........................................... I)ATE: NOV. 29, 1995
CHANT BLOCK CE{,I.^R FULL
FOIINI}AT I ()ti
TOTAl. ROOH,~;: IS'{' Fl,l{.
B^TIIROOH (si ONE
POR(2II T¥1'E SUN PORCH
II R F. F. ZIr.%{Ay
I)OHICS'I'I C ItOT~A'I'E I{ ~S
TYI'E IIEAT LILCO GAS
OTIIICR:
4 2111) FI.l{. 3111} Fl,l(.
TOIl.ET ltOOH (:;)
IIECK, TYPE
F IRI~I'I,ACIz. NONE
'I'¥I'F. IIICATI;:R LILCO GAS
14AItll Alit XX
if STOIIIE$ ONE I EXITS 2
CII^~I..q I'ACIC
UTII.IT¥ ROOH
' PATIO
G^IIA(,I:.
C~NT
A I R(3ONDITIONI ttG
110'l'!,/AT Ir. It'
ACCE.SSOItY S'I'IIIICIURI~ S: NONE
.AIIA(.I!., 'I'YPIr~ OF CONST.
S%~ I }itl I I4(~ I'OOl.
OTIIICR:
$'{'OIt^(;IC, TYI)E COl{ST.
, GIIICST, TYI'F. (iONST.
V~I(~)I.A_'I~I_?IIS~.' CIIAPTIrtt 65 N.Y. STATI'] tlNIFOItH FIRE I'ItEVI'~NTIOti & BUII.I)ING COI)E
I,OCAT I Oti DE SCI{ 1 t'T 101{ ART. S1£C.
REH^I{KS: BP 123157-z OPEN PERMIT FOR ALTERATION TO LIVING ROOM.
IIILI'~C'I'ICil BY
NOV. 29, 1995
OF I NSI'ICC'I'I ON
Title START 9:30 A~ ENI) 9:50 AM
'I'DU~'I OF SOU[I(OI,I)
BU [ l.I) I I'l(; DEPAI~'IIIEHT
TOUH
765-1802
APP ICA'I'IoN FOI( CI;IUI'JFICA'I'I~ O1: OCCUI'AMCY
A, This ~Ppticat~on must J)e Jilted in by typewriter ()It ink alld submitted to the Imi]tl~n~
I . F~II;i]. survey of properly wi th nc :urg Le Jr cai ~Olt f3[ ~i I buihllng~, ploperl:y
4. Sworu statemeut (r°mtldm"ber certifying that: the solder used ill system
.Less thae 2/JO of J%
5. Commercial build]u~, industr];l] build]tlR' mul. tJple residenceg mud si,ii]ar buildings
and Jnstatlatio~ls,~a certificate of Code Comp]J. auce from architect or eug.i, neer
respo.sible for th~ btlj Lding.
6. Sub,dA: P.[annjng Board Approval of emp eted s~l:e i~.l. ao requirements.
For existing buildings (prior I:o April 9, 1957) non-couforming uses, or buiJ. dJngs and
'Pt~-ex~stjllg" ].and uses:
~. Accurate survey of ,roperty showi~ aLL property lines, streets, 5uilding
2. A properly completed a~u and n~:ons~nt to ~uspect sigl~ed by the ;~1
1[ a Certificate of OCctlJ)[lllCy JS tJellJe( :J~ ~t % ~ - - . '
J ldLng l. nspector shall st,itc the
reasons therefor ~n writing t:o tl~e npplic:mt,
C.
J. Certi[icate o[ Uccup;mcy - New dwetJiug $25.00, Additions to dwelling
A]termtJons to dwelli, ng $25.00, Swinllnjn~ pool $25.00, Accessory building $25.00,
Additions to nccessory beiJding $25.00. Businesses $50.(i0.
2. Certificate of Occupa.cy on ~e-exj.~%ing j, t]dtm - $100.OO
3, Copy of Certificate of OCCupallCy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary CertJ. fJcnte of Occul,alicy _ ResidelJtjaf $J5.00, Commercial
}}ew Construction ........... Old Or Pre-existin~lh~ildi ~g. . .......
Omcer or Owners ,.,f Property. .~ ..............................
County Tax linI, No lOOO, Section. I O } ~loc c J / ..... Lot ..... ¢ ¢
5ubdivinion .................................... FJlud Mnp ............ Lot
~'rzrmi t Ilo
drml [Jl Dsp(. Approval .
......................... Ullderwri(ers Approw~[ ...............
'~ SuJm, i~ t ed: $ .............................
THE NEW YORK BOARD OF FIRE UNDERWRITERS
l(~e~121
BUREAU OF ELECTRICITY
~ ES JOHN STREET. NEW YORK, NEW YORK 10038
D, te NOVE~J~ER 22,1995 Application Mo. on.file 10653995/95 N 371134
THIS CE~IFIES THAT
JO~ BECK, P~U~H A~N~, C~, N.Y.
u~ examined on ~R 15,1995 and found to be in compl~nce ~th the N~n~ Elec~c~ C~e.
~TUTi~T~ EPTAL'I~S SWITCHES iNCAaO~SCENT FLRXu~EUSC~EBNST OTHER
°TX.s....
RANGES
1 1~ CB
TIMECLOCKS BELL UNITHEATERS MULTI-OUTlET
AMT. ~P$. TRANS. NO. OF I~ET
EXHAUST FANS
DIMMERS
1 2 1 2
PAUL R. BURNS
P. O. BOX 1061
SOUTHOLD, [flY', 11971-0932
LIC.#3897E
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.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Owner(s)
do(es) hereby state:
CO~
INSPECTION
;'~ '~'-~-"~a.__~-'-~-,
Name(s)
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
(J
· which is shoxvn and desiEnated on the Suffolk
County tax map as District 1000, Section [03 , Block Il , Lot
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Tox~m 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 pr. operty, 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 albof the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consentlng to such /inspections, do(es) so xvith the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for v~o-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
(print name)
(signature)
(print name)
d
_ ~° 31'E. 150,0 ,,/
o~.
~/ILLOW
|
5UFFOLI/.. C..D, P~.VELoPMENT
ST.
I~IAP OF PlTOPEITTY
5UilVEYED FOr).
jONN ,~ PATiTICIA BECI4.
AT
CUTCHOGUE
'r'owN OF' ~OUTWOLD
W.'Y.
El: HONUMENT
/
:. ,~,~ ~,~tFE CO. '1"/~'~ MAP DATA: tOOO- lO3- I I- lO
AS SUl%V EYED l,,lOV. _.2~.
JZO[:)Er~ c v.. VAN TUV L~ 2.C_.