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Home My WebLink AboutZ-26931FORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE NXISTIN~ CERTIFICATE OF OCCUPANC~ No Z-26931 Date FEB. 14, 2000 THIS CERTIFIES that the building Location of Property 21055 MAIN ROAD House No. County Tax Map No. 1000 Section 17 Subdivision ON~ FAMILY DW~.T-ING Street Block 4 Lot 8 Filed Map No. Lot No. ORIENT~ N.Y. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to~ APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-26931 dated FEBRUARY 14, 2000 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 GARAGE & GUEST COTTagE * The certificate is issued to CY~'£mfA BEER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-505532 & N-505533 - NOV. 1, 1999 PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTA~D INSPECT~ Rev. 1/81 N/A Building I~s~ctor BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION RE~QET LOCATION: 21055 MAIN RD ORIENT SUBDIVISION: MAp NO.: NAME OF OWNER (S): CYNTHIA BEER OCCUPANCY: SINGLE FAMILY ADMITTED BY: CYNTHIA BEER KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 17.-4-~ SOURCE OF REQUEST: DEBORA~ DOTY. ATTY 8/18/~ LOT (S) __ CYNTHIA BEER ACCOMPANIED BY: SAME DATE: 08/26/99 TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: CONCRETE TOTAL ROOMS= 1ST FLR.: 6 BATBROOM(S): 1.0 PORCB TYPE: FRONT ~CREENED BREEZEWAY: DOMESTIC EOTWATER: XX # STORIES: ~-O # EXITS: ~ CELLAR; PI~RT CRAWL SPACE: TOILET ROOM(S): O-O UTILITY ROOM(S): P~* DECK TYPE: PATIO TYPE: FIREPLACE: GARAGE: TYPE SEATER: ~ AIRCONDITIONING: TYPE EEAT: STREET.S WARM AIR: CENTRAL-VENT HOTWATER: OTHER: ~ARA~E, TYPE OF CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DESCRIPTIO~ OHN M, BOUFIS f -- TIM~ START: 10:00 AM END. 10.30 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FORCERTIFICATE OF OCCUPANCY mo This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and p -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 a consent to inspect signed by the applicant. If a Certificate df 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, Swimming pool $25.00, Accessory building $25.00, Additions 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 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 · 8/18/99 Date ............................. ... . .. . ... . . New Construction ........... Old Or Pre-existin§ Butldin§..~.e~..(~.~... ~f house, cottage & garage) Location of Property .... ~l~55. M~i~]~o~,.Q~g~.~,.~ ....................................... ... House No. Street Hamlet Beer O~er or Owners of Property .... ~r..a~.%s..(~.e~,..s.~.}. ~ ......................... County Tax Map No 1000, Section ..... 1~ ....... Block...~ ............ Lot .... 8 Subdivision ................................ -- · · Filed Map ............ Lot ..................... . Permit No .......... .... ..Date Of Permit......... ...... . Applicant ...................... .. . . . .. Health Dept. Approval ...................... · · . . Underwriters Approval ........................ . Planning Board Approval .................. Request for: Temporary Certificate ........... Final Certicate..¥e$ ...... Fee Submitted: $. · ]00.00 ..................... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 1(~0121 BUREAU OF ELECTRICITY ~-- 40 FULTON STREET, NEW YORK, NY 10038 Date NOVEHBER 01,1999 Application No. onfile 19274999/99 N 505533 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 CYNTHIA BEER, 21055 MAIN ST. , GUEST COTTAGE, ORIENT, I~Y in the following location; [] Basement [] 1st Fl. [] 2nd FL OUT Section Block Lot was examined on OCTOBF_,R 25,1999 and found to be in compliance with the National Electrical Code.. (~uTXTLUE~rREs RECEPTACLES SWITCHES INCANDESCENT FL;~Xo~EUs~c~NST OTHER DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS AMT. K.W. OIL H.P, GAS H.P. AMT. NO. A.W. ~. SERVICE DISCONNECT NO. O~ OTHER APPARATUS: *NO VISUAL DEFECTS: RANGES SPECIAL REC'PT. AMT. AMP. S E ,, 2w ,, ,'.,, ,, .~w , s ,.w .o o;~.%~o.D. "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. OF CC COND. UNIT HEATE; MULTI-OUTLET SYSTEMS NO, OF FEET C EXHAUST FANS AMT. H.P. DIMMERS AMt. WA'iTS PAUL R. BURNS PO BOX 1061 SOUTHOLD, NY, 11971-0932 LIC.#3397 Per llGENERAL 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 rN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ~ l~121 'URE^" OF E' ECTR,C,TY -- 40 FULTON STREET, NEW YORK, NY 10038 Date NOVEmbER 01,1999 Application No. on Jile 19274899/99 N 505532 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 CYNTHIA BEER, 21055 MAIN ST., GARAGE, ORIENT, NY in the following location; [] Basement [] 1st Ft. [] 2nd Fl. GAR Section Block Lot was examined on OCTOBER 25,1999 and found to be in compliance with the National Electrical Code.. ~u~LUERT~ RECEPTACLES SWITCHES ,n . FIXTURES j,Y'"SK.w.o.L Fu".". CE AO.TO"S. SERVICE DISCONNECT NO. OF S *NO VISUAL DEFECTS: "An electrical sa~ey has ~en made of ~e exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was fo~d. RANGES MT. K.W. }PECIAL REC'PT. AMT, AMP. R NO. OF CC COND PER · v I C OFCC. COND. NO. OF HI-LEG MULTI-OUTLi SYSTEMS NO. OF FEET EXHAUST FANS AMT. H.P. DIMMERS NO. OF NEUTEAtS OF NEUTRAL PAb% R. BURNS PO BOX 1061 SOUTHOLD, NY, 11971-0932 LIC.#3897 GENERAL MANAGER 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. ' THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 l121 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK,:NY 100S8 Z~e OCTOBER 21,1999 Application No. on file 19201999/99 N 504454 THI~ CERTIFIES THAT only the electrical equ~ment as described below and introduced by the applicant named on the above application number is in the premises of CYT~A BgER, 21055 M/L%~ STREET, ORIEI~T, NY in thb following location; [] Basement [] 1st Fl. [] 2nd Fl. ATTIC/OUT Section Block Lot I O~TOB~ 15,1999 was ~xamtned on and found to be in compliance with the National Electrical Code.. uTX~ FIXTURES RAN{~ES :OOKING DECK OVENS DISH WA~SHERS EXHAUST FANS FI I~ RECEPTACLES SWITCHES INCAND~EN1 FLUORESCENT OTHER AMT. g.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P* 0 TS DRY ':RS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ~PECIAL REC'PT. TIME CLOCKS BEL~ UNIT HEATERS MULTI-OUTLET DIMMERS ' SYSTEMS AMT. I~,W. OIL H.P. GAS #.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H,P, NO. OF FEET AMT, WA~E SERV CE DISCONNECT NO. or S E R V I C E METER OTHER ~ PPARATUS: U~-i *l{ 3 V~SU~L D~ECTS, "An electrical scrvey has been made of the exposed electrical ecplipment in the p! emises indicated." "No obvious PAUL R. BURNS LIC.#3897E GENERAL MANAGER PO BOX 1061 ~OUTHOLD, NY, 11971-0932 Per this ce~lflcate must not be altered In any manner; return to the office of the Board if incorrect. InspeCtors may be id~'Ltifled by their credentials. COPY FOR BUILDING D NOT BE IN ANY MANNER. CONSENT TO t SI EICIION Oumer(s) Name(s) do(es) hereb? state: · the undersigned, That the undersigned (is) (ace) the owner(s) of the premises tn the Town of Southold located at 21655 Main Road, Orient:, NY , which is shown aud desiRnated on the Su£folk County tax map as District 1000, Section 17 , Block 4 , Lot 8 That the undersigned {has) (have) filed, or caused to be filed, an applica- tion tn the Southold Tox~m Building Inspector's Office for the following: pre-existing C/O for original part of house, cottage and garage * That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Soutitold to enter upon the above described property, iueluding any aud all buildings located thereon, to conduct sucbinspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that §aid premises comply with all,of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, itt coasenting to such hmpections, do(es) so with the knowledge aud understanding that any [arormatlon obtained In the conduct of such inspections }nay be used as evidence in subsequent prosecutions for vio- lations or the laws, ordinaaces, rules o,' regulations of the Town of Southold. Dated: R/~a/gq phone # 323-1378 Cynthia Ann Beer by D~h~rah Doty (priat name) as attorney (si~nnture) (print name) MAP OF PROPERTY :SURVEYED FOl~ LYI~ DAL BR~NDEI SITUATE AT OD. lENT TOWN O~ SCALE- 30': I" [] ~ Iv~OUUblE NT e -~E~N PIPE · STATE. GUARANTEED TO TI.Iii '~ECUa4TY T[TLF. ~JO '~UalU~NT¥ COIdP~N¥