HomeMy WebLinkAboutZ-26671FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NO: Z- 26671
Date: 09/08/99
THIS CERTIFIES that the building DWELLING
Location of Property 360 NORTH OAKWOOD DR LAUREL
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 127 Block 0008
Subdivision Filed Map No. Lot NO.
conforms substantially to the Requirements for a ORE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 26671 dated SEPTEMBER 8, 1999
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
(HAMLET)
Lot 008.003
issued is ONE FAMILY DWELLING *
The certificate is issued to JOHN BRICE & KENNETH GOLDMAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Building Inspect~
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTSOLD
SOUSING CODE INSPECTION REPORT
LOCATION: ~Q NORTH OAk"WOOD DR LAUREL
SUBDIVISION: MAP NO.: -- LOT (S) --
N~ OF O9~ (S): JOHN BRICE & KE~TE GOLD~
TYPE OF CONSTRUCTION: WOOD FRAM~ ~ STORIES: 2.0 ~ EXITS: ~
FOUNDATION: C~NT BLOCK CELL~: PART CRAWL SPACE: __
TOTAL ROOMS: 1ST FLR.: __~ 2ND FLR.: ~ 3RD FLR.: _~
BATHROOM(S): 1.0 TOILET ROOM(S): 1,Q UTILITY ROOM(S): __
PORCH TYPE: FRONT DECK TYPE: SIDE PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE GARAGE:
D(X4~STIC BOTWATER: YES TYPE EEATER: L.P. ~AS AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR= HOTWATER:
~ARAGE, TYPE OF CONST.:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
SEC.
R~S: BP~1876~Z"T~OZ-19237 (DECK)
INSPECTED BY:
BP# 25894Z'COZ-26670 (HEATING SYSTEM)
TIME START: 10:00 AM END: 11:00 AM
BUILDING DEPARTMEnt
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typevriter OR ink and submitted to the bull in§
i~spector %rich the following: for new building or new use:
Final survey of .property vith accurate location of all buildings, property Ii ~s,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~ ~) .
3. Approval of electrical installation from Board of Fire Underwriters. ~
4. Sworn statement from pl"mber certifylllg that the solder used in system contai.~,s
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Comp'liance from architect or engineer
responsible for the buildin~. .
6. Submit Planning Board Approval of completed site plan requirements.
For existing bu/-tdtngs (prior to April 9, 1957) non-coufor~t-~ uses, or buildings and
:'pre-existin~" land uses:
1. Accurate survey of proper~y sholring ,11 property lines, streets, buildin~ and
unusual natural or topographic features.
2. A properly completed application and a consent to imspect si~ed by the applicant.
If a Certificate of Occupancy is denied, the Buildin~ Inspector shall state the
reasons therefor in writin~ to the applicsJlt.
Certificate of Occupancy - New dwellin~ $25.00, Additions to dwelliu~ $25.00,
A~terations to dwelling $25.00, Sv~,m,i-_~ pool $25.00, Accesso~ bu~d~g $25.00,
~diti~s to accesso~ bu~d~g $25.00. Bus~esses $50.00.
2. C~tifi~te of Occup~cy on Pr~ist~K Bu~d~ - $i00.00
3. C~y of Cert~i~Ce of Occupancy - ~ .2~.
i. Updated Cerc~icate of Occupancy - $50.00
5. T~or~w Certificate of Occup~cy'- Resid~ti~ $15.00, Cmercial $15.00
..eZeM f ..............................
~ation of Propert7 ............... ' ...........
House Ho. Street H--1 et
Mar or O~ners of Property ..... (- ........ . ........
000, ..... ....... '
'~ ~division .................... Fi~ed ............ Lot ......................
~C ~o ................ Date Of Pemit ................ Applicant ............................
Approval Underwriters Approval ........
.~tth Dept -
am~ing Board Approval -
~uesC for: Temporary Certificate ........... Final Certicace ...........
Suba~tted: $ ~*.~..~--- ''. ..~....//~ ~
APPLICANT
CONSENT
TO
INSPECTION
Owner(s) Name(s~
do(es) hereby state:
· the undersigned·
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at ~ ~0
· which is shown and designated on the Suffolk
County. tax map as District 1000, Section /Z~ · Block~,~d, Lot~g,~,~
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tio~ 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 pr9perty, 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 as evidence in subsequent prosecutions for rio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
D ate d: 4~'~6/~ ~,
(signature)
(print n.~am.~
k ' (signature)
(p~lnt name)
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA;E1
sevve79 =URS^U oF ELECTR,C,TV
~-- 40 FULTON STREET, NEW YORK. NY 10038
/~e SEPTEMBER 14,1999 Application No. on file 1'8950799/99 H 065671
THIS CERTIFIES THAT
only the electrical equ~oment as described below and introduced by the applicant nar~ed on the above application number is in the premises of
BRICE, 360 NORTH OAKWOOD, LAUREL, NY
in the following location; [] Basement [] 1st Fl. [] 2nd FL OL~ Section Block Lot
was examined on ~EPrI*I~ER 03,1999 aod found to be in compliance with the National Electrical Code..
FIX~JRE
OUTLETS
DRYERS
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FLUORESCENT OTHER
FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT, I~IMECLOCKS MULTi-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT
)THER APPARA~JS:
*NO VISUAL DEFECTS: "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
s E
NO. OF CC COND.
PETER W. KREN
P. O.BOX 786
MATTITUCK, NY, 11952
GENERAL MANAGER
11 ~-~
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 FaF1 BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MuST NOT BE ALTERED IN ANY MANNER.