HomeMy WebLinkAboutZ-26774FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26774
Date: 11/05/99
THIS CERTIFIES that the building DWELLING AND ACCESSORY
Location of Property 195 BECKWITH AVE SOUTHOLD
{HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 061 Block 0001 Lot 022
Subdivision 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- 26774 dated NOVEMBER 5, 1999
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 FRONT AND SIDE PORCHES AND FLAGSTONE PATIO,
AND AN ACCESSORY BARN.*
The certificate is issued to THEODORE J BUCCI & ANO.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION~
Rev. 1/81 ~
11/5/99
N/A
Pending
N/A
Building Inspe/or
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 195 BECk'WITH AVE
SUBDIVISION:
~ OF O~NER {S): THBODORE J BUCCI & ANO.
OCCUPANCY: SINGLE F;%MILY
ADMITTED BY: TED BUCCI
SOUTEOLD
MAP NO.: __ LOT (S) __
THEODORE J BUCCI &
ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 61.-1-22
SOURCB OF R~QUEST: THEODOP~E BUCCI DATE: 11/05/99
TYPE OF CONSTRUCTION: WOOD FRAME
FOU~ATION: BRICK
TOTAL ROOMS: 1ST FLR.: 5
BATHROOM(S): 2.0
PORCH TYPE: 2-SIDE: 1-FRONT
BREEZEWAY:
DOMESTIC HOTWATER: YES
TYPE HEAT: OIL
OTHER:
2ND FLR.: ~
TOILET ROOM(S): . .
DECK TYPE:
FIREPLACE: NONE
TYPE HEATER: LIPA
WARM AIR: HOTWATER: ~
STORIES: 2.0 ~ EXITS: ~
CELIJ%R: PART. CRAWL SPACE: ~
3RD FLR.: O
UTILITY ROOM(S): __
PATIO TYPE: FLAGSTONE
GARAGE:
AIRCONDITIONING:
STORAGE, TYPE CONST.: WQOD FPu%ME W/BASE. & ELEC
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
SEC.
P,~KS: BP~17359-~/~LTERATION CO#Z-17427
· BOUFIS
DATE ON INSPECTION: 10/26/99
TIME START: 9:35AM END: 10:10AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAN
This application must be filled in by typewriter OR ink and
inspector with the following: for new building or new use:
1.
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 building
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.
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 a 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 $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-existinK Buildinz - $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
Date. ./P '.3%~?./z...~./~ ...............................
New Construction ........... Old Or Pre-existing Building..X .............
Location of Property /'~.~.. X) ' "--'''~ ~'1'1~ "~.-'~.'.~.1."~..../~.'.%~';; .... ,~.~/~/,,L~.~./.~. ..... ~ ...........
' '~g~g NO[ '' Street
Onwer or Owners of Property.. :'~.~--~:2.¥'.D. ,t~.....~.~./.C.C''/..:,, .~..~/..~.*.~.*~, ........................
County Tax Map No 1000, Section..~./. ......... Block.../· ............ Lot-.~..'-~. ..............
Subdivision .................................... Filed Map ............ Lot ....................
Permit No ................ Date Of Permit ................ Applicant ...........................
Health Dept. Approval .......................... Underwriters Approval .......................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate. ~
Fee, Submitted: $ ............................. /' 2J~ ~ ~w-~
ell, 2- q ...... .................
sn · .........
CONSENT
TO
[NSPEC'rlON
, the undersigned,
Ox~ner(s) Name(s)
do(es) bereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at /~J'- /r3* c-~'~4.~l ~ ~
[d , which is sho,~ and designated on the ~uffolk
County tax map as District 1000, Section g [ , Block ] , Lot g~ .
That the undersigned (has) (bare) filed, or caused to be filed, an applica-
tion in the Southold Tom Building Inspector's Office for the 'foilow~g:
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 xvith 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 Southo]d.
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 prosecntions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
(sig
(print name)
(signature)
(print name)
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRIC TY
~' 40 FULTON STREET, NEW YORK, NY 10038
l~,/Cl~BEl~ 03,1999 ~_~.7~ ..... ... ?I 066178
Date Application No. on file
THIS CERTIFIES THAT
only the electrical equ~oment as described below and introduced by the applicant named on the above application number is in the premises of
iE~' BUCCI, 195 BECI'?WITH A%q~NUE. SOUTHOLD,
in the following location'-- [] Basement [] 1st Fl. [] 2nd Fl. G3I{/OUT Section Block Lot
O~TOBER 28,1999
was examined on and found to be in compliance with the National Electrical Code.
OUTLETS SWITCHES INCANDESCE FLUORESCENT OTHER ~MT. K.W ..........
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME crOCKS BELL /UNIT HEATERs
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. {mT.i....
I I
SERVICE DISCONNECT I NO, OFI S E R I C
METER
*NO VISUAL DEFECTS: "Ar~ electrica3
survey has been made of the exposed
electrical equipment in the
premises indicated." . "No obvious
unsatisfactery condition was fcund,
MULTI-OUTLET
SYSTEMS
NO. OF FEET
EXHAUST FANS
AMT. H.P.
DIMMERS
AMT. WATTS
T. Bu<'-x
1661 OLD COUNTRY RD. 113
RI%~RHEAE, NY, 11901
This cefl'lflcate 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