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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