HomeMy WebLinkAboutZ-26748FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26748
Date~ 10/19/99
THIS CERTIFIES that the building
Location of Property 210 LAKE DR
(HOUSE NO.)
County Tax Map No. 473889 Section 980
DWELLING
SOUTHOLD
(STREET) (HAMLET)
Block 0004 Lot 002
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- 26748 dated OCTOBER 19, 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 F~?r.¥ DW~.L~.TNG WITH ACCESSORY GARAGE & STORAGE SHED *
The certificate is issued to GLORIA KAY BYP~NES
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF WEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION~RT.
Rev. 1/81
N/A
N/A
N/A
Bui~d~ng~n~pector
BUiLDIN= DEPARTMENT
TOWN OF SOUTHOLD
HOUEINC CODE INSPECTION RE~ORT
SOURCE OF REQUEST: GILBERT E. p?~gAM - 10/12/99
DATE: 10/19/99
TYPE OF CONSTRUCTION: WOOD FRAME
FOUNDATION: C~ENT BLOCK
TOTAL ROOMS: 1ST FLR.: __~
BATHROOM(S): O,Q
TOILET ROOM{S):
DECK TYPE:
TYPE HEATER: ~
SOTWATER: XX
# STORIES: 1.0 # EXITS: ~
CELLAR: PART CRAWL SPACe: PART
UTILITY ROOM(S): ~
PATIO TYPE:
~ARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE CONST.: SHED
SWIPING POOL= . GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOP~M FIRE PREVENTION & BUILDIN~ CODE
SEC.
R~4ARKS:
INSPECTED BY:
DATE ON INSPECTION: 10/18/99
TIME START: 10:00 AM END: 10:30 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FORCERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings,
streets, and unusual natural or topographic features.
BLDG. OEPT.
TOyVN Of' SO~JTHOLD
to the building
property lines,
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.
6. Submit Planning Board Approval of completed site plan requirements.
/ B. 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
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimm' ol 25.00,Accessory building $25.00,
Additions to accessory bui1~-$25.00. Businesse~
2. Certificate of Occupancy on'~__~e_g~stin8 Bui.l~in~ - $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 · ..
New Construction ........... Old OrPre-existing Building .................
Location of Property .............................................................
House No. Street Hamlet
Onwer or Owners of Property ..... ~.~o?~.~ .... .~..,/.~.~..~.~ ............................... .. .
County Tax Map No 1000, Section ..... ~.Q. ..... Block ..... .~. ........ Lot ....... ~ ............
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval ........................ .. Underwriters Approval .........................
Fee Submitted: $ ..... ~Y?:."... .................
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 o
~0~'~ which is shown and designated on the Suffolk
County tax map as District 1000, Section ~0 , Block Zf , Lot 2~
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion 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 property, 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 vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
(print naime) ! '""
(signature)
(print name)
DATE: 10/13/99
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTON A VENUE
EAST PATCHOGUE, NEW YORK 11772
(516) 286-6642
H6297
APPLICATIOlq No. ON FILE
VILLAGE.. Southold
ADDRESS: 210 Lake Avetme
iSSUED TO: Gloria Byrnes
row~v.. Sou&old
INTRODUCED BY: above
was examined on
LIC No:
1 O- 12-99 and found to be tn compliance w~th the Nat~onalElectrical Code
LOCATION: Base.. 1st 2nd 3rd A tac
Der Garage Hot Tub Pool
SWITCHES RECEPTACLES FIX'~ RES HEATERS FANS G.F.L AIR. COND.
9 12 10 ' 2
DISHWASHER DRYER CLOTHES WASH. GAR. DISP. RANGE OVEN SMOKE DETECTOR
FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERVICE DISCONNECT
1 100~g
OTHER
EQUIPMENT
outside residence
MADE OF 1'HE EXPOSED
EQUIPMENT !N IHE PREMI~[~
VISUAL D~EGI$ FOUN~
BUILDING PERMIT No.
BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE
Gilbert E. Piukham
155 Lake Ave.
Southold, NY 11971
BLDG. DEPT.
TOWN OF SOUTHOLD
October 5, 1999
To Whom it May Concern,
My father purchased the summer cottage immediately across the street from what is now
the Byrnes residence in 1937. At the time I was 11 years old. Ever since then I have spent
weekends and vacations at the cottage from May thru October. Even aider I married in 1950 my
wife and I would spend weekends and vacations at the cottage. In 1954 my father made a major
expansion to the cottage by adding a bedroom wing and building a garage, which was a major
unde~aMng for our family. In 1962 1 purchased the cottage from my father and we continued to
use it as a major part of our lives.
I understand that age of the garage in the rear of the Byrnes property is being questioned.
To the best of my recollection the Byrnes garage was in existence in 1954 when our major
expansion was completed. In a small community of small homes any major addition or expansion
was noticed and commented on by the residents.
I hope that his brief commem can assist in clarification of this issue.
Very truly yours,
Gilbert E Pinkham
Sworn before me this ~I~ day
of October, 1999.
Notary Pu~v[ic
UNDA J.
No. 52.4827224
qualified in 8affo~