The URL can be used to link to this page

Home My WebLink AboutZ-26791FO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26791 Date: 11/18/99 THIS CERTIFIES that the building DWELLING Location of Property 2200 PINE NECK RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 070 Block 0009 Lot 006 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- 26791 dated NOVEMBER 18~ 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 SINGLE F~TT.y DWELLING * The certificate is issued to PATRICIA A CAIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. pLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A H066220 N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2200 pINE NECK RD SOUTHOLD SUBDIVISION: MaP NO.: -- LOT (S) __ NA~ OF OWNER (S): PATRICIA A CAIN OCCUPANCY: SINGLE FAMILY DWELLING ADMITTED BY: JOHN LONGWORTH KEY AVAILABLE: SUFF. CO. TAX MAP NO.: SOURCE OF REQUEST: PAUL CAMINITI. ESO. pATRICIA A CAIN ACCOMPANIED BY: SAME DATE: 11/18/99 TTPE OF CONSTRUCTION: WOOD FRAME FOUIgDATION: CINDER BLOCK TOTAL ROOMS: 1ST FLR.: ._~ BATHROOM(S): 1.0 PORCH TYPE: FRONT COV~P~ED BREEZEWAY: DOMESTIC HOTWATER: YES TYPE HEAT: QIL OTHER: TOILET ROOM(S): DECK TYPE: FIREPLACE: ONE WARM AIR: HOTWATER: # STORIES: 1,O ~ EXITS: ~ CELL~: PART CP. AWL SPACE: __ 3RD FLR.: O UTILITY ROOM(S): 0 PATIO TYPE: CONCP~ETE SLABS C~RAGE: NONE AIRCONDITIONING: GARAGE, TYPE OF CONST.: SWIPING POOL: OTHER: STOP. AGE, TYPE CONST.: GUEST, TYPE CONST,; VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIR~ pREVENTION & BUILDING CODE R~S: EE26165Z - ATT. SHED & PATIO AWNING AS BUILT - CO Z26792. INSPEOTED BY: ~ /' ~ DATE ON INSPECTION: 10/08/99 JOHN BOUFJ/ / TIME START: END 2 2 1999 BLDG, DEPT. L_ ' TOWN OF SOUTHOLD Form No. 6 TOWN OF SOUTI[OLD BUILDING DEPARTMENT TOWN IIALI, 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR iak and submitted to the buildi,g inspector with the following: for oew building or new uae: 1. Fiaal survey of property with accurate location of all boildings, property Iiues, streets, and unusual natural or topographic features. 2. Ftaal Approval from tlealth Dept. of ws~er supply and sewerage-disposal(S-9 form). 3. Approval of electrical instalJstion from Board of Fire Underwriters. Sworn statemest from plnmber certifying that the sulder used ill system coutalns less tban 2/10 of 1% lead. 5. Commercial buildin, g, industrial Imildiug, mul. tip}e residences and simt.l.ar buildings and installations, a cer~ificate of Code Compliance from archikect or engineer responsible for tile building. 6. Submit Planuing Board Approval of completed site plan requirements. For existing buildings (prior to AprJt 9, 1957) non-conforming uses, or buildings nmi "pre-existing" lnnd uses: 1. Accurate survey of property showiug all p. roperty lises, streets, building and nnusual natural or topographic restores. · 2. A properly completed application and a consent to inspect signed by tbe applicant. I~a Certificate of Occupancy is denied, tile Building Inspector shall state tbs reasons therefor in writiug to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dweilieg $25.00, t Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additioes to accessory building $25.00. Bssiuesse~ 2. Certificate of Occupancy on Pre-e×istinp~ Building. B. Copy of Certificate of Occnpnncy - . .2~e _ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occopancy - Residential $15.00, Commercial $15.OO llouse No. Street. Ilamle t Onwe~ or Owners of Proper~y ........................ S6bdivisioa .................................... Filed Map ............ Lot ...................... Petmlt No ................ Date Of Permit ................ Applicant ............................. Ilealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ...... $ ...... ..... Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shown and designated on the Suffolk of Southold located at County tax map as District 1000, Section ~ff~) , Block ~ , Lot ~ . That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the ~mthold Town Building Inspee. tor's Offl,ee for the following: __ That the unders~ned do(es) hereby give consent to the Build~g Inspectors of the Town of Southold to eh[er upon the above described property, i~mluding any and all buildings located thereon· to conduct such inspections as they may deem necessary with respect to the aforesaid application, ~clud~g inspections to determine that said premises comply with all of the laws, ordinances~ rules and regu ahons of the Town of Southold. The undersigned, in consenting to such ~spections. do(es) so ~th the knowledge and understanding that any ~formation obtained ~ the conduct of such inspections may b~ used as evidence in subsequen~secutions for v[o- THE NEW YORK BOARD OF FIRE UNDERWRITERS S077684 BUREAU OF ELECTRICITY -- 40 FULTON NEW NY 10038 STREET, YORK, Date NOVEmbER 09,1999 Application No. on file 19300199/99 H 066220 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 F. CAIN, 24~ PINE NECK ROAD, SOUTHOLD, NY in the following location. [] Basement [] 1st Fl. [] 2nd Fl. OUT Section Block Lot was examined on NO~8~ER 0I, 1999 and found to be in compliance with the National Electrical Code. FIXTURES RANGES COOK~NG DECKS OVENS DISH WASHERS EXHAUST FANS FIXIURE RECEPTACLES SWITCHES ~CANDE~CEN' FkUORE$CENT OTHER AMT. K.W. AMT. K,W, AMT. K.W. AMT. K.W. AMT. H.P. OUTLETS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. ! AMT. H.P. NO. OF FEET AMT. WAITS SERVICE DISCONNECT NO. O~ S E R V I C E METER OTHER APPARATUS: SERVICE & DISTRIBUTION PANEL-1 *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed elec%rical equipment in the premises indicated." "No obvious unsatisfactory condition was found. CAHI~I?I & GIBBO~S L.L.P. P. O. BOX 846 GENERAL MANAGER SOUl. OLD, ~*~ 11971 Per 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 FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 82'.37'10" Z 82'37'10" W s/off_ 100.00' ~/o/~ EDWARD H. scHULTZ ~. jAcKO~'SK~ SURVEY OF PROPERTY SITUATED AT PINE NECK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-09-06 SCALE I '=$0' AUGUST 17, 1999 AREA = 19,502.77 sq. ff. 0.448 PID£UTY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK JOHN LONGWORTH ROSEMARY LONGWORTH Joseph A. Ingegno Land SUrveyor PHON[ (515)727-20~0 Fox (5t6)~ BLDG. DEPT. L_ ' TOWN OF SOUTHOLD Form No. 6 TOWN OF SOUTIIOI,D BIlILD lNG DEPARTMENT TOWN [IALL 765-1802 AI'PLICATION FI_IR CERTIFICATE 01" OCCUPANCY Thls application mnat be filled in by typewriter OR ink and eubmitted to the b.tldi.g inspector wlth the following: for new bnildtng or new uae: 1. Final survey of property with accurate location of all bniidings, property Il.es, streets, and unusual natnral or topographic feateres. 2. Final Approval from tlealth l)ept, or water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swot. statement from ph.nber certifying that tbs solder used in system contains less than 2/10 of 1% lead. 5. Commercial buildtqg, industrial bt, itdiag, multiple residences and similar bu[idl,gs and installations, a certificate of Code Compliance [rom architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. I;'or exl,tleg buildings (prior to April. 9, 1957) nou-conformiag uses, or buildings and "pre-existing" land uses: I. At:curate survey of property showing all p..roperty lines, streets, building and nnusual natural or topographic features. - 2. A properly completed application and a consent to Inspect signed by tile applicant. I[ a Certificate of Occupancy is denied, the Building Inspector shall state tile reasons therefor in writing to the applicant. C. Fees ~. Certificate of Occnpaecy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additious to accessory building $25.00. Businesse~ 2. Certificate of Occnpaocy oo Pre-exJ. stiog Buildina 3. Copy of Certificate of Occnpaecy - .25¢ 4. Updated Certificate of Occnpaecy - ~50.OO 5. Temporary Certificate of Occnpaucy - Residential $15.00, Commercial $15.O0 Date ......................................... Hew Construction..~ ........ old O~}'re-ex~tlL}g Building.... ........... .... ............... Ilouse No. Street. Hamlet Onwer or Owners o[ Proper~y ................................................................ Sdbdivision .................................... Filed Map ............ Lot ...................... Perml. t No ................ Date Of Permit ................ Applicant ............................. Ileaitb Dept. Approval .......................... Underwriters Approval .......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Fiaal Certicate ........... Ii 5-7136 / API~,ICANT O0 THE NEW YORK BOARD OF FIRE UNDERWRITERS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS I No. ol Fixtures & MOTORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacle.< CIRCUITS ONLY ceiling wall Reoep'ls Sw~ch Pe~clan{ Bracl,~t No Type Each No Each NO Ga~ INSPECTION OUT- SIDE SUB- BASE BASE- MENT THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPEC1 rIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT Applicant affirms that there is not an application for electrical DcoNce~eo inspection pending with a qualified electrical inspection DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein. This application is valid for a period not exceeding one year SERVICE ENTERS BUILDING from the date received by the Board. IDENTIFICATION NUMBER ~ AVOID D~LAYS BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED iN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS 3291 Lake Shore Road[[ ~ROCHESTER,803 West AvenUeNy 14611 ~ 202 Aflerial Road BUFFALO, NY 14219 SUITE 106 SYRACUSE, NY 13206 (518) 463-2122 (716) 827-1155 (716) 4~-~60 (315) 463-8552 THE NEW YORK BOARD OF FIRE UNDERWRITERS L.F/f, It~ IITI I 40 Fulton Street I ~ 111 Washington Ave ~ ~ NEW YORK NY 100381 SUITE 7~ (212) 227'3700 I ALBANY. NY 22 0 m