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HomeMy WebLinkAboutZ-26381FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26381 Date: 04/19/99 THIS CERTIFIES that the building DWELLING Location of Property 1760 BAILIE BEACH RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 099 Block 0003 Lot 011.003 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- 26381 dated APRIL 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 SEASONAL ONE FAMILY DWELLING WITH ATTACHED WOOD PATIO ON GRADE.* The certificate is issued to SUSAN DEPAOLA of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. Pending PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD ~OUSIN~ CODE INSPECTION REPORT LOCATION: 1760 BAILIE BEACH RD SUBDIVISION: N~ OF O~'ER {S): ~USAN DEPAOLA OCCUPANCY: A-1 RESIDF/qTI~L ADMITTED BY: ~USAN DEPAOLA SUSAN DEPAOLA ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: ~,-3-11.3 SOURCE OF R~QUEST: ~US~ DEPAOLA DATE: Q4/19/99 TYPE OF CONSTRUCTION~ WOOD FRAME FOUNDATION: CB pIERS TOTAL ROOMS: 1ST FLR.: BATHROOM(S): PORCH TYPE: BP. ENZ~WAY: DOMESTIC HOTWATER: YES # STORIES: 1.0 # EXITS: ~ CELLAR: __ CRAWL SPACE: __ 2ND FLR.: O 3RD FLR.: O TOILET ROOM(S): Q,Q UTILITY ROOM(S): __ DECK TYPE: PATIO TYPE: WOOD ON GRADE TYPN HEAT: ~_H~WA~M AIR: HOTWATER: GARAGE, TYPE OF CONST.: SWI~4ING POOL: OTHHR~ STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIO~ATIONS~ CHAPTER 45 N.Y, STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ART. ! SEC. INSPECTED BY: DATE ON INSPECTION: Q{/09/99 TIME START: 10:30 AM END: 10:55 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building 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 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. 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. 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-existinR Buildin~ - $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 $15.00 New Construction ........... Old Or Pre-existing Building..~. .............. Location of Proper~y.~9~..g~'.~.~. ~?~.c~..~.~, .... ~.~.~. ......................... House No. Street Hmmlet Onwer or Owners of Property..~.q$~.. ~a99~ ............................................ · County Map 1000, Section.. % ......... loc . ............. 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~Q ~- Submitted: ~6._~.~ ......................... I ' ~' ~_~ c..5"~, I 0 ,-D- APp~'rCA~ CONSENT TO INSPECTION ~;s~3 ~ f*~ou~ , . the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southoldlocated at 1'~ (~lc~ /~c~ ~A , which is shox~ and designated on the Suffolk County tax map as District 1000. Section ~ . Block ~ . Lot ]l~ That the undersigned (has) (have) filed. 'or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow,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 with respect to the aforesaid application, including inspections to determine that said premises comply xvith all of the laws, ordtnanees,'~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. Dated: ~.~ c~ (signature) (print name) (signature) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 APRIL 1~,1399 i~28199/99 H e6~ge9 Date Application No. on file 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 SU~2q DeFAOLA, 1760 BAILIE BEACH ROP~, !~\TTI.~CK, in the following location: [] Basement [] 1st Fl. [] 2nd Fl. - ' Section Block Lot A?RIL1 2,1997 was examined on and found to be in compliance with the National Electrical Code. FIXTURE OUTLETS RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FLUORESCENT OTHER DRYERS FURNACE SYSTEMS NO. OF FEET E R V I C OTHER APPARATUS: NO ViSU.~ DEFECTS-1 *NO VISU_gA DEFECTS: "An electrici.! s~{r\'eF has been made <,~ ~he exposed el~ctrical e~uip~en~ in the premises lndicCted." "No obvious unsatisfa,:tory condi, t zon was found. S US.~/~ DEPAOL~ !2 BELF~%~ L'~NE CENTEREACH, NY, 1172e GENERAL MANAGER Per i 1 This cerlificate must not be altered in any manner; return to the office of the Board il incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 172' 27 5 NIOIF J. & j. AVELLA SURVEY OF PROPERTY A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK .COUNTY, N$WYORK 1000-~-03- ! 1.3 )dAftCJl 31, 1000 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAIO MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR t4~HOSE SIGNATURE APPEARS HEREON ~C P O. BOX ~ 1230 TRAVELER STREET $OU THQLD, N.Y. 11.971 NO. 49618 I-I