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