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Home My WebLink AboutZ-27357 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27357 Date: 10/17/00 THIS CERTIFIES that the building DWELLING Location of Property 25330 MAIN RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 018 Block 0006 Lot 008 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- 27357 dated OCTOBER 17, 2000 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 The certificate is issued to CHARLES EMER (OWNER) of the aforesaid building. SUFFOLK COUNTY DBPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATH NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ~y~ J Author ed Signa re Rev. 1/61 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT IL)CATIOH: 25330 MAIN RD ORIENT SUBDIVISION: HAP HO.: LOT (S) HAMS OP OWNER (S): CHARLES EMER OCCUPANCY: SINGLE FAMILY CHARLES EMER ADHITTHD BY: HILL COOPER ACCOMPANIBD BY: SAME RHY AVAILABLH: SUFP. CO. TA7C MAP NO.: 18.-6-8 SOURCE OP RHQUHST: DEBORAH DOTY, ESQ. 9/25/00 DATH: 10 17 00 DWELLING: TYPH OP COHSTRIICTIOH: WOOD FRAME/STUCCO # STORMS: 1.5 # 67CITS: 2 FOUNDATION: CONCRETE BLOCK Cxr.rax• FULL CRAWL SPACE: TOTAL ROOMS: 1ST PLR.: 4 2ND PLR.: 0 3RD PLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 IITILITY ROOM(S): PORCH TYPE: FRONT 6 REAR WOOD DHCR TYPH: PATIO TYPH: BRHHZHWAY: FIRHPLACH: GARAGH: DOMHSTIC HOTWATHR: YES TYPH HHATHR: OIL AIRCONDITIONING: TYPH HHAT: OIL-HW WARN AIR: HOTWATHR: OIL OTBHR: ACCESSORY STRUCTURES: GARAGH, TYPE OP COHST.: STORAGH, TYPE CONST.: SWINHMG POOL: GUHSP, TYPH CONST.: OTeHR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ~ ART. ~ SEC. xxraxra: BP #268422-COI-27356 (NEW HEATING SYSTEM S HOT WATER HEATER) MSPHCT~ HY: DATH OH INSPSCTION: 10 03 00 MICHAEL J. VERITY TINH START: 9:45 AM BND: 10:30 AM ~ ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. 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 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...10/11/2000 . New Construction......Y.P«S~. Old Or Pre-existing Building Location of Property... 25330 Main Raad~.Orientr NY,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, House No. Street Hamlet Or{cler or Owners of Property..... Charles.F]ner C~`ollunty Tax Map No 1000, Section.. 18 .........Block...6............Lot....8 Subdivision ...............Filed Map........,.,.,,.n.Lot,...................... Permit No o76gNoZ~......Date Of Permit,~O/~~~~~.......ApplicantJ~QLh~~.~.E4'~.......... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..yPS Fee Submitted: $...25.00 cam. j8~ ~..g..._ C O~ ~ ~ ~ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8081711 EiUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 i^"_TOHER 18,2000 Application No. on file 11097800/00 H 069586 THIS CERTIFIES THAT only the slsetitcal sgetpment as described bebw and introduced by the applicant named on tke above application number is in the pFWmises of CAkOL~'N MORRIS, 251.0 MAIN ROAD. ORIENT, NY in the following location; ®Basement ~ tat FL ? 2nd FL ^UT Section Block Lot was examtned on 0"'TOBER 10 , 2000 aTrd found to be in compliance with the Notional Electrical Code. - FIXTURE FIXTURES RAN6E5 COOKING DECKS OVENS DK3H WASHERS EXHAUST FANS RECEPTACIH SWRCHES nWREFgNT OTXER AMT. K.W. AMf. K.W. AMT. K.W. AMf. K.W. AMr. N.?. DRYERS FURNACE MOTORS FUNRE APPLIANCE FEEDERS SPECIAL REC'W. TIME CLOCKS RELL UNR HEALERS MULTI-OUTLET DIMMERS AMT. K.W. ql N.P. eAS N.P. AMf. NO. A. W. a. AMT. AM?. AMT. AMPS. TRANS. AMT. X.P. SYSTEM AMT. WATN NO.OF FEET SERVICE DISCONNECT NO. OF g E R V I C E METER NO. OF CC COND. A W. a. A. W. a. A. W. G. AMT. AMP. TYPE ECUIP. 1 R RW 1 E SW 3 R AV ! S aW N4 • OF CC. COND. NO. OF XI-U:a OF HI-Ma q NFNPAM OF mU1RAl OTHER APPARATUS: ENTIRE PREh1ISES-1 ""NO VISUAL DEFECTS: "An electrica'_ survey has been made of the exposed electrical. equipment in the premises indicated." "No obvious unsatisfactory condition was found. 'Cu....._-. H4HN RESLTY P. 0. BOX 744 GENERAL MANAGER GFEEPOF.T. NY, 11944 Per } } ` fiIE cerlMcaN/ mwl not be attend in any monner; plum to NTe omee of Me Board II incorrect. InspecloN may be ItlenHReo by Malr eredenHala. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. CONSENT TO INSPECTION ~~r ~ 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 Southold located at 2S33o ~ which is shown and designated on the Su olk County tax map as District 1000, Section ~ ~ Block fr Lot 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: ~~r ~ That the undersigned doles} 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. Dated: _ u~,o~Q.~ A~ (signature cwkr,~s' i (print nam (signature) (print name) - _ URV~Y O~ i~ROfi'~RIY SITUATE ORIENT ' TOWN: 50UTHOLD ' SUFFOL~G COUNTY, NY SURVEYED OG-20-2000 ,w ~ SUFFOLK COUNTY TAX # 'lam ~ ~ 1000-I5-6-8 CERTIFIED TO: s Michael di Ganio Nancyy Vigqlione GOMFIOM^IEALTH LAND TITLE INSURANCE COMPANY r ~"1(~ d S R z ~ ~ Oiz 00 Z1 ~ ~O O ~ z ~ A 6E~ARD ~ NO~V O ~ FO~MERLYER $ ~RZ~RLY OF I ~ ~REp 5 ENDER RElss I O N66°18'30" B - 124.33, ~ 'I ' ~ ~ ~ Q ~Q i I 0 o ~ i I 3 w ~ I III it y ^ ~ ~Q K ~ ~ r 26]' O Q Azd ~ z~ rn~z O ~/$q ~ WWo ~cW.W~ Q~ \ r tt~Y~ m L V' m T Q N 33 ~ O~Q _l1,= ~ Q ? ~ N r ~ ~ SO PFE I MORE J A ~ r ]b 45.2' _ _ _ _ - - _ - _ ' D~'O ' W 3 N n F~+ i ~ ~ M ~ w r N w V l' I ,w v, I _ - - _ S52°49' 10"W 117.23' LAND NOW OR FORMERLY OF ~ EDWARD W LATHAM ~ DANIEL T LATHAM ~ i i _.~Ji ~ e~ ~ C Eye Q' 1. F ~ ~G 9~ i+, VYIMM~bC YYItlIM> Ym~b~ b Y Wvllf _J ~ ~1 wry b.mYg IIUW IsY w~+~sY W Y O ~1 • i vbbtbn ei rcuon rJO{ urrFYbn 2 a w y 1Yw Ywt 9M. litlbn leu' NOTES: j N ~y~.qe wYwmsvi orwr.y ' - ~Y.~ww: ~a~ s:c wY ~ c..arso-. wrabe M.m w w S~j .i I'~. J rq cea. e~rvsYY w. ~ rw~iw ' O q w w.. raY elYlY /a~aYYibn el i PIPE FOUND t Lt '°'..Y,"" ~,'°~:7 J eM m 1'Y YICII b w LLY fAySy y~~ bl aglEy eN Mq MlYlbn YW IMF YVV b w ~4~ N w Ynly Y.IWM la'tIb LLw a. M Iw.lwvbb b elitrH ti•IWIw. AREA =13,651 SF OR 0.31 ACRES JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. N0.50202 GRAPHIC SCALE I"= 20' RIVERHEAD, N.Y. 11901 REF.\\Hp server\d\PROS\20-245.pro _ 369-8288 Fax 369-8287