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Home My WebLink AboutZ-26198 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- 26198 Date: 12/30/98 THIS CERTIFIES that the building DWELLING Location of Property 7800 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 0011 Lot 015 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- 26198 dated DECEMBER 30, 1998 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie ONE FAMILY DWELLING WITH ACCESSORY GARAGE, PUMP HOUSE & GUEST COTTAGE* The certificate is issued to THOMAS P & DOROTHY E. FARLEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. / ~y~ J Buildi Inspect Rev. 1/81 BUILDING DHPARTMBNT • TOWN OF SOUTHOLD HOU82NG CODE INSPECTION REPORT LOCATION: SUBDIVISION: MAP NO.: LOT (S) NAMB OF OWNER (S): OCCUPANCY: SINGLH PAMILY DWELLING THOMAS P 6 DOROTHY E. FARLHY ADMITTED BY: THOMAS P. PARLEY ACCOMPANIBD BY: SAMH REY AVAILABLB: SUFP. CO. TAX MAP NO.: 126.-i1-15 SOURCB OF RSOUBST: THOMAS FARLHY. 11/16/98 DATB: 12/30/98 DWELLING: TYPE OF CONSTRUCTION: WOOD PRAMS # STORIBS: 2.0 # EXITS: ~ FOUNDATION: CONCRHTH HLOCR CELLAR: 1/3 CRAWL SPACE: 2/3 TOTAL ROOMS: 1ST FLR.: 2ND FLR.: ~ * 3RD PLR.: ~ BATHROOM(S): 4.0 TOILHT ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPB: COVERED (ROAD SIDE) DHCR TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: GAS AIRCONDITIONING: TYPE HEAT: GAS WARM AIR: HOTWATBR: OTHER: • 2 BHDROOMS & STORAGE - COVERED SCREENED (WATERI ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD PRAMH STORAGE, TYPE CONST.: WOOD FRA61S PUMP HOUSE SWIMMING POOL: GUEST, TYPE CONST.: WOOD FRAME-GUEST COITAGH OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM PIRB PREVENTION & BUILDING CODE ~ i i i i i i i i i i i i i i ~ i i i i i ~ i ~ i i ~ i ~ i i i REMARKS: BP#1196 -CO 35 ( D)HP # O6 4 6 ( TT RTT HEN)OPHA HP# 5497 INSPECTED BY: DATE ON INSPECTION: 12/30/98 MICHAEL J. VERITY TIMH START: 12:45 AM END: 1:50 PM Form No. 6 ' TOWN OF SOUTHOLD ^ ~ D ~ ' J~~ BUILDING DEPARTMENT of D 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 12 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..1 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. Q Certificate of Occupancy on Pre-existing 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 Date ,,,,November 13, 1998 New Construction........... Old Or Pre-existing Building Location of Pro ert 7800 Peconic Bay Blvd., Laurel, New York P Y House No. Street Hamlet Onwer or Owners of Pro ert Thomas P. Farley & Dorothy E. Farley P Y County Tax Map No 1000, Section...126........Block......1,~........Lot.....15 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 Submitted: lOQ,00,,,,,,,,,,,,,,,,, C~~~ 1 Ap IC homa~Farley ~a2aGlf8~ ~~Tl VVV orothy E. Farley THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8073595 BUREAU OF ELECTRICITY 40 FULTON 8TREET, NEW YORK, NY 10098 pie DECEMBER 08 ,1998 AppBcatbn No. on file 17280498198 H 062357 THIS CERTIFIES THAT only tha elrctrlca/ egaJpmsnt as described below and Jntroduced by the applJcant named on the above applkaNon nwnber k in the premises of THOMAS FARLEY, 7800 PECONIC BAY BLVD., MATTITUCK, NY Jn the jollowJng loeaWon; ®Baaement ®lat F6 ®2nd Fl. GAR/OUT SscNon Block Lot waa examined an DECEMBER 01 , 1998 and found to be !n complJonce wUh the National Eketrleal Code. FIXTURE RECEPTACLES SWRCHES FIXTUR S RA GES coonNO oFCKa OVENS DISH WASHERS EXNAUS7 FAN! OUTLETS INCAN FLUOpeGM OTXlR AMT. K.W. AMT. N.W. AML K.W. AMT. K.W. AMl. X.F. DRYERB FURNACE MOTORS FUTURE APPLIANCE FEEDERS EPECUL RECPT. TIME CLOCKS SELL UNIT HEATERS Mlal~~~ DIMMERS AMT. K.W. O0. X.F. OM X.r. AMT. Xo. A. w. o. AMi. AAM. AML. AMq. TRANS. AMT. X.F. NO. OF FEET AMT. WATa SERVICE DISCONNECT NO. OP S E R V I C E AMT. AMP. TYN [ou i I E sw 1 / 7W ~ e iW 7 / eW NO.01 MI.MO i I: b Xa or Xlunuu of x!. . OTHER AMARATUS: MAIN HOUSE-1 GUEST COTTAGE-1 GARAGE-1 *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. Continued on Page 2 GENERAL MANA R Per fib arNllcaro mwt not be altered In any manner, rolum b RreoMce of the SoarO q Incorrect. Intpecton may W ItJenlHted by MNr c Rab. CONSENT TO INSPECTION THOMAS P. FARLEY & DOROTHY E. FARLEY, 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 7800 Peconic Bay Boulevard, Laurel, New York, P.O. Box 182 which is shown and designated on the Suffolk County tax map as District 1000, Section 126 , Block 11 Lot 15 That the undersigned (has) (have) filed, 'or caused to be Piled, an applica- tion in the Southold Town Building Inspector's Office for the following; a certificate of occupancy for pre-existing structure 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. . ~L14~d7 Dated: November 13, 199 signature) _ -print name ~~b P F EX ~d ~ (s 6atur ) (print name) DOROTHY E. FARLEY