HomeMy WebLinkAboutZ-25943 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- 25943 Date: 09/02/98
THIS CERTIFIES that the building DWELLING
Location of Property 7185 GREAT PECONZC BAY BLVD LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 126 Block 0010 Lot 012-I
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- 25943 dated SEPTEMBER 2, 1998
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate ie
issued ie ONE FAMILY DWELLING AND ACCESSORY GARAGE WITH STORAGE
The certificate ie issued to JUDITH FINN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H 061113 - 8/27/98
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION PORT.
Building Insp for
Rev. 1/81
BUILDING DEPARTMENT
TOWN OP SOUTHOLD
HOUSING CODF. INS PHCTION REPORT
LOCATION: 7185 GRQaT PECONIC HAY BLVD r.nCmi+L
SUBDIVISION: MAP NO.: LOT (S) _
NAME OP OWNER (S): yTUDITH PINN
OCCUPANCY: SINGLE PAMILY JUDITH FINN
ADMITTED BY: ALPHONS WESTEE ACCOMPANIED BY: GAME
KEY AVAILABLE: SUFP. CO. TAX MAP NO.: 126.-10-12.1
SOURCE OP REQUEST: DATE: 09/02/98
DWELLING:
TYPB OP CONSTRUCTION: WOOD PRAMS # STOR285: 1.0 # EXITS:
FOUNDATION: CEMENT HLOCR CELLAR: PART CRAWL SPACB:
TOTAL ROOMS: 1ST FLR.: ~ 2ND PLR.: ~ 3RD PLR.: ~
BATHROOM(S): 1.0 TOILBT ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPB: CONCRETE REAR
BREEZEWAY: FIREPLACH: ONE GARAGE:
DOMHSTIC HOTWATER: XX TYPE HEATER: OIL AIRCONDITIONING:
TYPE HEAT: oiL WARM AIR: XX HOTWATBR:
OTHER:
A- ESSORY 6TR CT:roES:
CARACB, TYPH OP CONST.: 1 CAR WOOD WITH STORAGH STORAGE, TYPB CONST.:
SWIMMING POOL: GUHST, TYPE CONST.:
OTHBR:
VIOLATIONS: CHAPTER 65 N.Y. STATE UNIPORM FIRS PREVENTION & BUILDING CODE
_ _LOGTION I DESCRIPTION ' A_oT ' SEC
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REMARKS:
INSPECTED BY: DATB ON INSPBCTION: 08/11/98
ONN M. BOUFIS TIME START: 10:45 HND: 11:30
Form No. 6
TOWN OF SOUTl10LD
O BUILDING DEPARTMENT
TOWN HALL
- 4 ~ 765-1802
`;six NLOG.DETM PLICATION 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,
stzeets, 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 1R 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 tp accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...,July.30, 1998,,,,,
.
New Constructi~bn........... Old Or Pre-existing Building.....$...........
Location of Property..~185_Peconic,Bay.Boulevard .I,~ytx~~,,,,,.,_,,,.~
House No. Street Hamlet
Onwer ar Owners of Property.......Judith.Finn
County Tax Map No 1000, Section..~26.........Block....~~..........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.... X
Fee Submitted: $
2~- SS X60
~ Ci_7!~5~ ~ 4j ~ APP ICANT _
Judith Finn
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SURVEY. FOR- ~ ' v
WILLIAM JAMES FINN ~O
LAUREL
TOWN OF SOUTHOLD ~ 0Q',
SUFF. CO., N. Y. L
SCALE ~ I 5O~ GUARANTEED TOE ~
SECURITY TITLE9GUARANTY CO.
SEPT. 16, 1960 RORTH FORK BANKaTRUST CO. O
OCT. 24, 1960 ~/j~.- (~v NOT: ;MONUMENT
NOV. 9, 1860 GL~iw// Qv a STAKE
JULY 17, 1969 fROFESSIO INEER o
AN f EY N.Y.SLIC. IY6~5
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
8072304 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 70033
Date AUGUST 27 ,1998 Application No, on file 16642498/98 H 061113
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
NDITH FINN, 7185 PECONIC BAY BLVD., LAUREL, NY
in the following location; ? Basement ®Ist Fl. ? 2nd FL 0'JT Section Block Lot
was examined on AUGUST 20 , 1998 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACUS SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
o~TLET3 INCANDFSce FLUORERCENT OTHER AMT. K.W. AMi. K.W. AMT. K.W. AMT. K.W. AMT. N.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT XEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. OAE N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMi. X.P. SYSTEMS AMT. WATTS
NO. Of FEET
SERVICE DISCONNECT NO. OF S E R V I C E
METER NO. Of CC COND. A. W. G. A. W. G. A. W. G.
AMi. AMP. fVPE EQUIP. 1 R 2W 1 a JW J a 3W J 0 4W pER 0 OF CC. COND. NO. OF XI-lFG Of XI-LFG NO. OF NEUTRALS Of NEUTRAL
OTHER APPARATUS:
`NO VISUAL DEFECTS: "P.n electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
JUDITH FINN I~„„~„ ~o~,
• 8908 PECONIC BAY BLVD.
LAUREL, NY, 11948 GENERAL MANAGER
11
Per
Thla cerfllicata moat not bs altered In any manner; return to the o1BCe of Me Board If Ineorroct. Inapecton may t>e ItlanflBed by Merir crodantlala.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
CONSENT
TO
INSPECTION
JUDITH FINN ~ ,the undersigned,
Owners Name(sQ
do(es) hereby state:
That the undersigned (is) b~ccx) the ownerbs) of the premises in the Town
of Southold located at 7185 Peconic Bay Boulevard, Laurel, New York
which is shown and designated on the Suffolk
County tax map as District 1000, Section 126 ,Block 10 ,Lot 12
That the undersigned (has) (h®aee) filed. 'or caused to be filed, an applica-
tion in the Southold Town Building InSpector~s Office for the following:
Certificate of Occupancy
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 ln•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: July 30, 1998
gnature
Judith Finn
(print name
(signature)
(print name)
J