HomeMy WebLinkAboutZ-25472FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No 2-25472 Date JANUARY 8, 1998
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1095 AQUAVIEW DRZVE EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 21 Block 2 Lot 14
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-25472 dated JANUARY 8, 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 is ONE FAMILY DWELLING WITH ACCESSORY 12 x 18 BEACH HOUSE*
The certificate is issued to ALICE R. GIBLETT & JACQUELINE G. BAUER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Bu' ing Insp ctor
Rev. 1/81
Illi11.1)1IU: DISI'ARTMENT
'TOWN OF SO11,1'1101.1)
IIOUS I NG CODI! INSPECTION
REVORT
1.00A'rION: 1095 AQUAVIEW AE.
EAST MARION, N.Y.
(nun+Ler 6 1;L'ree1:)-- - --------------(nnmrr+I+n1+Cy�-------
-
81111DIVISION
NAME OF OWNER (n) ALICE R. GIBLETT S JACQUELINE
G. BAUER
OCC11I'ANCY SINGLE FAMILY
I:ype��------ --- -------
------------
Zowncr=Cennil
ADMIT1'KD IIY: GEORGE BAUER ACCOMPANIED
1(Y: SAME
KEY AVAIi.AI{i.E-----ilil)F_CO. 'PAX
NAP NO. 1000-1 -F---
-
SOIIRCK OF REQUEST: WILLIAM H. PRICE, JR.
DA'rE: DEC.
16, 1997
DWEI.I.TNG:
TYPE OF CONSTIt11C'rION WOOD FRAME
I STORIES j I
RX1'1'!; 3
FOUNDATTON CONCRETE BLOCK CELLAR 2/3
CRAW. SPACE 1/3
TOTAL ROOMS: IST PLR. 4 2ND FI.R. 3RD
Flit.
BATIIROOH (s) 1 TOILET ROOM (n)
11'1'ILITY ROOM
1'ORCII '1'YI'L' _ IIECK, 'TYPE FATIO
-----------
IIRIiE'LKWAY FIRKI'I.ACK NO
GARACK 1 CAR
DOMESTIC IIOTWATER _YES _ TYPK HEATER OIL
— ---
AIRCONDITIONINC
--------
TYPE IILwr OIL -BASEBOARD WARM ATR
I101'WATER OIL
0'1'111? R
ACCESSORY S'i'R11C1'IIItES:
12 s 18
GARAGE, 'TYPE OF CONST. _ STORACK,
-----,
-I-YI'K CONST. WOOD FRAME
BEACH HOUSE
SWIMMING 1100i. CIIK1;'1', -1'YI'E CONST. ------
—
-------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------
VIOI.A'rIONS: CIIAP'I'ER 145 N.Y. STA'1'K IINIFORM FIRK PREVENTION 6 BUILDING CODI?
LOCATION DIiSCR1P'rION
Alt'r. SEC.
Itl?NA1tKS: BP #24586-Z - CO Z-25471 (Heating System
INSPECTED IIY OATH OF INSPECTION DEC. 24, 1997
MIcftAEL VERI
TIME S'1'AR'l' 9:30 AM END 10:25 AM
TOWN OF SOUTHOLD
BUILDING DL•PARTNEN•r
TOWN HALL
765-1002
11
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 uset
1. Final survey of property with accurate location of all buildings, property lilies,
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 cotitalns
�. less than 2/10 of 1% lead.
5. Commercial building, itidus,trial buildin$1 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
11pre-existingil land uses:
1. Accurate survey of property showing all property litiesl 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 tits
reasons therefor in writing to the applicant.
C. Fees
1, Certificate of Occupancy - New dwelling $25.001 Additions to dwelling $25.00.
Alterations to dwelling $25.00, Switmning pool $25.001 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 - $5.00.6ver 5 years - $10.00
4. Updated Certificate of Occupancy - $50,00
56 Temporary Certificate of Occupancy - Residential $15.001 Commercial. $15.00
DeceTber.. 16� 1997 -
Date 4.11.46 .. .........
New Construction........... Old Or Pre-existing Building..
Locptiott of Property.11095 yaq+u�vliew Drt}YS?,,,,,,,,1.
.1.1.. , 1 ♦ ... / • 1 1
House No. Street Hamlet
Onwer or Owners of Property ,.;acqugl ne�G;
County Tax Nap No 1000, Section. .+, 02.l+o4Q..,B1ock....0,?r,00 , i 6,,Lot.1 „014rA0,Q,... ,....
Subdivision...:;...6..6..,146+1..11+.6I. I.II,,,Filed Map.6..,.,..,,.Lot........1.+..:.......
Permit No..1.f....:.:y.i. D ate Of Permit#,,.,,,/.,....., App licant,..,.++,.+,�,•+•,,,,••:a•�•,
health Dept. Approval...,.,+,...6,.-.11111+/,4.Underwriters Approval.,,+ ..................:.
Planning Board Approval.,......,4,10406+,i1...1
Request for: Temporary Certificate,;„ 11+111. Final Certicate,.,XX+/,,..
•$...
100.00 4 6 6 1/
Fee Submitted:
-6Ak r -o 22'_
AP P L ICAttr
William H. Pride, Jr.
DLL; -11-1' 57 11 : -. F Jf I kI-U-44 'LI::; I -'L" I U
TOTAL P.01
97 S 8436 RPT
TITLE No
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$UFFtZ) L X coulu'r y 'rAY, A&A P
MST. 1000 Sac.21 LX.2 GOT14
MEASUREMENT IN U.S. ITANDAIID
TNR emm m OF Rima OF WAYS ANOIOREAMD.MnOF AEOON0.0 ANY, NOT/HOWN ANN WT OUARANTER0.
THE DMMIOM gKOWN "Wo= , PIION TNI ariIUOTUMM TO r W PROPERTY UNE. AM FOR A SROM PURPOSE ONLY. THEY ARI
NOT NrENDXoTo I/ USED FOR THE ERECTION OP PULES, STRUCTURES OR ANY OTHER MPROOYEMI,fPir.�
UNAUTHORI2ED ALTERATION OR
ONLY COPIES FROM THE ORIGINAL
�qp �® HCp�pry s pq�
?NU C%l a Wo "cwt IIVEYLO
ADISflI0NT0ASURVEY MAP SEARUR2
OFflRISURtEYMAN= MTNAN
pNI�EMPAIYff�O.
AND ON HM SIH LF 7� aN[ TfTL[INSMIRION
NN
A LommaD LAND SURVEYOR'S SEAL
IS AVIOLATION OF SECTION 720
ORIGINAL OF THE LAND SURVEY•
021 EM/OSSED SEAL SHALL /E
t'^�E a til`aPITE11`LAO Y LENINMO
uullU�NlREON 01 THE ASSIONCC/ OF TIG
,ON&
DIVISION NCW YORK STATE
C�DNIIDEgfO TO
/f VALID TRUE
it�IS� � ;NO.UWSFER O LY TO ADD4
CATIONuTHE
011 SSEOU�IT/N2q!/OI1DATE
S4..t7
RECTION BLOCK
RULEEArgEx 8i PLAN
LAND $URY R$, P. `.
GUARANTEED TO
fA&r A4APs �
In TLAL
p1otL.IryIM&uRwC!
oO45F N. Y•
,StI,rFo G K
ResissewmA. rIR.e7; t`IC
COUNTY
JOE NO.
POND "' n NOT
POUND men NN I&M
Ta/FHONCN 60"414114
PAXtIN-2424FDI
A49QAT PAL.U^,,Yo
9�'��7/�
OOhfNA POCuMf3p
TOTAL P.01
CONSENT
TO
1NSPL:C'TION
William H. Price, Jr., as attorney for
Jacqueline G. Bauer and Alice R. Giblett
pwner(s) N:►mc(:;) the undersigned,
do(es) hereby state;
That the undersigned lir;) (are) the owner(s) of the premises in the Town
Of Southold located at 1095 Aquaview Drive
East Marion
which is shown and designated on the Suffolk
County tax map as District 1000, Section 021
Block 02 Lot 014
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;
rivate'one-familydwelling and shed
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 Gf 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; 12/16/97
(s gnats
William H. Price Jr.
(print name)
(sidnaturo
(print name)
THE NEW YORK `BOARD OF, FIRE UNDERWRITERS PAGE 1
069403 BUREAU OF ELECTRICITY
I 3291 LAKE SHORE ROAD, BUFFALO, NY 14219
Date JANUARY 09,1998 Application No. on file 15287498/98 H 058370
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the promises of
ALICE R. GIBLETT, 195 AQUAVMW AVENUE, EAST HARION , NY
in the following location; LSI Basement u let Fl. U 2nd Fl. Section Block Lot
was examined on JANUARY 05, 1998 acrd found to be in compliance with the National Electrical Code.
11XTUME
ACAs
SWITCFIlS
IIXTURES RANGES
COOKING DMSOVEN DISH WASHERS
XHAUST FANS
NCANNSCENT
FLUORESCENT
OTHER AMT.
K. W. AMT. K. W. AMT.
K.W. AMT.
K. W.
AMT.
H. P.
OUTLETS
DRYERS FURNACE MOTORS FUTURE
AFfUANCE P111 MRS
AL RK'"I
TIME KS
I "LL ILONT
TRANS.
HEATERS
MULTI -OUTLET
SYSTEMS
NO. OF PMT
DIMMERS
AMT.
K. W. OIL
H. P.
GAS
H. P.
AMT.
NO.
- A. W. G.
AMT.
AMP.
AMT.
AMPS;
AMT.
M. ►.
AMT.
WATTS
I
2
F
SERVICE DISCONNECT
NO. OF
mom
S E R V I
C E
AMT.AM►.
TrPE
1,9 1W
10 JW
30 3w
30 A1N
NO. OF CC. GOND.
PER
A. W. G.
0.
NO. OF M.Leo
A. W. G.
OFNI-LEG
NO. OF NEUTRALS
A. W. G.
OF NEUTRAL
OTHER APPARATUS:
REPLACED OIL FIRED FURNACE -1
*NO VISUAL ,DEFZCTS t < "'An electrical
survey has been made.of the
..exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
L L
GEORGE S. BAUER
P. 0. BOX 1084
GENERAL MANAGER
SOUTHOLD, NY, 11971
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors..!may, ,be identified by their credentials.
COPY,FOR..BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
III11 LD I NG DI-ITAltTHE'NT
TOWN OF SOlTTHOLD
110115 I NG CODIi I N!i 1'li(:'1' I UN IMPORT
LO(:ATION:
(numb4r�tteZ-0-------------/4— —(manic iunly�
SlIllDIVIGION MAP NO. r -_ LO'1�'((e)i�
NAME OF OWNER (e)
OCCUPANCY —•-
t: e (owner=Cenant)
ADMITTED BY: --- _—ACCOMPANIED HY : --- ---
KEY AVAII.AIII _ -----11[�C.(:0. 'fAX MAP NO.
SOURCE OF REQUES'I':s _.!LCL�� _—DACI?:
.
-Alt'f. -
I)WELLTNG:
911
STORIES !
I LX ITS
TYPE Ur CONSTRITC'f TON
—_—
�•__I
FOIINDATTON
_— —
CRAWS. SPACE
----CELLAR
--1.
--
TOTALROOMS : I 'TPLIt
. NI) hl.li .- -- --- Jill)
BATHROOM (s)
TOILET ROOM (a) --- —
UTILITY ROOM y—
_
PORCH TYPE
�—' NECK, 'TYPE
"'—"—' , PA'r10
BREEZEWAY —"
'' VIUMPLACK /f'��� _
GARAGE
�
DOMESTIC 1101'WATER
TYPE i1EATER
AIRCOMITTIONING1Mir
'! _
TYPH IIEA'1'
I
AItM AIR --_---`-----'
IIOTWATER
___--
—
U'I'I l li It
------- - —
—
nrrt�ssnuv s•rlttrr.•Tnitlts:
/l �"'"�L%���
GAVAGE, 'TYPE OF CONST.
SWIMMING POOL
OTHER:
VIOLATIONB: CHAPTER 45 N.Y
STORACE, TYPE CONS -C.
GUEST, TYPE CONST.,_ _---
---------------------------------------------------------
-------------------------------------------------------
S'CA'1'E IIN 111 ORM N l IM l'RIMMT I ON 6 HIMMING NG CODH
LOCATION_ �— DESCRIPTION - --v-----_— `! --
-Alt'f. -
RI1MARKS:
INSPECTED BY DATI; 01? I NSIT CT I ON F
END 1 �S