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HomeMy WebLinkAboutZ-25404FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25404 Date DECEMBER 2, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 15155 MAIN ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 23 Block Subdivision Filed Map No 1 Lot 4 Lot No. conforms substantially to the Requirements for a Accessory Structure built Prior to: APRIL 9, 1957 OCCUPANCY NUMBER Z-25404 pursuant to which CERTIFICATE OF dated DECEMBER 2, 1997 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 ACCESSORY WOOD FRAME "BOAT HOUSE" * The certificate is issued to ROBERT W. GILLISPIE III (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Bu ding In pector Rev. 1/81 IIIIII,IIING DEPAI(THE-N-1- TOWN OF SOITI'N01.D IIOIIS I NG CODE INSPECTION 1IRPORT 1.00ATlON: 15155 MAIN RD. EAST MARION, N.Y. numUer 6 streeCj -------------"--(munie:pal:ty� _ SUBDIVISION --MAP NO. i.0'1'(a) NAME OF OWNER (a) ROBERT W. GILLISPIE, III OCCUPANCY STORAGE ----- — type ---------- �ovner=tenant ----- ADMITTED BY: NANCY GAYLE HADDIS GILLISPIE ACCOMPANIED BY: SAME KI?Y AVAILABLE SIIPF.C60 TAX MAP NO. --_-- 1000-23-1-4 - SOURCE OF REQUEST: RUDOLPH H. BRUER, ATTY ----_______DATE: NOV. 19, 1997 DWELLING : ---- ------------------- TYPE OF CONSTRUCTION -- — — — —/ STORIES I EXI•r5 FOUNDATION CRAWL SPACE 'roTAI, ROOMS: IST FI.R. —2ND I±LIi• 31D Pl.lt -- BA'rueOOM (a) TOILET ROOM <a) — IlTll.TTY ROOM PORCII TYPE DECK, '1'YPI? BREEZEWAY DOMESTIC UOTWATER TYPE HEAT 01'11 E It : ACCESSORY STRUCTURES: CAItAGE 'TYPE OF CONST FIREPLACE TYPE NEA'T'ER WARM Alit PATIO GARAGE AIRCONDITIONING 1107'WATER STORAGE, 'ryPE CONST. WOOD FRAME SWIMMING POOL GUEST, 'TYPE CONST._ OTHER: NO ELECTRIC, FOUNDATION CONCRETE BLOCK PIERS — -------------------------------------- --------------------------- VIOLATIONS: CIIAPTER 45 N.Y. STATE UNIFORM Flltit PItEVENTION 6 BUILDING CODE ON --- -- nlrr. SEC. INSI'I?L'I'EU BY ---1 DATE OF INSPE(;'l'fON NOV. 25, 1997 MICHAEL J. RITY TIME START 10:30 AM END 11:00 AM — ►.I B. ) C Form No. r, ',OWN OF SOUTIIOl,b BUILDING, DGPARTMKNT TOWN IIALL 7F5-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Inspector application must be filled in hY typewriter of, Ink incl submitted Io tl,e hnildln� Lnspector with the fol.lowing: for new building or new use: I• Final survey un property with accurate location of al_l buildi.rrps, property LLnes, street.e, and unusual natural or topop,raplric features. 2• Final Approval from Health Dept. of water supply and sewer.ape-disposal (S-9 form 3. Sworn st of. electrical installation from hoard or Fire Underwriters. fir• Sworn statement from plumber certifying, that the solder used in system contal.ns leas than 2110 of 17 lead. mill 5• Commercial building, industrial. building, and installation,, ces a r_ertificate of Code �Compl.i_tirneerrromes and earchi.tectaoritar building, responsible for the building. h. Submit Planning Board Approval or completed site plan requirements.for existing buildings_ pre-existing" l(prior to April 9, 1957) non-courortron, uses, or. bulldirrps incl "and uses. I• Accurate survey of propprty showing atl property hues, unusual natural or topographic features. streets, buiLdinp and 2• A Properly completed application and a consent to :Inspect signed by Lire a, If a Certificate of Occupancy is denied, the Bu to fns reasons therefor in writing to the a IPllcant. P Inspector shaII strafe the PPl lc:lot. Fees I• Certificate of Occupancy - New dwelll'r, Alterations to dwelli.,, g $25.00, Additions to dwel.l.inp Additions to accessory g 25.00, Swimming pool 25.00 2.5.00, y buildin . Accessory building X7.5.00, 2. Certificate of Occupancy on Pre-existing Buisi"Psses $50.00• 3. COPY of Certificate or Occu aur - $lOO.00 4• Updated Certificate of Occupancy - $5.00 over 5 years - $1(),0() 5. Temporary Certificate of Ocen +�c- $50.00 P° Y - Residential $15.00, Comrner(Jat $15.00 New Construction........... Old Or Pre-existin MIt(ldinMo�N�..19 �99 p�n O/� C'�••................ Location of p Property N 4vr p P,£.•s{,N P rn e (� House No. ` 1 ..... ...1Vf G(9A� ..... . JStreet ....1 .................. )"wer or Owners of property .. N . • ' I X l-7( 11.5V ... ounry Tax Map Ito 1000, section .on. 'i 3 ....... Block .... ...... �l..00.. .Lot OO�j.Op ;uhdlvision.••••.. ............. ............................Filed 'ermit No................Date Of...... ..................... Permit................ lenith Dept-. Approval...... ............................ "••••••••••••..Underwriters Appr.oval...... ].annl.11g Board Appr.oval....... ................. eq nest for: Temporary Certificate........... ee Submitted: �.`�`'Q0 T'.De t-53 )0 8�� �asyoy Final Cc. rtl.cate...•...... hlOU-19-199T 12:03 FPOM WICKHRI19BRESSLER 00000000 TO 7" x52752 F,02 ICC �o r u-� ccs 2 w Q a 0 ' �,Sptiy�4t MHWM // v i 3 N`E• N oe0 vex 39.2 lk BUILDING DEPAR'TMEN'1' TOWN OF SOII'1'Hou) HOUSING CODE INSPECTION REPORT T.O(:A'l'ION number b street municipality SUBDIVISION, MAP NO. LO'T(s) NAME OF OWNER (s) hl, ZK17 OCCUPANCY type (owner tenant) ADMI'T'TED BY :AUFF.5—TAX ACCOMPAN I ED BY: KEY AVAILABLE MAP NO. -- SOURCE OF REQUEST: 1)WI:I.I.I NG TYPE OF CONSTRUCTION / STORIES / EXITS_ FOUNDATION CELLAR CRAWL. SPACE 'T'O'TAL ROOMS: IST FLR. 2ND FLR. 3RD FIX. BATHROOM (s) TOILET ROOM (s) U'TIT.I'T'Y ROOM PORCH TYPE DECK, 'T'YPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING 'T'YPE HEAT WARM AIR HOTWATER OTHER: ACCESSUKI s-rKUUTUKZb: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. _ SWIMMING POOL. `NEST, TYPE CONST. _ OTHER: /xj� ---------------------------- --------------------------------------------------------------- VIOLA'TIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION LOCATION DESCRIPTIONS ART. SEC.- REMARKS: EC_ REMARKS: D, -A. INSPECTED BY DATE OF INSPEC'T'IONZS" TIME START END Z1,'00 CONSENT TO iNSpr.,crtoN 0Aner(s) Name(s do(es) hereby state: the undersirtwd, That the undersigned (is) (are) the owners) of the premises in tile. • OW11 of Southold located at /151/6s *1q;nl 6- `ON —_ «which is shown -Incl desifinated on the Sliffollc County tax map as District 1000, Section �3,. Block Lot That the undersigned (has) (have) filed, or caused to be filed. nu applicn- tion in the Southold Town Building Inspector's office for the following: That the undersigned do(es) hereby give consent to the Building lnspec-tors 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 tttay l 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: (signature) 46 EL (REV.`11/116) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING THE NEW YORK BOARD OF FIRE UNDERWRITERS BUILDING PERMIT NO. CITY OR VILLAGEFI � a LP CODE r STREET AND NO. OR ROAD 7100 677_4w";C� FEEDERS , - .. POLE NUMBER - - BOWEN WHAT TWO CROSS STREETS IS PREMISES LOCATE=D? SECTION BLOCK - LOT !- OCCUPANTS NAME BUILDING OCCUPANCY EXPOSED " p CONCEALED inspection pending with a qualified electrical .inspection ' OWNER'S NAME AND ADDRESS 1 p Receptacles HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER Pendant Bracket No. BUILDING Is t NEW ❑ - OLD ❑ H.P. WORK IS NEW ❑ ADDITIONAL ❑ DEFECTS REMOVED ❑ A.W.G. NO' T BELOW ALI. EQUIPMENT HI H YOU IN TA LED Each Looa NUMBER OF OUTLETS No. OtFixtures & MOTORS HEATERS BRANCH =ter j THIS APPLICATION IS INTENDED TO COVER THE ABOVE -LISTED EQUIPMENTTO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKS THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT. r SIZE OFIMAINS FEEDERS , Applicant affirms that there is not an application for electrical CHARACTER OF WORK EXPOSED " p CONCEALED inspection pending with a qualified electrical .inspection - p Receptacles CIRCUITS Side Attach't 9 Switch Pendant Bracket No. Type H.P. Walls NO' wn A.W.G. NO' Wall R 8 !Doff wickbouNUMBER)j- &'%" i_ Each Each Gauge �w 5' SIDE ..,.....� DATE OF APPLICATION SUB_ LL( STRE DRESS LEPHO NO. 1 TY.OR POST OFFICE ZIP CODE LICENSE O. WHEN APPLICABLE 95 Jahn Street [� 111 Washington Ave. ❑ 3291 Lake Shore Road ❑ 217 Lake Avenue ❑ 202 Arterial Road SAANS7EC MENT SUITE 704 1 BUFFALO, NY 14219 1 1 ROCHESTER, NY 146081 SYRACUSE, NY 13206 ic12) 227-3700 _ ALBANY, NY 12210 (518) 463-2122 ;r f 1st` FL. (15 ) 3 463-8552 �r 3M FL REMARKS: T O CTRICA EVICESSET FORTH VE r f S THIS APPLICATION IS INTENDED TO COVER THE ABOVE -LISTED EQUIPMENTTO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKS THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT. r SIZE OFIMAINS FEEDERS , Applicant affirms that there is not an application for electrical CHARACTER OF WORK EXPOSED " p CONCEALED inspection pending with a qualified electrical .inspection DATE WORK TO BE STARTED DATE COMPLETED ". authority, for the installation listed .herein. This application is valid for a period not exceeding one year SERVICE ENTERS BUILDING ❑ OVEFIHEAID ❑ UNDERGROUND y from the date received b the Board. DATE.INSPECTION REQUESTED ON (OR AS NEAR AS POSSIBLE) ..,MUST WgFj, -ATi�ILl�`�'�('�" !Doff wickbouNUMBER)j- &'%" i_ PRINT NAME AND ADDRESS APPLICANT ..,.....� DATE OF APPLICATION LL( STRE DRESS LEPHO NO. 1 TY.OR POST OFFICE ZIP CODE LICENSE O. WHEN APPLICABLE 95 Jahn Street [� 111 Washington Ave. ❑ 3291 Lake Shore Road ❑ 217 Lake Avenue ❑ 202 Arterial Road EW YORK, NY 10038 SUITE 704 1 BUFFALO, NY 14219 1 1 ROCHESTER, NY 146081 SYRACUSE, NY 13206 ic12) 227-3700 _ ALBANY, NY 12210 (518) 463-2122 (716) 254-0141 (15 ) 3 463-8552 THE NEW YORK BOARD OF:FIRE UNDERWRITERS S cv d d �$- � � c 136 c C c F 0 ED E V �8 us V YOU ARE HEREBY REQUESTED TO INSPECTAND ISSUECERTIFICATES FOR THE FOLLOWING ELECTRICAL EOUIPMENT TO BE INSTALLED BY Cmc. , .E 717 i !.. r L POLE NUMBER BETWEEN WHAT TWO 91054.METS 18 PMWM#(, LOCATED? , 1 EooTION RAM LOT OCCUPANM NNIS - SRALDBNI OCCUPANCY AND ± .<'.�..�,. _ H-� DYET lEM10t1�t'1 .*, /G / CURRENT SUPPLED BY PRDM OFFICE ! .IM��EN / T"1 uaORKa NEW ❑ OLD ❑ '.WORK IS NEW ❑ ADDO LIST INFLOW ALL EQUIPMENT WHIPH YOU IN Lan NUMBER OF OUTLETSNo. aft MOTORS HEATERS C RARCU TS UOrI _ _. BNAI AM -ht I I- *.!1- __. N.P. Waft AW.1 THIS APPLICATION IS INTENdED TO COVER THE ABOVE -LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT. SUS OF MAM FEEDERS F CHARACTER OF WOES(EXPOSED Applicant affirms that there is not an application for electrical A ❑ CONCEALED inspection pending with a qualified electrical inspection DATE WOR( TO BE STARTED DATE COMPLETED authority, for the installation listed herein. This application is valid for a period not exceeding one year SERVICE ENrER8 SURD" trorn the date received by the Board. ❑ OVERHEAD ❑ UNDERGROUND AND ADDRESS A >. g TELEPMONF� CRY OR OFFICE �� . �'`-� (_. J i^' / i I �. U / P Cf.ODE� LICENSE NO. WHEN APPLICABLE ❑ 85 John Street ❑ 117 Washington AVO. Q 3291 Lake Shore Road ❑ 217 Lake Avenue ❑ 202 Arterial Road NEW YORK, NY 10038 SUITAENV NY I I BUFFALO, NY 14219 I ROCHESTER, NY 14808 SYRACUSE, NY 13206 I (212) 227.3700 12210 ALB 4Y, NY 2 (716) 627-1166 (716) 254-0141 (315) 483.6662 THE NEW YORK BOARD OF FIRE UNDERWRITERS OWN rOA fILL THRUS ULWY WH BUILDING DEPT. WHEN REQUIRED: — A 11.15.97 UST OF REQUIRED REPAIRS, ETC. AT 700 ORCHARD ROAD, SOUTHOLD 1. TOWN OF SOUTHOLD..... PRE -C of 0 INSPECTION ON 11.13.97 MIKE VERITY AT 765-1802 ATTIC: • WANTS INSULATION OR THE PAPER FACE OF THE INSULATION REMOVED FROM ATTIC • COVER PLATE FOR (2) JUNCTION BOXES IN ATTIC PEAK • BATTERY IN 2ND FLOOR SMOKE DETECTOR KITCHEN: • HOOK UP DRYER VENT TO THE OUTLET AND TO THE DRYER • HAND RAIL IN UPPER STAIRCASE.... 30" TO 36" ABOVE THE TREAD HEIGHT (NEED APPROX. 60") • DATE OF ELEC WORK Er CIRCUIT BREAKER INSTALLATION.... TOLD HIM 1991 +(- • NEED UNDERWRITER'S CERTIFICATE.... 2. UNDERWRITER'S CERTIFICATE 11.14.97 ROGER RICHERT AT 2984110 LIV RM: • COVER WHITE OUTLET NR FIREPLACE DEN: • NEEDS BOX W(COVER OR FIXTURE IN CEILING KITCHEN: • REAR DRYER CORD .... SEE BELOW ATTIC: • OPEN BOXES (2) IN PEAK NEED COVER PLATES • OUTLET AT TOP OF STAIRS NEEDS COVER • EAST ATTIC: SUPPORT 2 WIRES WITHIN 12" OF BOX IN PEAK SUPPORT (STAPLE) 1 WIRE AT NORTH END OF ATTIC BASEMENT: WASHER ON EXTENSION CORD THROUGH FLOOR.... EITHER PUT OUTLET FOR WASHER IN KITCHEN, OR REMOVE THIS EXTENSION CORD COMPLETELY LEAVING THE WASHER NOT CONNECTED TO ANYTHING. • DRYER.... EITHER CONNECT THE WIRE PROPERLY TO THE DRYER (NOW ONLY CONNECTED TO NUTS IN DRYER), OR REMOVE THE WIRE FROM THE DRYER BUT MUST PUT BOX ON END OF WIRE, AS LIVE (THIS IS A #10 WIRE WHICH IS HARDWIRED TO CIRCUIT BREAKER..... OK, AS THIS IS A 110 DRYER) GARAGE: • SWITCH AT BACK DOOR .... SECURE LOWER END OF SWITCH BOX WITH A NAIL