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"
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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