HomeMy WebLinkAboutZ-26370FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCcupANCY
No Z-26370 Date APRIL 12, 1999
THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING
Location of Property 3536 CEDAR BEACE RD. SOuT~OLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 93 Block i Lot 6.2
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-26370 dated APRIL 12, 1999
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 GARAGE *
The certificate is issued to EUGENE F.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-063458 - MARCH 11, 1999
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTAuu~O INSPECTION
Rev. 1/81
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
BUILDING DEPARl%~NT
TOWN OF SOU~IOLD
HOUSING CODE INSPECTION REPORT
3536 CEDAR BEACH RD.
(number & street)
SOu'I'uOLD, N.Y.
.(municipality
KEVlN ~ACOCK
OCCUPANCY
SIN~I,E FAMILY
(type) (owner-tenant)
ADMITTED BY: JOHN ROMA~KLLI ACCOffPANiED BY: SAME
KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-93-{-6.2
SOURCE OF REQUEST: PAUL CAMINITI, A'Iu'~ DATE: 12/8/1998
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION CEM~I~ BLOCK
TOTAL ROOMS: 1ST FLR.
BATBROOM (s) ONE
PORCH TYPE FRONT & REAR
BREEZEWAY
DOHESTIC EOTWATER XX
TYPE HEAT OIL
OTI~R:
WOOD
3 2ND FLR. I
TOILET ROOM (s)
DECK, TYPE
FIREPLACE TWO
TYPE HEATER LP GAS
WARM AIR lO[
# STORIES 2 ~ EXITS 3
CELLAR FULL CRAWL SPACE
3RD FLR.
UTILITY ROOM
PATIO, TYPE
GARAGE
AIRCONDITIONINC
HOTI4ATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
WOOD STOEAGE
STORAGE, TYPE CONST.
, GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP~2~- CO Z-26369 (ADDITION TO ACCY,)
fi JOHN M. BOU~S- /-- TINE START ]0:00 ~ 1l:30 AM
Form No. 6 16~; i · .)
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 snpply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that tile solder used ia system contains
less than 2/10 of 1% lead.
5. Commercial butldiqg, 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings hud
"pre-existing" land uses:
1. Accurate survey of property showing al. 1 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, tile 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.
2. Certificate of Occupancy on Pre-existin~ 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
'late . . ~ :.~.: .f.~ ...........................
~ ~--
NewCnnstruction ........... ~l~Or~re-e~isting~','..~,..~ .... ~-~
l,ocation of Property .......
House No. Stre~ Hamlet
.... ......................
ou,,ty .ap No 1000, ection... .3. ....... gloc ...Z ............ ..............
S~division .................................... Filed Flap ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Ilealth Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Fee
Submitted: $
~xc..~0~f - -~ .... : .... 2..
Zz APPIiICANT
CONSENT
TO
INSPECTI~'N
Owner(s) Name(s)
do(es) hereby state:
, the undersigned,
of Southold located at
That the undersigned (is) (are) the owner(s) of the premises in the Town
, which is shown and designated on the Suffolk
County tax map as District 1000, Section_~__, Block / , Lot ~
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tio~ in the Sou[hold Town Building~Ia~pector's Offi,ee for the following: __
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 rio~
lations of the laws, ordinances, rules or regulations or'To uthold.
(print name)
THE NEW
/ .kt~RCH ! 1,1999
Date
THIS CERTIFIES THAT
YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
17~°~O5299/99 H 063458
Application No. on file
PAGE 1
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
GENE HEACOCK, 3515 CEDAR BEACH ROAD, IfEST HOUSE-2, SOUTHOIJD, NY
in ~CHq ~, 19 9 ~
the following locatio Z asement ~ 1st Fl. [] 2nd Fl. OUT Section Block Lot
was examined on and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS FLUORESCENT OTHER
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R V I C
OTHER APPARATUS:
*NO VISUAL DEFECTS: "3m electrical
survey has ~e~D made or,the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
NO. OF CC COND.
PER ~
OF CC. COND.
NO. OF HI-LEG
OF HI-LEG
NO. OF NEUTRALS
OF NEUTRAL
JOHN RO~.~/gELLI
P. O. BOX 696
SOUTHOtJ3, NY., 119'7i
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.