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Home My WebLink AboutZ-27280FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: 8- 27280 THIS CERTIFIES that the building DWELLING Location of Property 180 KNOLL CIR EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 037 Block 0005 Lot 017 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING Date: 08/29/00 built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER 8- 27280 dated AUGUST 29, 2000 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 CONCRETE PATIO.* The certificate is issued to ERIC ISBISTER & WF of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTI Rev. 1/81 (OWNER) N/A 8/28/00 Pending N/A BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 180 RNOLL CIR EAST MARION SUBDIVISION: MAP ND.: LOT (S) IUMK OF OlEM (S) : ERIC IgRTgTRR & WF OCCUPANCY: SINGLE FAMILY ERIC ISBISTF.R & WF AENI TED BY: JAMES TSBISTER ACCCNPAIIIED BY: GAME. EKY AVAILRI=: SUFF. CO. TAE MAP ND.: 37 -5-17 SOURCE OF REQUEST: _T KEVIN MCT.AUGHLIN_ ATTY, DATE: 08/29/00 DWELLING: .1.m OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: _ 1 FOUMATION: CONCRETE BLOCK CKUL44: YES CRANL SPACE:. TOTAL ROOMS: 1sT FLR.: BATHROQI(S) : 2.0 PORCH TYPE: BRffiZMAX: DOMESTIC HOTIATER: YES Trm HEAT; -ATI- "AM AIR: OTHER: ACCESSORY STRUCTURAL GARAGE, Tm OF CONST.: SWIM@[= POOL: OTHER: 2ND FLR.: 0 TOILET ROOM(S): 2.0 DECK TYPE: 3RD FLR.: --Q UTILITY ROM (S) : PATIO TYPE: CONCRETE TYPE HEATER: ELECTRIC AIRCONDITIONIM: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE IS r TIM START: 10:00 AM END: 10:30 AM '•j� fl if n a TCS:'+''.OFKUTHOLD Ai Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOVN HALL 765-1802 ICATION 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, 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 contains less than 2/10 of 17 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: I. 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 to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildiniz - $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 . � c ; 5� .-, Q. .................. New Construction........ Old Or Pre-existing Building.. .......... , Location of Property... l ��.� ..C�:�.i-��- ................... .. Mc v\ C3 V—_ House No. Street Hamlet .••. Onwer or Owners of Property...�.J � ........ � �J',.,,,, County Tax Map No 1000, Section.CZ-5. !a .Block.0:5-: a.0 ......Lot..b �.� :Odc-). , ..... , (�\14e OQ1,-- gyp," o �@,64r'i►&y Subdivision,te a?-?-5.�- X— -r?9-\........... Filed Map4. v.-Lot..33 3 .......... Permit No................Date Of Permit ................ Applicant .............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Corticate U.� �6, .A Fee Submitted: $.�.C��?o .............. --Z-L 'a -� ..... ........ .. . .... APPLICANT THE NEW YORK BOARD OF FIRE. UNDERWRITERS PAGE 1 8081204 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK; NY 10,038 Date SEPTEMBER 06,20M Application No. on Jile 1080570@!00 H 069123 THIS CERTIFIES THAT only the ebctrical went as described below and introduced by the applicant named on the, above application number is in the premises of MIRA B. ISBISTER TATE, 180 KNOLL CIRCLE, EAST MARION, NY in the followin ® Basement ® 1st Fl, ❑ 2nd Fl. OUT Section 37 Block05 Lot 017 was examined on AUGUST 28,20M and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWRCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FLUORESCENT OTNER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. M.P. OUTLETS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPEC UL REC'PT.j TIME,CLOCKS BELL TRANS. UNIT HEATERS MUSL�TII-SMS T NO. OF FEET DIMMERS AMT. K.W. OIL N.P. GAS N.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. AMt. N.F. AMT. WATTS SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. TYPE METER EQUIP. 1 Z1N 1 R JW 3 1 SW J • 4W NO.OF CC GOND. KR a A. W. O. OF CC• gyp• NO. OF NI -LSO A. W. O. OF HI -LEO �' Oi NEUIRALt A. W. O. OF NEUIRAL OTHER APPARATUS: *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. L L J. KEVIN McLAUGHLIN P. O. BOX 1210 SOUTHOLD, NY, 11971 QENE7 MANAGER 11 Per This certificate must not be altered In any manner; return to the office of the Sward if Incorrect. Inspectors may be Identified by their credentials. GUYT T -UM LSUfLUIIVU'UtrAKi MC7V1. In10 liVrT yr NCn11rYVA1C MU01 N%JI oc — n..i --r .I.. y� ' ` $ FILE 3s SUFE S.c �M+r 178-79, oss 4 w I S 04052'40" E 1.19 f TOR 1' ,— �.o• O _ _ to 39 4 fib LIN LOT 34 M13iE40 WIRES 4b sf• � seh - oos+r AQ j 41 17 o'• Std. '�� w•'� � \ Y PREPARED IN ACCORDANCE WITH THE MINIMUM ' \ STANDSURVEYS AS FOR TITLE SURV' AS ESTABUSHED m BY THE .IAL.S. AND APPROVED AND ADOPTED ,6''m / FOR SUCH USE BY THE NEW YORK STATE LAND g TITLE ASSOCIATION. iy 3 s & 3 \ 7 r� N A. 4V -101- Z 1� i T `J • N.Y.S. Lic. No. 49668 X0P., 1, 1 Jose h A. Ingegno UNATHORIZED ALTERATION OR ADDITION Land Surveyor To THIS ADN OF SECTION 7209 OF THE NEW YORK STATE T I EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING M .. W C., q.lr•,^i Qi.l i"Al rrr-ni•r-- r^. n BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 1 LOCATION: number & street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY `�! (type)' owner -ten ``at a ADMITTED BY: ./ Al!!!tr � V.�- 0410 ACCOMPANIED BY: N� KEY AVAILABL SUFF. CO. TAX MAP NO. ��9r�D 7 SOURCE OF REQUEST :�� Gc DATE : -,/a^* Z4� 2.m Cv0 DWELLING: TYPE OF CONSTRUCTION W �� # STORIES # EXIT/Y'Q�� FOUNDATION �. �f8 ` CELLAR CRAWL SPACE TOTAL ROOMS: IST FI.R. 2ND FLR. 3 PLR. BATHROOM (s) TOILET ROOM (s) �. UTILITY ROOM !"—"- PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT / WARM AIR HOTWATER x OTHER: —ter ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST, STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. �--� OTHER: ----------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE. REMARKS: INSPECTED BY: DATE ON INSPECTION UD TIME START Orli, E 6 t SO / -05 TOWN OF SOUTHOLD PROPERTY RECORD CARD I /VI-16 ll-16 OWNERcLR STREET VILLAGE DISTRICT I SUB. LOT KAI 0 FORMER OWNER N E ACREAGE I S W TYPE OF BUILDING L k , , RES. 21 o SEAS. VL. FARM LAND IMP. TOTAL DATE 0 AGE BUILDING CONDITION NEW NORMAL ----T BELOW FarmAcre Value Per Acre Tillable I Tillable 2 Tillable 3 Wcodland Swampland Brushland House%P!ot..,.- Tct:!l comm. I IND. I CB. REMARKS ABOVE Value U V2, CONSENT TO INSPECTION Owners) do(es) herebv state: Names) . the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located atro�< �°` �C`�=-esiS'� C�c> c� , n•hich is shown and designated on the Suffolk County tax map as District 1000, Section CU3-7 , Block Ch`s Lot CWT 7 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: 0 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 vio- lations of the laws, ordinances, rules or regulations of the Dated:�Q (slignature) l ](print name signature) (print name) tho TOWN OF SOUTHOLD 'OiOPERTY RECORD CARD 110-16 OWNER STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER N E ACREAGE1 W TYPE OF BUILDING C RES. 21 o SEAS. VL. FARM comm. IND. CB. misc. LAND IMP. TOTAL DATE REMARKS Qy- 2. AGE BUILDING CONDITION NEW NORMAL B -E -LOW------ Value Per Acre ABOVE---- Farm Acre j Value Tillable .1 Tillable 2 Tillable 3 Wcodla nd Swampland Br u shl and House,,_Plot.® Tctol M. Bldg. Foundation Both Extension 0 K 1- 1, Baserhen�Fkvi,,A,'!,,Floors t,111 Extension Exf.—Wa'l Is Interior Finish Extension Fire Place Heat Porch Attic Porch Rooms 1st Floor �Y- Patio Rooms 2nd Floor Garage Driveway 0. B. T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE A CHIMNEY 1 [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL