HomeMy WebLinkAboutZ-26096 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26096 Date: 11/10/98
THIS CERTIFIES that the building DWELLING
Location of Property 215 ALVAHS LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 109 Block 0001 Lot 033
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- 26096 dated NOVEMBER 10, 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 GARAGE*
The certificate is issued to FRED W. KAELIN
(OWNER)
of the aforesaid building.
SUFFOLR COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Build ng inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 215 ALVAHS LA CUTCHOGUE
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): FRED W. KAELIN
OCCUPANCY: A-1 RES. FRED W. RAELIN
ADMITTED BY: FRANK MURPHY ACCOMPANIED BY: SAME
REY AVAILABLE: SUFF. CO. TAX MAP NO.: 109.-1-33
SOURCE OF REQUEST: FRED W. KAELIN. JR. 10/19/98 DATE: 11/10/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: ~
FOUNDATION: CEMENT BLOCK CELLAR: EuT~ CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 2ND FLR.: ~ 3RD FLR.: ~
BATHROOM(S): _~0 TOILET ROOM(S): ~Q UTILITY ROOM(S):
PORCH TYPE: REAR ENCLOSED ENTRY DECK TYPE: PATIO TYPE:
BREEZEWAY: PIREPLACE: ONE GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: LILCO GAS AIRCONDITIONING:
TYPE HEAT: LILCO GAS WARM AIR: X HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: 2 CAR WOOD PRAMS STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATH UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~ DESCR7PT7ON ~ RT y SFC
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REMARKS:
INSPECTED DATE ON INSPECTION: 11/10/98
GARY J. DISH TIME START: 11:00 AM END: 11:30 AM
From: Dan Duthie To: James Spiess Date 8!13198 Time; 3;25:54 PM
Page 4 of 5
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APpLiCAl'xON EMR CERTIFICATE OF OCLtiTP,AS+tCY ,
A. This etppJ.leation t4uat bs iiilad in by tgpe!rlrsear 0!! ink aad~ aubiaitlsd to t}+e builditt~
inspector with the fellOtving: !ax nav building or ctt:w uas:
1. Final gurvay oP pt:aye~s'ty teittl aceut:ate laeetion o£ ail build3aga, property ~.ittaa,
at:raata, attd unusual Aaturai Or topo;Yaph3e leaGurea.
2. P3na1 Approval £:eqm Raalch Oepc. a! warn); auppiy end sevat:aga-dispoaal(S-9 !'4!'111.
3. AppTOVal of electrical istaealistian from 34ard of Fisa UttdarMr3cers.
4, Sworn atataa9fA; .row pZtYatbsr CarCi.F711tig t:l~at Cha !Older e19@d its Ryateta G0lttains
Leas ottan 2j10 of 1S !sad.
5, CotMtarcial buil,diag, ind4atr3.a7. !wilding, multiple rasidanaao and aiuilar buildia
axtd inatwaYlationr. a certltiaata o$ Coda Compliance from atchitsCZ ax enginaar
rtapeasibls !nx the building.
fi. Su6mtt Plaaaixg Sosrd Approval a! aemplatad tit4+ pl.tn sequirsmants.
a. 19or exirCing buildlttga (prior so April 9, 1957) enn-canPas~nYn; uses, or bui141ngs an
'pre-atciat;iag" land usest
1. Accurate sutway of property showing all property li.nea, attests. building and
unusual natuxsl os t:opogxap6ic teswras. '
2. A properly cotlsplsked application and a eonatatti eo itnopect signed by the •pplieant
' if a Caxtitiasta of OccupAZtey l,s dsnSad, the $uilding InapacCOr aha.il stare rh@
reaeona Chexs£or in t.r3cing to t6s applicant.
' C. FsaA
1. Cert:ilicaCa of Oeetspancy ~ ltsm dwelling 123:00, Addi>~iona to dasl7.tng ¢25.00,
Alterations >re dwalliag i2S.00, Stiia®ing pawl '25.00, Acceaeoty building 525.00.
Additions to aecesrory building 125.00. HUat'sasaae 150.00.
2. Gertlf ieees of Oecupattty on Prt-asieeiisN HuSldYns - 1100,00
3. 6opy of aarrifisats of occupancy - _ •.~5+C.
4. Updated C•art3tiCaee oP Occupancy ~ ~5~.00
5. Temporary Casti~fiaaCa ab Oaeupaaey Reaidattttal 115.40, Commrtrcial $15.00
Date .
!4@w ConatxuCtlOtt...... , ~Ol'd Or a-axis 1Ag $a 1di,nAs ~ •
LocaCfari +i8 Property ~.s~. , ~~`l ~ l4~
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Ogwsr er owr~ora of Propsrty..~ l~~ ~~J.~F-,5[rKZ
Cau~ty 'Tat: AEnp Nn 1000, SOCCion..J... ~......Sloak~.1.'.Q........Lot...Q.-~?. ~f
Subdivislon ....................................Ptlad Ma'p LCt
Perln7.t No. _._............Bsta Of permit ^..Applieant .
Health Qep>:. Apgrovni ......................_..,Utadasvritera Appeaval.......
Planning Board Approval
Reaquose fors TamparalCp CarxlPsme®.,...... Pina1 CertYCa>:a.........
Fee SubeaStLe:d; S..
Q. JJ APPI.IC . .
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