HomeMy WebLinkAboutZ-25387FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-25387 Date NOVEMBER 25, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 700 ORCHARD ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 66 Block 2 Lot 8
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-25387 dated NOVEMBER 25, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE*
The certificate is issued to MARY LIEBLEIN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-057855 - NOVEMBER 21, 1997
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
YZ
Buildin nspector
Rev. 1/81
III111.UING DEPARTMENT
TOWN OF SOII1'1I01.1)
11011STNG COOK INSPEICTION REPORT
LOCATION: 700 ORCHARD ROAD SOUTHOLD, N.Y. _
- -- ---- �-:—.�._
_(number b sCr--eeC)- ------ ------ - ---- - Zmuntr I
51111DIVISION MAP NO. I.O'i'(a)
NAME OP OWNER (a) MARY LIEBLEIN --- _-- - ---
OCCUPANCY SINGLE FAMILY --_-_
type Zowner=tenant
ADMITTED 11Y: BOB GILLISPIE III ACCOMPANIED BY: SAME
KEY AVAILABLE Sl1PF.CO. TAX MAP NO.
SOIIIICE OF REOUES'T: CAROL L. TABOR DATE: -SEPT. 5, 1997 _-
uwel.t.tnc:
TYPE OF CONSTRUCTION WOOD FRAME -f STORIES 1-1/2 f EXITS_ 2
FOIINDATTON CONCRETE BLOCK CELLAR FULLCRAWL SPACE
TOTAL ROOMS: 1ST PLR. 6 2ND FIX. 1* 3RD FLIT_
11ATIIROOM (a) 2 TO I LET ROOM (a) 1 I1'11ILT'l'Y ROOM
PORCII TYPE FRONT STOOP DECK, TYPE PATIO
BREEZEWAY YES FIREPLACE,_ YES GARAGE YES - I DOOR ---
DOMESTIC 110TWATF.R YES _ TYPE HEATER BOILER(COIL) _ AIRCONDITIONING
TYPE HEAT OIL -BASEBOARD WARM AIR 1107WATER _ ---
OT11FR. *2ND FLOOR - BEDROOM WITH STORAGE SPACE 6 ALSO TOILET ROOM
ACCESSORY STRUCI'11RES:
GARAGE, 'TYPE OF CONST. S'T'ORAGE, TYPE CONST._
SWIMMING POOL — GUEST, 'TYPE CONST.
O'I'11ER: ----- �- -
---------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. S'TAT'E IINIFOIIM FIRE PREVENTION 6 1111TI.DTNG CODE
LOCATION DESCRIPTioN I ART. SEC.
-- ---------- -.... - - - - -- --------------- --___..- - ------ -- -- —
REMARKS:
INSPECTED I1Y _ DATE OF INSPECTFON NOVEMBER 13, 1997
MICHAEL J. VERifi-- --- --- - .TIME START 10:30 AM END 11:35 AM -
*REINSPECTED NOV. 24, 1997
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
LNOV
TOWN HALL
765-1802
o SLOG. DEPT. PLICATION FOR CERTIFICATE OF OCCUPANCY
?QWN OF SOUTH L13
A. This application must bye filled in by typewriter OF, 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 1% 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.
For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and
"pre-existing" land uses:
1. 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 Building - $100.00
3. Copy of Certificate of Occupancy - .2-9V,
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .........September.5,.1997...............
New Construction........... Old Or Pre-existing Building ..... X...........
Location of Property..... 7.00.Orchard•Road,•Beixedon,_,•Spppbpo o ..............................
House No. Street Hamlet
Onwer or Owners of Property .......... Mary. V,•Lieblein•••••••••••••••••,•••••••,••••••••••••••
County Tax Map No 1000, Section.... 900 ....... Block... W...........Lot.. M .................
Subdivision ........ $eixedon•Estatea••••••••••,•Filed Map .... JA72.... Lot ... I ..................
Permit No................Date Of Permit ................ Applicant ...... Mary. Y.. Lieblein.......
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...... X....
Fee Submitted: S••100:00
I APPLICANT f-rA y'
Mary V. Lieblein by Carol L. Tabor, atty in fact
-2:as3V7
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
F85
I85 JOHN STREET, NEW YORK, NY 10038
Date Application No. on file
THIS CERTIFIES THAT
only the electrical equipme_ as ribald below and introduced by the applicant named on the above application number in the premises of
I ,I.;r� � _ �F I{h pi_ R+�'., ITltC1�' N
inthefollowingloeat`gni.. Fl. Block Lot
,Bas�tryetlstFt. 2nd .Section
PPd ! wl ttt��t
rrr t e.. and found to be in compliance with the National Electrical Code.
was examined on
RXTURE
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS
EXHAUST FANS
OUTLETS
ECEPTACLES
SWITCHES
INCANDESCENTI
FLUORESCENT
I OTHER AMT.
K, W. AMT.
K.W. AMT.
I K.W. I I K. W.
AMT.
I H. P..
DRYERS FURNACE MOTORS FUTURE
APPLIANCE FEEDERS ISPECIAL REC'PTI TIME CLOCKS
I BELL UNIT
TRANS.
HEATERS
MULTI -OUTLET
SYSTEMS
NO.OF FEET
DIMMERS
AMT.
K. W. OIL
H. P. GAS H. P.
AMT.
NO.
A. W. G. AMT.
AMP. AMT,
AMPS,
AMT.
H PNO.
AMT
WATTS
SERVICE DISCONNECT
NO. OF
S E R V I C E
AMT. AMP. TYPE
METER
EQUIP.PER
1.92W 1 / 7W 7 6 3W 3 X IW NO. OF CC COND. A. W G. NO. OF HIAEG A' W' G. NO. OF NEUTRALS A. W. G.
0 OF CC, CON D. OF HI -LEG OF NEUTRAL
OTHER APPARATUS:
I4 -TE' T, - RE'J1; I,r,-1i� � y,_,,TA ;IT' 171," 1
-I' L
AFcC)I, ,I�� rRD "P71�C%F � � L
14 ARNOL T nC R NTIF.
TATRATI, Wil. 1�i L10
GENERAL MANAGER
11
Per
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.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
806s$57
BUREAU OF ELECTRICITY
'85 JOHN STREET, NEW IYORK' NY 10038
NOVEMBER 21,1997 15056997/97 H 057855
Datil Application No. on file
THIS CERTIFIES THAT
only the electrical equipme as- p�i, below wwI introduced by the applicent named on the above application number in the premises of
�rii�,00
ESTATE OF MARY V. '' ' i ORCHAf D ROAD, SOUTHOLD , NY
in the following locat' .�se p /st Fl. 2nd Fl. ATTIC Section Block Lot
j 9
was examined on and.f ound to be in compliance with the National Electrical Code.
FIXTUREACLES
FIXTURES
RA
COOKING DECKS OVENS DISH WASHERS
EXHAUST FANS
OUTLETSIRICE"NCANDESCENT
SINITCMES
FLUORESCENT
OTHER
AMT.
K. W. AMT.
K. W. AMT.
K.W. AMT.
I K. W.
AMT.
M. P.
DRYERS
FURNACE MOTORS FUTURE
AFFUANCE FEEDERS AL REC'►T
TIME CLOCKS
NU UNIT
TRANS.
HEATERS
MULTI -OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
AMT.
K. W.
OIL
M. P.
GAS
M. P.
AMT.
NO.
A. W. G. AMT.
AM►.
AML
AMPS.
AMT.
M.P.
AMT.
WAITS
I
SERVICE DISCONNECT
NO.OFS
E It V I C E
AMT. AMP. TYPE
AUTIR
IX 2W
1 ,I 3W
3 N 3W
3,/ •W
�' R �COND.
A. W. OF CC. D
NO. OF HIAEG
OF'1WH-'LEG
NO. OF NEUTRALS
OF . OO.MAL
OTHER APPARATUS -
DEFECTS REMOVED LETTER OF 11/14/97-1
CAROL &WARD TABOR l
14 ARNOLD AVENUE
LATHAM, NY, 12110 GENERAL MANAGER
11
Per
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 pEPARTMEHT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY'MANNER.
n
.41
TOWN OF SOUTHOLD PROPERTY
RECORD CARD
141 -sl
OWNER
STREET
VILLAGE
,
DIST. SUB. LOT.91ATA�L�;44
VZt;—)
lif 1 f�-1'J o��
ZZ �� l� e, ge,
t
FORMER OW(%t
N '
E
AC�.�,//
S
W
TYPE OF BUILDING -
tES.),/b
SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
6-
3o O
000
qht- i - �� 7Re�
)-o o
S"6 0o
G to
zz
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable
`
FRONTAGE ON WATER
T� t LiG o ,v dv wej /p v
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
House Plot
BULKHEAD
Total '''� �s
v;
DOCK
NIX
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
•HOUSING CODE INSPECTION REPORT
7290
e
number S street municipality
MAA NO . LOT(s)
typ Y (owner=tenant)
ADMITTED BY: _.,�C/�%E clfL ACCOMPANIED BY:
KEY AVAILABLE O!n_ SUFF.CO. TAX MAP NO. — —
SOURCE OF REQUEST: � A
01 DATE: % S
DWELLING:
TYPE OF CONSTRUCTION # STORIES -A # EXITS �Z—
FOUNDATION CELLAR CRAWL SPACE
TOTAL ROOMS: IST FLR.(100, 2ND FLR._�_ 3RD FLR.
BATHROOM (s) _ .7L TOILET ROOM (s) U'TILITY ROOM �—
PORCH TYPE DECK, TYPE—� PATIO_ ^----
BREEZEWAY FIREPLACE GARAGE —
DOMESTIC HOTWA ER TYPE HEATER AIRCO ITIONING ✓`�
TYPE HEAT & 7 WARM AIR HOTWATER
GZ..Iwis,r,_ _
OTHER:
ACCESSORY STRUCTURES:
GARAGE, 'TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
REMARKS:
INSPECTED BY �'�' // DATE OF INSPECTION //�/.�Z
TIME START /D 3O END 3s
Mary V. Lieblein llie undersil)oe(I,
Owners) ld;lrllc( )
doles) lu:reby state;
'1'lu(t like undersll;nod 0.0 (;ir(!) till,' own(:r•(s) of ill(: Iwolilises in illi: Town
,;OklIllold located at 700 Orchard Road, Beixedon
Southold which i:; :;lunvn rind desfl;onled oil Ilse :;ol'hdk
(:rnully I;kx irlal) ns Di:;lricl alliin, ;;c:cliun 66 lilocic 2 I,(,I, 008
'I'llal ll)o nndersignod (Iril;;) (Il;lvc:) fili:d, or• r,;ivacd to Ile filed, no ;lppIica
Lion in Ilse S(tulllold 'I'U\vll ISnil( IiI III )er.inl 's l41,1cc: fur II)e fc,llc,wiul;;
Prex,,isting Certificate of Occupancy
'I'l1;iI. the uudersil,ncd do(l:it) Ill:nilly ItIvo coo:;nul to Illy: lIll iIli inl, In:;I)(!H( !;
ul' Ili(: 'I'o�vrl of ;�'uutl,ul(I to (:olcr' inion like abovo do,wribud propor•ly, ioclndluf;
ally word all hillldings IIoc;ltcd Illercon, tri coridocl such inspect lolls its Illc:y otay
d(:cru necessary With resf)ecl to Ilii- aI`o r•e:r,ii(i nl)I,licallon, inclu(lill,( itISI)(:clir)ns
to (lcleroline that said lwenlis(:s coniply with all of Ili(: laws, or(linances, rules
;roll rel;ulations of 11u: 'I'owu of "(nithold.
I'lie un(lerslgned, [n coll;;c:ulinf; to stick) in:;l)(yclions, do(es) so wltli flit:
lcunc ln(If,c: rind undurslnndlol; Ilial iuly inforiut(lioll ol,lr(ill(A In ill(" coltduct of
such irl:;lmcllons nuiy he us(:d nri evid(tnce in sul,sugkleol prosecullons for vin
Irllino::z of Ilre I;awS, rn'tliokkiwwi rldtr. i ni• t ogill:itlnus of (lie 'V(iwu of inulllc)I(I
I)nled: September 5, 1997
Mary V. Lieblein by
....Car.o.l__L._. Tabor, ... as_._.at.t_y.._in.. £act
(111'1111. Il illnl:)
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