HomeMy WebLinkAboutZ-27317FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27317 Date: 09/25/00
THIS CERTIFIES that the building DWELLING
Location of Property 4782 ALVAHS LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 102 Block 0001 Lot 003.004
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- 27317 dated SEPTEMBER 25, 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 ACCESSORY SHEDS & BARN*
The certificate is issued to CASTELLO DI BORGHESE, LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
...i+� ut orized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 4782 ALVAHS LA CUTCHOGUE
SUBDIVISION: NAP NO.: IAT (S)
MANE OF OWNER (S): CASTELLO DI BORGHESE, LLC
OCCUPANCY: SINGLE FAMILY CASTELLO DI BORGHESE, LLC
ADMITTED BY: ALEX HARGRAVE ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 102.-1-3.4
SOURCE OF REQUEST: ABIGAIL WICKHAM, ATTY 7/8/98 DATE: 09/25/00
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 6
FOUNDATION: CONCRETE BLOCK & STONE CELLAR: 25% CRAWL SPACE: 75%
TOTAL ROOKS: IST FLR_: 4 2ND PLR.: 0 3RD FLR.: 0
BATHROOM(S): 2.0 TOILET ROOM(S): 2.0 UTILITY ROOM(S): **NEW
PORCH TYPE: FRONT COVERED WOOD DECK TYPE:
BREEZEWAY: FIREPLACE: 2 -NEW GARAGE:
PATIO TYPE:
DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTNATER:
OTHER: *EXIST ROOMS -(4) -NEW ADD (4) **4) **WASHER&DRYER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
STORAGE, TYPE CONST.: WOOD FRAME BLDG. (BARN)
SWIMMING POOL: YES GUEST, TYPE CONST_:
OTHER: 2 ACCESSORY SHEDS (WOOD)
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. I SEC.
RRMARYC: BP31355OZ-COZ15149 (GARAGE)BP#15101Z-COZ-18201 (POOL & DECK)
INSPECTED BY: DATE ON INSPECTION. 07/13/98
TIME START: END:
Form No. 6
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 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
I- I'pre-existing" land uses:
1 Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
C, 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.
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. j
C?� Certificate of Occupancy on Pre-existing Buildine - $100.00 (� ✓�r�)2�1wf
Copy of Certificate of Occupancy - _ .25C.
4. Updated Certificate of Occupancy - $50.00 U
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial$15.00
Date .... 7.�$ ............................
..ew Construction........... Old Or Pre-existing Building.X....
,ocation of Property... ��a �S. z4zxq...... . . A?a..
House No. Street HamI9
vnwer or Owners of Property ..........
ru
:ounty Tax Map No 1000, Section.......Block........ /.......Lot.....'............
ubdivision....................................Filed Map ............ Lot ......................
'ermit No................Date Of Permit ................ Applicant .............................
[ealth Dept. Approval..........................Underwriters Approval.........................
TanningBoard Approval ........................
request for: Temporary Certificate........... Final Certicate..:�::....
'ee Submitted: $t!...........................
j
APPLICANT
� 7
CONSENT
TO
INSPECTION
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
, which is shown and designated on the Suffolk
County tax map as District 1000, Section /�Z, Block Lot 3_
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;
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 Town of Southold.
Dated: 7
THE NEW YORK BOARD OF FIRE UNDERWRITERS
010 107'. BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10036
PAGE i
Date APP. 7L 4)3,'1998 Application No. on file 15688398/98 N 449769
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
ALEX HFJRGRAVrj, PRIVATE ROAD, CUTCHOGUE, NY
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on 14ARCH 1-7,1998 and found to be in compliance with the National Electrical Code.
FIXTURE
OUTLETS
RECEPTACLES
SWITCHES
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERSNS
INCANDESCENT
FLUORESCENT
OTHER AMT. K.W. AMT.
K.W. AMT. K.W. AMT.
K.W.
.
DRYERS FURNACE MOTORS
FUTURE APPLIANCE FEEDERS
SPECIAL RECTT.
TIME CLOCKS
BELL
TRANS.
UNIT HEATERS
MULTI -OUTLET
SYSTEMS
NO. OF FEETTS
AMT.
K.W. OIL
H.P.
GAS
H.P.
AMT.
NO.
A.W.G.
AMT.
AMP.
AMT.
AMPS.
AMT.
H.P.
SERVICE DISCONNECT
NO. OF
METER
EQUIP.
S E R V I C E
AMT.
AMP.
TYPE
1 0 2W
I 0 3W
3 0 3W
3 0 4W
NO. OF CC COND.
PER 0
A. W. G.
OF CC. COND.
NO. OF HI -LEG
A' W' G.
OF HI -LEG
NO. OF N!11
L
1.
C)TNFD APPADATIIC-
200
CB
1
X
1
410
1
_
G & S CONTRACTOR
BOX 215
SOUTHOLD, NY, 11971
LIC.#578 E
ANN
_LL,
GENERAL MANAGER
11
This certificate must not be altered in any manner; return to the off Ice 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.
SEP. -23' 99 (THU) TT r ATE"_.r_
TEL 516 134 5485
P. 002
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODEINSP TION REPORT
LOCATION: / �-�r� �.
number & street
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY �G
type
ADMITTED BY:
KEY AVAILABLE
SOURCE OF REQUEST:
pality
OT (s)
ACCOMPANIED BY:
SU��FF. CO. TAX MAP NO.
DWELLING:
TYPE OF CONSTRUCTION
# STORIES # EXITS �p
FOUNDATION
CELLAR CRAWL
SPACE
TOTAL ROOMS: IST FI,R.
2ND FLR.
3RD FLR.
BATHROOM ( s )
TOILET ROOM
( s ) =«`' UTILITY ROOM l
PORCH TYPE
DECK, TYPE
PATIO, TYPE
BREEZEWAY
FIREPLACE �.y ��"' GARAGE
DOMESTIC HOTWATE
HEATER
04X AIRCONDITIONING
RTYPE
TYPE HEAT
WARM AIR
HOTWATER
OTHER: ol- . _i_ -
tL _
- _ •- —
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
NEW
'tax
�
go
REMARKS: (/
INSPECTED BY:
- 161777g
0
C.r DATE ON INSPECTION /3
TIME START
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