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Home My WebLink AboutZ-27669FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27669 Date: 05/10/01 THIS C~RTIFIES that the building Location of Property 12910 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 031 Subdivision Filed Map No. DWELLING EAST MARION (STREET) (HAMLET) Block 0014 Lot 014 Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which U~TIFICATE OF OCCUPANCY NUMBER Z- 27669 dated MAY 10, 2001 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 & WOOD STORAGE SHED * The certificate is issued to NORMA MILLER of the aforesaid building. (OWNER) Rev. 1/81 SUFFOLK COUN~ DEPARTMENT OF HEALTH APPROVAL EL~t-rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAx~u3 *PLEASE SEE ATTACHED INSPECTION REPORT. / N/A N/A Authorized S~na ~u r e LOCATION: 12910 MAIN RD NAME OF OWNER (S): NORMA MILLER O~CUPANCY: SINGLE FAMILY ADMI'I-I'~U BY: NORMA MILLER BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT EAST MARION MAP NO.: LOT (S) NORMA MILLER ACC(~PANIED BY: SAME KE~ AVAILABLE: -- ~3FF. CO. TAX MA~ NO.: 31.-14-14 SOURCE OF P~ST: NORMA MILLER, 09/11/00 DATE: 05/10/01 DWELLING: TYPE OF CONS~'RUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 4 FOUNDATION: CEMENT BLOCK C~T.T~: NO C~AWL SPACE: PART. · ~)TAL ROOMS: 1ST FLR.: --4 2ND FLR.: 1 3RD FI=H.: 0 BAT~{ROO~(S): 2.0 TOII~T ROO~(S}: 0.0 UTILI~"f ROOM(S): PORCH T"fPE: DECK TYPE: FRONT UPSTAIRS PATIO T%'PE: BRICK - REAR BP~EEZE~AY: FIREPLACE: ONE - GAS GARAGE: DOmeSTIC HOTWA'r~: GAS TYPE H]~ATER: ~IRCf~DITIONING: *NEW ELECTRIC HEATERS-ELECTRICAL CERT.#N547694-1/15/01 ACCESSORY STRUCTURES: GAR~E. T~fPE OF CONST.: WOOD - 2 CAR* h~TORAGE, ~"IPE CONST.: SWIPING POOL: ~ST, ~"fPECONST.: ~r~: *BP#10752Z-COZ-13772-DECK ADDITION TO ACCESSORY STRUCTURE 1 WOOD VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P.]~%RE~: STATE PET~'~ #2001-0179 FOR SPIRAL STAIRCASE-BP#13461Z C0Z15666-DECK INSPEt-r~u~ BY: _ DATE ON INSPECTION: 09/20/00 JOHN M. BOUFIS ~ TIME START: 10:00 AM E~D: 10:30 AM 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 bu~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(s_9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system cont~ less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar b~ and installations, a certificate of Code Compliance from architect or engim 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 buildiz Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building az unusual natural or topographic features. A properly completed application and a consent to inspect signed by the appJ If a Certificate of Occupancy is denied, the Building Inspector shall state reasons therefor in writing to the applicant. C: Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.0£ A-Iterations to dwelling $25.00, Swimming pool $25.00, Accessory building $2f Additions to accessory building $25.00. Businesses $50.00. 2. Certificate Of Occupancy on Pre-existinK Buildinm - $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 Date .... New Construction ........... Old Or Pre-existing Building .... House No. Street Hamlet// On. er or of operty .... County Tax Map No 1000, Section...~g ...... Block...f.~/. ......... Lot...~..C./. ...... Subdivision .................................... Filed Map ............ Lot .............. Permit No ................ Date Of Permit ................ Applicant ..................... Health Dept. Approval .......................... Underwriters Approval ................. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: APPLICANT .... THE NEW YORK BOARD OF FIRE UNDERWRITERS i .... BUREAU OF ELECTRICITY ~- 40 FULTON STREET, NEW YORK, NY 10038 THIS CERTIFIES THAT only the elec~cal equipment as desc~bed be~w and in~oduced by the applicant named on the above applic~on number is in the prem~es of in the following ~c~n; ~ Basement ~ 1st Fl. ~ 2nd FI. Secaon Block ~t w~ examined on 3~ [~U:~' O~t , 2~401 and found to be in compl~nce with the Na~onal Elec~cal Code.. DRYERS FURNACE FUTURE APPLIANCE FEEDERS SPECIAL REC'~ TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. AMPS. TRANS AMT. H.P. SYSTEMS ~~ NO. OF FEET SERVICE DISCONNECT S E R V I C E PER ffi OF CC. COND. NO. OF HI-LEG OTHER APPARATUS: a~. ROOH HEATERS Pb.NELEOARDS: ~--~ CIR. 6~ SHOI-22 DETECTOR: -- REP Er. J3C .RI. P.O. BOX 535 ~[~.TTITUC?[, NY, 11952 LIC.#4727 GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board If incorrect. Inspectors may he identified by their credentials. COPY FOR BUIL~ING DEPARTMENT THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. CONSENT TO INSPECTION Owner(S) Name(s) do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town · which is show~l and designated on the Suffolk County tax map as District 1000, Section.. ~P~/, Block .... /9~, Lot -'~/ 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: 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,'trules 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: (signature) ;,z. (print name) (signature) 6 East Main Street, Riverhead, NY 11901 November 30, 2000 Mr. John Boufis Town of Southold Building Department Southold, NY 11971 Dear Mr. Boufis: We have visited the premises owned by Mrs. Norma Miller in East Madon and have brought an elevation to her property from a USGS benchmark. We have determined the bottoms of the electdc heaters, installed in two bedrooms in the house, are at or above elevation 8. Mrs Miller showed us her flood insurance certificate that referenced her property as being in flood zone AE 8. If we can be of further assistance, please contact us. Sincerely, John C. Ehlers Land Surveyor Cc: Garrett Strang