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Home My WebLink AboutZ-22548FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22548 Date AUGUST 25, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 625 WOOD LANE PECONIC NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 6 -Lot -7 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-22548 dated AUGUST 25, 1993 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 WOOD FRAME GARAGE The certificate is issued to THE NATURE CONSERVANCY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. B ilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUT11OLD HOUSING CODE INSPECTION ItEPO1tT LOCATION: 625 WOOD LANE PECONIC, N.Y. number S street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) THE NATURE CONSERVANCY OCCUPANCY A-1 RES. OWNER (type) (owner -tenant) ADMITTED BY:, DAVE KAPPELL ACCOMPANIED BY: SAME KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-86-6-7 SOUnCO OF REQUEST: DAVID E. KAPELL DATE: JULY 19, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. BATHROOM (s) 2 PORCU TYPE BREEZEWAY DOMESTIC HOTWATER YES TYPE HEAT OIL OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWI11MING POOL OTHER: -6 # STORIES 1 STORY # EXITS 3 CELLAR PARTIAL CRAWL SPACE 2ND FLR. 3RD FLR. TOILET ROOM (s) UTILITY ROOM DECK, TYPE PATIO, TYPE FIREPLACE ONE GARAGE TYPE HEATER PROPANE AIRCONDITIONING WARM AIR BOT14ATER XX 1 CAR WOOD FRAME STORAGE, TYPE CONST. GUEST,TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION I DESCRIPTION ART. I SEC. REMARKS: BP #21615 - CO Z-22547 - FOR YEAR ROUND OCCUPANCY HEATING SYSTEM S ADD INSPECTED BY: G46 FISH DATE ON INSPECTION 7/22/93 & 8/16/93 TIME START 9:25 END 9:55 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP iJ L 1993 TOVJN 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 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. B.) 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.000C,,,ommercial $15.00 Date .. .�•L��..................... New Construction........... Old Or Pre -ex ting Buildin_)?k Location of Property....lp,, )-—.',:z . House No. \ p Street Hamlet Onwcr or Owners of Property., ; ��. �n�lG�.��, 1, .... • .. • , ... , . • ... . County Tax Map No 1000 Section.. ,L>.r-?, .Block ............. Subdivision....................................Filed Map..... ... ..Lot...................... Permit No................Date Of Permit...... .......Applicant............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Corticate........... Fee Submitted: $....<<% ..................... APPLICANT c o a as L/ -K J 1W, 1 J r. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE I BUREAU ,OFELE'CTRIC'ITY F as, JOHN STREET, NEW YORK,, NEW 'YORK, 10038 Date a" `rf ' ,a � :a Application No. on file 04978193/93 288645 THIS CERTIFIES' THAT only the electrical equipment as described below andintroducedby the eepplicant,named.on the above application number in the premises of KAPSLL REALTY, MOOD LANE, PECON11C, N.7, ,in thefolloacin'glocation; IN Basement. EA Ist,FI., E 2nd Fl., OUT Section Block Lot was examined on S P T E RB O R 0 2 , 19 9 3 and found'to be in compliance with the National Electrical, Code.. FIXTURE )FIXTURES' RANGES COOKING DECKS ` OVENS DISHWASHERS, EXHAUST FANS OUTLETS, ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. CW. AMT., K.W. AMT: K. W. AMT. H. P. FUTURE DRYERS FURNACE MOTORS F' APPLIANCE FEEDERS SPECIAL REACMP T, TIME CLOCKS_ BEtI UNIT ' TRANS. HEATERS MULTI -OUTLET SYSTEMS NO. OF' FEET DIMMERS' AMT. K. W: '. OIL. H. P,; GAS' H. P. AMT. NO. A. W. G. i AMT. AMT, AMPS,, AMT. H. P. AMT. WATTS ' ii SERVICE DISCONNECT NO. OF S E R V I C• E. - T. AMP: TYPE. METER 'EQUIP - _ 1 X' 2W - 1 JY 3W, - - - 3 ,0' 3W 3;0' 4W NO. CC.{OND. PER .W A. W. G.. �.OF CC. COND. - NO.OF HI•LEG AI�W. G. OF iHIAEG - _ NO. OF�NEUTRALS. -- ` A. W: G: - OF NEUTRAL. _. i OTHER APPARATU56 DF,Fgl,TS ROROVED LETTER OF 81,25193-1 P,O, OX 38 GENERAL MANAGER' (3 REP, 17 P,O.R T D1Y 1.19 4 4 , Per This certificate must not be altered in ony' manner; return to the office, of the Board it incorrect.. In may be identified by their credentials: COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Li-72-Crem Owner(s) Name(s) do(es) hereby state: CONSENT �ra .AUL I J TO INSPEC'T'ION TQWN OF S{)iSiz•OUI � the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at�CSL�(Z> which is shown and designated on the Suffolk County tai: map as District 1000, Section �Block (n Lot That the undersigned (has) (4ore) 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, 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: I ]I cl ) crs signature print name) IME R Qfflli. JUL 19 1993 7- Y �1'4z vr� e,40 q N E 7 A,/ /V Y C -,:g JM C C., I <:' I t'4 P Unauthafted alteration oraddMm . v l 90 thlt tunny Is a violation of Soe4lott 7208 of the Now York ftft 6H.0 W. Van -r&I/Y/'4S00I Education Law. Co*8 d M ourvey MM nm bm" No. LWS eh LAND to be a wAd tree a" GuamnWw ImeaMed humor gW nen only to ft pown for wham the survey Is prepared, aTW an tdo betialf to the "ny governrilafft ag"Icy and = go tion listed herem and � to the assIgnees0 I the lenft M66- tj) tution. Guararitses are not bwwad* k i to additional Institutions or suhaqmt -1 owners. I L 7�7 Vv C2 fjf NE . v �P�o�cK vAN r 6H.0 W. Van -r&I/Y/'4S00I No. LWS LAND to3. 6H.0 W. Van -r&I/Y/'4S00I