HomeMy WebLinkAboutZ-19315FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19315 Date AUGUST 23, 1990
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2345 ACKERLY POND LANE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 69 Block 5 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a private one family
dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19315 dated AUGUST 23, 1990
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 STORAGE SHED*
The certificate is issued to FREDERICK PFIFFERLING
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATEDNO RECORD PRE EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT.
WOOD STOVE DECORATIVE ONLY, NOT TO BE USED.
Bu' ding In pec or
Rev. 1/S1
Form No. 6 nA*
TOWN OF SOUTHOLD
BUILDING DEPARTMENTTOWN HALL
100
765-1802
BLDG. DEPT.
TOWNOF SO THO�D _
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 $15.00, Commercial $15.00
DateJune. 5.,..1990 ...
................ ....... .
New Construction. ... Old Or Pre-existing Building .................
Location of Prope t}�". Ackerly. Pond. Lane:. Southold..... , , . , , _ .
House No. .. .•••. •'.Street Hamlet
Onwer or Owners of Property... FREDERICK PFIFFERLING
......................................
County Tax Map No 1000, Section..... 69......Block... .............Lot...5 2.........._...... ..
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval...................... "
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Cer51fcAte...... !,,'7..
Fee Submitted: $..... LQO.0.0.................
RK. qD -V 9 . -...�..-r Tom... .
19 3I.S • • • •PAUL A. P�3i�lANT
BUILDII'.G DEPART:•IENT
TOY1L%1 OF SOUTHOLD, N. Y.
HOUSI'M CODE INSPECTION REPORT
Location 2345 Ackerly Pond Lane Southold, New York
(numoer do street) municipaiity)
Subdivision Map No. Lot(s)
Name of owner(s) FREDERICK PFIFFERLING
Occupancy ONE FAMILY DWELLING OWNER
(type) owner -tenant
Admitted by: TIM PFIFFERLING Accompanied by: SAME
Key available Suffolk Co. Tax No. 69-5-2
Source of request PAUL A. CAMINITI"; ATTY Date
FOR OWNER
DWELLI`1G :
6/5/90
Type of construction FRAME WOOD #stories 1-1/2 Part
Foundation STONE RUBBLE (BRICK) Cellar 25% Crawl space 75Z
Total rooms, lst. F1 4 2nd. F1 3 3rd. F1
Bathroom(s) 1 Toilet rooms)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat OIL 'alarm Air Hotwater xx
Fireplace(s) No. Exits Airconditioning
Domestic hotwater Xx COIL Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. FRAME WOOD
Swimming pool Guest, type const.
Other
VIOLATI0'1S: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
Location
Descrintion
Art.)
Sec.
:ELLAR WAY
JDOOR 6 STEP CHAPTE4
F
I 1242.5 (a
TRAWL SPACE
CHAPTER
F
1242.7(a)
INTERIOR
WOOD STOVE (DECORATIVE) NOT TO BE USED - IS TO
REMAIN DISCONNECTED FROM CHIMNEY I
I
Remarks: BP #13302 -CO Z-12915
Inspected
119319-Z CO Z-19314
Date of Insp. July 13, 1990
Time start 1:40 end 2:05
1
2
CONSENT JW - 5 NO
TO
INSPECTIONBLDG. DEPT.
TAfll►1 AC CAI I A[ R
FREDERICK PFIFFERLING the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at Ackerly Pond Lane, Southold
which is shown and designated on the Suffolk
County tax map as District 1000, Section 69 , Block 5 , Lot 2
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspectors Office for the following:
Pre-existing Certificate of Occupancy
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 1199he Tow of Southold.
Dated: June 5, -1990
na ure))
PAUL CAMINSTI
PLEASE CONTACT TOP SAIL REALTY
(STANLEY KARANEWSKI) @ 734-6600 (print name)
FOR ACCESS.
(signature)
(print name)
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1085041 BUREAU OF ELECTRICITY
7 85 JOHN STREET, NEW YORK, NEW YORK 10038
Date AUGUST 07,1990 Application No. on file 00422890/90 N 144639
THIS CERTIFIES THAT
only the electrical equipment "described below and introduced by the applicant named on the above application number in the premises of
MR.T. PFIFFERLING, 2x345 ACKERL-Y7 POND RD., POLE#8, SOUTHOLD, N.Y.
in thefollowing location. 11 Basement Ist FL ® 2nd Fl. OUT Section Block Lot
was examined on AUGUST 02,1990 andfoundtobeincompliance with the requirements a this Board.
FIXTURE
OUTLETS
RECEPTACLES
SWI7CHE5
FIXTURES RANGES COOKING DECKS OVENS DISH
WASHERS
EXHAUST FANS
INCANDESCENT
FLUORESCENT
OTHER
DRYERS FURNACE MOTORS
FUTURE APPLIANCE FEEDERS
SPECIAL REC'PT
TIME CLOCKS
BELL UNIT
TRANS.
HEATERS
MULTI.OUTLET
OF STSTEMS FEET
DIMMERS
AMT.
K. W. OIL
H. P.
GAS M. P.
AMT.
NO.
A. WT
T.
AMP.
AMT.
AMPS.
AMT,
H. P.NO.
AMT.
WATTS
SERVICE DISCONNECT
NO. OF
S E R V I C E
AMT.
AMP. TYPE
METER
EQUIP.
1 1W
1 ,A JW % 3W
3,B" 4W
NO, OF CC. COND.
PER %
A. W. G.
OF CC. COND.
NO. OF HLIEG
A. W. G'
OF HI -LEG
NO. OF NEUTRALS
A. W G
OF NEUTRAL
OTHER APPARATUS:
*NO VISUAL DEFECTS: "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
BENE HEACOCK ELE. CONTR. LIC.#943E
3515 CEDAR BEACH ROAD
^�OUTHOLD, NY, 11971
. i any rI iturn to the office . .
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BUILDI:•;G DEPART:•LE-IN T
T0.'TN OF SOUTHOLD, N. Y.
HOUSIidG CODE, INSPECTION REPORT
Location :2 3 5<5� � .41~
(numoer & street) Nunicipaiity)
Subdivision Map No. Lot(s)
Name of Owner(s)
Occupancy
Ad, itted by
Accompanied by:
Key available Suffolk Co. Tax No.1�0
Source of request i -01A3 Date
D''IELLING :
Type of constructionZ?��
401e*fl #stories
Foundation_,O!(2!$ ,_ _ / s2 Cellar�Crawl space��
Total rooms, lst. Fl 2nd. Fl 3 3rd. Fl
Bathroom(s) / Toilet rooms) '7 �
Porch, type Deck, type Patio, type -
Breezeway Garage Utility room
Type Heat 'alarm Air Hotwater
Fireplace(s) No. E: {its .--- Airconditioning ------
Domestic hotwater `--__e~1. Type heater
Other
ACCESSORY STRUCTURE'S:
Garage, type const. r----- Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE -
"Ca
o'
Remarks:
Inspected by: Date of Insp. %1
Time start �a
". 3-71 311 *eo "e. - 186,09
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NAUTHORIZED ALTERATION OR ADDITVCFt4
14�
Q THIS I tURV I LY 4S A VIC,N. tAT;0OF
ICT(4M,72C9 OF ME t.::W Yo,",X STAT!
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ot CATiCt I LA\,'.
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