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HomeMy WebLinkAboutZ-39871 ua`esTown of Southold 10/11/2018 o� UFFOI,�,4 y� 53095 Main Rd Southold,New York 11971 co, : PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39871 Date: 8/29/2018 THIS CERTIFIES that the structure(s)located at: 16109 Route 25, East Marion SCTM#: 473889 See/Block/Lot: 23.4-10.1 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 39871 dated 8/29/2018 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with covered concrete front entry wood frame covered side entry and covered concrete patio and accessory wood frame garage with unfinished storagespace above and concrete natio.* Note:BP 42915 window replacement COZ-39870 The certificate is issued to Jayne, Jeannine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 23-1-10.1 PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ahooed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 16109 Route 25,East Marion SUFF.CO.TAX MAP NO.: 23.4-10.1 SUBDIVISION: NAME OF OWNER(S): Jayne,Jeannine OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Jayne,Jeannine DATE: 8/29/2018 DWELLING: #STORIES: 2 #EXITS: 5 FOUNDATION: poured concrete CELLAR: full CRAWL SPACE: BATHROOM(S): 4 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: front covered DECK TYPE: side covered entry PATIO TYPE: covered concrete BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: steam #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame w/patio STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 7/16/2018 TIME START: 2:03pm END: 2:45pm Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT JUL - 9 2018 TOWN HALL 765-1802 BUILDING DEFT. APPLICATION FOR CERTIFICATE OF OCCUPANCY T()VM OF SeDITIMOLD This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.007 Date. / New Construction: Old or Pre-existing Building: (check one) Location of Property: Cp O � /p1 goad -c-�,(� House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section o2 3 Block / Lot /0. l Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: x (check one) Fee Submitted: $ pplicant Signature D [KEVE CONSENT TO INSPECTION JUL - 9 2018 BULDIN+G DEIN. TOWN OF P,"WrAFHOLD the undersignedi do(es) hereby state: Owner(s)Na e(s) That the undersigned (is) (are) the owners -of the premises in the Town of (, /b Southold, located at / /1'1 �200d0d of , which is shown and designated on the Suffolk County Tax Map as District 1000, Section eR_?� , Block / , Lot . That the undersigned(has) (have) filed, or cause to be filed, an application in the SouthoJ4 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: �`� - `P ��- n (Signature (Print Name) (Signature) (Print Name) OF SO!/T�ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 s aQ roger.richertRtown.Southold.ny.us Southold,NY 11971-0959 �yOOUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jeannine Jayne Address: 16109 Route 25 city,East Marion st: New York zip: 11939 Building Permit#: Pre-CO Section. 23 Block: 1 Lot: 10.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures 11 TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS" Notes: Visual Inspection, Tested Random Circuits - No Defects Found. Inspector Signature: Date: August 2, 2018 0-Cert Electrical Compliance FormAs $uFF�K BUILDING DEPARTMENT- Electrical Inspector p TOWN OF SOUTHOLD - Town Hall Annex - 54375 Main Road - PO Box 1179 o . Southold, New York 11971-0959 dlp'� Telephone (631) 765-1802 - FAX (631) 765-9502 > c roger.riche rtCcr)town.southoId.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: a '' Date: - Company Name: Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION: (All Information Required) Name: �C�ar)191,°i.� Address: A0�O f o� Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: 07� Block: l Lot: /(),I BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service - Fire Reconnect-Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Ld L= 1 V JUL 3 0 2018 Request for Inspection ForniAs BUILDING DEPT. To%W ,r�'N',_a++�i"h1�v,�, y„h,�t�'t"a.. :r b `:� 1 +\ .•1 t - ' a. t+ ..'�w'"'-� �s�,: - 'S. '•v �LrAti1 D SOU 1``L D Y ei *Y�-w�9�s.°'x���� �`✓;� ,b^t3'<f .F ,'„sem t { `�,' tr t Zoo. o H -Ta• 33 50 _ �tt_ Lina - aCdiraai- high water ' 6` 1p i i h1 --A G ` 110 01 3 , o ' jO MAP OF LAND i SOZVEYED FOk' R A Mc kAY JAYNE AT EAST MAP-ION TOWN OF' SOUTHOLD, N.Y, ir c m ° , SCALE . 50'= r Z L_� 3 ct- rnonurg.n-t- Areca 2.$11 Acres } Guorarnteed to the ?'1f to Gucarrznfee companq and fa +he Soufhold i Savincts Snak as surveyed AuIL?s+ 1 VAN TUYL A SON r Licensed Land Sur i4or� Greerip�ort , Ne,yv York CID ,�+}�.��`�•�."js w =� .+cry'z fs A sy,a+1 i� wp"�t"ts� -?•'"�Y s+ro� >V'� V 7 cE� j Y - a 1' at�, . N .z m TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE � J LOT FORMER OWNER s vveN./-� -� Soo Pt � E t � rLLlAMsf�; ACR. b S _ TYPE OF BUILDING RES.,2/6 SEAS. VL. FARM COMM. CB. MICS. Mkf. Value ' U) LAND IMP. TOTAL DATE REMARKS Cf) 0 kdT a P A 4 ao d A -to. T,T- ori: J ' F- ' f a o 10'-0 7 11,T18 2- 1 7 1! � G o acs S t 00 m AGE BUILDING CONDITIONLO NEW NORMAL BELOW ABOVE 1 ►o Ua �o,a FARM Acre Value Per Value ti:YsLtw �oC Acre Tillable FRONTAGE ON WATER Cvoo m Woodland 1� FRONTAGE ON ROAD m Meadowland DEPTHCN r -' House Plot BULKHEAD m Total DOCK ■■■■■■■■■■■■ ■■■■■■■■■NONE■■■ ■■■■■■■■■■�■■■■■NONE■■■N■EN■■■ - ■MIN ONN■■N■■N■■■■OEiN■Ei■■■i■■ i k ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ f r ' NOON■■■N■■■■■■■■■■■■N■ ■N■■ MIMI■■:G■■■NM■■ mom■MEN ■N ■■■■■■■���� r��]■■■■mom ■■■■■■■ ■N■■N■■■a■■■■N■■■E - ■■■■■■■■N■■N■■■■NN■■■■■NEO■OO i:;A 1 ■■■■■■■m E■ON■■■■EEi■■i■■ . NOON■■1- ._. _ �����!�Ni■/�■■■■■■■■ ' ■■■�■■ '■ i■■nNmamp i°*�N■■■NON■■ : .. ■■■N�Ir,�N■NNN�iiE■N■■■■a[■■■EIS!■■ ■■■N/IGi_=f'■NN14rmA ■■N■■■■I_ iiN Tri■ ■■■RIME:■mmumm■N■mmmmmZus c ■■■■a■■■o■eNN■A■, r�� �!■�nOr�i■r_�E Foundation sement ,• ��� �pb. Walls tom, Interior Finish i. lace WHOM 4 l • j � r 1 I VG I O F so UjyO � <o # * TOWN OF SOUTHOLD BUILDING DEP . coum, 765.1802 INSPECTION ' [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] COD"?LATION [ ] CAULKING REMARKS: In NOWY. "�� W11kn WN OMIA cow o"e, C�0MCA OV3 III V,1vc �� TA 64,000, ova of N two.,, DATE 11P l? INSPECTOR Of SOUIyOIo c� lJO TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR � Le 1001ereC SOF so # ° TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING RKS: @ Sol olr DATE INSPECTOR - - e LOCATION:' �a mew a"v Who►" (number & street) (municipality) SUBDIVISION: MAP NO -- LOT(S): ., NAME OF OWNER(S)': itaviv % OCCUPANCY: 11I V �tJ l (type) (owner-tenant) ADMITTED BY: _ _ ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP>Q. 1000._J2�� SOURCE OF REQUEST: O'0✓r44� DATE.ZA DWELLING TYPE OF CONSTRUCTION: # STORIES: # EXITS: FOUNDATION: &.4 IASIti'1EN ': �� CRAWL,SPACE: - # OF BEDROOMS: IST FLR: - ' 2ND FLR: _ 3RD FLA: BATHRO'OM(S: �� TOILE WOOD, M(S): 0 UTILITYeROO'M: f"Mcov ^ / PORCHXYPE: C.o�. t6 CM 'CK,, TYPE: g0� PATIO;TYPE. BREEZEWAY: FIREPLACE: ©,ham GARAGE: S DOMESTIC HOTWATER:' TYPE HEATER: '.-'01 . AIRCONDITIONING: fl/� TYPE HEAT: DIV WARM AIR: _ HOTWATER:-SI� # OF KITCHENS:- ', FINISHED BASEMENT YES NO OTHER: ACCESSORY STRUCTURES . GARAGE; TYPE OF CONST.: W04 _ STORAGE, TYPE CONST.: SWIMMING POOL: GUEST,'TYPE CONST: r S4 . OTHER: • 1 zp ���' 1�a�✓✓e� ., o (�sm/�o— SSI VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION D ,SCRIPTION A AR1. 1S EC. pi �h -A-- A LA inLolooe r ,rv REMARKS: „ INSPECTED BY: 0�1h ��i�S�F,� 'DATE OF INSPECTION: TIME START:.1i 0 Q m END: ,