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Home My WebLink AboutZ-27504FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27504 Date: 01/08/01 THIS CERTIFIES that the building DWELLING Location of Property 11600 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 031 Subdivision Filed Map No. EAST MARION (STREET) (HAMLET) Block 0014 Lot 001 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- 27504 dated JANUARY 8, 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 The certificate is issued to ATHENA SELLIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SFR ATTACHFn TNSPF.CTTnM RF.PnRT_ Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 11600 MAIN RD EAST MARION SUBDIVISION: MAP NO.: IAT (S) NAME OF OWNER (S): ATHENA SELLIS OCCUPANCY: SINGLE FAMILY ATHENA SELLIS ADMITTED BY: JENNIFER PRICHARD ACCOMPANIED BY: SAME KEY AVAILABLE: BUFF. CO_ TAX MAP NO.: 31.-14-1 SOURCE OF REQUEST: ATHENA SELLIS - 10/17/00 DATE: 01/08/01 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION: STONE CELLAR: PART CRAWL SPACE: PART TOTAL ROOMS: IST FLR.: 5 2ND PLR.: 2 3RD FLR_: 0 BATNROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: FRONT DECK TYPE: SIDE WOOD PATIO TYPE: FRONT BREEZEWAY: FIREPLACE: ONE * GARAGE: DOMESTIC HOTWATER: XX TYPE HEATER: NAT.GAS AIRCONDITIONING: TYPE HEAT: NAT. GAS WARM AIR: HOTWATER: X OTHER: *2ND FLOOR ORNAMENTIAL NON -WORKING FIREPLACE ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST_: 2 CAR WOOD STORAGE, TYPE CONST.: 8 X 10' WOOD SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE NOTE; STRUCTURAL & HEATING SYSTEM CERTIFIED BY JOSEPH FISCHETTI, PE 1/2/01. I;1:_; ilanti INSPECTED BY: DATE ON INSPECTION: 11/20/00 JOBN M. BOUFIS TIME START: 10:25 AM END: 11:20 AM TOWN OF SOUTHOLD _ BUILDING DEPARTHEENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF P CC[�PANCY A. This application must be filled in by typewriter OR i k au18 k 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 bi and installations, a certificate of Code Compliance from architect or engin( responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. nFor existing buildings (prior to April 9, 1957) non -conforming uses, or buildii �+ "pre-existing" 'Land uses: 1. Accurate survey of property showing all property lines, streets, building ac unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the app] 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 $25.00 Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. 1.0 I1:.?O.Oo b ................ New Construction........... Old Or Pre-existing Building ...i%............ Location of Property. .l.l1000.....MQ ^„ P-04d........................Eam..!�QQJQ"1). House No. ea /�, Street Hamlet Onwer or Owners of Property.....I� ... S....i....................... ............. County Tax Map No 1000, Section.... �.I......Block...14...........Lot....�.......... Subdivision. .a`.............................Filed Map ............ Lot .............. Permit No ... 0.[C .......Date Of Permit................Applicant..................... Health Dept. Approval..OAC&....................Underwriters Approval.... ...... Planning Board Approval.... .................. \\// Request for: Temporary Certificate........... Final Certicate.....A..... Fee Submitted: :.'o ................ . �!2!.�"' :`. ....................... APPLICANT a,k,. s Gkv M -a; 2750 (27� CT"elw PROFESSIONAL ENGINEER HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971 PHONE 631 — 765 -2954 FAX 631 — 614 -3516 Date: January 2, 2001 Reference: 11600 Main Road Building Department Southold Town Main Road Southold, NY 11971 Dear Sir. I designed a new beam to replace the rotted beam in the basement of 11600 Main Road in East Marion. On this date I inspected the completed installation of the new beam and it is adequate to support the required loading. Also on this date I inspected the gas fired boiler in the basement. The boiler and appurtenant piping are in satisfactory condition. I-rzzzzz>l Josef TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREETO(, VILLAGE DIST. SUB. LOT 1 FORMER OWNER N ACR. S Wc Q TYPE OF BUILDING RESP ASEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 6 / 00 oZ�o-a Cum 1, �FrAmi C:L j S I C (10 3 06 S�2Q 6 ✓ ! 9a '3 P 1�3�,-��Boy°'�'��'c - FC - �l5H 00 0 AGE BUILDING CONDITION NEW I NCRMAL BELOW ABOVE FARM Acre Value Per Ac re Volue FRONTAGE ON WATER Tillable Woodland FRONTAGE ON ROAD ��OQ " - 7 Meadowland DEPTH �7 House Plot BULKHEAD Total DOCK I 0 CONSENT TO INSPECTION 4-I'lyjo, sells s I , 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 116 0 0 vYla,✓t )?d. FOS4 MM2 # 0 V, IJ`I which is shown and designated on the Suffolk County tax map as District 1000, Section 3 I Block 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: CPF_-t,�:rcd-c o -f 8rcupgrq,r on ire-ears-f,A�burtdMw 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: Q000or 17 1 ZOoa signature A-Yiroh a Se t l t' s (print name (signature) SURVEY OE fi RoPERIY -- — - - - - 51TUATE: EAST MARION TOWN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED II-1-2000 SUFFOLK COUNTY TAX # \ 1000-31-14-I \ S Al CERTIFIED TO: D a X98, O% o 'BRYAN DONKEY � JENNY BETH DONNEY A \° S FIDELITY NATIONAL TITLE ° \o ,�� INSURANCE COMPANY o 30w �S"oY� Fo s 0 io 0 3A off 0 14 Q o jO(o 0 c Orn Z jz �o\ s O A N o mv; � °\ SVS i i ry, I S \ , - 5.4H ---ov R- -- ID FrP N � ?. s.*' cF p� w cK O z N d d 22,2 Q uuz m IT no c N h L rD9 4 ° Q aLL —_� O p,DO � 7\ ' / N Q min v O LLo4 0 N ILj LL �I o� o Li 6AR F W z I i.ew IU Q oJ mG RAGE r l ` 30.9' i3 R w zeR J Go? t coO U rN V I J) zFE O 45 TCKADE FENCE O—O- ra iFE POS5T 8 RAIL -O—O—O——O—O-,—O—O 106.s4 r �J LAND NON OR FORMERLY OF EDNIN R. 5GHAFER NOTES:`p e Nen Y k 5[ [e EMcol�on L e m � Ely copieesnl.em [M o.lglna o� Mis survey ® PIPE FOUND eon` a:�'Z�"' " tt. . s:a DEED REP. L. 8804 c 3-7 <. �¢ ay p 3 0 - o °��-t " m,aee� eyl,..... I, —t", AREA = 36,015 SF OR 0.83 ACRES JOHN C. EHL LA 0 AND �[h� SURVEYOR GRAPH IG SCALE I "= 30' 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RrvERHEAD, N.Y. 11901 �F.��.Ip SERVER�D�PROS�20-281.pro - _. 369-8288 Fax 369-8287 M-1802 BUILDING DEIn INSPECTION [ ] FOUNDATION IST [ J ROUGH PLBG. [ ] FOUNDATION 2ND ( ] INSULATION ( ] FRAMING [ ] FINAL [ J FIREPLACE & CHIMNEY REMARKS: /l*� � � �� zzogz zzj'tj4 Lee A�W 'g?A"i ,DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iSY[ ]ROUGH LBG. [ ]FOUNDATION 2ND [ ] 1 CATION [ ]FRAMING ] FlNAL [ ] FIREPLACE & CHIMNEY REMARKS LOCATION: 11600 SUBDIVISION NAME OF OWNER (s) OCCUPANCY type ADMITTED BY: KEY AVAILABLE SOURCE OF REQUEST: ivwa Ur SUUTHULD HOUSING CODE INSPECTION REPORT r & str et municipali y MAP NO. LOT (s) 0 �`f kowner-tenant) nccorrnANIED BY: G SUFF. CO. TAX MAP NO.`S DATE:— DWELLING: ATE: DWELLING: TYPE OF CONSTRUCTION # STORIES J�# EXITS FOUNDATION .Azy," e- CELLAR /9 CRAWL SPACE TOTAL ROOMS: FST FI.R. 2ND FLR, g 3RD FLR. . BATHROOM (s) A . TOILET ROOM (s) . UTILITY ROOM PORCH TYPE DECK, TYPE _57 /'PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATERj AIRCONDITIONING TYPE HEAT /1/Ar- 0*k WARM AIR OTHER: HOTWATER ACCESSORY STRUCTURES: �j�,� GARAGE, TYPE OF CONST.p� (` �`�' - -- STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: ----------------------------------------------------- --------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE ILDING CODE. INSPECTED BY: � n C7 DATE ON INSPECTION %lrl lam-"" / TIME START �� END -a