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HomeMy WebLinkAboutZ-27061FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27061 Date: 04/27/00 THIS CERTIFIES that the building DWELLING Location of Property 925 FOUNDERS PATH SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 064 Block 0002 Lot 041 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- 27061 dated APRIL 27, 2000 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 ENCLOSED PORCH AND CONCRETE PATIO.* The certificate is issued to ERNEST H TEMPEL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 8/]2/98 23042 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 uth&ri.:d g&Ztur BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 925 FQUNDERS PATH SUBDIVISION: NAME OF OWNER (S) : ERNEST H TEMPEL OCCUPANCY: SINGLE FAMILY ADMITTED BY: BARBARA DEACON $OUTHOLD MAP NO.: -- LOT (S) -- ERNEST H TEMPEL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 64.-2~41 SOURCE OF REQUEST: LINDA M. SCALIA {AGENT) DATE: 04/27/QQ TYPE OF CONSTRUCTION: FOUNDATION: CONCRETE BLOCK TOTAL ROOMS: 1ST FLR.: ~ BATHROOM(S): 1.0 PORCH TYPE: REAR ENCLOSED BREEZEWAY: DOMESTIC HOTWATER: ~ TYPE HEAT: CAS ~ST.) OTHER: WOOD FRAME # STORIES: 1.0 # EXITS: CELLAR: ~ CEAWL SPACE: 2ND FLR.: ~ 3RD FLR.: ~ TOILET ROOM(S): 0,0 UTILITY ROOM(S): -- DECK TYPE: PATIO TYPE: R-EAR CONCRETE FIREPLACE: NONE GARAGE: ONE CAR TYPE HEATER: ~ AIRCONDITIONING: WARM AIR: HOTWATER: ~CCESSORY STRUCTURES: GARAGE, TYPE OF CONST~: SWIN~4ING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS~ CHAPTER 45 N.Y. STATE UNIFOIL~ FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DATE ON INSPECTION: 03/30/00 TIME START: 9:45 AM END: 10:15 AM TOWN ItALL 765-1.802 APPLICATION FOR CERTIFICATI£ OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildini inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, st reels, aud unusual natural or topographic features. 2. Fioal 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 buildil and installations, a certificate of (;ode Conipli;mce from architec~ or euginee~ ~esponsible for the building. 6. Submit Planning Board Approval of completed site pl/at{ requirements. i' For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings at "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 i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory bull.ding $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction. Old Or'Pre-existing Building.. House No. Street Ha~et Subdivision ......... Filed ~ap ............ Lot .................. Health Dept. Approval .......................... Unde~riters Approval ..................... Planning Board Approval ........................ Request for: Temporary Certificate ........ ... Final Certicate ........... ' ........ ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON A FENUE EAST PA TCHOGUE, NEW YORK 11772 (5! 6) ?86-6642 23042 APPLICATION No. ON tqLE ~TLLAGE: Southold ADDRESS: 925 Founders Path ISSUED TO: Ernest Tempel rowdY: Southold INTRODUCED B Y: Lademann Electric, inc. L1C No.. 4141E was examined on 8/12/98 and found to be in compliance with the National ElectricaI Code LOCATION: Base.. XX I st 2nd 3rd Attic Det. Garage Hot Tub Pool SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.I~I. AIP~ ~OND. DISttWAXHER DRYER CLOTHES WASH. GAP~ DISP. RANGE OVEN STv~OKE DETECTOR FURNACE OIL [ GAS [ CII~ MOTORS [BELL TRAN. SERVICE DISCONNECT 1 1 O0 OH OTIfER EQUIPMENT Outside,Res. Service Only B UILD1NG PERi,IT No. ORiGINAL YELLOW COPYPINK COPY OFFICE HUGO S. SURD I PRESIDENT CONSENT TO INSPECTION Owner(s) Name'(s)" do(es) hereby state: the undersigned, of Southold located at ho.-/. That the undersigned (is) (are) the owner(s) of the premises in the Town , which is shown and designated on the Suffolk County tax map as District 1000, Section 6q · Block c~ , Lot Y-] [ That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tton in the Southold Town Building Inspector's Office for the following: 3 oF 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, ordtnanees0~rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge a~d understanding that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regulations of the Town of Southold. (print name) ~ENTUIW 2t ALeElt'TSON MAIN ROAO 80X 596 soIm4OLD, NY 11071 msmus (sm7ss.noo (siena[ute) (print name) LOT 67 , S 64' 05' 00" IV. $4.6' 2 RAIL WOO0 FENCE t2.7' n 12.2' STORY ~ --J4.6' F WOOD FRAME to.o' ~.o' RES. ~ ASPHALT DRIVE 6.5' 22. J' 'T~N 64' 05' 00' LOT 69 ~ro ~ LANDON FM] 834 FILED MAY I0. 1927 TM 1000-064-02-41 SUBDI V/ZION I~E~I'I.Y SOtlll-I 0.2' 150' ~tr so~.~ o.~' 150' m LOT 78 LANE Guarantees indicated here on shall run only to lhe person for whom the survey is prepared, and on his behalf to the tit-I? ccu~pcny, Covern',.entcd Agency, len~i:*,.j insli~tlcn, if Ii~t~d hereon, and lo th~ c s;:Ln~s of 11~ len,Ji,.~ institution- Ouc~rent~s cra nc! tronsf~r:~ble la nddiiion~J institutions or scbsequent owner~ SURVEYED I FEBRUARY, 2000 SCALE I"=30' SURVEY OF AREA-- II, 700 SF LOT 68 OR 0.268 ACRES IN MAP OF FOUNDERS LAND/NC SI TU A T~ SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. GUARANTEED TO IRENE M. CONNOLLy FIRST AMERICAN 17T~E INS. CO. TI~..Ei~I 161S 0751 TOWN OF SOUTHOLD SURVEYED FOR IRENE M. CONNOLL'Y' Coples of thls survey map not bearlng the Land Surveyors embossed seal shall nO! be considered !o be o valid true copy. Unauthorized alteration or addition to !hi,SURVEYEO BY ~urvey is a vlclalion of Section 7209 o¢ . the Hew York State Education Law. STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW $UFFOLK, NY 11956/? /ucE. A~o SUR/g;'o x NYS NO. o0R856