HomeMy WebLinkAboutZ-27757 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27757 Date: 06/18/01
THIS CERTIFIES that the building DWELLING
Location of Property 150 WEST LA EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 031 Block 0015 Lot 008
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- 27757 dated JUNE 18, 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 ENCLOSED PORCH.*
The certificate is issued to CAROL A & WOODS & ORS.
(OWNER)
of .the aforesaid building. ,
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 9/24/99 N 501890
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REP T.
Authorized S nature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 150 WEST LA EAST MARION
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : CAROL A & WOODS & ORS.
OCCUPANCY: SINGLE FAMILY CAROL A & WOODS & ORS.
ADMITTED BY: CAROLINE BOUCOS ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO_: 31.-15-8
SOURCE OF REQUEST: WILLIAM H PRICE, JR, ATTY DATE: 06 18 01
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAM # STORIES: 1.0 # EXITS: 2
FOUNDATION: CONCRETE BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR_: 4 2ND FIR.: 0 3RD FLR_: 0
BATHROOM(S): 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: UNHEATED REAR ENCLOSED DECK TYPE: FRONT STOOP PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR. X HOTWATER:
OTHER: BILCO DOOR
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION& BUILDING CODE
LOCATION I DESCRIPTION ART. I SEC.
REMARKS: REINSPECTE 6111101
INSPECTED BY- DATE ON INSPECTION: 05/30/01
JO M BOUFIS TIME START: 10:20AM END: ll:OOAM
S tUtfit ail U
TOWN of SOUTHOLD
bUILD1Nd DGPARTMEth
TOWt4 BALL
765-1002
APPLICATION I.OR.CCRTiFICA'TE ()F OCCUPANCY
1 .
A/ This application must be filled lit by typewriter OR ink'and submitted to the building
inspector with the folloWingt for neW building or nett .Usef
Is Final survey of property Witlt decurdtd location of ail buildiigsi property lit as
strnetss ntid unusultl tiatUrai Or topographic faaEUi:edc
�. 2a Final Approval from Itealth bepts' of .tdater supply and sei4erage—disposdl(S-5 forw) :
J, Approval. of electrical installdtiott from hoard of Firti Under4iritersl
C Sworn stateme►it from plumber certifying that Elie solder Used it' dysteni cdhtalns
: .� . less tltatt 2/10 of 17. lends
5a Commercial buildittgi itidus,ti-ial bttildiitgi 1nUltiplo tesidenewt ind sbitilar bttlldings
ntid installations a certifictitti of Code Compiiancti from' architect or ehgiaeer
responsible fok the 6uiid1n9s
64 Submit Plaittting hoard Approval of completed site piatt rbquirenients.
t,
'. us For existing buildings (prior Ed April 91 1957) tiott=conforming Usess or buildNg-i mid
t tapre-existiriglt laird usest
1s Accurate survey of ptopstty sliawitig At property llness streets building and ;
Unusual natural Of topographic featutpss - e
2:. A properly completed appliedtiori sited tf consent to inspcc slgtiRd� 6y tEte�rap l�`.cn is
if a Certificate of decupattbj► id dettit+d+ Elie building Insp'ec•tor" slt:i:ll""state
t reasons therefor in writing to Elie applictintc 4 ' 1
MAY 1 2001
G+a Fees l s
is Certificate of OctUpdttcy - New dwelling ,$15.401 Additions td°Jwe111:hg :25+b01
Altettttion9 to dwelling $��tOUf SWitauning Nool''$25:s;00j :;Ac;gessory .bU�:ltl�ltig:;'_$'2SaUU
Additions' to accessory building $25,004 , . BUsittessea 50,:;0O.:s";,;.
.
"Certificate of Occupancy bit pre--existing 1801idlitg
da Copy of CerEifi'catd of 0ccUpatic•y,-.$5.00 '6ver 5 years 10:00
41 Updated. Certificate of Occupancy -+ 50,00
51 Temporary Certificate' of Occupancy, - Residetttidl Wi0oa Comm
$15.00
baEe
lieW Cons'trUctioti, s i s i a s , + c Old Or Pre—existing [JUilding a : ,X: i a 1 a�, : , a t a : 1 ,
150 West Lane ,
Loc}ttion of Property4sall , , , iliac , „ aiiiiiii + aaissiiiaass „ 4 + , a , : c1 f3,�tr+ :M 4�sac::ls:, 11
House Ito: Street
dniaer tit Owners of Property c s Joyce Ell Sch lectwe�( t �a�iq}1�s•a sW44�asssa t'�DF°.44FI?: s1i t a a a 1 14
BushmH ,06II P�� pp•S 00I : ss:::ll
County Tax tlap No 10001 Sectiotic ,;s.1 +.t+ + sac : 140iacks + 4 Qat , : 1ls :Lots. . ss
Subdivision: , ac Ili,a , as , a , laat „ 1 „ a 161 , 41s , a , : 4F.iled Ita{taa : assay : sa :Lot. . s :: s : ssatss:sitisl
Permit Nos 114; 6alaa ,.flAViUate Of Ptttmitl ill ' ill > a.11a1aaApplicantal „ 11a Jill aa , l : , tal:tJlcal
llcaltlt beets Approvalasss , sas +.1 + + „ a + + sill + + sssUaderwriE6r+s Approvit i1slls : ts + a . slitsssl , i
planning board Approvdiss , s: + l , , aasa „ , atsla ,ss.
Requd§t fort i Tempgrat,y Certif irate, i s a s a t s s , a Final Cet ticaite, a c c$s t , , a s
Fee! 'Subtnittpdi :$. a ' A'00fP,0 4& 81satl.ailaaai,at
nn hE'rLzcnitr
ILL S�lo _`C7 - . . W1Tliam .H Price; 'Jr.
THE NEW YORK BOARD OF FIRE -UNDERWRITERS- PAGE 1
1195099 BUREAU OF ELECTRICITY , - I ,
40 FULTON STREET, NEW YORK, NY 10038
Date SEPTEMBER 24,1999 Application No. on file 19041699/99 N 501890
THIS CERTIFIES THAT PERMIT NO. MTR #33492101
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
MRS BUSHMANN, WEST LANE, POLE 4 LI, E. MARION, NY
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. 'OUT Section Block Lot
was examined on SEPTEMBER 21,1999 and found to be in compliance with the National Electrical Code.,
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W.' AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC-PT.1 TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R- _V. I C E
METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
ni,
AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI•LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
150 CB 1
OTHER APPARATUS: _
JIM SAGE ELEC. INC. LIC.#3635E b1w'L'
PO BOX 38
GREENPORT, NY, 11944-0038 GENERAL MA GER
11
Per
This certificate must not be altered in any manner; return to the office of the'Board If inco 11 rrect.Inspectors may,be Identified by their credentials.
�aeaa ® ® � aae �
C
V�
D
pz q
unauthorzed alteration or addition Q
to this survey is a violation of
Section 72os of the Now York Star®
Education Law. N
Copies o1 dtb su tttsp rtot bttiartnd
the land wvsyers inked seal or
embossed seal ahal not be aonsldand \� X
to be a traod trod copy. O
LU
Guaranum kttiketad Mason"eat
on to fl,serson p br ta tahoet d @urwy
y `
Is prepwad.and on We b§W ID I fa
title eornpanp.povanrttsrtd www affd \� s
ltooe,aM'0a basses d M ff01 wa+don• ri\�] V h
VA
Guarantees are rat imnslorablaPQ
to additional Institutions or sub*@*W% `i In
owners.
LA N p SV K
vb�► LEW,9rY�q`Fo t ,(/�GA/.eo��YEq x"��/nYfo.l .E'✓l�E Z.
°�
-9? ear
,90 �.
�O�ME'WY
OQ
,c�.l►tcw�
LoGvTiac,/.�i9'�T/J��D.C/a.C/ Tw,vc;��rs/o�v ,t/. Y �ovT,ttxa,.v,�!//y7i
Gum.�T�EoTe.C�,y.�,yTiyFF.�j+yice►-, La-r/�av��,Qys�L�,vv7r«/,y��se�,����y�wy,�'
psropE',,le.9y71
LCTi/1�/ado-3i�i5 a6 ,
r
. t .
CONSE14T
T,O
INSPECTION
William H. Price, Jr. , as attorney 'for Joyce E. Schlectweg, Carol A.
Woods, and Theodore H. Bushmann., III,
Owners) N.unu(:;) i the undersigned,
do(es) hereby state;
the attorney for
(is
That the undersigned g )AMMk the owner(s) of the prernlses in the Town .
of Southold located- at 150 West Lane, East Marion, New York
Which is shown and designated on the Suffoll:
County tax map as District 1000, Section 031 . 00 .Block 015. 00
Lot 008. 00
That the Undersigned (leas) (have:) filadj or caused to be filed, an npplica-
tion in the Southold Town Duildil;g; lnspector's Office for the following;
r
Certificate of Occupancy on pre-existing building
That the undersigned do(es) hereby give consent to the Building Inspectors
of the 'Town of Southold to enter U13on 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 'I'owri of Southold.
The undersigned, in consenting; to suet, inspections, do(es) so w-itli the
knowledge and undeistanding that any fnformai tion obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinanceSe rUles or regulations of the Town of Southold.
• Dated, May 16 , 2001
• � signature)
r William H. Price, Jr.
(print name)
(signature)
(print name)
r '
,t