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HomeMy WebLinkAboutZ-31662 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- 31662 Date: 07/10/06 THIS CERTIFIES that the building DWELLING Location of Property 1010 SALT MARSH LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 068 Block 0003 Lot 006 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- 31662 dated JULY 10, 2006 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,AND ACCESSORY UNHEATED GUEST COTTAGE* The certificate is issued to MICHAEL & ARLINE YOUNGMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. or' zed ignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1010 SALT MARSH LA PECONIC SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) . MICHAEL & ARLINE YOUNGMAN OCCUPANCY: SINGLE FAMILY DWELLING MICHAEL & ARLINE YOUNGMAN ADMITTED BY: MR. YOUNGMAN ACCOMPANIED BY. SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 68.-3-6' SOURCE OF REQUEST: OLSEN & OLSEN, L.L.P 6/14/06 DATE: 07 10/06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: CRAWL SPACE: XX TOTAL ROOMS: 1ST FLR.: 3 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: ENCLOSED-(UNHEATED) DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: PROPANE - WARM AIR: FLOOR HEATER HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: ONE CAR WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: UNHEATED GUEST COTTAGE OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP#18099Z-COZ-19323(ADD)BP#27917Z-COZ28673(ACCY GARAGE AS PER COND. of ZW5129 4ted 4/30/0Mlec.Cert #2103594 dated 6/20/06) INSPECTED BY: DATE ON INSPECTION: 06 22 06 GARY FI H TIME START: 9:30 AM END: 10:00 AM FIT" Form No.6 ' Jr TOWN OF SOUTHOLD J 'i BUILDING DEPARTMENT Us` JUN f 5 2, o , ',� TOWN HALL 765-1802 � � APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to th&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. Conirnercial 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$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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporar_) Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. June 14, 2006 New Constriction: Old or Pre-existing Building: % (check one) Location of Property: 1010 Salt Marsh Lane, Peconic House No. Street Hamlet Owner or Owners of Property: Michael Youngman and Arline Youngman Suffolk County Tax Map No 1000, Section 68 Block 3 Lot 6 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: OLSEN & OLSEN LLP Health Dept. Approval: Underwriters Approval: 32 PO BOX 706 Plamiing Board Approval: CUTCHOGt NY 11935 Request for: Temporary Certificate Final Certificate: the one) , Fee Submitted: $ 100-00 9£6lL AN'3noow1(1J ` 901 X08 Od W011 NIdW 96VZ &V . OS dll N3S1012 WS p licant Signature rn L • �o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ® INSPECTOR E7 [J�[1�[J�[fflJ�[J�[J �[P[J�rJ�[J n[P[l�rJ�[.([.![.frJ QJ�[P[J�[J@1�[J�[J�[1�[J�[J�[f@nrJ�[J�[J�[J�[J�rJ�[.n[1�[J�r�[1[J�[1�[1�[.f[J�[J�[PrJ�[.fLn[J�[PrJ�rf[frP c0 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 5 5 5 Upon the application of upon premises owned by 5 5 5 B.J. ELEC. CO. MICHAEL YOUNGMAN 5 5 4300 STILLWATER AVENUE 110 SALT MARSH LANE 5 SCUTCHOGUE, NY 11935, PECONIC, NY 11958 5 Located at 1010 SALT MARSH LANE PECONIC, NY 11958 S 5 5 5 Application Number: 2103594 Certificate Number: 2103594 5 5 5 5 Section: Block: Lot: Building Permit: BDC. ns11 5 5 5 Residential 0-599 square ft. Described as a a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 First Floor,garage,Detached Garage,Outside, 5 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 26th Day of June,2006. 5 5 Name QTY Rate Rating Circuit Tyne 5 5 Panels 5 5 1 60 5 5 Wiring and Devices 5 5 Outlet 3 0 Fixture 5Fixture 3 0 Incandescent 5 Outlet 7 0 General Purpose 5 5 Receptacle 2 0 General Purpose 5Switch 4 0 General Purpose 5 Receptacle 3 0 GFCI Service 5 55 1 Phase 3W Service Rating 200 Amperes 5 5 Service Disconnect: 1 200 cb 5 SMeters: I _ 5 5 5 5 seal 5 5 I of 1 5 5 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 o �Ln�������LLn��Ln o CONSENT TO INSPECTION Michael Youngman:.and Arline Youngman,by Gary Olsen, as attorFebhe undersigned, Owners) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 1010 Salt Marsh Lane, Peconic, New York which is shown and designated on the Suffolk. County tax map as District 1000, Section 68 Block 3 Lot 6 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'the Southold Town Building lnspecLw, oxri-m� ror +hA following: a pump house, 12.3-18.2 shed, a one story frame cottage with deck, a one story frame house with enclosed porch 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 ros cutions for vio- lations of the laws, ordinances, rules or regulations th Town of Southold. D ated: June 14, 2006 (signature) Gary Flanner Olsen, as Attorney (print name) (signature) (print name) To1AFN OF SOU THOL �►P�R' 1C Rf IC-1 C ►. ..yA OV�NER STREET V LAGE DIST. SUB. LOT r FOR11�1ER7QIN' '';!? N E ACR. Y... �" I _ en r� r. W f TYPE OF BUILDING RES: SEAS. �� VL. FARM COMM. CB. MISC. Mkt. Value - LAND f IMP. TOTAL DATE REMARKS-110 ../� -2Z2 d o.:o.p 3 �i ©06 a©d Z = p FAf.-1 , Acre Value Per Value Acre Tiil:lable 1, Til lable- 2,. Tillable 3 Woodland Swampland FRONTAGE ON WATER Lam.. . _ ® `L B:rUs land FRONTAGE ON ROAD House:Plot DEPTH BULKHEAD x; .eCvw EMONE t � •.;+� y qua 't ' ■■■■■■ ■■■■■■■■■1�■■■■■■■■■ ■■■■■■■ ■■■■■1 �� ii■■■■■■■ ■■■■■■■ ■■■■■+IUMMMIUMNOW ■■■■■■■ ■■MMe■■ ■■■■■,ElI'.�■■■M■M■■■■■■■ ■W®■■■■f EMEMENCIM �44J■■■■■■ � ■■■■■■■■■e■■■■■■e ■■■■■■■■■ 'ram' • Recreation Room Rooms • Floor o r 0 SURVEY OF PROPERTY A T PECONIC TOWN OF SO UTHOLD SUFFOLK COUNTY, NEW YORK 1000-68-03-06 SCALE: 1"=30' FEB. 14, 2002 L°NG rsj,�,D SOUND 1V 66�58'00 E r!F lNF 98 46, L MH 4 H W Fr nO` 'V O O (� \� rz O O O r1 19117 D o ©Aron. n� < h Z D � Z to 3' roY.Or' D. . BANK cn 11.6'E D D ti w � 6.0 ., t- ,}•t n, �-, ,9 26. D Ck IDS, f _ ! �+ Ee:6 �.�r:,_: F r ..STY „ R C ru I I I'1 I w � GRR I 3 b UTILITY POLE ON z m a n 5 Z o 12 • ' ? v y !A PUMP 2.7' FE 0.9'E Qo rrl v, 33, RIB$ - - °p ��Y pZ E OF ter , IC. NO. 49618 AREA=30,023 S-F, ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION _ " ' OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. T❑ TIE LINE ALL CERTIFICA710NS ` 31 765 1i► FAKi631> 765-1797 �'r' , I EXCEPT AS PER SECTION 7209-SUBDIVISION 2. Qr 80 - • HEREON ARE VALID FOR THIS NAP AND COPIES THEREOF ONLY 1F j f�• (�Q�/`j': ~ S T ROE T 0 SAID NAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 49b f e D 2 919 WHOSE SIGNATURE APPEARS HEREON. -PII'I S D, I 7 S LOCATION: (number&street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): c OCCUPANCY: (type) (owner-tenant) . ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: # STORIES: _#EXITS: FOUNDATION: C �j-- CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): ti l UTILITY ROOM: PORCH TYPE: ,�,�1;, j�,••,��,, DECK,TYPE: �---� PATIO,TYPE: BREEZEWAY: IRRPLACE: u �, GARAGE: °� DOMESTIC HOTWATER:/ya--- TYPE HEATER: _ _ AIRCONDITIONING: TYPE HEAT: OTHER: WARM AIR: � T� HOTWATER: ACCESSORY STIWCTURES: GARAGE, TYPE OF CONST.: Cd�c, TORAGE, TYPE CONST.: SWIMMING POOL: GUEST,TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION&BUILDING CODE LOCATION DESCRIPTIOiV ART. SEC. REMARKS: -Co _ u ala INSPECTED BY: DATE OF INSPECTION: TIME START: Q%�Q END: O % 60