HomeMy WebLinkAboutZ-32397 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- 32397 Date: 06/13/07
THIS CERTIFIES that the building STORAGE BARN
Location of Property 445 CAT ALLEY SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 075 Block 0002 Lot 017.002
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a X&-tM 1 f STRUCTURE
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 32397 dated JUNE 13, 2007
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 STORAGE BARN.*
The certificate is issued to JON T LAKE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO- 203 19 16 1 1 / 1 5/0 4 wx
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Authorized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 445 CAT ALLEY SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : JON T LAKE
OCCUPANCY: STORAGE BARN JON T LAKE
ADMITTED BY: JON T LAKE ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 75.-2-17.2
SOURCE OF REQUEST: JON T LAKE DATE: 06 13/07
XPEKINMEXX STORAGE BARN
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4
FOUNDATION: CEMENT BLOCK CELLAR: 1 4 CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 2 2ND FLR.: 1 3RD FLR.: 0
BATHROOM(S) : 0.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
OTHER:
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 DESCRIPTION ART. SEC.
REMARKS: BP33121 BATHROOM ADD COZ32396
,09
INSPECTED BY: DATE ON INSPECTION: 04/05/05
GEORGE GILLEN TIME START: 10:30AM END: 11:00AM
. 4 ,
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT ` _ U
TOWN HALL ` � t! l . �'- t`,
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
��_��
BLDG. DcP7
This application must be filled in by typewriter or ink and submitted to the Building Departm 't-,OLQ
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 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
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-$25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00
Date. 3
(see bel w)
New Construction: Old or Pre-existing Building: x (check one)
Location of Property: 445 Cat Alley, Southold, NY
House No. Street Hamlet
Owner or Owners of Property: Jon T. Lake
Suffolk County Tax Map No 1000, Section 75 Block 2 Lot 17.2
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: $ 100.00
Continuous use for storage and parking
Z-k—
of equipment, vehicles, trucks, etc. Applicant Signature
Agriculture related business
Q -r- ,_1 ®
5 = BY; THIS, CERTIFICATE OF ,COMPLIANCE THE, = 5
. -
- ,, N.EW� ",YOR-K='_BOARD - OF FI U DER T
5 40 '.FULTON= STREET = NEW YORK —NY 10038 "- S
51 I; 1 ~ r
-
5 CERTIFIES .THAT' 'I S
-_ I I I ,
5 I Upon the application of I upon
_premises owned by
�
5V.
- - GOODALE�-ELECTRIC CONT INC -- ILAKE 5
MATTI OX 1190 I , I I _ I � ,
I, P. O.,B - I I ,, PRI-VATE:ROAD;I
TUCK;NY 1.1952, -„ = OFF MAPLE ROAD _ S ,
_SOUTHOL'D, NY`11971 5
S
5 Located at PRIVATE ROAD'OFF MAPLE,ROAD SOUTHOLID,
5 ,Applicat'ion Number: 2031'9,16 , - - _ ,Certificate;Number: ,, 203191.6 S =
5 ,-=--
5 Section: Block: II Lot: Building PermiIf
t BDC: ns11
.I� II - 1: •, , i � ,- 1 '
5 . .Described�as a.- - Commercial' _ -occu anc wherein the remises electrical system- of
5
P Y� - P Y g 5
5 elect--rical deVibes and wiring;.described below,located In%on the premises at:
t,CC r B _-.•-- ' -- ,
Basement,Firs Floo ;Second Flor,work shop Outside, _ _I o ,
- _ - I- - -'
- I,
5 A.visual inspection of .the premises electricalIsyst'em,' limited to-electrical devices and. wiring Ito the extent -detai.led.f' S
C5� herein;' was conducted' in_ accordance with ,the 'requirements) of the: applicable„ 'code. and/or, -'standard
5 prornulgafed' by the State of NewlYork, Department;lof,State Code Enforcement.;and-Administratidn or'other 5
C5 authority having'jurisdiction, and found to begin-compliance therewith-on the _15t'_ Day.of' -November 2004. S ..
5 Name QY Rate, ,=Rating;I I Circuit Twe
I,
Miscellaneous
CCC 'as built 1996 5
'- -'ll -- 1 _
Appliances,and Accessories I i I -I 5
_: 5 Electric Heater Unit 1 -'0 -- =' 1000 Watts i.
5 Electric Heater Baseboard• 1 0 20 Amps 5
5 Pump Motor I-,10_ 1 H:P. S'
'•Wiring-and Devices
Outlet 15 0 Fixture _ 51
Fixture - .i'- f2_ 0 - Incandescent!
- Fixture - 3 -0 - - Flourescent 5 . i - 5
Outlet 14 0'' General Purpose
I ,I� I I I-.: , _-,Receptacle,,- - - - 8 0, , , General Purpose 5
5 Switch ' - 6 .0 - General Purpose_ 5
5 Receptacle I 0 _ 20 amp Special '' _ 5
� I i I 11 I 1
' S Receptacle ,.0= SO amp; Special I 5
_ Receptacle _ 4, 0 __' GFCI - I 5
5
5 Service - sea/i'Phase 3W Service Rating 200-Amperes- i' S
5 Continued on-Next Page l of I 2 5
This certificate may'-not be,altered in anyway and is validated only by the,presence of,a raised,seal,at the'_location indicated.,
5.
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5 = _BY THIS- CERTIFICATE.,OF_'-_COMPLIANCE, THE.
5 -NEW- YORK ,;.BOARDUNDERWRITERS, 5
I' -IBUREAU,IOF iE�LECTRICIITI(„
5 40 -FULTON STREETI, INEW:,YORK, NY,I 10038 5
5 1 � it
II I. .I �i - �i .I -
5 _ --CERTIFIES THAT.-'_ � __ � 5
the'appIf ztion'of- _ - _ upon premises owned
I' GOODALE ELECTRIC-CON- T- INC-''-;,_ LAKE 5
PR. O:-BOX 1'190 _I - PRIVATE,ROAD:-,. - 5
5 MATTITUCK,-Ny 11'952, OFF'MAPLE ROAD 5
_ 5 SOUTHOLD;NY 11971 C5
5 Located at PRIVATE ROAD OFF-MAPLE'ROAD_SOUTHOLD NY-1197,1
S_,.App)ication Number: -_ 20319.16 1 : _ -'_I = Certificate.Number:_ _2031916 5
C 5
� _ =1 - i i I - - 1 - _- � - - --
5 Section: Block: Lot: I " Building Permit.' BDC ns11 5
I I I I I I - ,I � -
5 SDescribed_'as a Corrimercial ". I _:'" occupancy; Whe-re'in.the premises_e-lectri'cal.system consisting of '
electrical devices and wiring, descri bed.below, located-in/on the pre'mises_at: = I =
_ _ _ _ S
Basement First Floor'-Second'Floor workshop Outside "
, _.'�
IS5 A.visual -`inspection of -the premises electr-ical system;' Iim'ited' to'.ellectrical deyice.s'and' wiri`ng.'to,,the extent detailed'
M herein, was. ;conducted in ',accordance) with the requirements -of the, applicabl6,-,code ,_and/or:= standard_ r
5 promulgated by the.State of- New .York, Department of=,State Code Enforcement and Administration;-or other 5
authorit haven -y g=jurisdiction, and fourid to be in compliance therew_ ith on,the, 15 Day oft „ November,2004 - S
Name' - - _ -- - _ -- -..= _ I TY '-Rate' Rating,'-'- -Circuit -Twe' I- -
Miscellaneous
5 Commercial Inspection Fee
Service
5 ,Service,Disconriect: -- _ _ � I ' , -. -
1 ,, -200
5 j.
Meters• 1_ '1-I. II .I I ;
5 Arras:built inspection,of the'&Im' ated electrical installation,_defermiri'ed that'an-oburous-hazard is'not present and the installation is believed to ' S
- 5 ''>�e in conformance with the applicable reference standard for the-estimated period=of construction of=the premises wiring.system
.=_ _
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•. � I .I � '' I II �- �I II - I I I- �( 'JV�/ I• =1 I - _ ��_ I
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5
2 . 5
5 This certificate may not b-e'altered in-any and is.valid_ated only by the.presence of a raised'seal at the location indic_ated '_ 5
7 ,I -i1- -
LOCATION: .� T L� (MAP, Av ) So LC 11 oL
(number& street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S): TO N 7-., J
OCCUPANCY: S-ror d G C BAXA( o/V 7_2 �
(type) (owner
ADMITTED BY: ToN T �l C.C ACCOMPANIED BY: 0-11-9,CETT
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- 75- X 17, A
SOURCE OF REQUEST: ° T• �-� E DATE:
4 B401
TYPE OF CONSTRUCTION: W # STORIES: #EXITS:
FOUNDATION: Lo CELLAR: ',4 CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: 21 2ND FLR: I 3RD FLR:
BATHROOM(S): TOILET ROOM(S): ~'- UTILITY ROOM:
PORCH TYPE: DECK, TYPE: —'— PATIO, TYPE:
BREEZEWAY: FIREPLACE: GARAGE: '—
DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
OTHER:
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
LOCATIO DESCRIPTION ART. $EC.
ell
ry �
47
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REMARKS:
INSPECTED BY: y/';7 DATE OF INSPECTION:
TIME START: � 0 ' 3 v END: ��
.04/01/2005 1'1 c 17 631=734-7702 )-CTORAH. D&Y ESQ PAGE' 02
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CONSENT TO INSPECTION
Jon T. Lake
the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned(is) (are)the owner(s) of the premises in the Town of
Southold, located at 445 Cat Alley, Southold ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 75 ,Block 2 , Lot 17.2
That the undersigned(has) (have)filed,or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Pre-C/0
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: -3 t�c�S . rz�
(Signature)
on T. Lake
as— (Print Name)
(Signature)
(Print Name)
TOE 'A OF SOUTHOLD P"-.OPE-"TY RECORD C*47-0 �
I� r 7s" 7
OWNER STREET 41 e,1,5 VILLAGE DIST. SUB. LOT
-
FO MER OWNER N E ACR use- '�"2c Awl
Tosep 4. �e S " me , W TYPE OF BUILDING
17
RES. SEAS. VL. �� FARM COMM. CB. MICS. Mkt. Value.
LAND IMP. TOTAL DATE REMARKS
(� - L o
yG 8o SR(e ./ �'9 3 333 c.r• P�,C9c .Te s Ga i es 1r� -T
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH L�
House Plot BULKHEAD
Total.
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lExt. Walls Interior Finish
Fire Place
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e Roof
��Recreation Room ... . ..