HomeMy WebLinkAboutZ-25387 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-25387 Date NOVEMBER 25, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
. Location of Property 700 ORCHARD ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 66 Block 2 Lot 8
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-25387 dated NOVEMBER 25, 1997
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 ATTACHED GARAGE*
The certificate is issued to MARY LIEBLEIN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-057855 - NOVEMER 21, 1997
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Buildin nepector
Rev. 1/81
lit)1 I.I)1 N(; DEPARTMENT
TOWN OF S011'l'II01.1)
110liSiNG CODE INSPECTION REPORT
LOCATION: 700 ORCHARD ROAD SOUTHOLD, N.Y.
number 6 aCreet — `--- --- Zm—���ic i Pal i i y�—
SIIBDIVISI.ON MAP NO.
NAME 017 OWNER (s) MARY LIEBLEIN _
OCCUPANCY SINGLE FAMILY
type owner=tenant
ADMITTED BY: : BOB GILLISPIE III ACCOMPANIED BY: SAME
KEY AVAILABLE ____9UPF.CO. TAX MAP NO. 10 — — —
SOURCE OF REQUEST: CAROL L. TABOR DATE:_SEPT. 5, 1997 _—
DWEi.I.ING: � _ -----------
'TYPE OF CONSTRUCTION WOOD FRAMEl STORIES 1-1/2 / EXITS 2
FOIINDATTON CONCRETE BLOCK CELLAR FULL CRAWL SPACE
TOTAL ROOMS: IST FI.R. 6 2ND 111.11. 1* JRD FLR.
BATHROOM (s) 2 1'01.ixT ROON (a) 1 11`I'TI.T'I'Y ROOM
PORCII 'TYPE FRONT STOOP DECK, 'TYPE PATIO
BREEZEWAY YES FIREPLACE. YES . GARAGE YES — 1 DOOR
DOMESTIC 1101WATER YES TYPE IIEATEll BOILER(COIL) AIRCONDITT()NING
TYPE HEAT OIL—BASEBOARD WARM AIR 110TWATER
01'111rR: *2ND FLOOR — BEDROOM WITH STORAGE SPACE & ALSO TOILET ROOM
ACCESSORY STRUCTURES s
GARAGE, 'TYPE OF CONS'T. STORAGE, 1-YI-9 CONST.
SWIMMING FOOT. , CIIES'1', 'TYPE CONST. .
OTBER:
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VIOLA'TI.ONS: CIIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION -- — --ART. — SEC.
REMARKS:
r r NOVEMBER 13 1997
I NSl LC'1'LD BY UA'1'L OF 'I NSL L(;'L'ION _ �
MICHAEL J. VE ---Y— TIME- START 10:30 AM END , 1 I:35 AM - —
*REINSPECTED NOV. 24, 1997
U TOWN OF SOUTHOLD
O BUILDING .DEPARTMENT-
TOWN HALL
-'NOV - 7 765-1802
�`c BLDG.'DEPT
'1' N F S UTHO 0 A. PLICATION' FOR.CERTIFICATE OF OCCUPANCY
A. This application' must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
J . 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 .
L. 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 Buildins - $100.00 ✓
3. Copy of Certificate of Occupancy - .25c.
4. Updated Certificate of Occupancy
5. -Temporary Certificate of Occupancy - Residential $15.00, Commercial �$15.00
Date . . . . . . . . . s PPP e-!nbvr. �,. 1997. . . . . . . . ... . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . ..Y. . . . .. . . . .
Location of Property. . . . .Z00,Orchard,Road,,Beixedpn SQut ►o��, , , , , , , , , , , , , ,
House No. Street Hamlet
Onwer or Owners of Property. . . . . . . . . ..Mary,V;,Lieblein, , , , . . . . .. . . . . . . . . . . . . . . .. . . . . .
County Tax Map No 1000, •Section. . . .Q60. . . . . . .Block. . . W... . . . . . . . . .Lot— PH. .. . . . . . . . . . .. .
Subdivision. . . . . . . ,Beixedon,Estates.. . . . . . ... . . . .Filed Map. . . . Lot. . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . .Date Of Permit. . . . . . . ... . . . . . . .Applicant. . . . . .M�zy. V..Lieblein. . . . . . .
Health Dept. Approval. . . . . . . . .. , . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. ... . . X. . . . .
Fee Submitted: $ 100:00
„ . .
. . . . . 1/ . . . . . . . . . . . 3.. . . . /
G APPLICANT i`"'. `y
3 ! /? Mary V. Lieblein by Carol L. Tabor, atty .in fact
1i:ill'1'
Mary V. Lieblein the a lde:►•sif;iiucl,
hereby stab,,:
'['hill lice under.:++3ignud 0.1j) (;Ic u) lh(:: own(1110 of rho hrolui8es ill lhi: 'Town
`;nl,l.hold localte d at 700 Orchard Road, Beixedon
Southold which In :;Icc,\Vl) and desigrimled on Ilk(! 5ufh- ll;
(:kiIlnl.y tax ,rc;cl, as Ui"Ar•ic:t 1000, .1;c:c:1lon 66 10ock 2 I ,f 008
"Thal the clrrc.lc,rsIglit,(1 (he.Is) ( lity(-) Illc,d, oc• c:;II►si::cl to l:,e ffle(I, nn al,l,IlciI
he the Southold Town I.lnilcling, Inspoci()res (ATIc e for the fc)l'lowinl;:
Pre,*sting Certificate 6f Occupancy .
That Illo Illider•tiil,n(:(I (lo(c::;) h(:ri:hy I;Ivo (:on.;onl. to Ilm Ifuilcllnf;
of Ilan Tow it of Soulho1d to c:nler ul,on the nhovo descrlhod prol,csr•Ly, including
any RIM all buildings located Uieruc L to conduct Such inshee"ons as they may
cloe"I necessary, will, r•ushenl to the ;•ifor•usuld nIgdIcal.ion, including Inspection.-,
to d"teriniue that said pr(?IrllseN c:oncl,ly \aIll, all. of I.he liiws, or dilailnc os, c nir:s
mid regulations c)f lh(: 'Tow ) c;f `0tithOld.
I'h�: unders(gnucl, In con:.;elltinf; to S1.1c.11 ill"puctions, do(es) so with lhc:
knowluc.lgenli,cl nn(luc•sti.ccuHpg that tiny Info;•nnition ohtrcined In face conduct of
:;uc:h h c:lloris may bo nsc:d nr:i cvidence in :o-uhsudueI'IL pr•osecntion;; .for• vio-
hitioll:a cif the, laws, (.i; c.lItIallcu: ,, ;•egid;ations of file i,owu of Soulhulcl.
I);Il,:cl:.____••Septeinber _S, 1997
Q;Q
Mary V. Lieblein by
__.Car.o.l—L..__.Tabor.,-a s-.-a-t_ty-in-Jac t
(t:;If!r,alurc:)
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8068857 THE NEW YORK' BOARD.. .O.F FIRE UNDERWRITERS PAGE 1
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW'YORK, NY 10038
NQ.VEMBER'.21i1997 15056997/97 H 057855
Date Application No:'on file
THIS CERTIFIES THAT
only the electrical equipme as- criW below and introduced by the applicant named on the above application number in the premises of
i
ESTATE ,OF FiAR V. 00 ORCHARD ROAD, SOUTHOLD, NY
ATTIC
in the following locat' a e Ixt Fl. 2nd F1.. Section Block Lot
�8 y-,r,�`39 l
was examined on and found to� a in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. MAT, K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS NU UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P: AMT. NO. A.W.'G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT WATTS
NO.OF FEET
SERVICE DISCONNECT NO.OF S. E R V I C E
AMT. AMP. TYPE METER B 3AN -1,fr 7W 3 d 3W 3 A'AW NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W.G. NO.OF NEUTRALS A.W.G.
EQUIP. PER a Of CC.COND. OF HI-LEG OF NEUTRAL
7
OTHER APPARATUS:
DEFECTS REMOVED. LETTER, OF 11/14/97-1
CAROL & WARD TABOR
14 ARNOLD AVENUE
LATHAM, NY, 12110 '
GENERAL MANAGER
• , 11
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
- COPT FOR-:BUILDING DEPARTMENT. THIS COPY .OF CERTIFICATEI' MUST. NOT BE ALTERED IN ANY MANNER.
TOWN OF SOUTHOLD PROPERTY RECORD; CARD
(OWNER STREET VILLAGE DISH SUB. LOT ,.
D.
FORMER OW. N E ACCR�.. //
ev�e •e e' O
_ :S W TYPE.OE BUILDING
SEAS. -VL. FARM' COMM. CB. NIICS. Mkt, Value
i
LAND IMP. TOTAL DATE REMARKS '
�'•
6 ,IQI,77,pq
,
o o S6 DD ' G to o. 3 17
AGE =BUILDING CONDITION
NEW NORMAL . ` BELOW ABOVE:
FARM -Acre Value Per Value ;
Acre
Tillable ` FRONTAGE ON WATER' Zp
Woodland FRONTAGE ON ROAD
Meadowland DEPTH '
House Plot BULKHEAD
'Total ` DOCK
• i
tlr;� .ti `, SwF a J_n 1 .. t ice'``11 {/} s 1'�.+,r; `.� i s ,.., 1 s+.:, • •
yyq cif+ ! a'r + .."'Im - E:f it 14� t'Yr.✓}^ri:.fim'rw3 + r" '
S'. { ii1�3 .Tea.n 7y1 i ,1 Y � 1 ■�■■■■■■■■�
\.e IiD
\ q,ti .iisl ' 1Qi 1.a a(' ..Y. E4en.i� 4 r4 t
�g, t +.G T ----+ ;it s Yfi� c .. ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■
.5 �■■�■■■■ ■■ ■
INm NONE No
■■■■■■■■■■■■■■■■■■■■�■■■■■■
IN Nil
IN ■ ■■■■
■■e ■■■ii■■■■■�■iir■■■■■■��■■■■■
■■■■■■■■■.���..��. ■■GEC■■■■■■e
■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■Foundation
Basement •• �-
Ext. Walls
I' Fire Place ' •
-BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: �Oat'�� 4'g
number 6 street municipality
SUBDIVISION MAP LOT(s)
NAME OF OWNER (s) I
OCCUPANCY
typ w oner-tenant
ADMITTED BY: &NJf- c ACCOMPANIED BY:
KEY AVAIL.ABL.E _SUFF_CO. TAX MAP NO. —
SOURCE OF REQUEST: - DATE: S
DWELLING:
TYPE OF CONSTRUCTION # STORIES i EXITS Z
FOUNDATION CELLAR CRAWL SPACE
TOTAL ROOMS: IST FLR._�D 2ND FLR._ 3RD FLR.
BATHROOM (s) �. TOILET ROOM (s) UTILITY ROOM �—
PORCH TYPE DECK, TYPE PATIO
BREEZEWAYFIREPLACE Ll
GARAGE
DOMESTIC HOTWA 'ER TYPE HEATER AIRCOI ITIONING G
TYPE HEAT ( WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTU S: ~
GARAGE, TYPE OF CONSTT. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
--------------------------------------------7----------------------------------------------
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VIOLA'TIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
Olt
17
✓�� _ Z
7/
2
REMARKS:
INSPECTED BY DATE OF INSPECTION
TIME START �D �jO END