HomeMy WebLinkAboutZ-27317 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- 27317 Date: 09/25 00
THIS CERTIFIES that the building DWELLING
Location of Property 4782 ALVAHS LA CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 102 Block 0001 Lot 003 .004
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- 27317 dated SEPTEMBER 25, 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 ACCESSORY SHEDS & BARN*
The certificate is issued to CASTELLO DI BORGHESE, LLC
(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.
ut orized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 4782 ALVAHS LA CUTCHOGUE
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : CASTELLO DI BORGHESE, LLC
OCCUPANCY: SINGLE FAMILY CASTELLO DI BORGHESE, LLC
ADMITTED BY: ALEX HARGRAVE ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 102.-1-3.4
SOURCE OF REQUEST: ABIGAIL WICKHAM, ATTY 7/8/98 DATE: 09 25 00
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 6
FOUNDATION: CONCRETE BLOCK & STONE CELLAR: 25% CRAWL SPACE: 75%
TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 0 3RD FIR.: 0
BATHROOM(S): 2.0 TOILET ROOM(S) : 2.0 UTILITY ROOM(S) : **NEW
PORCH TYPE: FRONT COVERED WOOD DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 2-NEW GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING:
TYPE BEAT: OIL WARM AIR: HOTWATER:
OTHER: *EXIST ROOMS-(4)-NEW ADD (4) **4) **WASHER&DRYER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: WOOD FRAME BLDG. (BARN)
SWIMMING POOL: YES GUEST, TYPE CONST.:
OTHER: 2 ACCESSORY SHEDS (WOOD)
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. I SEC.
REMARKS: BP31355OZ-COZ15149 (GARAGE)BP#15101Z-COZ-18201 (POOL & DECK)
INSPECTED BY: / DATE ON INSPECTION: 07 13 98
457
TIME START: END:
r Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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. - Sw.orn;,;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
''-' re-existing" land uses:
Gir
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.
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. I /
2, Certificate of Occupancy on Pre-existing Buildine - $100.00 ( -,,D✓-�� �) 1 f
Copy of Certificate of Occupancy - _ .25n.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy. - Residential $15.'00, Commercial $15.00
Date . . . . 7/$hS1 . . . . . . . . . . . . . . . . . . . . . . . . . .
`ew Construction. . . . .. .... Old Or Pre-existing Building.X . . . . . .
,ocation of Property. . . . ....... .. . . . .. .. . .. .. IMahs. �. . . . . P
House No. Street Haml
Lcv�1 `:fnwer or Owners of Property.. . . . . . Y. . . . .. . ... . . . . ... . . . . . . . . . . . . . . . . . . . . .
:ounty Tax Map .No 1000, Section. . . . .. .�� Block. . . . . . . . J. . . . . . .Lot. . . . . ". . . . . . . . . . . .
;ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . ... . . . . . . . . . . . . . . .
'ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . ... . . . . . . . . . . . . . . . . . . . . . . .
iealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . ... . . . . . . . . . . . . . .
'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
request for: Temporary Certificate. . . . . . . . . . . Final Certicate.. '. .�. . . : . .
'ee Submitted: $ : . . . . . . . . . . . . . . . . . . . . . .
. . . r VZ4 . . . . . . . . .�
APPLICANT ci���
C0 � �7 � '�
CONSENT
TO.
INSPECTION
the undersigned,
Owners) Na (s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises 'in the Town
of Southold located at �/ S
which is shown and designated on the Suffolk
County tax map as District 1000, Section /OZ, Block J Lot .
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
A 1
f
gz� 0/7-
"�7 a
That the undersigned do(ees hereby gi 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 prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: -]
si nature)
(print name)
(signature)
(print name)
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
�001071 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
a Date APRIL 03,1998 Application No. on file 15688398/98 N 449769
THIS CERTIFIES THAT
ON only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
OK
om ALEX HARGRAVE, PRIVATE ROAD, CUTCHOGUEF NY
in the following location; ❑ Basement ❑ lst Fl. ❑ 2nd Fl. OUT Section Block Lot
ON was examined on MARCH 27,1998 and found to be in compliance with the National Electrical Code.
ON
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. I AMT. I .K.W. AMT. K.W. AMT. K.W. AMT. H.P.
ON
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL 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. N SYSTEMS O.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.
AMT. 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
10,
1 200 CB 1 X 1 4/0 1 4/0
OTHER APPARATUS:
ON,.
ON
DN
L L
ON
ON G & S CONTRACTOR LIC.#578 E
ON BOX 215 ANN
ON SOUTHOLD, NY, 11971 GENERAL MANAGER
ON 11
ON 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.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
SEP. -23'99(THU) 15:07 TEL:516 734 5485- P. 002
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DEPARZAIENT Or mAL ESTATE
AT utChO9Ue TOWN OF Southold
SUFFmK couNTr, New rORx
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BUILDING DEPAR111ENT
TOWN OF SOUTHOLD
HOUSING CODE ZTION REPORT
LOCATION:
number street nicipality
SUBDIVISION P 0. LOT (s)
NAME OF OWNER (s) `/G T—
OCCUPANCY
CY a (owner-tenant)
ADMITTED BY: ACCOMPANIED BY: (/
KEY AVAILABLE SUFF. CO. TAX MAP NO. OOU — O ;z - �� 3• T
SOURCE OF REQUEST: DATE: -7 AG A8
DWELLING_:
TYPE OF CONSTRUCTION STORIES # EXITS
FOUNDATION CELLAR �S6p CRAWL SPACE 7s�n
�T TOTAL ROOMS: 1ST FI.R. 2ND FLR. 3RD PLR.
BATHROOM (s) � TOILET ROOM (s) 2—ntzc— UTILITY.ROOM )
PORCH TYPE CvG•a�oC> DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE '- � GARAGE
DOMESTIC HOTWATER TYPE HEATER &Zpu AIRCONDITIONING
TYPE HEAT WARM AIR HOTWATER
OTHER:ck
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST,
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE. PREVENTION S BUILDING CODE
LOCATION .DESCRIPTION ART. SEC.
- J
S
,.41 ol
-
I , 12
REMARKS:
c
INSPECTED BY: DATE ON INSPECTION
TIME START/D.'ps E /z.'7-O