HomeMy WebLinkAboutZ-19431 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-19431 Date OCTOBER 11, 1990
THIS CERTIFIES that the building ONE FAMILY DWELLING
30 WEST LAKE DR. &.
Location of Property 2505 LITTLE PECONIC BAY LANE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 90 Block 1. Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a Private One Family
Dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19431 dated OCTOBER 11, 1990
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
The certificate is issued to JANET MALONEY fmly JANET BRUGNOLI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL VA
UNDERWRITERS CERTIFICATE NO. N-608494 - JULY 7,- 1983
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
/�'Building Inspector
Rev. 1/81
BUILDI:•:G DEPART:•IENT
T0JN OF SOUTHOLD, N. Y.
HOUSIi•:G CODE INSPECTION REPORT
Location 30 WEST LAKE DR. & 2505 LITTLE PECONIC BAY LANE SOUTHOLD, N.Y.
knumoer do street) 1,1unicipaiity)
Subdivision clap No. Lot(s)
Name of Owner(s) JANET MALONEY
Occupancy A-1
(type) owner-tenant)
Admitted by: MARION KING Accompanied by: SAME
Key available Suffolk Co. Tax No. 90-1-25
Source of request MICHAEL HALL, ATTY Date 9/24/1990
DWELLING
Type of construction WOOD FRAME 1-1/2
#stories
Foundation CONCRETE Cellar FULL Crawl spac. _
Total rooms, 1st. F1 4 2nd. F1 2 3rd. Fl
Bathroom(s) ONE Toilet room(s)
Porch, type Deck, type Patio, type_
Breeze:•iay Garage Utility room
Type Heat OIL Warm Air Hotwater %%
Fireplace(s) No. Exits Airconditioning
Domestic hotwater oil Type heater BACH
Other
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
Swi��uning pool Guest, type const.
Other
VIOLATIONS: CHAPTER. 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE -
Lncation Descrintion Art. 1 Sec .
Remarks: WAITING FOR DECISION FROM ZBA REGARDING REAR DECK.
Inspected by: Date of Insp. OCTOBER 9, 1990
AR FISH
Time start 11:00 end 11: 15
TOWN OF SOUTHOLD U l�1 L5 tJ L5 BUILDING DEPARTMENT �p
SEP 2 Q M TOWN HALL S C.Ss
SOUTHOLD, NEW YORK 11971u;�
8LDG. DEFT. 765 - 1802
1"C��rV,V.OF S[,�UT�i7L��.a
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. l.�l?= - ✓- � . . . . . . . .
New Constructioi l o d I W r_pre-ex t/ g building. . . . . .Vacant land. . . . . .
Location of Property ,No#_Lake Drive Southold
A dFouse N 7 -ZTL��� �/�x2G r� .c4�. . . . . . . . . . . . . . . . . . . . . . . .
Stree Hamlet
Owner or Owners of Property.JANET.MALONEY .formerly.JANET -BRUGNOLI - . • . . .
County Tax Map No. 100 Section . . 99. . . . Block . .1 . . . . . Lot . . .25 . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . Filed Map Lot . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . Date of Permit . . . . . . . . .Applicant . . . . . . . . . . . . . . . . .
Health Dept . Approval . . . . . . . . . . . . . . . . . . . .Undel7writers Approval. . . . . . . . . . . .
Planning Board Approval . . . . . . . . . . . . . . . . . . . . .
Request
q for Temporary Certificate . . . . . . . Final Certificate . . . . . . . .
Fee Submitted : $ . . . . . . . . . . . . Vacant Land Certificate _$. . . . . _
APPLIC
rev. 10/ 14/88
I9Y31
rL 'Al
'4
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW PORK 10038
�iu.y 7, h)63
Date Application`No.on file
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
¢�Cl;11 +�'l�p�l7u�21p bdk:.�L L'dLlf' ck`�Llll: � iLTZ�. OI �2r�Lln Jc`3�Tl.E:i 'r ld'la�UlGiy ��me
in the following location; ❑ Basement Ist Fl. ❑ 2nd Fl. Section Block Lot was examined on cJilkle 30, l�dCs.3 and found to be in compliance with the requirements of this Board.
FIXTURE RECEPTACLES SWITCHES FIXTURES MERCURY RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT I.FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS t FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
:L 6
SERVICE DISCONNECT NO.OF S E R V 1 C E
AMT. AMP. TYPE METER �,2W ,B-3W 3,0'3W 3,B'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. -
EQUIP. PER Z OF CC.COND. OF HI-LEG OF NEUTRAL
x 1 l U 7 a,
OTHER APPARATUS:
gal i?iaty,
vdgTLgdns Lane t
Carl'eUY1Y'f;n N.Y. 1119 * LiG#10 GENERAL MANAGER
I
- Aer r
p This certificate must not be. altered in any manner;return to the office of the Board if incorrect. Inspectors may bel)identified by their credentials.
1 COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
i
I
i
STATE OF NEW YORK)
) ss. .
COUNTY OF SUFFOLK)
RE: Premises: No# Lake Drive, Southold, New York
JANET MALONEY,formerly JANET BRUGNOLI, being duly sworn
deposes and states the following:
1. THAT I am the owner of the house described on Suffolk
County Tax Map as District 1000, Section 90, Block 1, Lot 25.
3 . THAT I believe that said house as it presently exists was
constructed prior to April 1957, and has been used continuously
since that time as a single family dwelling.
ANET MALONEY
Swor Ito before me this ! � day
of 1990 .
Not y. P bl is
7
I PreCO.Aff
Na1Ny hMINALLlbwYbdt
�, Cep �Z8,1a2
I
Ili
i
2
CONSENT
TO
INSPECTION
1,31L(ffa4f0,4-/, the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned-(is) (are) the owner(s) of the premises in the Town
of Southold located at
which is shown and designated on the Suffolk-
County tax map as District 1000, Section� Block / Lot �S
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:
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 prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town o Southold.
D ate d: �iLJ
r signature)
�/`
int name)
(signature)
(print name)
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