HomeMy WebLinkAboutZ-40588 1pSUFFpt� Town of Southold 8/5/2019
cQ 53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40588 Date: 8/5/2019
THIS CERTIFIES that the structure(s) located at: 2235 S Harbor Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 75.4-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40588
dated 8/5/2019 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling and accessory wood frame garage_*
Notes: BP accy. shed COZ-16060; BP 44029 electric for basement washer/dryer and romex wiring COZ-40587.
The certificate is issued to Faro Patricia Baker Trust
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 7/11/2019
*PLEASE SEE ATTACHED INSPECTION REPORT. Q�- �
/Aut o ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2235 S Harbor Rd, Southold
SUFF.CO.TAX MAP NO.: 75.4-23 SUBDIVISION:
NAME OF OWNER(S): Faro Patricia Baker Trust
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Faro Patricia Baker Trust DATE: 8/5/2019
DWELLING:
#STORIES: 2 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: steam
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 7/10/2019
TIME START: 10:54am END: 11:12am
I -
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 { `
JUN 1 4
APPLICATION FOR CERTIFICATE OF OCCUPANCY 2019
This application must be filled in by typewriter or ink and submitted to the Building Department with- fiowing:�'
iso
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 I%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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date.
New Construction: Old or Pre-existing Building: V (check one)r ��
Location of Property: �� `�. 5 � C� _ bo e—&— . �7(fir�0
House No. Street Hamlet
Owner or Owners of Property: ii'�l
Suffolk County Tax Map No 1000,Section �0_5, Block <` Lot c`
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 101),
Applicant Signature
CONSENT TO INSPECTION
' &&L ,the undersign doges hereby state:
Owner(s)Name(s)
That the undersigned(is (are)the owner(s)of the premises in the Town of
Southold,located at b - ® '
which is shown and designated on the Suffolk County Tax Map ag District 1000,
Section ock Lot 4-.
That the undersigned®(have)filed, or cause to be filed, an application in the
Southold Town Bui�� spe
_ ctor's O 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 in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
J
Dated:
p Si tur
(Print Name)
(Signature)
(Print Name)
1
oF saUry��
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
iU1l,�1�`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
�B ' din Permit No.
weer:
(Please print)
Plumber: 960T'4 )G�ec/-/CXJ
(Please print)
I certify that the solder used in the water supply system contains Iess than 2/10 of 1%
lead.
(Plumbers Signature)
Sworn to before me this
i
day of 20
ROBERT F MARKS
MTARY PUBLIC-STATE OF NEW YORK,
No.01 MA6364702 I
(Dualified in Sufiaik County
Notary Public, � County DAY Commission Expires 09-18-2029
i
90 Walton Park
Melrose,MA 02176
June 12, 2019
Building Department
Town of Southold
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold,New York'11971
Dear Connie:
When talking with you last week about my application for renting my house at 2235 South Harbor
Road, Southold,you said that there was a survey registered for the property by my mother when she
put up a shed adjacent to our garage.
This is to document that there is a survey to be used for the application for pre-certification of
occupancy.
Thank you for your assistance with this. It was very helpful.
Sincerely,
Patricia Baker Faro
cell 781-956-0092
r
r c' . TOWN OF SOUTHOLD PROPERTY RECORD dCARL)
� --
OWNER STREET Z �,Jc- VILLAGE DIST.1 SUB. LOT
ORMER OWN N E ACR.
S '� W ( TYPE OF BUILDING
ORES. ��O i SEAS. VL. FARM - COMM. CB. MICS. — Mkt. Value ---
LAND ', IMP. TOTAL DATE REMARKS
z I I Pe+L1
-3 a
PP l( 1 z — ! - o !fie r -n
21 1 z ` 12 l-;z - Fa 6?ro
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD 7 S 7 3- a
Meadowland DEPTH S_v
House plrt�-- --- -- ---------�--- � -- - - -- BULKHEAD --------
0
Total DOCK
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Porch
Porch • ,
Breezeway
:.
.. Rooms I st Floor
Patio !Rooms 2nd Floor
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Total
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� �' ,r�- qty. ��� o • ' n'.�h,,,},
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49.5' P.qI•• —1
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3" MAP OF- PQoPEkTY
jn • SURVBYEO FOP,
JAMES A. BAKER , JR .
!s' AAO Giudronj*ed to Avme Title
MA[��LYN M. BAKEt� pj.,,sjorj - CtsieA5v
Co. qnd 1'0 SoAfhold Savi '",
` AT r3anlc a3 Sue"Jed A4 e. 8, 119
SOU'T HOLD, N. Y. VAN TUY►. SON
'� p = Monurnenfi Licens`d Load durve�®N+��'+
,�47 c3reenport, ti.Y. ����
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# TOWN OF SOUTHOLD BUILDINNGT.
courm��'' 765-1802 , pm D
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLSG. ,
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTIO14 a
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATI [ ] CAULKING
REMARKS: 1 1/Q
0
IC
V w Av, win
DATE D INSPECTOR
�O��OF (ITyOIo
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802 r61
Pi
INSPECTION ,
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
�0 l on OAA-vt—
CZL12L
Y 10Ci
DATE aft y INSPECTOR
JR,
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—� A1' Y
-
Plumbing - Heating - AUC - Fuel Oil - Propane - Security
13520 Main Road/PO Box 1460
Mattituck, NY 11952
631-298-8181 TEL, 631-298-8320 FAX
I George Fredricks inspected th x piping plumbing work at Patricia Baker Faro's
residence at 2235 South Ha ad in Southold NY.. I found all to be piped properly
with no leakXre
P bers S
Sworn to me this , day ROBERT F MARKS
Of �n� , 20JAI . NOTARY PUBLIC-STATE OF NEW YORK
No.01 MA6364702
GQualified in Suffolk`County
Aary blic, Oji OI�` County My Commission Expires 09-18-2021
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540
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LOCATION: r3
(number & street) (municipality)
SUBDIVISION: - MAP,N'O.: LOT(S): ..
NAME OF OWNER(S):
OCCUPANCY: S( O
(type) (owner-tenant)-
ADMITTED,BY: ACCOMPANIED BY:
KEY AVAILABLE: SUEF. CO. TAX MAP' O. 1000^ •� —Y _
SOURCE OF REQUEST: DATE:, .tr It, 114
DWELLING
TYPE OF CONSTRUCTION: , # STORIES: #EXITS:
F'OUNDATION,:COW'*"` EAS9MENT: CRAWL SPACE:
# OF BEDROOMS: 1ST FLR:` ' 2ND FLR: 3RD FLR:
-BATHROOM(S): TOILET ROOM(S):"- UTILITY ROOrM: .
PORCH.TYPE: DECK, TYPE: PATIO;TYPE:
BREEZEWAY: FIREPLACE: . 1 ki Ila GARAGE:
DOMESTIC HOTWATER: TYPE HEATER:' AIRCONDITIONING:
TYPE HEAT:' WARM AIR: _ , HOTWATER:
4 OF KITCHENS:T n
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES",/ � a(00
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:�ROIUA)
SWIMMING POOL: GUEST,-TYPE CONST: .
OTHER:
VIOLATIONS: CHA TER_144 &N.Y. STATE UNIFORM FARE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
t p
l
41
REMARKS:
INSPECTED BY: O,fV1 I% ell AfS v% _ DATE OF INSPECTION: l0
TIME START; END;