HomeMy WebLinkAboutZ-32223FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 32223
THIS CERTIFIES that the building
DWELLING
Date: 03/06/07
Location of Property 1490 PARADISE POINT RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 081 Block 0003 Lot 020
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- 32223 dated MARCH 6, 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 ONE FAMILY SEASONAL DWELLING & ACCESSORY 2 CAR GARAGE*
The certificate is issued to ROBERT W GILBERT
(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.
L
A thor'zed Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1490 PARADISE POINT RD SOUTHOLD
SUBDIVISION: MAP NO.: IAT (S)
NAME OF OWNER (S): ROBERT W GILBERT
OCCUPANCY: SEASONAL DWELLING ROBERT W GILBERT
ADMITTED BY: GARY OLSEN, ATTY ACCOMPANIED BY: SAME
KEY AVAILABLE: BUFF. CO. TAIL MAP NO.: 81.-3-20
SOURCE OF REQUEST: OLSEN & OLSEN, L.L.P. 12/04/06 DATE: 03/06/0
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3
FOUNDATION: CEMENT BLOCK & POSTS CELLAR: PIT CRAWL SPACE:
TOTAL ROOKS: 1ST PLA.: 4 2ND FLR.: 3 3RD FLR.: 0
RATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: FRONT ENCLOSED DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE GARAGE:
DOMESTIC HOTKATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE BEAT: NONE MARK AIR: HOTKATER:
OTHER: PANTRY OFF DINING ROOM
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.: BATH HOUSE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: BP #32704-Z COZ-32222-("AS BUILT" ADDITION) _
INSPECTED BY:
DATE ON INSPECTION: 12/18/06
TIME START: 9:45 AM ENO: 10:30 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL 6
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY;
This application must be filled in by typewriter or ink and submitted to the -Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and mensual 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 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
4. Updated Certificate of Occupancy - $50.00
5. Temporar}c-Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. August 8 2006 -_
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 1490 Paradise Point Rd., Southold
House No. Street
Hamlet
Owner or Owners of Property: Douglas Cameron Gilbert —
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Request for: Temporary Certificate
Fee Submitted: $
100.00
54)CO L3,-2, 3
Block 3 Lot
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate
OLSEN & OLSEN LLP
324poBAD
OX 706
CUTCHOGUE,NY 11935
TOWN OF SOUTHOLD BUILDING DEPT.
76S-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING/ STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS!
DATE `� �/ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING /STRAPPING [ FINAL �c7 W
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]/FIRE RESISTANT PENETRATION
.Z -
DATE / j ®� INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING/ STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: o�-f
I
DATE / 6 P/(O _ INSPECTOR
l0;0�/dwl
CONSENT
TO
INSPECTION
Gary Flanner Olsen as attorney for the Estate of Robert the undersigned,
Owner(s) Name(s) W. Gilbert
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 1490 Paradise Point Rd., Southold, NY 11971
which is shown and designated on the Suffolk
County tax map as District 1000, Section 81 Block 3 Lot 20
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in -the Southold Town Building inspecw, orrice, ro,• ♦k- fnllnwina:
wood frame residence with ground level wood deck and fencing with attached
wood walkway and deck above shed; wood stairway down bluff; detached frame garage
with attached storage sheds on west and east end of same.
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 regulationsXVthe Town of Southold.
Dated: August 8, 2006
OLSEN & OLSEN LLP
32495 MAIN ROAD
PO BOX 706
CUTCHOGUE,NY 11935
siL9natur
Gary Flanner Olsen
(print name)
(signature)
print name)
0
loUe)t1/-_1-"
TOWN OF SOUTHOLD
PROPERTY
RECORD CARD
0
1.
m
.
VILLAGE
DISTRICT
SUB.
LOT
E---- Z
ACREAGE
S
L
J
�" t l
i f
TYPE OF BUILDING
//"tx Fill,
RES.
SEAS.��
VL.
FARM
COMM.
IND.
CB.
MISC.
LAND
IMP.
TOTAL
DATE
REMARKS
lG��
/.�o
g2SOD
��
low �-�
dCll,S s --
/ova
�J'Lri
37oO
6y 60
AGE
BUILDING CONDITIONG,.
NEW
NORMAL
BELOW
ABOVE
Farm
Acre
Value Per Acre
Value
/ Lie.ta/e
Tillable 1
Tillable 2
Tillable, 3
_
---
Woodland
Swampland
Brushland.
House Plot
Total
y;
n
r� l ��
LIM,
1
� 4
i
—- M,r e
OLLIRAMFESPdG11EONFREONSNAIt RUN
ow.rro �ra+savme xsIav r s�
6PREPAREO. ANO avfpSBEN m
1 CCw1 ' aoll EMAL AGE '
!@OiYO P61IRNKM( P'usrm.Al�D
ro TIEA$$M1.EE3OF 1FELENOP/GKN/.
GU9RAMiEES ARE Nvr rnAHsrmAeEe LE70 ro
Aaornawc P/5rlR/iR'AK arsvesca.B+roWRrirs.
uNauniaw�uT>=aAnavaRAonmav ro nas
SLRUErISAV10 AWEDFSE01P L l2'IBOF
1FEAEiYYOR(STATEEgK.'A1KAVUW.
OO RESOFI N6 S UR PEY � AOT BEAW bVG
IFE S RVZl EMBO99ID9 B
IpTBEC016G�9fED rosea vum mue
caar
GUARANTEED TO:
DONALD H. GILBERT
JANE A. GILBERT
FIDELITY NATIONAL TITLE INS. CO.
OAK HILL MORTGAGE, INC.
S 67'56'40"E
N 67'56'40"W
UR�N�
PY
N/F AKSCIN
GO�MON
OTHERS
N/F MILLER
OVERHEAD WIRES
V U L POLE
361.43' In
Lu
O
CN
N/F MIGNEREY O
SURVEY OF
DESCRIBED PROPERTY
SITUATE
SOUTHOLD, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: DONALD H. GILBERT
JANE A. GILBERT
TM# 1000-081-03-020
E
:o
FW WE sIOMCF
GnRAGE: iSNED
EP M MR AY
634.15'
soc o .rm
t6.2 -
WOOD
00"
+
IFRAMEsENCE
N 65' 14'50 "W
APPROVED F)
BOARD OF TRMTL,3
TOWN OF SOUTHOLD
PATE 15 ao o
N/F MIGNEREY
257.88'
N
SURVEYED: 19 JULY 2006
SCALE 1"- 30'
AREA - 21,092 S.F.
OR
0.484 ACRES
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. OX 294
NEW UFFOLK. N.Y. 1
631 34-5,835 4
No. 49,r13 06R1512
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
r (type) (owner -tenant)
ADMITTED BY: ACCOMPANIED BY: J�—��
KEY AVAILABL SUFF. CO. TAX MAP NO. 1000 -
SOURCE OF REQUEST: DATE:
�ii
DWELLING:
TYPE OF CONSTRUCTION- # STO % /Y # EXITS:
FOUNDATION: CELLAR: CRAWL SPACE:
TOTAL ROOMS: IST FLR. 2ND FLR:(�!�'9'3 3RD FLR:
BATHROOM(S): -eL T ILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO, TYPE: ---
BREEZEWAY: IFIREPLACE: C9+U2r, GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: /,�AIRCONDITIONING:
TYPE HEAT: Au�L- WARM AIR: HOTWATER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: )'C� STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST: t'ic
OTHER:
VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFOFM FIRE PREVENTION & BUILDING CODE
MGM alus! DESCRIPTIOj$�--` IS 31-M
INSPECTED BY:A"4DATE OF INSPECTION:t / '/ / -
% o
TIME START: f` Y END: �!