HomeMy WebLinkAboutZ-36983 Town of Southold Annex 6/23/2014
54375 Main Road
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 36983 Date: 6/23/2014
THIS CERTIFIES that the structure(s) located at: 6630 New Suffolk Rd,New Suffolk
SCTM#: 473889 See/Block/Lot: 117.4-28
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- 36983
dated 6/23/2014 was issued and conforms to all the requiiements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with brick patio and two accessory sheds.*
The certificate is issued to Beebe, Richard
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. 000,
A orized igna ure
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 6630 New Suffolk Rd,New Suffolk
SUFF.CO.TAX MAP NO.: 117.4-28 SUBDIVISION:
NAME OF OWNER(S): Beebe, Richard
OCCUPANCY:
ADMITTED BY: William Rannon
SOURCE OF REQUEST: Beebe, Richard DATE: 6/23/2014
DWELLING:
#STORIES: 1 #EXITS:
FOUNDATION: cement block CELLAR: 1/2 CRAWL SPACE: 1/2
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: Brick
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: Yes TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: X
#BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: 2 small sheds
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 6/5/2014
r TIME START: END:
f_ r
Form No.6
TOWN OF SOUTHOLD ^b
BUILDING DEPARTMENT
TOWN HALL Of 2 2 204
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPOF RK DEPT.
TOVdF:OF SOUTHOLD
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 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.
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$15.00 ,
Date. I Co M a y a�!4
New Construction: Old or Pre-existing Building: 11 (check one)
Location of Property: GG 30 NL1,J S V-�-FOLK 20G.Q Nev) Sv-F-TO i k
House No. Street Hamlet
Owner or Owners of Property: R\G l c-,- 1S2 e (c,.Q
Suffolk County Tax Map No 1000,Section \ Block H Lot C�kg
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$ 100,
Applicant Signature
CONSENT TO INSPECTION
the undersigned,do(es)hereby state:
Owner(s)Name(s)
That the undersigned(is)(are)the owne s of the premises in the Town o
Southold, located at 6 Co_�Q Ne 0 S u 0 IK a } NUJ -s'/ 0 1 t,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section i k"7 ,Block H ,Lot A g_.
That the undersigned(has)(have)filed,or cause to be filed,an application in the
Southold Town Building Inspector's Office for the following:
U 0 CC-�PCY\CI
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.
Dated: M cly a U ( Li
(Signature).--
6 ee
Signature)bee t'
(Print Name)
(Signature)
(Print Name)
Bunch, Connie
From: Verity, Mike
Sent: Monday, May 19, 2014 9:04 AM
To: Bunch, Connie
Subject: FW:Application for Certificate of Occupancy
Attachments: Pre-CO_&_Survey.pdf
From: RickB [mailto:mtbnestCabgmail.com]
Sent: Saturday, May 17, 2014 12:02 AM
To: Verity, Mike
Subject: Application for Certificate of Occupancy
Mr. Verity:
I am applying for Certificate of Occupancy in preparation for sale of property located at 6630 New Suffolk
Road,New Suffolk. The attachment includes a copy of the Survey report, the Consent to Inspection, and the
Application for Certificate of Occupancy. The original forms, plus the check for$100.00 is going out in
tomorrow's mail.
Please inspect the property at your earliest convenience.To schedule the inspection, please coordinate with the
tenants in possession of the house, Bill and LIbby Fannon. They can be reached at 734-2043.
They would also be in possession of the original survey report.
If you have any questions or need to contact me directly, my phone# is (608) 372-5629.
Very Respectfully,
Richard S. Beebe
17759 State Highway 131
Tomah, WI 54660
i
® 3
6 ., TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DISTRICT SUB. LOT
FORMER OWNER NWA_ E ACREAGE
ifS W TYPE OF BUILDING . a
BARBRieti
L�tt t 115t3 L IQ V! .` A10 Y 1
RES 210 SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value
/ , r!
LAND IMP. TOTAL DATE REMARKS74 lie
a
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD d f `
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable, 3
Woodland
Swampland
3rushland
-louse Plot
Total
1 j 1 I I
li
{r �,
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A. Bldg. Foundation j ; Bath
:xtension T '� ( Basement Floorst
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:xtension } `� , Walls j Interior Finish
:xtension ; Fire Place Heat -
Porch Roof Type
Porch Rooms 1 st floor
reezeway Patio ; Rooms 2nd Floor
iaroge Driveway Dormer
I
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I
SURVEY Y OF PROPERTY
S I'l't.%ATF:
NEW SUFFOIX
TOWN OF SO'UTNOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000--117-04-28
SCALE 1"==20'
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APRIL 17, 2014
� I AREA = Z2,A51 sq.
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Land Surveyor HELEN E. FANNON
wx WILLIAM F. FANNON 111
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LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)
ADMITTED BY: �)t&,A:= X74w z�,,) ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: WL�k 4'6 � # STORIES: c -- # EXITS:
FOUNDATION: BASEMENT: 1/ CRAWL SPACE: /v
# OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR:
BATHROOM(S): � TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO,TYPE: &alt
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: )-A4 WARM AIR: HOTWATER: �—
# OF KITCHENS: C
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTIONAR2 SEC.
REMARKS:
INSPECTED BY: DATE OF INSPECTION: Jl//
TIME START: A i / END: lO o