The URL can be used to link to this page

Home My WebLink AboutZ-37557No: 37557 Town of Southold 53095 Main Rd Southold, New York 11971 5/14/2015 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 5/14/2015 THIS CERTIFIES that the structure(s) located at: 2662 Paradise Shore Rd, Southold SCTM #: 473889 See/Block/Lot: 80.4-4 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- 37557 dated 5/14/2015 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. * The certificate is issued to Potts Jr, William & Potts, Anne (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. t o ' d Si ature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2662 Paradise Shore Rd, Southold SUFF. CO. TAX MAP NO.: 80.-1-4 - NAME OF OWNER(S): Potts Jr, William & Potts, Anne OCCUPANCY: ADMITTED BY: Jennifer Place SOURCE OF REQUEST: Potts Jr, William & Potts, Anne DWELLING: # STORIES: 1.5 # EXITS: FOUNDATION: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: Oil # BEDROOMS: 2 OTHER: 1 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: VIOLATIONS: I 2 Cement TOILET ROOM(S): DECK TYPE: FIREPLACE: Yes TYPE HEATER: WARM AIR: X # KITCHENS: 1 INSPECTED BY: GARYF SUBDIVISION: DATE: 5/14/2015 CELLAR: Full CRAWL SPACE: 1 UTILITY ROOM(S): PATIO TYPE: 1 GARAGE: AIR CONDITIONING: HOT WATER: BASEMENT TYPE: Unfinished STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: DATE OF INSPECTION: TIME START: 5/7/2015 END: 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 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 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) Location of Property: a(0 C Rv- als& ` or-eis House No. Street Hamlet Owner or Owners of Property: W i I I i Ck.m J. � Suffolk County Tax Map No 1000, Section C) Block Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Filed Map. Date of Permit. Applicant: Underwriters Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ f s Lld i 00 Lot Lot: (check one) Applicant Signature X G n�t, p I CONSENT TO INSPECTION n ne_,M s , the undersigned, do(es) hereby . state: Owner(s) Name(s) That the undersigned (is) (are the owner(s) of the preniis s in fhe Town of Southold, located at 2-(0 fo j 5�e ��S which is shown and- designated on the Suffolk County Tax Map as District -1000, Section 1.0.13 -lock I , Lot- That the undersigned (hasj (have) filed, -or cause to be filed, an application in the Southold Towrt-Building Inspector's Office for, the following: c c,u io 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 necessazy-with- res ectto the aforesaid -a ltcahon ii cludin in6 ections to determine that said premises - - - - p PP` g P comply -with all of the laws, ordinances, rules and regulations of the Town of Southold. . The undersigned, in consenting to such inspections, does) '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: (Signature) - (Print -Name) .(Signature) ��e' M . P-�-� (Print Name) TOWN OUT OF -SHOLD lkOPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER N ECR j I GE W.-.HCS H ;.-,n KitTYPE ci I ) OF BUILDING RES SEAS. VL. FARM I comm. IND. I CB. misc. LAND ItAp. TOTAL DATE REMARKS f7 AGE BUILDING CONDITION NEW NORjVtAL I BELOW ABOVE Form Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Total M. Bldg. Extension Extension Extension Breezeway Garage 0. B. vMiOv MEME No ON M &W 1 NEESE wAr'�WW" IMEMS �Bcisernent tolls Ext. Walls V� 0 Ext. A�� Exte ONES PlaC Fire Place I ze i 4y- Foundation Both Floors �Bcisernent tolls Ext. Walls V� 0 Ext. A�� Exte Interior Finish PlaC Fire Place f Heat 0-o `Porch -h Attic Porch Rooms Ist Floor atio Patio Rooms 2nd- Floor Driveway F012ry- b v 15 0 4. �- Jq7-,5-5> 5- eOUMV,�.�' TOWN OF- SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION. /FINAAL GH PLUMBINGLATION' [ ]FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION I I ELECTRICAL (FINAL) [ ]CAULKING r n_ ] FOUNDATION .1 ST ] FOUNDATION 2ND ] FRAMING/ STRAPPING ] FIREPLACE A .CHIMNEY ] FIRE RESISTANT CONSTRUCTION ] ELECTRICAL (ROUGH) ] CODE VIOLATION REMARKS: USN d INSPECTOR LOCATION: (number & street) (municipality) SUBDIVISION: _ _ MAP NO.: LOT(S): NAME OF OWNER(S)': OCCUPANCY: (type) (owner -tenant)- ADMITTED BY: - ��/1� PACE, ACCOMPANIED BY: KEY AVAILABLE: SUFE. CO. TAX MAP 'NO. 1000 - SOURCE OF REQUEST: ' :. -DATE: DWELLING TYPE OF CONSTRUCTION:Uaj&:2�"~-98TORIES: # EXITS: FOUNDATION:. BASEMENT: ,'CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR; 3RD FLR:. . BATHROOM(S): TOILET ROOM(S): (— UTILITY ROOM: PORCH -TYPE: DECK, TYPE: PATIO,- TYPE: BREEZEWAY: '_ . FIREPLACE: GARAGE: DOMESTIC HOTWATER: JET TYPE HEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS: FINISHED BASEMENT:- YES NO t� OTHER: ACCESSORY STRUCTCJRES GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: OTHER: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE • •DESCRIPTION��® 20 REMARKS: INSPECTED BY: ��'---� r% DATE OF INSPECTION: �? Ar 441614 TIME START: END: