HomeMy WebLinkAboutZ-37786 'cal -�o Town of Southold 9/18/2015
�o ay . 53095 Main Rd
g -' Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 37786 Date: 8/24/2015
THIS CERTIFIES that the structure(s)located at: 540 Takaposha Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 87.-6-9
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- 37786
dated 8/24/2015 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 with attached one car garage.*
NOTE:BP 35984 "as built"alters. COZ-34683; BP 39017 electric service COZ-37141; BP 40070 "as built"alters
COZ- 37785.
The certificate is issued to Panella Ralph L Revoc Trt&Panella Elaine B Revoc Trt
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
oriz d Si ature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 540 Takaposha Rd, Southold
SUFF.CO.TAX MAP NO.: 87.-6-9 SUBDIVISION:
NAME OF OWNER(S): Panella Ralph&Elaine Rev Trust
OCCUPANCY:
ADMITTED BY: Ralph Panella
SOURCE OF REQUEST: Panella Ralph L Revoc Trt&Panella Elaine B Revoc Trt DATE: 8/24/2015
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: Cement Block CELLAR: CRAWL SPACE: X
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE: 1 car attached
DOMESTIC HOTWATER: Yes TYPE HEATER: Electric AIR CONDITIONING:
TYPE HEAT: Elec Radiant WARM AIR: HOT WATER: Yes
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 9/1/2015
• 1(1'3 :0! TIME START: END:
Form No. G
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN 11ALL
765-1802 •
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application muse be filled in by typewriter Oft ink and subLticeed co the building
inspector with chi.: following: for new building or new use:
1.. Final survey of property with accurace Location or all buildings, propercy lines ,
streets , and unusual nacural or copog;raphic feature::.
2. Final Approval from Health Dept. of wacur supply and sewerage-dispo.;al(S-9 Corm) .
8. Approval of electrical incallacion from Board of Fire Underwriters.
4. Sworn statement from plumber certifying; chac the solder used in sy:.:cum contains
less than 2/10 of 17. lead.
5. Cuuunercial building, industrial building, multiple residences and similar buildings
and inscallaeions, a cerci.':icace. of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning board Approval of completed sine plan requirements.
s. For existing; buildings (prior co April 9, 1.957) non-conforming uses , or buildings and
"pre-exiscing" land uses:
1.. Accurate survey of propercy showing all propercy lines, streets, building; and
unusual natural or topographic feacures.
2. A properly completed application and a consent co inspect signed by the applicanc.
If a Curcificace of Occupancy is denied, the Building Inspector shall state chu
reasons therefor in writing co Lhe applicanc.
•
C. Fees
1. Cerciticace of Occupancy - New dwelling $25.00, Additions co dwelling $25.00 ,
Alterations to dwelling $25.00, Swimming pool $25.00 , Accessory building; $25.00 ,
Additions co accessory building; $25.00. 1lusinee:;.:.us $50.00.
2. Cercif icace of Occupancy on Pre-existing; Building - $ 100.00
3. Copy of Certificate of Occupancy - $5.00 over S years - $10.00
4. Updated Curcificace of Occupancy - $50.00
5. Temporary CercifiCace of Occupancy - Residential $15.00 , Commercial $15.00
Dace
.ew Construction Old Or Pre-exi:'cizc Ouil ing. 1 t
Location of Propercy + T{�-cCe fit$ klO �� �
House No. 0 /- 5cruuc ll.unlac
lnwer or Owner:.; of Proporty ' ki..e ��¢ry\�I [G-l1 �'e� �
'.uuncy Tax Map No 1000, Sec cion.P.V /.• . . .Block eG60o Loc. )3c) .OQ U
:ubdivi;;i.on Filed Map 1.0E
.'ermic Nu Dace OE Permic Applicant
gu:1lCil Depc. Approval Underwriters Approval
'tanning Board Approval
t''quesc for: Temporary Cercificacc Final Cercicace
' ue Subml'c ted: $. . . /00-00
0 . .
•
CONSENT
TO
INSPECTION- -
l(
44)1 g' a.e./►7�P Atm_4 ICs Ce.,. , 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 1.--16c„ .4 1-1c.c._ k_
\1 , which is shown and designated on the Suffolk
County tax map as District 1000, Section Cm2, Block Off, Lot Db? .
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:
9c —CO
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 cf 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 he used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulat'. • of th, ' o9if .out old.
Dated: �'
gl1Lc- _
(signature)
•-.). k4...ot ...A...,ric-Lo-Lo\o, Li---___
(print name)
(signature)
(print name)
/ TOWN OF SOUTHOLD PROPER ® Y RECORD CARD -
OWNER STREET,...5-2777 - VILLAGE DISTRICT SUB. LOT -tin, '
�� �,- Panetta_ - b i c : - -�'
_1_" ' e los - . '4'�"t,a:-i- fL- ` C
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FRMEa oW 7ER , E ACREAG1=
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f! t(IQ�"fi, Kit 0. N !-j.f... ,til 0 Me d&ri Iy - , i
S W �n` 1 TYPE OF BUILDING- - 1 t .-e.-fcn. t e
RES. SEAS. VL. 1 FARM I COMM, 4 I IND.
. I CB. 1 MISC.
LAND IMP. TOTAL { DATE I REMARKS
‘t_i o u .0) 5 a , , _ _ . .
// n n 34 o o •/ o o ,2 c! 61 ...-i s-4.-Ab /5-r�6 i - -
/6 O i 31 6 'l-oO - /fc / ‘Y �f' .LC / i/i/,s-- .)/ o Z
s / �- 4 - Pumv=im3ParI- / (0
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-( ; )- 7ry - r 3 i /i— 87g-PiieJ/as i. ' • 'ta�o uxi%rts7-- f1/C-
- AGE BUILDING CONDITION )G Zq h 1P 35q a.l -1-era-JiOrl
I BELOW ABOVE � .. ` - 3901 7 _jiff_ • a r a f� A/ it,, q
NEWpiNORMALI / - '
� r� _ id . .
- Farm Acre Value Per Acre - Value
i 1
Tillable 1
Tillable 2 !
Tillable 3 ,a�/k;;,4,,/
- -- - -I-- - ter.] t ^(� .;',2_=-1.��� l S
Woodland -
Swampland
Brush ond."" �► �+
House Plot 1 I
Total .
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- I I I I 1 I I I I I 1 :336.:._
1 1 1 1 1 1 1 i • II I 1 •
-E 11 1i1i � 11II •_
1 t i` I ! 1 I- Illi'',i, .4,1.4:,.1:1;-.. •
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s � c_ __ _ flfl Ir I f I
J''r t y4. �'X�.c�3— -�." 1--a-,.,:,,A.,:-.!,:,,,..,,..v-1,,-7-1. -2..174.--,f),,iC� I I I I 1 5.-� 1
f �4.- r e l~Y � t«•r y . i P. I Ii 1 I I
s, � . 4"..4N'-', "'".-''-'. rS� 7 ��` I I I 1fSiy It I 1 ! 1 I
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I 1 1 1. I1 !
87.-6-9 4/11 • 1 I I +, II
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--- 1 ! Jami I f Vit;f-Foundation I et ✓.f✓ fir I Bath i
M, Bldg. ! tit g+c,44 ,`ti f I r" I .47
I 1
-7 1 Floors �' *1.9 s��
I r ? orf,'i' Basement i I/? fr
Extension J . * r! p`
r Interior Finish l;,a e-1 q �; C. !--
Ext. Walls I i/e f O; ,�lr
Extension , `
--__, I Fire Place ' Heat
Extension I I
I I I Porch I l Attic
I I II Porch I I Rooms 1st FIoDr
I Patio I Rooms 2nd Floor
B reezewed
Driveway
Garage A /II f. u!G { l,a0 6.). 0k
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--.93772 i
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-
!.KEVIN MCLAUGHLIN
Attorney At Law
Telephone(631)765-6085 Winds Way Professional Center
Facsimile(631)765-1856 44210 Rt.48,P.O.Box 1210
Email jkmclaw n,optonline.net Southold,New York 11971
August 24, 2015
Southold Town Building Department
Southold Town Annex
Southold, NY 11971
Re: Panella Trust—540 Takaposha Road, Southold, NY
Gentlemen:
I have enclosed the Application for Pre-CO, Consent to Inspect, survey, copies of
existing COs for the subject premises and my check in the sum of$100.00.
Please schedule an inspection of the subject premises in order to issue a Pre-CO. 80415
Veryt ,lyy;.
ah1.1*
J. 'evm
Encs.
Hand Delivered
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TOWN OF S . ' H • LD = - IL n ING DEPT T-_
765-1802
SP r ON
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] 1ItSULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: /5...ti
/ 4
e6c. 60_,/- 7 .2_004_
� (DATE INSPECTOR
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant).
ADMITTED BY: / 4tl) 1' . fgüIJ% . ACCOMPANIED BY: .
KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000-
SOURCE OF REQUEST: DATE: .
DWELLING
TYPE OF CONSTRUCTION:'- "\ STORIES: #EXITS:
�1
FOUNDATION: C��P,J� �� BASEMENT: CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 3 2ND FLR: 3RD FLR: ----
BATHROOM(S): I TOILET ROOM(S): ( UTILITY ROOM:
PORCH.TYPE: DECK, TYPE: . PATIO;TYPE:
BREEZEWAY:' FIREPLACE: • rGARAGE: I
DOMESTIC HOTWATER: 70--) , TYPE HEATER: , AIRCONDITIONING:
TYPE HEAT: 4J14WARM AIR: , HOTWATER:
# OF KITCHENS:
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 DES RIPTION ART. SEC.
A.e,
off-
. ori.
REMARKS:
INSPECTED BY: ,i DATE OF INSPECTION: 9;4' /1--
.
TIME START:. END: