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HomeMy WebLinkAboutZ-38448 �� Town of Southold 8/19/2016 gUEFQI,��oGy �� 53095 Main Rd � � Southold,New York 11971 � � �,- _ ��� � py�ol � 'i����¢r � �=��.w�� � PRE EXISTING � CERTIFICATE OF OCCUPANCY No: 38448 Date: 8/15/2016 THIS CERTIFIES that the structure(s) located at: 560 Paradise Shore Rd., Southold SCTM#: 473889 SecBlock/Lot: 79.-5-4 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� 38448 dated 8/15/2016 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 familv dwelling with storage above bedroom.* Note:BP 40855 "as built"alterations/additions, includin�screened porch and deck COZ-38448, Corrected 8/19/16 to chan�e date of C/O from 6/15/2016 to 8/15/2016 The certificate is issued to Weshta Zena 2010 Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL � ELECTRICAL CERTIFICATE NO. , PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ( ` . Auth r d Signatu e BUII.,DING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 560 Paradise Shore Rd., Southold SiTFF.CO.TAX MAP NO.: 79.-5-4 SUBDIVISION: NAME OF OWNER(S): Weshta Zena 2010 Trust OCCUPANCY: � ADMTTTED BY: Matt Gillies SOURCE OF REQUEST: Weshta Zena 2010 Trust DATE: 8/15/2016 DWELLING: #STORIES: 1 #EXITS: 3 FOLTNDATION: block CELLAR: 1/3 CRAWL SPACE: 2/3 BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIItEPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil baseboard WARM AIR: HOT WATER: #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIlVIMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: MIKEV DATE OF INSPECTION: 7/5/2016 TIME START: 10:15am END: 10:55am � Town of Southold 8/15/2016 go����FQ`�coGy� 53095 Main Rd � z, Southold,New York 11971 v � �� �Jj�l � �ao PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38448 Date: 6/15/2016 THIS CERTIFIES that the structure(s) located at: 560 Paradise Shore Rd., Southold SCTM#: 473889 SecBlock/Lot: 79.-5-4 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� 38448 dated 6/15/2016 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 familv dwellin�with storage above bedroom.* Note:BP 40855 "as built"alterations/additions, includin�screened porch and deck COZ-38448 The certificate is issued to Weshta Zena 2010 Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUlV�ERS CERTIFICATION DATEl) *PLEASE SEE ATTACHED INSPECTION REPORT. • ' � Aut o ed Signat re BUII.DING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 560 Paradise Shore Rd., Southold SUFF.CO.TAX MAP NO.: 79.-5-4 SUBDIVISION: NAME OF OWNER(S): Weshta Zena 2010 Trust OCCUPANCY: ADMTTTED BY: Matt Gillies SOURCE OF REQUEST: Weshta Zena 2010 Trust DATE: 6/15/2016 DWELLING: #STORIES: 1 #EXITS: 3 FOLTNDATION: block CELLAR: 1/3 CRAWL SPACE: 2/3 BATHROOM(S): 1 TOILET ROOM(S): UTILTTY ROOM(S): PORCIi TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil baseboard WARM AIR: HOT WATER: #BEDROOMS: 2 #HITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: MIKEV DATE OF INSPECTION: 7/5/2016 TIME START: 10:15am END: 10:55am Form No.G TOWN OF SOUTHOLD BUILDING DEPARTMGNT 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 ofproperty 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. C� /���J�p New Construction: Old or Pre-existing Building: `� (check one) Location of Property: � `'vY„'�[ ' , �/jG-?� r(�� �c�G��,� f' �„ l j�� � House No. Street Hamlet Owner or Owners of Property: �-�Tr(� t{),,S'��Z1 �5�� �v IJ.S'� Suffolk County Tax Map No 1000, Section ��� Block � Lot � Subdivision Cs-yy�-C.�l�2. ESy�lJ4-(� 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: $ 6 ��'� /(� pp icant Signatur� „ ��Ti���t�� G-�1�f�f CONSENT TO INSPECTION ��l�l� ,,Q,�j�j� Z��� �yU�� , the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned (i ) (are)the oow-'n/er(s) of�t e premise�sf in the Town of t; Southold, located at J°�(.�7 �i✓Ct�i,� �7���/�'-f;�. �Ct.'�"�(� �'��� �`! �� which is shown and designated on the Suffolk County Tax Map as District 1000, Section�, Block � , Lot�_. That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: �C'-��f� G-�`-�� ci� ����� I`s cr��:�' ��'�-f�-�� �� S�l..� . 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: L, �d+r� !� (Signature) �,��r��c�r�r'� (Print Name) (Signature) (Print Name) �, � -- - � � � @ ���lhl �F ��VTFIOL� Pt���PE�tT�� �E��R�3 C�R�3 � ��'p m - ;-`�' .,.- �r''� �''- � � �' + % `1 ��, .� � -_�5 � OW�lER tT � �Q��-� 5TREET , VILLAG� " DIST, SU$. LOT a -, , � �^ � � t�_.t_ T�_�t ��'-�.�i� � f•v{�„f�o�o' �.3 0 ��o�.� s � �aRN4ER OWNFR N � , � • �CR: ' _ �e r F � R�e��o� O�-��4 S W �_ ! TYPE OF BlJILDING - �w�o us� - f 1e �. c� _ RES. `:��� S�AS, VL. FARM , COM�M. CB, M�CS. M[�t. Valua , cn `�- - " - � �q�.}Q �MP, " TOTAL DATE REMARKS � 0 u� � cu��n � -� � � D �2. /O � � • 3 �f� � � -� . 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'.. .. .r �� �t • �� • ' '�� • �i♦ ���" � •� � �� • � � *• � 1 t _ �� � • • ���� / �� 5 C T M NO DISTRICT 1000 SECTION 79 BLOCK 5 LOT(S) 4 � UWD N/F I 4 „ OF •, STEVEN&GLORIA MENOIlT15 Q�J�' S69"48'40"E 130.50' N sHEo `��� . .w : MON a 6�N 6'S70CKADE ��N � MON , � � WELL �qryD N F �W i� P17 �F� � �,� MICHAEL CARIELLO � Q a�*7 � � � .�'.w� , � u� � ��� • . I w� � N O! m I W O ~/-� U P �R�PY � �! 1--I � St�N� • � � � f � ��„� � �� \ = o WOOD • RAMP I �e1' � DECK . `� 46 3' � ioa I iZ - �W¢N 1 SN FRM W000 '�a ,OWELLING Si00P LAND N/F � ,� �560 OF CHESTER MAZ COLLEEN MCDONALD 1 � q,6 9 2a 5' — � � • , �y eaw � \ � • \ ,C���� 5 0'E , �`' ^ ,��w tu o ' � \ �`0�� �wv �` o `�w' � o + , o � \. . . , .N ���,,� ? A,Z, � \ U P� s�sz O� \ •O�. � � ,ry0 �'c^o 20'WIDE RIGHT OF WAY q \ ���2��!� " �� O \ x' O � \ ' Nss�4e'4n^w � 25 92' • k \ N�o �uP c'r o � � ii�� ' m� N71'S5'40'W 9 83' N ' A� 3 ' 0 0 �V Q '� O 7 N M I N + BAYVIEW ROAD 7HE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSER✓AAONS AND OR DATA OBTAINED FROM OTHERS AREA 20,791.79 SQ.� Of 0 48 ACRES ELEVAT/ON DATUM ______ _____ ALTERATION OR ADDITION TO THIS SURVEY lS A l?OLATION OF SECPON 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF 7H15 SURUE'Y MAP NOT BEARING THE LAND SURUEYOR�S EMBOSSED SEAL SHA(,L NOT BE CONSIDERED 7'O Bf A VAL10 TRUE COPY GUARANTEES lND/CAT£D HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM 7HE SURUEY f5 PREPAR£D AND ON I-HS BENALF TO THE 7)RE COMPANY, COVERNMfN7AL AGENCY AND LENOING IN5777UAON, LISTED HEREON, AND TO THE ASS/GNE£S OF THE LENDfNG INSTlRJT/ON, GUARANTEES ARf NOT 7RANSFERABLE THE OFFSETS OR D/MENSIONS SHOWN HEREON FROM TNE PROPERTY LINES TO THf STRUCTURES ARE FOR A SPECIFlC PURPOSE AND USE IHEREFORE THEY ARE NOT lNTENDED TO MONUMENT 7XE PROPERTY LINES OR TO GUIDE 7NE EREC7/ON OF FENCES,�ADDlnONAL S7RUC7URES OR AND OTHER IMPROIiEMENTS EASEM£NTS AND/OR SUBSURFACE STRUElUR£S RECORD£0 OR UNRECORDED ARE NOT GUARANTE£D UNLESS PHYSfCALLY EVlDEN7 ON'THE PREMISES AT THE TIME OF SURVEY SURVEY OF DESCRIBED PROPERTY CERTIFIED TO ZENA WESHTA 2010 TRUST; MAP OF � MICHAEL HITTMAN, MERYL HITMAN; FILED FIDELITI' NATIONAL TITLE INSURANCE COMPANY, SITUATED AT BAYVIEW � 70wrr OF SOUTHOLD � KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK � �� Professional Land Surveying and Design �{ P.O. Box 153 Aquebogue, New York 11931 Fi�e y 16-91 SCALE 1��=3�� TE JUNE 5, z� PHONE (631)298-1588 FAX (631) 298-1588 N YS LISC NO 050882 meinle[ning the recorde ot Robert] Hennesay k Renneth M Woychuk .- LOCATION: �[OD / �`i''�'°����E�"''t"L /"'"''� � (number & street) � (municipality) '� SUBDIVTSION: . , ������A,P NO.: -- - LOT(S): . � NAME OF OV4'NER(S)': '�-� ' OCCUPANCY: ' � � � , (t ) , � (owner-tenant)� - . , ADMI'TT�D �'Y�' ACCOMPANTED BY: ✓�"�� . __ .� KEY AVAILA.BL�E: �–� 5L1�F. C0. TAX MAP NO. 1000- -' S'= SOURC� OF REQUEST: DATE: Z � � DWELLING � � T��'E OF CONSTRUCTTOI�:�L� �a+..�.� #STQI�TES: �► 6 #E�ITS:" � FOUNDATYOl� ` .�$ASEII�IEAIT� L CRAWL SPACE� � , `�.,� ' �— � # OF BED�200MS: 1ST FLR:'� r�- , � 2N1� FLl�: � 3�D �'Ll�: � _ , - , BATHROOM(S): _� � 'TCSt�.ET RbOM(S): �" UTILTTY ROO'1VI: �` P0�2CH.T�'PE: D���CK, T"YPE: .. PATIO;TYPE: __ - B�2EEZEWAY: _. . _� - FTI2�PLACE: _. . . GARAGE: � ' ; � , _ .__._ I�OMESTIC HOT'VVAT�R: _'�,�TYP�I�EAT��2: _, o�e �1IRCONDITIONING: � � � TYPE HEAT: a� V�ARM AIR: � HO'�WATER: � # t�F I{ITCHENS:� � � , FINIS�IED BASEMENTr YE � � S NO , � � � , OTHE�: G�� ' . , � ' ACCESSORY �TRUCT�CJ�� �- � �r s GARAGE, TYPE OF CONST.: �TnRAG�, TT'PE CONST.: ` SWTMMING P'OOL: r-� GTJEST, TI'PE CONST: � � OTHER: ` , � � VIOLATIOIVS: CHAI�TER 144 &N.Y. STATE;UNIFORM F`IRE P�E�$NTION & BUILDING CODE �OCATION E CRIPTIO 'ART. SEC. �- l.c+-,..rQ ..�.�'4as�..��. --- - - - � � , - , � � � A'J'`/L��. . Os�� . � .� o*,�p. ' �� � /. - . , REMARKS: J Q.Q��,���'z ' . . , . , � INSPECTED BY: - c.�'� ' DAT� OF INSPECTION: �� o� �� .�G `�_ . . 08 oy�/li � � � ��'��'���TI1�fE START; ��•�IS END; /�.' ��- � � 08���/ � �� . ��, - . �