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Home My WebLink AboutZ-38808 Fat Town of Southold 2/1/2017 53095 Main Rd Southold,New York 11971 -N. PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38808 Date: 2/1/2017 THIS CERTIFIES that the structure(s)located at: 2465 Bay Shore Rd., Greenport SCTM#: 473889 See/Block/Lot: 53.4-18 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- 38808 dated 2/1/2017 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 accessory deck. The certificate is issued to Anderson, James (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 53-4-18 PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. tho ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2465 Bay Shore Rd.,Greenport SUFF.CO.TAX MAP NO.: 53.4-18 SUBDIVISION: NAME OF OWNER(S): Anderson,James OCCUPANCY: ADMITTED BY: Tom McCarthy SOURCE OF REQUEST: Anderson,James DATE: 2/1/2017 DWELLING: #STORIES: 1.5 #EXITS: 2 FOUNDATION: concrete block CELLAR: full CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: none GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: heat pump WARM AIR: forced HOT WATER: #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: accessory deck VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 12/20/2016 TIME START: 2:41pm END: 3:10pm Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN MALI., 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. 12/5/2016 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 2465 Bay Shore Road, Southold, NY 11971 House No. Street Hamlet Owner or Owners of Property: James Anderson Suffolk County Tax Map No 1000, Section 53 Block 4 Lot 18 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: McCarthy Management, Inc. Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate• ( ecl one Fee Submitted: $ Applicant Signature CONSENT TO INSPECTION James Anderson , the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (are)the owner(s) of the premises in the Town of Southold, located at 2465 Bay Shore Road, Southold, NY 11971 , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 53 , Block 4 ,Lot 18 That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Pre-existing Certificate of Occupancy 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. r ---------- r� ----12/� 06Ve led I"11111er I I /2016--- Dated: 12/5/2016 ��- ��J{ (Signature) James Anderson (Print Name) (Signature) (Print Name) F SOU��®� Town Hall Annex Telephone(631)765-1802 54375 Main Road CA Fax(631)765-9502 P.O.Box 1179 ® roger Achert(aD-town.southold.ny.us Southold,NY 11971-0959 Q l�C®UN�Y,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To- James Anderson Address: 2465 Bay Shore Road City: Greenport St: New York Zip: 11944 Budding Permit#: Pre-CO Section: 53 Block: 4 Lot 18 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: "AS BUILT' DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" Notes: Electrical Heating System (Heat Pump) Inspector Signature: Date: January 10, 2017 0-Cert Electrical Compliance Form As Sl't�j�o Town Hall Annex Telephone(631)765-1802 S4375 M179d • oowu�P.O.Box 1roger.richertnsogd.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED SY:�- ) a AVdxDate: '� ['9"/z 1 C� Company Name: _0 �.. Name: License No.: Address: V DuoudtL4 DO (2 Phone No.: /"-71 — - " 11 - 1 JOBSITE INFORMATION: (*Indicates required information) *Name: alryeAnJeA .50(1 — Own e r � *Address: S J3cL L,1 h p re � re Lr *Cross Street: _j__S 'i e *Phone No.: ( — 5�s�'l l C�l�_ e t; Permit No.: N Tax-Map District: 9000 Section: Block: Lot: *BRIEF DI E`SCRIPTION OF WORK(Please Print Clearly) eC`�r, or (Please Circle X411 That Apply) *Is job ready for inspection: YE / NO Rough in Final *Do-you need a Temp Certificate: YES NO - Temp information(if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 . 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION � 82-Request for Inspection Form �_\` c 70 (� Cq TOWN OF SOUTHOLDt�3PERTY l R COM CARD CD OWNERPROPERTY . " - VILLAGE � _ �, �- DISTRICT SUB, LOT top 1t WE`R)� r)tfORMER W r V3 r'Sd/ N b £ ACREAGEX 4uc� j J W TYPE OF BU ILDIN RES. 2 SEAS. .266 VL. FARM comm. � IND. + C8. � MISC. LAND IMP. TOTAL DATE REMARKS _ O C) a �/ � 1 2o .2. c5 ��y -4 - le!ji :I A6 BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per'Acre Value Tilfable t 1 x LID Tillable 2 ��j rLo iJlobfe 3 J - m �warnpland CN M :rushJan d,^ — m cause Plot - m ^-1 1 r- m :;tal MEN M i ■■■■ !!a■■■■■ ■a■■■■■■■■■■■■■i■N r ' . L ■■� v■■■■■■■sem■■i■■■ .2._, ■ti■■t1■■ ON . .._ -y F �„ .. ?mow,- ,.. ■■■■iii■■■ii!■■■■■i■■ -77 ■■■a■��■■■■SIZE G■■aaNo MEN ■�■ ■a■■■I!n■■■mom ■aa■■■ a■■■i ■U!!' r• i■■ ■■1■ - - r '• '• • Rooms n S.C.T.M. NO. DISTRICT: 1000 SECTION: 53 BLOCK: 4 LOT(S): 18 CP • Q r 0 �4oJ FHM. 1.I3• l� SHE •„ ZONE AE EL 6 MON. PiR f �G ZONE X s• Gh• •njOti G%Cp GG °~�`�c�0 40 1p - -- — - - - LOT 41 COVERED ,,,,Lk• 0vF'• PORCH G .. ;.P{.',•OFA' (p9, p� �.\ MON. �.°� LOT 42 •��o 4)l P. Roel•, „• W.M. LOT 43 .010o O� PIPE l8�8 -1?O ISLAND VIEW LANE THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL FIRM PANEL 36103CO159H LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS AREA: 15,015.88 SQ.FT, or 0.34 ACRES ELEVATION DATUM.• _________________________ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TI7LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. l THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 42 CERTIFIED T0: JAMES J. ANDERSON; MAP OF:PECONIC BAY ESTATES AMENDED MAP A FILED: MAP 19, 1933 No.1124 J SITUATED AT: ARSHAMOMAQUE _ TOWN OF: SOUTHOLD KENNETH-M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design 44��zp.O. Box 153 Aquebogue, New York 11931 FILE # 16-202 SCALE: 1"=30' DATE: NOV. 18, 2016 PHONE (631)298-1588 FAX (631) 298-1588 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy do Kenneth M. Iloychuk ` OF So�T ✓'►�r�� f� courm,��' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: n ttO-focl PVLm-%�- %is 4y- _K� vvv-A to DATEY INSPECTOR SOUTyOIo X6-1 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ }-ELECTRICAL (FINAL) REMARKS: DATE �� INSPECTO ` JAMES J. ANDERSON 98 PEARSALL DRIVE #lA � DMOUNT VERNON, NY 10552-3900 VD JAN 2 7 2017 January 26,2017 BUILDING DEPT. Town of Southold,Building Dept. Tom OF 5®UTI3OLD P.O. Box 1179 Southold,NY 11971 RE: Affidavit for Pre-CO PROPERTY: 2465 Bay Shore Road, Greenport. AFFIDA VIT STATE OF: NEW YORK COUNTY OF: SUFFOLK PERSONALLY came and appeared before me,the undersigned Notary,the within named James J. Anderson,who is a resident of Suffolk County, State of New York and makes his statement& affidavit upon oath and affirmation of belief&personal knowledge that the following matters, facts and things set forth are true and correct to the best of his knowledge. I,James J. Anderson, owner of 2465 Bay Shore Road, Greenport,NY 11944 state that my residence has been in the family for decades and has always had heat supplying the home. The heating system has been replaced by Burts Reliable of Southold,NY on July 2, 2008. Dated this the 27th day of January, 2017 -) cz- u . J�mes J. Anders SWORN t subscribe before me,Vs 27h day of January,2017 1WKS J.ate of N HY D RCE5'VE Not Public,State o!New York D No.5004780,Suffolk Coun!y N0k4 Commission Expiroo Nov,23, Notary Public /--�7—/7 C9 7 JAN 2 7 2017 BUILDING DEI T- Commission expires: 4L L?3— 7 TOWN OF SOITTHOLD - LOCATION: "I h0 re-f R o w4pno Id (number & treet) (municipality) 1 - SUBDIVISION: 1V,IAP NO.: LOT(S): . NAME OF OWNER(S): Ike S� OCCUPANCY: Stng l.2 FAv1%iky DW96,%W(o (type) (owner-tenant)- ADMITTED BY: �pW► MC &V y ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE 000SOURCE OF REQUEST: A Av e4 VIu5;W DATE: DWELLING TYPE OF CONSTRUCTION: W tm # STORIES: # EXIT Y FOUNDATION: . 0C,fj4 ,, y ASE �I/O� ; BMENT: r' CRAWL SPACE: # OF BEDROOMS: IST FLR '•. 2ND FLR: _ 3RD FLR: BATHROOM(g). TOILET I�,OOM(S): — - UTILITY ROOM: . 8I-A&$f*M1ru1PORCH-TYPE: D , TSP` E:pn.(,f .vtl00 PATIO;TYPE: BREEZEWAY: FIREPLACE: Nowa GARAGE: IvoK� DOMESTIC HOTWATER: TYPEJAEATER: AIRCONDITIONING: TYPE HEAT: M WARM AIR: nr HOTWATER: # OF KITCHEN ' I "; no kijt FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST;TYPE CONST: OTHER: E VIOLATIONS: CHAPTER 144 &N.Y. STATEiUNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. G 11 I's lfu> 1 3t�-t c. 7P i - J REMARKS: INSPECTED BY: DATE OF INSPECTION: QZ(,. ?i0 , y0 TIME START: 11 L P1 END: - o P