HomeMy WebLinkAboutZ-27142FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27142
Date: 06/15/00
THIS CERTIFIES that the
building
DWELLING
Location of Property
450 PARADISE SHORE RD
SOUTHOLD
(HOUSE
NO.)
(STREET)
(HAMLET)
County Tax Map No. 473889
Section 079
Block 0005
Lot 012
Subdivision
Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 27142 dated JUNE 15, 2000
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING *
The certificate is issued to ROY H NEWHOUSE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
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t rize Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: 450 PARADISE SHORE RD SOUTHOLD
SUBDIVISION:
MAP NO.: LOT (S)
NAME OF OWNER (S): ROY H NEWHOUSE
OCCUPANCY: RESIDENTIAL ROY H NEWHOUSE
ADMITTED BY: SUSAN MCCARTHY ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 79.-5-12
SOURCE OF REQUEST: SUSAN MCCARTHY 3/17/00 DATE: 06/15/00
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 4
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.c —1
BATHROOM(S): 1.0
PORCH TYPE:
BREEZEWAY:
2ND FLR.: S
TOILET ROOM(S): 0.0
3RD FLR.: 0
UTILITY ROOM(S):
DECK TYPE: WOOD PATIO TYPE:
FIREPLACE:
GARAGE: UNDER HOUSE
DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: FLOOR HEATER HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
INSPECTED BY: � G!!:!� �/ � DATE ON INSPECTION: 06/08/00
J. -FISH TIME START: 11:00 AM END: 11:20 AM
!0WN 01 ��)U11i0Lll
BUILDINC DLFARTMLNT
TOWN IIALL
765-1802
APPLICATION FOR CERTIFICATE' OF OCCUPANCY
i
A. This application must be filled in by typewriter OR ink and brnitted to the' in ldir
inspector with the following: for new building or new use:
1. Final survey ofproperty with accurate location of all buil�ings;flj7rgperty line:
11,
streets, and unusual natural or topographic features. 1
2. Final Approval from Health Dept. of water supply and sewer g, dispQsallF --9 Iorm)
3. Approval of electrical_ installation from Board of Fire Underwi'ilers.
4. Sworn statement from plumber certifying that the solder used in sykLefp ccintains
less than 2/10 of 1% lead.`
5. Commercial building, industrial building, multipJe residences and simi�la uildi
and installations, a certificate of Code Compliance from architect or enFiiicer
responsible for the building.
(j. Submit Planning Board Approval of completed site plan reyuirements.
B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings a
"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 a consent to inspect signed by the applican
If a Certificate of Occupancy is denied, the Buil-ding Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25V.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .. ...I .....................
New Construction......�.1.... Old Or Pre-existing Building... V...........
Location of Property.. l�.........�A....... .. ,�D�E.................��1� ...........
House No.ilj.� n\ I�n" Street Hamlet
Onwer or Owners of Property Koc_'I . !::.. e.'lti.� e. ................................I
County Tax Map No 1000, Section..... 6�.....Block...5.............Lot..(�............
Subdivision....................................Filed Map ............ Lot ..................
Permit No................Date Of Permit ................ Applicant ........................
HealthDept. Approval..........................Underwriters Approval.....................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: ............. t y
..�............ h'i... . ....
APPLICANT
�.R.e.•-5��2,i
��
&W h o
s) Name(s)
do(es) hereby state;
CONSENT
TO
INSPECTION
i
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at L4So t> J Hz J t
which is shown and designated on the Suffolk
County tax map as District 1000, Section Block , Lot 12
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:
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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 onncan+in" +„ —^I, --
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TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
number & street municipality
SUBDIVISION
NAME OF OWNER (s)
MAP NO. LOT(s)
OCCUPANCY
(type) owner -tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX MAP NO.
SOURCE OF REQUEST: DATE:
DWELLING: r
TYPE OF CONSTRUCTION �� # STORIES EXITS
FOUNDATION C CELLAR CRAWL SPACE
TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE }BECK, TYPE PATIO
BREEZEWAY FIREPLACE GARAGE
r
DOMESTIC HOTWATER,TYPE HEATER AIRCONDITIONING
TYPE HEAT6X4WARM AIR ,HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: f'j?-& I718WL_- 1!�CyAL) ("�1.s3-� , 77y�-
INSPECTED BY
DATE OF INSPECTION YX0
TIME START E' END