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HomeMy WebLinkAboutZ-29907 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT' Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29907 Date: 12/11/03 THIS CERTIFIES that the building DWELLING Location of Property OFF EAST END RD FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 002 Block 0001 Lot 008 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- 29907 dated DECEMBER 11, 2003 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 KLAUS & VERA MAYER (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. /�6h/lzed gignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: OFF EAST END RD FISHERS ISLAND SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : KLAUS & VERA MAYER OCCUPANCY: SINGLE FAMILY DWELLING KLAUS & VERA MAYER ADMITTED BY: CONTRACTOR ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 2.-1-8 SOURCE OF REQUEST: STEPHEN HAM, ATTY 11/17/03 DATE: 12/11 03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME/BRICK VENEER # STORIES: 2.0 # EXITS: 7 FOUNDATION: CONCRETE BLOCK BRICK VENEER CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 14 2ND FLR.: 0 3RD FLR.: 4 BATHROOM(S) : 6.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BLUESTONE BREEZEWAY: FIREPLACE: 2 GARAGE: DOMESTIC HOTWATER: YES TYPE BEATER: OIL FIRED AIRCONDITIONING: TYPE BEAT: OIL FIRED WARM AIR: XX HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: NONE STORAGE, TYPE CONST.: ** SWIMMING POOL: XX GUEST, TYPE CONST.: OTHER: **POOL HOUSE / FILTER ROOM VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION ART. I SEC. REMARKS: BP#17630-ZCOZ-18808-SWIM.POOL-BP #18379Z-POOL HOUSE, CO Z-18714 INSPECTED BY: DATE ON INSPECTION: 12/04 03 ROBE W L TIME START: END: Form No:6.. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL s 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$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 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. November 17, 2003 New Construction: Old or Pre-existing Building: X (check one) Location of Property: (no #) private road off East End Road Fishers Island House No. Street Hamlet Owner or Owners of Property: Vera Mayer and Klaus Mayer Suffolk County Tax Map No 1000, Section 002.00 Block 01.00 - Lot 008.000 Subdivision Fishers Island Development Corporation Filed Map. A421 Lot: 27-1A & 1B. Permit No. N/A Date of Permit. N/A Applicant: N/A Health Dept. Approval: N/A Underwriters Approval: N/A Planning Board Approval: N/A Request for: Temporary Certificate Final Certificate: K (check one) Fee Submitted: $ 100.00 L , Applicant Signature Stephen L. Ham, III CONSENT TO INSPECTION VERA MAYER , 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 (no #) private road off East End Road, Fishers Island , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 002.00 ,Block ol.0o , Lot 008.000 That the undersigned (has) e filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: pre-existing Certificate of Occupancy for single-family dwelling 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(ustso 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: November Z 2003 � S�_, cedc --�A r �r (Signature) Vera Mayer (Print Name) (Signature) (Print Name) wm _�n.�... r "hn�. � .�I S'`+ -_I J--i_L ti r�f�?`S,+ yA '� ',���1■��t�■®■�■■��■■■■ ■ ■■■Pgl t*IF Im W Z'-"-- MEN Mimi■■■■■IA■owl J. ■■■■■�� ! L�IO■■�■ MINOR 'qua: � �`�'`^'�' _ _ '" t .:. �� 7�• �■��■, r `Ae3 `s w+'�,§ .•+r /`'emu, /r.' a ��'''`�wtiy�� �i i� ... . I■r���l■■■■■■■■�■� ■■■■■■■■■ I■`■i�■I■■■■■■■■■■■■■■■■■■■■■■■ t __ �. It■■■■I■■■■■■■■■■■■■■■■■No No No ■■■■■■ Ir ?I�i■■■■■■■■■■■MEN■■ ■■■■■ Jill ■�I`�I�I■■■■■■■■■ ■■■■■■■■■■■■■ MEMNON ■■■■m■■ • t Y*F •Y CY dry` TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT ORMER OWNEli N E ACR. /, JJ S W TYPE OF BUILDING (Ni I ts 2ES� SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS paxre4f L - �e / or ov ov anted 33 d 004 dslip .7 54900 ,z 7 'q c 0 31 3®-o .: s Z4c y � �� v 9 3-� 11 s8 -76- .Icr ( Cr 7D M/a Ver-��J{" "illable FRONTAGE ON WATER Voodlond FRONTAGE ON ROAD Aeadowland DEPTH douse Plot_ a a c BU,�HEAD otal COLOR TRIM ±LLL Z ST a-a 16 k5Lt g 9-7'z- 114'Z Co Z s © (o 9T M. Idg. 23 =322 Foundation cg: Bath Dinette Extension 14��►a �� 12q 575 uL 1-7 It22= y 1' '7�} 1 Basement Kit.AWL �N� lFloors SLAB Extension t° x°Z�` 1 K 20 Ext. Walls �r�cl� Interior Finish L.R. to - t2o 12p 1 S cy + ►'2>L 3 2= -4`� Extension Z 4-K 3 _ Fire Place ��S Heat D.R" 8641 Patio 5 x 2 1 t vs 4.� 75 9©CG Woodstove BR. Porch 10 XS5_ Dormer Fin. B. P,,Reck 13aC 31= �l0 3 Z°-= 1434 Attic Breezeway Iq-x 1 4 = 1 Z 1 Rooms — � ooms 1st Floor Garage 3 K to 30 Driveway Rooms 2nd Floor O.B. . Pool %QO 47, 4P.`7 ♦.. ., a ..: -: TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST_ SUB. -LOT ACR. REMARKS TYPE OF BLD, PROP. CLASS LAND IMP. TOTAL DATE FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL r, 28-2 25-14&14A 25-11 ^ ti) 0 C 25-12 r 1 CO 4) t./ co _C 28-3 Ur 00 '0) 28-1 v/ 0 a)C 2 • a a 22� 6-s 28-4 � �n 27-30 27-3A v+J 26-10 w • "��" 28-8 C/] 00 28-5 W 0 N 5341.57 :.07 W 160.92 ( z U �+ o 0 O v ►- 28-6 27-4 29-1R 26-12A �, V NO 6 U ��\ s`36• W F� Z c A 2s-12 -4 3 (D [ ) mb 27-5 ` 0 ` 28-7 m U TO+y`�� ` 27-6 27-8 O cN' v. �j 28-8 �� ,� 27-7 29-1 W 26-9 28-18 29-11 ^' e� 29-,0 r l �N LOCATION MAP SCALE 1 "=400' V N/F HARRINGTON N/F N/F FAMILY LIMITED KLAUS MA.YER MARY S. PARTNERS BLOCK 27-LOT 2 o GOSS (VACANT LAND) � Nam\ (V � Y 1.L_ m � MAP-REFERENCE �oP S85 51'30"W a �O �' Q 122.46' 1.) PLAN OF LAND TO BE CONVEYED TO LAMMOT DUPONT; FISHERS ISLAND, Q Li- Q Z NEW YORK; CHANDLER & PALMER, ENGRS.; NORWICH, CONN.; SCALE: 1"=50 m �oF /gip FT.; AUG. 1950 �jj Ld O Z O,�0 GATE cr N NQTES U? rY_ v, a t\ cn to o No. 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED N w HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO `/ Y = 2 o BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE Y :...::. ::...... o. o. ENGAGEMENT. OO li m 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO � POOL DECK ALTER AN ITEM IN ANY WAY. 7 /V69149?S. EQUIP P POOL NIP 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYORS 2 GATE VERA AlAYER SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF M.S. BLOCK 27-LOTS IA &1B THE LAND SURVEYOR. (FND.) 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC i ! No SURVEY TRIANGULATION STATION NIN m ��oo BRICK WALL $j24 46• �, `'�\ 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP N 4756.94 i his, cis.0. 1000, SECTION 002, BLOCK 1, LOTS 8 & 9. .;: ;<:: :::.:: .:... 3 6.) TOTAL AREA - 6.07t ACRES. o U : <;:>>," `: 20 7.) SITE IS LOCATED IN R-120 ZONE. O N 1� 1 t a€> .: 0 a.�Z 6 a / S�Cti / _:: w N 00 (� r DRIVEWAY o � > �,�� 1 p \X w 0 N F 1 M.S. tK / MARY S. Q \IN, 'V,-' 8 1(FND.) GOSH 0 H o c N 4440.49 0 l EDGE OF E 85.90 co � o o 0 WI QUALITY CONTROL CERTIFICATION ROAD O z Z hi GROUP REVIEWED DATE LEGEND � � O W � 2 O -1 PROJECT MANAGER CL I m 1 0 1 0 1 U U u- s EI' N/F NOW OR FORMERLY ENVIRONMENTAL DATE: 10/28/2003 CIVIL STRUCTURAL - - TREELINE 80 40 0 80 SCALE: 1 = 80' ARCH[TECTURAL GRAPHIC SCALE IN FEET FILE F SHEET: 1 OF 1