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HomeMy WebLinkAboutZ-31792 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- 31792 Date: 09/11/06 THIS CERTIFIES that the building DWELLING Location of Property CRESCENT AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473689 Section 009 Block 0002 Lot 007 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- 31792 dated SEPTEMBER 11, 2006 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 FOR SEASONAL OCCUPANCY ONLY. The certificate is issued to WINDHAM RESOURCES, LLC (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. ""4 V lax;� //Aut oriz d Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: CRESCENT AVE FISHERS ISLAND SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : WINDHAM RESOURCES, LLC OCCUPANCY: SINGLE FAMILY WINDHAM RESOURCES, LLC ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 9.-2-7 SOURCE OF REQUEST: NINA W. LETH 3/15/06 DATE: 09111106 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 8 FOUNDATION: BRICK STONE CELLAR: 2% CRAWL SPACE: 98% TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 8 3RD FLR.: 0 BATHROOM(S) : 3.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: a GARAGE: NONE DOMESTIC HOTWATER: YES TYPE BEATER: ELECTRIC AIRCONDITIONING: NONE TYPE BEAT: WARM AIR: HOTWATER: OTHER: SOME ELECTRIC HEATERS IN WALL ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 04 12 06 TIME START: END: • 1 . /o on _ Z- _ f TOWN OF SOUTHOLD PkOPERTY RECORD CARD y OWNER STREET VILLAGE DISTRICT I SUB. LOT FORMER OWNER N,/'-) -•f f ( h E/.� ACREAGE (�0^.°(,f7„ '(.sChL•�vtd T lr �� i•i .I...:.te� • O S W TYPE OF BUILDING ;..� �,�,>-�,. �-.. �.:�--��•�..-tic_ L �� �J%� s �/✓[� �"" RES. SEAS. VL. FARM COMM. I IND. I CB. MISC. LAND IMP. TOTAL DATE REMARKS G'�d 5's'�f z, � d ✓ d�1 ',�- � �5oea 5O� �5�r.� l2 4� 2 / � �a/ - e c c e i �.-� �:• �= � S' -. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable, 3 Woodland Swampland Bru* House Plot Total ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ Vi- f ■■■■■■�tll■■R�!■1�® In Interior Finish Porch Rooms I.st Floor Patio Rooms 2nd Floor Driveway ��- ' �� ,, ■1i�: ■ ■:�■fir!■_��"�I■■■■■■ mm r y, r, i CONSENT TO INSPECTION l i�P �dl/I� �$OL1.�G$5 �•L.L. , 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 A4 ho l . Creig,ent AVe , rs S he es 15 la^d which is shown and designated on the Suffolk County Tax Map as District 1000, Section , Block �. , Lot_ 7 That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: �V1e, f- 'n 4 C& o'c t'e 0 Dc v 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: GLi/G l Qp ^Y w(�t.rrr, �• c (Signature) N i N A W. L F--r+ (Print Name) (Signature) (Print Name) Form No.6 TOWN OF SOUTHOLD CF " �' 1-. ♦ .. ._:- _, _ram f ,•�j� BUILDING DEPARTMENT TOWN HALL �•; ` MAR, 2 765-1802 1 APPLICATION FORCERTIFICATE OF OCCUPANC 4 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. Di or existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing"land uses:. 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. !"`ex r C 6 1 5% Z464 New Construction: Old or Pre-existing Building: V (check one) Location of Property: A+61 —Gr,,S Gen-1— Aye i&%%-_ :t St 43EcS I,S49 A.D House No. Street Hamlet Owner or Owners of Property: Ifi/1 M j>H A M RV Sp uKGFSa La- C Suffolk County Tax Map No 1000, Section 9 Block 2, Lot 7 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ t O D , a Applicant Signature . �C) CAk C_0-?_ j CONSENT TO INSPECTION Wi n d �AAg fN 6561krc f 5 , L L C.,• , the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersiped(is) (are) the owner(s) of the premises in the Town of Southold, located at A4 ho 1.. Grresc,snl' Aim , A 5 hd r$ 161,4441 which is shown and designated on the Suffolk County Tax Map as District 1000, Section ,Block Z► , Lot— That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspectt'orr's Office forthe following: f ✓,G-+c�G I 5�-i n a Ce'r 4 iiC i'Gu t'g— 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: KOWA 145,.).4046 � �• je-qq'_ (Signature) (V �w 4- W. L£T H (Print Name) (Signature) (Print Name) A TNOL C kESCENT N 2'f19.loT' PLUG yS/ 223G. GS' GSoo" nQ� S 70 38' OO" ►y. 415..4S' W 18 2�.SS vF is kiq 1' z of ow our o� CO 0 o' 4, A E A !. 8 A. C R, E S h cy J p -� v �. o ti 4/ Z m ? C. --I N D 4/ v D < , 5 G. 9 r m LAI %Ilk N A, NOTE : 4s.Son � .�oy� � COOD.,DIMATES APL. E lo0 8,�. N �395g' E T P� AMGULATION STA u EP-,E by C E kTI F ° cv I'LAM I SUPaSTAtJTIA k F � I I I P LAN MADE FOR, F. I . FARM 5140WIWG LAND TO bE CONVEYED J Ou N F. DAI LEY J F 1 5 14 E k'b ISLAMD, `TOWN OF SOUTNO LOCATION: (number&street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (fie) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO.TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING: (� TYPE OF CONSTRUCTION• Woo Ty ��i�1IIryP� # STORIES: 6' #EXITS: FOUNDATION: r�'� "©Iw CELLAR: CRAWL SPACE: 9Wry TOTAL ROOMS: 1ST FLR: S 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: r PORCH TYPE: f1/op DECK,TYPE: PATIO,TYPE: BREEZEWAY: FIREPLACE: ® GARAGE: 4t/D41A- DOMESTIC HOTWATER:AJ4U TYPE HEATER: AIRCONDITIONING: / U TYPE HEAT: WARM AIR: HOTWATER: OTHER: ACCESSORY STIWCTURES: GARAGE,TYPE OF CONST.: /fi�if��� STORAGE,TYPE CONST.: Z(IDP SWIMMING POOL: 10lye-1-- GUEST,TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE LOCATION DESCRIPTIO;, -.r ART. SEC. 17 73. _. REMARKS: INSPECTED BY: DA E OF INSPECTION: TIME START: END: