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HomeMy WebLinkAboutZ-18098 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-18098 Date JUNE 9, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property ORIENTAL AVE. FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 4 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a. private one-family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-18098 dated JUNE 9, 1989 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 ANTHONY J. & CAROL B. MARSHALL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING Building Inspector Rev. 1/81 BUILDI1IG DEPARTIHL IT TOXIN OF SOUTH OLD, N. Y. HOUSING CODE INSPECTION REPORT Location ORIENTAL AVE. FISHERS ISLAND (number ac s tree-t ilunicipaiiy)y) Subdivision lMap No . Lot(s) Name of Owner(s) ANTHONY MARSHALL Occupancy R 1 (type) owner-tenant) Ad_.ii`ed by• TONY MARSHALL Accdmpani ed by -Key available . ' Suffolk Co. Tax No. 9-4-18 Source of request ANTHONY MARSHALL. Date JUNE 2, 1989 D','IE'LLING Type of construction WOOD JL 2 r;stories Foundation BRICK Cellar_g Crawl space Total rooms, lst. F1 5 2nd. F1 4 3rd. F1 Bathroom(s) 3 Toilet room(s) 1 Porch, type WOOD Deck, type Patio, type_ Breezeway NONE Garage NONE Utility room 1 e Heat � Warm Air Hotwater xx Fireplace(s) NONE No. Fxits 2 Airconditioni ng No Domestic hotwater XX Type heater Other ACCESSORY STRUCTURES: Garage, type const. NONE Storage, t NONi- g type const. Swimming pool NONE Guest, type const. NONE Other VIOLATIONS: CHAPTER 45==N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Description J Art. 1 Sec. Remarks: Inspected bb : C. DIXON Date of Insp. JUNE 2, 1989 Time start 9:42AM end 9:57 AM FORM NO. 6 r, �I TOWN OF SOUTHOLD U Building Department Town Hall " 8 Southold, N.Y. 11971 765 — 1802 BLDG.DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted m aw�� to the Building Inspec- tor with the following;for new buildings 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 of Health Dept. of water,supply and sewerage disposal—(S-9 form or equal). . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior.to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2: Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25 . 00 POOLS $25 . 00 ALTERATION $25 . 00 1. Certificate of occupancy New Dwelling .$25.0.0, Accessory $ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ 10 . 0 0 4 .Vacant Land C.O. $ 20 . 00 5.Updated C.O. $ 50 . 00 Date .lPl. .� .� y. . . . . . . . . . . NewConstruction . , , , _ , Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . . . Locationof Property . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No.. StreetHamlet Owner or Owners of Property . . . .: . . .�! � . . �—�. cl�cShaL�, , , , , , , , , , , County Tax Map No. 1000 Section . . . . . . . . . . . . . . Block . . . . . . . . . . Lot . . . . . I.T . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. . . . . . . . . . , . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . Request for Temp rary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . Fee Submitted $ Construction on above described building and p mit eets a applica le codes and regulations. Applicant . %'�``• • . . . . . . . . . . . . . . . . . . . . . . Rev.10-10-78 Cam- 37 (3AX C4 i�098 CONSENT TO INSPECTION S� o 14-le' the undersigned, «rne�(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at i��5"�G�y, ,L �� eLl A� which is shogun and designated on the Suffolk- County tax map as District 1000, Section ', Block Lot 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: ' r 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 as evidence in subsequent prosecutions for vio- lations, of the laws, ordinances, rules or regulations of the Town of Southold. Dated: a re) (print name) (signature) (print name) BUILDI-,,G DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location L/ (number & stree-c) (Iviunicipality Subdivision Map No. Lots)_ � Name of Owner(s) Occupancy r--- (type) (owner-tenant Admitted by: -�"uxd•, 6,14p s? g/jj i Accompanied by: Key available-7--6/u ft.4441, L-Suffolk Co. Tax No. Source of request }=�,�. ,� Date DWELLING: Type of construction (/j a , #s-tories a-&,-- Foundation Cellar V-" Crawl space Total rooms, 1st. Fl �7 2nd. Fl 3rd. Fl Bathroom(s) ,� Toilet room(s) Porch, type 1� p �jl� Deck, type Patio, type_ Breezeway .4j,j jC Garage �ad,,0 Utility room Type Heat Warm Air Hotwater Fireplace(s)_A/4 n, / No. Exits Airconditioning� Domestic hotwater � Type heater Other ACCESSORY STRUCTURES: Garage, type const. JA'A'"rS Storage, type const. Swimming pool �+ � Guest, type const. Other VIOLATIONS: Housing Code, Chapter 45' ' N.Y. State Uniform Fire Prevention - & Buildina Code Location Description Art. 1 Sec. I Remarks: Inspected by: .� D� i ,!q &t Date of Insp. ^� • Time start d ;�9f��°end �` , �� '7 �\ TO OF SOUTHOLD P__OPE_,TY 71CORD CA4_-D 4 OWNER STREET VILLAGE DISTRICT SUB. . LOT G FORMER OWNER {` �N .. �t E ,R�E TYPE OF BUILDING ' RES. �.�,o SEAS. VL. `f FARM COMM. I IND. I CB. I MISC. ; I Est. Mkt. Value' ' LAND IMP. TOTAL DATE _ REMARKS g� L�Zs ', �- 2��� . G'R1 rt',�✓ T . =4"--A- AftJ�.sl/"„�. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD'' Tillable 2 DOCK Tillable, 3 . Woodland Swampland. r" Brushland low House Plot Total`-' FA ■■■■■■■■■■■■■■■■■■■ M■■ME■■OWi■MI■UMMME■■ MEMOMMENIMMEM lit ME ENEEMMIAMEMEMEM 5. aye„ .lp:-- $✓k„"' ao,,, e' p?: r"{'.a. MEMO■®OO■f f■MO■MEN Ext. Walls ,fInterior FinishBreezeway, kooms 2nd Floor, � C Fire Place Rooms I st Floor I Garage • • • MIN IFA •