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
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Ext. Walls
,fInterior FinishBreezeway, kooms 2nd Floor,
� C
Fire Place
Rooms I st Floor
I
Garage
• •
• MIN
IFA •