The URL can be used to link to this page

Home My WebLink AboutZ-25887 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- 25887 Date: 08/13/98 THIS CERTIFIES that the building DWELLING Location of Property PVT RD OFF E END RD FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 005 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- 25887 dated AUGUST 13, 1998 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 MASSACO, INC. (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. c uildi g Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: PVT RD OFF E END RD FISHERS ISLAND SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : MASSACO INC OCCUPANCY: RESIDENTIAL MASSACO INC ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: YES SUFF. CO. TAX MAP NO.: 5.-1-8 SOURCE OF REQUEST: ELIZABETH C. NOYES - 4/25/98 DATE: 08/13/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 5 FOUNDATION: POURED CONCRETE CELLAR: 50% CRAWL SPACE: 50% TOTAL ROOMS: 1ST FLR.: 10 2ND FLR.: 11 3RD FLR.: 0 BATHROOM(S) : 8.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : PORCH TYPE: GLASS ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: YES FIREPLACE: 4 GARAGE: UNDER 2ND FLR.MAIN HOUSE DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL-STEAM WARM AIR: HOTWATER: OTHER: 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. 1 SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 05/19/95 ROBER E. WAL TIME START: END: ,90_ POWe- Form No. 6 T• q&4 ho- (k( !V u✓) �m l } TOWN OF SOUTHOLD J� (c AUD BUILDING DEPARTMENTlc ' ,, TOWN 165-1802L 2Q1Za1_0 �J 1 )tO �SD�? : '- r2 1 ot :Z APPLICATION FOR.CERTIFICATE OF OCCUPANC �s r, - -5 J A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use•jC�gR; `,f,F��' ` I. Final survey of property.with accurate location of all.bu :'dings, property lines, streets, and unusual natural or topographic features. , ,•y,.,_ .r.....-.:_��. 4 2. Final Approval from Health Dept. of water supply and sewer age-di•sio'sal(5�-90form) . 3. Approval of electrical installation from Board of Fire Unde�rwr t'r ers u'" ="'u'a—� 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 a 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, r 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0 , Commercial $15.00 Date . . . . . . . .� ..S... . . . . . . . . . .. . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existingBuilding. . 9/.'�. . . . . , , . , , �'• Location of Property!!�L-{�C:.�((0C.4/y19A .Cqse,. • . . . C(��iFnC-). . . ,. . . . .►. . ! :S h-C. _J House No. Street H let ((}}�� gi 1 D�n) Onwer or Owners of Property.massaU ' ;_nn!!C, County Tax Map No 1000, Section. I.�, 9.N. 9. , ,Block. . . /. . . .Lot. . . .4. . . . ... . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . .. ... . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . ... . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . .. . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . .. . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . „ .�,�,`, , , , , , , , , , , , , , c �d.5 . . . . . . :� : . . . . ... . .C� o2S �_S_7 Apr LiC:d1T 1 CONSENT TO INSPECT PAC C the undersigned, do(es) hereby state: That the undersigned (is) (are)the owner(s) of the premises in the Town of Southold located at S�4S hfj- -LE I�e which _shown and des}grated on the Sulk County tax map as District 1000, Section �J2�q , Block C , Lot . That the undersigned(has) (have)filed, or caused to be filed, an application in the Southold Town Building Inspector's Office for the following: l C 4 0 rJ r _ IL ,e a )ia� 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 violations of the laws, ordinances, rules or regulations of the own of Southold. Dated: (si ture) (print name) (signature) rint name (p )