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HomeMy WebLinkAboutZ-16949 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .Z-16949 Date June 2, 1988 THIS CERTIFIES that the buildings . . . . . .ONE FAMILY DWELLING Location of Property . . . . . .NE CORNER OF HEATHULIE & BEACH AVES. FISHERS ISLAND House No. Street . . . . . . . .-' * * ' - - -Hamlet County Tax Map No. 1000 Section . . .9. . . . . . . .Block . . . 1. . . . . . . . . .Lot . . . 9: ]. . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . Requirements for a private one—family dwelling built prior to conforms substantially to the A�ti �€�xit�bxFi�Fxl� ixili11II§ ax April 23, 1957 CERTIFICATE OF OCCUPANCY . . . . . . . . . . . . . . . . . . . . . . pursuant to which BttDMXXtt: No. . . .Z-16949. . . . . . . . . . . dated June 2, 1988 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 & GUEST HOUSE'S . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to ESTATE OF DOROTHY M. RUSSELL �o wn erKXk"W UW k. . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . N/A . UNDERWRITERS CERTIFICATE NO. . . . . . N/A . . . . . . . ' PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev.1/81 *THESE TWO DWELLINGS CAN ONLY BE OCCUPIED BETWEEN MAY 31st AND THE 15th DAY OF SEPTEMBER AS THEY DO NOT HAVE SUFFICIENT HEAT SYSTEM. BUILDIi\dG DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location NE CORNER OF HEATHULIE & BEACH AYES. FISHERS ISLAND (number & street) (Municipality Subdivision Map No. Lot(s) Name of Owners) ESTATE OF DOROTHY M. RUSSELL Occupancy R-1 OWNERS type owner-tenani) Admitted by: LEFT OPEN Accompanied by: MR. DIXON Key available Suffolk Co. Tax No. 9-11-9. 1 Source of request STEPHEN L. HAM III Date May 23, 1988 MTELLING: MAIN HOUSE Type of construction Wood framed rrstories 2 Foundation H. Tile & Cement Cellar Crawl space Total rooms, lst. F1 9 2nd. F1 5 3rd. Fl Bathroom(s) 4 Toilet rooms) I Porch, type roof over Deck, type Patio, type_Slate Breezeway Garage Utility room x Type Heat NONE Warm Air Hotwater Fireplace(s) I No. Exits 5 Airconditioning Domestic hotwater Yes Type heater gas Other Pantry, large-attic ACCESSORY STRUCTURES: Garage, type const. ONE CAR WOOD Storage, type const. Swimming pool Guest, type const. Other 2nd Dwelling located on the property. VIOLATIONS: Housing Code, Chapter 45" N.Y. State Uniform Fire Prevention B ildi Code Location Description � Art. 1 Sec. BOTH DWELLINGS HAVE A FIRE & SMOKE DETECTOR SYSTEM. THESE TWO DWELLINGS CAN ONLY BE OCCUPIED BETWEE I MAY 31st AND THE 15th DAY OF SEPTEMBER AS THEY DO NOT HAVE A SUFFICIENT HEAT SYSTEM. CH 45-PART 1000 1000. ]'.b Remarks: Inspected by: ���Y. 2"—Date of Insp. May 31 , 1988 Curtis W. Horton T � 10.00 a Time start end 11 .30 am BUILDI11.2 DEP:uRT iE:iT TON OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Locution NE CORNER OF HEATHULIE & BEACH AVES. FISHERS ISLAND knumber & street i'iunicipality) Subdivision Map No. Lot(s) Name of Owner(s) ESTATE OF DOROTHY M. RUSSELL Occupancy R-1 OWNERS (type) owner-tenant) Admitted by: LEFT OPEN Accompanied by: MR. DIXON Key available ' Suffolk Co. Tax No. 9-1 1-9. 1 Source of request STEPHEN L. HAM III Date May 23, 1988 DWELLING: GUEST HOUSE Type of construction WOOD FRAMED rstories 1 Foundation Block & Stone Cellar Crawl space Total rooms, lst. F1 7 2nd. Fl 3rd. Fl Bathroom(s) 3 Toilet room(s) Porch, type Deck, type WOOD Patio, typeSLATE Breeze:aay Garage Utility room Type Heat 4 ELECTRIC HEATE'Aarm Air Hotwater Fireplace(s) No. Exits Airconditioning Domestic hotwater YES Type heater ELECTRIC Other ACCESSORY STRUCTURES: Garage, type const. 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: '� Date of Insp. May 31, 1988 Curtis W. Horton % 10:00 am 11 .30 am t Time start end FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802' APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted mommumn 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 1. Certificate of occupancy New Dwelling $Z5.0.0, Accessory ,$ 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 $ 1 0 . 0 0 4 .Vacant Land C.O. $ 20 . 00 5 .Undated C.O. $ 50 . 00 Date . . M,ay. .23.,. .Ma. . . . . . . . . . NewCons truct ion . , , , , , Old or P re-existing Building . . . .X. . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property NE Corner of Heathulie and Beach Avenues ; Fishers Island . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Ham/et Owner or Owners of Property . . . of Dorothy M: Russell County Tax Map No. 1000 Section . . .9 . . . . . . . . . . . Block . . . . , 1.1 . . . . . . . Lot . . , 9 . 1 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval . . . . . . .N/A. . . . . ... . . . . . . .Labor Dept. Approval . . . . .N/A . Underwriters Approval . . . . . . .WA. . . . . . . . . . . . . .Planning Board Approval . , , N/A Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . 50.•.QQ. . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. Applicant �� ``�". . . . . . . . . . . . . . Stephen /L. Ham, III, as attorney for Rev.10-10-78 Estate of Dorothy M. Russell gj\k L-o --n AFFIDAVIT STATE OF NEW YORK ) ss. . COUNTY OF SUFFOLK ) STEPHEN L. HAM, III, being duly sworn, deposes and says: 1. I am an ,attorney at law, duly admitted to practice in the State of New York. 2 . I represent the Estate of Dorothy M. Russell (Thomas W. Russell, Jr. , executor) , the owner of the real property shown . on the survey annexed hereto. 3 . Upon information and belief, all of the structures shown on the attached survey were constructed prior to 1957 and have remained in their current locations without change or modification since 1957. 4. I make this affidavit in order to induce the Building Inspector of the Town of Southold to issue a pre-existing Certificate of Occupancy covering the two single-family dwellings (one of which consists of three structures connected by an open patio and covered alleyway) and detached garage shown on the annexed survey, knowing he will rely upon the truthfulness hereof. /'Jtcw L • 1-/7.,= Stephen L. Ham, III Subscribed and Sworn To. Before Me this 20th day of May, 1988 a4N Not y Public E. 1ANE ALLEN NOTARY PUBLIC,Itate of New York No.52-491696 Qualified in Suffolk County Commission Expires Deember 28,1989 _ _ 00 N y'� co '4:5 � 8z• o / CA --- p cX157 j/lCE t~40 �}C IST t K . u. f , C. 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