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HomeMy WebLinkAboutZ-28232FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28232 Date: 02/27/02 THIS CERTIFIES that the building DWELLING Location of Property ROW OFF MANSION DR FISHERS ISLAND (HOUSE NO.) County Tax Map No. 473889 Section 009 Subdivision (STREET) (HAMLET) Block 0001 Lot 012 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- 28232 dated FEBRUARY 27, 2002 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 WITH ATTACHED WOOD DECK * The certificate is issued to BARBARA W WALKER, LIVING TRUST (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. u or' ed Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: ROW OFF MANSION DR FISHERS ISLAND SUBDMSION: NAP NO.: LOT (S) NAME OF OWNER (S): BARBARA W WALKER, LIVING TRUST OCCUPANCY: SINGLE FAMILY BARBARA W WALKER, LIVING TRUST ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: YES SUFF. CO. TAX MAP NO.: 9.-1-12 SOURCE OF REQUEST: BENNETT & READ, ATTYS 1/7/02 DATE: 02/27/02 i DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION: STONE CELLAR: 1/4 CRAWL SPACE: 3/4 TOTAL ROOMS: IST FLR.: 6 2ND FLR_: 3 3RD FLR.: 0 BATHROON(S): 2.0 TOILET ROON(S): 0.0 UTILITY ROOK (S) PORCH TYPE: WOOD DECK TYPE: WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: NONE WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: NONE SWIIMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. AFX:. INSPECTED BY: DATE ON INSPECTION: O1 11/02 ROBERT E W L TIME START: END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ,fit -6I ;t ' 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: 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. 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, 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date......................................... New Construction........... Old Or Pre-existing Building .... $............ Location of Property ............ Fisbers.Islaud............................................... House No. Street Hamlet Onwer or Owners of Property ...... Barbara.W..'Walker.Living.Trvst .............................. County Tax Map No 1000, Section ..... 9 ........ Block .... 1 ........... Lot .... 12 ................ 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: $ ().0I00 ©................. s- (�t o55 �. V. l nc�A APPLICANT �.................... CO +t �� 3 CONSENT TO INSPECTION -Rnrknr;3 W. Walker Living Trust by •Barbara W. Walker, Trust;edhe undersigned, Owner(s) Name(:;) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Torn of Southold located at Fishers Island. NY which is shown and desi.rnated on the Suffolk County tax map as District 1000, Section 9—;: Dl.ock 1 Lut 12 That the undersigned (has) (Dave) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office f the following: That the undersitD gned 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 cf 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: (signature) Barbara W. Walker (print name) N/F PAULINE 0. WEBEL LPIPE EXIST.. " COTTAGE B-1 of STONE RETAINING WALL i PIPE EXISTING SEWER RIGHT OF WAY EXISTIN COMMON WITH COTTAGES B-1 .a _ [—AND B-2 I I.PIPE EXIST. OF EXISTING SEWER —~ 1+ PORCH POLE N 3479.85 t #19 W 2425.48 fft N213'51'30.1M 45.00' a POLE #393 QUALITY •CONTROL � CERT GROtP ..:..:.. . CONCRETE WALK SPLIT RAIL N/F ' LAWN HENRY L. FERGUSON AREA � SUSAN S. FERGUSON N80'21'00 -w 20.00' RIGHT OF WAY NY R R nw ti w n �w.vi SPIKE .O EXIST. EDGE OF \� PAVEMENT � '• COTTAGE .1 " F \ 12.0• RIGHT \ OF WAY t 1� N 3323.08 W 2352.80 JO B 'ATA PROJECT –200iff&DIETKITCHEN BOOK NO. –.F.I. •200t IdgIGNED – - ORAWN '> - -C8 CHECKED" -RHS-' cow FILE 2WI1868HND.DWG SW35.30'E m 1.) PLAN OF MANSION HOUSE COTTAGE SITES, FISHERS ISLAND, NEW YORK, SCALE 1"=40•, DATED JAN. 1949. BY CHANDLER AND PALMER ENGINEERS. 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ENGAGEMENT. 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR. 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "PROS•. 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK DISTRICT 1000, SECTION 009, BLOCK 01, LOT 12. 6.) TOTAL AREA = 0.48t ACRES. 1F.GQlQ N/F NOW OR FORMERLY SF SQUARE FEET ClEll TO: KEVIN. GRANT, VALARIE KINKADE. AND COMMONWEALTH LAND TITLE INSURANCE COMPANY IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS OF THE NEW YORK STATE LAND ASSOCIATION., OF NFwY �.z.PP°90G9SURVEY MAP. m PROPERTY TO .BE CONVEYED TO _• �� - '- GRANT & w WVALARIE J. KINKADE III a s MANSION HOUSE COTTAGE. f 1�{ • 'DIET KITCHEN FISHERS .:ISLAND,' NEW YORK R1 V 1 1S 1 0 N S 4 20• 0 40 eNo. DATE . -sign cRAPr11c 'scAlE IN FEET s K CMEI to Emadway, rdor;wi , ccr Gcw DATE. NOV, -14, 2001 •Awr�' am :, 360.894-3397 Fax 360-89&7801 . 'owe .w w wr.ea cr - wrrA,cm eoGf - SHEET.• 1 OF 1 = �frF,l3ugiaaoeriau$, �vra�.czusQis! ��ierxce._1t S•aa^veyiag CcT420 12 LOCATION:+ (number & street)( c - t . !_; ,. SUBDIVISION: MAP NO.: LOT($): NAME OF OWNER(S): OCCUPANCY: (type) (owner -tenant) ADMITTED'BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO 1 00- SOURCE OF REQUE : DATE: / // DWELLING: TYPE OF CONSTRUCTION: Mork AgOAK, # STORIE ## EXITS: W FOUNDATION: g) fV � CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR:. 3RD FLR: BATHROOM(S): TOILET ROOM(S): 1 UTILITY ROOM: — PORCH TYPE: p® DECK, TYPE: jV p IRS PATIO, TYPE:. BREEZEWAY: FIREPLACE: MAIN, O PM—` GARAGE: DOMESTIC HOTWATER: TYPE HEATER: �V, �� AIRCONDITIONING: TYPE HEAT: NON& WARM AIR: OTHER: ACCESSORY STRUCTURES:p�� GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: HOTWATER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: �`%t����� DATE ON INSPECTION: TIME START: END: