The URL can be used to link to this page

Home My WebLink AboutZ-24045FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24045 Date NOVEMBER 27, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property CENTRAL AVENUE FISHERS ISLAND, N.Y. House No. Street County Tax Map No. 1000 Section 10 Block 1 Lot 4 Subdivision Filed Map No. Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24045 dated NOVEMBER 27, 1995 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 ACCESSORY WOOD FRAME GARAGE * The certificate is issued to HAZEL WALKER, DECEASED (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. uilding Inspector Rev. 1/81 NII 1 LD 1 NG DEI'ARTHENI' TOWN OF SOUTIIOLU HOUSING CODE INSPECTION REPORT LOCATION: CENTRAL AVENUE FISHERS ISLAND, N.Y- 1) R sCrccl uuinicipalilyF -- -� SMIDIV151ON _HAI' NAME OF OWNIiI( (s) ESTATE OF HAZEL B. WALKER — - -- OCCUPANCY 1 FAMILY DWELLING — — --- — OWNER VACANT — -- Z[ypej---- Zovner-[enant�- ^-- SELF N/A ADM I'!"1'ED BY:_ _ ACCOMPANIED I)Y: KEY AVAII.AIfl.li 511FF'(;O TAX HAI' NO. 1000-10-1-4 SOUI(CE OF REq!IES'T: NANCY WHITE, ADMINISTRATRIX DATE: NOV. 9, 1995 ESTME-U ESTATE-- -- ----- DWEI.I.I NC: 'I'YI'li OF CONS-ITOCTION FRAME FOUNDATION STONE _CEI.I.AltPART. TOTAL ROOMS: IST FLR. 5 2ND FI.R._ 4 31) FI -R. RATNRooH (s) 2 'roll.r:T Roots (S) 1 11014:11 TYPE OPEN (WOOD FLOOR) 11ECK, 'TYPE NREF.'Z.EWAY DO1IESTIC NOTWATER TYPE. IIEA'r OIL O'1'11BIt, ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIHNINC POOL OTIIE It : n _/ STORIES 2 / EXITS CRAWL SPACE PART' ITI'ILITY ROOM PATIO F Iltlil'I.ACL' GAI(AGE TYPE IIIiATE11t ELECTRIC Ali(CONDITIONING WARH Alit HOT AIR 110TWATER WOOD FRAME STORAGE, TYPE CONST. , GUEST, TYPE CONST. ---------------------------------------------------------------------------- ------------------------------------------------ ---------------------------- VIOI.ATIONS: CIIAPTEI( 45 N.Y. SPATE UNIFORM FIRE PREVENTION 6 IIl1ILDING CODE 4 LOCATION DESCRIP'T'ION ART. SEC EXTERIOR Exterior porches shall be maintained in safe h sound 1242.5 2 2.5--kc)DWELLING kc) DWELLING condition. EXTERIOR Exterior surface s a e manntained in good condition— DWELLING and protective paint 1242.5 �e� S GARAGE INTERIOR --- —^— - Electrical fixtures, wiring shall e— working conditions - o materia s a 1243.8 (aj CELLAR Chimneys,% smokestacks, connector shall be mainta><ne - — — structurally safe and smoke tight. 1243.1 REMARKS : INf:1rCT4:U I J. DATE. OF INSPECTION NOV. 21, 1995 TIME START 10:45 AM END 11:20 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL , Box 1179 765-1802 Southold NY 11971 9 felo6 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. j 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 .,November 1995 .................. New Construction........... Old Or Pre-existing Building..? .............. Location of Property.. ,C.entral.Avenue: Fish.ers.Island................................... ....... ........ ... . . . . House No. . Street Hamlet Onwer or Owners of Property... Estate of Hazel B. Walker, Deceased aka- Hazel W. -P6rtuna., -de.ceasedl County Tax Map No 1000, Section ..... 10 ....... Block ...... 1 ......... Lot.. 4 ................... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. HealthDept. Approval..........................Underwriters Approval......................... PlanningBoard Approval ........................ Request for: Temporary Certificate........... Final Certicate...Y....... Fee Submitted: $.... 100.00. .................... Estate of HAZEL B. WALKER, a/k/a HAZEL .... Sdy6�- 5'Le Ct) �:2yoy_s W. FORTUNA, D�G��a�redC�Z2Q,�,:,, FPLICANT NANCY WHITE, Administratrix L O' 1\SPIsCT1ON Deceased Estate of Hazel B. Walker a/k/a Hazel W. Fortuna,, the undersihned, Owners) Name(s) do(es) hereby state: That the undersigned (is) 9XMO the ownerfrs) of the premises in the Town of Southold located at Central Avenue, Fishers Island -chich is shown and designated on the SuffoU, County tax map as District 1000, Section 10 Block 1 , Lot 4 That the undersigned (has) XIixM) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Pre—Existing Use 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 lags, 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, rehulations of the Town of Southold. Dated: November Y. 1995 (, gnature) Nancy White, Administratrix Estate of Hazel B. Walker, a/k/a Wript n�me) Hazel ortuna, Deceased (signature print name 1. . W 968.75 ,' �W 88G • B8 A V /�' �GZL G9• ,l/J SNL �53'42 30 -- -------- - - h— Z3 f+, Z 1 e N O C n �^ �E2 LrnIE -z .ems \ F• ro 8 l ✓ / T in i lei �jB3 N -r' .i �,(3fJ y d/Ew CoTTAG6 � T/I,•JC T Cf /p3• JT v[EY' ✓ Z \W i l B� 45 tiJG4�.00 IAo� w /ooG,- �� 6 N v G B°1I , v S.o� v,7890 (-3 �w 678.89 b Fc. ro ,f 46°10,00..&) _ Z/ _ ✓/,E (hl Cr rTAGE � i iliG7 �y /.00tA To Jr+v<ey ✓. oma+<�NJr/ J�•G•23,00'�r � 77. 9S • .. �S �lJ �J 1 J iv LOCATI ON: SUBDIVISION NAME OF OWNER (s ) OCCUPANCY�p� n BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPEC'T'ION REPORT dr 6 street MAP NO (municipality L0T(s) ADMI'T'TED BY: KEY AVAI LAIILE SOURCE OF REyUEST: UFF. .ACCOMPANIED BY: TAX MAP 140. eo�,2�� 4/ DATE: /// o /ir�'S� DWELLING: TYPE Ol- CONS'T'RUCTION �' �% � 1r STORIES EXITS FOUNDATION CEI.I.AR /117etop, CRAWL SPACE TOTAL ROOMS: IST F1,11.6" 2ND FI -R.- 3RD FLR. BATHROOM (s) 'TOILET ROOM (s) U'T ILITY ROOM PORCH TYPE DECK, TYPE PATIO BREEZEWAY /-4- 44P /° FIREPLACE / GARAGE DOMESTIC 11OTWATI'R TYPE HEA'T'ER '4;G G ` AIRCONDITIONING TYPE UEA'1' �p �L- _ WARM AIit Ile I101'WA'T'ER �- OTHER: ACCESSORY ST'RUCT'URES: GARAGE, TYPE OF CONST. • "77w STORAGE, 'TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTUER: ------------------------------------------------------------------------------------------- ---------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & ITUILDING CODE LOCATIOA DESCRIPTION i 1 / / •L i� � ,u -ter✓_ j/�Li�� i . � � !��.� I - / REMARKS: IN!;PrCTED BY DATE OF INSPECTION2- /C;,S-� TIME' START END-_�//,�j �C� N �I