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Home My WebLink AboutZ-26523FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26523 Date: 06/25/99 THIS CERTIFIES that the building DWELLING & ACCY. GARAGE Location of Property HALCYON AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 009 Block 0012 Subdivision Filed Map No. __ Lot No. FISHERS ISLAND (HAMLET) Lot 003 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26523 dated JUNE 25, 1999 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 SEASONAL DWELLING WITH COVERED WRAP AROUND PORCH AND ACCESSORY 2 CAR GARAGE WITH 3 ROOM APARTMENT WITH BATHRROM ABOVE.* The certificate is issued to ALBERT C & V WALL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 LOCATION: SUBDIVISION: HALCYON AVE BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT FISHERS ISLAND MAP NO.: -- LOT (S) ~ OF OWNER (S): ALBERT C & V WALL OCCUPANCY: SINGLE F~MILY ADMITTED BY: ~F KEY AVAILABLE: -- SUFF. CO. TAX MAP NO.: 9.-12-3 SOURCE OF REQUEST: STEPHEN L. HAM. III. ATTY. ALBERT C & V WALL ACCOMPANIED BY: SELF DATE: 06/25/99 TYPE OF CONSTRUCTION: WOOD F~.AME FOUNDATION: CONCRETE TOTAL ROOMS: 1ST FLR.: ._~ 2ND FLR.: __~ BATHROOM(S): 4,Q TOILET ROOM(S): PORCH TYPE: COVERED WRAP AROUND DECK TYPE: BREEZEWAY: FIREPLACE: ONE DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC TYPE HEAT: OIL WARM AIR: X HOTWATER: OTHER: # STORIES: ~,~ # EXITS: $ CELLAR: PART. CRAWL SPACE: 3RD FLR.: 2 UTILITY ROOM(S): -- PATIO TYPE: GARAGE: AIRCONDITIONING: ACCESSORY STRUCTURES: GARAGE, TYPE OF COMET.: TWO CAR WOOD FRAME* STORAGE, TYPE CONST.: SWI~4ING POOL: GUEST, TYPE CONST.: OTHER: *3 ROOM APARTMENT W/BATHROOM ABOVE. ELECTRIC HOT WATER HEATER. NO HEAT VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE pREVENTION & BUILDING CODE LOCATION ] DESCRIPTION ~ ART. ! SEC. REMARKS: REINSPECTED BY ROBERT WALL ON 6-24-99. INSPECTED BY: ~ GARY FISH DATE ON INSPECTION: 06/25/99 TIME START: 11:00 A~ END: 11:25 A~ Form h~o. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 .\. APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: i. 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 amd 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 installation~, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submi~ Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: l. 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 i. 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 - $I00.00 3. Copy of Cartificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $i5.00 Date ...4~.!~.!~ .......................... );cw Construction ........... Old Or Pre-existing Building ................. hocation of Property...(OP~) ................. ~g~gY99.6Y~ .......... f~Y~.!P~Vg ........... House No. Street Hamlet Onwur or Owners of Property..~.~.~!~qq.~q~.~q~.K.. Gardner Wall) County Tax Map No 1000, Section. PPP:PP ....... Block..!!~qq ......... not...PP~OPP ............ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit N/A .Applicant N/A N/A !lealth Dept. Approval ...... ~ ................. Underwriters Approval ......................... Planning Board Approval. N/A ~equest for: Temporary Certificate ........... Final Certicate. X Fee .... 100.00 · ~mitte~: ~.. ............................ APPf./CANT CONSENT TO INSUECTION Virginia Thors and Maria Patterson , . the undc~rsigncd, t)wner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Tovm of Southold located at Halcyon Avenue, Fishers Island which is shown and desi~qated on the Suffolk County tax map as District 1000, Section 9 ~:: ~.].ock_ 12~, Lo£ 3 'That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld Tox~m Building Inspector's Office for the following: __ pre-existing. Certificate of Occupancy for single-family dwelling and · detached garage with apartment That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon ~he 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 ~he Town of Southold. April ~, 1999 Dated: ~s!gnature) Virginia Thors ~ (print name) N/F SMIGLA 10' HIGH HEDGE ROW% iRON PiPE UNDER DRIVE LOT AREA 50' -- MONUMENT DRY WELL ~,~D RY WELL WILLIAM HOWARD KEENAN, JR.. & PAMELA CARMICHAEL KEENAN AND CHICAGO ~TLE iNSURANCE COMPANY IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS OF THE NEW YORK STATE LAND TITLE ASSOClA~ON. 1.67± ACRES GUY POLE POLE ~245 POLE #246 MONUMENT N 1554.28 ,/ NOTS: 1.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST & GEODETIC SURVEY TRIANGULATION STATION "PROS" 2.) TAX REFERENCE: DISTRICT I000, SECTION 009, BLOCK 12, LOT 3 LOT AREA = 1.674- ACRES SURVEY MAP PREPARED FOR WILLIAM PAMELA HOWARD KEENAN, JR. CARMICHAEL KEENAN HEATHULIE AVE & LIIRICK STREET FISHERS ISLAND, NEW YORK