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Home My WebLink AboutZ-27118FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27118 Date: 06/05/00 THIS CERTIFIES that the building DWELLING Location of Property MONTAUK AVE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 009 Block 0005 Lot 006 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- 27118 dated JUNE 5, 2000 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 STORAGE BUILDING * FISHERS ISLAND The certificate is issued to BERNADETTE WALSH (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 Autho i~ed Signature Rev. 1/81 LOCATION: SUBDIVISION: MOb'TAUK AVE NAME OF OWNER (S): BERNADETTE WALSH OCCUPANCY: ~.ESIDENTIAL ADMITTED BY: ARTHUR WALSH BUILDING DEPARTMENT TOWN OF SOUTHOLD HQUSING CODE INSPECTION REPORT FISHERS ISLAND MAP NO.: -- LOT (S) -- BERNADETTE WALSH ACCOMPANIED BY: SAME KEY AVAILABLE: -- SUFF. CO. TAX MAP NO.: SOURCE OF REQUEST: ARTHUR WALSH MAY 1. 2000 DATE: 06/05/00 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS FOUNDATION: BRICK CELLAR: FULL CRAWL SPACE: -- TOTAL ROOMS: lST FLR.: 3 2ND FLR.: __~ 3RD FLR.: ~ BATHROOM(S): 1.0 TOILET ROOM(S): Q.Q UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: XX TYPE HEATER: TAN~ESS AIRCONDITIONING: TYPE HEAT: XX WARM AIR: HOTWATER: OTHER: GARAGE, TYPE OF CONST.: SWI~4ING POOL: OTHER: STORAGE, TYPE CONST.: WOOD FRAME GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ] ART. SEC, REMARKS: INSPECTED BY: .~ - i~ / ROBER~E. WALL DATE ON INSPECTION: 05/05/00 TIME START: END: TOWN OF SOUTHOLD BUILDING DEPARTHENT ToWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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, buildin{ 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings an~ "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 acceasory building $25.00. Businesses $50.00. 2. Certificate of qccupancy on Pre-existinR Buildinm - $100.00 3. Copy of Certificate'of Occupancy '- ~ .2~. 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 .... ~ .......... House No. Street Hamlet County Tax Map No 1000, Section .... ~.' ........ Block... ~ ..Lot Subdivision ............................ ' ........ Filed Map ............ Lot ................... Permit No ................ Date Of Permit ................ Applicant .......................... Health Dept. Approval ................ Underwriters Approval ........ .............. Planning Board Approval ........................ Requemt for: Temporary Certificate ........... Final Certicate...~ ..... Fee Submitted: $. / · ."~. .................. APPLICANT CONSENT TO INSPECTION Oxwner (s) Name(s) · the undersigned, do(es) hereby state: ., That the undersigned (is) (are) tile owner(s) of the premises in thc Town of Southold located at · which is Shown and designated on the Suffolk County tax map as District 1000, Section ~. , Block -~'"-, Lot ~ That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld To~n Building Inspector's Office for the following: That the undersigned ,~o(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 lations of the laws, ordinances, rules or regulations of the Toxvn of Southold. (print name) - --' (signature] N 2480.58 W 12§0.71 N/F ARTHUR & BERNADETTE WALSH WALL AREA= 0.15i ACRES WALL N/F ARTHUR & DERNADET'FE ~ALSH 6' STOCKADE FENCE N/E WILLIAM DANIELS / C. COLEMAN AND CHICAGO TITLE INSURANCE COMPANY BY TITLE ASSOCIATES, INC., AS AGENT IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS OF THE NEW YORK STATE LAND TITLE ASSOCIATION., TITLE# TAOO(OS)SgBB S 3~36'20' 80.00' IRON PIPE 47'43'40' E 29.70' N/F FISHERS PEQUOT ASSOCIATES NOTES: COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST ~ GEODETIC SURVEY TRIANGULATION STATION 'hRo.S" 2.) TAX REFERENCE: DISTRICT 1000, SECTION 009, BLOCK 5, LOT 6 PLAN OF PROPERLY TO DE CONVEYED TO KEVIN C. COLEMAN MONTAUK AVENUE FISHERS ISLAND, NEW YORK REVISIDNS DATE DEgCRIPTIBN DATE: MA"(' 25, 2000 SCALE: 1" = 20' SHEET 1 DF 1