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Home My WebLink AboutZ-27109FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27109 Date: 05/30/00 THIS CERTIFIES that the building DWELLING Location of Property MONTANK AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 009 Block 0005 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9f 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27109 dated MAY 30, 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 AND ACCESSORY SHED * FISHERS ISLAND (HAMLET) Lot 008 The certificate is issued to ARTHUR J & 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 Auth~zed Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTBOLD BOUSING CODE INSPECTION REPORT LOCATION: MONTANK AVE FISHERS ISLAND SUBDIVISION: MAP NO.: -- LOT (S) __ NAME OF OWNER (S) : ARTHUR J & BERNADETTE WALSB OCCUPANCY: RESIDENTIAL ARTHUR J & BERNADETTE WALSH ADMITTED BY: OWNER ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: SOURCE OF REQUEST: ARTHUR WALSH. JR. 5/1/00 DATE: 05/30/00 TYPE OF CONSTRUCTION: WQOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: BLOCK & CONCRETE CELLAR: ~0% CP, AWL SPACE: 40% TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: O 3RD FLR.: __~ BATHROOM(S): 1.0 TOILET ROOM(S): 0,0 UTILITY ROOM(S): -- PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC BOTWATER: YES TYPE HEATER: TANKLESS AIRCONDITIONING: TYPE HEAT: OILFIREDWARM AIR: HOTWATER: XX OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWI[~4ING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: SHED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY~6~ ~(-~,~,~-2~ DATE ON INSPECTION: 05/30/00 / ROBERT E. WALL~ TIME START: END: TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 buildiug. 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 accessory building $25.00. Businesses $50.00. 2. Certificate of qccupancy on Pre-existinR Buildinm - $100.00 3. Copy of Certificate 6f Occupancy'- , .2~. 6. 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 ................. ~.~.~.~g..~..~/.~z ............................... House No. Street Hamlet O.wer or O ers of County T~ ~p No 1000, Section ..... ~. ....... Block .... ~ ......... Lot..~..7 ............ Subdivision .... ' .Filed Map ............ Lot ................... Permit No ................ Date Of Permit ................ Applicant .......................... Health Dept. Approval .................. . ..... Underwriters Approval ........ - .............. Planning Board Approval ........................ Reqneet for: Temporary Certificate ........... Final Certicate ..... ~ .... Fee Submit ted: ~ ............................. CONSENT TO INSPECTION Owner(s) · the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at which is Shown and desi~qated on the Suffolk County tax map as District 1000, Section ~... , Block '-5~-- , Lot 00 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold To~n Building Inspector's Office for the following: __ That the undersigned .d,.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, includinf inspections to determine that said premises cornpty with all of the laws; ' ordinances, rules and re,~ulations of the To~vn 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 the Town of Southold. (signatu~jS) (print name) RAIL EDGE OF PA~NG~ 20' RIGHT OF WAY ' 'hOD' IN LENGTH REF. UBER 7797, PAGE 381 AREA= 9,010+ aq,ft. OFFICE MERIESTONE N 24-90.58 1250.71 POLE STOCKADE FENCE PATIO BERNADETTE WALSH N/F MARY G. ROBERTS PARKING EXIS~NG RESIDENCE STOCKADE FENCE N/F WILLIAM DANIELS 10' WIDE RIGHT OF WAY 50' IN LENGTH, MORE OR LESS REF. LIBER 7797, PAGE 381 1.) COORDINATE DISTANCES ARE MF. ASURED FROM U.S. COAST & GEODETIC SURVEY TRIANGULATION STATION "PROS" 2.) TAX REFERENCE: DISTRICT 1000, SECTION 009, BLOCK 5, LOTS 5 AND 8 PLAN OF PROPERTY TO BE CONVEYED TO KEVIN C. LESLIE R. COLEMAN COLEMAN MONTAUK AVENUE FISHERS ISLAND, NEW YORK R, COLEMAN AND KEVIN C. COLEMAN, WASHINGTON MUTUAL BANK, F.A. 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(OB)39BA DATE ~ESCRIPTIBN DATE MATM 25, 2000 SCALE~ I" = 20' SHEET 1 OF 1