HomeMy WebLinkAboutZ-27108FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27108
Date: 05/30/00
THIS CERTIFIES that the building DWELLING
Location of Property MONTAUK 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 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 27108 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 *
FISHERS ISLAND
(HAMLET}
Lot 005
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
rizedSig~W~nature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: MONTAUK AVE FISHERS ISLAND
SUBDIVISION: MAP NO.: .-- LOT (S) --
NAME OF OWNER (S): ARTHUR J & BERNADETTE WALSH
OCCUPANCY: RESIDENTIAL/OFFICE ARTHUR J & BERNADETTE WALSH
ADMITTED BY: OWNER ACCOMPANIED BY:
FEY AVAILABLE: -- SUFF. CO. TAX MAP NO.:
SOURCE OF REQUEST: ARTHUR J. WALSH - 5/~/QQ DATE: 05/30/00
TYPE OF CONSTRUCTION: WOOD FRAME
FOUNDATION: POURED CONCRETE
TOTAL ROOMS: 1ST FLR.: ._~
BATHROOM(S): 2.0
PORCH TYPE: NONE
BREEZEWAY:
DOMESTIC HOTWATER: YES
TYPE HEAT: Q~ WARM AIR:
OTHER:
2ND FLR.: ._~
TOILET ROOM(S):
DECK TYPE:
FIREPLACE: ONE
# STORIES: ~,Q # EXITS:
CELLAR: FULL CRAWL SPACE: --
3RD FLR.: ~
2.0 UTILITY ROOM(S):
NONE PATIO TYPE: BLUESTONE
GARAGE:
AIRCONDITIONING:
TYPE HEATER: TANKLESS
HOTWATER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWI~94ING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ] ART.
R~RKS: BP #16386Z-COZ-27107 (2ND STY ADDITION)
INSPECTED X,4 DATE ON INSPECTION: 05/05/00
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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.
?.I,'imll Approwll I~r~uulh,,lilh D~,t,I. ~l~ wnl,~r aUpl,]¥ mid
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 exzst~ng buzld~ngs (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
~nusual 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
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-existin~ Buildinm - $100.00
3. Copy of Certificate of Occupancy - .
i. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
..............................
New Construction ........... Old Or Pre-existing Building.
Location of Property ........................... .~...~.~,~.,.4./<..4~?. ....... .~./.~..~.~?.~..~-..~..~..~.P. · ·
Ih)u~e N{). '3truer Ha,deL
On.er or Owners of Property ..... .... .................
County Tax Map No 1000, Section....~-./. ........Block ..... .~;. ........ Lot...,~.. ................
Subdivision .................................... Filed Map ............ Lot ......................
~ermit No .... Date Of Permit.~, ............. Applicant.~..~.?. ..... :.~ ............ ~ .
.... 6~
Health Dept. Approval .......................... Underwriters Approval .........................
?!arming Board Approval ........................
~equest for: Temporary Certificate ........... Final Certicate...~.. .....
Submitted: $ ..... .......
o
CO~SENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at ~A-~?t~__
· which is shown and desi~n, ated 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 Southold To~n Buildin.~ Inspector's Office for the following: __
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 laws; ordinances, rules
and re,~ulations 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 tile conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or re~-ulations o£ the Town of Southold.
(print name)
REF.
P~AIL FENCING
1.5'+
EDGE Of PA~NG
20' RIGHT OF WAY
· 1~0' IN LENGTH
UBER 7797, PN~E 381
AREA-- 9,010+ sq.ft.
MERESTONE
N 2490,58
POLE
~417
140.00'
/
/
LESLIE R. COLEMAN AND KEVIN C. COLEMAN,
WASHINGTON MUTUAL BANK, F.A.
CHICAGO TITLE INSURANCE COMPANY BY TITLE ASSOCIATES, INC., AS
IN ACCORDANCE WITH THE MINIMUM STANDARDS
FOR TmLE SURVEYS OF THE NEW YORK STATE LAND TFfLE
ASSOC~TION. HILE~ TAOO(O8)39BA
§' STOCKADE FENCL
PATIO
N/F
BERNADEttE WALSH
ExI~nNG
RESIDENCE
N/F
MARy G. ROBERTS
WILLIAM
10' WIDE RIGHT OF WAY
50' IN LENGTH, MORE OR LESS
REF. UBER 7797, PAGE 381
STOCKADE FENCE
N/F
DANIELS
AGENT
DATE
REVISI[]NS
DESCR]PTIDN
COORDINATE DISTANCES ARE MEASURED FROM U.S.
COAST ~ GEODETIC SURVEY TRIANGULATION STATION
"PROS"
2.) TAX REFERENCE:
Dt~H.<ICT 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