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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