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Home My WebLink AboutZ-28287FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPD~NCY No: Z- 28287 Date: 03/18/02 T~IS CERTIFIES that the building DWELLING Location of Property MONTAUK AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 010 Block 0007 Subdivision Filed Map No. __ Lot No. __ confox%ms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCYNUMBER Z- 28287 dated MARCH 18, 2002 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 ENCLOSED PORCH.* FISHERS ISLAND (HAMLET) Lot 007 The certificate is issued to WALSH PARK BENEVOLENT ASSOC ( OWNER ) of the aforesaid building. SUFFOLK COUN~%rDEPARTI~ENT OF ~R~LT~APPROVAL ELR~-z~IC~J~ C~TIFICATENO. PLUMBERS CERTIFICATION DA'£mU *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A ~t~ri~e/dSi~gnature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: MONTAUK AVE FISHERS ISLAND SDBDI~ISION: ~ NO.: LOT (S) ~ OF Ogr~ER (S): WALSH PARK BENEVOLENT ASSOC OCCOPAN~: SINGLE FA~4ILY WALSH PARK BENEVOLENT ASSOC ADMI'I-rFJ3 BY: ACCOMPANIED BY: K]~Y A~qII~A~LE: b~3FF. CO. TAX ~AP NO.: 10.-7-7 SO~IRC~E OF P~EQUEST: WALSH PARK BENEVOLENT ASSOC DATE: 03/18/02 DWELLING: · "fPE OF C~3NS~UCTION: WOOD FP~AME # S~3RIES: 2.0 # EXITS: 2 FOUNDATION: STONE & POURED CONCRETE CRL?.~: YES Cp~J~L SPACE: · ~)TA~ RO(OS: 1ST FI~.: 6 2ND FId~.: 2 3P.D FId~.: 0 BA~{ROOM{S): 1.0 ~3ILET ROO~4(S): 1.0 DTILIT"f RO(O(S): PORC~ ~"IPE: ENCLOSED DECK ~"fPE: PATIO BP~EEZ~WAy: FIP~EPI~%~: NONE C~3%GE: DOg~ESTIC H(YI~A'rFd(: YES TYPE HF~q'r~: T/LNKLESS AIRCO~DITIONING: · "IPE HFS%T: 0IL FIRED ~ ;~IR: H(Y~WA'r~d~: X OTHE~: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWT~ING POOL: OTHE~: STORAGE, TYPE CONST.: TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION P_RT. SEC. INSPE=-I'~ BY: ' DATE ON INSPECTION: 03/11/02 TIME ST~/~T: END: 07/17/200Z Z6:06 63Z-7885529 RODERT E W~LL .. PAGE 02 Form No. 6 A. This application must be fill inspector with the following; Final survey of property streets, and unusual natt 2.Final Approval from Heal! 3,Approval of electrical,ir 4.Sworn statement from plu~ less than 2/10 of 1% lane 5. Commercial building, indt amd installations, a cert responsible for the build 6.Submit Planning Board Ap~ B. For existing buildings (pri0z '.'pre-existing" land uses: 1. Accurate survey of propez unusual natural or topog~ 2. A properly completed appl I~ a Certificate of Occup reasons therefor in writ~ C. Fees 1, Certificate of Occupancy Alterations to dwelling $ Additions to accessory bu 2. Certificate of Occupancy 3. Copy of Certificate of Oc 4. Updated Certificate of Oc 5. Temporary Certificate of New Construction ........... Old Or Location ~f House Onwe~ or Owners of Pro-~v~ Wals Couuty Tax Map No 1000, Section. Subdivision ..... N/A Permit N~....P/~ ......... Date Of P Health Dept, Approval .......... ' ii ........... Planming Board Approval.· ....... .-~ ........... Request for: Temporary Certificst .......... Fee Subm ted: $. 100'00/100 TOWN OF $OUTNOLD BUILDING DEPARTMENT TOWN I~LL (631) 765-1802 .TION FOR CERTIFICATE OF ocCUPANCY ed in by ~ypewriter OR ink and submitted to the building for new building or neW with accurate location of all buildings, property lihes, rsl or topographic features. h Dept. of water supply and a~werage-disposal(S-9 form). stallation from Board of. Fire Underwriters. ~ber certifying that the solder used in system contains strial building, multiple residences and similar buildings lficate of Code Compliance from architect or engineer lng. royal of completed si~e plan requirements. to April 9, 1957) non-conforming uses, or buildings and ty showing all property lines, streets, building and sphic features. ication and a aonsent to inspect signed by the applicant. ancy is denied, the Building Inspector shall state the ng to the applicant. - New dwelling $25.00, Additions to dwelling $25.00, ZS.00, Swimming pool $25.00, Accessory building $25.00, ilding $25.00. Businesses $50.00. on Pre-existinK Buildin~ - $100.00 :upancy - $20.00 cupancy - $50.00 ~ccupancy - Residentia! $15.00, Co,u~erc£al ~15.00 Date ..... ~ ......................... Pre-exiatSng Building ....... ~ ......... Suffolk Street Hamlet Park Benevolent Corporation ...............................010 -~o-; 07 L . 007 ............ Filed Map ............ Lot ...................... :rmit ................ Applicant .......... ' ................... .Underwriters Approval ......................... Final Certicate. X Walsh Park Benevolent Corporation ...... APPLICANT PROM : SOUTHOLD TOWN PLANNING BOARD FAX NO. : 631 765 3136 Jul. 24 2001 02:00PM Pi CONSENT TO INSPECTION Walsh Park Benevolent Corporation , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) o~ the premises ~n the Town o[ Southold located atE/S Montauk Avenue, 102' N/O Hedge Street Fishers Island~ NY .... . , which is shown and designated on the Suffolk County tax map as District 1000, .Section 0L0 , Block 07 , Lot 007 · That the undersigned (has) (have) filedo"Or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ Certificate of'O. ccupanc~ That the unders/gned 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, includ/ng inspections to determine.that said premises comply with all of the laws. ordinances.'~rules and regulations of the Town of Southold. The undersigned, ~n consenting to such inspe~ctions, do(es) so with the knowledge and understanding that any information obtained tn the conduct o£ such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regulations of the Town of Southold. Walsh Park Benevolen~ Corporation Dated: July 2001 By: ~-~.~ ' (signature) Frank Burr, President (print name) (signature) (print name) ~ N~F // ~ / x // / z X INDICATED HEREON. ANY EXTENSION OV THE USE B~OND THE PURPGSED AGREED TO B~WEEN THE CLIENT AND THE SURV~OR k ~717 ~ ~ / /.~ A / X / ~ND SURV~OR, TO ALTER AN ITEM IN ANY WAY. ~ X $.) ONLY COPIES OF THIS SURV~ MARKED WITH THE ~ND NON. SURV~OR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK S~L ARE THE PRODUCT OF THE ~ND SURV~OR, ~ 4.) COORDINATE DISTANCES ARE M~SURED FROM U.S. COAST AND -- -- ~~ ~uu~ ~ .q ~ 5.) SITE tS IN THE TOWN OF SOUTHOLD, COUNW OF SUFFOLK TAX OGLIA z 0 T o WALSH PARK BEN~OLENT CORPORATION _ IN ACCORDANCE WITH THE MINIMUM STA~A~S FOR TITLE SURVEYS OF THE NEW YORK ~T[, ~N~ ASSO~IAT[~: > ~ POLE ~ ~ ~ ~ ,719 ~ ~ 0 Q~ CONmOL CE~IR~TIONN ~ ~ / ~ GROUP R~EWEO DATE ~ ~ ~ ~. N/F NOW OR FORMERLY PROJECT MANAGER ,~,~% ~ ~~¢ DATE: 08/24/01 sURv~ ~ ~ SF SQUARE FEET ENVIRONMENTAL / / / ' ~ ~ " SCALE: 1"=20' SmUC~U~AL ~ SHE~: 1 OF 1 ARCHITECTURAL