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Home My WebLink AboutZ-26002FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26002 Date: 09/30/98 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property ROW OFF FOX AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 009 Block 0001 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- 26002 dated SEPTEMBER 30, 1998 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 PAULINE D WEBEL (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 Rev. 1/81 u~ding I~spector LOCATION: ROW OFF FOX AVE SUBDIVISION: NAME OF OWNER (S): PAULINE D WEBEL OCCUPANCY: RESIDENTIAL ADMITTED BY: HOUSE CLEANER KEY AVAILABLE: SUFF. CO. TAX MAP NO.: ~,-~-$ SOURCE OF REQUEST: PAULINE WEBEL BUILDING DEPARTMENT TOWN OF SOUTHOLD HQUSING CODE INSPECTION REPORT FISHERS ISLAND MAP NO.: -- LOT (S) PAULINE D WEBEL ACCOMPANIED BY: SAME DATE: 09/30/98 TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: STONE/BLOCK TOTAL ROOMS: 1ST FLR.: ---7- BATHROOM(S): ~,Q PORCH TYPE: NONE BREEZEWAY: NONE DOMESTIC HOTWATER: YES TYPE HEAT: ELECTRIC OTHER: # STORIES: CELLAR: NONE 2ND FLR.: 4 TOILET ROOM(S): 0,0 DECK TYPE: NONE FIREPLACE: ONE TYPE HEATER: ~ WAP. M AIR: EOTWATER: 2.0 # EXITS: 4 CRAWL SPACE: 100% 3RD FLR.: O UTILITY ROOM(S): NONE PATIO TYPE: BRICK/BLUESTONE GARAGE: NONE AIRCONDITIONING: NONE ACCESSQRY STRUCTURES: GARAGE, TYPE OF CONST.: NONE SWIPING POOL: OTHER: POOL FILTER BLDG. STORAGE, TYPE CONST.: NONE GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION , ART. SEC. REMARKS: BP22561Z-POOL&ACCY-COZ24274 & BP22389Z-ADD & ALT-COZ24278. INSPECTED BY: DATE ON INSPECTION: 09/29/98 TIME START: END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 mo APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildin~ 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 I% lead. 5. Commercial building, industrial building, multiple residences and similar buildi~ 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 Vpre-existing" land uses: i. 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. 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-existinR Building - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. Row off Fox Avenue Fishers island, New York Location of Property ....................................................................... House No. Street Hamlet Pauline D. Webel Onwer or Owners of Property ................................................................ 9 1 5 County Tax Map No 1000, Section .............. Block ................ Lot ........... i ........ Subdivision .................................... Filed Map ............ Lot ........... :.. ....... Permit No ................ Date Of Permit ................ Applicant ................... { ....... Health Dept. Approval .......................... Underwriters Approval ........................ Planning Board Approval ........................ Fee Submitted: Request for: Temporary Certificate ........... Final Certicate ........... .... ............... Pauline D. Webel CONSENT TO INSPECTION Pauline D. Webel Owner(s) Nar~e(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town Row off Fox Avenue, Fishers Island, New York of Southold located at · which is shown and designated on the Suffolk County tax map as District 1000, Section 9 , Block i , Lot 5 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following:.__ certificate on pre-existing building 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 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 vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: Pauline D. Webel (print name) MJ.~ON