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Home My WebLink AboutZ-24665FORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. pRE EXISTING C~RTIFICATE OF OCCI~AN~ No Z--24665 Date OCTOBER 1, 1996 THIS CERTIFIES that the buildin~ Location of Property CENTRAL AVENUE House No. County Tax Map No. 1000 Section 10 Subdivision ONE FAMILY DWELLING FISH~RS ISLAND, N.Y. Street Hamlet Block O1 Lot 04 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-24665 dated O~TOB~ 1, 1996 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 DW~J.ING & ACCESSORY TWO CAR GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SER ATTAu~D INSPR~TION REPORT. NANCY WHITE & ORS. N/A ~/A N/A Rev. 1/81 I.o(;^'['1 otl: CEI4TRAL A~/E, FISHERS ISLAIeD, N.Y. ~HHII)]VI~I1ON HAl) riO. I.O'i'( OCC,,['AIJGY A-] ,S. AI)III'I'TED IJY: ~F ~ _ ~, AC(:()III'AIIIEI) ltY: KEY AVA I I,AIII,i~ ..................... ~Jj~J~ ~ (~ ~' ~i()UIH:I~ ()F Itl~()uEwr: ~E~ ~ I)~'11~: SE~T. 19, 1996 I)~EI,I.I IIG: I~OUNI)AT I ()Il ~TO~ CEI.I.AIt ~T~ CItATII. 'IOrAL IH)()H~;: IWI' FI.I~.~_ ~ ~ .. 21ti) Fi.it. ~ )1(I) Fl.lt. IiA'I'IIIH)OH (,~) ....... ~_ ...... '1Oi1.1~'[' IH)OIl (,) lilt E[(7.1~Ay .................... i~ I ttEi'I.ACI~ ~O~ .... IH)HI~G'I'IC iIOT,ATEI( ~S 'I'YT'I~ II~A'iEit ~C~C A[ItCONI)['J'IO~Iti(: A('.CESSOItY ~I'I~UC'IUI~ES: ~NIHHIIH~ fOOl, , {,111,,~1, TYI'I~ {,ONol. TO[~% OF SO~YHOLO BUILDING D EP ARTXE>Ff 765-i802 )3?LZCATION FOR CERTIFICATE 0Y OCCUPANCY Yn== _oo__~_t_on must be fi~lod in blz typewriter 0R ink and suomit:ed to ~he ouzldin~ inspector wi~h the following: for new building or new use: Final survey off proper:? ~ith accurate location of all buildings, property lines, streets, and unusual natural or %opographio features. Final Approval from Health Dept. of water supply and sewerage-disposa!(S-9 form). Approval of electrical installation from Board of Fire Unde~riters. Sworn snatsmenu from plumber certifying that the solder used in system con[ains lass uhan 2/!0 of [% lead. Commercial bui!ding~ industrial bui!ding~ multiple residences and similar buildings and-installations, a certificate of Code Compliance from architect or engineer responsible for the b~i!ding. Submi~ Planning Board Approval of completed site plan requirements. For exisming buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" !and uses: 1. Accurate survey of property showing ail property lines, streets, building and unusual natural or %opographic features. 2. A properly completed application and a consen~ ~o inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building inspector shall state the ra~so~s therefor in 'gri~ing ~o [he applicant. Certificate of Occupancy - New d~-e!!ing £25.00, Additions to dwei!in~ $2J.00, Alterations to dwelling S25.00, Swimming pool $25.00, Accessory building S25.00, Additions %o accessory building £25.00. Businesses S50.00. 2. Certificate of Occupancy on Pre-~xisninK Bui!dinm - $100.00 Copy of Certificate of Occupancy - . .25~ A. Updated Cer%i£icata of Occupancy - £50.00 5. temporary Certificate of Occupancy - Residential $~5.00~ Commercial $15.00 Da~e ..September.19.,..1996 .................. New Construction ........... Old Or Pre-existing Building .... X ............ Location of Proper:y ....... Central. A.~enu~ .............. Fi~h~$. %~%aOd.,..New. ~k ....... Kouse No. S~raet Kamlec 0nwer or Owners of Property.. D~vi~. ~alke~.,..i~a~%oy. Wh.i~e. a4~d .Ch~.iskin~ .Marcus ......... County Taxx ~ap No i000, Section..3D. ......... Block .... 1 ............ Lot ...... 4 ............... Subdivision .................................... Filed Map ............ Lot ...................... Permi: No ................ Date Of Permit ................ Applicant ............................. Health Depz. Approval .......................... Unda~riters Approval ......................... Planning Board Approval ........................ Request for: ~emporary Certificate ........... Final Cat-_irate ........... Fee Suomiz~ed: .~: PL ZC,~TT CONSENT TO I N~; P I!~CT ION __David Walker, Nancy; white and ,Christine Marcus . the und{:rsi[|,md, do(es) hereby state: That the undersigned (is) (at'e) the owner(s) of the i)remises itl the 'Pown of Southold located at Central Avenue, Fishers Island New Vnrk , which is shown and desiflnated on lbo Suffolk County tax map as District 1000. Section 10 , Block 1 l~ot 4 That the undersigned (has) (have) filed, oz' caused to be filed, alt applica- tion In the Southold '['ox~q'] Buildin~ [nspectcn"s Office for tho followiog: ~ That the andersigoed do(es) hereby give consent to the Btdldlng Inspector's of the Towo of Southold to entel' upon the above described property, i~mludin~ any and all buildings located thereon, to conduct such inspections as they may deem oecessary with respect to the aforesaid application, including inspections to determine that finid premises comply with all,of the laws, ordhmnces, rules and refoHations of the Toxw'~ (~f Southold. '['he amlersigned, in eonsenthq~ to such inspections, do(es) so xvith the klio~vl(!dge alld umle~'stnodi~tl[ that aoy illfoiunatio{i obtai~md In tile Col~duct of stroh h~Slmctlons Jnay be used as evlde~lce ill subsequent prosecutions for vio- lations of the laws, ordinances, rules o~' regulations of the Town of Southold. (print oame) (sit, ha t re) (point name)