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Home My WebLink AboutZ-26012FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26012 Date: 10/07/98 THIS CERTIFIES that the building DWELLING Location of Property PVT RD OFF E END RD FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 004 Block 0003 Lot 006.001 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- 26012 dated OCTOBER 7, 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 AMD ACCESSORY GARAGE WITH APARTMENT ABOVE* The certificate is issued to BETSY CUSHING WHITNEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTB APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. / ~ ' ' ' Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: SUBDIVISION: NAME OF OWNER (S): BETSY CUSHING WHITNEY OCCUPANCY: RESIDENTIAL ADMITTED BY: CARPENTER KEY AVAILABLE: __ SUFF. CO. TAX MAP NO.: 4,-~'~1 SOURCE OF REQUEST: SHE;~ & STERLIN~ DATE: 10/07/98 D~'E. LLING~ TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: CONCRETE TOTAL ROOMS: 1ST FLR.: ~ BATHROOM(S): $.0 PORCH TYPE: Q~N BREEZEWAY: DOMESTIC HOTWATER: YES TYPE HEAT: OIL STEAM WARM AIR: OTHER: 2ND FLR.: 9 TOILET ROOM(S): DECK TYPE: FIREPLACE: $ ~ STORIES: 2.0 ~ EXITS: 9 CELLAR: 10% CRAWL SPACE: 9Q% 3RD FLR.: ~ UTILITY ROOM{S): -- PATIO TYPE: BLUESTONE GAILAGE: AIRCONDITIONING: TYPE HEATER: ELECTRIC HOTWATER: GARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE CONST.: SWI~4ING POOL: GUEST, TYPE CONST.: OTHER: APT ABOVE GARAGE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION REMARKS DATE ON INSPECTION: 09/25/98 TIME START: END: TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted t~ tile inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-? 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 buiid£ngs and installationS, a certifiqate 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 buiidi~gs and "pre-existing" land uses: 1. 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 sbaii state the reasons therefor in writing to the applicant. Fees I. Certificate of Occupancy - New dwelling $25.00, ~dditions to dweil£n~ $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildLng $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5.~ Temporary Certificate of Occupancy - Residential $15.00, Commercial $i5.00 Date September 18, 1998 Construction ........... Old Or Pre-existing Building ..... X of Property .GP94~i M Fishers Island House No. Street Hamlet )nwcr or Owners of Property,. ~state of Betsey Cushing Whitney :ounty Tax Map No i000, Section ...... ~ ....... Block .... P ........... Lot .... ~K~.q~..1 ........ Block 13 Company ;ubdivision. . Fishers Island Development/ r~=~ ....................................... Map ............ Lot.s.3A~.3~ ~,.3D, a~d.l.43 Acre Parcel abutting Lots 3A and3B to the West. 'ermit No ................ Date Of Permit ................ Applicant..,Roge~.K,,--v~mt,AV~ ......... !ealth Dept. Approval ...................... Underwriters Approval lanning Board Approval ........................ cqucst for: Temporary Certificate ........... ee Submitted: $ 100.00 .... Final Certicate.~..~ CONSENT TO INS PECTION Roger Kmmert, AVl' , the und~:rsigned, -- O~Vner(s~ Name(~) do(es) hereby state: · a reuresentative of That the undersigned (~s)/(are') the owner(s) of tho pre,nise~ in the Tov~ of Southold located a[ ~od~in House, Fisher Islad which is shox~ and dcsign~[ed on fl~e Suffolk County tax map as Distric~ 1000, Section 4 ~: Block 3 ~ of 'That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld Tox~ Building Inspector's Office for the following: __ Pe~nent Certificate of Occupancy for pre-existing buiilding. That [he undersigncd 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 To~vn of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding tbat any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regul~ Dated: September 18, 1998 · s of the Town of Southold. _.~ ;~4~(signature) (print name) 75.44' N 48q 3'00" 83,0 BLOCK 1 B LOT lA IRON D 50'27 '50' C0 S 07'26'45" E ~ LC 72,37' N 687.56 RIGHT OF WAY E 715.56 D 23'37'00 ' T 42,77' R 204.60' L =84.31' LC 83.74' FISHERS ISLAND SOUND §3'53'10" E 57.38' BLOCK 13 LOT 3A AREA=2.560+ ACRES N 794.25 826,74 $ IRON PIN ~E ~ (FND.) L= 50.00' lO" W PiN 61.98' 12'43'30" E 31.78' 80,75' S 52'54'30"E 25.63' BLOCK 13 LOT 3D AREA= 2.854-::1: ACRES N 53'06'00" E 50,67' BLOCK 1 3 LOT 5B AREA=2.4,74+ ACRES IRON BLOCK 13 LOT 4 .BLOCK 13 _LOT 2 N 624,§8 1374.48 MERES'TON£ (FND,) ,' MERESTONE (FND.) BLOCK 1 5 LOT 5C , AREA=2.061± ACRES POLE N 74'59'50" E 60.00' MERE5TONE (END.) RE','iSI,Z JS LOCATION MAP SURVEY MAP PROPERTY TO BE CONVEYED TO ANTHONY B. HELFET &: MARJORIE McMAHON HELFET BLOCK lJ FISHERS ISLAND, NEW YORK