HomeMy WebLinkAboutZ-29118FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED & CORRECTED
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-29118 Date DECEMBER 12, 2002
THIS CERTIFIES that the building ll~O FAMILY DWELLING
Location of Property WHISTLER AVE. FISHERS IS~ND, N.Y.
House No. Street Hamlet
County Tax Map No, 1000 Section 9 Block 10 Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a Two Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-29118 dated DECEMBER i2, 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 ll~O FAMILY DWELLING *
The certificate is issued to KEVIN CONNELLY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO, N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE A1-FACHED INSPECTION REPORT.
NOTE: THIS UPDATES & CORRECTS PRECO Z-23452 DATED 1/17/95.
Rev. 1/~ // B/NJdding bSspector
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: WHISTLER AVE
(~PANCY: RESIDENTIAL
ADMI'i-£~3 BY: K. CONNELLY
FISHERS ISLED
NO.: LOT (S)
KEVIN CONNELLY
SOURCE OF ~uEQU~T: WOODI~D FOUNDATION, INC. 12/29/94-- DAT~: ~12/12/02
DWELLING:
TYPE OF CONS~UCTION: WOOD FRAME
FOUNDATION: GRANITE
2.5 # EXITS: ~2
ACCESSORY STRUCTURES:
NONE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOP34 FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
THIS UPDATES & CORRECTS PRECO Z 23452 DATED 1/17/95.
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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.
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 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.
~For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'!pre-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.
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 Buildin~ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
mate
Construction ........... Old Or Pre-existing Building...)L ............
ration of roperty ..................
House No. Street Hamlet
oo t .oA .
nty Tax Map No 1000, Section ..... ., .Block.. .Lot...
division .................................... Filed Map ............ Lot ......................
mit No ................ Date Of Permit ................ applicant..~¥.z,~.~v.r;~.~; ...... ./. ......
lth Dept. Approval.' ...................... .. . Underwriters Approval .......................
nning Board Approval .....
~est for: Temporary Certificate ..... Final~
co ~. ,~ ~/I,~'
12/11102
Town of South old
Buiulding Department
Attn: Gary Fish
Town Hall
Southold, NY 11971
Dear Gary,
On January 12, 1995, I inspected a building for pre-CO owned at the time by Woodland
Foundation (1000-9-10-16). I listed the building as a single family dwelling. Upon my
review on this date, I realize I had erred as the building is a two family house and has
always been since the Military built it in the early 1900's. The building is presently
owned by Kevin Connelly. Sorry about the confusion.
Sincerely yours,
~/tIttfl/
Robert E. Wall
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No
Z-23452
Date
JANUARY 17, 1995
THIS CERTIFIES that the building
ONE FAMILY DWELLING
Location of Property
WHISTLER AVENUE
House No.
FISHERS ISLAND, N. Y .
Street Hamlet
County Tax Map No. 1000 Section
9
Block
10
Lot
16
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-23452
dated JANUARY 17, 1995
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 *
The certificate is issued to WOODLAND FOUNDATION, INC.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
UNDERWRITERS CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
~,4
uilding I spector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
WHISTLER AVE.
(number & street)
FISHERS ISLAND, N.Y.
(municipality)
ADMITTED BY:
KEY AVAILABLE
SOURCE OF REQUEST:
(s) WOODLAND FOUNDATION,
RESIDENTIAL
(type)
K. CONNELLY
MAP NO.
INC.
LOT(s)
SUBDIVISION
NAME OF OWNER
OCCUPANCY
(owner-tenant)
ACCOMPANIED BY: SAME
SUFF .CO. TAX MAP NO. 100u-~ IV-Ill
WOODLAND FOUNDATION, INC. DATE: DEC. 29, 1994
DWELLING:
TYPE OF CONSTRUCTION
GRANITE
WOOD FRAME
3RD FLR.
# STORIES 2- I /2 # EXITS
CRAWL SPACE
4
2
1ST FLR.
CELLAR
6 2ND FLR. 6
FULL
FOUNDATION
TOTAL ROOMS:
BATHROOM (s) 3
PORCH TYPE COVERED
BREEZEWAY
DOMESTIC HOTWATER YES
TYPE HEAT OIL
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
TOILET ROOM (s) UTILITY ROOM
DECK, TYPE PATIO
FIREPLACE 2 GARAGE
TYPE HEATER ELECTRIC & OIL AIRCONDITIONING
WARM AIR
xx
HOTWATER
NONE
STORAGE, TYPE CONST.
, GUEST, TYPE CONST.
-------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
VIOLATIONS: CIlAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
.
REMARKS:
INSPECTED BY
DATE OF INSPECTION
JAN. 12, 1995
TIME START
10:00 AM END 10:40 AM
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01-12-1995 02:09PM FROM
TO
17651823 P.02
BUILDI1!O DEl'AR'J:i-IENT
TO~rn OF SOUTHOLD, N. Y.
J-.r:r 9..4
6'b~
,
..---" .--
.,-.....
.
Loc::!.tlon
N2lIle of O,mer(s)',!.U:JAlt: Ill'/) frt',1iYilnP-;I'/O -n.ut?.-/
Occupancy ~~4{ 12uY)'JIJL~
type) . towner-tenan"}
Ac1.-:l1tted by: . k' /.At?IM'q Accolllpanied by:. S 4Y1J\ jl;;,
Key available .- \ Suffolk Co. Tax No. 9' -/0 - /(.
Source of request r~ a 0 ~~~~ Dat~._<~)2)f/
Hap No.
O'lunic1pal.i. ty)
Lot(s)
D','rELLI!ICl :
:J:ype of construction iU,oI?R ~("
Foundation &P.J!>nJ I h."'-.- Cellar &:Uf#
Total rooms, 1st. F1 h 2nd. F1 -
Bathroom(s) ~ Toilet room(s)
Porch, type {'(JiJ.~ Deck, type A//4- Patio, type-1~
BreeZe\1ay ~.u Garage ~ ,{. Utility room ---- '
Type Heat ~/i- '~arm Air ~ 'Hot>1ater ~
Fireplace(s) ~ No. E:cits "'L.-- Aircondit1oning A:~""~~"
Domestic howater fl"t!4- Type heat'er ?M.c/e:..~ ",/If"
Other
#stories.A6T~
Crawl space
3rd. Fl 't<
ACCESSORY STRUCTURES:
Garage, type const.
S>1imming pool
Other
Storage, type canst.
Guest, type oonst.
. , . . ;::-D. 1 :r~:=.;-;:;.o";:':
Location Descriotion I Art. I Sec.
I
VIOLATIONS' Housing Code Chapter 45 N y state ~~iform Fire Prevention
~
Remarks:
//37L~A' a/'/lp{. ,
.
Date
. Time
at Insp. /~ij~C
'1t"rtLa~ end lo~
Inspected by:
TOTAL P.02
:,' D~ @ (~Jr;:~7
~~ lEe 2 91994
l . TOWm"
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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.
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 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 existing buildings (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
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.
C. Fees
1.
2.
3.
4.
5.
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.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $20.00
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Da te .. ,1UJ.9/9!>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction........... Old Or Pre-existing Building... .1-............
Location of Property...................... ~.I.S:ry.~!l. !'~~. . . . . . . . . . . . . . . n.s~~. ;r~,. !!Y. . .
House No. Street Hamlet
WOODLAND FOUNDATION INC.
Onwer or Owners of Property..................................................................
County Tax Map No
. 9 10 16
1000, Sec tlon. . . . . . . . . . . . . . Block. . . . . . . . . . . . . . . . Lot. . . . . . . . . . . . . . . . . . . . . .
Subdivision................................... .Filed Map........... .Lot......................
Permit No............... .Date Of Permit............... .Applicant.............................
Health Dept. ApprovaL......................... Underwriters ApprovaL........................
Planning Board ApprovaL.......................
Request for: Temporary Certificate........... Final Certicate....J......
Fee Submitted: $... . .IDO..no...... ...... .. .....
<ReG, ~ ,OOe.,
6N- 10-2,~3LfS;2..
................................................
APPLICANT
-~
'1#,( TO
47% &6' d,(ll L-
7J' 8-S..5-<;/0
'.
CONSENT
TO
INSPECTION
1~.(11 P r .
.' ,.-., l!;,1
d / DEe 2 9 1994 '
"
! ,
TO BLDG. DEPT .J
.. WN OF SOUTHOLO
~'..."-
LUOD'J) ut-ND F;;u.. KPftTl O~, :[:)y C , , the undersigned,
Owner(s) Name(s)
doles) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
r:5Lt}-rv,7J
{J/H :5rLE R. W;;;N (j IE. Fj5ffe/2,j
/
, which is shown and designated on the Suffolk
of South old located at
County tax map as District 1000, Section Oo'tOO, Block lo,~o, LotOI(,,\Joo.
That the undersigned (has) (have) filed, or caused to be filed, 'an applica-
tion in the Southold Town Building Inspector's Offi?e for the following:
~i.F\CI\"-~ OF OCCiJ,.()A-NCy Or{ 1'~~-E(C15-ri.v6=--
13 u. L.bJ2LN 6-
That the undersigned doles) 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 nec~ssary 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, dotes) 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.
. WOO P et-I+)\{) Y::-{J u. N P rA-17 0 N/ me '
Dated:j)-R-~ ~ J9Cfr Er WaliftJY, (!. &r9J
(slgnature)
(vI f't~tRJ"t c., B06tve-~ EggS I 'P~
(print name) ,
(signature)
(pr int name)