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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 '--- .~ -. ,.,.;, . 'l . ':~'J:",6k'ttf:t ::.,:;:/~",.~9Z ...LO I . ~:'. ':::::~:'" '. ~ . .:;~~.. ,; ...\ ,,~~ I :: ; I I ,Ss '22Z \ eM L . I' t- - 2Z 'N ~ D' . "I ,11 a .n "I I-I \I V" ~ iii ~ 'I' I " ~'I ~~;"I ~ <( lOP / 'I I ~ . I ~ () . I 0 111 118'11 o I il I JI I I ,I .-vo'Plz.1 1 I L '3.Lp.-2Z' \ _-:-----::-- _=-~: I . 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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)