HomeMy WebLinkAboutZ-40833 4�%0F6l j Town`of Southold 11/6/2019
�y 53095 Main Rd '
Southold,New York 11971
d
PRE EXISTING'
CERTIFICATE OF OCCUPANCY
No: 40833 Date: 11/4/2019
THIS CERTIFIES that the structure(s)located at: Equestrian Ave,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 9.-6-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40833
dated 11/4/2019 was issued and conforms to all the requriements of the.applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with unheated covered front enclosed porch-and accessory wood frame garage_*
Note:BP 43920 electric COZ-40832
The certificate is issued to Oswald, R Bruce
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Authorized Signatu e
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: Equestrian Ave,Fishers Island
SUFF.CO.TAX MAP NO.: 9.-6-3 SUBDIVISION:
NAME OF OWNER(S): Oswald,R Bruce
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Oswald,R Bruce DATE: 11/4/2019
DWELLING:
#STORIES: 2 #EXITS: 3
FOUNDATION: brick and stone CELLAR: partial CRAWL SPACE: partial
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: front enclosed unheated DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: x TYPE HEATER: coil AIR CONDITIONING:
TYPE HEAT: oil radiator WARM AIR: HOT WATER:
#BEDROOMS: 5 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: MIKEV DATE OF INSPECTION: 6/13/2019
TIME START: 1:45pm END: 2:25pm
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 Department with the following:
A. For new building or new use:
I. 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 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 PRO
do s 1. Certificate of OccuPancy-New dwelling$50.00,Additions to dwelling$50.00, to"dwelling$ :760Swimming pool$50.00,Accessory building$50.00,Additions to accessory buil50.00,Businesses$50.0
2. Certificate of Occupancy on Pre-existing Building- $100.00 MAY 2 2 2010
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential'$15.00,Commercial$15.00 ;
Elate.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: kwg
House No. Stidet am t
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section 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 Certificate: (check one)
Fee Submitted: $ 1 (90.00
5'-)g-lj
CONSENT TO INSPECTION
R.,Bruce Oswald , the undersigned, do(es)hereby state:
Owner(s) Name(s)
That the'undersigned (is) (are) the owner(s)of the premises in the Town of
Southold, located at 1852 Equestrian Avenue, Fishers Island, NY
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section. 9 ,Block 6 , Lot 3
That the undersigned (has) (have) filed,or cause to be filed,an application in the
Southold Town Building Inspector's Office for the following: Rental Permit and
Pre-Certificate of Occupancy
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 in subsequent prosecutions for violations of the laws, ordinances,rules or
regulations of the Town of Southold.
A
Dated:_May 30, 2019 ;II
(Signature)
R. Bruce Oswald
(Print Name)
(Signature)
(Print Name)
OF S0U
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR !/
fAC
OF SOUTyo6
# TOWN OF SOUTHOLD BUILDING DEPT.
�ycourm, 765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
4
REMARKS: •��•w .. C.��
DATE �7 '� /S INSPECTOR '
a SObTh°lo
# # TOWWOF SOUTHOL-D BUILDING-DEPT.
co 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] 'FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATIO [ PRE C/O
REMARKS:
or
DATE D INSPECTOR `
-aTOWN OF SOUTHOLD, PROPERTY
1/0
OWNER STREET VILLAGE DIST. SUB. LOT
I'd Ad
,7,t"VORMER OWNER E ACR7
$ W TYPE OF BUILDING
cm &Jew�,
,�-rpar, sr-na j Ile O'SaWd #wld jp' � 1. t<.,,a me-Y,
LRES.) !EA . VL FARM COMM. 'CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
"0 3 Fro o Gd m
-7- 0SWQkJ- ' /t/j c---
C-6 4000
f
9 7b ak)a
42 Id tvzc- '
AGE BUILDING CONDITION NO Pal
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable I
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushfand FRONTAGE ON ROAD -j
House Plot DEPTH
DOCK
Total
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LOCATION: �'�• Q'�`'�
(number & street) (municipality)
SUBDIVISION: MAP-N'0.: LOT(S): ..
NAME OF OWNER(S)'
OCCUPANCY:
(typ (owner-tenant),
ADMITTED BYACCOMPANIED BY:
KEY AVAILABL : SUEF. 'CO, TAX MAP'NQ. 1000-
SOURCE OF REQUEST: �, �ZGtr'•!Q� , —DATE; -?*Aft
DWELLING
TYPE OF CON'STRUCTI'ON: ` ,..Q, ..�,# STOMS: # EDITS:
FOUNDATION: ; E -SgMENT: 'CRAWL SPACE:
# OF BEDROOMS: 18T FLR: 2ND FLR: TT3RD FLR: .
•8ATHRO-O1vM(S): - TOILET A-00M(S): UTILITY ROOIVt: ~'
PORCH.TYPE:.. y TYPE: .. . PATIO;TYPE:
BREEZEWAY:' .��' FIREPLACE: GARAGE:
DOMESTIC HOTWATER.: 1►� TYPg NEATER: L`�
_ A7RCONDxTIONING:
TYPE.HEAT: WARM AYR: HOTWATER:
# OF KITCHENS:
—
FINISHED BASEMENT:- YES
. NO
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: T-OI2AGE, TYPE CONST.:
SWIMMING P'O'OL: GUEST,'TYPE CONST:
OTHER: �~
VIOLATIONS:. CHAPTER.144 &N.Y, STATE:UNIFORM F;RE PREVENTION & BUILDING CODE
LOCATION D ZSC PTION ART. SEC,
REMARKS;
INSPECTED BY: DATE OF INSPECTION: Zle� !f
TIME START: , o• i�--. END: _ Z _
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