HomeMy WebLinkAboutZ-41190 . �ufFQ Town of Southold 6/17/2020
°oy`' 53095 Main Rd
Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 41190 Date: 6/17/2020
THIS CERTIFIES that the structure(s)located at: Equestrian Ave, Fishers Island
SCTM#: 473889 Sec/Block/Lot: 9.-7-1
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- 41190
dated 6/17/2020 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
seasonal wood frame one family dwelling with front and side covered porches.*
Note: BP 44306 "as built"addition/alteration COZ-41189
The certificate is issued to W. Richard Glendon Jr& Lisa Glendon-Szymanski
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Auth ed Sign re
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: Equestrian Ave,Fishers Island
BUFF.CO.TAX MAP NO.: 9.-7-1 SUBDIVISION:
NAME OF OWNER(S): W.Richard Glendon Jr&Lisa Glendon-Szymanski
OCCUPANCY:
ADMITTED BY: Tim Patterson
SOURCE OF REQUEST: Glendon Jr,W Richard DATE: 6/17/2020
DWELLING:
#STORIES: 2 #EXITS: 4
FOUNDATION: concrete&brick CELLAR: full CRAWL SPACE:
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: front&side covered DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: none WARM AIR: HOT WATER:
#BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: MIKEV DATE OF INSPECTION: 4/4/2019
TIME START: 3:30pm END: 4:05pm
Form No.6
TOWN OF SOUTHOLDD
BUILDING DEPARTMENT
TOWN HALL j
765-1802 MAR 1 5 2019
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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This application must be filled in by typewriter or ink and submitted to the Building Department with the following:, ,
This
A. 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 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. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $I00.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date.
X/
New Construction: 2 Old or Pre-existing Building:, (check one) .n
Location of Property: T �/ �����lV ��s s 161 PA omr'
House No. Street Hamlet
Owner or Owners of Property-, • kl$ff
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)
q P _
Fee Submitted: $; Inn 1 00
���/ Y Applicant Signature
CONSENT TO INSPECTION
S a- n -�Z /�'J c�/,�l Cir -the undersigned, do(es)hereby state:
Owner(s)game(s)
That the undersignedl(is) (are)the owner(s)of the premises in the Town of
Southold, located at _
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 60Block 2_ Lot 7-
That the undersigned(has) (have) filed,or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:C_�(1F7CV��E b
D-USE-
4 -
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.
Dated: 3/ -
(Signature)
``(Print Name
(Signature)
i c.)4 I -n don
(Print Name)
41 1 1
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ARBAhJ A. .,.4~'fv.4-.w .w wad
oe souryolo
# # TOWN OF SOUTHOLD BUILDING DEPT. -
�ycoe�' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING ` ,
[ ] FRAMING /STRAPPING [ ] FINAL y
[ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION
[ "] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [vr AE C/O
N ar
REMARKS:
s� �24-
DATE O3 INSPECTOR '
�o,*Uf SOUT�O�
# # TOWN OF SOUTHOLD-BUILDINGDEPT.
`y�nurme�' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE-& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ E C/O
REMARKS:
DATE INSPECTOR
�o�aOF SOUTyOIo
# # TOWN--OF SOUTHOLD BUILDING DEPT.
co 765-1802
.- INSPECTION '
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND J ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[
] ' FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION :[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [vrPRE C/O
REMARKS:
DATE INSPECTOR '
9 - 7- 1 TOWN OF SOUTHOLD PROrinx-i—iiarm-, RD CARD
OWNER STREET VILLAGE DlSf SUB. LOT
q
FORMER OWNER N E ACR
Av-
W TYPE OF BUILDING
D
---
RES. SEAS. VL. FARM COMM CB. MICS. Mkt. Value
LAND I IMP. TOTAL DATE
REMARKS
0-0 -f-ha A0- 1 1 j0g,�43 - dfendor? -1v
q Zoo q600 10,5-/b(?—L 17-402,OZZIL
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM i Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland I FRONTAGE ON ROAD
Meadowland
DEPTH
House Plot
BULKHEAD
Total j DOCK
IF
COLOR ,
l \ ! 1
�IIIIIIII IIIIIUI IIII � ' r_ ��- � � _
�
,. ,n �IIII�IIIII�;i;ilil��i,�;,1,;�111•,i',I',;�,{1' '�. I I I
j
-- I k I
�
1 7 j sw
M. Bldg. � , �r✓ ( /'''� P/ l'r II 1 I t
0
Extension
i;
Extension `
73 ���
Extension 2_
Foundation Ce%f�i tGr,Y�-Bath Di;vette -
Floors
Pcrch '. %' 7 Y Basementw/ 1
�n —_-- - f K
Porch - f 3 - -- Ext. Walls Interior Finish �7 � a LR.
Breezeway �� I ,�"�[Fire Place CfHeat )L DR.
6,4 eo
Garage r Type Roof . Rcoms 1st Floor ER. -
_, , i
Patio l Recreation Room t! v Rooms 2nd Floor F 1 N. B
-O. B. D_orrn rr . Driveway
(-Z,Total ! _ V
�b0�
., v }
LOCATION:
(number & street) (municipality)
SUBDIVISION; MAPNO.: _ LOT(S): .. .
NAME OF OWNER(S)-
-OCCUPANCY:
(typ (owner-tenant),
ADMITTED BY: 'C�� / ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000- • ' �_
SOURCE OF REQUEST: _ DATE:
DWELLING
TYPE OF CONSTRUCTION G�''"� # STORIES: 4 EXITS:
FOUNDATION: i $ASElti'iENT: 'CRAWL SPACE:
# OF BEDROOMS: IST FLI � 2ND FLA: _ 3RD FLR
,BATHROOM(Sj: TOILET ROOM(S): UTILITY ROOM: ,
PORCH-TYPE: �D•ECK, TYPE: .. . . PATIO;TYPE:
BREEZEWAY:' FIREPLACE: �~
GARAGE:
DOMESTIC HOTWATER: " TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: 1 WARM AIR: _ . HOTWATER:.
s
4 OF KITCHENS:
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: _ GUEST)'TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER.144 &N.Y. STATE UNIFORM FUI,'S PREVENTION & BUILDING CODE
LOCATION DISCRIPTION ART. SEC.
IV
REMARKS:
INSPECTED BY: ll DATE OF INSPECTION:
TIME START:. 31: !! °!"' END: