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HomeMy WebLinkAboutZ-41752 �Q gyFFajf a Town of Southold 1/22/2021 Uy 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41752 Date: 1/21/2021 THIS CERTIFIES that the structure(s)located at: Equestrian Ave,Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-7-3 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- 41752 dated 1/21/2021 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 covered front and rear porches.* Notes:BP 43564 alterations COZ-41751; BP 43933 repairs COZ-41750 The certificate is issued to Carroll,Deborah& Ors. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Autho ed Signatu BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: Equestrian Ave,Fishers Island SUFF.CO.TAX MAP NO.: 9.-7-3 SUBDIVISION: NAME OF OWNER(S): Carroll,Deborah&Ors. OCCUPANCY: ADMITTED BY: Tom Ahlgren SOURCE OF REQUEST: Carroll,Deborah DATE: 1/21/2021 DWELLING: #STORIES: 3 #EXITS: 3 FOUNDATION: block and poured CELLAR: yes CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered porches DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 2 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: #BEDROOMS: 7 #KITCHENS: 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: 2/28/2019 TIME START: 1:45pm END: 2:30pm Form No.0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 Anpi YrATif V VnR CERTLU14CATV OF 0C.(-TTPANCV 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 tnnosraohic features- 2. Feral Approval from Health Dept.of water supply and sewerage-disposal(S-4 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 2110 of 1%lead. 5. Commercial building,industrial building, multiple residences and similar buildings and installations,a certificate of Code Comp]iauce 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, 1,957) 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 completQd application and consent to inspect signed by the applicant. If Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fres I. 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- $100-.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $SO.UO Ceti,of vw•�+r.nnna._1?w:de::t;al'$1 s.nn,f�Il7T1il1ermal V 5 00 5 J. LGIt[k)Gl�i7 vir[4► }r.acav� - pate. - New Construction; Old or Pre-existing Building: (check one) _J Location of Property: 1�. l i! � Y i d ri AVC � '1 SYS L 5 I C3t�C�f N House No., `_`'" Street �I� Owner or Owners of Property: •�P)! SO n Suffolk-County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Perntit No. Date of Permit. Applicant: Health Dept.Approval: UndenArriters Approval: Planning Board Approval: Kejuest for; Tenipormy Coviii.-lvaLc Y'ulicit'l.ii[u3lyYi[i.. �r.aa.s as v[iv/ Fee Submitted:$ I 00 •O� - -- -- - - -10(-e- -7-1 0 15 n„ LA -7 Appticrant Sign re CONSENT TO INSPECTION 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 '� �4 UCS i�Yl MIC • ��5�1�YS T S dkl N which is shown and designate on the Suffolk County Tax Map as District 1000, Section_g_, Block —+ , 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 followin : r That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described properly, 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: a - )y - 06 (Signature) t6ar C_ax (a 1 L (Print Name) (Signature) (Print Name) �4 �t i,�? - - =`4" ;.� t - frre r tr '=i`;z -,tet`' -w-.="'?i-s,"_': "u." .. .,a* z,. ua+v. %ksr ."6' A +. ,,ss '#"> c: x a ;.#o°, ,E pro,# 'i 'S` `� �, ,f+,t''"�'-<,�«, - a. ,?`k"�..#-h a*?` txs '�*'.»�_ ;� .. • a.rt¢� �rr,�r p+fit, -F. ,,�� i�«°Y,� 3x' ,tom, ;� ��;,,,z i •ca.., �. � z,, is k�3' `,Jt 1] , f • ti '�° ad, 't^?' :k. x'd' % ^r`te.«. .*�, ✓5 .,,�� '�;, "'°€� ^.«-�h�c K4' &t °x' ,� � & `,j'�+,$�.T'.'<``n.:�t's; P; _ ;� °:a.".. �' '�', �''TMr.:'�,�i�at �� 3(+`��, a �a `k',x+' �" �..(�>]�.5�'�, z�r, _ ',� �•r� /�:�. '«' � �, i. r LY, ,.F � � *`a"c?iq�, 'kEy {'' „�4-JC° h�y�}`-t. 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T ` v� 9.2 �p 20 (2) i (5) 1.2A(C , 0,9 1.1A(c) , / ��4 (4) 0 188 (3) n 01 (4) . . _. TQ' ' � W F SQ,-' UTH*,. w 'oo 4 � r � Oo J 0 800 Untitled Map Legend Write a description for your map. Feature 1 r` lift rry *A.40. Yom. � .. �,,• " n �a rqv .. , _ LOCATION; AK, (number & street) (municipality) SUBDIVISION: MAP•N'O.: LOT(S): ,__ NAME OF OWNER(S)-- iol - (tY (owner-tenant), ADMITTED BY: ��" � , ACCOMPANIED BY: KEY AVAILABLE: 4 A SUI{F. 'C0. TAX MAP'N0. 1000- SOURCE OF REQUEST; --y Ls�a.�lDATE: ®•L DWELLING TYPE OF CONSTRUCTION: . , 9 $TORTES: . 4 EXITS: .3 ' FOUNDATION 'CRAWL SPACE: # OF BEDROOMS: 18T FLR: P- 2ND FSPR: ^ 3RD FLA: •BATHROOM(Sj: 'TOILET .00M(S); _ UTILITY ROb'M _ PORCH.TYPE /D'E-CK, TYPE: .. . PA:TTO;TYPE: BREEZEWAY:' " FIREPLACE: 'L QARAGE: DOMESTIC HOTWATER: __ ✓'TYPV, HEATER:..P�aa A,xRCONDxTIONING; TYPE,HEAT: 64:e, WARM AYR: �� HOTWATER: # OF KITCHENS: - FINISHED BASEMENT:, YES NO • OTHER: v ry 1 • ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.; _ S'T"ORAGE, TYPE CONST.: _ SWIMMING P'O'OL: UEST,'TYPE CONST: _. OTHER: VIOLATIONS:, CHAPTER]44 &N.Y, STATE°UNIFORM FX PREVENTION"& BUILDING CODE LOCATION DIaSC PTION ART, SEC, ok . 0 �3�5 REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: A���^ END: