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Home My WebLink AboutZ-29907FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29907 Date: 12/11/03 THIS CERTIFIES that the building DWELLING Location of Property OFF EAST END RD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 002 Block 0001 Lot 008 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 OC~3PANCY~t~BER Z- 29907 dated DECEMBER 11, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is FISHERS ISLAND issued is ONE FAMILY DWELLING * The certificate is issued to KLAUS & VERA MAYER (OWNER) of the aforesaid building. SUFFOLK COUNT"f DEPARTMENT OF HEALTH APPROVAL ELEt-£KICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAT~U *PLEASE SEE ATTACHED INSPECTION REPORT. NIA N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: OFF EAST END RD FISHERS ISLAND SUBDIVISION: MAP NO.: LOT (S) NAME OF O~E~ (S}: KLAUS & VERA MAYER OCCUPANCY: SINGLE FAMILY DWELLING ADMIT'fED BY: CONTRACTOR KLAUS & VEEA MAYER DWE~LLING: · ~YPE OF CONSTRUCTION: WOOD FP~E/BRICK VENEER FOUNDATION: CONCRETE BLOCK BRICK VENEER # S~RIES: 2.0 # EXITS: 7 ACCESSORY STRUCTURES: ~E, ~"fPE OF CONST.: NONE STO~E, TYPE CONST.: ** VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION D~SCRIPTION ART. SEC. ~: BP#17630-ZCOZ-18808-SWIM.POOL-BP #18379Z-POOL HOUSE, CO Z-18714 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: 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 nnd 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 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 $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-existing Building - $100.00 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. November 17, 2003 New Construction: Old or Pre-existing Building: X LocationofProperty: (no #) private road off East End Road (check one) Fishers Island House No. Street Owner or OwnersofProperty: Vera Mayer and Klaus Mayer Suffolk County Tax Map No 1000, Section 002.00 Block Subdivision F±shers Island Development Corporation Filed Map. Hamlet 01.00 Lot 008.000 A421 Lot: 27-1A & lB Permit No. N/A Health Dept. Approval: Planxfing Board Approval: N/A Request for: Temporary Certificate Fee Submitted: $ 100.00 Date of Permit. N/A Applicant: N/A Underwriters Approval: Final Certificate: X N/A N/A (check one) Applicant Signature Stephen L. Ham, III CONSENT TO iNSPECTION VERA MAYER Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is)-(~~-) the owner(,)-ofthe premises in the Town of Southold, located at (no #) private road off East End Road~ ¥±shers Island , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 002.00 .,Block 01.00 ~,Lot 008.000 That the undersigned (has) (-here} filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: pre-existing Certificate of Occupancy for single-family dwelling 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, roles and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(z~)' 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, roles or regulations of the Town of Southold. Dated: November [2.- , 2003 (Signature) Vera Mayer (Print Name) (Signature) (Print Name) .~1~ ~ I' N 534~.57 .. oo. · ~ LOCATION ~AP SCALE 1 = HARRINGTON I %"-_._ _ x MARY S. BE~EEN THE CLIENT AND THE SURV~OR EXCEEDS THE 5COPE OF TME Y MARY S. ~.~ o. E 85.90 o su~ N/F NOW OR FORMERLY DATE: 10/28/2003 ~,~, SCALE: 1" = 80' ~.,.~ SHEET: 1 OF 1 FZLE F