HomeMy WebLinkAboutZ-29886FORM NO. 4
TOWIq OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 29886
Date: 12/04/03
TI{IS CERTIFIES that the building
DWELLING & ACCESSORIES
Location of Property ORIENTAL AVE
(HOUSE NO.) (STREET)
County Tax ~ap No. 473889 Section 009 Block 0012
Filed Map No. -- Lot No.
Sulx~ivlsion
FISHERS ISLAND
(~LAMLET)
007.001
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
(~2CN3P~C~fl~3~BER Z- 29886 dated DECEMBER 4, 2003
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 WITH BLUE STONE PATIO AND ACCESSORY GARAGE WITH
APARTMENT ABOVE.*
The certificate is issued to MARGARET M BOGERT
(OWNER)
of the aforesaid building.
SUFFOLK COI~TYDEPARTME/~T OFHEALTEAPPROV~J~
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
~~t h-r i~z ed'S i gnat u re
Rev. 1/81
BUILDING DEPkRTMENT
TOWN OF SOUTNOLD
NOUSING CODE INSPECTION REPORT
LOCATION: ORIENTAL AVE
SUBDIVISION:
NA~ OF OW~ (S}: MARGARET M BOGERT
O~ANC"f: SINGLE FAMILY
ADMIi-r~ BY: Z & S CONTRACTING
FISHERS ISLAND
~ ~'0.: LOT (S)
MARGARET M BOGERT
1~ A%5%ILABI,~: SIIFE. CO. TAX ~ NO.: 9.-12-7.1
SODRCE OF RE(~: ESTATE OF MARGI~RET M BOGERT DATE: 12/04/03
DWELLING:
9E OF CON~'~UCTION: WOOD FR~E
FO~BDATI(~: POURED CONCRETE
CEIl: PART f~ SPACE: PART
PATIO ~5~PE: BLUE STONE
VIOLATIONS: CRAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
mmdA:s: BP#5066 add/alt CO#Z4423; BP#6166 deck CO#Z5908
BP#li418 I/G Pool C0#Z10758
DAT~ ON INSPECTION: 11/20/03
TIME START: ~NO:
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765o1802
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 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. CertificateofOccupancyonPre-existingBnilding- $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:
LocationofProperty: (no #)
Old or Pre-existing Building: X
Oriental Avenue
(check one)
Fishers Island
House No. Street
Owner or Owners ofProperty: Estate of Margaret M. Bogert
Suffolk County Tax Map No 1000, Section 009.00
Subdivision N/A
Permit No. N/A Date of Permit.
Health Dept. Approval: N/A
Planning Board Approval: N/A
Request for: Temporary Certificate
Fee Submitted: $ 100.00
c-
N/A
Hamlet
007.001
Block 12.00 Lot
Filed Map. N/A Lot:
Applicant: N/A
Underwriters Approval: N/A
N/A
Final Certificate: X (check one)
Applicant Signature
Gail Miranda-Schmidt
State of New York )
County of New York )
The undersigned, being duly sworn, deposes and says:
1. THAT I am a co-executor of the Last Will & Testament of Margaret M. Bogert, owner of premises
known as and by the Oriental Avenue, Fishers Island, New York, (Tax ID Number: 1000-009.00-12.00-
oo7.ool);
2. THAT I am familiar with the said premises and the improvements erected thereon and have been
since prior to 1957,
3. THAT the apartment located above the garage at the said premises existed prior to 1957.
THAT we make this affidavit to induce The Department of Buildings, Town of Southold to issue a
Certificate of Pre-Existing Use for the Premises.
Sworn to before me this
~7'~ day of December, 2003
Notary Public
DAVID B. MACNEIL
No~ Publlo, State of Nm~/hl~
No. 01MA4~4.1~
Qualified In New York County
~;xnmtulon Expire~ July 16, 20 ~
M~. Bogert, Co-executor
From-James ¢. Ed~'ard! & ¢~., In:.
State of New Yo~
County of New York
The underslgneci, being duly swom, dep~3eee and says:
1. THAT I am a cc-executor ~ the Last Will & Testament of Margaret M. Bogert, owner of premises
known es and by ~he Oriental Avenue, Fiehere Island, New Ye,~, (-rex ID N~mber: 1000-00g.00~13.00-
007.001);
2. THAT I ~,m familiar with the said premises and the improvements erected thereon an0 tlave aeen
since pdor to 1957,
3. THAT the apartment located above the garage mt the said premises exJeted prior to 1957.
THAT we make thie afficfavft to induce The Detriment of Buildings, Tewn of $o~the[~l a3 issue s
Certificate of Pre-Existing Usa for the Premise¢,.
~worn tO before me this
day of December. 2003
No. fy Public
CONSENT TO INSPECTION
'-,' 2 0 2002
Jeremiah M. Bogert and H. Lawrence Bogert, III, the undersigned, do(~ hereby state:
Owner(s) Name(s)
as CO-Executors of the Last Will and Testament of Margaret M. Bogert
That the undersignedz{%)-(are) the owner(s) of the premises in the Town of
Southold, located at (no #) Oriental Avenue, Fishers Island ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 009.00., Block 12.00 , Lot 007.001
Th~ the undersigned (Jmm) (have) filed, or cause to be filed, an applic~ion in the
Southold Town Building Inspe~or's Office for the following: pre-existing Certificate
of Occupancy for single-family dwelling and detached garase with garage
~partment above
That the undersigned do(-~ 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(-~ 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:
November ~7 , 2003
(Signature) 1
Jeremiah M. Bogert, as Co-Executor
//~.7 (Print NE) J~ .-~
(Signature) ~' --
H. Lawrence Bogert, III~ as Ce-Executor
(Print Name)
[ LOCATION MAP SCALE 1"=400'
N/F IRON ~ ~ ~ ~ NEW YORK; SCALE: 1"=20'; CHANDLER, PALMER ~ KING; NORWICH, CONN,;
CORNELIA /~C~ / ~ % / % ~'~ % ~" % 2,) P~N OF PROPER~ TO BE CONV~ED TO JOHN W. MEmbER III AT
.// ~ FISHERS IS~ND, NEW YORK; SCALE; 1"=40 ~,; CHANDLER, PALMER & KING;
°~x 1,) THIS SURV~ WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED
~ HEREON ANY E~ENSION OF THE USE B~OND THE PURPOSED AGREED TO
BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE
2) IT IS A VlO~TION OF THE STATE EDUCATION LAW FOR ANY PERSON,
// UNLESS ACTING UNDER TRE DIRECTION OF A LICENSED ~ND SURVEYOR, TO
WIDE ALTER AN ITEM IN ANY WAY.
IRONpiPE ~ NOT ON PROPER~ LINE (BURIED}
SrGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT DF
OVERHANG 4.) COORDINATE DISTANCES ARE M~SURED FROM U.S. COAST AND GEODETIC
5,) SfTE IS IN THE TOWN OF SOUTHOLD, COUN~ OF SUFFOLK TAX MAP Z
' 7,) SITE IS LOCATED IN R-80 ZONE. --
WILMINGTON TRUST COMPANY, AS TRUSTEE AND COMMONW~LTH LAND TITLE
INSURANCE COMPANY IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR
TITLE SURV~S OF THE NEW YORK STATE ~NB ASSOCIATION,
CORNELIA DALEY ~ ~
~ N/F NOW OR FORMERLY
/ / O/W OVERHEAD WIRES
QU~I~ CONSOL CERTIFICATION
, L_ SHEET:
FZLE
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