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Home My WebLink AboutZ-31246 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31246 Date: 06/22/06 THIS CERTIFIES that the building DWELLING Location of Property MIDLOTHIAN AVE (STREET) Block 0007 FISHERS ISLAND (HAMLET) Lot 008.001 (HOUSE NO.) County Tax Map No. 473889 Section 009 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 OCCUPANCY NUMBER Z- 31246 dated JUNE 22, 2006 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 SEASONAL DWELLING WITH OPEN PORCH AND BLUESTONE PATIO.* The certificate is issued to ALBERT H GORDON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: SUBDIVISION: KAME OF OWNER (S): ALBERT H GORDON MIDLOTHIAN AVE FISHERS ISLAND MAP NO.: LOT IS) OCCUPANCY: SEASONAL RESIDENTIAL ADMITTED BY: OPEN mY AVAILABLE: ALBERT H GORDON ACCOMPANIED BY: SUFF. CO. TAX MAP NO.: 9.-7-8.1 SOURCE OF REQUEST: CHERYL NEWTON, AlA DATE: 06/22/06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: STONE # STORIES: 2..:...Q # EXITS: ---.!! CELLAR: CRANL SPACE: 100% 3RD FLR.: --2. UTILITY ROOM(S) : PATIO TYPE: BLUESTONE TOTAL ROOMS: 1ST FLR. : 2 2ND FLR.: 11 BATHROOM (S) , ---2..:....Q TOILET ROOM (S) : 1.0 PORCH TYPE: OPEN DECK TYPE: BREEZRNAY: FIREPLACE: 1 DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC GARAGE: NONE AIRCONDITIONING: NO TYPE HEAT: NONE OTIIKR , WARM AIR: HO'l'WATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTIIKR , STORAGE, TYPE COJJST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP 3759 SHED COZ3628, BP 31518 KITCHEN ALT COZ31244 INSPECTED BY: DATE ON INSPECTION: 08/16/05 TIME START: END: l I~':~ Je; .i'~r1J}[~ in iUUL~,~_m :~i Tow~1 o?sg~~;""'LI?~ This application must be filled in by typewriter or ink and submitted to the Building Department with the following: Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. For new buDding 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 2/1 0 of I % 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~ existing buildings (prior to April 9, 1957) non-conforming uses, or buDdings and "pre-existing" land uses: ~ Accurate survey of property showing all properly lines, streets, building and unusual natural or topographic (n features. U 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 L 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. 6/ ~ !oc: (check one) O~ll_ hc., ~~ ~. cv'MoD~~ ~ Street (],MZYI..) v New Construction: Old or Pre-existing Building: Location of Property: 'Bo)G Lj- ~:":> House No. {1l',~I~ Hamlet C\Qy!u Suffolk County Tax Map No 1000, Section ~ \4. 001 Block 1 Lot B. \ Owner or Owners of Property: Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Underwriters Approval: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~ vie) (check one) Fee Submitted: $ _JOO. ?(e ctu '2:::- ~(d-~\o Q.e.c... '1oSl1<b ~ A!\~ /tf--I /' Applicant Si ature .J..,' ~.\.- .- ;= . .TOWN OF SOUTHOLD PROPERTY RECORD CARD ( OWNER 'I STREET VILLAGE. DIST. SUB. LOt /"ltl 'II L.t.--f) /'__J~,'t- . ~ FORMER OWNER SEAS. Y\t'd N. /V/, S I--( Cl ]'::;.J..j2_li.A-Ye. FARM E ACR. --- ~.70+ I~ I G' 3.eJ5 TYPE OF UILDING W , . E, 1,.-:~IYaH<;(c. . nn. O' COMM. CB. MISe. Mkt. Value / 1Uo-'~;- \? , " .., / .-r...-, '-.J u r r r'T.f '"' ~ ~ VL. LAND IMP. TOTAL DATE REMARKS U -(-~-/, 7) ," boo' --..... /7",;zoo '7~ Ji.':,-5>...1l._ c:) 2POD 6""00 (\ AGE l() 17 'Iif- BUILDING CONDITION NEW FARM NORMAL BELOW ABOVE Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable' 3 Woodland Swampland - FRONTAGE ON ROAD DEPTH BULKHEAD ~-r-S \. N CV ~~ n___ Brushland House Plot rota I DOCK ... -.: .."..-,,-. '- M. Bldg. ~-o 'to OJ''' . :;-:70 . ~ "t) Extension ./ Extension Extension 650) / ) /i.' i i ., J ./;---.,.. Porch /1:" ", f. Porch r ,1..----[ J / j 0 " . ..eree"""""y '0 " /- f ,E;uo U!Je . Patio, ~ ./ !) I -; ~ )--.-' , " \ t '1 , I F.oundation Both Dinett Floors K. -- Interior Finish LR. Heat DR. Rooms 1st Floor BR. Rooms 2nd Floo FIN. B. ---- ,'j" _.J .__ /, :7f. J' '. / / - -~- ~~--/ < Place Type Roof I Recreation /"' ., .- .,c ~E:) J/O LAND SEAS. IMP. "!;''---o--D ~ <>-0 --3 ",-e-c Y:,f. '" i> AGE NEW FARM NORMAL Acre Tillable Tillable 2 Tillable 3 Woodland Swampland Brushland Hause Plat Total -- lU~ STREET ~~.J n.~"'vn..., . ~ ...~ ~~..:,?' N VL. S . "J'kd. JI ~M../1 ,'f....&-1 /ARM TOTAL DATE ;>.. / <ri:) ../.. /." ,-,/1.., BUILDING CONDITION BELOW ABOVE Value Per Acre Value rn..vr..n. I . ~AKIT' VILLAGE DIST. LOT SUB. E . . . &~~~. W I a #I , /, ~ ACR_ ,~ ~ TYPE OF BUILDING <6 COMM. CB. Mkt. Value . :::f1:I f\~~ ~\~ ~~.. ) MISe. REMARKS 375''1 ~ ~dJ Cll"'J ~d.<t FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK """,'I'f' ..., ~"' 'tff" " ~ I __"----...-I 17 M. Bldg. '''' ~' ~;;.D - 3-0 t,J Extension ":::;:"'(':r/) I 2- X ) 4' -- " lC J-'" Extension /7".3 .' Extension ~ "'J' . .' /(; '</7' ,:;( 7:0_ ~'J'V ;0 xJ.'i~- <2. 0 III ex ~ -., l----D/ .2& "Y"/ Porch . S'y--q ,:C 'f ~ ,/' :'.,/) Breezeway Garage Patio O. B. Total j'l~ /.J 0 -11;'- . -1(,J' 1/ " . ~f . .~. .,p ~ COLOR P.1l I 1 , 1 1 1<, ,;/ TRIM ~r.'1 "3- '1)-. " ~ ~ ..I ,1 . If/cLte.-, . . ., ) \ \ J- ~o I" I I " '.j /. 'co 11Jt,l' ,~ I I" I 1'1-' ~, ~" , 74 :$ Foundation Bath Dinett . -; r./'..'- y Basement Floors K. l~/-! k.~ T'", j.J/ r/i::~' t, Walls Interior Finish WA -.: L j~J;' LR. __f. /,/),/ \' '_." 'j Heat ELE'~ DR, BR, FIN. B. /"_:;;;2.,: Rooms 1 st Floor Rooms 2nd Floo Driveway -- . .