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HomeMy WebLinkAboutZ-31792FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31792 THIS CERTIFIES that the building DWELLING Date: 09/11/06 Location of Property CRESCENT AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 009 Block 0002 Lot 007 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- 31792 dated SEPTEMBER 11, 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 DWELLING FOR SEASONAL OCCUPANCY ONLY. The certificate is issued to WINDHAM RESOURCES, LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A - -'�4 V lal�' //Aut oriz d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: CRESCENT AVE FISHERS ISLAND SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): WINDHAM RESOURCES, LLC OCCUPANCY: SINGLE FAMILY WINDHAM RESOURCES, LLC ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 9.-2-7 SOURCE OF REQUEST: NINA W. LETH 3/15/06 DATE: 09/11/06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 8 FOUNDATION: BRICK STONE CELLAR: 2% CRAWL SPACE: 98% TOTAL ROOMS: 1ST FLR.: 5 2ND PLR.: 8 3RD PER.: 0 BATHROOM(S): 3.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: NONE GARAGE: NONE DOMESTIC HOTWATER: YES TYPE BEATER: ELECTRIC AIRCONDITIONING: NONE TYPE BRAT: WARM AIR: HOTWATER: OTHER: SOME ELECTRIC HEATERS IN WALL ACCESSORY STRUCTURES: GARAGE. TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST. TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: DATE ON INSPECTION: 04/12/0 TIME START: END: TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT I SUB. LOT FORMER OWNER W r , r,; � „r- - ,=,.,�,, N, `.�` 1,6_- i�'(..R,lYco_, P S A, � L (, � rJ e��ss�,wo.�� E u .. ,- ' _-v W -- �i✓�io Irl ACREAGE �YQ TYPE OF BUILDING RES. SEAS. VL. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS Y J' l�j©C7 50C'X? 6500 2-1121 41 �" / - Ol - e c e i r ec' G�� a'( ? 11 1,3 5i Z1 1 Z4 4t 4i ti vi ri ria AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Bru7.*rYe House Plot Totol i :xtension I-ryIT - - ,3-%� :xtension e ` Y 4(6 :xtension gx;d 3reezeway 6 xz3 = /Y 67 iarcge ). B. "A' R Il e ,eR,C< I Bath L �AR'f Floors Interior Finish Heart Np Attic Rooms lst Floor Rooms 2nd Floor Foundation Basement Fact. Walls — Fire Place Porch b �Z Porch Patio Driveway 3prr1` 10 ('> �OtB$ 12-390 e ,eR,C< I Bath L �AR'f Floors Interior Finish Heart Np Attic Rooms lst Floor Rooms 2nd Floor CONSENT TO INSPECTION W i A d t AM 4 65OWrce 5 , LLC the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersi ed (is) (are) the owner(s) of the premises in the Town of Southold, located at ho 1 , Gresc rn-r AV.—#. F -r S he ✓ s which is shown and designated on the Suffolk County Tax Map as District 1000, Section _�Block Z Lot -. That the undersigned (has) (have) filed, or cause to be filed, an application in the d Town Building Inspector's Office for the following: 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: we k 1,51. 46P� Y Lj' Je4 ►, (Signature) NINA w. L-ErH (Print Name) (Signature) (Print Name) Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 4 TOWN HALL 765-1802 Mn O 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. Dor existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 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. M 0.I' c 1n 1 S . Z0064 New Construction: Old or Pre-existing Building: (check one) i"r Location of Property: 4+61 -Gr,,S cC✓t-i— Ayell.v.•e :F Sti91!5-7Q5LA _D House No. Street Hamlet Owner or Owners of Property: W 1 lV b H A M RF Sri vR CE5 r "c. Suffolk County Tax Map No 1000, Section 9 Block 2 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: 1/ (check one) Fee Submitted: Applicant Signature . �0 Chiu Co-?_3►')92 CONSENT TO INSPECTION Wt n d V►An�t �5au�e>- 5�L L G , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersiped (is) (are) the owner(s) of the premises in the Town of Southold, located at 1++k0/ GreSesnt Avd , Ai 5 hers I5laisa which is shown and designated on the Suffolk County Tax Map as District 1000, Section 6 J_, Block Z Lot _. That the undersigned (has) (have) filed, or cause to be filed, an application in the Id Town Building Inspector's Office for the following: 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: Kaak 1S,'�QD46 ►' " (")' de- (Signature) NIWA W. bF-TH (Print Name) (Signature) (Print Name) N 2719.4 r W 2236.65' wj ATNOL CP,E5CENT IN P,ouLnsp- A/ _ 38' oo" W 4 15.43' A P, E A !. 84 A C R,ES± PLUG N 2 97-1- 6 0 W 18 32.55 4.0 G 00 Q c4c' G NOTES COOP D114ATE5 ANE F P.,OM U. 5. COA5T e, TR.IAIJGULATION STA" 11EkEbY CF - P TIF PLAN 1 5UPo5TANTIA (� •2*K�� P, E G • D P LAN MADE FOD, F. 1• FAD,M 5410WING LAND TO P3E CONVEYEO J Ou N F. DA LEY 3 FI 5 N E D,9 ISLAND, TOWN OF 5OUT90 LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: (type) ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST: MAP NO.: (municipality) LOT(S): (owner -tenant) ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000 - DATE: DWELLING: (� TYPE OF CONSTRUCTION• wd0 RA&V # STORIES: # EXITS. FOUN)ATION: 600'C'rQmG� CELLAR: 4;;.'p CRAWL SPACE: 711�y TOTAL ROOMS: 1ST F R: 2ND FLR: if 3RD FLR: BATHROOM(S): S TOILET ROOM(S): UTILITY ROOM: -- PORCH TYPE: 0/I0 DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: gW&A6r,.1 GARAGE: A0414-1 DOMESTIC HOTWATER: AW TYPE HEATER: V&&oAIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: i!5"©zh e-Xr Gm" ACCESSORY STIWCTURES: GARAGE, TYPE OF CONST.: /1�pit��P� STORAGE, TYPE CONST.: MOIA& SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTIOk _ _ ART. I SEC. REMARKS: INSPECTED BY: r-01 DA'C`E OF INSPECTION: TIME START: END: