HomeMy WebLinkAboutZ-37106 fo, Fpz, c� Town of Southold Annex 8/23/2014
54375 Main Road
Southold,New York 11971
rte,
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 37106 Date: 8/25/2014
THIS CERTIFIES that the structure(s) located at: Midlothian Ave, Fishers Island
SCTM#: 473889 Sec/Block/Lot: 9.-7-8.3
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- 37106
dated 8/25/2014 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 stone patio.*
Note:BP 3759 addition to dwelling COZ-3628.
The certificate is issued to Gordon, Albert
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Autho ' e ign ure
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: Midlothian Ave,Fishers Island
SUFF.CO.TAX MAP NO.: 9.-7-8.3 SUBDIVISION:
NAME OF OWNER(S): Gordon,Albert
OCCUPANCY:
ADMITTED BY: Sarah Gordon
SOURCE OF REQUEST: Gordon,Albert DATE: 8/25/2014
DWELLING:
#STORIES: 2 #EXITS: 6
FOUNDATION: Stone CELLAR: Partial CRAWL SPACE:
BATHROOM(S): 3 TOILET ROOM(S): 1/2 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: Stone
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: Yes TYPE HEATER: Electric AIR CONDITIONING:
TYPE HEAT: Electric WARM AIR: HOT WATER:
#BEDROOMS: 5 #KITCHENS: 1 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: RYF DATE OF INSPECTION: 8/6/2014
TIME START: END:
Form No.6 C
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:
A. 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 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. 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. 7— i - I LI
New Construction: Old or Pre-existing Building: n (check one)
Location of Property: ��n�� �/®(/Se �C 1 G Z,,e - 7' salmis �S y1l�L
House No. Street Hamlet
Owner or Owners of Property: PiYYf //.• d-60-r0l-)
7
Suffolk County Tax Map No 1000, Section 9 Block / Lot
Subdivision �L/ C� G>/ Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: / A Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $_1;!57&2
Applicant Signature
IV
CONSENT TO INSPECTION
��`1'tCaA
r'� e y-e ,the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned(is) (are)the town4eer7(s) c1Ythe premises in the Town of
Southold, located at �G ,
which is shown and designatedon the Suffolk County Tax ap as District 1000,
Section q, Block ,7 , Lot e- 3
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Pre- n
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:
(Signature)
21e C4
(Print Name)
(Signature)
(Print Name)
PATRICIA C. MOORE, ATTORNEY AT LAW
51020 Main Road
Southold, NY 11971
LETTER
(631) 765-4330
email: pcmoore@mooreattys.com
Date............. ............�........./
To .__._C1t= Subject......� '
.................................
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ElPlease reply ElNo reply necessary si
TOWN ` OF SOUT14OLD PROPERTY RECORD CARD , `
OWNER STREET VILLAGE DIST. SUB. LOT
FORMER OWNER N E,/ ACR
S W TYPE OF BUILDING
2ES SEAS. VL. FARM COMM. CB. MISC. Mkt. Value •
LAND IMP. TOTAL DATE REMARKS
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. V e_ ;-7;7�
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-7I13 7,-7 0 Id
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
BULKHEAD
Total DOCK
. ,
JOE
MMEME EWE
NMENMM
ONES
MEMO
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■■EMNEWOMBIMMMEMM l■�������
MEN■ MWIMEMMMEMMMEM
Foundation
Bas ement
Interior Fini
Walls
... Fire Place
Recreation •.. •.. ..
Driveway
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N 1997.63 MIDLOTHIAN AVENUE \\ ~
W?334.62 ) N 1964,94 0-0
N -W E W 2033.95 `�)
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SARANAC LTD W \ LOCATION MAP SCALE 1 =400a u
PARTNERSHIP
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AOPE {
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1405 OCEAr .WWE( 'n"-,) I.
/ co�vm LOT 1000-009-7-&1 Tar 1.)PUN OF PROPERTY OF MR.AND ILLS.ALBERT H.CORDON:FISHERS ISLAND.
1 \ NEW YORK'SCALE: 1'-40 R.:CHN40LER k PALMER,ENCR'S;oar. 195[
MONWNWT / N/F ESTATE OF ALBERT H. CORDON unos a W
gib• r,AE / stoic \ Z tai
\ nnaFrNE T~ .55m. SroxE 4Yuc "
\ T� IAT7T/ •x8 M BOUIDHC
nR TIID cn. _
DWELLING � 1.)7rL5 SURylY WAS PREPARED FOR 711E PARTIES PI
ES AM INDICATED
\ sELon nnoR ota� FI.EL-84. HEREON.ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO O y
OETWEEN TNE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE C OE V
N 1730.79 / .� RAwEo oRns
SO. 2.)R IS A VIOLATION OF THE STATEEDUCATION LAW FOR ANY PERSON.UNLESS _
W 2337.24 ��y. i I �'•.b,�J. ME ACTNC UNDER THE DNECTION OF A LICENSED LAND SURVEYOR.TO ALTER AN O y�Z
' '' f Fei ITEM N ANY WAY. W >
\ ' (\ N 89'1'30'E / 3.)ONLY COPES OF THIS SURVEY MARKED WITH THE LAND SURVEY'OR'S w W <_
\ -- \ A_A• I III ' MONUA4LWr SICNATUNIE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE TME PRODUCT OF Z g
THE INID SURVEYOR. U ui 0)
N 1673.00 w0)
Nwi -E Law o°R 'L W1671.47 4.)COORDINATE INSTANCES ARE MEASURED FROM U,S.COAST AND GEODETIC i CL
y , ` I N TATTER SER1Q /IEpy RN A SURVEY TTNANCUIUTION STATION'PROS'
12 y�j
B8S?313-C SCT \ 5.)SITE IS N THE TOWN OF SOUTHOLD.COUNTY OF SUFFOLK TAX MAP lrwmw1000. 0 •X
n + E Lc w / SECTION 009.BLOCK 7.LOT 8.t <ti
\ ,L sAaEiVmnes 90.81• s7Yy�. bH <tY / IV
Q � EASEMEN FO III T 1' ]21 FyE y 2J BJ TOTAL AREA. 3.881 ACRES. i
urlEs
UnAi NOM[M
IT-N- ,4/ 7.)SITE IS LOCATED IN R-80 ZONE. (�I
\ C,cZ `�� 516' \�l•�\ V^aP Q' 8.)BASE FOR LEVELS:APPROXIMATE NGV/ 1929 O
F o
; ! s H7tL4TI14
nloFnao OWELL.w WNW[ICFO LOT ARFAC.
EXIS
N 1547.39
\ Low UNE/ LO NE sTE�K W 1917.07 to E�
\ \ tTY*•I (ryP) .® POLE OWNER/01ST./SECTION/RLOCK/LOT � EXISTING AREA PROPOSED AREA = 6
sae MTw/ -
"Aoo ESTATE OF ALBERT H. GORDON- 1000-009-7� 3.361 ACRES 2.9841 ACRES o
/ FORMERLY-ESTATE OF ELSE S. WILLIAMS- 1000-009-7- 0.301 ACRES 0.8761 ACRES
N 1496.88 �S6T AVENUE / 0,3 13,3541 SF 38,1601 SF N
W 2166.92 LOT 1000-009-7- h a
ELSE S.WR1WIs
O W
\ N 1420.49
w 1963,r4
tFtYfO �
\ N t392.?9 N/F NOW OR FORMERLY m I g
1 w 1973.36 i (TVP.) TYPICAL
CI
(POLAMD) SF SQUARE FEET
1 ) �tRYr WATER S14UT OFT
TATER VALVE
DATE: 11/20/2009
RETMOND WALL
01TAL17Y CONTROL FENCESCALE: 1" @ 80'
GROUP
_ rvv'v'rv'Y TREELNE
WATER LINE
SOARED UTILITIES 49 29 9 40 SHEET
4lo.muw
a.wm SE N FST1 OF 1
ON
FILE 35083
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant
ADMITTED BY: J� �� ACCOMPANIED BY:
KEY AVAILABLE: SUFE. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: u # STO �—, #EXITS:
e
FOUNDATION: BASEMEN WL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLR: _ 3RD FLR:
BATHROOM(S): TOILET ROOM(S): ,,. UTILITY ROOM:
PORCH-TYPE: DECK, TYPE: PATIO,TYPE: .
BREEZEWAY: , FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AC_b=�_ AIRCONDITIONING:
TYPE HEAT: _ G� WARM AIR: HOTWATER:
# OF KITCHENS: �
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: R 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATIO DESCRIfTION ART. SEC.
n -
Ltd
REMARKS:
INSPECTED BY: - " DATE OF INSPECTION:
TIME START: EN :