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Home My WebLink AboutZ-23267FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING C~RTIFICATE OF OC~u~C~ No Z-23267 Date OCTOBER 7, 1994 THIS CERTIFIES that the buildin~ Location of Property. MONTAUK AVEN~E House NO. County Tax Map No. 1000 Section Subdivision ONE FAMILY DWELLING FIS~L~ ISLAND; N.Y. Street Block 7 Lot Filed Map No. Lot No. Hamlet 24 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23267 dated OCTOBER 7, 1994 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 OWE FAMILY SEASONAL DWELLING * The certificate is issued to ESTATE OF DOROTHY A. ADAMS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A *PLEASE SEE ATTACHED INSPECTION REPORT. / '~ / ~ldi~g In'spector Rev. 1/81 LOCATION: MONTAUK AVENUE (number & street) SUBDIVISION MAP NO. NAME OF OWNER (s) DOROTHY ADAMS & ANO FISHERS ISLAND, N.Y. (municipqlity) LOT(s) OCCUPANCY SEASONAL OWNER (type) (owner-tenant) ADMII"I'mO BY: N. HANSON ACCOMPANIE6 BY: KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-10-7-24 SOURCE OF REQUEST: NEIL HANSEN, EXECUTOR OF ESTATE DATE: DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 ~ EXITS FOUNDATION PIERS CELLAR NONE CRAWl, SPACE LIMITED TOTAL ROOMS: IST FLR. 3 2ND FLR. 2 3RD FLR. BATHROOM (s) 1 TOILET ROOM (s) UTILITY ROOM PORCH TYPE ONE - SIDE DECK, TYPE PA/qO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER XX TYPE HEATER ELECTRIC AIRCONDITIONING TYFE HEAT NONE WARM AIR HOTWATER OT~R: 2 ACCESSORY STRUCTURES: GARAGE, TYFE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. · GUEST, xY~E CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. EXPOSED ROMEX CABLE OUTSIDE ON PORCH (DISCONNECTED) REMARKS: SUGGEST UNDERWRITERS INSPECTION FOR ELECTRIC. BP # !!54 !-Z - CO Z/LJ.~264 - ALTERATIONS INSPECTED<{~C~?~,~,.~~ DATE OF INSPECTION ' -~' ~M)B~' WALL '- TIME START SEPT. 26, 1994 END CONSENT TO INSPECTION Nell E. Hansen, as executor of Estate of Dorothy A. Adams · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at (no #) Montauk Avenue, Fishers Island · which is shoxwn and designated on the Suffolk County tax map as District 1000, Section 10 , Block 7 , Lot 24 That the undersigned (has) (have) filed, or caused lo be filed, :an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on pre-existing building 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 cf 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. gnatur&)~'~/' Nell E. Hansen, Dated: September {~, 1994 (print name) as executor (signature) (print name) 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 inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lihes, 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. 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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 i. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .. September ~-, 1994 New Construction ........... Old Or Pre-existing Building ...... X Location of Property .... n~.~ ...... ~Q~k $¥~q~ Fishers Island House No. Street Hamlet Onwer or Owners of Property ...... Estate of Dorothy A. Adams 000 County Tax Map No 1000, Section......010'OO........Block...0?...qq........Lot.....0~-.. .... ...... ... Subdivision ..................... -o .-....-.. · -- · Filed Map ........... · Lot ..................... . Permit No .............. .. Date Of Permit ................ Applicant .................... ... · . .. ... Health Dept. Approval ......................... Underwriters Approval .............. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $..~QQ, OP. .................. (~XC~ APPLICANT (o~- /~--?-z~TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER ;TREET VILLAGE FORMER OWNER N ~.. ~'T,L,"r,r~-s Co. DISTRICT SUB. LOT /k'/) - i ~'' RES. LAND NEW . Farm Tillable 1 IMP. NORMAL VL. I FARM TOTAL DATE BUILDING CONDITION COMM. lIND. cB. I MISC. REMARKS BELOW Value Per Acre Va'ue Tillable 2 Tillable 3 Weodland ' Swampland Br~sh!an~ Foundation ?~o Yt Bath / Basement /~1~ Fl~rs ~t. Walls ~,~e Interior Finish Fire Place ~ o ~ Heart ~/~, Porch Attic Porch Rooms Ist Floor ,~.,~4o ~ I~ ~[- ~ Roo~ 2.d Driveway pIPE GUARANTEED TO: MARY JEAN PELHAM ~ COMMONWE.~J-TH L,3~D TITLE INSURANCE IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SUR- VEYS OF THE NEW YORK STATE LAND TITLE ASSOCIATION. TITLE NO. RH941153 N ~834,81 567,83 N l~.85 MON. 9/ 524.45 N/F JOHN R. HELL/ER N/F F 8 ARTHUR GREERI. EAF NOTES.' I) COOROiNATE DIST/~'~;E$ ARE MEASURED FROM U.S. COAST 8~ GEODETIC SURVEY TRIANGLiLATION STATION "PFK~'. ~PROI=ERTY iS LOCATED IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, DISTRICT I000, SECTION 0t0, BLOCK 7, LOT 24. 3)TOTAL /3.REA = 12,980'~. S.F = 0.30+/- ACRES SURVEY MAP PREPARED FOR MARY JEAN PELHAM ':' ~ "' 0 VE ,;~, ~ /~J FISHERS ISLAND, NEW YORK ?..~,o. n~/.~,+°/ ~ ~