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Home My WebLink AboutZ-24440FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. PRE EXISTIN~ ~KTIFICATE OF OCOUPANOY NO Z-24440 Date JUNE 19, 1996 THIS CERTIFIES that the building ONE FAMILY DW~?~.ING Location of Property PRIFATE ~D. OFF EAST END ND. FISHER ISLAND, N.Y. House NO. Street Hamlet County Tax Map No. 1000 Section 3 Block I Lot 6 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-24440 dated J~NE 19~ 1996 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 ORE FAMILY DWELLING * The certificate is issued to OLIVER J. ANDE~ON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTAu~u~D INSPECTION RMPORT. / /> ding n.p.ctor Rev. 1/81 llll [I.I) I NGI)1': PA RTHI'.'NT 'I'OI4N OF SOUTIIOLD IIOUSING CODE INSPECTION REPORT LOCATION: PRIVATE RD. OFF EAST END RD. FISNERS ISLAND, N.Y SUBDIVISION HAl' NO. I.OT(s) NAHE OF ()~dNER (s) OLIVE J. OCCUPANCY O~ F~ILY -D~LLINO ~R AUNITTEI) BY: BAGLEY ~ID ACCOMPANIED BY: S~ ............. KEY AVAIl,ABLE SUFF.CO. TAX NAP NO. 3-I-L~ SOURCE OF REQDEST:__ OLI~R J. ~ERSON DATE: ..... ~Y 2~ ,__[996 TYPg O~ COSSTRUC'r~os ....... ~p_~ ......... [ STORIES 2 ~ EX~TS 7 TOTAl, ROONS: IST FLR. __.__~ 2ND FI.R. _ ..2_ 3RI) FI,R. BATHROOB (s) 4 'rOILET ROON (s) UTII.ITY ROO~ PORCI[ TYPE flECK, TYPE PATIO BL~STO~ BREEZEWAY ............ F [REPLACE _ I ...... GARAGE A~D DONESTIC HOT~ATER T~ESS TYPE DEATER OFF FU~ACE AIRCONDITIONING OTllER: ACCESSORY STEUCTU~S: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SMINN[NG POOl. , GUEST, TYPE CONST. OTIIER: V~l._~'I()~.[ CtlAPTER 45 N.Y. STATE UNIFORN FIRE PREVENTION & BUII,D~NG CODE LOCATION DESCRIPTION ART. SEC. RI':NA RK S: ..... DA'rE NSPECT O - TIIOF~AS FISHER 'I'IHE START 10:30 AN END I1:00 AH Form No. 6 !~. ,q~h, OF SOUTHOLD _~i TOWN OF SOUTIIOLD 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: 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 installationg, a certificate of Code Compliance from architect or engineer responsible for the building. , 6. Submit Planning Board Approval of completed site plan requirements. ,,F°r 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 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .M.~/ ................................ 28 · 1996 . . " X · .ow Construction........... Old Or Pre-existing Building l.ocation of Property..(.n.o ~.). Clay. Point Road Fishers Island House No. Street Hamlet Onwer Owners of ~ ,-,-,-:,-, Oliver John Anderson County Tax Map No 1000, Section. 0..0k..qq ...Block. 01.00 006 000 · · · · · . .Lot · · A4Pl p/o Block 25, .L..o.t. 6 Subdivision...F.i.s.he.r.s.I.s.l.a.nd..~?v.e.l.o.p?e...t.C.o. rp; ........ Filed map ............ Lot ................. P r=lt No....N/A ......... Date Of Permit......N/.A .... .. · ..Applicant. . . .N/A.. ................. . .... Health Dept. Approval .... N/A .Underwriters Approval....N./.A. Plaoning Board Approval ..... N./..A ................ ;[[equest for: Temporary Certificate ........... Final Certicate...~ ....... Fee Submitted: ~ 100.00 ~q (.~0 ~_.QqUW 0 Stephen L. Ham, III APPLICANT CONSENT TO INSPECTION Oliver John Anderson q)x~ner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of tbc premises in thc Town of Southold located at (no #) private road off East End Road,. Fishers Island wh[cb is shown and desiKn,ated on thc Suffolk ,,, County tax map as District'~0.0,q, Section 3 ~: DJ. ock 1 LoL 6 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld Tox~m Building Inspector's Office for the following: pre-existing Certificate of Occupancy for single-family dwelling That [he undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southoldto enter upon the above described property, including an3' 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 as evidence in subsequent prosecutions for rio- lations of the laws, ordinances, rules or regulations of the Toxvn of Southold. Dated: Mn}, P/~ 1996 '~J (signature) Oliver John Anderson (print name) (signature) (print nanle) YE- C. ooedlno~ Die,one, s ore rnao~umd from U.S. ~ ~n# ~ettc Surv~ Trlongolotlon S~o~n '*PROS" Portion of BLOGt~3$ lOT 6 Areo- 186 ~ Acres SO~°~7'00"W ~ ~5,1~ PROPERTY TO BE ~ CYNTHIA WAFt