HomeMy WebLinkAboutZ-20230FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20230
Date SEPTEMBER 19~ 1991
THIS CERTIFIES that the buildinq ONE FAMILY DWFIJ.ING
Location of Property WRITE CAPS~ EAST POINT~ FISHERS ISLANDr N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 1 Block 2 Lot 4
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 NLrMBER Z-20230 dated SEPTEMBER 19r 1991
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 WITH ACCESSORY CARETAKERS COTtAGe. *
The certificate is issued to
JONATHAN BARRE S
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTAC~ED INSPECTION REPORT.
BP #10722Z CO Z-15027 ISSUED FOR SOLAR COT~CTORRACK.
BP #12001Z CO Z-15028 ISSUED FOR ADDITION TO STORAGE BUILDING.
BP #16061Z CO Z-20229 ISSUED FOR ALTERATIONB TO BATHROOMS.
Building l~s~e6tor '
Rev. 1/81
UI~DI:.o = '~
DmP.=,T,'m,~T
TO'.'iSf OF SOUTIIOLD, N. Y.
HOU~L~G CODE IHSPECTIO['[ REPORT
Location WHITE CAPS, EAST POINT,
[nuamDer ~ s~ree'c)
Subdivision
Map No.
FISHERS ISLAND, N.Y.
(i~un~c~pa±i~y
Name of Owner(s)
Occupancy
Ad,mitt ed by:
~type)
(owner-~enan~)
Accompanied by:
Key available
Suffolk Co. Tax No.
Source of request
"SECOND HOUSE"
Date
D¥~LLI~:
Type of construction
Foundation
Total rooms, 1st. F1
Bathroom(s) 2 ~u~L
Porch, typq
3
STONE #stories 2
Cellar Crawl space
2nd. F1 3 3rd. F1
Toilet room(s)
Deck, type Patio, type__
Breezeway . Gar. age I CA~ Utility room
Type Heat 2ND FLOOR {OIL) ~arm Air 2ND FLOOR Hotwater
Fireplace (s) No. F~its Airconditioning.
Domestic hotwater Tis .Type heater ELECTRIC
Other LAUNDRY ROOM IN GARAGE. (TOOLSHEDS & GREEN UOUSE IN HEED OF REPAIR)
(ELECTRIC SERVICE lioos~-, FRONT YAKD)
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS:
_Location
.CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Description I-~rt'.'l Sec.
Remarks:
CURTIS HORTON ' Time start
SENIOR BUILDING INSPECTOR
SEPT. 17, 1991
end
BUI~DI:,C DEP.,Z%Ti. LENT
T0b%I OF SOUTHOLD, N. Y.
HOU~L~G CODE INSPECTION REPORT
Location
Subdivision
Name of Owner(s)
Occupancy a-I
(type)
A~mitted by:
Key available
Source of request
CAPS, ~AST POINt,
streeT)
FISRERS ISLARN), N.Y.
(i,iun±cipali~y)
~Iap No. Lot(s)
JONATHAN BA~RES
OWNER
(owner- venanz)
Accompanied by:
Suffolk Co.
JONA1NtAN BARRES
Tax No. 1000-7-2-4
Date SEPT. 9, 1991
D¥~LLING:
Type of construction WOOD & STON~
Foundation POURED CEMENT CellarPARTIAL
Total rooms, 1st. Fi 6 2nd. Fi 9
#stories 2
Crawl space.~ST
.3rd. Fi
Bathroom(s) 8
Porch, typeSCREENED IN
Breezev~ay
Type Heat 2 OIL FIRED
Fireplace(s) 9
Domestic hotwater
Toilet room(s) 3
Deck, t]]-Qe.BRICKPATIO Patio,
Garag~ Utility room
Warm Air Hotwater x
No. Exits ~0 ~irconditioning
~S Type heater ELECTRIC
Other POOL IN 'I'HI~ COURTYARD, FIRE & SMOKE DETECTION SYSTEM
type S[~4~ CLOSED IN
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
SEE ATTACItEDREPORT
Storage, type const.
Guest, type const.
V_IOLATIONS: .CHAPTER 45--N.¥. STATE UNIFOR[I FIRg PREVENTION & BUILDING CODE
_Location
CELLAR
Descriution
Sec.
NO RAIL CELLAR STEPS
BP ~10722Z 6/10/80 CO Z-15027, BP ~12001Z, ml/4/82 co z-15028
Remarks: BP #16061z, 6/14/87 CO Z-20229
Inspected by:~Oate of Insp. SEPT. l?, 1991
CURTIS HORTON, ' Time start 10:00 end im=3o
SENIOR BUILDING INSPECTOR.
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 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.
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 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 $i5.00
Date Septe.m~.e~ 9, 197%
X
New Construction ........... Old Or Pre-existing Building .................
Location of Property White Caps,. .. East Point, Fishers Island
House No.
Onwer or Owners of Property... ~PD~9..Bg.~g.
OO1
County Tax Map No 1000, Section .............
Street Hamlet
02 004
.Block ................ Lot ......................
Subdivision ............................. ... . .. . Filed Map ............ Lot ......................
Permit No Date Of Permit Applicant
Health Dept. Approval .................. ... . .. .. Underwriters Approval ....................... . .
~lanning Board Approval ................... ....
Request for: Temporary Certificate .........
Fee Submitted: $ .... 1..~..~..*. ~...~. ....... ''.
X
Final Cer ticate ........
Jonathan Barres
CONSENT
TO
INSUECTION
, the undersigned,
Owner(s) Name(:;)
do(es) hereby state:
That the undersigned (is) (are) the Owner(s) of the premises in the Tovm
of Southold located at White Caps, East Point, Fishers Island
__, which is shown and design~ated on the Suffolk
County tax map as District 1000, Section 001 Block 02 Lot 004
That the undersigned (has) (bare) filed, or caused to be filed, an applica-
tion in the Southcld To%tm Euilding Inspector's Office for the following:
certificate of occupancy
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southoldto 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 aforesa{d application, including
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 %%4th the
knowledge and understanding that any information obtained [n the conduct of
such inspections may be used as evidence in subsequent pro~cution~ for v[o-
lations of the laws, ordinances, rules or regula~own of Southold.
Dated: September 9, 1991
(priut na~ne)
(siRnatur'c)
(print name)