The URL can be used to link to this page

Home My WebLink AboutZ-27303FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY 27303 Date: 09/08/00 T~IS C~NTIFIF~ that the buil&~-g L~M:atio~ of Pro~:~e-~'ty pVT RD (HOUSE NO.) ~t~ T~ ~p No. 473889 ~i~ 010 DWELLING FISHERS ISLAND (STREET) (HAMLET) Block 0009 Lot 016 ~u~ivision Filed ~ No. __ L~t No. -- ~onfoz~ ~tantially tot hell--ts for a O~ F~ILY D~LLING ~ilt ~ior to APRIL 9~ 1957 ~t to ~h ~IFI~ ~ ~ ~ E- 27303 ~t~ SEPTEMBER 8, 2000 was issued, and confo~s to all of the remitments of the applicable provisions of the law. The occupancy for which this certificate is ls~ is ONE F~ILY D~LLING WITH ACCESSORY G~GE * T~e ~ertificate le ie~u~ to HELEN BEST of the aforesaid building. (OWNER) ~ ~ DEP~KT~NT OF ~ALTH ~ ~.~L ~KTIFI~ATE ~O. *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDIN= DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE pP.~VENTION & BUILDIN~ CODE LOCATION ~ DEsCRIpTION ART. I SEC, 09/08/00 TOWN HALL ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY' ~ ~ _~.~ A. 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 line~, 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 Underwri~77~ ~~ 4. Sworn statement from plumber certifying that the solder used in. less than 2/10 of 1% lead. ' 5. Commercial building, industrial building, multiple residences and similar buildin~B and installations, a certificate of Code Compliance from architect o ' ~ responsible for the building. .i , 6. Submit Planning Board Approval of completed site plan require~ent~J' ~/B7 For existing buildings (prior to April 9, 1957) non-conforming buildingS! ~d~ re-existing" land uses: Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 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 - ...25X~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .. New Construction ........... Old Or Pre-existing Building ..... ~. .......... Location of Property..?~ . · .~. ~.~ -~-- ~- .~. -~- -~..~ ~ ~ .~7.~.~.....~./~./~.~ ................ House No. Street Ha~et Onwer or O~ers of Property ................................................... .... -. ... .. · ''' County T~ Map No 1000, Section.~.i~:.~.q...B~o~k-~'. O 0 Lot.~.Z~.~.q~9 Subdivision ~.~ Filed Map ~ Lot ~ ~ .... Permit No ................ Date Of Pe~it ................ Applicant ..... ' ....... ~- ~. · ' Health Dept. Approval..................--....-.Underwriters Approval......... ............ · ... Planning Board Approval ....... Request for: Tomporary CertSfScate ........... F~nal Cert~cate ........... Fee Submitted: $... ; ................... CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ~-/-z ~/'~ c) ,n ,~v z*-/ d /-~/g /-f~e /'~ f ~-~ Co~ 0 ~ ~ ~ ~ ~ , which is shox~ and designated on the Suffolk / County tax map as District 1000, Section~/o.~g Block 0~.~o, LotO/i.ooO. That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Sou/hold 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, inclhding 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 as evidence in subsequent prosecutions for vio- lations of the laws· ordinances, rules or regulations of the Town of Southold. Dated: ' (~ignature) I (print name) (signa[ure) (print name) NOTES I THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON, ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO BETWEEN TNE CLIBNT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ENGAGEMENT, 2 IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WA'( 3, ONLY COPIES OF THIS SURVEY MARKED WITH THE LAi/D SURVEYOR'S S~GNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR 4, COORDINATE DISTANCES ARE MEASURED FROM US COAST AND GEODETIC SURVEY TRIANGULATION STATION "PROS" 5 SITE tS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP ]000, SECTION 10 BLOCK 9 LOT 16 6 TOTAL AREA = 9,13B~ S,F · ELSA FENCE GARAGE: I I IRON PIN WITH CAPN SET / GREAT HARBOR / RETAININ6 /J/ WALL ~. ~"~?: .~ EXIS'T1NG / BUILDING EXJS11NG HOUSE IRON PIN WIRE ~M~H FENCE SET UllLITIES '¢ !. 5, j,. - 85"29' OVERHEAD U~LITIES N/F ROBERT E. BROOKS N/F H. RIVERS ETAINING WALL N/F JNC POLE ~443 PIPE FOUND 1 IRON PIN WITH CAP SET HOLDINGS LLC DATE REVISIONS DESCRIPTION I DATE, AUGUST 31, 2000 SCALE' 1" = 20' SHEET 1 OF 1 SURVEY MAP PROPERTY OF HELLEN BEST THE GLOAMING FISHERS ISLAND, NEW YORK I( CHANDLER, PALMER ac KING