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HomeMy WebLinkAboutZ-37706 ,fff7SU p Town of Southold 8/14/2015 ,f). ce--,' 53095 Main Rd =` + Southold,New York 11971 � © Iry PRE EXISTING CERTIFICATE OF OCCUPANCY No: 37706 Date: 8/14/2015 THIS CERTIFIES that the structure(s)located at: Mansion House Dr, Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-1-13 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- 37706 dated 8/14/2015 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 covered porch and deck* Notes: BP 9575 additions/alterations COZ-37705;BP 13438 addition COZ-12896 The certificate is issued to Smith, H Ashley&Perron, Patricia (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. z r Aiej rize Signa re BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: Mansion House Dr,Fishers Island SUFF.CO.TAX MAP NO.: 9.-1-13 SUBDIVISION: NAME OF OWNER(S): Smith, H Ashley&Ors. OCCUPANCY: ADMITTED BY: Ashley Smith SOURCE OF REQUEST: Smith, H Ashley&Perron,Patricia DATE: 8/14/2015 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: stone CELLAR: 3/4 CRAWL SPACE: 1/4 BATHROOM(S): 2 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: Covered Porch DECK TYPE: Wood Frame PATIO TYPE: BREEZEWAY: FIREPLACE: 2 GARAGE: DOMESTIC HOTWATER: X TYPE HEATER: Electric AIR CONDITIONING: TYPE HEAT: Oil WARM AIR: X HOT WATER: #BEDROOMS: 4 #KITCHENS: BASEMENT TYPE: Unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: 0 INSPECTED BY: GARYF DATE OF INSPECTION: 7/28/2015 .,..A.#7/2;77../.44 TIME START: END: Form No.6 L_i� L - : � TOWN OF SOUTHOLD i�1' ;f f BUILDING DEPARTMENT ) I JUL 20%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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses $50.00. 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 0( iNeDate. 71 ."( 1C--- New w Construction: Old or Pre-existing Building: ' (check one) Location of Property: c Uf e-cJty ew(c k -- -stvutrs ouse No. Street' Hamlet Owner or Owners of Property:;� 1 H (i dtnAkl Suffolk County Tax Map No 1000, Section Block 0 Lot / Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ /0 0 Coiaf Vol ( a awl �' . % A- Pi,e�gc. y rc�kA Applic; t Signature b Q,0 e k @ D Awa . eor,n tha;C1 v ve11 nreGwt- Y, NVA,A0A, 0-21_1/6 CONSENT TO INSPECTION 14' k ( i <S✓ ar`_ ,the undersigned, do(es) hereby state: 0 er(s)Name(s) That the undersigned(is) (are)the owner(s) of the premises in the Town of Southold, located at (oil () ems-Jfu\i ffiK A 1 c kv- [j Q o-A.A Q NV O T 10 which is shown and designated on the Suffolk County Tax Map as District 1000, Section Block , Lot f3 . That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: p -.e Kit T-I i 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: 7/Q (c /0 /1 (SignIture) /S/h/o t44 a / (Print Name) (Signature) Qk &c (Print Name) ("4- --q-c). (12 3 Z L (all e /0 CyrA4-or 7r, 4, .Y1.4 o l6 2_ .,-,„ T-- 7.--- 1 • i • . '- :... ) Ygle;N li F 5© TLD ?-4•-''''f#:,P N P'TY ECOR 10 CA '"'. D 766 0 - :- — -15? 2Z - 3 OWNER ' - STREET . VILLAGE DIST. SUB. LOT lASV) le,..Lt Sna,,,,.1.C-V-i or,s kfiviegf," 6'-:;:(14 .• . . LIORMER OlEeRCIrciritfrii-orli-eallej:149? IN.F -‘ ' , vat_94.ffo r :kiaiterifetteshe A .. 6) ,- E-u_., E gr ai...astlx, , A.CS661 . . ilay4fmemzeshes 4..) .,.., v.,,/..) 0,....i." TYPE OF BUILDING ‘,._k_12.,„ x • 4.4-- (1,----c-f- ../e-e-if . ., ":04,..." /4' ; y .7 ize- ,ti.._e_-. , ----- ... SEAS. 1VL. FARM ICOMN't. C13. M1SC_ Mkt Value i . LAND IMP. TOTAL . DATE REMARKS .--1* - . 41---...i• AIIP , "Cr --a • o—,------, (3 o .T}L P/6 o ,.................. gWri nei ,) ‘. ,5"o . - .51 0-1) 6 -2--u--7(t /6' . ii /6 (e, /1777 /43?pm;;-.7-7,57-1. i I ol,c174/./i.--2i'- ciw . //,- Fc/7, .. ' izi—o 0 I 7i C e) I /12/7g." 7/I...1/5 Mir. Ar9_ .4.7: 11;5?c---9H 8 9,...4.(Va'.;--i3O(4_, t C, `si'6,066 9 0 0 b / Zre-o / . 79 v L2/4 - L I/4/02p 5' 5 - Les' -6 kesW it of , r j 57 FP 7 9 66 '' ,Se; .3/867 I i gp irIP 4- 1 lit.Pp 581 - LEshe M $al.r&a .,))0,. l. AGE BUIDING CONDfTION ki7-i/6/ - L H t4,P-P 6.0 - Le-sA c 17) v5m fM o(.)/- iiP NEW NORMAL BELOW ABOVE /0/.23/95---41- 117t/p'571M,%R10(s '-D Err,IYA .f 6/ .2 57;i rii(tC: — I ! f FARM Acre Value Per Value k_i_i A;1.C... c:. ',/Z Acre I IC/aSig-S--- L / 1 -7 P '. r5/5.-3-1-1' 1 i frl YO r-S- 7/7, JiiIiirt k:'/-•-, 2C4:1;) infeby). f - Aix_ Tillable 1 t /OA thr--1- 07 Of' 51b -StriN to/5 51-t5rr (e-s 29‘ inf-ead 1 f oF,'11 Tillable 2 ibiXMC---11 i 78 t ‹)- 50- srni9-4 e,orK toStiiN fi'6)(....., 20 I 1 t Pliable 3 Noadland Swampland I 'FRONTAGE ON WATER • 3rushlond FRONTAGE ON ROAD -louse Plot DEPTH • 1BULKHEAD -4....- •-...,,,, ,4,0- 'k-.4" Total ' DOCK __________ . r-�• .m, a lS'3 -+..s ',--_,..-__.--,-.--:--,-----__-----„,.1,,..----.----•--- -;-_—, ' ----r�=r-- _•— fid..-; 7 , . .4''''''1..14A-?,,,7-4 �' >' ej `�4�' "--1.-1,.""--r4,-,-,,, ,4,.. ..., +'E.�"'�`i_"� �`�'� "..3� u ; `'.4e2---, - h -E3sa ^i € - • I COLOR , ] [ '''... .:!,,, --•-.---s, R 'xi .t-4�,r J• r vii a.+ _ - n ! Y ] r .t I I I I i rt � _ i ' ' S3 I. � ,` i. - TRIMI tip' _ 7. l � I I �,` L !�. I 1 1 I f I 5 I � ���. : , I I ; I I1 1 lid I! ; l I Iii • M. Bldg. ��k, !q .� +� -. fAFOUfldOtIOfl1,r4„,,,.., Both 1 3� Dinette Z {• Extension Si/ IBesetrten# "�1.J Floors c, K- rt q U [} LExt, Walls Interior Finish f - �� LR. Y 1 l,`��� Je �� / �7 ; /w,ttw 1 Fxtensio Fore Place Hemi �`f't`i� "� DR. Type Roof ` cle' i Rooms 1st Floor • BR. Q f i rc , ¢ a i (Recreation Roo• m Rooms 2nd Floor 3 F. B. -_ «�a �. _ orc F = 1! 9 , Do rner ; • .es.trqf, . 6 /'7'= 89L2• 4 C� ,Driveway i L iGi�rage I 1 Total �.. 1 I .� — -- ,e----,. .- -r. . ,�j -' C 7 Y H V ,y Sr E.A1Pirirrp,c,a 401,4,717101 BARBARWALKER 1 lit LIVING TRUST / li : / W414,44 iiir ,_ . e.t' •..,. L Q 2EaersFl---------------(FAD) S 63'27'00'E1,' 2000• W ya "w135.18' -,, ^2 •pmI�. 3U C m MONJ.M.ENT (FOUND I III: , LA, BROKEN) -T..-- 'Wk ,. -4 Iflik.Vir . 'Z \ \ - �p LOCATION MAP SCALE 1"=400' ��' t ] \ / / 4,...!--..., 1.112-E10:8121015. w \ /\ / -,!3F4-0,_ f 4Oc.11y / ,� �W.� 1. PLAN OF MANSION HOUSE COTTAGE SITES FISHERS ISLAND, OF �� / / • ���f,, _ N.Y.SCALE: 1.=40'DATE JAN.1949 BY CHANDLER&PALMER ENGINEERS C m <\ \ // • OM -� / IXISTING ` / -, 1.)THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE = o \ - / HOUSE \ INDICATED HEREON.ANY EXTENSION OF THE USE BEYOND THE —,.. p cc Am \ / PURPOSED AGREED TO BETWEEN THE CUENT AND THE SURVEYOR >-. \ �• \ / ` \ EXCEEDS THE SCOPE OF THE ENGAGEMENT. > N \NZ VA :\SZE� / // 2.)IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY 7� Lj Z 2 ��•'```` / )0• / PERSON,UNLESS ACTING UNDER THE DIRECTION OF A UCENSED Z o ("). £ U N/F LAND SURVEYOR,TO ALTER AN ITEM IN ANY WAY. }G N _' SUSAN S. 3.)ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND p d J ¢ \\ `� / 4/ FERGUSONZ w = w_ e-...... lillikliii.!` `r / / POLE SURVEYOR'SRE THE PNATURE RODUCT OFD AN ORIGINAL THE LAND SURVEYOR.EMBOSSEDOR INK m a Cr) j US \ \ 4°� / �+� 3 #20 0 )COORDINATE DISTANCES ARE MEASURED FROM U.S.COAST Q LTJN \ �o RPo\ �, / oW � g )AND GEODETIC SURVEY TRIANGULATION STATION'PROS" • u>- \ J I EO Rte\ c? / /( g' I TAX)SITE MAPS000 SECTION 9,IN THE TOWN F BLOCK 1,OLDOTOU3NTY OF SUFFOLK t` \ \\ / 3 I 6.)TOTAL AREA=0.22±ACRES. \ 7.)SITE IS LOCATED IN ZONING DISTRICT R-40. \ O �I \ y• ml g . m ZA V Z F Cr 1 \\ SHLEY . SMITH 1 z \ (COTTAGE "1) i I o 0 LEGEND s• PROPERTY UNE N \ %, / LEAD __ PLUG ABUTTERS LINE > \ / (FOUND) EDGE OF PAVEMENT w �STO 20.23' EDGE OF GRAVEL cc w N/F \ CONCR �KAOE FENCE / ' FENCE 0 PAMELA S. PECK (COTTAGE 'A") \ / wAEK e.se 2430'W Rl LAWN z \ 0 NOW OR FORMERLY N/F -�� \l\ RRSPK Ca I. U S�58.rA•W (FOUND) M IILftt POLE + F MAG 56.09' (1) BOUNDARY POINF 0 4 SE) A NAIL RAL ROAD SPIKE RRSPK p HILL ROAD D i ~ LOWER SHINGLE z m _ �N ms w QUALITY CONTROL CERTIFICATION a^� Z DATE. 07/10/2015 GROUP REVIEWED DATE - _ C P °, -�_ r....,.....,........_____________--.. N/F I rn SCALE. 1" = 10' ROAUFM.l EVELLYN S. ORD I io 5 0 10 umSHEEP 1 OF 1 (COTTAGE "2) GRAPHIC SCALE IN FEET cna .RcmEnuRu PROJECT: #2015814 LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNERS): Ago. c t . ' OCCUPANCY: (type) (owner-tenant) ADMITTED BY: 4,51-07 (Saw\,c; ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: . , . , DATE: DWELLING TYPE OF CONSTRUCTION: 41:1)3-b # STORIES: #EXITS: FOUNDATION: . Sre 4 .. BASEMENT: 31(f- CRAWL SPACE: /S # OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): ! TOILET ROOM(S): ( , UTILITY ROOM: . PORCH.TYPE: DECK, TYP • W ' PATIO,TYPE: ` 4 BREEZEWAY: "j----" FIREPLACE: ,fir �S - '� ARAGE: DOMESTIC HOTWATER: £TYPE HEATER: 0:6-fAIR, CONDITIONING: TYPE HEAT: O WARM AIR: , , HOTWATER: # OF KITCHENS: - FINISHED BASEMENT: YES , NO OTHER: ACCESSORY STRUCTURES 449a-/t- GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: _ GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DES RIPTION ART. SEC. / - ar / ( REMARKS: INSPECTED BY: I -"421 DATE OF INSPECTION 771-5/iir— TIME START:, END: 1