HomeMy WebLinkAboutZ-25999FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25999
Date: 09/30/98
THIS CERTIFIES that the building DWELLING
Location of Property ORIENTAL WAY
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 005 Block 0002 Lot 001
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- 25999 dated SEPTEMBER 30, 1998
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 *
FISHERS ISLAND
The certificate is issued to ISLAND INTERIORS, LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
N/A
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SOUSING CODE INSPECTION REPORT
LOCATION: ORIENTAL WAY
SUBDIVISION:
NAME OF OWNER (S): ISLAND INTERIORS. LLC
OCCUPANCY: ~SIDENTIAL
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
MAP NO.: __ LOT (S) __
ISLAND INTERIORS. LLC
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO.: $,-2-1
~n~T N. ANTSOINE. ESO. 9/8/98 DATE: 09/30/98
BATHROOM(S): ~.Q TOILET ROOM(S): Q,0
PORCH TYPE: DECK TYPE: WOOD
CELLAR: $O% CRAWL SPACE: ~%
3RD FLR.: O
UTILITY ROOM(S): --
PATIO TYPE:
GA/~AGE: UNDER EOUSE
AIRCONOITIONING: NONE
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIS~4ING POOL:
OTHER:
STORAGE, TYPE CONST,:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. ! SEC.
REMARKS: BP #18137-Z'CO Z'25998 IADDITION}
ROBERTE.tWZ. / '
DATE ON INSPECTION: 09/~5/98
TIME START: ENO:
Form Nc. 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 c6mpleted 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
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-existin~ Buildin~ - $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
A
Uate ......... ..............
New Construction ........... Old Or Pre-existing Building.......X · .........
- - no# Orient Way CBsst End Boad) Fishers Island
Location of rroperEy ...... ; ........... ~ ......................................................
House No. Street Hamlet
Onwer or Owners of Property.. Brandywine Trust Company smd Louise Patterson, Trustees
County Tax Map No 1000~ Section. 005.00 .Block. 02.00 Lot OOi.O00
Subdivision ......... .Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate..~ ........
. lO0.O0
Fee Submitted: ~ ............................. ,
By:..' ..~.
f'~'~.~ /~ 7 Attorney For APPLICANT ~ " .....
Brandywine Trust
CONSENT
TO
INSPECTION
Company and L~uiae Patterson,
I .
· [he undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned ~4~ (are) the owner(s) of the premises in the Town
of Southold located at no# 0riant Way (Eaat End Road), Hamlet of
Fishers Island
· which is shown and designated on the Su£folk
County tax map as District I000, Section005.oo, BlockO2.o0 , Lot 001.0oq
That the undersigned ~,~ (bare) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
(1) Certificate of Occupancy Old or Preexisting Dwelling
(2) Certificate of Occupancy - Additions to dwelling
lations of the laws,
Dated: August 31 ,
That [he 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 as evidence in subsequent prosecutions for rio-
ordinances· rules or regulations of the Town of Southold.
1998
(signature
Robert N. Anthoine, Esq.
(print name)
Attorney For- Applicant
(si~naiure)
(print name)
~. ~'(FRO.)
GAINES GWATHMEY,Ill
I~N PIN
(mD.) ~-- '~'
RESID~ROE IRON PIN 1. COORDINATE DISTANCES ARE MEASURED FROM U,S. COAST AND
(FRO.} GEODETIC SURVEY TRIANGULATION STATION "EAST END 2",
~ LIMITSOF 2 SUFFOLK COUNTY TAX MAP: DISTRICT 1000. SECTION 005,
~'~0 TION E~UILDING
PROPERTY ,~, TOTAL AREA = 0.43+ ACRES
(F~O.)
N/F
FISHERS ISLAND
DEVELOPMENT CORP.
GUARANTEED TO ARTHUR PATrERSON IN ACCORDANCE WITH THE
MINIMUM STANDARDS FOR TITLE SURVEYS OF THE NEW YORK
STATE LAND TITLE ASSOCIATION.
15.6'
N/F
FISHERS ISLAND
DEVELOPMENT CORP.
20 10 o 20
GRAPHIC SCALE IN FEET
SURVEY MAP
PREPARED FOR
ARTHUR PATTERSON
BLOCK 8
FISHERS ISLAND, NEW YORK
REVISIONS
DATE DESCRIPTION
10/09/9e AOOJTIONS
I DATE: JUNE 28, 1998
SCALE: 1" =~ 20'
SHEET 1 OF 1
CHANDLER. PALMER & KIN(3
Arch*tecture, Engineermg and Surveying