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Home My WebLink AboutZ-22974FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRM EXISTIN~ CERTIFICAT~ OF OCcupANCY No Z-22974 Date APRIL 28, 1994 THIS CERTIFIES that the buildin~ Location of Property POX A%~/~E House No. County Tax Map No. 1000 Section 9 Subdivision ONE FAMILY DWELLING FISHERS ISLAND, N.Y. Street Hamlet Block 1 Lot 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-22974 dated APRIL 28~ 1994 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 FAMIL~ DWNLLINO * The certificate is issued to SANDRA B~AUNS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A ~/A N/A LOCATION: SUBDIVISION NAME OF OWNER (s) FOX AVENUE (number & street) BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT FISHERS ISLAND, N.Y. (municipality) MAP NO. LOT(s) OCCUPANCY ONE FAMILY DWELLING (type) ADMITTED BY: R. WALL KEY AVAILABLE SOURCE OF REQUEST: SANDRA' BRAUNS OWNER (owner-tenan£) ACCOMPANIED BY: SUFF.CO. TAX MAP NO. IOoo-~-l-! DATE: MARCH 24, 1994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DOMESTIC HONATER TYPE HEAT OIL FRAME FIELD STONE (RUBBLE) CELLAR XX [ST FLR. 6 2ND FLR. 6 3RD FLR. 4 TOILET ROOM (s) 2 SUNPORCR-2 OPEN PORCHES DECK, TYPE FIREPLACE ~X TYPE HEATER OIL WARM AIR XX { STORIES CRAWL SPACE 4 UTILITY ROOM 2 { EXITS 4 GARAGE PATIO CONCRETE AIRCONDITIONING HOTWATER OT~R: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: STOCKADE FENCE & SWIlgffNG POOL DID NOT REQUIRE A BUILDING PERI'lIT IN 1969. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. 3RD FLOOR PROVIDE 2 SHOKE DETECTORS OUTSIDE SLEBPING AREAS CELLAR FILL IN ARO'JND CHII~IEY CONNECTOR FR0tiWATER UEATEE 1243.1 CELLAR WATER HEATER CELLAR PROVIDE SMOEE DETECTOR CELLAR& wl~l~ ~ ~#..~l~ $~ViC~ WiLL I~EED D~-~E~h-~iTEKS A~F~GVAL 1243.8 EXTERIOR DOORS AND GATES INTO POOL AREAARE REQUIRED TO BE SELF-CLOSING & SELF LATCHING EXl'~RIOR REPAIK CELLARWAY DOOR 1242.5 (b) INSPECTED BY~~-~/~, .~-~ //~t~S d.~ FISHER DATE OF INSPECTION APRIL 15, 1994 TIME START 11:00 AM END 11:40 AM Please have smoke detectors in hallway near bedrooms Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY .... iO~$OUTHo[o 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. For existing buildings (prior to April 9, 1957)non-conforming uses, or buildings and _J~re-existing" land uses: 1. .Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly complete~ 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. 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-existinK Buildin~ - $i00.00~ 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. Location of Proper';~y .... .(.No..~.~..F. qx...A.v.e.n..u~.,..F. ~.s.h.e..r.s..!s. 1..a.n.d.,...N.e.w..y.o.r.k..0..6.9.3.q .......... House No. Street Hamlet Onwer or Owners of Property SANDRA BRAUNS County Tax Map No 1000, Section...P~%~PP .... Block..P~...qQ ........ Lot...~q%:P~q .......... Subdivision .................................... Filed Map ............ Lot .................... .. Permit No ............ Date Of Permit .......... A~licant SANDRA BRAUNS Health Dept. Approval ..... Underwriters Approval ............... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $.. J.q~ :~E ................ ... SANDRA BRAUNS Owner(s) Name(s) do(es) hereby state: of Southotd located at CONSENT ~ TO INS P~CTiON ,. _~ '/OWN O~S~UT'~o~4 · the undersigned, That the undersigned (is) (ltl~l~Xthe owner(l~) of the premises in the Town (No #) Fox Avenue, Fishers Island, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 009 , Block 01.00, Lot 001.00C~ That the undersigned (has) (8~) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy .on Pre-Existing building 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: SANDRA BRAUNS (print name) (signature) (print name) MONUMENt"' ' (FOUND) (FOUND} \ ,; 3102 39 ~C-L' ~ANTEE; T,j: IRON PIN (SET) GARBAGE ~E TOTAL AREA = 0.34+/-` ACRES 169.35' N 37° 35'40'' W FOX AVENUE RK *4AIL ,/4~k~- EDGE OF / PAVEMEI,, F NOTES= LOT IS LOCATED iN THE COUNTY OF SUFFOLK, TO~N OF SOUTHOLZ>, DISTRICT IO00~ SECTION 009 BLOCK I, LOT I. 2) BEING LOT"9 ON "PLAN OF MANSION HOUSE COT- TAGE SITES; FISHERS ISLAND~ NY; CHANDLER 8~ PALMER~ ENGINEERS, NORWIC:i, ;~ ; ; :'"~[.E: I"= 40 FT ; JAN. 194.9" 3) COORDINATE DISTANCES ARE MEASURED FROM US COAST 8~ GEODETIC SURVEY 'TRIANGULATION STA- FION "PROS". SURVEY MAP PREPARED FOR CHARLES E. BRAINARD, dR. FOX AVENUE ~FI_S_HERS ISI~AND~, N_EW YORK C_HA_NDL_ERLPA~LMER ~ KING _NORWICH_, C_O_NN_ECTI CUT SCAL. E~ I" =20' ~ ~ ,o MARCH 31~1 19~4~