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Home My WebLink AboutZ-27446FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin9 Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27446 Date: 12/04/00 THIS u~TIFIES that the buildin9 DWELLING Location of Property WHISTLER AVE (HOUSE NO.) County TaxMap No. 473889 Section 009 su~dlvision FISHERS ISLAND (STREET) (HAMLET) Block 0010 Lot 011.001 Filed Map No. __ Lot No. __ conforms st~bstantlally to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9~ 1957 purs,,ant to which u~I(TIFICATH OF OCCUPANCYNUMBER Z- 27446 dated DECEMBER 4~ 2000 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 WODD FRAME GARAGE * The certificate is issued to ANTON & ANNEMARIE BUSSMAH (OWNER) of the aforesaid buildin9. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS c~KTIFICATION DA'r~u~ *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A --~A lhnature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTROLD HOUSING CODE INSPECTION REPORT LO~ATION: WHISTLER AVE FISHERS ISLAND SUBDIVTSIC~: MAP NO.: -- LOT (S) __ ~ OF O~ (S): ANTON & ANNEMARIE BUSSMAN ANTON & ANNEMARIE BUSSM/LN ACCC~ANI~ BY: SUPF. CO. TAX PAP NO.: 9.-10-11.1 ANTON BUSSMANN 11/16/00 DAT~: 12/04/00 DWELLING: ~"fPE OF CO~ST~UCTI(~: WOOD FRAME/BRICK VENEER ~ S~RIES: 3.0 9 EXITS: 3 POb-~ATIC~: GRANITE STONE C~.T~%R: 20% CP~ SPACe: 80% ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~T~ ~ INSP~k-~I(~: 12/01/00 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 ail 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 "pre-existing" land uses: 1. Accurate survey of property showing ali 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. 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-existing BuildinR - $100.00 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 D a t e ..... N. qr. e.m.b.e.r.. 1.6. ,..2.0.0.0. ................... New Construction; .......... Old Or Pre-existing Building X Location of Property Whistler Avenue Fishers Island House No. Street Hamlet Onwer or Owners of Property Anton Bussmann. . County No lO00, Section.qq qq ..... .. Block......!°'°°..... .... Lot .... q%%..0p.% .......... . Subdivision ................................... . Filed Map ............ Lot ................. ... . . Permit No N./.A. Date Of Permit N/A Applicant N./.A... ................. N/A Underwriters Approval N./.A. Health Dept. Approval ............................................... . Planning Board Approval .......... N./.A. ........... Request for: Temporary Certificate .......... Final Certicate. X Fee Submitted: $...1. QQ~QQ .................... ........ APPLICANT Stephen L. Ham, III 16 UU U~:U~a IUHY ~USSMHHN HL!u- 16-2~ 11:0~ P, ('O~'S I", I~T TO 1 NS D~C.'I'IOIV the undersigned, That the undersigned (is) tare.} the Owuer(s) of tI~e Premises tn the Tow~ of SOuthold lOCated at .,,(no &)~i~cZer Avenue, FiSbeza Island ~. ~vhlch t~ uhu~ and desiRnatud o~ the Suffolk Coua~ tax map as Ola~lct lO00, SccHon___~, Bilk 10 . Lot l~.l That the U~dersignefl (has) (have) fi]ed, or caused to be filed. ~n applica- tion In the Southold TO~ Building Inspector's O:{{ce ior the follow~g~ ~. ~ --~re-~istlni Ce?lficate.of ~eup~~d sln&le-f~liy '. dwellin ~ad attached {arase. " Thai the unders~fled do(es) hereby give eu~qent to the BulldOg Inspectors of ~e Town of ~oulhold to enter upon the above described pro~e~y, includ~g any and all bulldin{s located thereon, to conduct sunh inspections as they ~y deem necessary %vith respect tu the aforesaid application, ~clud~g ]nspectf~s Iff determine thai ~nid premises comply ~vith al~ of lhe laws, ordinances, ~{us an~ regulations of the Town cf Southold. The undarsi~fled, in c~sefltitjg to such ~etlons. doles) so ~ih the knowledge and understandi.g that any reformation obtained In the conduct of such insl~eiions may be used as evidence in subsequent prosecut{oe~ for vio- lations of ~e laws, ordinances, rules nr re.latices ~ of the ~'own uthold. Dated: H0v~be~ }6~ 2000 ~ ~ (signature) (print'name) (print name) TOTPL P. 4-'"(. 57' o ~ &~7~ I'b' v,,,/ ~0o. oo' II