HomeMy WebLinkAboutZ-14999FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE C.O.
Certificate Of Occupancy
No Z14999 Date October 15
................................................... 19.8.6.
THIS CERTIFIES that the building . .Q.n.e..~.9 .m~.l..~, .d.w.e.l. 1..i.n.q. .......................
Location of Property E.a..st End~ Fishers Island
;4ou e ~o.' ................. 's't/e i .......................
County Tax Map No. 1000 Section . ~ .......... Block ...2 ............ Lot ....1 .............
Subdivision ............................... Filed Map No ......... Lot No ..............
Recluirem,~nts for a private one family dwellinq built Drier to
conforms suostantmlly to the
. ,C. e~ t i~ ~ .c. _a.~ _e_ _ _ o_ f. Occupancy
...A.p..r.i.1..2..3 .......... 19 . .5.Ypursuant re whichl~ua~_}'~F~'mlt No ......... ~. + .~?.~?. ....
dated ...OCTOi~ER...1.5. ............ 19.8..6, 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, 7 accessory structures and a caretakers house.
The certificate is issued to .. ,J.O.H.N...N... CALLEY & WIFE
.......... ? .....................
of the aforesaid building.
Suffolk County Department of Health Approval ........... N./..A ...............
UNDERWRITERS CERTIFICATE NO ..... N / A
SEE INSPECTION REPORTS
Rev. 1/81
BUILDIWG
T0%'fN OF SOUTHOLD, N. Y.
HOUSING CODE INS?ECTION REPORT
Location
Subdivision
EAST END
(nuunoer & street)
FISHERS ISLAND
(Municipality)
Map No. Lot(s)
Name of Owner(s) JOHN N. CALLEY & WIFE
Occupancy R-1
(type)
A~mitted by: M~. Marshall
owner
( owner- ZenanZ )
Accomparlied by: Mr. Marshall
Key available
Suffolk Co. Tax No. 8-2-1
Source of request Anthony Marshall
Date 10/10/86
2
~%'~LLING:
Type of construction Wood framed
Foulqdation poured cement
Total rooms, let. Fi 7
Bathroom(s) 7
Porch, type_~Deck,
Breezewa~ Garage
Type Heat '1 ~ ed ~arm Air
Fireplace(s)..6 No. Exits 8
2
#stories
Cellar full Crawl space
2nd. F1 8 ~rd. FI
Toilet room(s) 1
type. Patio, type.slate
Utility room xx
~{<xb~;~ steam
Airconditioning.
Domestic hotwater
Other 2 pantries,
ACCESSORY STRUCTURES:
Garage, type cons%~)3 car with
Swimming pool with fence
Other3) Pool house--wood
yes __~ype heater oil
bar set stairs up, laundry room
fired
3 Loom apartment :
Storage, type const.
Guest, type const.
VIOLATIONS:
_Location
4)
5)
61
7)
Housing Code, Chapter 45 N.Y.
Description
Green house--wood
Work & garden shop--wood
Generator building--cement
Large animal building
NO VIOLATIONS
State Uniform Fire Prevention
& Building Code
I Art. I Sec.
TOTAL--2 houses, 3 car garage with~apartment
Remarks:
Inspected bY--Dare of Insp. 10/10/86
CURTIS W. HORTON -Time start 9:00 end 10:20
Location
Subdivision
BUILDING DEP;JiT[,~NT
TO%'~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
EAST END
~numoer & street)
FISHERS ISLAND
(Nunioipality)
Map No. Lot(s)
Name of Owner(s)
JOHN N. CALLEY & WIFE
Occupancy R-1
(type)
A6~itted by: Mr. Marshall
Key available
OWNER
(owner-~enan~ }
Accompanied by: Mr. Marshall
Suffolk Co. Tax No. 8-2-1
Source of request
Anthony Marshall
Date 10/10/86
~%~LLI~:
Type of construction
Foundation
Total rooms,
Bathroom(s)
Porch, typ~
Breezeway
Type Heat OIL FIRED
Fireplace(s) 1
Domestic hotwater YES
WOOD
POURED CEMENT
1st. F1 ~
Deck, type
Garage.
Warm Air
No. Exits
Other
CARETAKERS HOUSE
#stories ONE
CellarF__F_U/J~__Crawl space.
2nd. Fi 3rd. FI
Toilet room(s)
Patio,
Utility room
Hotwater
Type heater
type_
Aircondition~ng
TANKLESS
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 45 N.Y. State ~:~iform Fire Prevention
Buzlm
& Dullalna ~od~
_Location Description J-Art. j Sec.
NO VIOLATIONS j
Remarks:
Inspected by:~'~ ~/~ate of Insp. 10/10/86
CURTIS W. HORTON ·Time start 9:15 end 9:25
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
f986
Southold, N.Y. 11971 ~
76.5 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY ~_,-7~ //~ 3 ? ~/
Instructions
A. This application must be filled in typewriter OR ink, and submitted .,, a=.==mm to the Building Inspec-
tel with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pzt)perty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $ ]. 5.0 0
3. Copv of certificate of occupancy $1.00
5.Updated C.O. $15.00 Date /.~ .... 7~.<~. ......
NewCons truct ion ...... Old or Pre-existing Building .....z¢~.. ..... Vacant Land .............
· ~.~-, ,~.,/~ .~ J -~/~ .~ ,,, ~ ...~.~,~ .....
Location of Property ..................... I~:. o ....,.~,-. ...............
House No. 7 Street ~ Hornier
Owner or O,,ne s o, Property · ...................
County Tax Map No. 1000 Section ............... Bock .... ~. ......... Lot.../...
Subdivision...- ~.~ ..................... Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ..................... Planning Board Approval ......................
Request for Temporary Certificate ................ Final Certificate .. ~ .................
Fee Submitted $... z/~ Q..' .<'.c-? ...............
Construction on above described building and pe~rmit meets all applicable codes a~d regulations.
..... ..........
do(es) hereby state:
CONSENT
TO
INSPECTION
· the undersigned,
That the undersigned (i~) (are) the owner(s) of the premises in the Town
· which is shown and designated on the Suffolk
County tax map as District 1000, Section ~/ , Block ,~ , Lot /
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold 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, 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:
(print name)