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Home My WebLink AboutZ-16368FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING C.O. Certificate Of Occupancy N°'"Z'I'6.3'6"8 ......... Date November 6, 1987 THIS CERTIFIES that the building ... 0.n.q..f.a.m.~. 1. y..d.w.e..1 .lj_.q g: ..................... Location of Propertv EAST END, PRIVATE ROAD FISHERS ISLAND House No. Street Ha~n/e~ County Tax Map No. 1000 Section ...3. ........ Block .... 3. .......... Lot ...5. ............. Subdivision ............................... Filed Map No ......... Lot No .............. REOUIREMENTS FOR A PRIVATE ONE-FAMILY DWELLING BUILT PRIOR TO conforms substantially to the X/~t,V~nXl~rXg~gahXnVgXllfeVrt~,~XI~l~]~o~.~te~X~h~SXuX,,,x~d .... .A.P.R.I.L...2.3.: . .1.9.5. 7. pursuant to which Building Permit No. Z. 1.6. 3. .6.8 ............... dated ...~ .o y.e.m.b..e .r..6. ,...1.9.8. 7. ...... 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 ......... .0. ~..e. ?.~.m..~.~.~.. ?.~.tU..~ .~.~.'...2..c.~. ~...~.t~. ~..~ ?.,..2.. y.o.o. ~...~io. T ?75. ~..u)).~. ! .~.~?... ....... The certificate is issued to WILL IAM D. CAMPBELL ..................... /o¥.~),'~/li&~ok'~b~f~ ................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ............. .N/.A. PLUMBERS CERTIFICATION DATED: N/A SEE INSPECTION REPORT Building Inspector Rev. 1/81 Location Subdivision BUILDIi~G DEPARTI'~NT T0~'~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT EAST END, PRIVATE ROAD [nuunoer & streeV) FISHERS ISLAND (Municipality) Map No. Lot(s) Name of Owner(s) WILLIAM D. CAMPBELL Occupancy R-] (type) A~mitted by:WM. FAULKNER Key available owner (owner-tenant) Accompanied by: SAME I000 Suffolk Co. Tax No. 3-3-5 Source of request Date Oct. 22, 1987 D~fELLIMG: Type of construction Foundation POURED CEMENT Total rooms, let. F1 ~ Bathroom(s) 6 Porch, typ~ Breezeway Type Heat Oil fired Fireplace(s) 2 Domestic hotwater WOOD FRAMED #stories 2~ Cellar PARTIALCrawl space 2nd. F1 7 3rd. F1 2 Toilet room(s) 2 Deck, typ~ Patio, type Garag~ 2 car Utility room xx Warm Air ~ STEAM No. Exits 6 Airconditioning ~ype heater OIL FIRED LARGE FOYER, 2 STAIRS UP. YES Other BUTLER PANTRY, XX ACCESSORY STRUCTURES: Garage, type const. Swimming pool with fence Other WOOD DECK NEXT TO THE POOL Storage, type const. 2 wood Guest, type const. storage VIOLATIONS: _Location Housing Code, Descriotion Chapter 4.5 N.Y. Stat~niform~Fire Prevention & Buz±min~ CoGe I Art. [ Sec. Comnlete central smokm detector systems. Shower room cellar 2nd floor laundry room summer kitchen 1st floor No violations-Ch F of Ch 45 were found. Remarks: B.P. #9874Z for the pool, C.O. #Z16367 Inspected by:~Date of Insp. 10/22/87 -Time start ~0:00 end ll:25 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the foliowing; 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 p=operty showing all property lines, streets, buildings and unusual natural or topographic featu res. :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: (~.. Certificate of occupancy $5.00 Certificate of occupancy on pre-existing dwelling Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date . ./..~. '~ . .~. ~..~. f.~. ........ New Building ............. Old or Pre-existing Building ~ Vacant Land Location of Property .~.. ~..~-;....~...~J.~ . .'~! .~.~. ?.~.~,. ~,~.. ............................ House No. Street Hem/et Owner or Owners of Property .~. ! .~../=. t .~...Y~k.... D .... .C..~...Y~.., .~..~..~..L-../_.. ................. County Tax Map No. 1000 Section ...~. ......... Block ..... 3 ........ Lot .... k~. · .-'~'~, · · .... 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 $ ,~.~. ~,~. ~ ~ ............... Construction on above described building and permit meets all,~icable co,des and regulations. Rev. 10-10-78 lOOO9L3 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~" ::J~/y~-/Z~", ].9~1 85 JOHN STREET. NEW YORK. NEW YORK 10038 ,..t. ~ppl,c. tion No. onSile ].09~0'81 N 5 2 0 9 9 3 THIS CEI~rIFIES THAT W.D. C,~a~bell.,Fisl'~r8 Isl.~md, N. ¥. in the following location; ~ Basement [] 1st FI. ,~as.x,,,ni.edon May 19, 1981 FIXTURE OUTLETS RECEPTACLES SWITCHES [] 2nd FI. O[~$id~ Section Block Lot and found to be in compliance with the requirements of this Board. FIXTURES RANGES OVENS DISH EXHAUST FANS FLUORESCENT DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: Wager Heat~zrs: 1-4.5 ~Ci,~ A' w G. NO. OF HI-tEG t40' O~E COND OF CC COt40 3/0 OF HI-LEG NO. OF NEUTRALS 1 OF NEUTRAL 3/0 Rober~ E. Wall Alpine A~~e Fishers Island, N. Y. 06390 Lic: ~2455 This certificate must not be altered in any monner; return ,o the office of the Board if incorrect. Inspectors m~e iden 'hfied b~ential,. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~, 85 JOHN STREET, NEW YORK, NEW YORK 10038 o.., ~ay 22, ].98]. ~pp,~,,.,,o. ]~,,. o./,,. 088279-80 N 5 2 O 9 9 4 THIS CERTIFIES THAT W.D. Gampebll, Fishers Island, N. Y. w .... .minedon ~ 19, 1981 andfoundtobeincompliancewiththerequirementsofthisBoard. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT VAPOR DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUS: NO. OF CC. CONO, A.W.G. NO OF HI-LEG PER ~' OF CC. COND. OF HI-LEG NO. OF NEUTRALS OF NEUTRAL Alpinm Aver~u~ Fishars Island, N. Y. 106390 This certificote must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 DaZe S~ ~.,1~'1_ ~ppl,cationNo. o. file [o96~1-8]. N 520999 THIS CERTIFIES THAT W.D. P--,-.'~ell, Fishers leland, N. Y. 3rd Fl. in the following location; ~ Basement [] Ist FI. [] 2nd FI. Section Block was examined on ~%~ 19, 1951 and found to be in compliance with the requirements of this Board. FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES NCANDESCENT FLUORESCENT VAPOR Z 1~ 4 2 DRYERS FURNACE MOTORS FUTURE AF~.IANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLE DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C NO. OF CC. COND. A.W.G. NO OF Hi-LEG A. W G ~40. OF NEUTRALSA.W.G. PER ~' OF CC. COND. OF Hi-LEG OF NEUTRAL Robar~ g. Wall Alpine Avenue Fishers island, N. ¥. 06390 G~AL /4ANAG~R ll This certificate must not be aJtered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Sept:ember 3, ~.981 and found to be ln compliance wlth the requirements of this Board. ]1 FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 2 DRYERS SYSTEMS NO* OF FEET I l OTHER APPARATUS: 2 GFCI, breakers, Panels: 1-2 C.B 100amps S E R V I C Robert E. Wall AlpineAve. Fishers 'Island,N.Y. 06390 NO. OF HI-LEG lic. 2455 OF HI-LEG This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be NO. OF NEUTRA£$ MANAGER OF NEUTRAL COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.