HomeMy WebLinkAboutZ-25553FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25553
Date: 02/25/98
THIS CERTIFIES that the building DWELLING
Location of Property HEATHULE AVE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 009 Block 0006 Lot 002
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- 25553 dated FEBRUARY 25, 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 JAMES H CARNEY
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: HEATHULE AVE FISHERS ISLAND
SUHDIVISION: MAP NO.: __ LOT (S) __
NAME OF OWNER (S) : JAMES H CAP-NEY
OCCUPANCY: A-1 RESIDENTIAL
ADMITTED BY: B&D REMODELING
KEY AVAILABLE: SUFF. CO. TAX MAP NO.:
SOURCE OF REQUEST: RICHARD F. LARK - FEB. 1S. 1998
JAMES H CAP~EY
ACCOMPANIED BY: MR. BECKWITH
DATE: 02/25/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME ~ STORIES: $.$ ~ EXITS: 5
FOUNDATION: STONE CELLAR: 1/3 CRAWL SPACE: 2/3
TOTAL ROOMS: 1ST FLR.: ~5 2ND FLR.: ~ 3RD FLR.: 3
BATHROOM(S) : $.0 TOILET ROOM(S): ~,Q UTILITY ROOM(S): __
PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: ~ GARAGE:
DOMESTIC HOTWATER: YES ~JPE HEATER: OIL FIRED AIRCONDITIONINO:
TYPE HEAT: OIL FIRED WARM AIR: HOTWATER: XX
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWI~4ING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS:
LOCATION
CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
DESCRIPTION J~T.
REMARKS: BP ~4781Z-CO Z'3948
DATE ON INSPECTION: 02/24/98
TIME START: END:
SEC.
TOWN OF SOUTBOLD
BUILDING DEPARTME~
TOWN ~LL
?PLICATION 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 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 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.
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-existinR Buildinm - $100.00
3. Copy of Certificate of Occupancy - $20.~
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 ..... .X. ..........
Location of Property ................. H.~.t.h.q~ Avenue ~.~b~ ~D~
House No. Street Hamlet
Dnwer or Owners of ~ ~, James H. Carne Laurie ~arnev
rrope~ .................. y..&. ..W:..G.:
~ounty Tax Map No 1000, Section .... 9. ......... Block ..... 6. .......... Lot .... ~. ................
Subdivision .................................... Piled Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept Approval.'.
· · ....................... Underwriters Approval .........................
?lanning Board Approval .... ' ....................
?,equest for: Temporary Certificate ........... Final Certicate .... X. ......
Fee Submitted: ~ 100.00
..
~ ~6~ ~am rney ~ ~ ....
~'~Yi 0 Z ~f ~ ~ ~ ..... APPLICANT .... ' ar~ mttorne~c~~-
JAMES H. CARNEY
CONSENT
TO
INSPECTION
· the undersigned,
Owner(SO Name(~)
do(es) hereby state:
one of the
That the unders~ned (is~N~x~e owner(s) Of the premises in the Town
of Southold located at Heathulie Avenue, Fishers Island, New York
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 9 , Block 6 , Lot 2 .
That the undersigned (has) (P~) filed, or caused to be filed· an applica-
tion in the Southold Town Building Inspector's Office for the following: __
Certificate of Occupancy op Pre-existinq buildinq
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
lations of the laws, ordiuauces, rules or regulations of the Town of Southold.
c/(S:i/gnatur e)
James H. Carney by Richard F.
Attorney-in-Fact
(print name)
(signature)
(print name)
Lark