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Home My WebLink AboutZ-19954FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19954 Date JUNE 7~ 1991 THIS CERTIFIES that the building Location of Property PRIVATE ROAD~ EAST ENDr County Tax Map No. 1000 Section 5 Block Subdivision Filed Map No. ONE FAMILY DWELLING FISHERS ISLANDr N.Y. 2 Lot 2 Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCC. #Z-19954 dated JUNE 7r 1991 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 DW~.~.ING WITH ACCESSORY 2 CAR GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-651163 - PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. EDWARD M. & JEAN D. CRANE Rev. 1/81 Location BUILDING DEPJ~Ti.~NT TON,! OF SOUTHOLD, N. Y. HOUSIi[G CODE IiISPECTION REPORT PRIVATE ROAD, EAST END, FISHERS ISLAND, N.Y. Subdivision Name of Owner(s) EDWARD M. Map No. Lot(s)__ CRANE, JR. & ~F. Occupancy R-I (type) A~=itted by: Mr. Evans Key ~vailable Source of request O~NER own er- ~ enan~ ) Accompanied by: Same Suffolk Co. To:{ No. 1000-5-2-2 Jean D. Crane Date May 13, 1991 D~,r~T YT,~T~ · Type of construction Frame with stucco finish Foundation concrete slab Total rooms, 1st. Fi Bathroom(s) 3 Porch, type BreezewaL Type Heat OIL FIRED Fireplace(s) I Domestic hotwater Other Deck, type. Garage · Warm Air xx No. YES #stories 1 Cellar Crawl space same 2nd. F1 5rd. F1 Toilet room(s) Patio, Utility room .Hotwater Fzcits 5 Airconditioning. Type heater E~ECTRIC ACCESSORY STRUCTURES: Garage, type const. Swim~ing pool Other 2 CAR Storage, type const. Guest, type const. VIOLATIONS: ~Lncation .CI1APTER 45--N.¥. STATE UNIFORM FIRE PI~VENTION & BUILDING CODE Descriotion I Ar~.} Sec. This pre co includes BP #1723Z issued 5/1/62 for an addition - Remarks: CO Z-1408 issued 8/]/62 CURTIS HOR'I~ON' . _, Date -of Insp. MAY 21, 199l ·Time start 1:30 end 2:00 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 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: I. Accurate survey of proper~ showing all property lines, streets, building and unusual natural or topographic features. 2. A~rly com~p~let~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. ~.~' Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $~.00 over 5~ears - $1~.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 Property...~t~ ~0~P . FISHERS ISL~ND~ ~ yp~ House No. Street Hamlet Onwer or Owners of Property .. ~P M CR~NE JR. and JEaN D CLONE County Tax Map No 1000, Section.99P.'.q9 ...... Block. 02.00 ...... Lot.002.000 Subdivision ............................... · · · .. Filed Map ............ Lot ................... . .. Permit No. 17232 ~ C/O .21~08. ............... Date Of ~ermit ..... Annlica=~ Edward .M.C.ra.~.e. Jr. Health Dept. Approval .................... ...... Underwriters Approval...J.u.l~. ................ 10~ 1.98J Planning Board Approval ...................... . . Request for: Temporary Certificate .... Final Certicate .... ~/l~ ~ ~ /~' y APPLICANT CONSENT TO INSPECTION EDWARD M CRANE JR. and JEAN D CRANE the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (~) (are) the owner(s) of the premises in the Town of Southold located at PRIVATE ROAD FISHERS ISLAND, NEW YORK · which is shown and designated on the Suffolk County tax map as District 1000, Section005.00, Block 02.00 , Lot 002.000. That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tov~n Euilding Inspector's Office for the following: Certificate of Occupancy That {:he 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 rio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (si~nat;ur e) (signature) (print name) THE NEW YO~RK BOARD OF FIRE UNDERWRITERS 10006~ ~ BUREAU OF ELECTRICITY ['~e~ 85 JOH~STREET. NEW YORK, NEW YORK 10038 ~.,,, ,~u.ty ].o, ].~~,~.,~.~,,.,,./,e ~oo3~.1/s~ N 651163 THIS CERTIFIES THAT in the f~wlng I~tlon; ~ ~e~nt ~ Js~ Fi. ~ 2nd FL ~t~ Bilk ~t ~ examln~ ~ a~f~nd ~ be in ~mpJlance with t~ require~nte of this ~rd. fiXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUT.TS SWITCHES FLU~SCENT 4 7 3 4 DISCONNECT 1-G.F.C.I. 1-O~oke detector Z & g Contr. Inc. ~Ox 202 Fishers Island, N.Y. 06390 Lic#924 Per 11 l~is certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by TO ~-& CO'NV£~'E'O ,TO