HomeMy WebLinkAboutZ-25758FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25758 Date: 06/02/98
THIS CERTIFIES that the building DWELLING
Location of Property OFF EAST END RD
(HOUSE NO.} (STREET) (HAMLET)
County Tax Map No. 473889 Section 007 Block 0002 Lot 001
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- 25758 dated JUNE 2, 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 ROBERT W & LINDA H. DANIEL,JR.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HE~LTH APPROV~
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
N/A
//u ng In ector
BUILDING DEPARTMENT
TOWN OF SOUTNOLD
HOUSING CODE INSPECTION REPORT
LOCATION: OFF EAST END RD FISHERS ISLAND
SUBDIVISION: MAP NO.: __ LOT (S) __
NAME OF OWNER (S}: ROBERT W & LINDA H. DANIEL.JR.
OCCUPANCY: A-1 RESIDENTIAL ROBERT W & LINDA B. DAMIEL.JR.
ADMITTED BY: BAGLEY REID ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 7,-~-~
SOURCE OF REQUEST: STEPHEN HAM.III. ATTY 5/1/1998 DATE: 06/02/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FP~ ~ STORIES: ~,O { EXITS:
FOUNDATION: CONCRETE BLOCK CELLAR: CRAWL SPACE
TOTAL ROOMS: 1ST FLR.: 9 2ND FLR.: O 3RD FLR.: O
BATHROOM(S): ~.O TOILET ROOM(S): 0.0 UTILITY ROOM(S): __
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: TAM.ESS AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: XX
OTH ER:
BLUE STONE
GARAGE, TYPE OF CONST.:
SWI~94ING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS:
LOC~ATION
CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
DESCRIPTION ART.
SEC.
REMARKS: BP ~18875-Z-C0 Z-20878 (ENCLOSE ROOM & REPLACE WOOD DECK)
INSPECTED BY:
DATE ON INSPECTION: 05/15/98
TIME START: END:
TOWN OF $OUTHOLI~
Form No. 6
TOWN OF SOUTIiOLD
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-~O 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 installationg, a certificate of Code Compliance from architect or engineer
responsible for the building.
6.Submit Planning Board Approval of completed site plan requirements.
~.,,F°r existing. . buildings,, (prior to April 9, 1957) non-conforming uses, or buildings and
; pre-exzstzng 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
~. 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 Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date May 1, 1998
ew Construction ........... Old Or Pre-existing Building .... ~ ............
oca~ion of Property ~QP~I Cla~ Point ~d .~ Fishers Island
House No. Street Hamlet
nwer or Owners of Property ~Q~ W~ Daniel Jr. and Linda H. Da~e%
ounty Tax Map No 1000, Section..OO?oOO · . Block. 02.00 001 000
~b .... Fishers Island Development ~orp A421 29-~0
u~v~s~on ........................ .- · --.- :...Filed Map ........... Lot . .
armit No...~ .......... Date Of Permit ................ Applicant ...........................
aalth Dept. Approval ..... N/A .Underwriters Approval ..... ~.
~nu~ng Board Approval ...... N/A . . .
nquest for: Temporary Certificate ........... Final Certicate. X
Submitted: $ 100.00
CONSE~T
TO
INS I~ICC'F I O_N
Robert H. Daniel, Jr. and Linda H. D. aniel by Bagely Reid ageu~
' . ~ne undersigned,
O~waer (s) Name(s)
do(es) hereby State:
agent of the
Thai the undersigned (is) (~lr~':~ the owner(s) of the premises in the Town
of Southold located at __(no#) Clay Point Road, Fishers Island
· which is shown and desi~n,ated on the Suffolk
County tax map as District 1000, Section 7 -~: Block 2 Lot 1
'That the undersigned {has) {have) filed, or caused to be filed, an applica-
tion in the Southold Tox~m Building Inspector's Office for the following:
pre-existing Certificate of Occupancy
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town or $outhold 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 or the laws, ordinances, rules or regulat~ns o£ the Town or Southold.
' (s.i~n~ture)
Bagle7 ~eid, agent
(print name)
(s ignattll'e)
(print name)
lc 96'03'10''--
CD N 25'25'~5" E
R 56.22'
L -60.72'
TANK
ENCLOSURE
PARKING
AREA
N 24'36'50"
12.02'
ANN P. FERGUSON & MARSHALL L. POSEY, JR.
COMMONWEALTH LAND TITILE INSURANCE COMPANY
IN ACORDANCE WITH THE MINIMUM STANDARDS FOR
TITLE SURVEYS OF THE NEW YORK STATE LAND TITLE
ASSOCIATION.
MON.
S= 135%05
w= 7505.46
~-0 20 0 40
.[~ ~'~ I
GRAPHIC SCALE IN FEET
DATE
REVISIONS
DESCRIPTION
DATE: APRIL 25, 1998
SCALE: 1" = 40'
SHEET 1 OF I
I. PIPE
(FNO.)
1. COORDINATE DISTANCES ARE MEASURED FROM U.S.
COAST AND GEODETIC SURVEY TRIANGULATION STATION
"CHOCOMOUNT 2"
2. SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK
DISTRICT 1000, SECTION 007, BLOCK 002, LOT 1.
3. TOTAL AREA = 57,899+ S.F. = 1.33:b ACRES.
SURVEY MAP
PROPERTY TO BE CONVEYED TO
ANN P. FERGUSON &
MARSHALL L. POSEY, dr.
BLOCK 29 -- LOT 10
FISHERS ISLAND, NEW YORK