HomeMy WebLinkAboutZ-17100 FORM N0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. .Z 17100__...,. Date Jul. 20,..1988
......Y....
THIS CERTIFIES thattltebuilding One, family dwelling:
Location of Property ,.Cresent and Fox Avenue Fishers Island
......................Street .......................Hamlet
House No.
County Tax Map No. 1000 Section .Q 4 .........Block ..02 ...........Lot ? 3.......... .
Subdivision ...............................Filed Map No. ........Lot No. .
Requirements for a private one-family dwelling built prior to
conforms substantially to the ~~M~tX~16747iAiK~fl~7S~7P~i~FdGY7it~i'eYd[t~~'aX~Q~~[$#I}E}j~X~#'~~C~;}¢gd
April 23, 1957 Certificate of Occupancy
• • • • • • . • • . • • • pursuant to which71~148ibig>28ld5#t No. ].7 100
dated .Jul X. 20•,, ; 1988
was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .
One family dwelling.
Tl~e certificate is issued to ,JANE H. DII PONT
lowner.$~>~7~„$tjF~tl .
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
Rai. teat
BUILDIi;G DEPART1EiT
TO`~Ii4 OF SOUTHOLD, N. Y.
` HOUSIidG CODE INSPECTION REPORT
LOC3t1.On CRESENT AND FOX AVENUE, FISHERS ISLAND
~numoer & street Qunicipality)
Subdivision ivIap No. Lot(s)
Name of 0~•rner(s) JANE a. oII roar
Occupancy R-I
type owner-tenant
Admitted by: Accompanied by:
,
Key available ' Suffolk Co. Tax No.6-2-23
Source o£ request HARRY S. SHORT jute 3une 20, 1988
D'~TELLI:?G
Type of construction wood #stories I
Foundation Cement Cellar Fuii Crawl space
Total rooms, lst. Fl 6 2nd. F1 3rd. Fl
Bathroom(s) I Toilet room(s)
Porch, type Roof over Deck, type Patio, typ e
Breezeway Garage Utility room 1
Type Heatoii fired ~Jarm Air Hotwater ~
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater Yes Type heater .Tank
Other
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 4.S N.Y. State Uniform Fire Prevention
Location Description Art. Sec.
No violations Ch. 45 were found.
Remarks• ^
Inspected by: ~ ate of Insp. June 6, 1988
C. Dixon Time start 9:22 end 9:41 a.m.
FORM NO. 6 W •
TOWN OF SOUTHOLD P 31 ~6G 3 9a
Building Department a,
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 to the Building Inspec-
torwith 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 wpply 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, acertificate 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 property 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 $']i~016-5~
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00 6/20/88
Date
New Building .............Old or Pre-existing Building X......... Vacant Land .
Location of Property , , Cresent and Fox Avenue fISyBIQS , ,ISr,gN,D, •
r.
House No. _ ~w ~CK.*• X• Street Hamlet
~ Rithc3'~tP dy„~n r r^ee
Owner or Owners of Property ,Jane, dp, dp, Ppnt, Kidd, , , , , , ,
County Tax Map No. 1000 Section Block 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 $ 50.00
Construction on above described building an ermit meets all ap~licablepc~odes and regulations.
Applicant . U r"'!~..~ . .
ate,. to-~oaa ~ 3S~~G