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HomeMy WebLinkAboutZ-25946 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25946 Date: 09/08/98 THIS CERTIFIES that the building DWELLING Location of Property ORIENTAL AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 010 Block 0010 Lot 005 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- 25946 dated SEPTEMBER 8, 1998 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie issued is ONE FAMILY DWELLING WITH ACCESSORY GARAGE The certificate ie issued to LOUISE M. DOYEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. uil ng Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OP SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): LOUISE M. DOYEN OCCUPANCY: aesmENmIAL LOUISE M. DOYEN ADMITTED BY: TENNANT ACCOMPANIED BY: SAME REY AVAILABLE: SUFF. CO. TAX MAP NO.: 10.-10-5 SOURCH OF RHQUEST: STEPHEN HAM. ATTY 8/26/98 DATE: 09/08/98 DWELLING: TYPE OP CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: ~ FOUNDATION: CONCRETE CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: ~ 2ND FLR.: ~ 3RD FLR.: ~ BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: PIRHPLACH: GARAGE: DOMESTIC HOTWATER: TANRLESS TYPH HHATER: AIRCONDITIONING: TYPH HEAT: OIL WARM AIR: HOTWATER: XX OTHER: ACCHSSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ! DESCRIPTION ~ RT SPC ~ i i ~ i : i ~ i : ~ i : : i i i : : i : ~ i i i : ~ i : ~ i i i i : i i i : i i i i i : i i : i i i : ~ i i i i REMARKS: BP #12540-Z - CO Z-~2~75 ( DITIONI BP k 1 m A-v-C -79499 ~anniTTna INSPECTED BY: DATE ON INSPECTION: 09/08/98 ROBERT WAL TIME START: END: Fora No. 6 TOWN OF SOUTIIOLD BUILDING DLPARTMENT TO[JN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typecariter OP, 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 Deft. 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 17. 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: L. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. 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 325.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Euilding - 3100.00 Copy of Certificate of Occupancy - 35.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - SS0.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date Au$ust,21,•1998.•_•••••.••••,••,•,,,,,, w Construction........... Old Or Pre-existing Building..X :cation of Property...IP4.~f~ Oriental Avenue ....,,•,..,Fishers Island House No. Street Hamlet wer or Owners of Property.....,LOUISE.M: DOYEN....•••..•••••.••_.•,.•.•.••...• 010 l0 00 005.000 unty Tax Map No 1000, Section ..............Block................Lot...................... bdivision ....................................Filed Map............Lot...................... rmlt :]o...N/A..........Date Of Permit....N/A.........Applicant....N~A al tic Dept. Approval.....N~A ..................Underwriters Approval ....N!A.................. :inning Board Approval....NIA quest for: Temporary Certificate........... Final Certicate..X........ e Submitted: 3.,100:00 0 z 0 i i i ~i , i ~ ~ ' ~ ' i / i i ~ i '~i i ~ ~ ..r DRIkEWAY / 1` ~ EiYORAI~T SE~t1C i^ j SYSiOA` ~ ~ ~ \ ~ 1 ~ ' ~ ~ ~ ~ ~ \ ~ - . ~ ~ _ , ~ ~ ~ ~ ~ ` Q~ ~ ` \ ~ ~ ~ ~ ~ ~ ~ . ~ ~ ~ ~ ~ ~ ? AIERfS7DNE \ ` \ ~ \ \ \ ~ ~ S ~ t~C~~ar~ Rl~GEWA,a` MGLEAi~[ 1ikiFt1CAN T1Tt.E FNSURANCE. 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