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
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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
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