HomeMy WebLinkAboutZ-23320 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRS E%ISTING
CERTIFICATE OF OCCUPANCY
No Z-23320 Date OCTOBER 31, 1994
THIS CERTIFIES that the building STRDCTURH
Location of Property TH6 GLOAMING FISBBRS ISLAND, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 10 Block 10 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a Structure built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY
NUMBER Z-23320 dated OCTOBER 31, 1994
was issued, and conforms to all of the requirements of the applicable
proviaione of the law. The occupancy for which this certificate is
issued is AQIIACULTIIRB STRUCTURE x
The certificate ie issued to RICHARD A. ERPENBECR
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
ilding In pector
Rev. 1/81
BUILDING DEPARTMENT
' TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: TH6 GLOAMING FISHERS ISLAND, N.Y.
number ~ street municipality
SUBDIVISION MAP N0. LOT(s)
NAME OF OWNER (s) RICHARD A. ERPENBECR
OCCUPANCY AQUACULTURE (LOBSTER TRAPS) ~ SALES OWNER
type owner-tenant
ADMITTED BY: BOB WALL ACCOMPANIED BY: SAME
REY AVAILABLE SUFF.CO. TAX MAP N0. 100 -
SOURCE OF REQUEST: OWNER DATE: SEPT. 28, 1994
TYPE OF CONSTRUCTION FRAME # STORIES 1 4 E%ITS 1
FOUNDATION MASONRY PIERS CELLAR CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 1 2ND FLR. 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING
TYPE HEAT WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWI2SMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED DATE OF INSPECTION OCT. 18, 1994
ROBE WAL TIME START 9:15 AM END 9:45 AM
THOMAS J. FISHBR
_ \
~ -
_ Form No. 6
F~•
A. Q1P~~
ALPHINE AVE. BOX 243 TOWN OF SOUTHOLD `
FISHERS ISLAND. NY 0 BUILDING DEPARTMENT 'r ~ J
~5s~ ,ea-~SeB ` ~ ~ 3 ~ ~
TOWN HALL
765-1802
APPLICATION FOR CERTII'ICATE OF OCCUPANCY
A. 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 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.
'B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" 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.
C. 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.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, CoQmmercial $15.00
Date .........7./~~v .
New Construction........... Old Or Pre-existi B/uilding.....j/........ _ ~
Location of Property ~.`~S~^.'1L~.............C.6 ~~e.~...:~ 5~.~
House No.~ / ~f /Street Hamlet
Onwer or Owners of Property....~.~-~.Ll'1.5~`.:...l:T:.. ~~~•••••••f••••••••••••
County Tax Map No 1000, Section-i~~.I~Block..~~ ..........Lot...-.(
Subdivision ....................................Filed Map............Lot......................
Permit No ................Date Of Permit................Applicant.............................
Health Dept. Approval. .........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary /Certificate........... Final Certicate...~.....
Fee Submit $ 0 ~:.OO ~
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