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Home My WebLink AboutZ-25625 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- 25625 Date: 04/03/98 THIS CERTIFIES that the building DWELLING Location of Property OFF FOX AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 009 Block 0001 Lot 018 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- 25625 dated APRIL 3, 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 SEASONAL DWELLING* The certificate ie issued to ANN P FERGUSON & ANO (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. Bui ing inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HO TN OD. TN P. TION R.PORT LOCATION: P V SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): OCCUPANCY: ONE PAMILY DWELLING ANN P FERGUSON 6 ANO ADMITTED BY: BAGLEY REID ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 9.-1-18 SOURCE OF REQUEST: STEPHEN HAM ESO (3/30/98) DATE: 04/03/98 DWELLING' TYPE OF CONSTRUCTION: WOOD FRAME ~ STORIES: 3.0 N E%ITS: ~ FOUNDATION: STONE CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: ~ 2ND FLA.: ~ 3RD FLR.: ~ BATHROOM(S): 3.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: OPEN DECK TYPE: PATIO TYPE: BREEZEWAY: PIREPLACE: 2 GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: NONE WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES' GARAGE, TYPE OF CONST.: NONE STORAGE, TYPE CONST.: SWIDRAING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM PIRE PREVENTION 6 BUILDING CODE LOCATION ~ ?FSCRIPTION ~ PT ~ ~ 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 i i ~ i ~ ~ i i i ~ i i REMARKS: INSPECTED BY: ~J/ l DATE ON INSPECTION: 44/03/98 ROBE LL TIME START: END: C ~tv ~ t,~~.~h Form No. 6 TOIJN OF SOUTIIOLD D qq y BUILDING DEPARTMENT MAR~J 1 TOWN HALL 765-1802 ; BLDG. DEPT. 4W APPLICATION FOR CERTIFICATE OP OCCUPANCY This application must be filled in by typewriter 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 Depc. 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. J. For existing buildings (prior to April 9> 1957) non-conforming uses, or buildings and "prc-existing" land uses: • 1. ,lc curate 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 wrieing 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 Euilding - $100.00 J. 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 515.00 Date ,.March,l6, 1998 ::cw Construction........... 01d Or Pre-existing Building..X location of Property.. no./f,,,,,,,r~o~w.off,~'ox_Avenue Fishers, Island.......... „ . House No. Street Hamlet Unwur or Owners of Property... APP.~:.F~I'g11S9p.~44.M~r~k1~11 L., Posey,,, J};,,,,,,,,,,,,,,,,,,,,,,, County Tax Map No 1000, Section.. 009;00,,,,,,B1ock.,01:00,,,,,,_„Lot„018;000,..,.,„~„., Subdivision... NfA .............................Filed Map. N~A.......Lot..N/A. Permlt NO.. N~A..........Date Of Permit...N~A..........Applicant...N/A llealtli Dept. Appraval....NfA ...................Underwriters Approval...N~A................... i'1:inning Board Approval..,N/A ' E:equest for: Temporary Certificate........... Final Certicate...X....... fee Submitted: $.,100:00 <ypP'-,rJ~-d-J~f APPLICANT MYt-12-1998 17:03 MRTiFfWS 8 F~1 P.02 p d ~ D CO GENT ¦ F1JO INSPECTION ~ • BLDG. DEPT. N f UTHOLD Ann P. Ferguson ,the undarslgnod, Uwaer(s Name(s) do(es) hereby state: That the andersigned (is) (are) the owner(s) of the premises in tho Town of Southold located at 8) right of ray off Pa: Avenue Fishers Island which !s sho~m and dcsig~ated on tho ~uffolk Conaty tax map as District 1000, Section 9 ;:'Dirk 1 ,Lot 18 ~ That the andersigned (has) (inava) [clad, or caused to be tiled, an applica- tion in the Southold Town IIuildiag laspaetor's O[[fce for the following: AppllcatiM tar pre-axlatinQ CeMifiwite of OocupaneY ry That the uaderaigaed do(es) hereby give coasent to the IIulldin$ Inspectors ~otthe Town o[Southold to enter upon the above desarlbed property, lneiading any and all buildings located thereon, to coaduet such inspecttona si t11ey may deem nerxasary-with respect to the aforesaid application, includisg iaspeatiaa:s to dotermine~tbat said premises comply with ail of the laws; ordinances., rules • sad seguhttoas o[ the Town of Southold, The undarslgned, 1a consenting to sash lnspeeUoas, do(es) so with the Icaowlnd~a and understanding that a:yrfaformation obteinad In the aonduat of snc6 inspoattoas may be used as svldanae in sabssqueot prosecutions [or via- " lotions o[ the laws, ordinances, rules or regulations of the Toan o[ Southold. Dated: Nareh .1998 U?bY'~ 8~~° ' Ms P. Perguson (print name " (s natural (print name . TOTFiL P.02 • ` /t'~G,yT tk ~QY ~ r ~^~J~` \ ~ * pRl~grF , cay~ NQ'`~ p PC 0/H WIRE ~q~ ~ sj ~Y~j ~ 1- ~I. 1 ' 0~1~F. N5 o.H. Nlf ~ ~,ti.) F{p~RR15 8• P~~ \ \ t N6 } HO'~SE P ~~h \ ~ ~l~ \ ~ ~ l CpT T AGE. \ i ~ E 11 P~TFORM \ (NO FOUNDA~ON) ~R ~ r ~p 4V r- NSF KE5 ~(S ~ N,3gg,5.35 ~OI'IN N. ~ o~ ~ \R~ \ ~ ~ F ~ ~ (s~,qL~~ J S618gQ~~ ~ z;~ ~ _ ~-C 8a ~~af NEW yoR