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Home My WebLink AboutZ-24467 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PR8 E%ISTIHG CERTIFICATE OF OCCUPAHCY No Z-24467 Date JUNE 28, 1996 THIS CERTIFIES that the building STRIICTURB Location of Property PVT. RD. OFF EAST END RD. FISHERS ISLARD, H.Y. House No. Street Hamlet County Tax Map No. 1000 Section 3 Block 3 Lot 7 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-24467 dated JUHS 28, 1996 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 BEACH HOIISE STORAGE STRIICTURB* The certificate ie issued to ROGER FIRSSTOHE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED H/A *PLSASB SSS ATTACHBD INSPECTION REPORT. /7 / ` Bu' ing Inepe for Rev. 1/81 6lIILDINC UIiPAIi'I'MIiN'1' 'TOWN OF fiOll'1'1I01.U 11(IIISING C(IUI? LNSI'RCI'ION 111!POIfI' I.OCA'1'ION: PVT. RD. OFF EAST END BD. FISHERS ISLAND, N.Y. _ number S ntreeC ~ Znuu- iicip8l,l~ SIIUUIVISION lIAP N0. LISI'(a) NAMR OP ONNRIt (s) ROGER S. FIBESTONE OCCIIPAI+~;Y BEACH HORSE (STORAGE) _ - typeF ~ovnec-Cenant AUM I'I"1'1?U UY: ACCOMPAN IRU IIY: R. WALL - KIiY AVAl1,All1,~ -_~--SIIFF.CO~. 'fAR MAP NO. 10Oa~~-7--_ soulu;e or iU3c)ur5'f:_ CO-E%ECOTOR_OF EST._OF ANNE J. PIBESTON6__ Nn'rR: DEC. 1995 IIWELLINGo 'CYPE OF CONS'fltlICT 10N WOOD FRAME-CONCRETE FLOOR / S'fORIRS 1 f KRI.'1'S 2 FOUNDATION CBBOSOTED WOOD PILINGS _^_CIi1.LAR___-_. _ CRAWI. SI'ACR 'I'O'I'AL ROOMS: IS'I FLR. 2 2NU FLIL. 5111) Fl,fi. UA'1'111tOOM (s) 'I'0 f.I,R'I' ROOt1 (a) U'f ].6II'Y ROOM I'ORCII 'CYPR ~ ?IiCK, '1"YI'E PATIO 1)ItCf?7.L'WAY F111RP1.AC1; GARAGE UOMRS'I'LC 110'1'WA'fCfl '1'Y PI? IIRA'1'6R AIRCONDi'f IONING 'I'YPI! IIGA'1' WAIDI Allt IIO'fNA'fEl( 0"I'l l l? It ACCRSSUItY S'fItUCTU1tC5: GAIIAGE, 'I'YPR OF CONS'f. S'i'OItAGR, 'TYPE CONST. - SW1MNlNG l'001."_ Glll?S'I', 'PYI!F. CONS'1'.____ _ o'ruru: VIULA'fIONS: CIIAPTKR h5 N.Y. S'1'A'fli IINLFOIIM Flitli L'It1iVIiN'1'ION 6 IIIIILDING COUIi I,OCA'fLUN URSCRIL''l'lON_ AICf. SRG. E%TERIOR (d) ROOFS SHALL BE MAINTAINED IN WATERTIGHT CONDITION. 1242.5 (e) E%TERIOR SORFACES SHALL BE MAINTAINED IN GOOD CONDITION CONCRETE FLOORS ARE ERODING E%POSIMG RE-BARS 1242.7 BIIILDING REQIIIRES MAINTEIiANCB HAS RO PLDMBING ROR WIRING. Iti?NAI(KS: INSPEC'I'RD IfY ~ _ 0A'l'R OI IN51'RC'1'ION JDNB 25, 1996 THOMAS F T1lIR S'I'AICI' 1:00 PM RNII 1:20 PM ROB WAL _ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE 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 Buildine - $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, Commercial $15.00 Date December.11,..1995,,,,,,,,,,,,,,,,,,, New Construction........... Old Or Pre-existing Building....7~........... Location of Property..no„#,,,,,„p~~yat~,~•pac~.A~'f,East,End. Road. ..Fishers Island House No. Street Hamlet Onwer or Owners of Property.... ~~tC$~~. of . Anne, Joers. Firestone _ . , County Tax Map No 1000, Section..003„OO,,,,,glock...03 :~~.......Lot.,,007.000 . Subdivision.,Fishers.Island Development.Corp;.._. ,,,Filed Map.. A4~1.....Lot...~9.-1B Permit No....N~A ........Date Of Permit....N~A.........Applicant....N(A Health Dept. Approval....N~A ...................Underwriters Approval.Nl~..................... Planning Board Approval..N(A,,,,,,,,,,,,,,,,,,, Request for: Temporary Certificate........... Final Cexticate.. ~ Fee Submitted: $,100:00,,,,,,,,,,,,,,,,,,,,, r . ~G.•~ L f-~,.,,,~, i7T C-~-~C • S I S3 ~P APPLICANT . ~Cp~.~`{'~~P`~ Stephen L. Ham, III c~~ ,i INSPliC'fION ESTATE OF ANNE J. FIRESTONE, bY~Herbert T. McDevitt, the undersigned, O::mer(s) Name(s) ap(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at (no East End Road, Fishers Island :chir_h is sho:vn and designated on the Suffolk County tax map as District 1000, Section 3 Bloclc 3 Lot 7 That the undersigned (has) (Have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: pre-existing Certificate of Occupancy for a beach house That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all•of the laws, ordinances, rules and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so :with the kno:eledge and understanding that any h~formation obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. STATE OF ANNE FIRESTONE Dated:~0 ~ , 1995_ BY ~ ~1..' 1 y(signature) co-executor Herbert T. 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