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Home My WebLink AboutZ-24177 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EBISTING CERTIFICATE OP OCCUPANCY No Z-24177 Date FEBRUARY 22, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property PRIVATB ROAD OFF EAST BND RD. FISHBRS ISLAND, NY House No. Street Hamlet County Tax Map No. 1000 Section 3 Block 4 Lot 3 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 8-24177 dated FEBRUARY 22, 1996 was ieaued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie ieaued ie ONE FAMILY DWELLING • The certificate ie ieaued to ROGER FIRESTONE (owner) of the aforesaid building. SUFFOLR COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED M/A ¦PLEASE SEE ATTACHED INSPECTION REPORT. ~ _ ~ 'f~ e~~-•. ilding In pector Rev. 1/81 ~ ISIILS,U ING UE PAIi'I'HIiN'I' TOWN OF. SOU1'1101.U IIOIISING LOUR [NSPRC'i'!ON RRPOR'f LOCATION: ROW OFF EAST END ROAD FISHERS ISLAND,_N_~_____ number 6 nCreeCj--- - Zmwiicipnlity~----~ 5111{DIVISION MAP NO. 1,0'1'(s) NAME OF OWNER (s) ROGER S'. FIRESTONE OCCl1PANCY RESIDENTIAL OWNER --~Cype ---~oWner-CenanC AUMl'1'TEU UY: A. WALSH ACCOMPANIED DY: SAME KIiY AVAILAISI.Ii _ SI1Fl%.LO. 'fAR MAP NO. 1000-3-4-3 SOIIItCE OF REQI)ES'l': HERBBRT, T_ McDEVITT, CO=ERECUTOR ___DATE: 12/7/95 _ _ _ UWL' I.L I NG : '1'YI'E OF CONS'CRIICf LON WOOD FRAME _ _ A S'T'ORIES 3 / ER1.TS 13 FOIINDA'f ION CONCRETE _C1st.LAR 80X CRANI. SPACE 20i '1'O'1'AI, ROOMS: IST PI,R. 8 ZND~ FLR. 12 7RD PI,R. 3 ISA'f11ROOM (F) 7 'COCLIiT ROOM (s) 1 U'f ILITY ROOM _ PURCII 'CYPE SCREENED ORCR, TYPE - - PATIO - - ItItRIi7.liWAY - _ Flltl?FLACK _ 5 GARAGE 3 CAR A1"fACHED DOMESTIC IIOTWATRR YES TYPR IIEA'fER OIL FIRED AIRCONDITIONIN(; NO 'TYPE IIEA'C NON-FUNCTIONING STEAM ~ HO'lT7ATER o7'uRlt: ACCESSORY STRUCTURES: GARAGP,, TYPE OF CONS'1'. _ S'fORAGI?, 'TYPE CONST. _ SW LMMI.NG POOI. , GlIE51', 'f YPli. CONS'f_ OTIIER: --------------------T-----.-.-...---.-_-----...-...--.------------------------------------- VLOLA'fIONS: CIIAPTER 45 N.Y. STKCE UNIFORM FIRE PRRVENTION 6 Itl1ILDLNG CODE LOCATION DESCRIPTION AR'f. SEC. RRMARRS: INSPRCTL'D R r r~L DA'T'E OF INSPECTION JAN. 24, 1996 RO RT WALL •I'IHE STAIt'l' CND 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-4 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 Buildin¢ - $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 ..D~cember, 11,,1;99 New Construction........... Old Or Pre-existing Building.. X Location of Property...{np„#,~,,,,,gr}v~t~~,~;oad,off,East,End, Road, ,,,Fisher s, Island,. House No. Street Hamlet Onwer or Owners of Property...Estate, of ,Anne,Joers,Firestone County Tax Map No 1000, Section..~03.•.~~.....B1ock.,04: 00 ,,,,Lot,.,003:000..... Subdivision.., Fishers,Island-.Development Co ;p;,,,,,,,Filed Map. A~?1......Lot...17,_4B.and,4G Permit No...NIA.........Date Of Permit....N~ A........Applicant....NIA Health Dept. Approval...NIA ...................Underwriters Approval,N/A,,,,,,,,,,,,,,,,,,,, Planning Board Approval,N~A,,,,,,,,,,,,,,,,,,, Request for: Temporary Certificate........... Final Certicate....X...... Fee Submitted: $,100:00,,,,,,,,,,,,,,,,,,, „ r-- ~ rw- . Q.~-c 5 08 d . APPLICANT. Stephen L. Ham, III C O' `i INSPliC'f1ON ESTATE OF ANNE J. FIRESTONE byHerbert T. McDevitt the undersigned, Ormer(s) Name(s) do(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 whir_h is sho;vn and designated on the Suffolk County tax map as District 1000, Section 3 Bloclc u Lot 3 That the undersigned (has) (leave) 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 single-family dwelling 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 compl,}• with all•of the la;vs, ordinances, rules and regulations of the Town cf Southold. The undersigned, in consenting to such vispections, doles) so with the knowledge and understanding that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lation~ of the laws, ordinances, rules or regulations of the Town of Southold. t ES ATE OF ANN J IRESTONE ~ee~y r-- Dated:..ga.~.e.U~ 1995 _ By ~c..~. ~ - -T (signature) co-executor Herbert T. McDevitt (print name) (signature) (print name) m y a ~ gip.. {31 k .w i N. R ° 1 _ I •A _ O 3 ~y'f- V ~ I; T~+ _ _ ~y a 4 °b._ h i. " ,s1 •i'- 1, e .4 ~ s. ~ , o t~ f310 tA' /7 t 4atc Es^C y o ~ 6'~ Q. Y ~~%~a. ~ ~Q, ~ * . a' L O N . I 4. Si~ 6~~_,-.,, ~ ~L~`G~i~'~ _~'~~.0?.9 ACl7E~~ ors i P .,>,e: ro _ '76 SY~ ~ r~X Zir „7;J 0 1 0 ry~ ~ ~ Qs. ~`~4 ~[acxj~.ycoA R E . 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