HomeMy WebLinkAboutZ-19885 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-19885 Date MAY 1, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property290 TOWN HARBOR TERRACE (PVT.RD.#4) SOUTHOLD, NY
House No. Street Hamlet
County Tax Map No. 1000 Section 66 Block 1 Lot 32
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a Private One Family
Dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19885 dated MAY 1, 1991
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 DWELLING WITH ACCESSORY 2 CAR WOOD FRAME GARAGE
WITH APARTMENT ABOVE & TWO ACCESSORY WOOD DECKS.
The certificate is issued to H. JOHN FISHER
(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
* STRONGLY ADVISE THAT ELECTRICAL SYSTEM BE CHECKED BY
UNDERWRITER. '~,',~,''/v
~ilding Inspector
Rev. 1/81
BUILDI::G DEP^,RT:L;iT
TO:r,•c OF SOUTHOLD, N. Y.
fiOUSI;:G CODE IiISP~CTION REPORT
Location 190 TOWN HARBOR TERRACE(PRIVATE RD. #4) SOUTHOLD, N.Y.
~numocr a streeti) ~l•iunicl.pality)
Subdivision Tian 110. Lot(s)
N2,-ae of Oerner(s) H. JOHN FISHEB
Occupancy A-I OWNER
(type O~rn er-LerianL)
Admitted by: JOHN FISHER Accompanied by:
Key available Suffolk Co. Ta:c Tdo. 66-I-32
Source Of request FLORENCE FISHER Date APRIL 12, 1991
D'•IELLI~TG:
Type of construction WOOD FRAME rstories 2
Foundation BRICx Cellar Crawl space
Total rooms, 1st. F1 4 2nd. Fl 4 3rd. F1
Bathroom(s) 1 Toilet room(s) 2
Porch, typerear,covered Deck, type Patio, type-
Breezeeray Garage Utility room •
Type Heat oIL ~darm Air Hot~•rater ~
Fireplace(s) oNE No. E:cits 6 Airconditioning
Domestic hot;aater GAS Type heater LILCD
Other
ACCESSORY STP.UCTURES:
Garage, type const. 2 CAR WOOD Storage, type const.
S~•rimming pool Guest, type const.
Other APARTMENT ABOVE GARAGE fi TWO ACCESSORY DECKS
VIOLATIODIS: _CIIAPTER 45-N_Y. STKfE UNIFORM FIRE PKEVENTION 6 BIIILDZNG CODE
Lc,cation De=cription I Art. I Sec.
ERTERIOR Exterior surfaces shall be maintained in good I CHAPT. F
condition. Surfaces not inherently resistant I ,1242.5 (E)
_____T to deterioration shall be treated with a
II protective Boating of paint or other suitable I I
I preservative. I` I
I
SYS~CAL (Electrical fixtures, devices wiring and systems IChapt. F
(shall be maintained in safe working condition 1243.8 (A)
in a manner which will avoid a potential source
of ignition or shock deteriorated material and
equipment shall be removed and replaced as may
be requested.
Remarks•
Inspected by; Date of Insp. April 26, 1991
Gary Fis •Time start9:3D end
tD_
.3_
o _
. ` / Form No. 6 ~
of/~, 7~~~ TOWN OF SOUTHOLD
BUILDING DEPARTMENT ~ ' 9991
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 1~ 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. Aproper-ly--completed application and a consent to inspect signed by the applicant.
If•~it^~Lyficate of Occupancy is denier}, the Building Inspector shall state the
re8"L~n~_.Lhe~r~r 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 - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . 4"l.~ Z"~q/
New Construction........... Old Or Pre-existing Building(...
Location of Property...TP.~A/. ~!t!t6Q~.T~n'~'L~ $6(i(T7f'OGD~ Ny. .
House No. Street Hamlet /
Onwer or Owners of Property.~V!~.~i.~G.~..~s~?(.,~M.~..(~.:,76yN..Y IS~'~'~~
County Tax Map No 1000, Section...~j y.......Block ........Lot... ~ Z'.:........... /
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 Submitted: C, ~,~,C,G,,,,,,,,,,,,,,,,,,
CD~ ~ 9Sg S APPLICANT~~,.Q • ~
r ~
CONS1iNT
TO
INSPECTION
~C n nl ~ F S)-~ ~ ~ the under signed,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) the owner(s) of the premises in the Town
of Southold located at % WN ff P12 F3 UfZ 7~ ~2~
which is shown and designated on the Suffolk
County tax map as District 1000, Section Blocky, Lot 3 7
That the undersigned (has) .(~seve) filed, or caused to be filed, an applica-
tion in the Southcld Town Euilding Inspector's Office for the following:
/-~„~Quc,}r~c•w r~2 CD 1=02 6'Qt~-~X~s~.ni M.4l~ k~cd5t~
~tiD Pii~-~xr ~ r LNG- I-rt,~n<">~ ~P~°"~r~~~~'"`~T
That the undersigned doles} 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
knoGVledge and understanding that any information 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.
~D ate d: l~ 1 2 " ~
C ~ 1 ~wv~-~ 7-~w~-+---
(signature)
t=C o )2 ~w C, 1~) 5 i
- (print na~e~ ^
(si~r.ature)
(print name)
~ w ~v w. i ~ ~ Lv vl c~-rZ.N
a
r~~G~ 7~a~7, ~~~Y~ ~y~3,
Iri,.~ rriv~_ l~ o~-~ ~~n~..
~~n
State of Florida, County of Manatee /
My Expiration date: 7-31-94/ xC~~~~„ S~
22 Bank Street
New York NY 10014
r~~
April 18, 1991
To Whom it May Concern:
This letter will confirm that my children and I
have lived in the garage apartment on the property of my
mother, Florence Fisher, Town Harbor Terrace, Southold
from time to time ever since the property was purchased
in 1956.
Sincerely yours,
X F 1~,~0
Dorothy F, Kimball
S ~ ~ ~-~~O/(2
CU u ~ v-1 ~Prt/Yv /~2
Sl/`~UIZ/v 'hU ~2~Ne 0. lJv~.INCct ! ~Q SY'~~
~N yt7/h- ~ ld"`~ c~Gc ~ ~ l!~
~ ~
ALEXI NFGrcorv
NOMry Public, Stote of New work
W. Ol NEd925685
QuallHed in Kings ounty
C.0111m141on Ekplr~f/a,
285 Riverside Dr.
New York, N.Y. 10025
Apri 1 15, 1991
ro Wnom Ir, May Concern,
f°iy family twife and children) and I have lived for many seasons in the
garage apartment (upstairs and downstairs) on the property of Florence
Fisher, Town Harbor Terrace, Southold, N.Y. We and our guests occupied
said apartment most spring, summers and autumns beginning in the
summer of 1956 and continuing up to the present.
STATE OF NEW YORK ~
COIAFFY OF NEW YORK
David Fisher
MOHINDER S. GULATI
potory ?ublic, State of :vew York
No. 31 - 4659357
Qualif ed in New York County
a Commission Expires Nov. 30, 199
f
~ 0 /
__..r._____~
~
; ~ 1 _ .
~
~w.
a r v ~~.~nr .•-a
i 2avor wt i..Yt~P
~ g C a~ ca mr
fp .r.. r tlrr~ c vY
1 ~ 'sI l 92 JY OINK -9 ' ~ ~
\ '1 F Ul r u
~QF ` 1?8.2h ~ T~Wt~1 'PRIVATE 24A4~ ~ ~ f
- _-i RAD.~_~1,~ 1
~ ARG l,~59 1
~ ; ADLF_
i
Q
' ~ ~ l
m
f
SCALE- 0°f
atZEA~ x3,3_83 5.F.`TO Tf E 4.1E)
Q•M~k.lUME~o! . T
!
PRi1/Y ON uNB AP'T.OFIfiQ#
~N
~sNOwe¢ ONO ~
ti
i
~ ,
~ ~ `t ~
y Z ~ ~ -27 ~
W F.~" ~ ,E 1
H _ _13~#
z 2 57O2v Rg. HO. ~ ~ ~
J -----r r'___...i ~ i
i r FORGN ~ ~
I Q
w
3 0
`p T 7
N ~
-m
a 1 _o,~
' ~ % HEDGF LINE
FENGe ~
Q_
r'
y ~V~~j
r
_ .
. _ J _ z
y=
e~~uHeAt%
OR-OrNNRV (SO~~O
' S.38J~6 W' TtE i.INE ,
p - '
~Ji }
P{~ + C r t. } j
~f..-~ ~ r
~ 'f
y
s ~ I } ? } i
~,T
{ . Ci'.JAr1f',%_r%°.C.-. r^~; ari.J~,^i't(~ ~~+~/1. _v:.3~ "L;F~.~'viC. 1
r . /t
i.+.
~UFF.~O.TAX !~!a',f LrA,T'P 1JOG__~F'o. `_a3G LlC U1N13 ~r~..fR'J°i',.~~~ s128Etvpt)i~T`A •1'`
_ 9$g-2_