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Home My WebLink AboutZ-23568No Z-23568 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING FICATE OF OCCUPANCY Date MARCH 29, 1995 THIS CERTIFIES that the building MULTIPLE FAMILY DWELLING Location of Property MONTAUK AVENUE FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 10 Block 7 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a Multiple Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23568 dated MARCH 29, 1995 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 THREE FAMILY MULTIPLE DWELLING * The certificate is issued to GADA FAMILY PARTNERSHIP (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. �y uilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: MONTAUK AVENUE FISHERS ISLAND, N.Y. number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) GADA FAMILY PARTNERSHIP OCCUPANCY MULTIPLE - RESIDENTIAL 0 UNITS) type owner -tenant ADMITTED BY: F. DINELLA ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-10-7-3 SOURCE OF RE,VEST: GADA FAMILY PARTNERSHIP DATE: MARCH 26, 1995 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2-1/2 # EXITS 7 FOUNDATION CONCRETE CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: 1ST FLR.3 (02ND FLR. 11 3RD FLR. 4 BATHROOM (s) 4 TOILET ROOM (s) UTILITY ROOM PORCH TYPE OPEN WOOD DECK, TYPE N/A ' PATIO BREEZEWAY FIREPLACE GARAGE NONE DOMESTIC HOTWATER Im TYPE HEATER PROPANE & OIL AIRCONDITIONING TYPE HEAT ELECTRIC WARM AIR XXX HOTWATER STEAM' OTHER: ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION I ART. SEC. REMARKS: INSPECTED BY PRE EXISTING APARTMENTS - 1951 ROBERT WALL DATE OF INSPECTION MARCH 27, 1995 TIME START 10:00 AM END 11:00 AM 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 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. 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1/5.00, Commercial $15.00 Date /.%� ..................... New Construction........... Old Or Pre-existing yB�,uilding... ,............ Location of Property ............................ tJ ,Qn u -k. Ave ....... �� .�$� � ....... . House No. Street Hamlet Onwer or Owners of Property....: ( a . �Gt►'1,1. .......... County ............................... . County Tax Map No 1000, Section ..... �Q....... Block ........ !........ Lot....3 ................ Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate..X ....... �.a Fee Submitted: $�QQ., � C -d i oZ,3-560 APP cAN1` lQm u �4) 4hzxsA• Owners) Name(s) do(es) hereby state: CONSENT TO INSPECTION i , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at I , which is shown and designated on the Suffolk- County uffolk County tax map as District 1000, Section 10 , Block, Lot 3 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: 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 of Southold. The undersigned, in consenting to such inspections, do(es) 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- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: -74c- (signature) A. Jyhn elajet, JY- (print na e) (signature) (print name) �o BUiLDIi'G DEP �tinli•"��iiT - wy - TO„ot CF SCUTHOLD, N. Y. HOUSz G CODE INSPECTION RwPORT Loca tion'-lifoc, :umber & s-z;reet) ;ioniciY�3i ._ Subdivision Hap No. •,� � � ;-- - - Name of Occupanc,� c0 Admitted by:Accompanied by:� Key avai:Lable SuQfolk Co. Tax No. 0 Source of request _ ilt� a Jr� Dldp--'7-,LIhTG ; - Type of wcnstr ctTon `ouidation aCellar Total roams, 2^ t. F1 3rd. 1� Bathroom(s) 44 Toilet room(s) Porch, tyke p Deck , type AIS' ,,/� ree2etray Garage Utility Type He a t ' 'farm Aiz---/ Ho twa t er Fi.-e*olace(s) ' No. Exits Do=mestic hotwaterf. p heatex' Other. .ACCESSORY STRUCTURES Garage, type Const. - SZ•I2r=inStor ge, type const, o Pool -�_ --- Other Cuest, type const. - anrYan'Y sz �4 Za .oa .—Jo .CZ s ,.,ot r— arm LYM zy� � a N