HomeMy WebLinkAboutZ-23778FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRS EXISTING
CERTIFICATE OF OCCUPANCY
No Z-23778 Date JULY 17, 1995
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property ISABELLA RD. FISHERS ISLAND, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 10 Block 6 Lot 14.1
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-23778 dated JULY 17, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE*
The certificate is issued to ALEXANDER GASTON
(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.
/lding Ifispector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION• ISABELLA ROAD PRIVATE ROAD OFF EAST END ROAD FISHERS ISLAND, N.Y.
number & street municipality ,
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) ALEXANDER GASTON
OCCUPANCY ONE FAMILY OWNER
type owner–tenant
ADMITTED BY: OWNER ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-10=6-14.1
SOURCE OF REQUEST: BRIAN LAUCH, AGENT FOR OWNER DATE. JUNE26, 1995
UWLLL1NG:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 # EXITS 5
FOUNDATION
RUBBLE STONE
CELLAR NONE
CRAWL SPACE XX
TOTAL ROOMS:
IST FLR. 6
2ND FLR. 7 3RD
PLR.
BATHROOM (s)
5
TOILET ROOM (s) 1
UTILITY ROOM 1
PORCH TYPE
OPEN STOOP
DECK, TYPE W0OD PATIO SLATE
BREEZEWAY
FIREPLACE 3
GARAGE 2 CAR
DOMESTIC BOTWATER Xg
TYPE HEATER OIL
AIRCONDITIONING
TYPE HEAT
OIL
WARM AIR
HOTWATER Xg
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL WITH DECK GUEST, TYPE CONST.
OTHER:
FRAME
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION
ART. SEC.
GARAGE
CHIMNEY CONNECTOR IS CLOSER THAN 18" TO COMBUSTIBLES.
BP #12030–CO ZZ-23153–ACCY BUILDING. BP 113051–CO Z-23154–SWIMMING POOL
INSPECTED BY
BP #15199–CO Z-23155–DECK & BP #18657–CO Z-20880 ADD. & ROOF UE—CK-ADDITION
THOMAS J. FISHER
DATE OF INSPECTION JULY 14, 1995
TIME START 11:15 END 11:45
n . k
Fotrll No. 6
Toho or so U.I. Ho I'[)
BUILDING DI.PA11T111.rrr
TOWN IIAI,1,
765-1130'2
AP111 _CATj_ON FOR CERTIFICATE OF OCCUPANCY
'1 Tllis aPPlication must be filled in by typewriter 0R inlc and submitted to the Irui.l.di_ng
inspector wiCh thcr Col.lvrrinl;: for new building or new use:
1• rival survey of. Property with accurate location of all buildings, property streets, and unusual natural_ or 1_oPograPit].c features. I I } .lines,
2• Proal Approval from Ileal_t:h UePt. of: water. supply and srwera(;e-di_sPosalCorrn) .
3 APProval of electri_carl. installation from 13o"trd of rise Underwriters.
fir: Sworn statement frornIpl.umber certifying that the solder used
less than 7_/10 of 1% lead. Y g
in system contains
5• Commercial buildinfp,, industrial building, mul.ti.ple residences and similar. build.inl,s
and installations,)\a cer. ti_ficate of Code ComPl.i.artce from architect or en gi.nce
responsible for. the building, 1, r
6• Submit Planning Board Approval of completed site plan requirements.
B. For exia -Ing buildings
„ (prior to April 9, 1957) nonnforming uses, or buil.di.ngs and
pre-existi_n-co
v" land uses: �,
1`1 Ap;ca>~eu',vey of property showing all_ property lines, streets, building and
uir natural or topographic features.
2. A Properly completed application and a consent- to insPect.signed by the appl..icant.
If a Certificate of Occupancy is denied, t:he Building
rin Inspector shall !71_;,L(! the
reason; therefor writing to the appl.icant.
C. Fees
1. Certificate of Occupancy - New dwe.11_.i.ng $7.5.00, Additions to dwelling Alteration, ios to choel_l.ing $7.5.00, Swimrrli.ng Pool. $25.00, Accessory building 5$25.00,
AcJditions to accessory building $2.5.00• Businesses $50.00.
2. Certificate of Occupancy on pre-existi_n Businesses
3• COPY of Certif`zcate of Occupancy
1I• Updated Certificate of occupancy - $50.00
5• Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
)Jew Construction ... . � .. ............ .
........... Old Or P �.
ng I3ui_l.di_ug 11
Loction of Property..... ��'.............�'t;�...�:Qw� .�......�1.
}l
ouse No. .... �.
Street hamlet
Onwer or Owners c;f Property.........A�%`�- 1
......S:C...................................
Court
ty Tax 11,11)
No 1000, Section.9.....��....Blocic....OE�•�.�Z%... .Lot...OP !„�d
iubdivis!on ...... .�...•..
.............................F1Ic(l tiq)............ Lot
.
erm.it 110
.............Date Of Permit....
............A1tltlic:trtt...... .
ilealtlt Dept. Approval ..........................
Underwriters Approval.
,lanning Board Approval ........................ ......................
(etlUeSt for:
Ternporary Certificate......
.... F'i.nal. Certicatc......
Ce Subtted• $.. .....
mi
71,
..........................
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.nom
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
S� CGS BUSING CODE INSPECTION REPORT
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY Ala
(numbfW & street) (municipality)
MAP NO. LOT(s)
ADMITTED BY: 6 -
KEY AVAILABLE
SOURCE OF REQUEST:
ACCOMPANIED BY:
AX MAP NO. /o
DWELLING: AINEEMMENim-- ..
TYPE OF CONSTRUC ON # STOR $ # EX
ITS
FOUNDATION�_$�(.� CELLAR S`f CRAWL SPAG��'�
TOTAL ROOMS: IST FLR.-jg _2ND FLR._ 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE � - DECK TYPE l(' PATIO
BREEZEWA �� FIREPLACES GARAGE
DOMESTIC HOTWATER v TYPE HEATER _ AIRCONDITIONING
TYPE BEAT WARM AIR HOTWATER
OTHER:
ACCF.SSnRY 9TR11r"1RFC.
GARAGE, TYPE OF CONST.,
SWIMMING POOL_ k
—02
OTHER:
STORAGE, TYPE CONST.
GUEST, TYPE CONST. 41
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
I
REMARKS:
INSPECTED BY �2 / DATE OF INSPECTION
TIME START END
CO'
1 L;
INSPEC'T'ION
A 1 #->-c4 , j-.,,, 6 Si,
Owner(s) Name(s)
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
r
c�
, which is shown and designated on the Suffolk
County tat map as District 1000, Section 01 0 ea, Block 06 .00y Lot 01y-001.
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:
C2U'�
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:
0, -T. JC--�
(signature)
C1 C—
(print name)
(signature)
(print name)