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Home My WebLink AboutZ-26637FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26637 THIS CERTIFIES that the building Location of Property EAST (HOUSE NO.) County Tax Map No. 473889 Section 007 DWELLING Date: 08/18/99 FISHERS ISLAND (STREET) (HAMLET) Block 0006 Lot 004 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- 26637 dated AUGUST 18, 1999 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 WOOD FRAME GARAGE * The certificate is issued to MARK & LOUISE D GAUMOND (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. IlidXg Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: EAST END RD FISHERS ISLAND SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): MARK & LOUI SE n GATMOND OCCUPANCY: RROTnRNTTAT. MARK & LOUISE D GAUMOND -_ ADMITTED BY: Omown ACCOMPANIED BY: OWNER KEY AVAILABLE: SUFF. CO. TAX MAP NO.. -6-4 SOURCE OF REQUEST: '"ATTR WS & HAM ATTYS 8/5/99 DATE: 08/18/99 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: _ 2 FOUNDATION: nnANTTR STONE CELLAR: 85% CRAWL SPACE: 15% TOTAL ROOMS: 1ST FLR.: 6 2ND FLR.: 5 3RD FLR.: _A BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: COVERED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OTT, FIRED AIRCONDITIONING: TYPE HEAT: OTT, FIRED WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: OTHER: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: DATE ON INSPECTION: 08/16/99 ROBERT 11E /HALI/ TIME START: END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 3. 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 $15.00, Commercial $15.00 Date..,ugust,4s.1�99......................... ::ew Construction........... Old Or Pre-existing Building ..... X........... Location of Property ............................ Crescent.Avenue....._..._. Fishers Island ..... House No. •.Street••••••• Hamlet , Unwer or Owners of Property..11azk.Gaunl4r;d ,and Louise. D:. Gaumond County Tax Map No 1000, Section ..... 7. ....... .Block ...�............ Lot.....4............... Subdivision. t4aD.Qf.Fishers.Island,Dev.. Corp...... Filed Map.,A421,,,,..Lot ....... 34-13..,..,..,.. Permit No...]N14.......... Date Of Permit.... N/A ........ Applicant ............................. !lealcli Dept. Approval ...... N4A ................. Underwriters Approval......,, .. ............ Planning Board Approval ....... N/A .............. request for: Temporary Certificate........... Final Certicate — A ....... pc a Submitted: $.IQQsQQ...................... ':"' L. !='..Stephen .L. Ham,. II•I . (5-Q G `� " J % APPT.TI AUT • • • ol YOMM TITLE DIV I 15%OvACV41CA40,TmLr coww"bo4y'S05TOM OAArw 'TV3JST A34D LAMM 114 CONSENT TO INSPECTION Stephen L. Ham, III, as attorney for Mark Gaumond and Louise D. Gaumond, the undersigned does hereby state: That the undersigned is the attorney for the owners of the premises in the Town of Southold located at (no M East End Road, Fishers Island, which is shown and designated on the Suffolk County tax map as District 1000, Section 7, Block 6, Lot 4. That the undersigned has filed, or caused to be filed, an application in the Southold Town Building Inspector's Office for the following: pre-existing Certificate of Occupancy for single-family dwelling and detached garage. That the undersigned does 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, does 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 violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: August 5, 1999 1.. T'04.. Z Zs (Signature) Stephen L. Ham, III, as attorney (Signature) (Signature) (Signature)