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Home My WebLink AboutZ-25513FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25513 Date FEBRUARY 4, 1998 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property RESERVOIR RD. FISHERS ISLAND, NY House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 8 Lot 3.2 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--25513 dated FEBRUARY 4, 1998 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 * The certificate is issued to RICHARD C. GILBERT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A *PLEASE SEE ATTACHED INSPECTION REPORT. /~ild~ng Inspector Rev. 1/81 I.I) I I'H: l)l';l'^l~,'llll';It'l' ()V !{OIJTIIOI.I) CODE I.OC^TION: Reservoir Road Fishers Island, N.Y. SIIBI)IVI~;IOH Ilfil' till. l.O'l*(ll) NAHE OF OMHER In) RICHA~ C. GILBERT ..... : ........... OCCUI'ANCY ~SIDENTI~ AI)HITTI~I) BY{ SELF ACCOtlI'AHmICD llY{ ~l~v ~VA]].~,{.~ ~{ili}ffV~U<-"Y~X H~t' ~O. mo0~-~'2 ........................... ~()IIR(;E OF Rl~()IJIg~'l~ e~pn~w I u4M TTT ~T~ DA'I'IE~ DEC. 18t 1997 DYE [,I. I NG: TOTAl° R()OH!I: I~^'l'llllOOtl (~) P{}IICII T¥ I)OttF.!Ur lC ilO'I'~ATEII 'I'¥1'E IIEAT OIL O'l'lllt. ll: POURED CONCRETE CEI.I.AIt I/3 {;It^~l. Si'ACE 2/3 I~T lq,il. 4 2Ill} Iq.Il. 2 i)RI} VI.Il. 2 TO I I,ET IH)Oil (,) liT I I. I IIECK, 'I'YlYE ~OOD PATIO It I Illil~l,fiCE ~S TYI'E III[A'I'EI{ T~L~SS Al RCOHIIITIO}i I HII ~ATIFI Alit IIO'r~ATlilt WOOD FRAME VIOI.A'rlOH~: CII^I"I'ER 115 N.Y. ,s;*llA'l*|t. IINII~OIIH VIIIE i'IIIWEWrlOFI & IIUIT,I)IHO COI)I~ lU(tlARK~;: BP {10523-Z (DECK ADD) CO Z-22295, BP ~I7998-Z-(~RI CO [-~'51f ............... BP {23090-Z (ACCESSORY) CO Z-25514 Form No. 6 TOWN OF SOUT[IOLD 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. C°mmercial~building, industrial building, multiple residences and similar buildings and installationz, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For e~isting bu{ldings (prior to kpril 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 .I. 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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 December Date ......................................... Sew Construction ........... Old Or Pre-existing Building .... ~ ........... Location of Property .... {~9.~. . Reser~Qir ~ Fishers Island House No. Street Hamlet Onwur or Owners of Property ..... ~%~b~r~.~.qA%~ ........................................ ~.. County Tax Map No 1000, Section...OO9,qq ..... Block...q~..~ ........ Lot .... PP :PP ........... Subdivision .... Robert.~: ...... ....................... Brooks Filed Map.. .Lot 3 Permit No...~ .......... Date Of Permit...~ .... Applicant. Stephen L. Ham, ~II Health Dept. Approval.. N/A .Underwriters Approval N/A ' July 28, 1980 ' '~' Planning Board Approval ........................ ........ 'hal Certicate~: ~L .~'~'~ ~. ;'"... · .:~.'.':':.':.'.:': ........ ,'-: - · . ........ . ....... . .... Fee Submztted: ~'$'..~PO,'~'~- --;' - . ..... ''.' : -'-: .... ,- '" ....... :':' ::-~' ...."': · ..... CONSE?~T TO INSPEC'FION Rich2rd C. Gilbert Owner(s) Name(s) do(es) hereby state: · [he undersigned, That the undersigned (is) (are) the owner(s) of the premises in [he Town of Southold located a[ Reservoir Road and Winthrop Drive __, which is shown and desi.~n.,ated on the Suffolk County tax map as District 1000, Section 9 -;: I31ock 8 , 'That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Sou[hold Town Building Inspector's Office for the following: Certificate of Occupancy for pre-existing single-famil_~dwellin_~___ That [he 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 ~vith respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws; ordinances, rules and re,gulations of the Town cf 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 [he To~vn of Southold. Dated: December /,~- ~ 1997 ~ . ~ (sign/du~e) Richard C. Gilbert (print na~ne) (siRnature; (print name) 2¢.20' IRON PIPE SPIKE EXISTING 1 1/2 S~', HOUSE GRAVEL PARKING _WINTHROP DRIVF z O 1.) TAX REFERENCE: DIST. 1000, SEC. 009, BLOCK 8 LOT 3.002 2.) COORDINATE DISTANCES ARE MEASURED FROM U,S. COAST & GEODETIC SURVEY TRIANGULATION STATION "PROS". 3.) TOTAL AREA = 15,151-- S.F, HIRAM F. MOODY COMMONWEALTH LAND TITLE INSURANCE COMPANY IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS OF THE NEW YORK STATE LAND TITLE ASSOCIATION. T!T_LE :~RH9720'¢9 2O o IIC SCAL£ IN FEET 2O SURVEY MAP PROPERTY TO BE CONVEYED TO HIRAM F. MOODY III RESERVOIR ROAD FISHERS ISLAND, NEW YORK DATE REVISIONS DESCRIPTION DATE: DECEMBER 29, 1997 SCALE: 1" = 20' SHEET 1 OF 1 (::HANDLER. PALMER & KIN~ ArchRecture~ Engineering ond Surveying