The URL can be used to link to this page

Home My WebLink AboutZ-28583 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- 28583 Date: 07/11/02 THIS CERTIFIES that the building DWELLING Location of Property FOX AVE FISHERS ISLAND (HOUSE N0.1 (STREET) (HAMLET) County Tax Map No. 473869 Section 006 Block 0006 Lot 005 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- 28583 dated JULY 11, 2002 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 MICHAEL FIGALL ESTATE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBBRS CBRTIFICATION DATBD N/A *PLEASE SEE ATTACHED INSPECTION REPORT. th ized ignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: FOX AVE FISHERS ISLAND SUBDIVISION: MAP NO-: LOT (S) NAME OF OWNSIt (S): MICHAEL FIGALL ESTATE OCCUPANCY: RESIDENTIAL MICHAEL FIGALL ESTATE ADMITTED HY: ACCOMPANIED BY: RSY AVAILABLE: SUFF. CO. TAR MAP NO.: 6.-6-5 SOURCB OF RSOUSST: LARK & FOLTS, ATTY Sf 23/02 DATE: 07f11/02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # BRITS: 3 FOi1NDATION: STONE cvxr.r.nu; FULL CRANL SPACE: TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 4 3RD FLR_: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: FRONT DSCR TYPE: PATIO TYPE: HRSSZENAY: FIREPLACE: GARAGE: DOMESTIC HOTMATSR: YES TYPE HEATHR: OIL AIRCONDITIONING: TYPE HBAT: OIL WARM AIR: HOTNATSR: OTHHR: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE COHST.: SNIMMING POOL: GUEST, TYPE COHST.: OTHBR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE _ LOCATION ~ DESCRIPTION ~ ART. I SEC urarnurcc; INSPECTED BY: RATS ON INSPECTION: 07/10 02 ROBERT TIMH START: END: Form No. 6 TOWN OF SOU'Cl(OLD ~ BUILDING DEPARTMENT TOWN HALL 765-1802 ~ > it PLICATION FOR CERTIFICATE OF OCCUPANCY A. This appli~~ation 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. ' B. For existing buildings (prior Co 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 tp accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....MaX .23r. 2002 New Construction........... Old Or Pre-existing Building.......X......... Location of Property ............................Fox.:Avenue .._..._.Fishers.2sland,....,,.. House No. Street .Hamlet Estate of Onwer or Owners of Property..,John,Pickett. Figall. et al:._..•......,•.•,,,,,,,,,,,,,,,,, County Tax Map No 1000, Section..6...........Block.....6..........Lot.....5 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...... Fee Submitted: $,100;00 .L/ ~ t 19~ G Richard •F. .Lark, Ap iCANT Attorney for. Estate of ~p__ C®L~qs p3 John- Pickett Figall i ~ ~i - - ~ o ~ d m ? ~ _ ~ ~ ~ o Q ~ i V ~ m I~ ~ 0 ~ ~ ~ a ~ ~ Q ~ ~ ~ ~ n V ~ ~ ~i ~ ~ ~ F J oe ~ ~ N d ~ 3 ~ g ~ o 0 m o Im o ~ _ ~ ~ ~ ~ _ ~ > O ~ ~ ~ ~ N N ~ Q> Z Ya ~ t O yU,\ Z N Z N 0 0 Z ~ a ~ ~ O ~ Q N ~ m o O > m > ~ a> ~o p N l 8 p Q d a ~ u ( ~ ~ ~ ~ Q V a, ~ ~ Z } ~ Z W ~ ~ ~ ~ Ur C ~ p ~ Z ~ Q Q ~ ~ y ~ O Q ~ d ~ O N Z L¢L ~ ~ O 2 3 i T L - i i ~ - I v m ~ z ~ Y ~ 4 m ii V \ Qt 0 0° r ~ ~ ~ ~ LL ~ c k `q N ? ~ ~ p v~ # LO O` N p O CO L.L C = LL' ~ 1~. s d'° rP i 9 ~ 'r ~ ti M _ ho t'9 ' ~ ~ ~ N °o - - ~ ~ ~ o a. a~ o c _ Or 0 O w ~ ~ o ~ o o ~ ~ ~ o O a c ~ a y d £ v L LL m W LL F- ~ D ~ Q0~ ~o i •„T. r- ,f ~ \ 1 ~ ~ , 6~ k y i~ O f i . i~ ~ ~ ' ~ a a ~ ~ ~ ~ ~ ~ ~ ~ n ~ ~ ~ ~ _ \ ~ ~o -.~_f ,i O o m N N N U U ~ ~ .YO- p] ~ ~ w w w a° a° m` l7 a° O f- r+ N ~ 'CNy m~ ~ 1A. ~ ~ a 'OM 7~Oa Std 4~~ S ~ ~0" vt~° sO~ ~s°8~ '11S 31H~S Nd N~ ~ ~ltid s ~ ~ 3 a r o~ t ~ ~ ~ ~ ° .~y ~ ~ ~ ~ ~ ~ ~ s~ b ~ ~ ~ ~ ~ ~ ~ R yy~~ y~ s ~ ~o~ ~ tf p0 ~ O _ ~ r W ~ g a~ ~ Y pp~~ ~ Q ~ ~ ~ ~ . N G ~ jl~y~~~~j ~ ~1 f of ~ 7T $7 N ~N ~ ~ O yg35, r O yy O ~ s~~ ~~r ~ ~ ~ b 3~ au'~ y~'~~ ~Y~ ~1177++Q ~ ~ s~q~~ ~z'~i o 7. ~ Y W ZS ~2<dZ'Yi 1r~ 0 7bi Q3 Z0~7 ~ F r-- j a x _ ~ ~ 1~ ~M !G 1~"Y71 O~M1r~ '~r~ ~{a~j' r + ~ ~ k =s M yp 44 _.-~s..d~~ N 4TH "a G ~J ~a t 9 O ..F` w '}d, Cpl 2i N t; 5~ N 9 y C r ~ 17 N Q~ ~ ~ , 'f~ $ t v~ ~ ~ i s ~,rx e ~ yrm ~ 1 ~ ~ ' ~ ~ ~ ~ ~1 ~ ~ y _ wr..~^.....' ..~..nr^ .nr....~...~ ~ r ~~~..n CONSENT TO INSPECTION RICHARD F. LARK ~ the undersigned, ~3wxep(s~ Name(s~ do(es) hereby state: the attorney for the Estate of John Pickett Figall one of That the undersigned (is~(are) the owner(s) of the premises in the Town of Southold located at Fox Avenue, Fishers Island, New York lvhich is shown and designated on the Suffolk County tax map as District 1000, Section 6 Block 6 ,Lot 5 That the undersigned (has) Grave) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on pre-existing building 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: May 23, 2002 _ ~9 (si nature) g Richard F. Lark, Attorney for the Estate of John Pickett Figall (print name) (signature) (print name)