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Home My WebLink AboutZ-20811 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-20811 Date NNE 19, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property CENTER ISLAND AVE. FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 5 Block 2 Lot 4 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-20811 dated NNE 19 1992 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 WITH 2 ROOM. APARTMENT ABOVE, ~ ACCESSORY TENNIS COURT* The certificate is issued to T. RICHARD & CATHERINE w. KENNEDY (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. Building Inspector Rev. 1/81 ~ . BUILDI::G DEP:u'lT:•LiiT T0:'+id Or SOUTEiOLD, N. Y. I-:OliSZ::G CODs, IiiS?CTIOid RE.°ORT Location CENTER ISLAND AVE. FISHERS ISLAND, N.Y. ~ni:moer ~ street) l~~iunicipaiity) Subdivision Map No. Lot(s) Name of Owner(s) T. RICHARD RSNNEDY ~ WF. Occupancy OWNER (type owner-tenant Ad,-:iitted by: Accompanied by: Key available Suffolk Co. Tax No. 5-2-4 Source of request RICHARD ~ CATHERINE K$NNNEDY Date JUNE 16, 1992 A~ ,TELLI~tG Type of construction wooD FRAME Tstories 2 Foundation CONCRETE Cellar P~TI~' Crawl space Total rooms, lst. Fl 8 2nd. F1 $ 3rd. F1 Bathroom(s) 7 Toilet room(s) ~ Porch, type 2 ENCLOSED Deck, type Patio, type_ SLATE Breezeway YES Garage ~ CAR Utility room Type Heat oIL 'rlarm Air ~ Hotwater Fireplace(s) 3 No. Exits 9 Aircor_ditioning Domestic hottivater YES Type heater oIL Other 2 ROOM APARTMENT ABOVE GARAGE, PANTRY OFF KITCHEN IN MAIN HOUSE ACCESSORY STF.UCTURES: Garage, type const. Storage, type const. Swi;nming pool Guest, type const. Other TENNIS COURT VIOLATIODIS: .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE Location Descrirtion ~Art.~ Sec. 1 Remar'.-cs Inspected by• c Date of Insp. JDNB 16, 1992 J. FISH, -Time start > ~'OO end > > :30 ROBERT WALL ~ Form No. 6 TOF)N OF SOUT(IOLD BUILDING DEPARTMENT 11~ TOWN HALL a .JUN ~ 2 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OP, 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. 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. 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. Co~~y 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 J~u_ne...~. 1992 'w Construction........... Old Or Pre-existing Building.... X........... cation of Property. (NO. Street. Number.}. Center Island Avenue,. Fishers Island,, New York 06390 IIouse.No. .Street,.- Hamlet wer or Owners of Property.. T._ RICHARD KENNEDY and CATHERINE W.. KENNEDY unty Tax Map No 1000, Section.. 5 ..........Block.... ~..........Lot....4 bdivision ....................................Filed Map............Lot...................... rmit No....N~A ,..,,.,,Date Of Permit... Nj~.........Applicant...,, N/A alth Dept. Approval..... N/A .................Underwriters Approval..... N~~..............,. inning Board Approval quest for; Temporary Certificate........... Final Certicate...~....... - Submitted: 100°0 . `~-e'C-' 7fI~3 ~ APPLICANT ~+.c c.~~ao8-Ji ~~;4, TO Ii\:~l'EC'I'ION T. RICHARD KENNEDY and CATHERINE W. KENNEDY thr undc~rsiGned, U~crler(s) Namcl:>) do(es) hereby state: ' That the undersigned (is) (are) the ovmer(c) of the premise:; in the To.m of So;Ithold located at (No Street Number) Center Island Avenue, Fishers Island, New York 06390 which i:; sho~:•n and desirnlted on the SuFFoli: County tat map as District 1000, Section 5 L'loclc 2 Lot , That the undersigned (has) (leave) filed, or caused to be filed, an applica- tion in the Southold To;vrl L'uilding Inspector's Office for the follo~:-ing: Certificate "of Occupancy on Existing Building , That the undersigned do(g) 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 insp~c:ior•s to determine that said premises comply ~:•ith all of the lags; ordinances, :ales • and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(g) so «•ith the l:nov:ledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lotions of the laws, ordinances, rules or regulations of the To«•n of Southold. Dated: June , 1992 Ol • ' (si;naturc) . ~ ' T. RICHARD KENNEDY ~e~ (print name) (sifinaturcl CATHERINE W. KENNEDY • (print name) 12. lO 5 ~ 1712.24 5'50" E% 42.2q' \\ k N/F BLOC~ ISLAND N 44'5D'10" E 219,~1' / / 400 200 0 400 GRAPHJC SCALE IN FEET I:OOATION C, OOEDtNATE DISTANCE5 ARE HEA~JRED FROH U.9. COAST AND E.~EODETIC, ECJRVEY TRiANC:~LATION STATION "EAOT END 2" TOTAL A~A = 2.2D ± AC~E5 TITLE No. 12q2-~60~4 Frederic C. Hamilton $ Jane M. Hamilton and Tlcor Tl[le ~uanan[ea Oompong In accordance ~41th the minimum standards For Tlr, la ~urve~s o~ ~e Nell York 5tare Land Title REVISIONS BATE DESCRIPTION DATE: MAY 29, 1992 SCALE', 1" = 20' SHEET 1 OF 1 ~UAW, ANTEED TO: