HomeMy WebLinkAboutZ-18098 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-18098 Date JUNE 9, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property ORIENTAL AVE. FISHERS ISLAND
House No. Street Hamlet
County Tax Map No. 1000 Section 9 Block 4 Lot 18
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a private one-family
dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-18098 dated JUNE 9, 1989
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 ANTHONY J. & CAROL B. MARSHALL
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
i
Building Inspector
Rev. 1/81
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_ _
•
BUILDING DEPART:•ENT .
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location ORIENTAL AVE. FISHERS ISLAND
(numoer & street) ( •iunicipality)
Subdivision Map No. Lot(s)
Name of Owner(s) ANTHONY MARSHALL
Occupancy R 1
(type) (owner-tenant)
Admitted by: TONY MARSHALL Accompanied by :
-
• Key available ` Suffolk Co. Tax No. 9-4-18
Source of request ANTHONY MARSHALL • Date ,TUNE 2, 1989
DWELLING: •
•
Type of construction WOOD #stories 2
Foundation BRICK Cellar % Crawl space a—
Total rooms, 1st. Fl 5 2nd. Fl 4 3rd. Fl
Bathroom(s) 3 Toilet room(s) 1
Porch, type WOOD Deck, type Patio, type
Breezeway NONE Garage NONE Utility room 1
Type Heat
Warm Air Hotwater xx
Fireplace(s) NONE 'No. Exits 2 Airconditioning NO
Domestic hotwater XX Type heater .
Other
ACCESSORY STRUCTURES: •
Garage, type const. NONE Storage, NONE
type const.
Swimming pool NONE Guest, typeNONE
const.
Other
VIOLATIONS : CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location Description Art. I Sec.
I
I • I I
I
Remarks:
Inspected(y: C. DIXON • Date of Insp. JUNE 2, 1989
0_ • Time start 9:42AM end 9:57 AM
FORM NO. 6 E l 17 L5
TOWN OF SOUTHOLD1@1JUNO
Building Department
Town Hall a ..J
Southold, N.Y. 11971
765 — 1802 BLDG.DEPT.
APPLICATION FOR CERTIFICATE OF OCCUPANC TOWN OF SOUTHOLD
Instructions
A. This application must be filled in typewriter OR ink, and submitted -ammo= to the Building Inspec-
tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
S 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25 . 00 POOLS $25 . 00 ALTERATION $25 . 00
1. Certificate of occupancy New Dwelling $25.00, Accessory $ 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50 . 00
3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 . 00
4 .Vacant Land C.O. $ 20 . 00 / / ,
5.Updated C.O. $ 50 . 00 Date . ' " 7
NewConstruction Old or Pre-existing Building Vacant Land
Location of Property
House No. , Street Hamlet
Owner or Owners of Property /9 7—/�''// 2 / 8 //17d/';i/ /7
County Tax Map No. 1000 Section 9 Block if Lot /1'
Subdivision Filed Map No. Lot No.
Permit No. Date of Permit Applicant
Health Dept. Approval Labor Dept. Approval
Underwriters Approval Planning Board Approval
Request for Temp0 raryCertificate Final Certificate
Fee Submitted $ / 0 0 0 Q'
Construction on above described building and p mit • eets ar applica le codes and regulations.
./ .
Applicant . /. Y. . . .il,% %
Rev.10-10-78
atC,- 37(1,515
CONSENT
TO
INSPECTION
11/41 X•(i , the undersigned,
Owne (s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at f/S'/Jfes . ,ri41 V P
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 9 , Block A/ , Lot / Q'
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:
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.
i
Dated: - �- F _ .1.41W1 ,,,.1416:1111„ �
Cr, a,ire)
(print name)
(signature)
(print name)
BUILDING DEPARTMENT •
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location d,(`'/ r ivi L //'1/P
(number & street) (iviunicipality)
Subdivision d' Map No. LPLLot(s) /'
Name of Owner(s) "1:07Ny MAC'S ii, I_
Occupancy k f-- 1 -
(type) (owner-tenant)
Admitted by: ��,X,.� /)idditz k`:tkoccompanied by:
Key available )�1NItcSuffolk Co. Tax No.
Source of request )5 C ,0 ; Date ,/— 2- —Se /
DWELLING:
Type of construction (N er n p #stories
Foundation gjP ('e ( Cellar ✓' Crawl space L.-
Total rooms, 1st. Fl ,S" 2nd. Fl 4 3rd. Fl
Bathroom(s) 3 Toilet room(s) S
Porch, type 1.0061) Deck, type Patio, type_
Breezeway l'aNic Garage wQ,r ,r Utility room
Type Heat Warm Air Hotwater 1/----
Fireplace(s)
/-
Fireplace(s) kd w F No. Exits V Aircondition i ng ,i'
Domestic hotwater L/-- Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. iie,,,,,w Storage, type const. fi/d,.JKz
Swimming pool ,A/'GJv ' Guest, type const. Ne,,,,=
Other
VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
& Buzldina Code
Location 1 Description IArt. I Sec.
I
�� _ > 4 -
Remarks:
Inspected by: C D / , D pt) Date of Insp. ‘'.... .2, ,F'?
- Time start,,,',/),Amend 9,+-Sid,
;i pa , i
, ei: a '44
TOWN OF SOUTHOLD P OPERTY RECORD CARD )2i 4
OWNER STREET VILLAGE - DISTRICT SUB. LOT •
'
r
FORMER OWNER 1 l`1' RETE \
Y
A !,r1,_ 4 Ai. �" .••F. :�4 I/ �/ F .-� - 4 y� at�� + 1=1P �\
W^ — TYPE OF BUILDING ` 2 .. . )-1_40/4:".....= ..
i 7P A ' 'v q: ✓ F. _ h
RES. 2....-1--0 SEAS. VL. FARM COMM. I IND. " I CB. I MISC. I Est. Mkt. Value
LAND IMP. ' TOTAL DATE REMARKS 8 89
7e vgi) O1111151.111ry .. 5.4 - a. w4( . SeS ,,,i e. .,---9- - ...1... - .
3 o L- 8V'Z
' 0 !° s �/� �it..zS.�.. - , .GR, r, . .-4,P-:17------,4. . .1„4-,...,44/..,.p. _.
a ll illrMil .3 „,„,_, 5- 4 tf ' • .. 1 .
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER " f )
Farm Acre Value Per Acre Value FRONTAGE ON ROAD -
Tillable 1 BULKHEAD 1 •
Tillable 2 DOCK
Tillable 3
Woodland
Swampland
Brushland ---.= /
•
House Plot
Total ' ;
-\ N.
y.
ti.
y r
n r
f� 44ks
:4 -"* -4 k. / . , . VOA._ -?- ;,- ., '' .
* fir. , / — i ` ry v ,,
ct
1,0
.f!''7.. IS':^, 4 I ill) :01 - —.. ' ..: i" )W14:fr, . ett4Kk'l.—
414 -1 604 1:Mlit•NZ,
� .1/
J
, _ r`•.fir+^;a _ _
I
t/If
fres_/f �1
M. Bldg. y k J- L / D 6 V Foundation 13 ) (1VBath 3
Extension 7 X 'J Basement
' Basement Y--- - Floors ri r:`
Extension j -K YV / ) D Ext. Walls Interior .Finish Pi/3-s-1- --
ireExtension . b _3 ' - 6-4�y Fire Place Heat 1 w
1 .3 .
Porch Roof Type
s �'�� 2/ ? � 1� ch J X y Rooms 1st Floor
k elle e S Z> /3f 9 co
1.
�O c a'
� 7
Breezeway Patio Rooms 2nd Floor
Garage Driveway Dormer
O. B. vr-,'v /�
)....t
,st z�
zp , v :1.