The URL can be used to link to this page

Home My WebLink AboutZ-15225FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No . ...Z-15225 Januar 28 , 1987 .............. Date ................................, THIS CERTIFIES that the buildingOne family dwelling, one car garage, and 111,1.,...... .11..11 ................ Swimming Poo1_.� Location of Property . , . East End Fishers Island, New York .................................................. ..... House No. Street Ham/et County Tax Map No. 1000 Section ... .......Block .... ..........Lot ... ............. Subdivision ...............................Filed Map No. ........Lot No. ............. REQUIREMENTS FOR A PRIVATE ONE -FAMILY DWELLING BUILT PRIOR TO conforms substantially to the A�g1eCgace�xgptx�g�xgcIgjcglc{� APRIL 23,1957 ... .... pursuant to which Bu Mmg3Va€MtKW. CERTIFICATE OF OCCUPANCY ............. dated JANUARY 28, 1987 Z-1522 . • • • • • • • • • • • • • • • • • ........ 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, ACCESSORY ONE CAR GARAGE AND INGROUND SWIMMING POOL ............................................................................. The certificate is issued to RICHARD A. MILLER (owner, of the aforesaid building. Suffolk County Department of Health Approval . • NO RECORD ... - PRE EXISTING ................................ UNDERWRITERS CERTIFICATE NO......... , NO RECORD - PRE EXISTING ................................... PLUMBERS CERTIFICATION DATED: *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 NO RECORD - PRE EXISTING Building. Inspector BUILDING DEPARTIMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location EAST END - FISHERS ISLAND (number & street) (Municipality Subdivision Map No. Lot(s) Name of Owner(s) ESTATE OF DOROTHY M. RUSSELL Occupancy R-1 UNOCCUPIED type owner -tenant Admitted by: MR. ARMAND Accompanied by: C. DIXON Key available Suffolk Co. Tax No. 11-1-4 Source Of request STEPHEN L. HAM III DWELLING : Date Jan. 15, 1987 Type of construction WOOD FRAMED #stories 1 Foundation CEMENT BLOCK Cellar PARTIAL Crawl space Total rooms, lst. Fl 2nd. Fl 3rd. Fl Bathroom(s) 3 Toilet rooms) Porch, type Deck, type WOOD Patio, type Breezeway Garage U'11 V= room PANTRY Type Heat OIL FIRED Warm Air Hotwater XX Fireplace(s) 1 No. Exits 5 Airconditioning Domestic hotwater YES Type heater TANKLESS Other ROOF OVER z OF THE DECK. ACCESSORY STRUCTURES: Garage, type const. WOOD 1 CAR Swimming pool YES Other Storage, type const. Guest, type const._ VIOLATIONS: Housing Code, Chapter 415 N.Y. Stat(p Uniform Fire Prevention Location Description JArt.1 Sec. REAR YARD POOL IS IN VERY POOR CONDITION - LINNER NEEDS REPLACING AND FENCE REPAIRED BEFORE USING AGAI . CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE 1 Remarks: Inspected by: W/. /Ajo,,/�, Date of Insp. JAN. 13, 1987 C IS W. HORTO/VfTime start 9:30 end 10:30 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted avw� 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. 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: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 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 . January, 15, 1987... New Construction...... Old orPre-existing Building .Y.......... Vacant Land ........ Location of Property.............................................................. House No. Street Ham/et Owner or Owners of Property .. ESTATE .Q]F, DORQTHY ,M; , RUSSELL.' .. _ ... . County Tax Map No. 1000 Section .... 1.1, ........ Block ....1.......... Lot ...4........... . 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 Temporary Certificate .....................Final Certificate ....................... Fee Submitted $. .50, 00 ..................... . Construction on above described building and permit meets all applicable codes and regulations. Applicant . ...`%�Y `'!r Stephe L iiam, 'tt7' ...................... Rev. 10-10-78 % Please issue Certificate of Occupancy in the name of the purchaser, Richard A. Miller, whose name appears on the survey enclosed. pec �J155 cc, , 5ari CONSENT TO INSPECTION ESTATE OF DOROTHY RUSSELL by its attorney the undersigned, Owner(s) Name(s) do(es) hereby state: attorney for the That the undersigned (is) (are) the/owner(s) of the premises in the Town of Southold located at Fishers Island which is shown and designated on the Suffolk County tax map as District 1000, Section Block Lot 4 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: pre-existing Certificate of Occupancy 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: January 13, 1987 signature) Stephen L. Ham, III (print name) (signature) print name) 543273 W588.85 B<O monument C 3S i <�T ""4 NOTE- Coordmate dislonces ore measured from �562s •qo„ U S Coast and Geodetic Survey Tnongulotion garden Station "N/N" fence I � 1 r monument (/' from fence) r AREA= 2.59 •Acres r , ' r i ' � m / � 2 garage I � 1 p N v N O m >o 1 O A n bb 1 \ box o � I I ' m i drne monument I paM fa beoc/i`; , GUARANTEED TO T/COR TITLE GUARANTEE COMPANY and RICHARD A MILLER /N ACCOR04NCE WITH THE o N h� hti MINIMUM STANDARDS FOR TITLE SURVEYS OF THE N m m NEW YORK 57A7F LAND T/TLE ASSOCIATION on° y TITLE no. T/286 - 07290 n F x w \Ppe Ut ppM n m e r r / SURVEY PLAN ak r p / PROPERTY TO SE CONVEYED TO 7, tS�P RICHARD A. MILLER u` �Eof w y P R5 e�% BLOCK 35 LOT B CO Pp,9 HST O�9i,. �g 50J' SCAL— E 40 feet CHANDLER, PALMERa KIAV Norwich. Conn �P DECEMBER 23,1986 y L Mai Location In Subdivision Name of 0 Occupancy BUILDI�NG DEPARTi•L:iT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT er & strtet ci.pality Map No. Lot(s) Admitted by:_ ,,,,�Accompanied by - r Key available ` Suffolk Co. Tax No. l f Source of request'adI&I� Date D?lTELLING : Type of construction W #stories__ Foundation ellar Crawl space_ Total rooms, lst. Fl 2nd. F1 3rd. Fl- Bathroom(s) Toilet rooms Porch, type Deck, type W Patio, type Breeze,. -jay Garage room Type Heat Warm Air Hotwater Fireplace(s)/_ No. Exits Airconditioning Domestic hotwater gil4lkType heater-7��°�� Other "na.,., / / Ae _ ' ACCESSORY STRUCTURES: Garage, type const. torage, type const. Swimming pool Guest, type const._ Other VIOLATIONS: Housing Code, Chapter 45 N.Y. Stat(p�Uniform Fire Prevention Location- DescriDtion l <�i� Y_ -` e M L /- L. _ Remarks: Inspected by: Date of Insp. Time start end