HomeMy WebLinkAboutZ-38626 $�fF04ir Town of Southold 10/28/2016
53095 Main Rd
CRO a Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38626 Date: 10/28/2016
THIS CERTIFIES that the structure(s)located at: Oriental Ave,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 9.4-22.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38626
dated 10/28/2016 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with covered front and side porches and accessory garage_*
Notes: BP 40821 deck addition COZ-38624;BP 40990 "as built"alterations COZ-38625
The certificate is issued to Chaves, Joan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
All
Aut ed Signatu
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: Oriental Ave,Fishers Island
SUFF.CO.TAX MAP NO.: 9.-4-22.2 SUBDIVISION:
NAME OF OWNER(S): Chaves,Joan
OCCUPANCY:
ADMITTED BY: Joan Chaves
SOURCE OF REQUEST: Chaves,Joan DATE: 10/28/2016
DWELLING:
#STORIES: 2 #EXITS: 2
FOUNDATION: cement block CELLAR: x CRAWL SPACE:
BATHROOM(S): 2 TOILET ROOM(S): 1 - UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: yes GARAGE:
DOMESTIC HOTWATER: x TYPE HEATER: oil AIR CONDITIONING:
TYPE HEAT: oil baseboard WARM AIR: HOT WATER: oil
#BEDROOMS: 5 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: MIKEV DATE OF INSPECTION: 7/14/2016
TIME START: 3:00pm END: 3:45pm
Form No.6
TOWN OF SOUTHOLD
BUILDINGDEPARTMENT
OWN HALL n[ED
765-1802
jJ 1
APPLICATION FOR CERTIFICATE OF OCCUPANCYUUL - 5 2016
This application must be filled in by typewriter or ink and submitted to the Building Depa ft41&t�efollowing:
A. For new building or new use: TOWN OF O711OLD
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. 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 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date.
New Construction: Old or Pre-existing Building: I.IX .(check one) n
Location of Property: (✓C-call /i- A)e—,-?a _ <s�?p/6� d c I&t!!j
House No. Street Hamlet
Owner or Owners of Property: S (' z�? A_ Chc U�QS g
Suffolk County Tax Map No 1000, Section Block Lot o��-o2-- � -
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 100,
pplicant Sig a re
CONSENT TO INSPECTION ®
JUL - f`
5 ?_016
TO"OF s u-nuol'z
1oc��
A . �c�u e� � JO(-A �
b VU - , the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned (is) (are)the owner(s) of the premises in the Town of
Southold, located at Oce
npic e-huc -- EIA h A4 S —,73/0 r?
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section , Block , Lot
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Q cull
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 in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated:
(Si a re) /
in 110 64 S
(Print Name)
(Signature)
(Print Name)
LOCATION:
(number & street) (municipality)
SUBDIVISION: A I MAP NO.: LOT(S): .
NAME OF OWNER(S)': C611) 7.08 - 73-08
OCCUPANCY:
(typ (owner-tenant)-
ADMITTED BY: , ACCOMPANIED BY:
KEY AVAILABL, SUFF. CO. TA.X MAP'NO. 1000- — 2 2. Z
SOURCE OF REQUEST: z' DATE: 4!k�7
DWELLING
TYPE OF CAN�STRU TI N: " TORTES: ;Zv # EXITS:
Z—
FOUNDATION: ! BASEMENT: CRAWL SPACE:
# OF BEDROOMS: IST FLR� -, 2ND FLIT: 3RD FLR:
�.
i
BATHRO'OM(S): TOILET R11OOM(S):� UTILITY ROOM:
PORCH-TYPE: DECK, TYP PATIO;TYPE:
BREEZEWAY: FIREPLACE: , GARAGE:
DOMESTIC HOTWATE TYPE HEATER: AIRCO TIONING:
TYPE HEAT. 0_0WARM AIR: _ HOTWATER:
# OF KITCHENS
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURE
GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL:
! GUEST, TYPE CONST: �'—
OTHER:
i
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DtSCRIPTION ART. SEC.
V r /, w
i
,REMARKS:
INSPECTED BY: DATE OF INSPECTION: 07
®o ma TIME START,. 3- o END:
TOWN OF SOUTHOLD PROPERTY RIECORD CARD
OWNER STREET VILLAGE DIST. SUB. LOT
N
00
OPENER OWNER E AC (�
/ S 1pP .S 4 R t!e [ten
S W TYPE OF BUILDING
-- w
ZEA 16 SEAS. V . FARM COMM. CB. MICS. mkt. Value
cn
LAND IMP. TOTAL DATE REMARKS
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AGE BUILDING CONDITION o
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NEW NORMAL BELOW ABOVE cn
FARM Acre Value Per VGlue
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"!Mable FRONTAGE ON WATER '-
Voodlond FRONTAGE ON ROAD -
Aeadorland DEPTH
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_AOO�QZ,L,0 LAW
JOHN B-70LL0
ATTORIvEy AT Lt`W
38 Southern Boulevard,Suite 3,Nesconset,New York 11767
Phone(631)979-9022 Fax(631)979-9026
iohnnzollolaw.com
OF COUNSEL
D. Brian Reay,Esq.
June.30, 2016
Town of Southold
Building Department
Town Hall Annex Building
PO Box 1179
Southold, New York 11971 D
Attn: Connie Bunch JUL - 5 2016
Re: Joan A. Chaves, Owner BUILDING DE,Q
Premises: Oceanic Avenue TOWN OFSOUMCLD
Fishers Island, NY
Our File #: 16-060
Dear Ms. Bunch:
As you know, I am the attorney for the ownerhe above of occupancy, to
property. I
have enclosed an original signed application for a Certificate
Inspection, and a copy of a previously issued building permit for the deck dated October
28, 1991.
In addition, I have provided a copy of the most recent survey received from my
client. I have also enclosed my attorney check payable to the Town of Southold in the
amount of$175 representing the required Building Permit fees and fees for the Certificate
of Occupancy on a pre-existing building.
Should you have any questions concerning this matter, or require additional
information please contact me. Thank you for you ssistance in this matter.
Uery trul yours,
o n B. oilo
JBZ:cIc
Enclosures
cc: Joan A. Chaves
Bunch, Connie
From: Bunch, Connie
Sent: Friday,July 08, 2016 8:46 AM
To: john@zollolaw.com'
Subject: Chaves, Fishers Island Pre C/O
Our Building Inspector is coming to Fishers Island on July 14th. If that date is good someone needs to meet Mike, our
inspector, at the fire house at 1:00pm.
Thanks,
Connie
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