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Home My WebLink AboutZ-20685•1Y \• TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20685 Date APRIL 28, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property PRIVATE ROAD FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 1 Lot 6 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-20685 dated APRIL 28, 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 * The certificate is issued to SCOTT NELSON (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. 2 (er— � Building Inspector Rev. 1/81 TO`1 OF SCUTHOLD, N. Y. HOU-7I;:G COD:; INSPECTION R ORT Location PRIVATE ROAD FISHERS ISLAND, N.Y. lnu:,ocr x szreer-) �;:un�cipallcy) Subdivision tilap Tfo. N, --,ie of Owner(z) SCOTT NELSON Occupancy RESIDENTIAL OWNER (type) (o:ner-cenanE) Admitted by SELF Accompanied by: Key available YES' Suffolk Co. Tax No. 9-1-6 Source of request ARTHUR TEBBENS, ATT. APRIL 8, 1992 Date D? ELLING : . Type of construction STUCCONOOD FRAM =r 1-1/2 -,stories Foundation STONE/CONCRETE Cellar Crawl Total rooms, 1st. Fl __2nd. F1 space LIMITED 3 Bathroom(s) 2 3rd, F1 Toilet rooms) Porch, type OPEN Deck, type Patio, type_ Breeze,gay Garage Utility room YES Type Heat OIL FIRED warm Air..., Ho �.��,t..r zx Fireplace(s) 1 No. axits 2 A.irconditioning . Domestic ho taater TANKLESS Tyne heater OIL FIRED Other ACCESSORY STRUCTURES: NONE Garage, type const. SWi ,.ming pool Other Storage, type const. Guest, type const. VIOLATIONS: CIIAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION 6 13UILDING CODE Remarks: BP #17994-Z -CO Z-20644 ISSUED FOR ALTERATION TO REBUILD DORM$R Inspected by: ROBERT WALL Date of InSp. APRIL 24, 1992 Time start end n Form No. 6 p TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 1G 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application 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 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. L,B-n� ) 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. 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 to accessory building $25.00. Businesses $50.00. 22.. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy 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 ......... April 8. . 1992 . New Construction.... Old Or_Pre-exist.ing!Building........ x Location of Property. Private.Road.off Equestrian Avenue (Fishers Island) ............. House No., Street Hamlet Onwer or Owners of Property ....... Scott.-H..Nelson County Tax Map No 1000, Section ...... 00g ..... Block ..... 001......,, Lot......, 006 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: $l„�%; GC ..... Cmc. 43 '7l c9- / x'47 y .�.►�, _�.�.� .� Q v/tCL O(pg $ ...................................... (-0 APPLICANT c0i\•sr:,T TO 11 PCC•CION T OTH. NELSON, Uwner(s) NSCOTT the undersigned, do(es) hereby state: That the undersigned (is) (sem) the ov:ncr(:) of the premise:; in the Tov,rn J of Southold located at Private Road off Equestrian Avenue on Fishers Island �rhich is sho�•:n and desir Waled on the Suf; Lot 6 o1 County tax rnap as District 1000, Section 9 Block 1 That the undersigned(has) (l*eve) filed, or caused to be filed, an applica- tion in the Scuthcld Town Building Inspector's Office for the followine: Certificate of Occupancy for Building Permit No. 17994 and Certificate of Occupancy for Pre -Existing Structure 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 inspeezions to determine that said premises comply with all of the laws; ordina.n.ces, rules and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understandint, 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:April 8, 1992 eo .oOl (signature) Arthur G. Tebbens, as Attorney for Scot tH t Warne) Nelson st9nature (print name) IRON PIPET EXISI OF P. \W 267790 GUARANTEED TO. "V SCOTT H. NELSON, COMMONWEALTH LAND TITLE INSURANCE COMPANY 4 CHEMICAL SANK IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS OF THE NEW YORK STATE LAND TITLE ASSOCIATION. TITLE "F671005 N/F 'AULINE D. WEBEL MAP REFERENCE: I. "PLAN OF MANSION HOUSE COTTASE SITES; FISHERS ISLAND, N.Y.; CHANDLER S PALMER, ENSRS.; NORWICH, CONN.; SCALE I" = 4OFT; JAN. 1949." PON PIPE (FOUND) NOTES: I. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND SEODETIC SURVEY TRIANGULATION STATION "PROS". 2. AREA = 0.313 ACRES -3 (NOT ON PROPERTY LINE) N/F %.SARGENT .CHMENT •ERTY LINE) SUR\/EY MAP Or - 2 ® PROPERTY P 20 GRAPHIC SCALE IN FEET 20 ' 5 / 0 77 H , � I E L B ® N DATE: FEBRUARY 18, 1992 SCALE: 1" = 20' SHEET 1 OF 1 LOT S-3 MANSION HOUSE COTTA6E5 FISHERS ISLAND, NEW YORK CHANDLER, PALMER Sc KING ■AW E6..M 11600000 W_ Architects, Englneers and Surveyors - tm BROADWAY NeRWCH, cr 0BM0 20Y889a]9] FAX 203 -1366 -Ml Location BUILDING DEPARTI�!E APR 2 (992 TMMI OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT F--- w�q 1F number & street cipality)" `- Subdivision Map No. Lot(s) Name of. Owner(s) Occupancy, e owner -tenant Admitted by:-.. ^ Accompanied by: Key available- Suffolk Co. Tax No. -- Source of request Date f M,TELLING : Type of construction rrstories Foundation Cellar Crawl space Total rooms, lst. F h 2nd. F1 3rd. Fl Bathroom(s) -*)-- Toilet room(s) — Porch, typeW%� Deck, type Patio, type Breezeway Garage Utility room Type HeaVTarm Air Hotwater Fireplaces)/ N Exits Airconditionin _ Domestic hotwater Type heater O:V/,Z Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 4'*N.Y. State, Uniform_Fire Prevention Remarks: Inspected by: M Date of Insp. Time start end