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Home My WebLink AboutZ-23781FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING FICATE OF OCCUPANCY No Z-23781 Date JULY 18, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 14ADELINE AVENUE FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 6 Block 7 Lot 11 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-23781 dated JULY 18, 1995 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 ACCESSORY GARAGE * The certificate is issued to RALPH R. & CAROLINE W. NORTON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. B ding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION MADELINE AVENUE FISHERS ISLAND, N.Y. number b street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) RALPH 6 CAROLINE NORTON OCCUPANCY ONE FAMILY OWNER type owner—tenant ADMITTED BY: OAR ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-6-7-11 SOURCE — — SOURCE OF REQUEST: RALPH NORTON DATE: JULY 11, 1995 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 FOUNDATION STONE 6 CEMENT BLOCK CELLAR YES CRAWL SPACE_ TOTAL ROOMS: IST FLR. 4 2ND FLR. 5 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) 1 UTILITY ROOM PORCH TYPE FRONT CONCRETE DECK, TYPE X (REAR AREAJATIO BREEZEWAY FIREPLACE 1 GARAGE DOMESTIC HOTWATER YES TYPE HEATER OIL AIRCONDITIONING NO TYPE HEAT OIL WARM AIR OTHER: Arrceenvv c'rvrlr-rrrorc. I EXITS 3 GARAGE, TYPE OF CONST SWIMMING POOL OTHER: XX HOTWATER WOOD FRAME STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE LOCATION DESCRIPTION I ART. SEC. REMARKS: BP #16393Z — ADD — CO Z-23780 INSPECTED BY DATE OF INSPECTION TIME START 10:15 JULY 14, 1995 END 10:45 a P Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 2� TOWN HALL 7 1995 765-1802 APPLi.CATION 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. 6. Sworn statement fromiplumber certifying that the solder used in system contains less than 2/10 of 12 lead. 5. Commercial buildin((„' 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 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 I. 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 L'uildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Da t e ...J. y i.cl `% ........................ New Construction... ....... Old Or Pre-existing Building ................. Location of Property......Madeline Avenue, Fishers Island, NY 06390 Nouse No. Street hamlet Onwer or Owners ur property.. RALPH. R: NORTON and CAROLINE W. NORTON County Tax 11,11) No 1000, Section. 006.00 Block 0700 Lot 011:000 Subdivision .................................... Filed Hop ............ Lot ...................... Permit NO .... 16392 ,,,Date Or Permit. 8/27 87 Applicant. .... RALPH R. NORTON ......... . .......... Health Dept. Approval..........................Underwriters Approval........................ 'lanning Board Approval........... Oequest for: Temporary Certificate........... Fina Corticate........... ee Submitted: $. I00,Gto . (!S� co (................................................ C U' 14m;i CCTION L p(fid rpt o : �o sae n)d 2 +ciz�i . the undersigned, Owners) Namc(s)' do(es) hereby state: ,MThat the undert3 a (is) (are) the owner(s) of thw,pr!emises in' the Town �. , of 'Southold located at which is shown and designated on the Suffolk 16, Pqty tax map as ct lai Block Lot ' x That the undersigned (has) (have) filed, or caused to be filed, an applica-'" tion in the Southold TownBuilding Inspector's Office for the following: That the undersigned do(es) hereby give consent tolhe Building inspectors of the Town of Southold to enter upon the above described property, including iand all: buildings toted thereon, to conduct such inspections as they, may �(Vcleem E �y. t l necessar respect to the a y with resp foresa%d application, including inspections y, to determine that said premises comply with all-of the laws. ordinances, rules f1 , and regulations of the .n cf Southo;,4 9 The undersigned, in consenting to such` uZspections, do(es} so with the knowledge: and understanding that any information obtained in tho conduct of N sauc.h inspections may be uswd is evidence }n subsequent prosecutions for vio- lations: of the laws, ordinances; rules or regulations of the Town of Southold. 4 latu nitl P An n _214i (print name) jaA ren;; "• (signature) ' ; Al r ri 1)'V1 e. 1 / � 1 YOV> 4C (print name) AAJI VAW. Ir VIT, Jv "14 Cot 1. D pbw i iva PAN Y jet'. C.. tj Abe I W. w mo 6 HE M-1 I MVM f4lip imw Y& k4 5 -rik r m LM�.t4 p Ft • i riot; Al MAUL. 4-5:11 V, oil It It Ps 1K .6 l.. I J, ,`e'r, AT 0. MWA Y ....0 bli I 1A lt� n H -1 n iz Ay AAJI VAW. Ir VIT, Jv "14 Cot 1. D pbw i iva PAN Y jet'. C.. tj Abe I W. w mo 6 HE M-1 I MVM f4lip imw Y& k4 5 -rik r m LM�.t4 p Ft • i riot; Al MAUL. 4-5:11 V, oil It It Ps 1K .6 l.. I J, ,`e'r, AT 0. MWA Y ....0 bli I 1A lt� n H -1 n Location Subdivision Name of Owner(s) Occupancy, BUILDING DEPARTMENT TO�Nl OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT n er & street Map No. 0 ipal ity ) Lots) typ e) l,/ " -A/- owner-tenan Admitted by: Accompanied by: Key available Suffolk Co. Tax No. Source of request Date 7ZZ?j DWELLING 670,V9Type of construction #stories d2*n;-AY Moe -nun ation Cellar Crawl space Total rooms, 1st. F1 2nd. Fl 3rd. F1 -� Bathroom(s) 02 Toilet room(s) Porch, type eck, type )Z71� atio, type_ Breezeway _r'�' E Garage tility room Type Heat pfd _______darm Air / ' �/� Hotwater Fireplace(s) /' No. Exits Airc nJj4ioning /r/ Domestic hotwat er �/_ Type heater Other ACCESSORY STRUCTURES: Garage, type const. 0&1 fiamp Storage, type const. Swimming pool Guest, type const. Other Remarks: Inspected by:_i�, X- `'l/ Date of Insp. Time start ntion TOWN OF SOUTHOLD PROPERTY RECORD CARD" OWNER STREET VILLAGE DIST. SUB. LOT. n FORME OWNER, N E� ACR. � wa ¢R e �/ . S 0 S W ! TYPE OF BUILDING _ _ ,* al➢' -- __ =— .� ��.; .- — ES.---� SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS __— 9 n o A 30 L -{ 0.47) 3 a Ue)1100 LO S1 01/� 1 D a ,S" Oct. 72 01) 3 7Afi ., i d o 0 A- cd a /idly{`' AGE BUILDING CONDITION It _ r o h NEW NORMAL BELOW ABOVEZ $' - E e . /vo �✓ + At No ,6y l,v �e,✓� ,P e_ FARM Acre Value Per Acre Value /� C6% 6P I L, �9 3 l b K6ATU. OCR 1 0 K P_(a D[lU Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD , Total 4.i DOCK r