The URL can be used to link to this page

Home My WebLink AboutZ-12476FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... ~1.Z476 ....... Date ........ .l~.a.y..1.8. ................. 19.8.4. THIS CERTIFIES that the building ................................................ Location of Property ........................ .~.~.n.~.h..r.op..D..r.i.v.e. ...... F..i.s.h.e.~..s. ~.s. 1..a.n.d House No. Street Hamlet County Tax Map No. 1000 Section .. 0.0.9. ...... Block .... .0.9. ........Lot . .'. P~.4 .......... Subdivision....X ........................... Filed Map No....X. .... Lot No...X. .......... Requirements for a private one-family dwelling built prior to conforms substantially to the A~ie,-fe~8~td4,~ern~t-a~ret~fere-Fii~i~hi~-dat~ .................... 57 Certificate of Occupancy April 23 ,19... pursuant to whichBuffdinffPcn'mit No. ~12.47~ .............. .dated ...... .M .a y. .1. .8 ...............198.4. . , 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 ......... ..... .a. ~.r.~..v.a.~.e., .o.~.e.-.~..a.~A!y, ¢~e.!! ~.n~...* ...................................... The certificate is issued to .. ~IILDRED..DORO.THY. N.QYES.. (JAlq$~I~. ~l.OX~$ ,..J.R., ,..T.R.U..S.T.EE ) (owner, Ic:cc~-ot-~ewe~tJ of the aforesaid building. Suffolk County Department of Health Approval .... r~o.. ~¢.c.o.~ql ........................... UNDERWRITERS CERTIFICATE NO ............. ~.5.2_.0..9_9.2, ............................ See attached Housing Code Inspection Report. Building Inspector Rev. 1/81 BUILDING DEP~dqT;'~NT T0~'~N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Winthrop Drive (number & street) (Municipality) Subdivision ~ Map No. X Lot(s) X Fishers Island Name of Owner(s) Mildred'Dorothy Noyes (Jansen Noyes, Jr., Trustee) Occupancy R-1 (type) A~mitted by: Key available Source of request owner (owner-tenanv) Accompanied by: Suffolk Co. Tax No. 009-09-014 Jansen Noyes, Jr. Date 2/29/84 D~LLI~IG: Type of construction wood framed #s?ories Foundation poured cement Cellar partial Crawl space Total rooms, 1st. F1 7 2nd. F1 2 3rd. F1 Bathroom(s) Porch, type Breezeway Type Heat Fireplace(s) Domestic hotwater Other Deck, type Garage oil fired 'Warm Air No. Lxits 3 yes Toilet room(s) Patio, type__ Utility room Hotwater X Airconditioning Type heater tankless ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Descriotion Art. I Sec. cellar no rail-cellar steps II 152-27-B This includes B.P. 9085Z issued 3/14/77; Certificate Remarks: of Occupancy issued May 18, 1984, No. Z12475 Inspected by: ~/~/~ ~ ~~Date of Insp. 3/15/84 Curtis W. Hor~on 'Time start 1:00 end 1:30 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use --?z'e-E×±st±n~; C.O. $15 · 00 3. Cop¥ of certificate of occupancy $1.00 Vacant, land C.0. $ 5.00 Date .... .F.e,b.r.u..a.r~..~. ~..1. 9. .8.4.. New Building ............. Old or Pre-existing Building ....X ........ Vacant Land ............. Location of Property . .W. ~ .n.t.h.r..op..D.r. ~.v.e.,.. ,F .i.s.h.e..r .s..I.s..1 .a.n.d. ~ . .N.e.w...Y.o.r.k. ................. Stree Ham/et HouseNo. Jansen No~es, Jr., Trustee u/a da. ted Owner or Owners of Property .6, ./.1/.!2. .,..f./.b../9..M.i..1.d.r.e.d.. pg.r. 9 .t.hy..~gy.e.s. ................. CounW Tax Map No. 1000 Section p.0.9., Q.0 ........ Block . 09...Q0 ........ Lot. 01.4.. 00D ....... Subdivision ..... N../.A. ........................ Filed Map No... ~/.A.,....Lot No....N/.A. ....... Permit No....N,/.A. .... Date of Permit .. ~./.A. .... Applicant ... ,N/,~- ............................ Health Dept. Approval .... .N./.A. ................ Labor Dept. Approval ...N/.A, - Underwriters Approval .... .N/.A. ................ Planning Board Approval . ...N./..A. .............. Request for Temporaw Certificate ..................... Final Certificate ... ~K. .................. Fee Submitted $ 15,00 Construction on above described building and permit meets all applicable, eodes and regulations. ~ ~-~D~ Applicant..~...~..~.~../.~.~.7/~ ........................... ' , J/~sen Noyes~/i__~:ustee u/a dated ' R~.10-10-78 J ~ 7 ~ ~1/72, f/b/g Mi/ldred Dorothy Noyes CONSENT TO INSPECTION JANSEN NOYES, JR., Trustee u/a dated 6/!/72 f/b/o Mildred Dorothy Noyes , · the undersigned, Owner(~) Name6~) do(es) hereby state: That the undersigned (is) (~,k/he owner(s) of the premises in the Town of Southold located at Winthrop Drive~ Fish. ers Island~ New Yo~k, __, which is shown and designaied on the Suffolk County tax map as District 1000, Section 009.00, Block 09.00, Lot 0t4.00D 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: one family dwellinq 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 ~vith 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: February ~ , 1984 (print name) (si.~nature) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK. NEW YORK 10038 ,ate ~'~ ~, ~-~:~ ~pp,,ca,io.,~o. on~,,e 0~9-~0N 5 2 ~ ~ ' 2 THIS CERTIFIES THAT only' the electrical equipment ~s described below and introduced by the applicant named on the above application number in the premises of Jose Rmd~i~.~ Fishm. rs islandF N. Y. in the following location; ~ B~sement [~ 1st FI. [] 2nd FI. Cg~'~iside Section Block Lot was examined on -M~F~ ~'~q., ~ ]-9~]. and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS DRYERS FIXTURES RANGES COOKING DECKS IECEPTACLES SWITCHES NCANDESCENT FLUORESCENT VAPO~ 24 5 ~ 4 MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIMECLOCKS OVENS DISH WASHERS EXHAUST FANS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATU ~S:.-~ S E R V I C E NO. OF CC. COND. A. W.G. NO OF HI-LEG A.W. G, A, W. O. PER ~' OF CC. COND OF HI-LEG OF NEUTRAL NO. ~ NEUTRALS Ray Edwards Box 511 Fishers Island, N. Y. 06390 Lic: ~1297 GENEI~AL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. >'