HomeMy WebLinkAboutZ-24612No z-24612
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date SEPTEMBER 11, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property EQUESTRIAN AVE. FISHERS ISLAND, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 9 Block 3 Lot 12
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-24612 dated SEPTEMBER 11, 1996
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 MARION OSBORNE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
i
uilding Inspector
Rev. 1/81
It II 11.01 NG DI; VAIt'I'tIE'NT
TOWN or SODTnO1,D
nousING, COOK IIISVECTION REPORT
I.00A11ON: EQUESTRIAN AVE. FISHERS ISLAND, N.Y.
number S rr ( r e ee L j�i ^------- ---y Z rite n ic {pal i t y 5~--------
StIlttllVl5lON k1Al' NO. I,O'1(rt)
NAME OF OWNEK (s) MARION T. OSBORN
OCCUPANCY A—ONE FAMILY OWNER
ADMTT'TED BY: SAME ACCONPANtED IIY: SAME
KEY AVAILABLE------^ Sl)fI'.('O_ TAR NAP NO. 1000-9-3-12 --- --
SouucK or tu.(2NI;ST: _-,THnMAS_PATTEBSON _ AGENT_FOR OWNER DATE: JULY 30 1996
DWELLING: -!-~
TYPE OP CONSTRUCTION FFArIc S'rolliES 2 1 EIKITS 7 _
FOUNDATION MASONARY (PIERS) CELLAIi ---- '-- CRAWL SI'ACE II
IOTAI, HOOFS: IS'T PLIC- ] 2ND Pl.R. 4 1RD 1711R. _ ---`—
IIATHROOM (A) _ _ 4 1,0 11.17.11 Itootl (n) _ UTILITY Itl)Ott
I'ORC11 TYPE, OPEN WOOD -- J-, DECK, TYfK WOOD PA"1'fo
UItEE7.I?WAY ITTIO PLACE 1 _
UOMI;s'1'IC IIO'1'WA"rim xx TYPE NEATER-- ELECTRIC
'TYPE NEAT OIL WAittl AIN g _.-
OTDEIt:
A !'f'1: CClIr1 V C'1'Un("I'11f11: Q .
GARAGE, 'TYPE OF CONST.
SWIMNINGOTNEJU
POOL,
GARAGE
AIECONDITtOHI"O
DOTWATEE
STORACK, 'TYPE CONST.
CONST.
--------------------------------------------------------------------------------------------------
-----------------------------
V I.OI.A'rlONS.* CIIAI''1l?It 45 N.Y. S'T'ATE IINIFOIM PIIOS t'ItI--.VIiN"I-ION 6 ItI1ILDING CORK
I.O_CA'I'IO_N -_ --- UKSCl(lrTtoll --`_
AR'f. SK.
INTERIOR
--CLOSET—
CHIMNEY CONNECTOR FROM HOTAIR FURNACE (IN CLOSET) TO CHIMNEY
- - - ----
BEEN INSTALLED WITH INSUFFICIENT CLEARANCE FROM COMBUSTIBLLE
--I--
—
_T243—
MATERIALS IN VIOLATION OF -`---- ----`----��
(OPERATION OF FURNACE PROHIBITED UNTIL INSTALLATION COMPLIES
-
- - -- - --
WITH N.Y. STATE UNIFORM FIRE PREVENTION A BUILDING CODE
-
IS APPROVED BY SOUTHOLD TOWN BUILDING DEPARTMENT)--
----
-- --
I(EIIARKS:
INSPECTED IIY
NATE Or INSPECTION AUG. 14, 1996
TIME STAlt'r 2:00 PM
KND 2:25 PM
OD=a NC.
TOitl11' C. SOjTC LD
BU=LD2VG DEPART EEN"i
TOWN HAI.L
16-5-=802
apDL_'C_ =0N FOR CcRT1_1C�.T_ 0: OCCJP3VC"
i- ra_S dDDllCatYOII must De fi;_ed LII by -_ pewr"_ter OR _nk and suom-tted LO Che Du_1C- g
--,sDector with the fol IcwinL'
g: for new Dild-ng n
or eTN use:
:. ._Ila.l Survey of prooert,7 "with accurate location of all buildings, prouert,, _roes,
streets, and unusual natural or topographicfeatures.
^inn-
.approval from Health Dept. of water suDDly and sewerage -disposal ';S-� form
.. approval of electrica- ihsta-lat_on from Board of :ire Underwr_Le��.
4 Sworm statement from pLumoer Cert-fy-ng tnat the solder used _m system Contains
less titan 2,110 of 1m 'lead. -
Commerc 1._i
-al Duding, "_1TdustrialL'gl
D --din, muitipe reslaenceS and S ml--ar Du_ld_ngs
and=Ilstallations, a Certificate or Code Compliance from architect or engineer
responsible for the bu;Id_ng.
Submit Plann_ng Board Approval or completed site plan requirements.
=or em:Lst_ng bui dings (prior to fpr= o o5i) non-conformiIlg uses, or build ngs and
"pre-es_st_ag" :and uses:
ACCurate sur'Jey Of DroDert,7 snowt-ng all proDerty _-Iles, streets, Dui_d_mg and
unusual natural or LcDograpnic features.
proper - completes application and a consent to-nsDect signed Dy the auv-,_.Cant.
-_ a C2rtif_Cate of JccuDancv _s denied, the 3ui-d_Ilg=nspector shall state tae
reasons therefor wr=t-n3 CO the aDDi_cant.
=ass
Cert-f=Cate of Occupancy - New dwe--_ng 525.00, add_t_ons t., dwel--g ,25.00,
::iterations tc dwelling 525.00, Sw4mming poo- 325.00, 3ccessory bu_ldfmg 525.00,
:additions to accessor bun d_as 325.00. Businesses 550.00.
2. Cert__`icate o* OCCLID_cnCV on Pre-existia; Bu_idia - 5100.00
CODs Of Certi.-Cate Of CCC UDaIlC`? - .2SC.
Updated Cert _ficate of Occupancy - 550.00
Temporary Cer_-__tate of Occuna=7 - Res_dent_al 515.00, COmmerC-ai 51 .00
Date ..�� 3P�. %��........................
ew Construct_on........... Old Or Pre-e_x_rsting 3uild-ng...............f.
- pr r ... C [¢BL.ri2o../ZvPsucPt .I !-i�C'lx. r: IQAV ..4!`.......
Dcation o_ _ op e__a............ C!____
House No. Street Hamlet
ewer or Owners of Property.. Com/ logs�.�9�4�'........................ :.......... .........
ounty Tax Map No 1000, Section....1......... 31oe_c....3.......... Lo t.../..........
Sbd_J_sion...................................... 7;1ed 120............Bot......................
ermit No................Date Of Perm_t................ ADD -_cant.............................
salt:. Debt. iDDroval.......................... Under-, iters ADDroval .........................
_anning Board_pprova_........................
=quest fpr: Temporary Certificate........... -_nal Cert_Cate........
ae Submitted: 3..�41/0f ...................
. 5 1,6 9
oZ »PLlc��rT
CONSENT
TO
INSPEC'T'ION
i
Owner(s) Name(s
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at Ps�ii44 1/SGP,- Fls�jE z `QA4/
which is shown and designated on the Suffolk
County tax map as District 1000, Section. Block 2 , Lot / 2 -
That
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:
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:�I�—
(signature) �f
(print name)
signature)
print name
NOTE : COCR:WNATE DISTANCES
ARE MEASURED FROM U.S.
COAST + GEODETIC SVRVF—Y
T 1iIPf�(CVLfyTI OTy
STATION -PROS"
ro
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LPLUG
IN WALK
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GUARANTEED TO THE TITLE GUARANTEE COMPANY
IN ACCORDANCE WITH TH= MINIMUM
5TANDARDS FOR TITLE SUPVEY5 of
THE NEW YORK STATE LAND TITLE'
ASSOcIATION.
4v 4
2 t;
a 377-C 4
\`�Te cF y4.'
PLAN OF PROPERTY OF
POLLY POTTER SHEFFIELD
TO BE' CONVEYED TO
MR.4 MRS. FRANCIS_ KERNAN TR
EQUESTRIAN AVE. FISHER'S ISLAND, N..Y.
SCALE: I"-40' CHANDLER, PALME;L� KING
DECEMBER 1973
LOCATION:
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY mac/ _
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
r S street
' T
i A
MAP NO.
vwo p4l�
municipality
LOT(s)
(type)/ 0 (owner -tenant)
ADMITTED BY: ACCOMPANIED BY: Aaa22i l/
KEY AVAILABLE _ SUFF.CO. TAX MAP NO.
SOURCE OF REQUEST. % �® /���agW& DATE: % O
DWELLING:
TYPE OF CONSTRUCTION # STORIES__,,2, # EXITS_
FOUNDATION CELLAR �— CRAWL SPACE
TOTAL ROOMS. IST F 7 2ND FLR._-e_ 3RD FLR. •---
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPES DECK, TYPE PATIO
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER TYPE HEKfER AIRCONDITIONING .---
TYPE HEAT Aff 0/4- WARM AIR _ HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
i ✓moi i / i �
REMARKS:
jodA) 3®17 V f S I
/
INSPECTED BYDATE OF INSPECTION CJ�p
_T
TIME START : O"U_fa - END