HomeMy WebLinkAboutZ-19913FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19913 Date MAY 15, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property MONTAUK AVENUE FISHERS ISLAND, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 10 Block 8 Lot 1.2
Subdivision
Filed Map No
Lot No.
conforms substantially to the Requirements for a Private One Family
Dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19913 dated MAY 15, 1991
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 BARBARA B. PARROTT
(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.
J �G��
'Building Inspector
Rev. 1/81
BUILDI*:G DEPART:-LE'NT
T0:9N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location MONTAUK AVENUE FISHERS ISLAND, N.Y_
�n moer oc street) kNunicipal.ity)
Subdivision Man No. Lot(;,)
Name of Owner(s) BARBARA B. PARROTT
Occupancy R-1 TENANT
(type) owner-zenanz)
Admitted by: TENANT Accompanied by: SAME
Key available Suffolk Co. Tart No. 10-8-1.2
Source of request BARBARA B. APRRO'1`T• Date APR. 24, 1991
D1dELLIPIG :
Type of construction WOOD FRAMED rstories 1
Foundation STPME Cellar PARTIAL Crawl space REST
Total rooms, lst. F1 2nd. F1 3rd. F1
Bathroom(s) 1 Toilet room(s)
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat OIL FIRED Warm Air XX Hotwater 1
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater YES Type heater GAS
Other
ACCESSORY STRUCTURE'S: NONE
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const._
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 5 BUILDING CODE
Lncation
Descrintion 1Art.I
Sec.
CELLAR
No rail cellar steps 1
11242.3
CELLAR
Cellar steps bad
IST FLOOR 61JOISTS
In a very weak condition
1242.7C
EXTERIOR
1Steps to road very -bad
11244.1
1
Remarks:
Inspected by:L°�'
CURTIS W. HORTON
Date of Insp. MAY 7, 1991
Time start 10:00 end 10:30
I
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
e,
APR 261991 765-1802
�ff 4
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.
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
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.
2. 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 ..Alli /A ..............................
New Construction........... Old Or Pre-existing Building..x..............
Location of Property............................Montauk.Av nue....... Fishers. Island .
House No. Street Hamlet
Onwer or Owners of Property....., Barbara B: Parrott . .. .
County Tax Map No 1000, Section .... 10 ........ Block ... 8............ Lot ... 1.2 ................
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...`.......
Fee Submitted: 0:0 .....................
1
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CONSENT
TO
INSPECTION
BARBARA B. PARROTT, the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) MWO the owner( of the premises in the Town
of Southold located at Montauk Avenue, Fishers Island,
N�,hich is shown and designated on the Suffolk
County tax map as District 1000, Section 10 , Block 8 , Lot 1 • 2
That the undersigned (has) kiw*3 filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Pre -Existing Certificate of Occupancy
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: April 18, 1991
(sicrnature)
BARBARA . PARROTT
(print name)
(signature)
(print name)
1
Location
Subdivision
Name ofC
Occupancy
Admitted
BUILDI�•:G DEPART: -I= -:!T
T0.*Prl OF SOUTHOLD, N. Y.
HOUSIi:G CODE INSPECTION REPORT
knumoer do sure
.i.ci.pality)
Mat) No . Lot(s)
Key available - Suffolk Co. Tax No. Q�
Source of request ate ly
D' ELLING
Type of construction nstories
Foundation ellar Crawl space:�i
Total rooms, 1st. Fl—A15---2n . F1 3rd. F1
Bathroom(s) Toilet rooms)
Porch, type Toilet
type Patio, type_
Breezeway Garage Utility room
Type Heat 'alarm Air Hotwater
Fireplace(s) No. Exits Airconditioning_
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS : CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
I
in
Remarks:
Inspected by: Date of Insp. /
�
T a1
Time start / .A!% d D' �
11
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
I -et,
411,
A -
t
4f- ,�
FORMER .OWNER
N
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tf' jet
E r
P..�
ACR.
SS
b
f� j
/�,. (/ot,�/.
W
/ Yri�'PE
tTy
OF BUILDING
tES._ ��
SEAS.
VL.
FARM
COMM. CB. MICS.
Mkt. Value
,
LAND
IMP.
TOTAL
DATE
REMARKS
jtr?(Crf
J-00�'
_.' !. ;
Z
r_I
S 3
177
i Ilable
FRONTAGE ON WATER
loodland
FRONTAGE ON ROAD
eadowl.and
DEPTH
ouse Plot
BULKHEAD
A01
,6, y .
M. Bldg. 1 - Z : 2- t;
Extension i ' 7
Extension
Extension
A
Foundation I
Both
Dinette
Basement
Floors
K.
Porch
Ext. Walls
Interior Finish
LR.
Breezeway
Fire Place
Heat
DR.
Garage
Type Roof
Rooms 1st Floor
BR.
Patio
Recreation Room
Rooms 2nd Floor
FIN. B
0. B.
Dormer
Driveway
Total
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