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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 • BARBARA B. APPLICANTPARROTT ��f9g13 IO / /64:4 /"6 /G o•S Q2 e/OG/Z 7207 00&J35 30 .[/O.Eit 7207 PG ,J¢I 14410 PL u6 � �N10 ss.98 /,� s✓.rcK h �✓ 96S.7o 0 v •5'30 c \ / T 20 / N TO OE CONPEYEO To 20 / IV / o / N / / 0 ' 7/2� c T `r9 • / /Vo TE: CocRQ/N�ITf PiJTA•vC.Es Oma• A/zEMfAJ��j6� FROH VJ. Coif3T � (� G�E006T/C SU/t✓CYT/Ci.A4/GO.CAT/nJ D! R .fTATio tI "PROS " � • 'L E,q O AACk or` r✓A LL, z 4.zS' ,-4c'ZA" pF �/I pPE2 T Y G F LAC //L/F /►10.vT.�u/G sq,zz . f/Jsit! 3 /Jt.s�✓ h r / c 2c FT" (ArAhiOCER!- 7C, 7c. I 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 �, ` 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 �j`