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Home My WebLink AboutZ-15128FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy PRE CO. No... , ,Z 15128 ... _ ... Date „ , December 24 .. . .. ........ 19.. 86 THIS CERTIFIES that the building .. , ,One family dwelling . , ... , . Location of Property Fox Avenue .Fishers Island , • .. . . House N%o. Street Hamlet. County Tax Map No. 1000 Section .....6 ......Block ....6 ..........Lot .....3 .......... . Subdivision ...............................Filed Map No. ........ No. .. . ..... .. ..... .. Requirements for a private one family dwelling built prior to conforms substantially to the roc}tlSlt+satXBaiRltkhletfatall~1i�titt74��i�ii4x2ti13�xdt�Ft2ixx 4gril , 23: .............. 19 . 57pursuant to which B`ffffdfttit`W. .Certificate of .Occupancy dated . , , .December 24, ... , .... 19.86, 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 ........ STOWE C : PHELPS (owner, %Xve`;3r3F1t of the aforesaid building. Suffolk County Department of Health Approval ..... ,No; record - pre-existing UNDERWRITERS CERTIFICATE NO ............ . No record - pre existing . Building Inspector Rev. 1/81 BUILDING DEP ART: E T T0,114 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location FOX AVENUE FISHERS ISLAND (number & street) (iviunicipality) Subdivision clap No. Lot(s) Name of Owner(s) STOWE C. PHELPS Occupancy R-1 OWNER type owner -tenant) Admitted by: GORDON AHMAN Accompanied by: SAME Key available ' Suffolk Co. Tax No. 6-6-3 Source of request FRANCIS J. YAKABOSKI Date 12-17-86 DWELLING: Type of construction Wood framed #stories 3 Foundation Stone Cellar partialCrawl space rest Total rooms, lst. Fl 3 2nd. Fl 3 3rd. Fl 3 Bathroom(s) 2 Toilet room(s) 1 Porch t woo over Deck .�Pe type Patio, type_ Breeze,:iay Garage Utility room Type Heat Oil fired 'alarm Air Hot-water steam Fireplace(s) 1 No. Exits 3 Airconditioning Domestic hotwater yes Type heater gas Other Fire escape from third floor ACCESSCRY STRUCTURES: Garage, type const. 2 car wood Storage, type const. Swimming pool Guest, type const. wood I room and 'bath Other- 6 foot fence east side VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention n.._ia;...- Location Description lArt.1 Sec. sellar No outside vent gas hot water heater New York State Uniform fire prevention and building coke 1000.2H-2 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall , Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted an� 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. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate surrey of property 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5 . Updated C.O. $15.0 0 Date , , .December 24 ; 1986 NewConstruction,,,,,,Old orPre-ex istingBuilding .. XX....... Vacant Land ............. Location of Property .... Fox Lane Fishers Island House No. Street Hamlet Owner or Owners of Property ..STOWE PHELPS County Tax Map No. 1000 Section .....6 ......... Block ....6 .......... Lot .......3 ........ Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant . , ,Frank Yakabowski Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ....................... .Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate ....................... Fee Submitted $ .... 1500 „ ......................... Construction on above described building and permit meets all applicable codes and regulations. Applicant.................................................... r1w.10.10-78 R Lc- 3 09 9 6 PXV_l;o-a)SI�S CONSENT TO INSPECTION STOWE C. PHELPS-�, the undersigned, Owner(s) Name(s) docs) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at FnY nvanuPP'Pi -.hers Island. New York which is shown and designated on the Suffolk (Unknown at this time) County tax map as District 1000, Rection 6 , Block - jeo� , Lot_. That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Totem Building Inspector's Office for the following: Pre-existing Use Certificate or Certificate of Occupancy, dated December , 1986 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. __ l n TOWN OF SOUTHOLD PROPERTY RECORD CARD J OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNERN E C, - ACR. S TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS _ Spat 00 r�0& (o AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total v DOCK �'�� .. - ��., ._LA S c e „ `, _ �h� . .. �: Location BUILDING DEPARTMENT TOM OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT street) / - �Vlunicipaiity Subdivision Map ITo . Lot(s) Name of Owner(s) ,v �/ _ C. 1W Occupancy q ype) (owner -tenant) Admitted by: Accompanied by:_ - % OOO Key available - ` Suffolk Co. Tax No - _6 - 6 ---_1 Source of request Date/ 6 DWELLING: Type of constru.tion #stories_ Foundation ellar Crawl space Total rooms, 1st. Fl 2nd. F1 3rd. F1 Bathrooms) Toilet room(s) % Porch, type, Deck, type Patio, type Breezeway Garage Utility room Type Heat 'Warm Air Fie4w&tner- Fireplace(s)_ / No. Exits Airconditioning Domestic: h;j ter 2 Type heater Other Fw�tp 0-.-i _0 - Lf /_ _ -4— /i / ACCESSORY STRUCTURt:S: Garage, type const. A Storage, type const. Swimming pool Guest, type const. Other VI-ew-/ / / 1i' 'L &�- - : ention " BUMI-PoVelmo.- �escr,..tion _ . ..ram. �. , �.c��.-��i .0f R V�A 0 /.�i r Remarks: Inspected by: 01 ate of Insp. / Z& Time start �� end