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Home My WebLink AboutZ-25332FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTIN6 CERTIFICAT~ OF OCCUPANCY No Z-25332 Date October 29, 1997 THIS CERTIFIES that the building. Location of Propert~ Houee No. ONE FAMILY DWELLING FISHERS ISLAND Street Hamlet County Tax Map No. 1000 Section 006 Block04 Lot 004 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-25332 dated October 29, 1997 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 ST. JOHN'S EPISCOPAL CHURCH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/a *PT.RASE SEE ATTAu~D INSPECTION REPORT. / ~ilding Inspector Rev. 1/81 I.OCATION: SIIBDIVISION NAHE OF OWNER BIJILI)ING I)I~PARTMENT TOWN OF SOU'FIIOLI) ]lOUSING CODE INSPECTION REPORT CENTRAL AVENUE {number & street) MAP NO. ST. JOHN'S EPISCOPAL CHURCH munlcipality) Lo'r(s) OCCUP^NCY A- | RESIDENCE ADHITTED BY: HAROLD COOK KEY AVAIl,ABLE SOURCE OF REQUEST: STEVEN(:H. ALDEN ~owner=tennnt) ACCOMPANIED BY: SUrF.CO. TAX MAP NO. 06-0~-04 DWELLING'- TYPE OF CONSTRUCTION I~OOD FRAME ~ STORIES 3 FOUNDATION STONE CELLAR FULL CRAWl. SPACE --- TOTAL ROOMS: IST FLR. 5 2ND FI.R. 5 3El) FI.R. 3 BA'I'IIROOM (s) 3 TOIl.ET ROOM (s) - UTII.ITY ROOM PORCI[ TYPE ] covered I enclosed BECK, TYPE - PATIO BREEZEWAY FIREPI.ACE 2 GARAGE I)OHESTIC IIOT~ATER YES TYPE IlEA'tEE ELECTRIC AIRCONDITIONING TYPE I1EAT NONE WARM AIR - IIO'FWATER OTIIER: EXITS 3 ACCESSORY STRUCTURES GAl{AGE, TYPE OF CONST. SWIMMING POOL OTIIEE: 2 car WOOD FRAME STORAGE, TYPE CONST. , GUEST, ~PE CONST. VIOLATIONS: CI1APTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE I. OCATION DESCRIPTION ART. SEC. REHARKS: BP 24415Z - CO Z-25331 Alter & renovate electrical & plumbing .system. 1)ATE OF INSPECT[ON TIME START 9/2§/97 EHD Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - ...25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..~P~..1.~, 1997 New Construction ........... Old Or Pre-existing Building .... ~ ............ Location of Property ...................... ~.~.A~? .......... ~P~.~i~ ......... House No. Street Hamlet Onwer or Owners of Property .... P~.'..~9~.~.R~P~!.~ .............................. County Tax Map No 1000, Section. 006 .Block..9~ ............ Lot 004 Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ........ ¢. ............... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate. X Fee Submitted: p .................... e,:.o - z-,St - ; ................................ APPLICANT ~.~,~.p Steven M. Alden, Attorney-in-Fact ¢ :(_) N,~; I!:l',J'l' I N,~ I ~ I!:( :'1'1 I: ) l,,I St. John's Episcopal Church Central Avenue, Fishers Island ali(I I'(~l[lllaJJ()ll8 ()l' Lh(~ 'J'(iWll (pi' JIlL illJ llle)