HomeMy WebLinkAboutZ-20102FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20102 Date JULY 22, 1991
THIS CERTIFIES that the building DWELLINGS
Location of Property RIGHT OF WAY FOX AVE. FISHERS ISLAND N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 6 Block 6 Lot 7.1
Subdivision Filed Map No. Lot No. 1
conforms substantially to the requirements for a One Family Dwelling with
Accessory Apartment built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-20102 dated JULY 22, 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 WITH ACCESSORY APARTMENT*
The certificate is issued to THOMAS & ALLISON SARGENT
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
NOTE: THE ACCESSORY APARTMENT IS NON -HABITABLE UNTIL THE NECESSARY
REPAIRS HAVE BEEN MADE. THIS CERTIFICATE OF OCCUPANCY TO BE
REVIEWED IN 60 DAYS.
Building Inspector
PRE CO Z-20102
BUILDI:,G DEP: RT:L:iT
T0.'oil Or SOUTIiOLD, N. Y.
EOUSING CODE IiiSPECTION REPORT
Location RIGHT OF WAY, FOX AVE. FISHERS ISLAND, N.Y.
(,numoer do stree-c (iiunicipaiity)
Subdivision Nlap No. Lot(S)
Name of Owner(s) THOMAS A. SARGENT
Occupancy R-1 UNOCCUPIED
(type) owner-tenan-c)
Admitted by: MR- WALL Accompanied by: SAME
Key available
Suffolk Co. Tax No. 6-6-7.1 (LOT 1)
Source of request MICHAEL N. HILLS, JR: Date JUNE 19, 1991
DWELLI'M :
Description
lArt.1
Type of construction
WOOD FRAMEDrstories
2
Foundation STONE
Cellar
FULL Crawl space
Total rooms, lst. F1
4 2nd. F1
4 3rd. Fl
Bathroom(s) 1
Toilet
room(s)
Porch, type
Deck, type
Patio, type_
Breezeway--
Garage
Utility room
Type Heat OIL FIRED
Warm Air
Hotwater xx
Fireplace(s)
No. Exits 2
Airconditioning
Domestic hotwater
YES Type heater OIL FIRED
Other
ACCESSORY STRUCTURES: ACCESSORY APARTMENT
Garage, type const. Storage, type const.
Swi,m;�ing pool Guest, type const.
Other THIS ACCESSORY APARTMENT IS NON -HABITABLE UNTIL THE NECESSARY REPAIRS
ARE MADE.
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
Location
Description
lArt.1
Sec.
ACCESSORY
APARTMENT
CHAP.I
45
1.
Debris, vines, weeds etc., oil tank, two
propane tanks need to be cleaned up 6 removed.
1244.1
2.
Electric service needs to be replaced ;R very
11243.8 ahb
dangerous.
I
3.
Stairs and deck leading to the apartment - rotte
1242.5 c
6 unsafe.
4. I
Fix the garage doors.
1242.5b
5.
Broken windows garage.
6.
Sills rotten
1242.7c
7.
Building leaning to the east approximately 6",
1242.5 a
needs additional bracing.
Remarks: VIOLATIONS 1, 2, & 3 TO BE DONE IMMEDIATELY. VIOLATIONS 4, 5, 6,
A 7 TO BE DONE IN 6 DAYS THIS TIFICATE OF OCCUPANCY TO BE, REVIEWED IN 61
Inspected by: �T, r/r Date of Insp. iWy 9, 1991
CURTIS #W. HORTON �'��TTime start 11:00 end 11:30
1
DAYS.
E
Form No. 6
T014N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY JUN 1 9`
1. 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.
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.........................................
ew Construction........... Old Or Pre-existing Building...:............ 10
ocation of Property..41, ..... �!...��.. u!A ��... / D .. o. .. Uc ..... /.S ..Z_�Lq
House No. Street Hamlet
ewer or Owners of Property ..... ..i/�(oC-M...................
)unty Tax Map No 1000, Section ..... (0 ....... Block ..... 1�......... Lot. ..A/Z
ibdivision....................................Filed Map ............ Lot: ......................
-rmit NO................Date Of Permit ................ Applicant .............................
alth Dept. Approval..........................Underwriters Approval.........................
inning Board Approval ........................
quest for: Temporary Certificate........... Final Certicate...�.....
Submitted: $.... ... ....
ate., y a33� � .. .�-.r�-�( ...� ...... ....Q... �
�tca a�lo�— - Ic •T
PLANNING BOARD MEMBERS
Bennett Orlowski, Jr., Chairman
George Ritchie Latham, Jr.
Richard G. Ward
Mark S. McDonald
Kenneth L. Edwards
Telephone (516) 765-1938
Michael N. Hills
Cruser, Hills, Hills
206 Roanoke Avenue
Riverhead, New York
Dear Mr. Hills:
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
& Besunder
11901
June 6, 1991
WI E i,
JUN - 61991
tC07T L ff# HARRIS
Supervisor
RE: Minor Subdivision
Thomas Sargent
SCTM#1000-6-6-7
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
The following took place at the meeting of the Southold
Town Planning Board on Tuesday, June 4, 1991.
The final public hearing which was held at 7:30 P.M., was
closed.
The following resolution was adopted:
WHEREAS, Thomas A. Sargent is owner of the property known
and designated as SCTM#1000-6-6-7 & 12, located on a private
right-of-way to Fox Avenue on Fishers Island; and
WHEREAS, this minor subdivision, to be known as Minor
Subdivision for Thomas A. Sargent, is for 3 lots on 26,983
square feet; and
WHEREAS, a variance to the Zoning Ordinance for approval of
insufficient area, width and depth of each parcel was granted by
the Zoning Board of Appeals on October 17, 1990; and
WHEREAS, the Southold Town Planning Board, pursuant to the
State Environmental Quality Review Act, (Article 8), Part 617,
declared itself Lead Agency and issued a Negative Declaration on
January 14, 1991; and
Page 2
Thomas A. Sargent
WHEREAS, all the requirements of the Subdivision
Regulations of the Town of Southold have been met; and
be it therefore,
RESOLVED, that the Southold Town Planning Board approve and
authorize the Chairman to endorse the final survey dated January
22, 1991.
Enclosed please find a copy of the map which was endorsed
by the Chairman. The mylar maps, which were also endorsed by
the Chairman, must be picked up at this office and filed in the
office of the County Clerk. Any plat not so filed or recorded
within sixty (60) days of the date of final approval, shall
become null and void.
Please contact this office if you have any fuKther
questions.
Very truly yours,
Bennett Orlowski, Jr IMS
Chairman
Encl.
cc: Victor Lessard, Principal Building Inspector
Robert Scott, Tax Assessors Office
L� �
` JUN 191991
��.-U.a.,.�11-w/
16 HRF, ELv
ELPG rJl-F1. �
- co`L
TOWN OF SOUTHOLD
:w 1
-
Y 5,'JY" 24 20 IY 4 01
Giz
i
0�g.
�r
F.,, ,.„, •� �: SUBJECT PYOPEKTY
:lnproved in Deco: rF�nr•r uitlr ,ar of Review
_, LL
9� � r-
:, ..,
�••°r - SCALE :. 1 ”- 100' 0 W �
drrermina,ttondoted �
e•�p.l.v=Q
O
u
/
OF HEALTH SERVICES
(� �' • ,_ . , .
1E�y
SUFE LK COUNTY DEPARTMENT
Hauppaug , New York APR
tut water suppl
p�TSF so
Th.This is t, odify that the Pro ed - 1•nts
= - /D
��
F7AA1�X
andsewto
'
W
.v: —lot
don Sae aun'ae date. The°,:: incl:ices mu:1 r,u:;orm t
L O Cha T N MAP
<� -� _
0
wereeaPPr
construction stantl�;rds m e`fect at the nme c`. rorstruchln. 1 el
:vel
O _?
approval shall be vstid oD1y in ih� ev^.rU s':io sU'`dil,l^:on;
Cou:,!y Cie, k witn0`"`I
0, Q
stun."'o
opment plan is duly fled wiril tha
Consent is l;eroby Given fro L'ne iilu;g
.""v�`����
S� � p �,
this date.
this
which this endorse^.^., a^ry:ars.1 th70n+,rnriie Cnnnty i",er'ti
is t•I;:aHh Law ::nd Gu°Sono!
o`�- /
OI�'WAY
accorciancowithpri"';llin.; ul the Pllu
<,d,HT
County Sanitmy
AndreolP
/sun
0u5\
_Aido
mental Quality
lofEnviron
.
03
Z
J Xm7
�z^
oa,ce
Ciop5e
cDOKDINATE D15TA.NCE5 AEE in
VINE I\ AA�2� —� ELtc
WEASUQIED FZDM U.S. COAST
n
?• / /rl I
-
'-
AND (EODE 1tC 5UPVEy
p I
rtAN6uLATIDN STAJIOM
147 Z
Pzos„ _
41
U 4585.43
2- I /
I
Ip
W 1719.3
µDN-
tr CF°�N 7 I HES- /
/-
�` 'l
UYIUT
euE .
N�\����
I \ /
U
4
/
➢ o
' p APPROVED EY
U)
// eoH
PLANNING t3CA^D
/
TOWN OF SOUTHOL'D
P SY.
log
/ a
/
Dar .SUN 4
21 1991
I.OWNEt; 5U6DIVIpE�I THOMAS A. SACCGENT
I Cpa UNPIP�� 78� 03-20•, i �o "
°> W
C'
p-
100 H16H ST,, (Hev�ESToaI, MASS. 021/9
6 ^'�
2, PfEDPEQTY IS'LOL4TEq
1 SVTE 15 LOCATED IN 51,IFFOLY COUNTY, TOWN M:
�0 1a7
SOUTIAOLD, D15T1(T IDOO, TAX MAP 6 P,I-0Ct;b, LOTS 7,5�\Z N �5 ��o `>
NI Ih10� �jyS�1 �/ IS101�1 PL{al�l
SCHOOL D1572.ILT 4,
��G1N,4
SU�Vt=.Y M6,P
4.CONTODV_ INTEKVAL= 5 FEET
S"
EASE FOQ 1�VEL5: �PPCoX1MATE M.S.L.
Py�E EOFNewy
oq�
5 55WA6E D\5705AL 15 EMSTIU6 ON 6ITE0
t,Po H sr9
ill
PiLE �A2�.b PO tz
� DENOTES k?KOXIMA'FE SEPTIC SYS' EM LOCATIONS .
7 2 IS SUgJ ECT 7a KIGHTS IN FAVOr; OF LOT 1 e� F ON
m
THC7MLa`S Q. �jAILGEN'-r
b, SITE 15 5EK.VICED bf` M1INICIFAL WATEQ 5Y5TEkC.
TO USE AND N1A1♦JTAINTHE EXISTIu6 WATER LINE. -���'
7
p TaTL l_ A`Z1=.4: 10 Z6`I .SCS . FT
- • 1
¢
OO
o F r 4 F1.tuF
ox V _
LOT O 4,938'- 5Q. FT.
au5z�
LOT 0 5.331-=' sGt.F=T.
��O
r1 SKe7zs 16LAmul New YoKIe
LOT O3 o, J14 SQ.FY.
I HEREBY CERTIFY THAT THIS MAP WAS MADE , � V. ..p
FROM ACTUAL SURVEYS COMPL ED JUNE 16,1989 1 ,*� f.J��"� IQ�
.,'g l�
AND MONUMENTS AR SHOWN. Y'
a41q
SCALE 1='GOA
g-------45 E}(!5T161G CONTOUPg
q"i
/
�,— A77e0XIMATE LoCATtoN
MA 11 19
li 91
CS-1 aN DLez 1??-�MEK KitJ�
OF WP.TEr- MAIIQ ANO 5EYVIclfS A.5
"A DECLARAT ON OP COVENANTS AND RESTRICTIONS
FUKMISt-1eD PJB' THOMAS A.Si,YGENT.
AFFECTING THE LOTS IN THIS SUBDIVISION HAS
�fo�WICF% COFINEiCT1CVT
IO, LOT 1 IS SO&JECT TO R16HT5 IN FAVDr,OF LOT 2 TO
BEEN FILED IN THE OFFICE OF THE SUFFOLK %irrY r,p ITIDN OF K101
ADDIT
COUNTY CLERK IN LIBERIIZ51PAGE 550 I' '' i;: 'Itd,4l.;$
AUGUST 1990
1,15E AND MAl1JTAIN THE E1 srl,16 WD,TEG LINE.
r FOV LINE I'ZZ"91
MAv y, I9`t!
'
ADDITIONS: 10-22x90
P. O i ao
. BUILDIEG DEPART�•TENT
T0','1N OF SOUTHOLD, N. Y.
HOUSIPdG CODE INSPECTION REPORT
Location
( ber s reetf) (iviunicipality )
Subdivision Map No. Lot(s)
Name of Owner(s)
Occupancy_ /I
(typ'e) owner- nan-c
Admitted by: 4/Accompanied by:
�1e
Key available Suffolk Co. Tax Noor QG
Source of request Dto
a
DWELLING:
Type of construction ,stories
Foundation �7vQ ellar Crawl space
Total rooms, lst. F1 2nd. F1 3rd. Fl
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type_
Breezeway Garage. Utility room
Type Heat 'alarm Air Hotwater
Fireplace(s) No. Exits Airconditioning
Domestic hotwater Type heat•er_/-q��,`
Other
ACCESSORY STRUCTURES:�Stor�',,�. type type const. _
Swimming pool Guest, tvpe const.
VIOLATIONS:
Inspected by:
CHAPTER.45--N.Y. STATE
Location
BUILDINIG DEPARTHENT
TO, -11\1 OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Subdivision Map No. Lot(s)
Name of Owner(s)
Occupancy LS
ktiype) downer -tenant)
Admitted by: ! - �j/_ Accompanied by:
Key available Suffolk Co. Tax No. —7
Source of request n Date
MTELLI�IG:
Type of construction.
Foundation
Total rooms, lst. Fl 2nd.
��?�►� � s -tori e s�_
liar Crawl space
Fl 3rd. Fl
Bathroom(s) Toilet rooms)
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat Warm Air Hotwater
Fireplaces) 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
Remarks:
Inspected by: / Date of Insp.
0 -Time start��f�end
0 coo
Location
SUbd1.V1S1VI1 reap Ivo. L0-k'ks)
BUILDI:,G DEPART.1EibT
TOdN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Name of Own er(s)
Occupancy -
(type) (owner -tenant
Admitted by:� Accompanied by:
Key available Suffolk Co. Tax No.
Source of request �L Date_;V/
D,ELLING
Type of construction�dd rstories
Foundation Cellar 'Crawl space
Total rooms, lst. Fl 3 2nd. Fl 3rd. F1
Bathroom'(s) Toilet room(s)
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat Warm Air � Hotwater
Fireplaces 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
- --A