HomeMy WebLinkAboutZ-20087FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20087 Date JULY 17r 1991
THIS CERTIFIES that the building ONE FAMILY DW~.LLING
Location of Property RIGHT OF WAY O~' FOX AVE. FISHERS ISLANDr N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 6 Block 6 Lot 12
Subdivision Filed Map No. Lot No. 3
conforms substantially to the requirements for a Private One Family
Dwelling built prior to: APRIL 9~ 1957 pursuant to which
CERTIFICATE OF OCC. #Z-20087 dated JULY 17~ 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 DW~.TJ.ING WITH ACCESSORY WOOD STORAGE BUILDING *
The certificate is issued to
(owners)
of the aforesaid building.
S~F~'OLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PT~&SE SEE ATTACHED INSPECTION REPORT.
THOMAS & ~LLISON SARGENT
N/A
N/A
N/A
Building ~I~sp~c~or- ' J
Rev. 1/81
PRE CO Z-20087
Location
Subdivision
N~me of 0whet(s)
Occupancy R-1
~type'~
A~mitted by:
Key available
Source of request
BUILDI!fG DEP~LqT:.~NT
T0%'~ OF SOUTIiOLD, N. Y.
HOUSIi[G CODE IHSPECTION REPORT
RIGHT OF WAYYOFFFOX AVE. FISHERS ISLAND
~numoer & streeT) [i,iunlcipaiisy)
Map No. Lot(s)
THOMAS A. SARGENT
TENANT
(own er- v enan~)
ROBERT WALL Accompanied by: SAME
Suffolk Co. Tax No. 6-6-12 (LOT 3)
MICHAEL N.HILLS, Jl~.' Date JUNE 19, 1991
D%',~ELL I ~IG:
Type of construction WOOD FRAMED #stories 2
Foundation CEMENT BLOCK Cellar PARTIAL Crawl space REST
Total rooms, 1st. F1 3 2nd. F1 4 ~rd. F1
Bathroom(s) I Toilet room(s)
Porch, type wOOD Deck, type Patio, type.. .
Breezeway. Garage Utility room
Type Heat GAS 'Warm Air xx Hotwater
Fireplace(s) No. F~its 3 Airconditionin~
Domestic hotwater XES .Type heater G~S
Other COAL STOVE KITCHEN ~AS A SMOKE DETECTOR
ACCESSORY STRUCTUZES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS:
.CHAPTER 45--N.Y. STATE ~NIFO~/~ FIRE PREVENTION & BUILDING CODE
Location Description Sec.
lST FLOOR FLOOR VERY SPONGE¥ HEED LOTS OF WORK CH I 45 I 1242.7 C
1242.5 b
! ST FLOOR
Ol[[ S I DE
i ST FLOOR
FRONT DOOR s F]U , HEAR DOOR S F]C chi ,,s I
NEED TO BE RE-SHINGLED VERY BADLY
REAR PORCH BAD S~APE
CH
CH
1242.5 e
1242.5 C
Remarks: NO C/O WILL BE ISSUED UNTIL WE RECEIVE A LETTER STATING W~EN REPAIRS
WiLL _JIF. [~D~. __~' /
· _ . .... .~. Da. re of Insp. JuLY 9, 1991
Time start !!:o0 end l J:30
Form No. 6
ToWN OF SOUTUOLD
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. Submifi 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 natura~ 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.
1. Certificate of Occupancy - New dwellin§ $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 - $i0.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Construction ........... Old Or Pre-existing Building....~¥. ...........
ocation of Property..~.d...~. .... ./~...~..~...~.,.~.~... ~.D....~p.~... ~.~..~-. ...... .~./.f././.~?~..E....~-.~.~.,~../~..
IIouse No. Street Hamlet
:]wer or Owners of Property ..... .~.~.D./~.~.5. .... ?%....~..~.f:5.~..~.....~,~..~.~..~..~.. .....................
~unty TaX Map No 1000, Section ..... .~. ....... Block ..... ~ ......... Lot..../.~.~. ..............
~bdivisioo .............. · ...................... Filed Map ............ Lot ......................
~rmit No ................ Date Of Permit ................ Applicant .............................
~alth Dept. Approval .......................... Underwriters Approval .........................
arming Board Approval ........................
quest for: Temporary Certificate ........... Final Ccrticate ...........
PLANNING BOARD MEMBERS
Bennett Orlowski, Jr., Chairman
George Ritchie Latharn, Jr.
Richard G. Ward
Mark S. McDonald
Kenneth L. Edwards
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
JUN 619 t
--. "_',- : UARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York I 1971
Fax (516) 765-1823
June 6, 1991
Michael N. Hills
Cruser, Hills, Hills & Besunder
206 Roanoke Avenue
Riverhead, New York 11901
RE: Minor Subdivision
Thomas Sargent
SCTM#1000-6-6-7
Dear Mr. Hills:
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.t 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 further
questions.
Very truly yours,
Bennett Orlowski, Jr.fi · ~s
Chairman
Encl.
cc: Victor Lessard, Principal Building Inspector
Robert Scott, Tax Assessors Office