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Home My WebLink AboutZ-18426FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18426 Date SEPTEMBER 27, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property CORNER OF MADELINE &_ CRESCENT _AVE. FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 6 Block 8 Lot 1 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-18426 dated SEPTEMBER 27, 1989 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 WOOD STORAGE SHED* The certificate is issued to YOLA SCAGLIOTTI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 BUILDI'r:G DEPARTIEFT11T TO1'TN OF SOUTHOLD, NY. HOUSING CODE INSPECTION REPORT Location CORNER OF MADELINE & CRESCENT AVENUE FISHERS ISLAND, N.Y. (number & street) (Iiunicipality) Subdivision Map No. Lot(s) Name of Owner (s) YOLA SCAGLIOTTI Occupancy R-1 OWNER (type) owner -tenant Admitted by: YOLA SCAGLIOTTI Accompanied by: Key available Suffolk Co. Tax No. 6-8-1 Source of request YOLA SCAGLIOTTI Date 9/5/89 DWELLI"IG : Type of construction WOOD rstories 1 Foundation BLOCK Cellar xx Crawl space Total rooms, lst. F1 6 2nd. F1 NONE 3rd. Fl NONE Bathroom(s) 1 Toilet rooms) Porch, type CLOSED IN Deck, type Patio, type_ Breezeway Garage xx Utility room Type Heat Warm Air Hotwater xx Fireplace(s) xx No. Ecits 2 Airconditioning NO Domestic hotwater xx Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. WOOD Swimming pool Guest, type const. Other VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: ,� n r Inspected by: CJ /1�1Q-b Date of Insp. 9/5/1989 CURT Ho ox Time start 10:45 end 11:02 u 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 n wwn� 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 survey 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling, $25.00, Accesso y j,$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $. 00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10-00 4.Vacant Land C.O. $ 20.00 / 5.Updated C.O. $ 50.00 Date ....�/.� 49 7...... NewConstruction...... Old orPre-existing ,,Building //.... ✓....... Vacant Land �� uu - Location of Property ......... House No. Stre t Ham/et Owner or Owners of Property ..... � ............................ County Tax Map No. 1000 Section .... ... Block .....d . , , ...... Lot ............... . Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval ........................Labor Dept. Approval ........................ UnderwritersApproval ........................Planning Board Approval ...... ..... ......... . Request for Temporary Certificate .....................Final Certificate ....... k ............. . Fee Submitted $ ..��~ ................ Construction on above described building and permit meets all a plicablecodes and regulations. Applicant ....Y/ -I..,.. .4; a� ................... Rex. 38'3S,5 6 - -7 N 9/\A co t_ r$y a CONSENT TO INSPECTION I - Owner(s) Name do(es) hereby state: ,, the undersigned, That the undersigned (is) (are) the owner(s) of e preipes in theTown A _lam �ftan of Southold located at '7 -,which is shown and designated on the Suffolk County tax map as District 1000, Section �, Block Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: 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. (signature) Ynia A 4 (print nam r ) (signature) (print name) Location f BUILDIi1,G DEP.ARTi,IENT TO. -I -N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Subdivision Map No. Name of Owners) Y. Occupancy eT— Admitted by: Accompanied by:� Lots) enanz Key available , e-/ Suffolk Co. Tax No. -c Source of request Date DWELLING: Type of construction (&j e'd G) rJL stories Foundation_ �,� �,�� 1'r' Cellar Crawl space Total rooms, lst. Fl 2nd. Fl P/a;�; 3rd. Fl K -A -1,';l§: Bathrooms) I P*. Toilet room(s) Porch, type C`/6•- IP .- Deck, type Patio, type_ Breezeway Garage Utility room Type Heat Warm Air Hotwater 4ZL Fireplace (s) No. Exits 1�`''�c2 Airconditioni ng +,) Domestic hotwater 4 Type heater Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATfONS: Housing Code, Chapter 4''N.Y. State- Uniform -Fire Prevention Remarks: Inspected by: Q/ Y Date of Insp. Time start tot 1141 end I