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Home My WebLink AboutZ-16373FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING Certificate Of Occupancy No. ..Z-16373November 6, 1987 Date .....................I.. THIS CERTIFIES that the building ... ONE F.AMILY...DWELLING.. .................................. Location of Property MADELINE AVENUE FISHERS ISLAND, NEW YORK House No ........................ Streei .......................Hamlet County Tax Map No. 1000 Section .. 6.........Block ...............Lot ...1.? ........... . Subdivision ...............................Filed Map No. ........Lot No. ............. Requirements for a private one -family dwelling built prior to conforms substantially tcKMaNJOKA909*Mj*yAWN**MJ&*ffiMIIyy €g ffff April 23, 1957 CERTIFICATE OF OCCUPAZC16373 pursuant to whichAMX% j4VMt<1. ..................... dated November 6, 1987 .... 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 KATHARINE T. SCHMIDT (owner, S"Uti UXX .................... of the aforesaid building. Suffolk County Department of Health Approval .... N O . .. R E C . . O RD - PRE . . E X I S T .. I NG .......................... UNDERWRITERS CERTIFICATE NO.............No RECORD - PRE EXISTING .................................. PLUMBERS CERTIFICATION DATED: NO RECORD - PRE EXISTING Building Inspector Rev. 1/91 BUILDINTG DEPARTINENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location MADELINE AVENUE FISHERS ISLAND, NEW YORK number & street Municipaiity Subdivision Map No. Lot(s) Name of Owner(s) KATHARINE T. SCHMIDT Occupancy R-1 OWNER (type) owner -tenant Admitted by: WM. FAULKNER Accompanied by: SAME Key available Suffolk Co. Tax No. 6-7-12 Source of request William Faulker DWELLING: Date 10/22/87 Type of construction WOOD ##stories @ Foundation STONE Cellar PARTIALCrawl space Total rooms, 1st. F1 3 2nd. F1 3 3rd. Fl Bathroom(s) 1 Toilet room(s) Porch, type glassed in Deck, type Wood Patio, type_ Breezeway Garage Utility room Type Heat oil fired 'Vlarm Air Hotwater steam Fireplace(s) No. Exits Airconditioning Domestic hotwater ye;Type heater tankless Other ACCESSORY STRUCTURES: NONE Garage, type const. Swimming pool Other Storage, type const. Guest, type const._ VIOLATIONS: Housing Code, Chapter 45 N.Y. Statg Unifo Fire Prevention Location I Description lArt.► Sec. Pantry floor needs fixing No smoke detectors Remarks: This includes BP 4�6594Z Co Z-16372 (V � Date of Insp. 10/22/87 Inspected by: TTime start 1]:45 end 12:15 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 uv� 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 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 n 5.Undated C.O. $ 50.00 Date .. lP - V.V. ". �/....... NewCons truction , , , . , . Old or Pre-existing Building .... Vacant Land .. ............. Location of Property ...................../. !/A Q e-1 All= ........... VF-..... House No. Street Ham/et Owner or Owners of Property .. A4-)—AAAO /;AKE ..... ..... SC,40............... County Tax Map No. 1000 Section .....4P ........ Block ......7 ....... Lot .....1....... . Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval ...... ...............Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ..."- Request for Temporary Certificate .....................Final Certificate ..... y/. .......... Fee Submitted $ ................. Construction on above described building and permit meets all applicable codes and regulations. AppIicantv.C� .................... Rev. 10-10.78 R4,C, , 335$1 co lb 37 3 CONSENT TO INSPECTION er(s) Name(s) do(es) hereby state: , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at T -i sHr- jZS 2 s. , M n rz-,),e", w c; AtAF which is shown and designated on the Suffolk County tax map as District 1000, Section 16 Block 7 Lot 1 Y . 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. Dated: S17 (sig ture) W ZGL/AVI'J ,?' �A 1JLIC'N'�2 (print name) signature (print name) - r - J-- TOWN OF SOUTHOLD PROPERTY RECORD CARD 7 / OWNER STREET VILLAGE DISTRICT SUB. LOT LAND IMP. TOTAL DATE REMARKS FE e —31-0 —0 g C ACREAGE FORMER OWNER IN E A I 110 Z JA W TYPE OF BUILDING RES. ';;Z/o SEAS. VL. FARM COMM. i IND. CB. i misc. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS FE e —31-0 —0 -6-bo A)- s/n - "'11/ C AGE BUILDING CONDITION -I NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD Tillobl-e-2— DOCK Tillable 3 Woodland Swampland Brushland House Plot Tota I M. Bryk n , �._ Extension Extension Extension Breezeway Garage O. B. 4' Porch Rc_ms ist Floor Pa' o Rccros 2nd Floor 1% 7rkeway i crm.er I f Basement �� Floors- L 10 -Xt. 'sValls erior Finish - FPlace - - tire cQ - 1�' � Ca-� Porch 2:,0; Type y• F a -47 - 8 4' Porch Rc_ms ist Floor Pa' o Rccros 2nd Floor 1% 7rkeway i crm.er f Basement �� Floors- L 10 -Xt. 'sValls erior Finish - FPlace - - tire cQ - Porch 2:,0; Type 4' Porch Rc_ms ist Floor Pa' o Rccros 2nd Floor 1% 7rkeway i crm.er BUILDING DEPARTMENT THIN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location number & street Ilunicipality Subdivision Map No. Name of Owner(s) Occupancy A Lot(s) l -cyPe) (owner -tenant) Admitted by:�� F� Accompanied by: Key available Suffolk Co. Tax No. Source .of request' DWELLING: Type of construction #stories_ Foundation Cellar Crawl space Total rooms, 1st. F1_3 2nd. Fl 3rd. Fl Bathrooms) Toilet room(s) J Porch, type ° Deck, type Patio, type Breezeway Garage Utility room Type Heat -Warm Air I 3t�r Fireplace(s) No. Exits 3 Airconditioning Domestic hotwater Type heater Other ACCESSORY STRUCTURES: c Garage, type const. Storage, type const. Swimming pool Guest, type const. Other TTTlIT A V-LUL1i11UA1) : housing uoae, Unapter 45 N.Y. State Unitorm Buildina Code Fire Prev Location Description jArt.1 Sec. e I Remarks: Inspected by: Date of Insp. v�• Time start end r ention