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Home My WebLink AboutZ-22285No Z-22285 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date APRIL 28, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property EQUESTRIAN AVENUE FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 4 Lot 15 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-22285 dated APRIL 28, 1993 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 JAMES W. SHEA, TRUSTEE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PENDING - APRIL 27. 1993 *PLEASE SEE ATTACHED INSPECTION REPORT. ilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: EQUESTRIAN AVENUE FISHERS ISLAND, N.Y. number h street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) JAMES W. SHEA, TRUSTEE OCCUPANCY I FAMILY DWELLING OWNER -VACANT (type) (owner -tenant) ADMITTED BY:, ROBERT WALL ACCOMPANIED BY: SAME KEY AVAILABLE BAGLEY REID SUFF. CO. TAX MAP NO. 9-4-15 SOURCE OF REQUEST: STEPHEN HAM, II -f, ATTY DATE: MARCH 23, 1993 JAMES SHEA, TRUSTEE TYPE OF CONSTRUCTION FRAME # STORIES 2 # E%ITS 2 FOUNDATION RUBBLE (GRANITE) CELLAR %% CRAWL SPACE TOTAL ROOMS: IST FLR. 3 2ND FLR. 4 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) 1 UTILITY ROOM _ PORCH TYPE OPEN (FLAGSTONE) DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE 1 GARAGE DOMESTIC HOTWATER II TYPE HEATER ELECTRIC AIRCONDITIONING_ TYPE HEAT OIL WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE LOCATION DESCRIPTION ART. SEC. Provide smoke detector upstairs hallway. Provide batteries for downstairs smoke detector. Provide extension on hot water heater relief valve downward toward floor with 12". Provide girder support in cellar at notch for cast iron waste line. Cover off electric panel- Loose wires in stair well to cellar - open junction box at washer location. UNDERWRITERS PENDING ABOVE ALL CORRECTED 4/27/93/ INSPECTED BY- py T �.IGs DATE ON INSPECTION APRIL 13, 1993 THOMA J. SHER, TIME START 1t),'30AtA END W oo A M ROBERT WALL iS i AM - 2" 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 =swn� 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 19571, NGn-confor ing 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date ... March ,23,,, ,1993, , , , . New Building ............. Old or Pre-existing Building ... X........ Vacant Land ............. Location of Property .... :.Fqups.triam Avenue ..................F.isbar.s . Island...... . House No. Street Hamlet Owner or Owners of Property ........,James . W.•..SbvA,..Trustee .......................... County Tax Map No. 1000 Section ........9 ...... Block .. 4, , , ... , , , ... Lot ... 1.5.......... . Subdivision .................................Filed Nlap No. ..........Lot No. ............. Permit No. NSA...... Date of Permit ... N./.A.... Applicant .................................. Health Dept. Approval ......N...............Labor Dept. Approval .... N,/,A , , , , , , , , . , , , , , , Underwriters Approval ......N1& ..............Planning Board Approval .. N,/A ................. Request for Temporary Certificate ..... NIA ............Final Certificate Fee Submitted $.... 100,.00.................. Rev. 10.10.78 - ys 8-q 9 (34_� C-0aaaas lea; * Tili�.11E TOWN OF SOUTHOLD kOPERTY RECORD CAR6-� OWNER STREET VILLAGE DISTRICT SUB. LOT S�mFsWShPa��r��s�� FORMER OWNER 13jr, 4,t- - N #* lS�oY 7` Est. Mkt. Value - E &b + n)%#4ALe4nvN ACREAGE ,(00 - REMARKS �G ( O 00 W , TYPE OF BUILDING RES. SEAS, VL. FARM COMM. I IND. I CB. I MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS �G ( O 00 L4 C7 IT AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland W -W Brushland - House Plot Total 1 l I + y - 1 I I I i ttA 1"('-� M. Bldg. i Foundation Bath Extension Extension �� .-� � � � �s Basement Ext. Walls f r').f _Z/1 Floors Interior Finish Extension Fire Place (, ✓ J Heat Roof Type (�✓(. -- - —--- �� Porch �� j cl f r Porch' Rooms 1st Floor '7 Breezeway Patio Rooms 2nd Floor Garage Driveway Dormer✓� 2- O. 'B. . -- f Vi \ � J APR j 1 �ek:iYi: TD- --);N( of Sv!lT4Q'LD CONSENT TO INSPECTION James W. Shea, Trustee the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Equestrian Avenue, Fishers Island which is shown and designated on the Suffolk County tax map as District 1000, Section 9 Block 4 Lot 15 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: Certificate of Occupancy for pre-existing single-family dwelling a 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: March 23, 1993 (signature) James W. Shea, Trustee (print name) signature) (print name) LOCATION: SUBDIVISION NAME OF OWNER (s) OCCUPANCY ADMITTED BY: KEY AVAILABLE SOURCE OF REQUEST: DWELLING: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT r �r & streets (municipality MAP N0. LOT (s) ACCOMPANIED BY: SUFF . CO. TAX MAP NO. g— 5 %I.r,Qi�v 1 DATE: �� /y✓ TYPE OF CONSTRUCTION # STORIES # EXITS - 2 FOUNDATIONCELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 3 2ND FLR. 4Z 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE6�-DECK, TYPE PATIO, TYPE �— BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT WARM AIR HOTWATER OTHER: ��yy� ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ' REMARKS: INSPECTED BY: DATE ON INSPECTION 5'`�131,405 TIME START /D; O� ,t, END f0