HomeMy WebLinkAboutZ-24155FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ball
Southold, N.Y.
PRE BXISTING
CERTIFICATE OF OCcuPANCY
No Z-24155
Date FEBRUARY 8, 1996
THIS CERTIFIES that the buildin~ OWE FAMILY DWELLINO
Location of Property PRIVATE RD. OFF EAST END RD. FISHERS ISLAND, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 3 Block 2 Lot 12
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-24155 dated FEBRUARY 8, 1996
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 OWE FAMILY DWELLING *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*P?~SE SEE ATTACHED INSPECTION REPORT.
ROBERT C. & 4uLIA R. SORENSON
N/A
N/A
N/A
Rev. 1/81
LOCATION: PRIVATE ROAD OFF EAST END RD.
(number & sCreet)
SUBDIVISION MAP NO.
NAHE OF OWNER (s) ROBERT SORENSON &I~[FE
BUILDING DEPAR'IIqENT
TOWN OF SOUTIIOLD
llOUSING CODE INSPECTION REPORT
FISHERS ISLAND, N.Y.
(municipality)
LOT(s)
OCCUPANCY RESIDENTIAL
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE Bagley Reed SUFF.CO. TAX HAP NO. 1000-3-2-12
SOURCE OF REQUEST: ROBERT & JULIA SOP~NSON DATE: 2/6/96
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION CONCRETE SLAB
TOTAL ROOMS: [ST FLR.
BATHROOM (s) 3
PORCH TYPE
BREEZEWAY
DOHESTIC HOTI4ATER TES
TYPE HEAT oil
OTHER:
WOOD FP. AI~/MASONARY
CELLAR
m0 2~D FLR.
TOILET ROOM (s)
NONE
3RD FLR.
DECK, TYPE
FIREPLACE 3
TYPE tlEATER OIL FIURED
WARM AIR xx
~ STORIES I [ EXITS
CRAWL SPACE 25%
UTILITY ROOM xx
PATIO
GARAGE
AIRCONDITIONING
}IO'I~/ATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWlHMING POOL
OTHER:
STORAGE, TYPE CONST.
· GUEST· TYPE CONST.
VIOLATIONS: CDAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
EXTERIOR ACCESSORY DECK WITH SPA ~ ACCESSORY SATELLITE DISH
(ANTENNA) HAVE BEEN CONSTRUCTED WITHOUT BUILDING PEENITS
IN VIOLATION OF CHAPTER 45 SECTION 45-8 OF 'rlt~ CODE OF THE
TO~I OF SOUTHOLD.
REHARKS:
INSPECTED B
ROBERT ET WALL
DATE OF INSPECTION Feb. 6, 1996
TIME START END
BLDG. DEPT.
TOWN OF SOUTHOLD
Form No. 6
TOWN OF SOUTIIOLD
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 installation~, 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:
l% 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.
C. Fees
[. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25~'~0,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building 1525.00,
Additions to accessory building $25.00. Businesses $50.00. ~'~ ~5
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 $15.00
Date February 2 1996
::ew Construction ........... Old Or Pre-existing Building .... ~ ............
Location of Property .... (~q.~) ........... Ea~ .~..~o~ ........... F~qr~.~ .........
House No. Street Hamlet
Robert C. Sorenson and Julia R. S~renson
Onwer or Owners of Property ..................................................................
~Jounty Tax Map No 1000, Section. 003..00 Block 02.00 ..Lot 012.000
Development
3ubdivision..F.%$ll.e~.~. ~.~.]_.~.iQ.d...C.o.~.~D .or.a.t.i.o..n .... Filed Map .A.~?.! ....... Lot..!9.7.1.0 ...............
~ermit No .... ~6 ......... Date Of Permit...~/A ......... Applicant...~ .......................
[ealth Dept. Approval ...... ~ ................. Underwriters Approval ...... ~ ............ ' ....
'lanning Board Approval. N/A
'~equest for: Temporary Certificate ........... Final Certicate ...........
' $ 100 00
ee Submitted: ...... · .......................
· .................
APPLICANT
~7'~ ~ ~.L2 ~ / 55 S~ephen..L. Ham, III
0
Z
C:%:
8UARANT££D ~0 W. I~D~lfB SUSAN K.
DUNWO~Y o~ ~ ~AND TI~
~ TITL~ SURV~ OF THE NEW ~ 8TA?~ LAND
?Ma No. -- RH 96~6
9861
w. M~COMB ~wOOOYa.sus;~ ~ ~~