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Home My WebLink AboutZ-23115V FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23115 THIS CERTIFIES that the Date JULY 25, 1994 ONE FAMILY DWELLING Location of Property CRESCENT AVENUE FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 6 Block 7 Lot 4 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-23115 dated JULY 25, 1994 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 of the aforesaid building. JAMES P. & JO -ANN THOOMPSON (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 r B in Inspector BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• CRESCENT AVENUE FISHERS ISLAND, N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) JAMES THOMPSON OCCUPANCY RESIDENTIAL type owner—tenant) ADMITTED BY: SON ACCOMPANIED BY: SON KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-6-7-4 SOURCE 00 — — — SOURCE OF REQUEST: STEPHEN L. HAM, IIIDAA. JULY 14, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 f EXITS -3 FOUNDATION STONE CELLAR 3/4 CRAWL SPACE 1/4 TOTAL ROOMS: IST FLR. 4 2ND FLR. 3 3RD FLR. BATHROOM (s) 1 TOILET ROOM (s) — —— UTILITY ROOM PORCH TYPE WOOD DECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TANKLESS TYPE HEATER AIRCONDITIONING TYPE HEAT STEAM (OIL) WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: NONE STORAGE, TYPE CONST. GUEST, TYPE CONST. V-10LATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE REMARKS: HOUSE HAS WORKING SMOKE DETECTORS z I-rl INSPECTED BY DATE OF INSPECTION TIME START JULY 22, 1994 END Form No. 6 TOWN OF SOUTHOLD O BUILDING DEPARTMENT TOWN HALL �. ( 4 765-1802 1 (' APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. Submit Planning Board Approval of completed site plan requirements. B. 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 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 1. Certificate of Occupancy - New dwelling $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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date..�uc%.(31.«Q`1 ..................... New Construction........... Old Or Pre-existing Building..../........... sl Location of Property.... ................... .......... ............ ....... r............ House No. Street Hamlet Sawos P. 710Onwer or Owners of Property... .......".... n .......... ....... .. County Tax Map No 1000, Section.... 6.........Block... 7...........Lot....4................ Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant .............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $„!00:00 APPLICANT STEpHEt.4 c.. li9M0 JJ -L F Ax No • 2A 3 3 23-q 3(08 I-AMfs F. THbAiPS64 " Owner(s) Naimc(s) do(es) hereby state: CONSENT TO INSPECTION ?o A1JN 40MPso O1 Ls 4 1-94 �gg BIAG.OEPT f . the undersigned, That the undersigned ti -A (are) the owner(s) of the premises in the Town of Southold located at Crescehf Ay"tj-e�, FShers Ts(" v.-hir_h is shown and designated on the Suffolk County tax map as District 1000, Section Block 7 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: _ - Ckr�AL4V. of dcjC-Ajr-b^&y 4v- pU-,944S --r 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 regultiar►s of the Town of Southold. Dated: / (signature) s 777 c� (p int name_, ?.CTRL P.e1 CRESCENT N 4964.79 W 1128.44 plug conc. sidewalk (found) 102.81' lead plug ( not found) w -7 AVENUE N4 N 860 44 40 E 85.00' _ drill hole (found) � I AREA= 8600 = Sq.Ft z w O pouch t t I I I I I 3 I Overhead a I SUBJECT TO o Utilities lo z WAY OVER N THE EXISTING w o LO ike (set I i I U a t RESIDENCE Cn / O O w pole � X _ z -- gravel p parking 1.3' porch 0 (, ,Y m 86044 W 50.00 LLS OD Z cottage NOTE -CORNER CONCRETE FOR BULKHEAD ENCROACHES I It OVER PROPEF Lam. N/F DIXON GUARANTEED TO COMMONWEALTH LAND TITLE INSURANCE COMPANY OF NEW YORK, HOME FEDERAL SAVINGS BANK, JAMES P THOMPSON 9 JO -ANN M. THOMPSON IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS OFTHE NEW YORK STATE LANDTITLE ASSOCIATION. N/F PIRATES lo lo t I I I I I I I I i I NOTE - a I SUBJECT TO 3 I A RIGHTOF lo W WAY OVER THE EXISTING o DRIVEWAY ike (set I i I I I I t gravel parking area 0 1 ,Y m OD 0 O N 0 M O z 21 o/4�(50# 25.00 10.0( S 860 44' 40 "W 35.00' COVE MARINE iron pin (found) NOTE- COORDINATE DISTANCES ARE MEASURED FROM U.S.•COAST AND GEODETIC SURVEY TRI- ANGULATION STATION " PROS COUNTY TAX REFERENCE— Dist. 1000 Sec. 006 Block 007 Lot 004 SURVEY MAP PRE PARED FOR JAMES P T HOMPSON _a JO -ANN M. TH N CRESCENT AVENUE FISHERS ISLAND,. N.Y. -I"= 20 feet Y 14. 19 CMANDLem. f*AL mcm It KIN• C; P 1< Architecture. Engineering and Surveying 110 e110A0MY NOftWM. CT 00M 203-010-3797 FAX 103-401-76M