HomeMy WebLinkAbout11063-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26641
Date: 08/23/99
THIS CERTIFIES that the building DWELLING
Location of Property: PRIVATE RD FISHERS ISLAND
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 3 Block 5 Lot 2.1
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 8, 1980 pursuant to which
Building Permit No. 11063-Z dated MAY 18, 1981
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 GARAGE UNDER AS APPLIED FOR*
The certificate is issued to JOHN R. & CATHA A. HESSE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 10-SO-96
ELECTRICAL CERTIFICATE NO. N-549172
PLUMBERS CERTIFICATION DATED N/A
08/20/99
01~27/82
Rev. 1/81
FO~ ~0. ~-
TOW. Or ~gUT.O~LO ~
BuILDIN& b~ARTMEN1 ;
TOWN HALL
L~
SOUTHO D, N. Y.
BUILDING DERMIT
(THIS PERMIT MUST DE KEpT ON ~HE P~EMIS~S UNTIL FULL
COMPL[TION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
....... ,....4 ..........
...... ,..~...: ........................... ~ .............. ,...~ ............... , ~ ~ ~ ~
~o ...~ ................. .~ ........................................................ : ...... , ........... : .........
............................................................................ . .~~ ~- ~~ ........... FTC. ............... ~
co~ r~ ~,p ~o. ~000 s~o~ ............ ~ ..... ~o~k ..... ~ ............ ~[o~ ~o...~.~..l ............
' ', / ;/~ 19 ~, and approved by the
pu~suont to application dated ................................................ }....., ......
Bdilding Iospector.
Fee .................
Rev.~6/30/80
nspector
FOE~ NO. $
TOWN: OF SOUTHOLD
Building Depmtment
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in h4p4~-am to the Building
Inspector 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
installations, o 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 in-
formation, required to prepare a certificate.
Date Feb. 23, 1982
New Building ...........X. ........ Old or Pre-existing Building ............................ Vacant Land ............................
Location Of Property .~.i~.[q. ex.s...I..~].~.~d ........................................................................................................
Owner Or Owners Of Property .....~ehn..Hesse ..............................................................................................
Subdivision ..F...isJ~P.r.~...l'.s.]~r~cL ................................. Lot No....~ ......Block No...?J~ ......House No .............
Permit No ..................... Date Of Permit .................... Applicant ..................................................................
Health Dept. Approval ............. .X. ............................. Labor Dept. Approval ................................................
Underwriters Approval ..... ~ ....... ~ ........................... Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate ............. )~ ...........................
Fee Submitted $ ..~.,.0.0.......~... ...................
Construction on above described building a[~u~ perL-nit meet~ all applicable codes and regulations.
STATE OF NEW YORK) SS'
COUNTY OF S~) ,, ~p a t a~~.....~...//~..~~....~~ ......
ora ' Suff
N ry Pubhc .......... .~....., ............ County
MARY B. PANKIEWICZ
NOT~Y PUBUC, ~AT~ OF NEW YOR~
gO. 52-8267g~0 -- SUFFgLK COUNTY
COMMISSION EXPIRES ~
(stamp or seal)
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
A~PLICATION FOR CERTIFICATE OF OCCUPANCY
application must be filled in by typewriter OR ink and submitted to the building
.inspector with the following: for new building or new use:
Final survey of .property with accurate location of ali 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 builEing, 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.
For existing buildings (prior to April 9, 1957)' ~on-conforming uses, or buildings and
'3pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusuai 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.
~ 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-existinR Buildin~ - $100.00-
Updated Certificate of Occupancy r $50.00 ~&~ ~TX~C~~dl%,
5. :Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building .................
H~use No. Street
3uwer or Owners of Property ....... 4~. f:...A~.~...~..~.A...~.~.R~f .......................
:oun y T= lOOO, Section .... ........ ...... $ ......... .... ..............
3ubdivision ......................... .. .........Filed Map............Lot.... ................. .
~,r~it ~o... 1 i0.~5 ..=%....Date Of Par=~t..~. ~Y. 3~,.~!..Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
lequest for: Temporary Certificate ........... Final Certicate ...........
tee Submitted: $ ....... , .....................
~PLIC~
COUNSELLORS AT LAW
HUTCHINS,WHEELER & DITTMAR
A PROFESSIONAL CORPORATION
RICARDOMANUEL $OUSA
August 20, 1999
By Federal Express
Ms. Georgia Rudder
Town of Southold
53095 Main Road
Southold, NY 11971
Re:
Jack Hesse (Fisher's Island)
Request for Certificate of Occupancy
Dear Georgia:
Pursuant to our telephone conversation, enclosed please find a check in the mount of
$25.00, made payable to the Town of Southold. This check shall constitute the filing fee for a
certificate of occupancy.
Pursuant to our discussion on Friday afternoon, please note that I have placed numerous
calls to Mr. Charles Brigham of the Suffolk County Department of Health Services (516)~852-
2100. I have asked Mr. Brigham to send the survey to your attention for Monday morning.
However, since I am unable to speak to Mx. Brigham, as he does not return my telephone calls or
answer his telephone, I would ask that you take into consideration the fact that Mr. Brigham has
faxed a copy of the survey with his stamped approval. As yoa may know, we have a closing
scheduled for Monday at 12:30 P.M. If there is anything you can do to fax me a copy of the
certificate of occupancy to me at 617-951-1295 before then we would greatly appreciate your
assistance.
Please do not hesitate to call me at 617-951-6619.
Very trcly yours,
Rigardo M. So/usa
cc: Mr. Jack Hesse
HWD2 705794vl
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971~0959
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
COVER LES~I~E R
DATE:
TO:
FROM:
RE:
AUG. 23, 1999
RICARDO M. $OUSA, ATTY.
GEORGIA RUDDERt SOUTHOLD TOWN BLDG. DEPT.
JOHN HESSE CERTIFICATE OF OCCUPANCY
TOTAL NUMBER OF PAGES INCLUDING THIS ONE - 2
If all are not received, please contact the above at 765-1802.
OZ.,
>._ 3770~o.t?/]
JoHN
BLOCK
JOHN R. HESSE
P. O. Box 591
Fishers Island, NY 06390
VIA FACSIMILE
August 16, 1999
Mr. Gary Fish
Building Department
Town of Southold
Sonthold, NY 11971
RE*
John R. and Catha A. Hesse
Fishers Island Property
Health Form # 10-S0-96
Property: Section 3, Block 5, Lot 2.1
Building Permit dated May 18, 1981, # 11063
Dear Mr. Fish:
I tmderstand that the fog prevented you going to Fishers Island on last Friday, August
13th.
When you and I talked, you indicated that the file on my property had all the paperwork
except the following:
Certificate of Occupancy
Certificate of Suffolk Board of Health
I did find ont from Mr. Charles Brigham at the Suffolk Board of Health that the property
had been surveyed in 1982 after the septic system had been installed and that all he
needed to reissue the Certificate of the Suffolk Board of Health were copies of a Final
Survey and a $220.00 fee. We very fortunately were able to obtain copies of the Final
Survey dated December 23, 1985 and have had the surveyor forward the necessary copies
for arrival on Monday, August 16th. I have attached a copy of my letter to Mr. Brigham
with the surveys.
Mr. Gary Fish
Building Department
Town of Southold
August 16, 1999
Page Two
I am assuming he will be able to fax or Federal Express the certificate to you. You have
also received from me my check for $70.00 to cover either (a) a copy of the Certificate of
Occupancy, or (b) Updated Certificate of Occupancy.
I ~vould like to ask you if you could then issue the Certificate of Occupancy and fax a
copy to the attorney for Chase Manhattan Bank at the following address and fax number:
Mr. Joseph Schneiderman
125-10 Queens Boulevard
Kew Gardens, NY 11415
(Telephone) 718-268~1500
(Fax) 718-268-5179
I am hopeful that these steps will enable you to provide Mr. Schneiderman with the
Certificate of Occupancy by this Thursday, August 19th.
Thank you for your helpfulness.
Very truly yours,
~'--J/o. ha R.~He~s ~!~'~'-~
enclosure
Cc: Ric Sousa via fax
JOHN R. HESSE
P. O. Box 591
Fishers Island, NY 06390
VIA FEDERAL EXPRESS
August 16, 1999
Mr. Charles Brigham
Suffolk County Department of Health Services
Office of Wastewater Management
Suffolk County Center, Room S238
Riverhead, NY 11901
John R. and Catha A. Hesse
Fishers Island Property
Health Form #10-S0-96
Property: Section 3, Block 5, Lot 2.1
Building Permit dated May 18, 1981, #11063
Dear Mr. Brigham:
Thank you for your helpfulness last week in locating the historical facts and advising me
on the steps necessary to have Final Approval Certificate from your department.
Per your instructions, I enclosed:
A check in the mount of $220.00 issued to Suffolk County Environmental
Department
Four (4) copies each of:
(a) the Original Property Survey of 1981
(b) the Final Property Survey of December 23, 1985
There have been no additions to the original building on the survey or any other
d~vellings or buildings constructed.
Mr. Charles Brigham
Suffolk County Department of Health Services
August 16, 1999
Page Two
I would appreciate your help in processing this by asking you to fax a copy of your final
approval to Gary Fish, the Building Inspector for the Town of Southold. The correct
address and fax number are:
Gary Fish, Building Inspector
Building Department
Town of Southold
Southold, NY 11971
(Telephone) 516-765-1802
(Fax) 516-765-I823
We need to provide the attorney for Chase Manhattan Bank with a copy of the Certificate
of Occupancy and hope that we can do this by this Thursday, August 19.
Thank you.
Sincerely,
Enclosures
Cc: Gary Fish via fax
Ric Sousa via fax
A~.q~ Iqqq
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
o,~ly the electrical equipment as described beJo~v and introduced by the applicant named on the above application number in the premises of
was exa,nined on jJi,?E~J~L~ 21 ~ ~2 and found ~o he i~t comphanee with the requirements of this Board.
FIXTURE
OUTLETS SWITCHES
64 62 64
DRYERS
FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
MULTI-OUTLET
SYSTEMS
NO OF FRET
OTHER APPARATUS:
Fotors, 1 -,%Disposed,
3-S~
1-15~ps G.F.I.
E R V I C
NO OF HI-LEG
AWG
E
1 1/0
f~w York, 06390 Li~2939i~
This cert,ficate must not be altered {n any manner; return to the office of the Board if ~ncorrect. Inspectors may be rdentlfled
cp~..~g.~ ,raW,Ne m~n,tm~Nr, mis c0~¥ o~ C-~"Zi~lc~t~ ~g$~No~ s~ ~!;t~.~..IN nN~r ~nNNS,.
ROYAL BARRY W LLS ASSOCIATES, Nc.
A R C H ~ T E C T S
RICHARD WILLS AIA
ROBERT E MINOT AIA
December
8 NEWBUR¥ STREET
BOSTON, MASS
1980
Tom of Southold
Office of Building Inspector
Town Hall
P. 0. Box 728
Southold, L.I., New York 11971
Dear Sirs:
This letter is a confirmation that the plans and
specifications as drawn for a home for ~. and Mrs. John R.
Hesse which is to be built on Fishers Island, New York, will
confo~ to the state energy codes of New York.
RW:rb Richard Wills
o8/i9/1999 13:27 5i6-78855i9
ROBERT E WALL
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION ~,ST [ ] ROUGH PLBG.
L J FOUNDATION :~ND [ ] INSULATION
( ] FRAMING
REMARKSz , - .~' -
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11971
TEL.: 765-1803
E,amined ......
^pproved .......... ':.. t eermit ! t
Disapproved a/c ............ ~-. ........................
(Building Inspecto3')
APPLICATION FOR BUILDING PERMIT
Application No. 7. !..0. f?:~.~. ......
Date l~/S 19 .8.0.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c The work covered by this application may not he commenced before ~ssuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit
shall be kept on tko premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessary inspections.
.... Bouton. Services,. Inc ......................
(Signature of applicant, or name, if a corporation)
.... P.. 0.. Box. 506~. Fishers. Island). NY.. 06390. ·
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.go~¢r~l.¢ontractor ............................................................................
Name of owner of premises ..... Mr.. 6. Mrs.. John. R.. Hesze ............................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
Anthony J. Marshall, President
(Nan~e and title of corporate officer)
Builder's License No ..........................
Plumber's License No. 1958-P
Electrician's License No..2.9.3.97.E ................
Other Trade's License No. l.-Ig.m.e..In)p.rg..g..1.29 .....
1. Location of land on which proposed work will be done..C.1 .ay. pg.i.n.t. 9.r..mS .d .d .l .e . .F .a r .m ~ . I~9 .a.d,..FishOrb. ~[~10~d, .NY
House Number
Street Hamlet
County Tax Map No. 1000 Section ...... ~ ........... Block ......... 5 ........ Lot. .2.1 .............
Subdivision ...... FiDCO .......................... Fried Map No. none .......... Lot .26-8.6.9 ......
(Name)
State existing use and occupancy of premises and ~ntended use and occupancy of proposed construction:
a. Existing use and occupancy ..... none ............................................................
b. Intended use and occupancy .... .s.i.n.g.l.e..f~.nS.l.y..d.~.e.l.l.l.n.g ..........................................
~3. Nature~ of work (check which applicable): New Building .. X ...... Addition .......... Alteration '.'..'. ·
Repair .............. Removal .............. Demolition .............. Other Work ................
(Description)
4. Estimated Cost ...... .$. ~.8.0.,.0p.0.,.0.0 .................... Fee ......................................
(to be paid on filing this application)
5. If dwe!ling, number of dwelling units ..... 1 ......... Number of dwelling units on each floor ................
If garage, number of cars ....... 1. tn. ba~mont .......................................... ' ......
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............ . .........
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...... , .........
Height ............... Number of Stories ............................................... .........
D*imensions of same structure with alterations or additions: Front' . ................ Rear ..................
Depth Height Number of Stories '
8. Dimensions of entire new construction: Front .. 122.~. Rear 122.~.. . Depth ~0J. "
Height .... 2~? ........ Number of Stories .... 2 ............ . .............................. i .........
9. Size of lot: Front ... 201.' ............... Rear ..... 81~.~ ............. Depth . i!fi0,~ .................
10. Date of Purchase ........ 1979 ................. Name of Former Owner ..............................
11. Zone or, u~e district in which premises are situated ............................................ ' ........
12. Does pr6posed construction violate any zoning law, ordinance or regulation: .. BP .... ' ............... .........
13. Will lot be regraded ...... no.' ................... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises . ,/o/an./1~. ~losBo ...... Address~..1.0.~. ?/.~.l.k.~..R.A: .... Phone No.
· ' ~StOIt, rql*_qS 0219 ...... ~ .........
Name of Architect It:[¢aa~'d. ~/t, lls .............. Address ,.~ ..... 6 ............ 13hone No ....... ; .........
.Name of Contractor. pOl~Ola. ~Pi~.4~.~P~,. ~I~, .... Addres~e~ tslm~d~. ~1¥ Phone No.516-785-~268 ....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dime~ tsions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, S.S
COUNTY OF ........ 8uf£olk.. :
........ : .................... being duly swprn, deposes and says that he is the applicant
(Name of individual signing contract)
above ~named. ~ ' ' r '~ 1~ ' r I
He is the .............. Conl:~acl:o~ .................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make ~nd file this
application; that all statements contained in this application am true to the best of his knowledge and belief; and that the
,Work will be perfohned in the manner set forth in the application filed therewith.
Sworn to b~fore me this
NOTARY PUBLIC, STATE OF NEW YOItI',
NO. 52-8267950 - SUFFQI~ qll~lN, ~ / / / '
,COMMISSON EXPIRES MAR~I,~ [;$'~'oq, ,~' ~ / (Signature of apphcant)
Applicant:Anthony J. Marshall, President, Bouton Services, Inc. '
Box 506
Fishers Island, NY 06390 /
.Construction of authorized installations w~ll be.mn accord~ce
//
with the Suffolk Cowry Department of Health Se~zces current //
Lot # 1000 003 5 2.1 5.9 adres
~ X Co~[y Department of Health Serv~
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