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Home My WebLink About22076-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23018 Date MAY 25~ 1994 THIS CERTIFIES that the buildin~ Location of Property EAST END ROAD House No. County Tax Map NO. 1000 Section 4 Subdivision ADDITION FISIi~RS IBLAHD, N.Y. Street Block 4 Lot Filed Map No. Lot No. Hamlet 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 24~ 1994 pursuant to which Building Permit No. 22076-Z dated MAY 24~ 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 ADDITION TO EXISTING ONE FAMILY DWELLING TO CLOSE IN STAIRWAY AS APPLIED FOR. The certificate is issued to JO~N W. HYLAIqD~ JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING -- MAY 10, 1994 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A FORM NO.3 "iOY, iN OF $OU'[HOt. D BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. No 22076 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..~...~.. .......................................... 19...~.....~. Counly Tax Map No. 1000 Section ..........~ ......... Block ............... ~ ..... LotNo ....... ..~... ................ pursuant to application dated .......................................................... 19 ................ and approved bythe Building Inspecto~, Fee $...,,~...~,~...,'. ~,., Building Inspector Rev, 6/30/80 Fo~m No. 6 IOWN OF SOUTIIOLD 5UILDZNG DEFARTMMNT TOWN 765-1802 AI~.L_CATIO,I FaR C~:~I. ,.CA ,., OF OCCUPANCY This application ~us= DC filled in by typewriter OR ink and submJ, c=ed to :he build£n8 inspector with the following: for new ~uilding or new use: 1. Final murvey of propers? with ascurate location of mll b~ilding$, property lines, $~rae~s, an~ unusual natural or topograpk~c features. 2. Final Approval fr~m ~ealth Dept. of water supply and sewerage-disposal(S-9 formS. Approval cf electrical ~nstallatioa fro~ ~oard of Fire Underwriters. Sworn statement from plumber cert~fytn~ &hat the solder used in system con,ainu. less tkDn 2/10 of 1% lea~. 5. Commercial bulldlng, industrial building, ~ul~iplc residoncem and similar buildings and install~ti~n$, a certificate of Code Compliance from ~rchitec: or engineer responsible ~or the huzldzm~, 6. Submit Planning Boar~ Approval of completed si~e ~lan requirements. tar existing buildings (prior to April 9, i957) :%on-conformlng usms, or buildings and "pr~-exls:ing" land u~ms: I. Accurate ~urvey of prcper:y skowing all property lincm, s~reets, building and 1'. A prouerly c~m~letc~ application and a consent tQ i~s~ec~ si~ned ~y thc appl£ca~[. If a CartTfi:~te of Occupancy is d~n~ed, the Building lnspmctor shall ~:a:e the reasons ~herefor mn writiug to the applicant. Foes ~. Certificate cf Occupznc¥- ~ew dwelling ~25.00, Additions to dwelling $25.00~ Al~era~ons ~o dwelling $25.00, Swimming pocl $25.00, Accessory buildxns $25.00, Additions to ~cessory building $25.00. Busi~sea 550.C0. .'. Cer~iflcate of Occupancy on Pre-existing ~ui!~zng - $100 00 ~. Copy of Cer~i£icate of Occupancy - $5.00 over 5 years - ~10.S0 · . Updatea Cer~i~ica~, of Occupancy - $50.00 ,. Temporary Cert£ficsre of Occupcnc';. - Residential $15.00. Commercial $15.00 '.unstructxon ........... Old Or Pre-existing .:uilding ........... , East End Avenue, Fishers Island, NY 06390 Southold ~ea:moa of Propert~ ................. House No. Owners cf Proper~y John W. Hyland, Jr. TaX Map No lO00, $~ction. Pg~:gg. ,, , 04.00 . . 009.000 ,ubdlvzszon. .................................. . . Filed Map ........... - Lot ................... .. . :e,,[ch Ocp~. Approval ........... ~./~.. ......... Undcrwrftar~ Approval ......................... for: Temporary Cer:ificat~ ........... Final Ce~icate ........... THE NEW :YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10033 H~; 13~1~ Applicafi~No. on~ile ~5~7~9~/94 ;~ ~t ~7~.~ · t**O. BOI. Mr. John W. Hyland, Jr. Gwner'.~) Name~ s) do(em~ hereby state: That the undersigned (ia) (are* the o,.m~_r(s) of t~e promises tm the Town of $o~thold i:eute~ ut East End Avenue, Fishers Island, NY 06390 C~urry ta~ rna~ a.5 O~trict 1000. 5ectton 004.0~ ~lm¢k 04.00, Lot 009.00Q Alteration to house (enclosed stairway) The underst~nad, in c~nsent~n~ to su~ ~p=et:ons, do(es) ~o x~ththe kno~:-ledge arid und~rstat:d~g ~h~t any reformation obtame~ in the conduct of Dated:April 6, 1994 State of New York ) County of New York) John W. Hyland, Jr. (prmt t,ame) ~ (s~naturel /,~ ~leanor A. Gilho~ey x ~_EA,,NOFI A. G~LI'.OOLE'! Sworn to before me this 6th day of April 1994. McFarland Dewey & Co. 230 Park Avenue New York, New York 10169-1450 Telephone (212) 867-4949 Facsimile (212) 867-0334 April 6, 1994 Town of Southold Building Department Southold, NY 11971 Attention: Mr. Tom Fisher Dear Mr. Fisher: Attached is a signed "Consent to Inspection" covering our house on Fishers Island which had alterations done in 1986 for which we need (but do not seem to have) a Certificate of Occupancy. With this consent, I am sending a check of $100.00 for the building permit and the C/O. In addition, I am sending a consent regarding the in-ground pool together with a check for $25.00. Also attached is a copy of the underv~iting cen'ificate (electric) covering the pool. I understand you will be on Fishers Island on April 19 and I would appreciate learning what we will need to do to obtain the above documents. Tom Suedmeier who lives on Fishers Island and whose telephone number is 516/788- 7096 would be pleased to help you in any way he can. Thanks very much, Sincerely, ~o n~W. Hy~l ~d, Jr. TOWN OF $OIJTHOLP ~ FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Examined Approved ..... 1~. Permit No..~..~..d?..2ff3~. Disapproved a/c APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLAN5 SURVEY .................. CIICCK ................... SEPTIC FORH ............. NOT I P¥; CALL ................... HAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 st?eets 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 be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the 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 c~'e, _housing code, and regulations, and to admit authorized inspectors on premises and in building for nec~ ~ -- (Signature of.applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~3/ ~/ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · Builder's License No. . .~~ Plumber's License No ........................ : Electrician's License No ....................... Other Trade's License No. ~ 1. Location of land on which proposed work will be done ................ :/ .............. House Number Street Hamlet County Tax Map No.' 1000 Section 4Z' Block /TZ ' Lot. Subdivision ' Filed Map No ............... Lot .............. (Name) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy . ...~-~<>~-~.( .... ~.~.4.g~.~..'.. .~.~..~ ................. . ........... 3. Nature of work (check which apPlicable " eep~r ): New Budding ~ .............. Removal .......... Addition ....... Alteration ....... ~.. .............. Demolition ..... ; Other Work .... ........................ Fee (Description) 7. pancy, specify n ' ' ' Dimensions of existing st~Ctures, if any: Font .... Rear ~ht.....~.. ......... Number of Stor~s.. ' ...... "'. ........... Depth... mens~ons ol same structure with alterations or additions. Fro ........................................ 8. ' .............. HeiSt ........ Dimensions of entire new construction. Fr ..... ' '" ........... umber of Stories.. Height ,, - oat , R ............ .. ' ............. t~umber of ' ' ..... ear.. ' .......... ~. S~ze of lot: bront Stones ........... . ............. Depth . . j ........ Rear .................. Depth ............... -.~ ..... 11. Zone or ~se flistric~ ~ ~l;i;~ ..... . ................ Name of Fo~ 12. Does pronos~ ~ . u premises are situated ......... er Owner .................. ~ ~ ~onstruct~on violate any zoning law, ordinance or regulation.' ................................ 13. Will lot be regraded . ' .......... ' ' ': ....... 14. N~e of Architect , ' ................... Address ., P m~ses. Yes N~e of Contractor ......................... Address . ., ~ j ' ' '. ........... Phone No ........... l s.' rs this property· [e~' hhh' Y' V' '. ....... Address ... ' ............ Phone No ............ · *Zf yes c~-~ ,~ ~ ~eec or a tidai wetla , ................ Phone No ' ~ , ~-oxu down Trustees Permit ~- ~d. *Yes ........ No. ' ............. .'- PLOT DIAG~ Locate clearly ~d distinctly ~1 buildEgs, whether existing or proposed, ~d indicate El set-back d~ensions from propeNy ~nes. Give street and block number or description acco~g to deed, and show street nines and indicate Whether Etefior or corner lot. r,~CFIFV gU'..~NG OEP~RT~ AT 1. eOi~NDAT~ON ~,vo REOU(RED COF~ ~OU~ED C(~NCRETE 2 ~5']GH - FRAMinG ~ PLUMBING BE COMPLETE gOR C.O. o. LL CONg~UC~ON SHALL TH~ REOUJREMEN~ OF THE N.Y. STATE CONSTRUCTION & ENERGY CC, DES. N~ RESPONSIBLE FOR DESIGN OR C~S~UCTION ERRORS STATE OF NEW~YoRi~ _ ' cou~, OF O. ~¢~r-~t_ L S.s ' · above named(.Name of indivi~t~l'si~i'n'g 'c~i;act) being duly SWOrn, deposes and says that he is the applicant He is the (COntractor, agent, corporate officer, etc.) ...... ~f said OWner or Owners, and is du~i~thorized to perform or have performed the said work and to'make and :pplication; that all statements contained in this application are true to the best o H;~ t. ..... file this .york w/Il be performed in the manner sct forth in the application filed therewith, f-,* ~--uWmuge aha belief; and that the ;worn to bef?e~n~e this · . . ...... ...... '.r ayof . .... (j" ............... l~..t /. County _ _p. . .... ............. QUlt~lfie~ in Sutfolk Country Yerrn Expirea 12,31~ (Signature of applicant) .