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Home My WebLink AboutZ-24829FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24829 Date JANUARY 9, 1997 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property HEDGE STREET FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 10 Block 7 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--24829 dated JANUARY 9, 1997 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 ACCESSORY GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT~%SE SEE ATTA~D INSPECTION REPORT. Rev. 1/81 PAGE F. SANDERS & PHILIP C. POINIER N/A N/A N/A nspector BU l I,I) [NG DEP^RTHENT T()I~N OF SOUTIIOI,1) IIOUSING CODE INSPECTION REPORT I.OCATION: HEDGE STREET FISHERS ISLAI~, N.Y. .......... -(m~ml,er & street) (municipality~ SUBDIVISION HAP NO. l.o'r ( .q ) NAME OF OIgNER (s) PAGE P. SANDERS & PHILIP C. POINIER, AS TRUSTEES OCCUPANCY RES II)ENTIAL ~) (owner-tenant) ADHITTEI) BY: KEY ACCOHPANIEO BY: KEY AVAIl.ABLE SUFF.CO. TAX HAP NO. 1000-10-7-12 SOURCE OF REQUEST: MATTHEWS & HAM, ATTYS DATE: 12/16/96 DkIELL[NG: TYPE OF CONSTRUCTION FOUNDAT1 ON TOTAL ROOHS: IST FI,R. /4 BATII ROOH (s) 3 PORCD TYPE BREEZEIJAY DOMESTIC IIO'lqdATE R TES TYPE llEAT OIL OTIIER: ACCESSORY STRUCTURES: I~OOD FRANE CONCRETE BLOCK 20I'EN WOOD GARAGE, TYPE OF CONST. SW [HH[NG POOl. OTI1E R: { STORIES 3 if EXITS 4 CEI,I.AR 80~ CRAI41. SPACE 20~ 2ND FLR. 5 3RD FLR. 4 TOll,ET ROOH (.q) I UTILITY ROOH DECK, TYPE PATIO F [ REPLACE ONE GARAGE TYPE UEATF, R OIL FIRED AIRCONI)ITIONING 14ARH AIR IIO'I~/ATE R ]iX WOOD FP, A~E STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CIIAPTER 45 N.Y. STATE IJNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REHARKS: INSPI~CTED BY ROBERT E. ~/ALL DATE OF INSPECTION JAN. 4, 1997 TIHE START END Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 ail 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 ~pril 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 - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..P~.~.~. 163 1996 Xew Construction ........... Old Or Pre-existing Building X no # Hedge Street Fishers Island Location of Property ................................... :; .................................... House No. Street Hamlet Omwer or Owners of Property....P.~g~..P....S..a.n.d.e.l~. ~..a.M.d...P.h.i.l.i.p..~....~. 9~.~.i.e.r. :..a.s..T..l~.U.s.t.e.e.s.. ~.. County Tax Map No 1000, Section....1.0. ........ Block....~ ............ Lot....1.2 ................. :Subdivision .................................... Filed Map ............ Lot ...................... Permit No..~.~ .......... Date Of Permit,..~/~ ......... Applicant...~ ....................... ,ilealth Dept. Approval....N./.A. ................... Underwriters Approval...N./.A. ................... ?la,ming Board Approval...N./.A. .................. ?equest for: Temporary Certificate .......... Final Certicate..PQ ....... S bmi ' e,i: . ...... "" CONSENT TO INSPECTION pA_GE P_. sANDERS add PHILIP C- POI, NIER, Trustees , th-. und,:rsigncd, O~Vlmer (s; Name(s) do(es) hereby state: That the undersigned ii:,) (are) ti%e owner(s) of ibc premises in the Tomvn of Southoldlocated at _ino #) Hed6e_ Street, Fishers Island · { ~u ffolk · ~rh{ch is sho~vn and des~.cqatc~ on i{~u . County ta~ map us District 1000, Section 10 ~:; Dlock 7 , La[ 12 'That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Souihcld To~ Buildin¢ Inspector's Office for the follo~v~g: ~ . Certlflca~e of Occupancy.for ~re-exis~lng sinEle-f~lly dwellin~ Thai the unders~ned do(es) hereby give consent to the Bulldog 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 dgem necessary with respect to the aforesaid uppliculion, ~clud~¢ inspections to determine-that said premises =emil), u. ith ~11 of the laws; ordinances· rules and reRulations of lh~ To~vn ~f Southold. The undersigned, in consenting to such ~spec~ions, do(es) so ~th the knomvled~e and understanding that ~ny ~formation obtained in the conduct of such inspoctlons may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or re~lations of the Town of Souihold. Dated: D~eember . 1996 {sign-',ture) Pa~ge. P~. Sanders, Trustee . (pti,it name) Philip C. Pbinier. Trustee TOTF~I_ P. 02