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HomeMy WebLinkAbout8800-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y, Certificate Of Occupancy No. Z12392 Date March 28 .................................................. 1984 THIS CERTIFIES that the building . .'xr. I%~5j3..b.u.i. 1..cli.n.~ ........................... Location of Property . ~ 9.0 .................... Q..u.e.e.n...S.t.r.e.e..t ........... Greenport House No, Street Ham/et County Tax Map No. 1000 Section ....0.4. q ..... mock 03 .Lot 005 Subdivision ........ :~ ...................... Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore fried in this office dated ...... Al~.cju~g..1.3 .... ,19 .?.6pursuant to which Building Permit No.. 8800 z, dated ...... ~..u.q.u.s.~...1.7. ........... 19.7. 6., was issued, and conforms to ali o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ..... .m.a.i.n., .b.u.i.]:d...:j-p.9...f.o.~..c.a..mp.9..~.o..u.n.d.s.; ....................................... The certificate is issued to E.L. I. IG~PGROUNDS, INC. (owner,/e~s~r'o'7' of the aforesaid building. Suffolk County Department of Health Approval N/A , LrNDERWRITERS CERTIFICATE NO. N 3 6 0 7 9 2 , Rev. 1181 Bulldinl Inspector FOEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8800 z Permission is hereby granted to: F~lMz~..MtXtmL&..~l~&,..lt/~.A~...F~$tez~ L.X. ~J~lz~gnds l~ '"' .......... ~.~....~..at~et, ......... (h. eeaport to .Ru.L~. a~v.. aa,t&, be~,d,f,a~..A.. N taap-. ~et~,oa.. 't'. vt..e~-.~" ~r'app~d ~..~..Z~r.z~d...~..~a~s-.A..~.~~..j~el;.....(?~..-sl~l ot premises I~ot~ ot ]~..~..~..~..~..S~oe~ .......................................................... .............................................. h~o~t~.....~,~ ............................................................................ pursuant to application dated ........................... &~.....~ ........... , 19.~.., and approv~ by the Building In~ector. .NOel Feno~ ~ sa~ll~ b~ld~gst ~ pool Fee $.~9~.~. .......... y ~ rS vxae [a~ y~ ~oa side l~es). FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, propertv 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 installa- tions, a 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use --?re-~,×~st,;ng C. 0. $15.00 3. Copy of certificate of occupancy $1.00 ~/acant, :Land C.0. $ 5.00 New Building .... .~. ....... Old or Pre-existing Building ............ Vacant Land ............. House No. Street Hamlet County Tax Map No. 1000 Section .... .(~..~..? ..... Block ..... ?...:~-...; . . Lot .... ./~.-~-. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept. Approval ........................ Labor Dept. Approval , ~ ...................... Underwriters Approval...~..~..~ ~. ~.?..~-,-~ ...... Planning Board Approvali ...................... Request for Temporary Certificate ..................... Final Certificate t ...................... Fee Submitted $ ............................. Construction on above described building and~'e~it meets all applicable codes and regulations. Applicant ./~..~J....~/..."~...... ,~..--~.. .................. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY i 85 JOHN STREET. HEW YORK, NEW YORK 100.38 ,.,e October 19, 1977 .4p, u..,~'o.o.f.,e 887738 N 360792 THIS CERTIFIES THAT EastePn L.I. KOA, North Rd. West-of Queen ~=., ureenpor~, ,h,,/o,o,~i,,,~o,.~.tio,,~ ~ ~..~., ~ ~., ~t ~ .~.d F~. outside ~,io. m~ October' 17, 1977 a,,dfounatobelncompti,,ncewith therequlremen,softh,sBo~rd. FIXTURES RANGES OVENS ~DISH WASHERS fiXTURE ~ECEPTACLES~, SWITCHES OOTLETS 29 50[ 6 18 DRYERS I FURNACE MOTORS APt~IANCE FEEDERS TIMECLOCKS MULTI-OUTLET ~MMERS SYSTEMS CNL I H P SERVICE DISCONNECT [ HO. (~: S E R V I C E 2 350MCM 600 Pan 2 350MCM I OTHER APPARATUS= Elec. room heaters:2-5.0kw,3-2.0kw,3-1.5kw,l-l.25kw Panelboard/s :l-9cir.125 snp.,1-31cir.2O0amp. ,l-0cir. 125amp. 2- G.F.I. 2-20amp. hand driers 1- Photo lite cell Paul Burns Town Harbor Lane Southold, N.Y. 11971 Lic~282E ~;~[ This cerhf, cate must not be altered m any manner, return to the off,ce of the Board ,f ~ncorrect Inspectors may be ~dent,f~e, the,r credentials [~REENPORT, L. l., N. Y. August 22, 1976 Mr. Howard M. Terry, Building Inspector To~n Building Southold, New York 11971 Dear M~. Terry: I am writing you in regard to the application of Richard Wilton, K0A campgro~ad, to clari£y certain parts of the agreement. It is my ~nderstanding that the portion of the premises restricted to open recreational uses with no structures to be erected thereon was to be the 600 feet south of County Road 27, measured along the west line of Queen Street, and the west line of the property of Leo Sledjeski. Yours very ttl:~~ Albert M. Marto cchia Supervisor POB,~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. App ....... ~ ........................ , 197~.. .... Permit No ..................................... · '/' ................................ -, .............. ,..,.-- ........... , ............ ;-'? ............ ................................. APPLICATION FOR BUILDING PERMIT 1. 976 Date ................... , 19 ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 set~ 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 ofproperty must be drawn on the diagram which is part of this application. 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 issue 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 Deportment 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, os 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. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... .~...A...~.~'~.-..~..~..~.A...I~....~..I~.~i...~~ ..................................................................... If applicant is a corporate, signature of duly authorized officer. ....... ................................ (Name and title of corporate officer) Builder's License No ..................................................... Matti~uck Plbg.& Htg. Corp. J Plumber's License No. S~.feZk...t,t~,~,~se.~..l~....:-I Paul Burns C~--: - C--£--, .' Electrician s License No. S'a:t"~]:k:"?d:c'etls'e~282~"'" (~ 0 her Trade s L~cense No ............................................... Location of land on which proposed work will be done. Mop No.: ...~.~..~.. .......................... Lot No ........ '. ................ Street and Number ..... ~II~I...Q~..~I~(,,~.$.~ ........ ~l~,~l.o~d ......... ]JlllJ..ZIJ~k ......................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...~.~.l~$.,...]dldl~l,..,J:g~l.~O.'~J~..~.&l'Jl#l(I, .................................. b. Intended use and occupancy ........... .G..¢~'.~I~I~ ........ ~ ........................................... 3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration ............... Repair .................. Removal .................. Demolitior .................... Other Work ...... .............................................. (Description) 4. Estimated Cost ..... ~..~..J~ ....................................... Fee '~4'(D ~ ~/~-""['~ ........... ii ;' .................. 5. If dwelling, number of dwelling units ......... ..~,~ ........ Number of dwelling units on each floor ............................ If garage, number of cars ................ T ............................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of useC....ll~..~ ......... 7. Dimensions of existing structures, if any: Front ......'~..~ ................... Rear '"' Depth Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ........ ~ .................. Rear ....... ~ ........... Depth ................................ Height ......... ~ ...........Number of Stories 8. Dimensions of entire new construction: Front · Rear ........ ? .................. Depth · Height · Number of Stories 9. Size of lot: Front ~..z. ....... ~ ................................. Rear .............. ~ ......... .Y~I,I'~I~. ~iK/~W..O~..~ ................. 10. Date of Purchase ...... .'....~..~...~ .......................... 1 1. Zone or use district in which premises are situated ........................................................ 110 ......................................... 12. Does proposed constructic~olate any zoning law, ordinance or regulation: ............................... X ....................... 13. Will lot be regraded . ....... ~,~l..~il]~,j~j~sc~s ~,rore~l~lledi~l~lD4~se~?~, 14. Name of Owner of prer~:l~l~i..iC;..DjjlT~,. ........................ Address '"'~';"~I'I~I'~"R~ Phone Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. B) ~ mop ~y Ro~o~Lok Van ?u~ P.C. fa~ location of dated 6/1.9,/76 See Plans fa~ tho £o~auine~ ~' x hO* STATE OF NEW YORK, COUNTY OF ..'-~.~..~[..'../~....~.~...[~'~ ......... ..~..../...~.,z/./.~.~'...,~=.~?.. ...... ..~...:...~-/~.~./~..../.'~.~...~..~.. ................... being duly sworn, deposes and says that he is the opplicam (Name of individual signing contract) above name~. He is the~.~~.~....~.~.~.~.~...~~...~~.~.~..~.~,c. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contained in this application are true to the best of his'knowledge and belief; and that the work will be performed in the manner set fo~h in the ap~licat~ filed therewith. . Sworn ~before me this ~ -- ~ / · ..........................~ . _~ ~.~. .. ,~ ~ ~ . / ~ ---- (Signature of applicant) NOTARy PUBLIC, State of New York 56' BUILDING KAMPGROUNDS OF AMERICA INC. APPROVED AS NOTED DATE. d'~ .~ t ~TIFy BUILDING ~ u~:PARTMENT AT 765-2660 9AM TO 'tPM FOR REQuiP,. ED INSPECTIONS: '/, P~EFORE BACKFILLING FOUNDA. TION OR START F/~,AMING 2. REFORE COVEP~iNG PIPELINE 3. FINAL WHEN .lOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR STRUCTION ERRoRs CON- 4'~Walk To Drive , , , SUGGESTED LANDSCAPE & WALK LAYOUT  Kampgrounds Of America /nc.  Hole~amp Industries, Inc -~ b-'''';<-,~'-''~l " I '~,-'~ I" L" I  Kampgrounds Of America Inc. Hole~amp Industries, Inc. e ""~ampgrounds Of America Inc. .~ Hole~a,m.p, Industries, /nc .... -4 Kampgrounds Of America Inc. .~ H'ole~'a,m,p, Industries, Inc ..... .,~ F I%  Kampgrounds Of America Inc. 5  Holelcamp Industries, Inc ...... r~ Kampgrounds Of America Inc. Holeira Industries, Inc. 1__ Kampgrounds Of America Inc. ~ Hole~'a~mp, Industries, Inc ....... Kampgrounds Of America Inc. I~ I ~l,I. I '° ':::'~:':: ":=:: ..... I~ .'. .... Hole~a ies, Inc. ~ ~OW,N OF SOUTHOLD O~ /d 7~au~ AP..EA: Z4.00 Ao~Es N , (,' ~ ¥1LLAGE OF GRE ENpORT N,o 4s OOE, 30 8.0 FEN NO SATELLITE S.O~ 51' £ 0'~/, LEGEND ROADS CA MPSI TE$ WA TER, SEWER & ELECTRI(~IITY WATER & ELECTRICITY WA TER ELECTRICITY ~ SANITARY DUMP STATION SCALE- SECT/ON ! PLAN TAX MAP NO: 100040 OWNER; EASTERN LONG PO, BOX 89 PREPARED BY; KO~, VILLAGE OF GREENPORT ISLAND KAMPGROUNDS~ iNC. GREENPORT¢ N.Y, ll944 INC, BILLINGS~MONT Karnpqrounds of J~Jrnerica, Inc. REt. ~, "Ih,~,'[ ::SOU T HOl .D N .Y \ 1051