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Home My WebLink About16307-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17470 Date OCTOBER 28, 1988 THIS CERTIFIES that the buildin~ RENOVATION & ADDITION Location of Property NORTH DUMPLING ISLAND~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 130 Block 1 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 1987 pursuant to which Building Permit No. 16307-Z dated AUGUST 2~ 1987 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 RENOVATION & ADDITION TO EXISTING BOAT HOUSE The certificate is issued to DEAN KAMIN (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - i0/10/1988 PLUMBERS CERTIFICATION DATED 7f15/88 FISHERS ISLAND PLUMBING & HEATING Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m am,mmmm 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, 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 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. 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 informa- tion required to prepare a certificate. C. Fees: Additions $25°00 POOLS $25.00 ALTERATION, $25.00 1. Certificate of occupancy New Dwelling $25.,Q0, Accessory ,Si0.00 Business $~0.00 2. Certificate of occupancy on pre-existing dwelling $ 5,0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.updated C,O. $ 50.00 Date .......................... NewCons truc tiou ...... Old or Pre-existing Building ............ Vacant Land ............. W.o. House No, ~J Street I-lam~et Owner or Owners of Property ...... ~Q1J~ , , . .J~fy~ ( i~1 .................................... County Tax Map No. 1000 Section .. 1 .~...~ ........ Block I Lot....L~ Subdivision ................................ .Filed Map No ........... Lot No .............. Permit No.l..(~.~..t~.... Date of Permit .~/<~./~?..Applicant .L~,C~J/'OJ.(~0~..~O(1.~.O.¢~.(,30 .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. ~ .................. Construction on above described building and p/~_ it,~m~plicable codes and regulations. Applicant..,~..~...~.. , .~... ~: :..: ;. ~; .......... Rev, 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION ,Building Permit No. 'Owner (please ~pr int] (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this aay of Notary Public, ~u~-~lk County ~0. 52.~6~ - ~R~A ~ U~DATIO,~ ( 1 s t) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE !Il 0 FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF: ELECTRICITY { ()( "POB~,H ~.~ ] ~,~ JOHN STREET. NEW YORK, ~ ~y~/l~p38- -- H 0~ ~ ~te ~pplication No, on file THI~ G~IFI~ THAT examined on and found to be in compliance with the requlre~nenls of th~ ~rd. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. This certificate must not be altered in an man · · b ti.')',N S ~, N(I I ;i q. u' ' ..... 't ApprovXed~M~ .'~7...~'.-,., 19~. 7. Permit No. 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY 8OUTHOLD, N.Y. 11971 TEL.: 765-180:2 CALL MAIL Disapproved a/c ................................ I/ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF ItEALTH ...... 3 SETS OF PLANS ....... SURVEY CHECK .......... FORM ............. : TO: INSTRUCTIONS a. This application nmst 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 tot 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 be commenced before issuance of Building Permit. d~ Upon approval of this application, the Building Inspector will issued a Building Permit to tile 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 codex-housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary j!asl~e, ctions../ (~g~mture 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. .. W../5 .................................................................................... Nalne of owner of promises .......................................................................... (as on the tax roll or latest deed) If appl, J, gan~_t~ a corP9~'on, signatore of cttlly authorized officer. ........ (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUF~LK COUNTY LICENSED Builder's License No. [~ ~ ~.~.; .~e~x% ~ Plmnber's License No .... ~:0:~ ,~ ./:'...~~, ~ %- Other Trade's License No ...................... 1. Location of land on which proposed work will bi done.. './~f./..(n.~..t.. q'~.q .,t,/,~t../~.,,~.,.~l-~,%:r~9 .............. llouse Number Street llamlet County Tax Map No. 1000 Section ..... I.~O ........ Block ......... I ......... Lot ..... ~.-[ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intemled use and occupancy of proposed construction: a. Existing use and occupancy ............. w.'., ........ .,. r.. ., ........... 5,....7 ..................... b. ln~nd~use and occupancy . - · Nature~,f w..i~ (check which applicable): New Building .......... Addition., ..-:~.. ..... Alteration .......... Repair .............. Removal ............ Demolition ............ ~,. Other Work ............... : ~.~ .~.. t, .O?.D..' ..... ~ ~),~ (Description) Estimated Cost ................... Fee ................................. " (to be pMd on filing this application) If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ......................................................................... If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... Dimensions of existing structures, if any: Front ............... Rear ........ ; ...... Depth ............... Height ............... Number of Stories ............................. i ........................... Dimensions'of same structure with alterations or additions: Front ............. : ....Rear .................. Depth ...................... lteight ...................... Nmnber of Stories ...................... Dimensions of entire new construction: Front .......... ..... Rear ............... Depth ............... Height Number of Stories ' Size of lot: Front ...................... Rear ...................... Depth ...................... Date of Purchase ............ Name of Former Owner Zone or use district in which premises are situated ..................... Does proposed construction violate any zoning law, ordinance or regulation: ..... I ........................... Will lot be regraded ....hJ.0. ...................... Will excess fill be removed [fi'om vremises;. .Yes No Name of Owner of prem~ses,[~-~.~m'.Ch .... Address~tO .(¢~Tl,~cd~.~Od/5.~. ~(~2~-~).,~,~4-r~ Nmne of Contractor C. (~. ~.'0'l;OcAlocated within'(3'~':'~2:'~ C2-iOV).feet ofAddresst±da~ ~'''~ w?t~l a m~'/" .~.o.X~ 7.q ..... ;,F_."'~ Phone N~"~c>:~.~. ~. ls this property 300 a [~xesl.,~' .... No ..... ~If yes, Southold Town Trustees Permit maybe required, i PLOT DIAGRAM : Locate clearly and distinctly all buildings, whether existing or proposed, anti. indicate all set-back dimensions from 9erty lines. Give street and block number or description according to deed, and show Istreet names and indicate whether rior or corner lot. JNTY O~.~',.~,?.2~.*.~.'g/.~a..w~..... S,S . ~[ (~.. ~~(~ .......... being duly sworn, deposes and says that he is the applicant (Nmne of individual signing contract) ge nalned. s the. .¢ ........................................................... (Contractor, agent, corporate officer, etc.) aid owner or owners, ~d is duly authorized to perform or have performed the sai~ work and to m~e and file this ication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the k will be perfo~ed in the m~ner set forth ~ the application filed therewith. m to before me this" . - J. O ta vo .... ~. ~ (7~ ~ ~. r. ~. ~ ~o~d-'--e'-'~ natur of soLDER uSED IN wATER ySTEM cANNOT suPPLY S , f 1% LEAD. EXCEED 2110 o C;CU?A~4C¥ OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY D[JIvl NO SI A , N Y A-i A-2 A-3 FLOOR PLANS/ ELEVATIONS BUILDING SECTIONS/ FRAMING PLANS/ DOOR & HINDOW DTLS ~ SCHEDULES HALL DETAILS/ FRAMING PLAN LOT AREA: S.F. ZONE: A BUILDING AR~A: '1,1oo S.F. MAX. HEIGHT. ~1 FT. NO. BEDROOMS: MATER SUPPLY: PA©~IA ~ TIZlll ?0 PlAi-6H r.bq~TI I I r G~AOT ELEVATI OM ~ALE. i t,/4'~; ILo" A~PP4ALT ~H iM~L P~., ~412, F/-Nc.~F.,IA'~ TEJk/I To PIAZ-~4 L_I ~EOT ~,,L-E_VATI ok-L ~OAL~: lei' =l'- 0I' L_L ~4 W. Main St. New Brita&n. CT 203-224-2628 CONSULTANTS: STRUCTURAL ~, ~ff, 0~104 North Dumpling Iolon~i~outhold. Suffolk County, Ne~ York FLOOR PLANS/ ELEVATIONS Scale: DPawn by: Checked by: A1 Top L.O[,J GITHDIM~,L ~E(~,¥10 M IL, O" fL-~ EATI' Ik]'SL]b, I". Hoop TI~I - P1A]TJd H~T. oF ~lh PlA, HALl ~l i.] pl ~rld H I/2' --(x~ P~T Ido~B: THI'~ ~,~-Jkl~c'~lOLIx ~.._ b/ ~H~Lt B~ ~J r2. 1[ Il *>c;ALB , ]~tII- II' 0II o) :: DOOR A :',:n ,-,-, ,,,- ,,,-, ~' , , ~- ~,-,:_, F imAF:F ~L, HrDULc. :,,,ni DOOR ~' FRAME ---~.lYYfl :'~ t SZZE i~=, ~-,,. ,~,. l~.---:~.7~~-i~q''~ P~'I Il I d-Orl'~-¢l~I'liS/dA IklPl I l- I I I- I ,i -i WINDOW SCHF_E ULE OPENING DETAILS - Io /o UNIT DIMENSION 6¢'~,£~',1" ~ GLiOI~,'------ HEAD .I .JAMB I SILL M-Z M £ C~li-1J 5~- ,-~.x~ ', I [/¢:-ILoI J: TIcTP, b!rx d.14~;4't]J~ D,eILL ,~FL, ~AL~; I I/~lH: d d (~ PI~T]~LOOP-- FP-X~MIkS,G L ¸il: i' q 6o~b, ~ bE.- t14 W. Main St. New Britain, CT 203-224-2628 CONSULTANTS: STRUCTURAL MALLI'SP_'( ~.kl (.,., ~ CT ~1~ North numpltng Ielond, Southold, Suf fo~k County, Ne~ York ~ I~l PF~T~I b~ Bate: 0becked by: A2 bJJHPOF~ ~IJPI~lea (.[~.~.vlkl) ~_x6 p-ApTE.P--~ 61ts'l" 0,0 I;~lZ I~ b. P c~ T~LTO },] M --2xlO I/~h pL~i/J, oop *-41 ~-\'F~Ik]~ I/.QIl fFTt), ~,,i.,],[~, -- ~-* ~ 8,1L 0" Fx~;Tlkl(~ Go ksz-. FI~o Id, DTL. .~L.~ LP ', I I/al.l'-O" If~l: ,L[ i Jx~, 4~o1'-4~, ~-I-d ~c, \ ~Il ~]/~iIP EX']- FobT-~IYI~B e~,Lt ~ I I/~-IHLd I~iATC44 ~XF~Ti kl C~ bx" ,I rJTAI P- P TAII C~'¢ Ii/ti~ ~4 Wi Main St. New Britain, CT 203-224-8828 CONSULTANTS: STRUCTURAL North Dumpling I81and. SouthOldl Suffolk County, New Yopk FRAMIN6 PLAN/ MISC. DETAILS I~csle: A% ~Mo~J L[ ~to ~ '£~. Sa' A3