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Home My WebLink About25957-zFORM NO. 4 TOW/~ OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27081 Date: 05/12/00 THIS CERTIFIES that the building REPAIR Location of Property: 50 JACKSON ST (COTTAGE 10) NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 116 Block 6 Lot 24.1 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 16, 1999 pursuant to which Building Permit No. 2~957-Z dated AUGUST 16, 1999 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 EMERGENCY STORM REPAIR TO EXISTING SEASONAL DWELLING AS APPLIED FOR. The certificate is issued to KIMOGENOR POINT CO.-ROBERT FOX (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25957 Z Date AUGUST 16, 1999 Permission is hereby granted to: PT C0 KIMOGENOR 226 WEST LANE RIDGEFIELD~CT 06877 for : EMERGENCY REPAIR TO A SEASONAL SINGLE FAMILY DWELLING AS APPLIED FOR. COTTAGE ~10. at premises located at County Tax Map No. 473889 Section 116 pursuant to application dated AUGUST Building Inspector. 50 JACKSON ST NEW SUFFOLK Block 0006 Lot No. 024.001 16 1999 and approved by the Fee $ 75.00 /-- Auth r~ed Signature Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 pgoperty with accurate location of all buildings, property lines, streets, and unusua.l 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 i% lead. 5. Conm~ercial building, 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) 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. 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 Qccupancy on Pre-existing Buildin~ - $100%00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~.~ .~ .~.~ ..... New Construction ........... Old Or Pre-existing Building....~ ........... Location of Property.~..~ ~~...~..~. ................. ~1~.~~ ..... House No. Street Hamlet Onwer or Owners of Property.~~.. ~...~.~.~,~nn~.. ~.~ ........................ County Tax Map No 1000, Section ......... .... . Block................Lot ............... .... ... Subdivision .................................... Filed Map ............ Lot ...................... Permit No.~.~5..~. .... Date Of Permit. ~.%1.%~.~ .~.Applicant~.. ~.~~.~. · · - Health Dept. Approval .......................... Underwriters Approval ......................... 5 co& Planning Board Approval ....................... . Request for: Temporary Certificate ........... Final Certicate...~. ....... APPLICANT FRAM~ & PLUMBING ,~SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 May 4, 2000 Mark Boeckman P.O. Box 1453 Mattttuck, NY 11952 RE: Fox, 50 Jackson St., New Suffolk (Kimogenor Point) To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25957-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 May 4, 2000 Mark Boeckman P.O. Box 1453 Mattituck, NY 11952 RE: Fox, 50 Jackson St., New Suffolk (Kimogenor Point) To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25957-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. F;lture of ~ork (dmck ~,i)idl applicable): NO~ lkiilding .......... Mditiee .......... Alteration .......... Repair ......&~.. .... Ra~val ............. Demolition ............ Other I~ork .................................. ,(Descri pt ion ) Estimated Cost ...... .~...0. { .~..0...0. ....... fee .............................................. · ,(to be paid on filing this application) If ak~elling, n~fl)er of d~elllng onits ............ tl~nber of d~lli,ng onits on ead~ floor If garage, [Naat)er of ears ...................................... If l~ioess, connerclal or mlzed occupancy, specify nature and extent of ead~ type of use ...................... Dimensions of existing structures, if any: Front ................ Rear ............... Depth ................. Reight ......................... l~ber of Stories ...................... Dimnslees of sam structure *dth alterations or additions: Front ............... Rear ............... Depth .................... tleight .................... limber of Stories ............... Dimensioos of entire ne~ construction: Froot ................ Rear ............ .... Depth .............. tlei0~t ......................... Nuu~Uer oft Stories ..................... Size of lot: F-rant .................... Rear .................... Depth .................... Date of Purdmse ..................... Nam of Former Olamr ........................... O. L Zvee or use district in ~hid~ premises are si~atnd .............................................................. Does proposed construction violate any zoning la~, ordinance or regulation: ........................ Will lot be regraded .................... Will excess fill be r~roved from pr~nises: YES Hanes of Darter of premises ........................... N. Idress .............................. Pt~e No ............... Hame o[ Arddtect ............................ Ntdress ........................ Phone RD ....... ~ of C~tractor ................................... A~klress ' . ....... P{~ NO ............... Is riffs proparty within 300 fe~t of a tidal wetland? * YES .......... NO .......... PLOT DIAGRAM l~cate clearly and distinctly all l~aildlngs, ~hetlmr existing or proposed, and indicate all set-back dimensions fram property lines. Give street and block nt~ber or descrip}ion according to deed, and sho~ street nares and indicate ~hether interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNDERYm.TRS CERTIFICA1E APPROVED AS NOTED FEE: ] ~ -- ,,, B¢'~-~~ .... NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ~UIREI} 2. ROUGH - FRAMING & PLUMBING ~ .,< '~ .. ' · -- 3. INSULATION ~/"~+ "~tv'~-~L oJ~ ~~ ~S~'~4. FINAL - CONS'RUCTION MUST ~oOt~ ~C~ ~ O~ BE COMPLETE FOR C.Q ~ _~ ~_~~~,, ~LL CO~STRUCTIO~ SHALL MEET ~~ ~ ~ ~ ~ ~ ~.~ THE REGUIREME~TS OF THE ~Y. SS DESIGN OR CONSTRUCTION ~[~ (~ ....................... ........ ~~...~.%$.~ ........... being ,.i~ ~.,. ~pe~ ~ ~ ~,~ ,,. ~. ,,~ (~ of individ~l signlug c~tract) a~e ~, :........... ................... : .......................................................... of ~id ~r or ~rs, ~ is dilly ~hori~ to ~rfo~ or ~e ~r~o~ fl~ ~ d ' - this a~lica~i~; ~m~ all s~a~n~s c~ai~ in ~ts a~l. ica~i~ are t~ ~o a~e ~s~ of his ~1~ a~ ~lie[i time fl~e ~rk wltl be ~r[on~ in the ~mamr ~E forth in ~e a~l. lca~i~ fil~ 'of . ..19. , , v , . FORHN0. TOWN OF SODTHOLH BUILDING DgPART~4ENT TOmq HtmL SOU~tOLD, N.Y. II971 'TEL: 765-1802 BOARD OF HBALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ..., ..................... SEPTIC FORM ................... NOTIFY: CALL .............. Disapproved a/e ..................................................................... . ,, -/'"a;dlng ........ ~ ~t6 ~_.~.. ~ / Date .... o,~{'~ ~¢ $O~- -~ INSTRUCTIONS a. '~is a~licatim ~t ~ ~letely fill~ in hy ~iter or in ink a~ ~irt~ ro ~e hdlding Ins~cror wi~ 3 ~ts of pl~ ~ate plot pl~ ~to ~ale. F~ acm~i~ to ~le. b. Plot pl~ ~ lmtim ~f lot ~ o~ ~ildi~s m ~s~ mlarlon~ip to Mjoiuing prmf~s or ~lic struts or ~eas, ~ givi~ a ~rai~ ~ripr~m of l~t of ~ ~t ~ dr~ on tim dia~m ~i~ is ~rr of this a~licatim. c. ~ ~ ~ ~ ~is a~licatim ~ mr ~ e~m~ ~fore isle of ~ildi~ Pemit. d. ~ ~1 of ~s ~h~t~m, tM ~ildi~ In~ctor will is~ a ~ldmg Pemit to the ~li~nt. ~mt ~11 ~ ~pt m ~ ~s~ ~a~l~le for ~n~t~ th~mt the ~rk. e. ~ ~ld~ ~11 ~ ~ or ~ m ~le or m ~rt for ~ ~ ~at~er ~til a ~rtificate of ~ ~all b~e ~n ~t~ ~ ~ ~lld~ Ins~tor. ~ ~I~ IS ~ff ~ to t~ ~ildi~ ~nt for ~e isle of a ~ilding Pe~t ~r~t to the ~ildi~ ~im of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ other a~Iicable ~s, ~di~es or ~lati~s, for ~ mt~ti~ o~ ~ildi~s, ~iri~s or alterati~s, or for r~al or d~lition, as ~rein ~ri~. ~ a~li~t ~s to c~ly ~ all ~li~ble l~s, ~rd~es, ~ilding e~, h~ing S __ .. '~;'-'~';h~ ~ l '~ ~.z¥;'/~;~J~b'~ --. · . . .............. ..... ..... ........................................ ~ of ~ of ~ ~, :.: .~ ~W...~.~ e.~.~... ~ ..................................... , ,, (as[ m ~ t~ mll or latest If ~lic~t is a ~atim, si~~e of ~ly ~t~ri~ officer. (~ a~ title of ~rate offi~e~) Pluubers License No ............... . ........ .. Electricians Licer~ No ....... ~ ............... O~er Trade's License No ..................... ~ Number County Tax Map No. 1000 Sa:tic Subdivisioc .~1 ['~.~. (N,~e) State existing use aed occupan( a. Existing use aed occupancy l. Location of land on dnich propc md *a~rk will be (lane .............................................................. Street llaulet ~_ ~ .... I.t.~...Z. m~k.. ...... G. ....... ~t ..... ~..4..,.i' co~c~e- to (~.. P.~ ~ .~. ~ .... Fated m~ No ................ ~t ............... ' 2. ~ of premises and intended use and occupancy of proposed construction: ....... .~:.,,~.~.c.~ ..... ..~.~r~ ~ ~.~ ;~.,o.~ .~.,~.,, ~, .......... ~oY b. Intended use and occupancy ......... ~ ......... [ "~' ................ tt~t~,~' "~9,'.,' f f,'glrl -,, ~ ............... 'VI,~ P OF ,~UF~VE, Y ~ I1~0 ~ENOR Po ~iv T COMPA IV Y ,~'7" ,S U E-,c"O /-.. K TOW/,,/ OF" .,_~,OU"I"HO/-o L ?