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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27137 Date: 06/13/00 THIS CERTIFIES that the building ADDITION & ALTERATION Location Of Property: EQUESTRIAN AVE FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 9 Block 3 Lot 13.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8, 1997 pursuant to which Building Permit No. 24506-Z dated NOVEMBER 24, 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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK A. BONSAL JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-509268 10/10/99 PLUMBERS CERTIFICATION DATED 10/28/99 MICHAEL GRAHAM ///Aut rize 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) Date.,...NOVEMBER..... ........................... 19..97.... 24506 z Permission Is hereby granted to: B&D„REMOD&RESTOR INC(BONSAL) . .................. P.O. BOX 477 ................................................................................. FISHERS ISLANDrNY 06390 .I ......................... to .....CONSTRUC.T. AN„ADDITION. AND,,,ALTER.,.AN„EXISTING SINGLE FAMILY . ............................................................. ... DWELLING„AS... PPL,I,ED FOR ............................................................................................. .................... .................................................................................................. ............................... ............ ... ......... ............................... EQUESTRIAN AVE FISHERS ISLAND at premises located aT.,.....,:.,. ............. ........................ ............................................................................................................................................................... 473889..... Section ..009............. Block ....0003,........ Lot No. County Tax Map No. .................... . . ..... pursuant to application dated ,,,OCTOBER 8 19...... 7...., and approved by the Building Inspector. Fee $..,..404.00 ...... 7 ”�1"/`✓/..................................... Building Inspector Rev. 6/30/80 I / . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY p DATE. . . . . . s.q 9. . . . . . NEW CONSTRUCTION . . . . . . .OLD OR/ PIU:–EXISTING BUILDING—10 VACANT LAND. . . . _ . . _ Location of Property. . . .q/U¢.�?'ry�1✓I_ �VQ,VIC�,�! . . . . . . . . . . . hA .TS�cG✓lp� DOUS'L' •NO. STREET HAMLET . . r�1�k A� Qnsl �r, Owner or Owners of Property. . q _ _ _ „ _ , _ _ _ , . , , a . . : _ . _ . County Tax Map No . 1000 Section .�!. . Block . .©�J. . Lot Subdivision. . . . . 1V/A . . . . . . . . . . . . Filed Map . . . . . . . .Lot . . . . . . . . . . Permit No. , ! : .Date of Permit �� � � r .Applicant u �ewtd ib'nq � vislaq,1 Vh �':`�; Health Dept . Approval . . . . . V��. . . . . . . . . . Underwriters Approval . . . . y•e,�, • , . s Planning Board Approval . . .Vor, - - - - - - - _ / Request for Temporary Certi/ficate . . . . . . . Final Certificate . . . . .X_ , _ _ • _ Fee Submitted : � F APPLICAN. . . . . . . le, .A. ; . . . . . . . rev. 10/ 14/88 110005 god 3 eo�a�137 - r r ' lL 03 M-1802 7 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ ] FRAMING [ FINAL REMARKS: ��' r DATE INSPECTOR Aow X1/20/1997 11:32 6172410266 R E SERGEANT PAGE 01 71 rs Gary Fish, Building Official Russell . .5ecant A I A Town of Southhold Building Dept. ARCHI3 Rowland TEt CCT 06355 Town Mall 06CP 536-3925 Southhold, N.Y. 11971 October 20, 1997 One Thompson Square Charlestown, MA 02129 (617) 241-0266 VIA FAX (516) 765-1823 fax: 241-0657 RE: Bonsai Renoation & Addition for B.D. Remodeling and Restoration, Fishers Island, N.Y. Dear Mr. Fish, Attached you will find a site sketch for the Bonsai Addition. I will send a stamped signed copy by mail as well. If I can be of any further assistance, please call. D � Dd Sincerely, C.C. David Beckwith, B.D. Remodeling and Restoration FIRST OF TWO PAGES 17 71 Gary Fish, Building Official Russell 'E. Sergeont, A.I.Q. Town of Southhold Building Dept. ARCHITECT Town Hall 3 Rowland St. IT19stic, CT 06355 Southhold, N.Y. 11971 (860) 536-3925 October 20, 1997 One Thompson Square Charlestown, MA 02129 (617) 241-0266 VIA FAX (516) 765-1823 fax: 241-0657 RE: Bonsal Renoation & Addition for B.D. Remodeling and Restoration, Fishers Island, N.Y. Dear Mr. Fish, Attached you will find a site sketch for the Bonsal Addition. I will send a stamped signed copy by mail as well. If I can be of any further assistance, please call. Sincerely, C.C. David Beckwith, B.D. Remodeling and Restoration FIRST OF TWO PAGE ---� l0CT 2 21W D BLDG.DEPT. ORIGINAL HOUSE 4 ��. & PORCH H4\\ -TPP gE zsmovs_lp \ efiv� 56 H A < I` X PROPOSED ADDITION Notes property \ 17-6" x 22' One Story Addition I. Thisis referenced as Lot#I from minor 10' x X Porch subdivision plan made for Roscoe Smith,et al., Equestrian Avenue, September 28, 1981 -Revised to 4/10/85 2. Present house is a non-conforming building [setbacks] with conforming use. Enlargement will not create any new / nonconformance nor increase the degree of-nonconformance / [Section 100-242 of Southold Town Zoning Code]. ( 4 V E L� � 3. Proposed Building Area: 3525 sq. ft. Approximate Lot Area: 58,350 sq. ft Proposed Lot Coverage:.6% ���E4 �C SITE SKETCH 1F (211ERIKSF 5 ; n. t 2 Bonsal Renovation & Addition Oct. 20, 1997 140 eont, R.I.A. 9. Ser for B.D. Remodeling and Restoration Russell ARCHITEC � �� Fishers Island N.Y. 3Ro brdSt M93tic.CT06355 ���c�026�� (OF` (86CD 536-3915 NE -1)3#- TEL. 765-1802 �pS�FF��CpG TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR z P.O. BOX 728 v' yc TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Building Permit No. �I ,5'116 7- Owner r r-An k 1',(� 'Borti-scul (please print) Plumber micliad 6eiiakAw1 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber ' s signature) 4!c,to bef re e thisday of. �Vt/�•- r 19 Notary Public Notary Publi>ssGC t� County THOMAS F.DOHVpTy J". - Notary Publla Stats of New York - No.4806568 OuDW100 In Sutfolk County Tsrm Expires 12i31dW I THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1075012 BUREAU OF ELECTRICITY, . F 40 FULTON STREET, NEW YORK',NY 10038, Date DECEMBER 10,1999 Application No. on file 9a'9 @0�9'f 99,:', ., N 509268 THIS CERTIFIES THAT r only the electrical equipment as described below and introduced by the applicant nomed'�n,theabove application number is in the premises of FRANK BONSAL, BONSAL, FISHERS ISLAND, NY in the following location; ® Basement ® 1st Ft. ® 2nd Fl. 3FL/00T - section Block Lot was examined on DECEMBER 03,1999 and found to be in compliance,with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS'- OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT I OTHER AMT. I K.W. AMT. 1, K.Wi , AMT. ] K.W. AMT. K.W. AMT. H.P. 51 89 60 50 1 1 3.6 i 1.2 7 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RECTT.I TIME CLOCKS,I BELL IUNH HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL X.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. �AMT,�„ CAMPS.' TRANS. AMT,` H.P. NO.OF FEET AMT. WAITS 4 , F 1 30 9 600 SERVICE DISCONNECT NO.OF S E R "V I, C E METER NO OF CC COND. AW.G, 3 A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. I 0 2W 1 0 3W 3 0 3W 3 0 dW pC 0 OF C0.C FSP: NO.OF HI-IFG; - OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 200 CB OTHER APPARATUS: PADDLE FANS F-6 G.F.C.I:-2 BD REMODELING AND RESTOR. LIC.#296 E L PO BOX 477 FISHERS ISLAND, NY, 06390 GENERAL MANAGER 11 Per This certificate must not be altered In any manner; return to the office of the Board if Incorrect. Inspectors may be identified by their Creden'tl,(IIS. COPY FOR BUILDING DEPARTMENT, THIS COPY:,OF CERTIFICATE .MUSLT,NOT 'BC:'ALTERED IN ANY'MANNER. FROM : JmO CONSULTING PHONE NO. : 653 0607 Nov. 06 1997 10:39AM P02 --------------------------------------------------- -----------.__-------. NOV—OA-97 THU ;0 :32 All REGI Y+MHP NY`DE�r 6 444 0247 P. 02 Now York State Departrnent of Environmental Conservation Building 40, SUNY, Stonv Brook, NY 777$0-236$ WETLAND JURISDICTIONAL, DI,,TERM]NATION QDate; 116' Nan1C: 2 0 e r' Q o�y e 1 X ` Mailing Address: 1 _, A l Project Location:P'c (4A U*a 14 Based upon the infolination you have submitted,and/or a site inspection,the Departrue f of Falvitonmemai COOseryalion has determined that _✓ your proposal to; �, AMi�St 4nea> a:yc4 mgrs .,S . c ".veyrpa. as depleted ol the Ian prepared vrtie -eyan "a"te4 ~v `9—s '-- " — is. b-/ O.M. 84noase As Beyond the jurisdiction of the Tidal Wetland Land Use Regulations(6NYCRR Pari 661)and/or the Fresh Water Wetland Regulations(6NYCRR Pan 663)and therefore does not require a permit bec4use; It Is greater than 300ft, ftom the tidal wetland and/or greater than too ft, from the fresh /water wetland boundaries. (TW and pWM ✓ it Is 100ated landward of the 10 ft, elevation contour, or landward of the topographic crest of the duo,;or bluff, (71v 0111y) ( ele ns,•:oL.i 0s- ) it is landward of a substantial man-trade structure greater them 100 ft. In length and IaWMUy constructed prior to August 20, 1977. (7W only) Listed in Pan 661.5 of 6NYCRR as a use not requiring a petxnit, (7W01gy) Please be advised that any additional work, or modification to the property or project av described, may require auuhorization by this Department. Please contact[his office if such changes are contemplated, la order to Protect our valuable wetland resources, please ensure that all oeeessary Precaurlonr are taken to Prevent any sedimentation or other alteration of disturbance to surface waters or vegclation within Wetlaods jurisdiction which may result front your project, %Ch precautions include maintaining an adequate work area between your project and the wetland jurisdictional boundary or erecting temporary fencing, sill soreens or hay Wits. Please be further advised that this letter does 001,relieve you of the responsibility of obtaini,ug any necessity Permits or approvals front other agencies. Very ttr��uly''y''ours, Charles T. Hamilton, Deputy Regional Permit Administrator Region 1 E Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ........ . . ...... DATE: ...IQJ31197......... A ISSUED TO ............FRANK.... 15PN�F .............. Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the' State of New York 1952; and the Southold Town Ordinance on- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on ..1.012.919.7... 19....9.7..., and in consideration of the sum of $..150,J0 paid by .ol-isq1tiug..for...FRANK...A.... B.ONS.E.;.....J4..................... of ....._Fishers,Island ... ... ..-........ N. Y. and subject to the ........ ... .. Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to constr. a 11X18' set of wood steps leading- tol� a 41X95' fixed dock elev. a min. of 3 1/2' above marsh, a 41XI6' ramp and a 61X201 float, all moved 10' to east, as per revised plans dated and received all in accordance with the detailed specifications as presented in the originating application. el IN WITNESS WHEREOF, The said Board of Trustees here-, by causes its Corporate Seal to be affixed, and these presents to, 10�', be subscribed by a majority of the said Board as of this date. j, .. .... . . ... . ..................... ........... -7 ......... ....................... es POW NO, 1 3 SETS OF PLANS . . . . . . . . . . TOWN OF SOUT14OLD SURVEY . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CIIECK , . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC TORN . . . . . . . . . . . . . . • SOUTHOLD, N.Y. 11971 TEL.: 765.1802 3.4WTUPY ; CALL Examined . . . . .e. 19 �� - t �� F1 {IL To: . . . . . ; . Approve([ . . , , . . ., 19��7Peinnit No. , ^ 8 1997 Disapproved a/c . . . . . . . . . . , .,i . . . . . . . . . . .. w. j IJP ( i it Inspector) APPLICATION On BUILDING PERMIT Date ... . . . ��. .:,�? . . , ., 19 1 INS'T'RUCTIONS a. 'T'lds 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 streets or areas, and giving a detailed description of layout of property runs( 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 Me�be kept on the premises avallable for Inspection throughout the work. . No building Whall be occupied or used in whole or In part for any purpose whatever until a Certificate of Occupancy sliall have been granted by the Building Inspector. *,APPLICATION IS HEREBY MADE to like 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 code, housing code, and regulations, and to admit authorized Inspectors on premises and in building for necessary inspections. , . Q? .o dd f.iv,g. .�s�v rtLt nj.I.nc (Signature of applicant, or name, if a corporation) (Mailing address of applicant) 'OG390 Slate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . .A!�- - i . . . . . . . . . . . . . . . . . . . . . . .. . • . . . . . . . . . . . . . . . . . , . . . . . , . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises ,bra rk. .A... .EiansoA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If app cant s dor (ionsigna�lurre�of d�luy au iorized officer. (Name of corporate officer) • Builder's License No. a !I4L-0.3.`. .�. . . . . . . . Plumber's License No. .��l. . . . . . . . . . Electrician's License No. . .��:! ^.�.r.. . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l t�.rT , . Cn 4.4Q : . . .OI . . h Ilouse Number pq�Street Hamlet County Tax Map No. 1000 Section . , . . . . . . . . . Block Lot : ���: , . . . . . , . , . • Subdivision . . . . . . . . . . . . . . . . . . . . . . , . . . , . Filed Map No. . . . , . . . . , Lot'. . . . . . , . . . . . . . . . (Name) Z. Slate existing use and occupancy of premis es and Intended use and"dcoupflgyy of proposed construction: a. L'xistinguse and occupancy F�Qe10 ��"'"'n b. Intended use and occupancy . . . . . . . . . :. . . . . . . • . . , . . . . , . . . . . . . . , . . . . . . . . . . . . l `4 3. Native of work (check which applicable); New Building . . . , . , Addition . . . 1,1 , . . Alteration Repair , , , , , , , , , , , , , , Rein l . . , , . , , Demolition . , . . . . . . . . . . . . Other Work . . . . . . . (Description 4. rstimated Cost . . . . . . . . . ..fog,'0.Q4. . . . , . . . . . . . . . Fee . . . . . . . . . . . . . . , (to be paid on filing tills application) 5. If dwelling, number c rs . . n 'units . . . . . . ,-i, . , , , , , Number of dwelling units on each floor • , • . , . , , , , , , , If garage, number of cars „ , �N./� . . . . . . . . . . . . . . . . . . „ „ • . . 7. Dimensions of existing structure occupancy, specify nature arl extent of each tyre of use 6. If business, commercial or mixed � J if any: Front , . . ,4 r�, . .6 Rear kr9 ,; �. .'„ Depth . . . • of . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories • �,1/� , Dimensions of same structure with alterations or additions; Front 6*?' 6, rr Rear . . Depth , . . . . . .Sar r. ,I. , Height . . . , . . • . . . . . . . . . . . . . . . Number of Stories . 8. Dimensions of entire new construction; Front . . , , Rear . , Depth Height . . . . . . . . . . . . . . Number of Stories . , , , . , . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . Rear , Depth 10. Dale of Purchase Name of Former Owner 11. Zone or use district in which premises are situated , 12, Does proposed construction violAte any zoning law, ordinance or regulation: . 13, Will lot be regraded . . . Will excess fill be removed from premises; Yes No I11. Name of Owner of premises f ,tea Clic A , PASO-'.Address 14,0/y, MO/;.flAil ,MA 11. one No.ft 1'.88 �al Name of Architect , , , , • , , Address ,�,'J lone No. Name of Contractor,( Orgd,L�)r�gtP,sJt�r, (RwAddress �' °4 ° 15. Is this property within 300 beet of a tidal wetland? '*Yes ,10^.7q,�9 * Yes. . . . . . . . No. . , , , , . . , If yes, Southold Tlown Trustees Permit may be required, PLOT DIAGRAM Locate clearly and distinctly all libuildings, whether existing or proposed, and indicate all setback dimensions f property lines. Give street and block inferior or caner lot. number or description according to deed, and show street names and indicate whe* i I h 1. , I ` I • DATE OF NE Y Kr S'S :OUN'TYOI . . u �.��,.�. . .,. . , (Nage of individual (i . . . . . . . . . . . . . . • being duty sworn, deposes and says that 11e is the applicant signing contract) bove named. le is the . . . . •l (Contractor, agent, corporate officer, etc.) 11' said owner or owners, and is duly authorized to perform or have performed the said work and to make. and file t pplication; that all statements contained in this application are true to the best of his knowledge and belief;slid that vol will be performed in file manner set forth,in the application filed therewith. ;worn/beforehis 19 9.? , , . , , , , Countybtic State of New York No,4806659 • ' Ouall In Suffolk Cell I, (Signature of npplirout Term ExplNs 1,2/31/90 i 22' R�PL�1Ge�XISTlN6 PORGIi PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS - EQUIRED BY PART.714 OF 3-q y2" � U L- .Y. STATE BUILDING CODE. NEW 21-6"DOOR NEW�'rMR P�lY PROVIDE SMOKE-DETECTING 5ccraN ALARM DEVICES AS TO PART.721.1 ®® g N.Y.S BUILDING COOL NEW 2'-6"DOOK HE PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING �/�j?Y�y/}LLW/IY _ DEVICES AS TO PART.902.6(K) N.Y.STATE BUILDING CODE 3 7,1i"�.v — DINING ROOM 0 PLUMBING ALL PLUMBING WASTE _ NCV KITG jffN 6 WATER LINES NEED Wall-)!e/'IOVeA l duary NEW Z'-6"DLLOR� Z� TESTING BEFORE COVEIUNG / N copper tubing is used for water distributing - system;piping shall be EX/57-/NG _ of types K or L only GOVIER1cD PORGY/ CxnnNa DOOR CXI9T N6 DOOR —a P/tNT1�Y �_cX 9T1N6 DOOR, LUMBER CERTIFICATION LEAD CONTENT BEFORE _ CI 771FICATE OF OCCUPANCY OLDER USED IN WATER pl r^a i S-'T l a J L FircploccEli UPPLY SYSTEM CANNOT a�°u' �s New PlrOoce WEED 2110 OF 1%LEAD. NEW Z'6"DOOR FhMILY ROOM UNDERWRITERS CERTIFICATE ' REQUIRED New wlfdow LNlN6 ROOM R--cxrnAeDDDF OCCUPANCY OR USE IS UNLAWFUL _'\y�e�RIKSRQy� WITHOUT CERTIFIC ex�m�DcnR �ne'rM000R ;-r��,�g�. a r�o OF OCCUPANCY ns, a �OF NE`N'l. ' 7�taAMi w•IRR R R--exrsra�rx�oie - ..,_. afouuAVA 111 C FOUNWMW ' �XlSTING FON PDUL.RE�i D l'CMOIACUAO 1PC -01PAQON INC. GHIIARw ! ROU • I • covfrry PORGH Am 4W J7�IM"�'AW,AN 0030 OA6lJW� &— S. INSULOM }. FINAL - CONI!Ij 6 ION �y `- J ° 11wMd11 BE COMPLETE FOII v�J�Q &WOW t ' ALL CONSTRUCTION SHALL THE REQUIREMENTS OF TNN•, - STATE CONSTRUCTION O WAW _ �r �rr►`, M' CODES. 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