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Home My WebLink About23865-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25359 Date: 11/12/97 THIS CERTIFIES that the building ADDITION Location of Property: OFF ORIENTAL AVE FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 12 Block 2 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 9, 1996 pursuant to which Building Permit No. 23865-Z dated DECEMBER 18, 1996 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 DECK ADDITION TO EXISTING DECK OF ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES KADUSHIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A '0eJ-- z6 117 ding inspector Rev. 1/81 FORK NO. 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) N° 23865 Z Date ...........: ... .e......../,r.................. Permission is hereby granted to//: ot .72...... ... . . ..0. ,7yQ.... /at rematedated a � d�1l iL' ..i4l.... .....4521 of 0./ m `.................. /-!.. / ... ................. ................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ......... ?�� Block .........P......... Lot No. Z ...... pursuant to application dated ................. .............. 14L.4;r�, and approved by the Building``�Inspector. Fee S.•1.. .. 01 .......... . ............. Inspec .............. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD 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 all 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 installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. 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. 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commerci��ayyl $15.00 Date . .0c4ober . . . . GJ; IQQrl. New Construction. . . . . . Old Or Pre-existing Building. . . � . Location of Property.. C)( �CY1tQll\d2f\JQ. House No. Street Hamlet. . . . . . . . . . . . . )nwer or Owners of Property, l -n"{'e� . . .` ?� � �) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . )ounty Tax Map No 1000, Section. . . F . . . . . . .Block. . . FF . . . . . . . . . .Lot. . �/. . . . . . . . . . . . . . . . . subdivision. . . . . pp .Filed Map. . . . . . . . . . . .Lot. . •, ,4 'ermit No. . .C90g 6� . . .Date Of Permit. Xr�. IAA/f. , , .Applicant.��(_ . Qpvl: �?�;, , , lealth Dept. Approval.. . . . . . . . . . . . . .. . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Tanning Board Approval. . . . . . . . . . . . . . .. . . . . . .. . request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .4� . 'ee Submitted: V4 •oo � s ::� ... . . . . . . . . . . . . . „PQ How 1-10—1-1-4-- _LL--1-41-- Ix wee. 'now jV it imp A I-P Pr UA Al I is, ------------ ------ t o " Gyp AS NOTED Lin.,. /i �r PATE: q9H lR � Ft 13Y: GtpJ t C)iIF ��sIIL.L7�NCro DE AT, 241 �u -P3(J7 9 AM TO 4 PM FOR THE € 3i.LOb"dING RMISPECTICms! „kAJO REQUIRED - 2. t„)LJGH - FRAMING 8 PLUMBING J. INSULA11ON: 1� 4. HNAL .. CONSTRUCTION MUST -- - s e*f/78F COMPLETE FOR C.O. Oxy ALL. CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE MY STATE CONSTRUCTION & ENERGY YK yyy CODES. NOT RESPONSIBLE FOR ' DESIGN OR CONSTRUCTION ERRORS o2'�b p4�h0” tc("vf is i r i sea+- yy � t4 — oG , i diMwl � R � P x r i ap �r tR #y'f,� � 1• Jii F t ra Y �P 6 t �p r x VV V J � f [ — ..—s. ...+- ��.. ^'-�.Irv.+ 4*. �'^-'^^•�' r�.� � •—�p:X�}t"� F AMI l3. x oil'�' 9a BOARD OF IRM1.I11 FORM NO. 1 3 SRTS or '1,nNs TOWN OF SOUTHOLU SURVEY . . . . . . . . . . . . . . . . . . . . . . BUILDING DRPAWRIENT CIIRCR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALF, SEPTIC FORM . . . .. . . . . . . . . DEC 9 �� ; SOUTiIOLD, N.Y. 11971 TrI.: 765-I0OZ NO'1'IFY: CEkWt-iL-S I<A, )V5RIN (y� CALL ISx�nirx>tl.p.Y ._1.df..., 19 ' . g HAIL TO: 194. Permlt No. �a. Disapproved a/c /JlIIJ U(�1( dIU (0025 ...... ... .. .... AP I CATION FOR BU11.DINC PERMIT //gi�pp qq INSTRUCTIONS a a. 'This application must he crnipletely fillgd in by tylewriler or in ink aril mdmitted to the Wilding InsperLor with 3 sets of plans, accurate plot plan to scale. Fee according to achethde. b. Plot plan slxiwing location of lot ant] or. buii.dings on premises, rela(ionship to mijoininp, premises or pdb]ic. streets or areas, aril giving a detnited description or, lay(ut of: property Past be di-mm on the diagram which is part of. Obis application. c' The work covered by this application Pray not he emr.enced before issuance of iknilding permit. d. Upon approval of this application, (he Boilding inspector will issue a lkrilding Permit to the applicant. Such permit shall be kept on the premises available for, inspection throrglnoot the rank. P. No Imilding shall be ocrklpieil or used in wloie or in part for arry prrpose whatever until a Certificate of fkonpmxy rhal.l, have been grmbted by the Ikulding Inspector. APPI.i(:mati 15 urmivi twx to tine wilding Department for the issuance of a Hoilding Permit phrsoant to the Ilnilding 7Rne Ordinance of the Town of Smithold, Suffolk C(xmty, New York, ani other applicable Laws, (Mlinmx-:es or Regulations, for the comtniction of buildings, mlilitions or alterations, or for mmN.31 or demolition, as herein describe(1. The applicant sprees to comply with all. applicable laws, ordinmiceq, Imildin. rale, Ixusing cote, and regulati(ns, Wal to admit mhLhorixe(l inspectors on premises atxl in Iuildirg f acre v�inspection. i'tatl-?-r:f apj.i i.^,aL','i}r•rk'nk;y rf a'cor}.r aCi rnrr. FISE} s..154�:N� � oro3go _ ....... (toiling address of applicant) Slate whether applicant is (xaner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. : . .............G2EN�teftL GOAL KA-,-_ry , ......... ... ..... .% .............................................................. Cw ✓j �eS Nare of owner of premises ....... ............L1.ti.�.�1 SYr�n/ ....�e..(?!.�.F.r......................................... (as on ore lax roll or latest Gleed) IF nppI icant: is a corporation, signature of (lily anhtnrimi officer. ......................................................... (N7ne nal title of corporate officer) q Builders License No. a`�.iy. ..I�"H.�........ Plunhers License No. ......................... Electricians license No. ..................... Other Trnde's license No. .................... I. Location of incl on Aiicii prrrprsoxi work will ie (kxx ..W.h`P....Nf(S {... N.. ............................................................b FF 6 0fI Fk/TA 4.."&.JL)t...I.................... Ikxme Nuriber street ryry N�..rler Coxbty Tax Map No. I(x)n Section .....JAS....... Block .. ..(.... Int .. .. �p Slrtxlivision ...................................... Filed Map rens'............ ... Lot ............... (Name) 2. State existing use arr(1 occupancy Of premises aril intea)e(I use mxl ocerrpao'y or proposed Construction: a. Existing use and occupancy ... ............: ::: b. ia(erxkd use and ocoipancy ...�� b 1�C"i i-j/�t� aP gG� I. I,Ilule of lank (dwck booing , ,y V �O � :ftl icuhllt): Nx,r Ikrild'Ing; ... .. ... .. Atklflinn ..... . .. . . Alleralion . . .. . ... . . Mlulfr .... . ...... . RedlovaI . ..J...... ... I"dolitfon ..... .. .... . 011ier lkak . . . . .. .. .... ... .. . .. . .. . ... . . . . . . . /i. Ed( iovaed Qmt ..7. ¢J. I.... .. .. felt ... ... .. ..r.....�.. ........... ... ...... .... . U I oa I to Ix: favid on filing; thin npplicdcirxl) II` AmIIhilt, otnl,er of: AmlIloft,!till i(a . . . . .. .... . IAulier' of Amlling till ilu (XI each IFIoor .. . .. . . . . . . .. Ifgill age, lxal,er of card .. ...:.. . . . . . . . .... . . . ....... .... . . .. . !r. 11' Ixtihleua, /armtercial or alixe(�I occufwtx:y, apiacify lulture alol extent of ellrh type of tide.... .... . . .. ..... ..... 1. 11 idioms i(x IN of exi at illg al rlxaurell, If ally: C/ra d.. .... hear I.. . . Depth . .�Jrt�A�. ..... NoslifL Ik lld1' a r of 8l oriail .. ... . .. . DInxual(xla o)f dttYhe blrlxore NMI allLiaC!(Molt o; : ldicio,fH: Front f Hear .... .... I fI,l1 . . . ... 1.4sA0. . ... . . lAilber of stories . . . I... ... ..... 11. OluKmAoidi of entire Ixad constfoliA foil: Praxd ...� . ...... Mur ... .�`l�ft.. ..... Iteplh . . YZ.DO... Ik,ioll N1.I?i:.prrw.(ill .p� .. ... ... Ildar ... . .! .. ... . .. ... I)<:plh ..... ........... ...M6nf1L� 7:.204,00( Ill. Mile of i'lln.haue .Q �. !� .,�.tIYnY: of FolliLl (Miler P� �-�V L,. 'I,�, .......... 11. ZAXo: or title dials icc fn tdlitll jltoidaea are aituatetllr:.. ... ...{�..1l.NN11.. .... . ......... ... .. ........ . .. 12. lkxaa prolxai/a) laM ell Cix:t IIXI violiille any x/xllllg 17u, /n'111tull a (lr' regol Ldoo: .. .IV V..... ..... ........ I'!. Will log Ix: lel;rrxled ...AC. . . ...... .. Ni 11 exreds fill Ile raloved frau praei Nea: YI?S N) i4. NYlxd of t)Woet. of delitiden ... I1!-/t+nlL �� a r� N G 5 1C�,? GFi t- f/-� L.... �J..(.Y�a . .... AtklrcaN ..... .. ..f.4.f.....`{.l4CJ..... Hood Pk,. Ni+n: ill' Artllfler.l .. ... .. . .... /vklreaa1PQI�f'llax: Nn.Xl:Z- i,-, �!= r JcrN - - I I Y 4.Q... ........ ....... .. . A(kh rias .. F.1��'fe:Q�..,.f'/�r'!r.,':'R.o6J'...I11nlu: Nu;716 ;7�,`d'8:.N9 l4nx: tilt I)rolx!aet til ,(�' 1,(: of it tidal weclaoxl'! A PIKS ...... .. .. N) . ,Y....... �l) I'i. IN Ihis ,rox:rl t+llhu, i(1(1 fee(: all/ ws, 6(AIIII(MI) 'I"M -11als117ig mime, !NY III: la? vilai0. 1 LOT IIIAORAll l4wille clearly viol disullwdy illl IXlildings, bllel'ller exlsl.ing or prorxrsed, and llolicace all sec-back dfalenafona I:rrru prollelty lhiea. Oive street aool blot:k nul,er or descripti(XI a(•.rording to deed,,arol dlxxv atreet tunleN alxl itxlirafe idwlher interior or r(frlter loc. I%/ P01 iia VolWr, GI4kOOKI, 116LAHP,W 01,�K -e i LDT"'h i'row NAV lofal :iaCr108 12 fai"artIOK I.DT � � "'7'i.e71 Oa �JrANK op-wny �sl4 ;I'Q MAtµIco7nP 1.78 A6M✓,) b� ryy N 7tIM�G WMr ,. �/� z TSi I ao.Sei G ,✓K.� r1X16TINU OI K? bK LV�WA`('1 r/ �LOGK, j mjtXal1r� - 7 5otFNb 51 T E' f;LhN 1 S I'KIF LH+ IddN (Nt1<, 8 IXXIll IY (M' 1 YQ N DbUG'�T"(' .....'L . ... ... .. . . .. .... . .. .Ix:ing duly ab)nl, delx,Nem unit mays that: he ill the applicant (Nina; of irxlfvidoill Nilol lg contraCtli) alxrve o doled, Ik: it; the .....�Q��'��"�tOI� .. ... ........ ................ ... .. .. Wontractor, nge'll corlo,rut'e officer, elc.) nl' chid ("oLl- or wix:ra, poll IN duly i111t11orfZed to perfonx or have lion forded the mild b)rk mlol to xalke Will file IIIiu application; thus' all sl'al'tai •non coi)L'aiixd to this application are Itlw to the lieuI' of his ko(MI Xlge mil Ixll iefl id X1 Ihnl th in:rk Nill Ix perfor x l ill lha Idiot r Net fordo in the applfcal.fon I'fled IherijiriLll. tAvtan lu Ixa'u uY; Ihiti 1 , ....... ... . . ... .day TWOMAS F.DOHER' .. .....� .... .. . ... T'y JR.! 9iguature ill` Appl i(:anl ) Notary Public State of New Vgrk ' N0.4606559 i , Ouaafle0 In Suffolk Cou ty, Term Expires 12/31/0 — KADUSMN RESIDENCE Fisher's Island, New York New Deck Extension / \ i hua� fi� MA1�N15�c� h( l Scale: as noted Date: 9/30/96 Gary Woodard, Architect / 161 West 10 St, NY NY 10014, 212-741-5038Uda j T _' I7LGkI N G1 I XI b b L<- Sy I SKI co `1'AK17- I ! i 1/411 -- - - - - - l�! --1 -6u . = I -U' WI�f7�121-155 h011-I.'I� 4 �Ih�FI�IC�S 15�Rf�41�� N.Y f31=F.�1< - 2-I L-oT -II I T�kX Mr�p I 000l ��-rION- I� M til KL- fwl p EXI51 a N l G1yK1. 78 A( r5) �o> %y r -- - �� L�4,0G K 4� - 51 T t� � L �cN tt - - 50 Lollt t