HomeMy WebLinkAbout31152-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32495
Date: 07/30/07
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 53250 CR 48
(HOUSE NO.)
County Tax Map No. 473889 Section 52
(STREET)
Block 2
SOUTHOLD
(HAMLET)
Lot 1. 2
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 18, 2005 pursuant to which
Building Permit No. 31152-Z
dated
MAY 20, 2005
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 AS BUILT ALTERATIONS TO AN EXISTING MOTEL BUILDING AS APPLIED FOR.
The certificate is issued to SUNSET POINT LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
2054978
07/11/05
PLUMBERS CERTIFICATION DATED
07/26/07 GREENPORT PLUMBING & HEAT
~~6.,~
Rev. 1/81
I B_Ou. PEP '. .
TOWN Qf ,5!,\JT\t.Q' D
. .".. 'APPLICATION FOR CERTIFICATE OF OCCUPANCY
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
.1rvaJ- .550$ n. Q...~
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'7&5 -J!) .33
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I. 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 trom Board of Fire Underwriters.
4. Swom statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % 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:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and 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 ofCertiticate of Occupancy . $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction: Old or Pre-existing Building:
Location of Property: ';'3 ;l t.:; 0 AJ Or"'if!. Rd
Housc No. Street
Date.
t// (check one)
<"". fu/J
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Hamlet
Owner or Owners of Property:
C' "
.:.JL( t\ S'"
P,,,,.d
L.Le-
Block ,- 2 . - :2 - 7 3 Lot
5'z - 2. - I. 2-
Filed Map. Lot:
Suffolk County Tax Map No 1000, Sectionj '73 88'i
7.
Subdivision i7 3 {j ~ q
Pennit No. 3 i I :5 2 - Z Date of Permit.
Applicant:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval: ~_.___
Request for:
Temporary Certificate
Final Certificate:
v
( check one)
Fee Submitted: $ 5 CJ. -
to 3';,)Y'l-5
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Applicantfi atur
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
40
BUREAU OF ELECTRICITY
FULTON STREET - NEW YORK, NY
10038
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I Application Number:
~ Section: Block:
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CERTIFIES THAT
Upon the application of
upon premises owned by
DOROSKI ELEC. INC
P.O. BOX 781
CUTCHOGUE, N.Y. 11935,
. SUNSET POINT LLC
53250 NORTH ROAD AKA RT 48
SOUTH OLD, NY 11971
53250 NORTH ROAD AKA RT 48 SOUTHOLD, NY 11971
2054978
Certificate Number:
2054978
Lot:
Building Permit:
BDC:
ns11
Described as a Commercial occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located inion the premises at:
First Floor, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code andlor standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 11th Day of July, 2005.
Name OTY Rate Ratio!! Circuit ~
Miscellaneous
of 16 motel rooms in 2 bldgs
of 16 motel rooms
Alarm and Emergency Equipment
Exit Light
Sensor
16 0
i6 0
Smoke
Appliances and Accessories
Cooking Deck
Panels
16 0
20
Amps
150
30
Wiring and Devices
Receptacle
Fixture
16 0
16 0
16 0
32 0
General Purpose
Incandescent
General Purpose
GFCI
Switch
Receptacle
Service
I Phase 3 W Service Rating 200 Amperes
Miscellaneous
seal
Continued on Next Page
of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
l!I~.l!I
I BY THIS CERTIFICATE OF COMPLIANCE THE I
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ DOROSKI ELEC. INC . SUNSET POINT LLC ~
~ P.O. BOX 781 53250 NORTH ROAD AKA RT 48 ~
~ CUTCHOGUE, N.Y. 11935, SOUTHOLD, NY 11971 ~
~ Located at 53250 NORTH ROAD AKA RT 48 SOUTHOLD. NY 11971 ~
~ ~
~ Application Number: 2054978 Certificate Number: 2054978 ~
I Section: Block: Lot: Building Permit: BDC: ns11 I
~ Described as a Commercial occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located in/on the premises at: ~
~ First Floor, Outside, ~
; A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
; authority having jurisdiction, and found to be in compliance therewith on the 11th Day of July, 2005. ~
m:J Name OTY Rate Rating: Circuit ~ F.!l
~ Commercial Inspection Fee ~
~ Service ~
i Service Disconnect: I 200 cb i
~ Meters: I ~
~ ~
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I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
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Town Hall, 53095 Main Road
P.O. Box lIlY
iouthold, New York 11971-0959
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Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
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Date:
Building Permit No. .3 J J 5 2 - z..
Owner: Sf.-(/1seT Pot'n+ LLC S~/j/J~ MlJk.f
(please print)
Plumber: 0f2ef!!poR-t fLuJrJ3(N#) ~ fkA1fN1
(please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1 %
lead.
4fl/h -0?~_~........--,,,,,~. ~
(plumbers ignature)
Sworn to before me this 2(n
day of
,
, 200-=t-
NotaryPubiic, ~county
Suffolk County Department of Health Services
Bureau of Public Health Protection
PERMIT
To Operate a
Temporary Residence
This is to certify that
Southold Beach Motel, Inc.
the operator of
SOUTHOLDBEACH MOTEL
at
NORTH ROAD
SOUTHOLD, NY 11971
Located in the TOWN of SOUTHOLD in SUFFOLK County
is granted permission to operate said establishment in compliance with the provisions
of Subpart 7-1 of the State Sanitary Code and under the f(JIlowing conditions:
(I) This permit is granted subject to any and allllpplicable State, Local and Municipal Laws,
Ordinances, Codes, Rules and Regulations.
(2) Capacity 15 units.
Effective Date October 01, 2006
Permit is NON-TRANSFERABLE
.~ ~,IIp IJIH
Brian L Harper, M.D.,M.P.H.
Permit Issuing Official
This permit expires on September 30, 2009 and may be revoked or suspended for cause.
THIS PERMIT SHOULD BE POSTED CONSPICUOUSLY
Facility Code 51-4149 Permit Number 51-4149
18.1725: 6199cg
DOH-1320 (2192)
(GEN-129)
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)
20, 2005
PERMIT NO.
31152 Z
Date MAY
Permission is hereby granted to:
SOUTHOLD BEACH CAWLEY'S
333 HOUSTON AVE
MINEOLA,NY 11501
for :
AS BUILT ALTERATIONS TO AN EXISTING MOTEL BUILDING AS APPLIED FOR
at premises located at
53250 CR 48
SOUTHOLD
County Tax Map No. 473889 Section 052
Block 0002
Lot No. 001.002
pursuant to application dated MAY 18, 2005 and approved by the
Building Inspector to expire on NOVEMBER 20, 2006.
Fee $
400.00
,
or~
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY PfABE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
th ~:U 1CJb,~ '"~
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DATE b - ~ ---Dl
INSPECTOR
52-2-15
3/15l.--C
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
\~/~
--...--
.,-.,.,.~.--
[ ] ROUGH PLBG.
[ ] I~ATION
[ ;'(FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
Co
.
DATE~k~7
INSPECTOR
,
51/52-C-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] IN!!.UL"ATION
[ ] FRAMING I STRAPPING [~AL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
(
.
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DATE I /13 lo!;;
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INSPECTOR
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FIELD INSP.zctrION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
~ sets of Building PlanS)
Planning Board approval
-E:surv'P
Chec
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
PERMIT NO. g II ':)0> 2-
Examined
,,,/
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I
Approved
Disapproved ale
20 -r-
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,20-C
Mail to:
Expiration
,20_
Phone: -t'tILl-7/,O-5i7?
.rE54\-cn~- 737 3
fJ4')- '1D' 30-
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01"'[;<:--<
APPLICATION FOR BUILDING PERMIT
Date
5/;8
I
,20 O~-
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
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 a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLlCA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, 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.
(Signature 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
O'.L.Jrler
Nameofownerofpremises Su....".:-\- 9.0;..," I Lf"
(As on the tax roll or latest deed)
If applicant' a corporation, signature of duly authorized officer
Builders License No.
Plumbers License No. .,,{"3 7 (~ - ~ (-l
Electricians License No. a.. q 4 I ~
Other Trade's License No.
I. Location ofland on which proposed work will be done:
5' 3),,5"0 N(')RT\A 1<.00,0. (2,T I...\~ , P.O Box 7lfl
House Number Street
SOlAtt\oLD I A)F-"ld ~lc1.1lll
Hamlet
County Tax Map No. 1000 Section
Subdivision
5;)
Block :l..
Filed Map No.
Lot f.;),
Lot
- 00'7,3
(Name)
2. State existing use and occupancy of premises and il}ten4ed use and occupancy of proposed construction:
a. Existing use and occupancy YY1 () 't!!:.1
b. Intended use and occupancy
{rlrJ Ie /
3. Nature of work (check which applicable): New Building
R~air _ t Removal Demolition
~5 hI> <f-W't)
4. Estimated Cost 2q bOt) Fee
Addition
Other Work
Alteration
(Description)
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or .additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_
14. Names.Qf~~premises th
Name or-~t .::roSP,41)'~u
Name of Contractor .
Address Phone No.
Address /)u>~4~PhoneNo 67/ 7tf~--ct61-
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO _
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
V0\f- L CA N IS I)*,,~ '\
(Name of individual signing contract) above na
(S)He is the
being duly sworn, deposes and says that (s)he is the applicant
ed,
!-
orate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make 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 forth in the application filed therewith.
Sworn to before me this ~ .~
~~ayof ' 200 >
AJJ I ft~ .
Notary Public
Signature of Applicant
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N. '~t,'" \';.iO..SIate.. of New York
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N 61'59'lO"E 121.27'
S 61'59'10'W 121.27'
TAX MAP 1000-052-02-007.3
AREA = 9,429 S.F.
OR
0.216 ACRES
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APP OV D AS NOTED
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DATE: !? O"V ') B.P. # ..3 ( I :;/2'Z-,
FEE:~) By~l2-
NOTiFYlUiLDING DEPARTMENT AT
765.1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
~ 2'-O"~: FOUNDAil(it9''rwa-REarnFED
.uu.'u OR.
3'.0 ~iH. FRAMING & P U ING
3 INS LATION
4 I' AL - CONSTRUCTIO M T
" /BE COMPLETE FOR C. .
A L CONSTRUCTION SHA L ET THE
R QUIREMENTS OF THE C D OF NEW
Y RK STATE. NOT RESP N LE FOR
fEJPI ~TRUCTI N RRORS.
~
FLOOD ZONE IV 111
,
COMPLY WITH CHAPTER "46"
FLOOD DAMAGE PREVENTION
SOUTHOLO TOWN CODE.
SOUTHOLD BEACH MOTEL
Unit: OFFICE
.
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UNDERWRiTERS ~E~~,FICAI~
REQUIRED
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Bath: Replace all fixtures with
. new pedestal sink, toilet
shower
Kitchen: existing to remain
Repair sheetrock as required
1c--4'-11"
EXISTING KITCHE
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
, SOllTHOLD TOWN ZBA
K SOUTHOLD TOWN PLANNING IlOAIIl
SOUiHOLD TOWN TRUSTEES
N.Y.S. DEe
I I
CCUPANCY OR
i . SE IS UNLAWFUL
+-. "ITHOUT CERTIFICAT
~"'F OCCUPANCY
J---8'-9" J
2'-8"~_~
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ALL CONSTRUCTION SHAlL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
JOSEPH FISCHETTI PE
PROFESSIONAL ENGINEER
1725 HOBART RD / PO BOX 616
SOUTHOLD, NY 11_
631-765-2954 .
14'-5"
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5 FOOT KITCHENETTE
14'-5"
SOUTHOLD BEACH MOTEL
1
Unit #1
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,
Bath: Replace all existing fixtures with new
pedestal sink, toilet, shower.
Kitchen: Install 5 foot kitchenette with cook top
sink and refrigerator below
Repair sheetrock as reqired and replace studs as
required.
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~i'25 HOBART RD / PO BOX 613
SDUTHOLD, NY 11971
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5 FOOT KITCHENETTE
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10'-0"
SOUTHOLD BEACH MOTEL
Unit #4 Unit# 3 and #2
Bath: Replace all existing fixtures with new padestal sink,
toifet, shower
Kitchen: Install new 5 foot kitchenette with cooktop and
sink
Repair sheetrock as required and replace studs as required.
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~J',25 HOBAF1T FlD / PO BOX
SOUTHOtD, NY ~! 1
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TCHENETTE
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3'-0".116'-8"
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9'-9"
I"
SOUTHOLD BEACH MOTEL
UNIT #6 AND #5 REVERSED
Bath: Replace all fixtures and
replace with new Pedestal sink,
toi/et and shower
Kitchen: Install 5 foot
kitchenette with cooktop and
sink
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JOSEPH FISCHETTI, PE
PROfESSI()NAL ENGINEER
lf~tDfm RDJ PO SOl( 616
'S(!jl!Jll1llfOJUIll, _ 11119111
631-765-2954
2'-6'"x6'-8"
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3'-O"x6'-8"
SOUTHOLD BEACH MOTEL
Unit #8 Unit #7 Reversed
Bath: Replace all existing fixtures with new
Pedestal sink, toilet and shower
Kitchen: Install new Kitchenette with cooktop
and sink
Repair sheetrock as required and replace
studs as required
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7'-0"
2'-5"
oIl:
SOUTHOLD BEACH MOTEL
Unit #9
Bath: Replace all fixtures with new
Kitchen: Install new 5'-0" kitchenette with cooktop and sink
Rebair sheetrock as required and replace non-structural
studs as required
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SOUTHOLD BEACH MOTEL
UNIT #12
Bath: Replace all existing fixtures and install
pedestal sink, toilet shower
Kitchen: fnstaJ/ 5 foot kitchenette with cooktop,
sink and refrigerator
Repair sheetrock as required and replace studs
as required.
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SOUTHOLD BEACH MOTEL
9'-10"
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UNIT #13
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Bath: Replace all existing
fixtures with new pedestal sink,
toilet, shower
Kitchen: Install kitchenette with
cook top and refrigerator
Repair all sheetrock and replace
studs as required.
7'-6"
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JOSEPH f-OtS;"" .., '",
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PROFESSIONA'- ENGINEE:'
1725 HOBART RD / PO BOX
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3'-o"x6'-8"
KITCHENETTE
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11'-10"
I
SOUTHOLD BEACH
MOTEL
UNIT# 17 #16 REVERSED
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Bath: Replace all existing
fixtures with new pedestal sink,
toilet, shower
Kitchen: Install Kitchenette with
sink and cooktop
Repair sheetrock as required.
Replace studs as required.
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PROFESSIONAL ENGINEER
1725 HOBART RD / PO BOX 611';
SOUTHOLD. NY 11971 . J
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11'-9"
5'-6"
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3' KITCHENETTE
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9'-5"
I
SOUTHOLD BEACH
MOTEL
UNIT# 18
Bath: Replace all fixtures and replace with new
pedestal sink, toilet, shower.
Kitchen: Install new 5 foot kitchenette with cooklop
and sink
Repair sheetrock as required and replace studs as
required.
2'-1"
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3'-0"1(6'-8"
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PROFESSiONAL ENGINEER
1725 HOBART RD / PO BOX 615
SOUTHOLD, NY 11971
631-765-?954
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2'-0" x 6'-8"
12'-0"
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12'-0"
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SOUTHOLD BEACH
MOTEL
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UNIT# 19
KITCHENETTE
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Bath: Replace all fixtures and
replace with pedestal sink, toilet
and shower
Kitchen: Install Kitchenette with
cooktop and sink
Replace sheetrock as required
replace studs as required.
.1
A
JOSEPH FISCHETTI, PE
PROFESSIONAL ENGINEER
1725 HOBART RD I PO BOX 616
SOUTHOLD, NY 11971
631-765-2954