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Home My WebLink About33695-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. OF OCCUPANCY No: Z-33067 Filed Map No. Lot No. THIS CERTIFIES that the build i.ng ALTERATIONS Location Of Property: EAST END RD FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 4 Block 6 Lot 4.3 Subdivision conforms substantially to the Application for Building Permit heretofore Filed in this Office dated FEBRUARY 20, 2008 pursuant t0 which Building Permit No. 33695-Z dated FEBRUARY 20, 2008 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 ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CYGNET MARINE LLC (OWNER) of the aforesaid building. SIIFPOLR CODNTY DEPARTMBNT OF HSAI,TH APPROVAI, ELECTRICAL NO. PLDMBERS CERTIFICATION DATBp Date: 06/02/08 2010490 12/26/06 02/09/08 GLENN GELLO tl} rize Signature Rev. 1/81 Form No. 6 TOWN OF SOUTI~OLD / ~~~ ~ BUILDING DEPARTMENT TOWN HALL 765-1802 .t..5 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or irilc and submitted to the Building Department with the following: A. For new building or new use: 1. Final Burney 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 Apri19, 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 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 I . Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirmning 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. __ ~~ New Construction: 1Old or Pre-existing Building: ~ _ (check one) "l- Q ~f ~ Location of Property: ~ ~ Gr ___ _ _ ~T/1~.~s ~ 4r House No. Street Hamlet ~ ,/ Owner or O~S~ners of Property: Jy~yl 1~- r~t~ii ~/{Cr/J Suffolk County Tax y~lap No L000, Secdon f~~ BLock y~~ Subdivision ~ f~npr,u~ ~ ~ Filed n4a ~ Permit Nn. ~ Date ofYermrt. Lo~S~Q~I Applicant _ - -- - Health Dept. Aphio~aL Jl/~~ Underwriters:lppto~al Planning Hoard Approcrd: --[t/~/¢' Request for. Tcrnporar}~ Certificate Fee Submnitted $ o),~~_ ~ ~~`1 3 I -~-- / Final Certificate Lot _~ QD Lot: (check one) Ap cant Signatw~c zr3 ~ ~. ' ~oS~FFOL,~~oG TOWN OF SOUTHOLD ti ;" ~' ~c OFFICE OF BUILDING INSPECTOR c°n ~,~„ P.O. DOX 728 ~,~'. ~ ~~ ~ ~ TOWN HALL ~~O! ~ r~~t- SOUTiiOLD, N.Y:. 11971 .. C E R T I F I C A T I O N TEL. 765-1802 '- Date ~ / Building~(P`ermit No. ~`~`--/ . Owner J d~h K ~GL{~1 ' (please p/r~int) Plumber Glevty) ~~ Ib (please print) I certify that the solder used in the water supply system contains less than 2/10 of l~.lead. /~ t%'~"' ~~ Gib%~" ' (plumber's signature) Sworn to before me this day of a rva/ -~NOtary public Notary public, ,~1/iw ~-on~iN County JU8TIN KARAT 111bTARY PUBLIC MY COMMISSION EXPIRES NOV.90, 2012 BY THIS CERTIFICATE OF COMPLIANCE THE ~ _ ~ "`~' 3 NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET -NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by Z 8 S CONTR. INC. PO BOX 202 FISHERS ISLAND, NY 06390-0202, JOHN KERN BOX 743 EAST END RD. FISHERS ISLAND, NY 06390 Located at P.O. BOX 743 EAST END RD. FISHERS ISLAND, NY 06390 Application Number: 2010490 Certificate Number: 2010490 Section: Block: Lot: Building Permit: BDC: ns11 .~~-~-~ Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system ing of electrical devices and wiring, described below, located in/on the premises at: 7~ ~~~5 ~f144''17 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 En forcement and Administration, or other authority having jurisdictio n, and found to be in compli ance therewith on the 26th Day of December, 2006. Name ~ Rate Ratine Circuit Tv e Appliances and Accessories Exhaust Fan 1 0 F.H.P. Oven 2 0 50 Amps Cooking Deck 1 0 40 Amps Disposal 2 0 F.H.P. Dish Washer 1 0 1.2 KW Air Conditioner 1 0 30.000 BTU Air Handler 1 0 Wiring and Devices Outlet 19 0 Fixture Fixture 19 0 Incandescent Outlet 45 0 General Purpose Receptacle 21 0 General Purpose Switch 23 0 General Purpose Dimmers 5 0 Receptacle 1 0 20 amp Laundty Receptacle 1 0 30 amp Dryer seal Multi Outlet System 5 0 ft Continued on Next Page 1 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. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET -NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises awned by Z & S CONTR. INC. PO BOX 202 FISHERS ISLAND, NY 06390-0202, JOHN KEAN BOX 743 EAST END RD. FISHERS ISLAND, NY 06390 Located at P.O. BOX 743 EAST END RD. FISHERS ISLAND, NY 06390 Application Number: 2010490 Certificate Number: Section: Block: Lot: Building Permit: 2010490 BDC: ns11 Described as a Residential 1200-1799 square ft. 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 26th Day of December, 2006. Name QT_Y Rate Ratios Circuit 1"v e Receptacle 11 0 GFCI seal 2 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. 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. 33695 Z Date FEBRUARY 20, 2008 Permission is hereby granted to: JOHN & PAMELA S KEAN 176 NORTH SHORE POINT VERO BEACH FL, 32963 for ALTERATIONS TO AN EXISTING DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 30687. at premises located at EAST END RD FISHERS ISLAND County Tax Map No. 473889 Section 004 Block 0006 Lot No. 004.003 pursuant to application dated FEBRUARY 20, 2008 and approved by the Building Inspector to expire on AUGUST 20, 2009. Fee $ 273.60 ORIGINAL Rev. 5/8/02 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) r ~33~~~ 5 r~ti~~cl PERMIT NO. 30687 Z Date OCTOBER 5, 2004 Permission is hereby granted to: JOHN & PAMELA S KEAN 176 NORTH SHORE POINT VERO BEACH FL, 32963 for ALTERATIONS TO AN EXISTING DWELLING AS APPLIED FOR at premises located at EAST END RD FISHERS ISLAND County Tax Map No. 473889 Section 004 Block 0006 Lot No. 004.003 pursuant to application dated OCTOBER 5, 2004 and approved by the Building Inspector to expire on APRIL 5, 200 Fee $ 205.20 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CNIMNEY [ ]ROUGH PLBG. [ ] IN CATION [ FINAL [ ]FIRE SAFETY INSPECTION DATE ~ INSPECTOR [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION 33~~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS TION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: ~~ ~~~ DATE ~ ~ INSPECTOR TOWN OFrSOU~HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 BUILDING PER.NIIT APPLICATION CHECKLIS" Do you have or need the following, before applying 33~~i.~ PERMIT NO. 3~ ~ o /f Examined t 20 y Approved t o >~ 20~ Disapproved a/c _ Boazd of Health 3 sets of Building Plans / Survey / Check / Septic Form N.Y.S.D.E.C. Contact: ~• Mail to: Za<S ~+~~^> -~ Phone: G3/-7~~-7~S^7 APPLICATION FOR BUILDING PERMIT Date 9 a ~ , 20 ~ INSTRUCTIONS a. This 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 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 a Certificate of Occupant is issued 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 forremoval 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. z~s ~,~>~ s ~ . (Signature of a plicant or name, if a corporation) ~o, ,l~or qua fs5rrs 1~s1~ ~y D/v39U (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~/vhn (as on the tax roll or latest deed) If appli~is a coyporatigpt, sjgnature of duly authorized officer (Name ~d title of corporate officer) Builders License No. /3 ~ r/o7 ~ Z Plumbers License No. 3'y'y ~S rrl /~ Electricians License No. y 7 9 8 m~ Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section OD`d Block ~ Lot ~° `r% o? ~.3 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and/ inte ded use and occupancy of proposed constntction: a. Existing use and occupancy ~ cSi%~y/t mi b. Intended use and occupancy c~'~s~ .~~w./,~j / 3. Nature of work (check which applicable): New Building Addition Alteration / Repair Removal Demolition Other Work (Description) 4. Estimated Cost ~~SO, ~~ ~ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height. umber of Stories 8. Dimensions of entire new construction: Front Reaz Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date 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 re-graded Will excess fill be removed from premises: YES NO 14. Names of Or•:ner ofpremises ti%o~, ~enN Address rc%s .[o/~ .V G~7/-7~- J991e y Phone No. Name ofArchitect /rJ/6~ ~ ~.~~~ r T~t4,u,,,u Address ,F~ZroE.r Maas. Phone No G/7-YS/- S7Yl~ Name of Contractor Zt5 ~.. .r.,~. Address ~ss.(ers ~/~...P N.u Phone No. G3/- 7€~- 757 15. Is this property within 100 feet of a tidal wetland? *YES NO X • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE REQUII2ED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. If elevation a[ any point on property is at 10 feet or below, must provide topographical data on survey. FATE OF NEW YORK) SS: COUNTY OF o(I~ ~ ~+~ ~/~ ~~i/~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (7t~eiu,( ~in,r~r~/rv~ (Contractor, Agent, Corporate 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 lmowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this o~R"~ day of S~ rk~~^ 200 ~( tary Public MARY a PANKIEMACZ Notary PuWk Slele d New York No 52267950 , CAmmiseiort F.t~res oV~~rJb ature of Applicant ' Q, 4.3 , ,~ G _. TOWN OF SOUTHOLD ~OPERTY RECORD CARD a-„ _:~- OWNER STREET VILLAGE DISTRICT SUB. LOT •`' ~ FORMER OWNEIb~o~~~t~unkastrusk{ N .. 1, ~ 1tGS~G ,. ~ E 1 A CREAGE q-,~ , ~Ge' S- Lylr~~;I-fl t $q(~{Mt€1 S ~ W ~ TYPE OF BUILDING crea 1 Y W ri ICES. ~ SEAS. VL. FARM COMM. I IND. I CB. I MISC. Est Mkt. Value LAND IMP. TOTAL DATE REMARKS /~ /~~~~,Q~„~, ~" 3 J'~ ® ( 2,1E, t'O Sd~ ~', LP - SNrtJ ~c/P<no ~ ~~ ff 2 /l~~ ~ 300 ~ ~ ~ .~.. t ~ - ~.~ ~ . ~ Z o /.r 3 ~ O ~ D o G /( l o t Y __ ~_ .. ~ e v .~ : ~Gr ¢~o Z Od ,,~~' oo ~8' hod ~ ~ 6 > ~ D Ofi~ Ce ~ ,. a~9':s~~' A~,E B I DING C9AIDITI •N z -L, I 3 23 {or IySnkr{'irst n ~1i4 s ~ (~Z't~ ~nk" tv NEVt~j/ N RMAL ELOW I 2 BOVE FRONTAGE ON WATER 4 ~' Form Acre Volu Per re ~ lue FRONTAGE ON ROAD _ c' d . ~ t~ ^ ~ ao I,Q ~- G-D v ; BULKHEAD 2 ( c ~ wa .tt. Tillable 2 li~/Qi! ~ DOCK Tillable 3 }. N~ C,1~ a2G fb- ~~ f _ v ~~~~~~ ~ ~ ~ Woodland ~n''~ ~ g qb 3 -L r ~ . . i'fa ~ .84 k S ~ ~ 65'0 Swampland ~ la (3 _ eZ,D - .c I 22 t Brushland Z O(ap (Q (Q(~ O p ~ ~1.~- uncQ e r ~ ~ Q 41 R ' H ~ "' House Plot ,3, 3 / cl ^ _ B .#- {~ ~- ~ ~ G 4+'/ ~ ~ +1 r S ~J ''T~~r:~ 3 3 -~P*~~ is ~ ~!-`~1~ ~ w ~- - 5 ~~~y totals/ ' E7',~~ ~ u 730/9 ~BP#~ ~~'~ ma-i~o o~0~5l1.`t ,Fer,ce h ~h 9 , a o~,. a i! riCirrri _.v tl~rnnn . , L'Jf __ I' _. J.E ,'Tf'~r.... -. \ in/_ /~.:, ~-, n'~~.~1~~~ awt:~ ~ ~('~ . - ((~rl. ~nr^ ~_ - `;~ ~~ t t- e_ ~ . %° ~ ~. ~ r ~~ °~ } .a f ` f i I ~, o ~ „- ~ - i ~ t o _ ,~ t ~ ~ ~ 3- ~ ;. ~ e - ~ r tt ~ 1 ~ L ~ i ) ~ `~ S $) _ _ ~~ ~ i 1 ~ - i L . . ~ i ~ ~ .~._. ~ - I I I ~~~ 'vl. Bldg. ~ ~ y~ yp : ~ ~~ f s ^~ y% Foundation i r t t Bath - _xtension ~ yr ~(,S'Ss !3 bD ~ :p Y /~ o d / ~ $ p Basement floors W xtension :xtension Dys~+ bKi = (~.1 / x ~e g's ~ ~ X 3~' "`/ ~/ ~ ;.' 9,~0 SO ~~ ~, .- S'i 7 p Ext. Walls Fire Place S ucta ~ • ~L '!~ + Interior Finish Heat ~~ /T ST ~„~ ~ , _ _ ~0 `~/~= Oe ,- ., Porch Roof Type '/~"~'fR Jf 3 % ~ S'2,S . ~ o ~ Porch Rooms 1st Floor 3reez~wayC ~ _ iq o X: ` D Patio Rooms 2nd Floor "aorage Driveway [AE~fo~ Dormer ~. B. 2g z8 2 8 001 w 2 xt2 ~c uY. QmLu~ w +"0.u ao $v~ 1cY~1.r 5~u ti ~ . '~._ i' ~en~~ APPROV AS NOTED 33~gS- DATE: o ~ B.P. a~3 ~~O~FE ,BY: far N '~FY BUILDING DEPARTMENT AT 765- i 6G2 B AM TO 4 PM FOR THE FOLLONJ!NG INSPECTIONS: 1. Fd~tP:~~ATiON • TWO REQUIRED FOG• CURED CO~!CRETE 2. RGi"3y -FRAMING & PLUMBING 3.:h ; ~ (~ 4. ~ ~.STRUCTiON MUST E. TE F0 ~. ALL :1TION ~ ~..L MEET THE RED: 5 OFTF~_ „ODES OF NEW YOR,~ VOT F )NSIBLE FOR DESIGN O~i NSTR.:,.,TION ERRORS. PLUMBER CEF ~~ TION C~~-~• - rAD ~'ONTE- -FORE ~' i~E OF UANCY ISEC TER s vSTE ~ dPJOT Eh~tcu z/lOC ~~ LEAD. PLUMBING ALL PLUMBIN ' ~STE & WATER LIN -p TESTING BEFQRc ,.,, ~ cRINO COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUifz~'~: '~'~ T CONDITIONS OF "-'~_~ TOWN ZBA ~~~_ TO'NN PLANNING BOARD '~:,, rJLD TOWN TRUSTEES m ~, S DEC OCCUPAfvC'' USE IS UN~_r _ ._ WITHC~I! ~~~.~ SKATE OF OC~,;_ ~ ~ ~. _ r L'"~ERWR!TERS CERTIFICATE RE::~iRED CERTIFICATION OF NA ~~~; 3 CONNECTIONS REQUIRED. SET THEE REQUI OFS TFIE CaDES OF NEW YOFi~(8TATE. FLOOD ZONE w -'f`"" COMPLY WITH CHAPTER "46" FLOOD DAMAGE PREVENTION SOUTHOLD TOWN CODE. _~