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HomeMy WebLinkAbout23865-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 z6 Bu' ding Inspector Rev. 1/81 FONX 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 .......... ................., >I9. ... Permission is hereby granted to: //�/-Pv.Adze e,--, 0.,Ff .... to ......................�: � .. ......... .:t, .. "�.�.�;r ..�. L(e6rl �/at ,.... .. .........:: '.. ... . ... ..... .... .. ................................................................... remises located at Gill. � �'..[�/. .C/.� ................. ............................................................................../. ................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ......... � .. Block .......49......... Lot No. ZI............... pursuant to application dated ....................0 .�.... ............. .. 19�f�, and approved by the Building Inspector. FeeS../.. .............. ....... ........................................Building ....................... 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, =a 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential I$15.00, Commercial $15.00 Date . .0G4o jee- 9/, IQW meta Construction. . . . . . . . . Old Or Pre-existing Building. . . . .. • . . . . • . . . . . . . . . . Location of Property.:..-:W. © . .. .1�d261v2�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet )nwer or Owners of Property. .;`,\ Q�lSh .'ounty Tax Map No 1000, Section. . .F. . . . . . . .Block. . . . . . . . . . . . .Lot. . �/. . . . . . . . . . . . . . . . . Subdivision. . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . ... . . . . . . 'ermit NO. . .�: �/ . . .Date Of Permit. �al.��/q�, , , .Applicant.-.��. F\ . :Q. . . . . . . iealth Dept. Approval.. . . . . . . . . . . . .. . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .Ll­�- ee Submitted: , �®, , , , , . , , . . . . 62S . . . . . . . . . . . . . . . . . . . . . . . . . . . BOARD OF 11FAi.•rn . FORM NO. I 3 SETS pf Pi.ANS . . . . . . . . . . . . . . . TOWN OF SOI1TiiOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING i)EPARTTIENT CIMCR . . . . . . . . . . . . . . . . . . . . . . . . . __ TOWN ilALL Si�.PTIC FORM . _ . .. . . . . . . . . . . . . . . SEC �C\ SOUTIIOLD, N.Y. 11971 TEi.: 765—I902 CALL l_ 9r . Approved... �., .. 19 Permit No. .....`�. ..��.�;a�,,wCS lot 5��. ° T Dirr�ppiwed ak ............................... ..!.C '... !'.. .y bril.cling Lnslmctor)' AP I CATION FOR BUILDING PERMIT q/, i)ate. �.�v.��!1 .�Q. , 19.G.�C! 1 NS'I'RUCTT.ONS a. Tlris application mist be crnrpletely .fil.1-0 in by Lypecrriter or in into and sulxnitLed to the lkrildink Inspeclor wil.h 7 seta of plans, accurate plot plan to scale. Fee according to schechrl.e. b. Plot plan showing location of Iot and of ixril.dings on premises, relati.ouship to adjoining premises or lxrbl.ic streets or areas, and giving a detailed description of layout of property vast be drmm on the diagram which is prirt of this aPplicat.ion. c'. Tire. work covered by this application Play not be rmmenced before ismince of A lding Permit. d. 111xm approval of this application, the Riltding Inspector will issr.re a Building Permit to the applicant. Such permj.t shall be kept on the premises available..for. inspecticrl lhrcxlgiiout the work. e. No Imil.d.ing slral.l, be occyrpied or Used in wllol.e or in part' for any purpose whatever until a Certificate of (kcvparxy steal-1. 1>ave been grarrted by Eire Ikrilcling Inspector. APPE,1Cnr.1(N IS BE MY ME to the ihr.ilding Department for the issuance of a Building Permit purmant to the iJilding 7.grre Ordinance of the Tam of Southold, Suffolk Cxxmty, New York, arxl other applicable haws, Ordirrrrnces or Regulations, for the constrcrctiorr of buildings, mli iLioxms or alterations, or for- removal or demolition, as herein described. The applicant agrees to canply with all. applicabl-e laws, ordinance-A, Ixii.1diny,�code, lrmsing code, and regulations, anti to a(hit autlxorized inspectors On premises anti in Nlil.di�ig f9r. rrece�rylinspections. t, vr.•ici , if 6•i:Vrl"n7r Jl iC711%• (rL�il..ir,g acklress of applicant.) State whether applicant is owner, 1-essee, agent, arch:i.lect, engineer, general contractor, electrician, p1mber- or Imil.der. ........................C.ENFrI�f�L GOIV'CcLzD�, ................................. Nave or- owner of preen i ses .....C...(.. ..t_S . i9.1�.4).S K n/ ... `fc:.'t%.'.F r......................................... (as on the tax.Egli or Latest deed) if: nppl-i.cant is a corporation, signature of chil.y arrttxrri.:r,ed officer. ........................................................... (Ns*m orxl title of corporate officer) Builders License No. P�Y.3. �.-, K�.. r'luibers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be ckxre..W�1��E2 NE f Si.n1 T 1....�i t �72j I Ste. % .._... ...................... ....................................6(� 6OftFIVTA �..H�v�e ........................ Ikxrse Nrxrber. Street 11-* let � Canny Tax Mrp No. I(X)n Section ..... V....... Block .. Lot .. SUM ivisio. ...................................... Filed Ptap No.R................ 1,rt ............... (Nmre). 2.. Slate existing use and occupancy off premises aril intemled use mxl occupatrcy of proposed constructi.om: a. Existing use and occup--racy _../.4 5.�.� —!i�T. h...................................................... b. i.ntemled use and occi3pa cy ...�..S !,.�T��L ................... d-p oQ r � 1. N•iluie of txuk (check aAriclt applicable): tk�j Il:rilclinl, ......... . Acklition ...V/..... AlLe?GraLion .. ... ... . . 16autir ............ Itertewal .......... ... Ik&rrlliLion ............ Other lk;rk .. .... ......._. ......... ..... ... .. 4. I:sl:lurid ed U)sl:`c..�1-��d��....... ... fee .. ....e......�....... ................. . ro be Ilaid on filing; Otis applicalioti) 5. If: thxA i ing;, rx,il>er of ch,rell1ng; uniLs . . .. .. ..... Mutter• of choel l ing; iuiil:s cxr eac:b floor .....I.... ... . .. if arag;e, txnl>er of czars ........ ... .... ...... .............. ... 61 if Ixtsittess, ccli ercial or mixed cxrupatxy, specify nal:ure aril extent of each type of use........ . . .. ..... ..... . I)intLnsit-xis of existing struatires, if auy: L"l-Oot:.. .9.8!7! 1.... hear - . '��?'.�o�.... Ikptlt .......',aQl Ik:iglrt: ...... 1!60....1............. Mul>er of Sl:ories ........I........... .. . 1 Uinr:nsicxls of setae st:rtk:tllre will► alterallcxls or ;ttklit:ions; Front: ..2�!7r� .,.. •Rear neptlt ....��J�.QO........ Iteig;�tt: ......1.4.00�...... M,rlxr of Stories ........... Il. Diutc:nsiotts of enLire rkKw catsLrtk:Lion: Frool: -..��!DDL....._ Itc:ar ... .IVA....... Ikptlt 22.DO1 r-�2taN�iLE) M►itx:r of Scories ..... ..I. . . . ......... 9. Sipe of lot:: I�rcxiL .... Q_�?p,........ Rear- ....� .•f?O......... Depth .:t. ?50.Oo.. ...M[l7bL� t Zoa.00l IO. Dart. of llrrt:hase � ?°J ?._�R�� 11Yre of Iorner (�,tter P G V L II- Z(xk: or use district iu t,Aciclt pranises are situated ..�c�.?l��!v gJl — ................. ........................ .. 12. Ikxa prulxtse:cl ccxrstrtkaicxt violate ally uxng ltrw, ordirulcx:e or regulatia 0l: ...�................... 11. Will lot: Ix: reliratled ....kJO............ Will excess fill. be r(:Ninved from pranises: YES 14) M. Mrtr:s of ()calker of presnises ........X.4.1 'J T.4j N..... /tiklrc ss 9 . .g.9.1...�.IG��CJ�... Illotle Ncl `•Z� ,?�a�,21 ,Z� Niue of Arcltit.ecL �:�,,/ (!J(�Q Ut��:�....... . .. .. Address TF MOW of tcxtl.rac:tor .SDI(fit...�.�L)C6 (. .......... fukires5 ..�1���Q�...�St'!T"'�. N� !.[ltor►e No �fE? JJL .. . I:i. is this prolx:rl.y within -0) feel of it Liclal wetlatxl? ** YES .......... NO .,Y....... All? Yl S, :i(11111i(MD 'ICxJN 'Ilt1lSlla S 17'sl�lC'1' MAY 1v Itl:.(X1lluel). PLOT DIAGRAM 4x:ate clearly arxl (list:iv aly all lxtgldings, wltell►er existing; or prolxrsed, aril iixlic:ate all. seL—back dimensions hotu prolx!rty lines. Give street aril block ixulrer or (lescriptino according to cked,,and sliow street rttrnes aril inclicare wltelher int(:rior or corder lot:. _..:w1GY>�K4JJ5'S'I'OII+Ti �15lt1;k�5-151:ANI9 RY.. _. . qV � f3t.z�iC 2.i.t�T:-qi-T�kX'F{A7'foz7o�::AFC-rCO11.lZ i 1 i wXI�TLFt.(�r::�LK'f.'PKN..f W. 5-J.T. 5I'L:h.N i .i i 11Alt•lIY (A" ...J��l Q. .(....... Te �o N VbUGE ..... . .. ..........Ixzing; duly MAKI), delxrses aril says that: be is the applie:erul (Nerve of irklivickral signing conr.racL) erlxlve rknrtul, lit! i:; Ilse .....00 le................. ........................................................ .. (Contractor, ag;enL, corix)rate officer., el.(:-) of: said owner or owners, ulkl is duly aul.horized to perfonu or have perfonrrecJ the said work arxl to ntitlee arkl file This appl icirLiou; lhnt: gill. stater tents contahled io Otis application are t:rlie Lo the Ix:sl: of his l(lx),alcxlge Mid Ix:l.iE:f; mxl Ihtrt. the (xrrk will Ix: per.for rid in the u4unx�r set forth in Ole appl.icat:ion filed U►el---wink. :tixrnr &bef`o ore thisML . . ....... .... .(lay (�I: S��' ). THOMAS F.DOHERTYJR. "il;ualure ol` Appl icanl.) Notary Public State of Now York No.4806559 Oualiflea In Sutfolk Cou ty Term Expires 12/31/0 f t" 1� _ .. Ado e:P A. _..... ..... . .... _ r api��'ss: i 4 Imo` 'I ! I ie 1 j�.'• �N 4 I A 'r a7 +.M �� +5 Tie•' vY��. yJ' �(y dv e' {�rS 1: , fl�..,�.,.,.... „r•v ..s_.za.,......F k ,.:.:,.w u..s�im4w-u^,�.a.'rsaoa - .. -i6�:.u.r.:.,.m�.vcy+s-.n^xiuslmr.,�;.m.�w+...-.-.wn .w....::..._::.�m..x-,.Pry n.�� ._ «.,.,.,......wr.�.cA.d...<:1 lm.r .rm.....r•:...-,... w,n.�.,r.Y..«...,.r.....M...-N....:..�..,._......_,:,.,,..,..__ "......,.._.:---------— a ipc .;�++9���iiA,�<Q��'�s.e.—v+., ,�+✓.�+.-._x.: ....,_...�:_..:.-. :-.vxN.r....-+",..e..ewr. �,�.. .w.»cxrw.a ,ww� " ... Leq'�', I ( :. ' !t,} r."4 N',�u��Y; �,I•`r... .. ,`� I i• l. 1�I f I�i t.��u P Z ! ,I! d,.,t` iµ'• a r +a. I 1 J • .u.rt'I L�liar i } �'e� e�k+� 'I:r°s�` n� Y-''Vim(• )t✓"s t a i .•-v^7 rY. 1'At;,, i; r Uy UN S N t�.�l '9 .. _ fl. P'05W'NAV i4a,1P pb�11 0 ED PIS UhditAl�Uf T CERTI YFil CATE /' PEE. i.iP�I` OTIF R&3II_L7—WrG ,i ffiT- (",if� 16 a-3802 9 AM TO 4 PN4 FOR THE FO1LiL:C3WING INSPECTIONS: N i, FOUPJDATION - TWO REQUIRE6 ' OR POURED CONCRETE 3. INSULATION -4. FINAL CONSTRUCTION MUST S G,qi�3E COMPLETE FOR C.O. ALL. CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y,::.;: STATE CONSTRUCTION & ENERGY K Kry CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS; ta0 is C, ..�_.r.....—......... a ..—....t } .. Z >e `f " y �L4 - oG , Y r � L a 1 CNN a 7.�K�d 14e• o - i S, KADUSHIN RESIDENCE v - Fisher's Island New _ York. - � d New Deck Extension Scale: as noted Date: 9/30/96 f ; ' ! \ ' - `/��/y -.. - Gary Woodard Architect / 161 West 10 St NY NY 10014 212-741-5038 a , f s I \("i��l "; ,ram '��.•.��-G�_, �__��i�-,`�, 9 r C _ �XII �� I��I I � . DUI• �a ��� __ 5 � f N/5, 5', /A I o I4 N- t-� w b�G�K E r _ .. _` .yUl �l��l'ZI�:I-��S...Y�DI►-��1""'.a �I�I-f"�%I�!�.:_I51;-!�N'I�_�_N.y' . . . .,_-:: ... ...... ..... ..._._ __. , - _ v, V- 0 K '\\'U :. m fo : ii V V r C� 2 �-� r _ D r i