HomeMy WebLinkAbout6465-zB~ DEP~
Tewn Cler*~s Oflee
Southold, N. Y.
Certitia Occupency
No. a5~91 ...... Date ............0.c.~ ..... ~3 ..... , 19.
THIS CERTIFIES that the building located at .. ~o~7 .~x,®ek · Dr- .......Street
Map No. Oore~..¢k. Ea~lock No ...........Lot No...1+.... I/oUtb,c~ld.. I/~¥., ..........
conforms substantially to the Application/or Building Permit herelofore ~ed in this office
dated .........April. · .9..., 19.7~. pursl, nnt to which Building Permit No. ~1~.~.
dated ............. .il, pr. il...9., 19.73., was issued, and conforms to all of the require-
ment~ of the applicable provisions of the law. The occupancy/or which this certificate is
' isimed is .Pr:Lv. ate..ane, family. .d'ee~.lirig .......................................
The certificate is issued to . .Dop-,a, ld, ii, .Lee..ql~.t.t~vay ..... .oi,'p.e.r. ~ ................
(owner, leSSee or tenant )
of the aforesaid building.
Suffolk County Department of Health Approval ....0.Ri;...1.7.. ~.l 9.7.3....~.I~..R.: .V..l.l.l.a.
UNDERWRITERS CERTIFICATE No..}l..1.1.9~. .... Dat.. ,q.l.. ~9.7.3 .............
HOUSE NUMBER ..... aQO ....i Street. ~.~ey..~:eek .l}r~.v.a ....................
· OR~ ~0. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N~ Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 6465 Z
Permission is hereby granted to:
P,,A~e~LPmmll..li~.(L...D. onal~...~t, aw~, & Wife
........... ~:~e~po~'.t ...............................................
to ..bu.'[ld...~.ew...on~.. t'~millr..~.wa lling ....................................................................................
at premises located at .~.O.~....~..t ......... ..C..o.~.e.~....C...z,..e..e.~...~...s..~...a..t;...e.~ .....................................................
:..~ ....... .~ ................................... .Cn~:e.~..C~ek.. ~n~ .............. Sour ho't4 .....................................
pursuant to application dated ................... .A.~..~.~..~ ....... ~ ............... , 19~.3...., and opproved by the
Building Inspector.
F.e $~.6~. ...........
Electrical Inspectors, Inc.
308 East Meadow Avenue
Easl Meadow, NY tl554
Office: (516) 794-0400 (631 )396-7474
Fax: (516) 79a-5854
Website: www.electricali nspec tors.com
Email: in fo(/belect ricalinspectors.com
Mail To:
Sun Power Systems
Scott A. Maskin
245 Ronkonkoma Avenue
Ronkonkoma, NY II 779
License#: 33412-ME
Certificate Number: 06-1027
Municipality: Southold, Town Of
Inspector: 125
Issue Date: 2/16/2006
Property Address:
Young ~
200 Corey Creek~a~*'~
Southold, NY~
ELECTRICAL A P P R 0 VA L R TIFI CA TE
Application#:
AREAS LISTED BELOW ARE APPR/O/YE/IJ,/BY INSPECTION
AND FOUND TO BE IN COMPLIANCE W~R I~JZ~ATIONAL ELECTRIC CODE
hNeOre~;;;llodwetbo~ljt;~vere tbunO for the electrical inspection pro~tTnsatisfactory conditions were found in the areas
Residential Inspection ~
Solar Photovoltaic &,stem / J ~
Richard M. Bivone
President
Philip F, Goehring
Chief Electrical Inspector
Not valid unless signed by an
authori/~ Ell Agent
TOWN OF $OUTHOLD
Building Department
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building
Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and
installations, a certificate of Code compliance from the Architect or Engineer responsible for
the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural
or topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in-
formation required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date . .0.~ .~.9.~.~.T....~.~.,... ~.~).?...~. ........
New Building ..x...x.,x. ............ Old or Pre-existing Building ............................ Vacant Land ............................
Location Of Property ~g~.~..~.~.e~.~..~.~.e..~.~.~.~..~...?~t~$~?.~.~.~9~.~.~..~..k. .............................................
Owner Or Owners Of Property ..D..°..n...a..l...d....R..;....~....~I'.e.e....E..;....C...h..e.'~.?..?..w..a..Y. .................................................
Subdivision C..o...r..e.f[.....C...r...e...e..k.....E..s...~..a.~..e..s. .................... Lot No. _.4. ....... Block No ............. House No...2..C)..9. ....
Permit No...B...4...B.,5. ......... Date Of Permit .~'..-..g...-..7..~......Applicant %).,....~..h..a..tr/.~..a..w..a.~9./.9...g.,.....~.;.....P..°..?..e..l...1
Health Dept. Approval ..O.?..~........]:.?..t....]:.g..?..~.. ............ Labor Dept. Approval ................................................
Underwriters Approval ....O.?..~.........]...]:,~....];.g..~.~.. ............ Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate .... ..x..~...~. ..............................
Fee Submitted $ ...~.:..0..0. ........................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant C. ~', Powell Green~or$,, N.. Y.
Sworn to before me this ~
~z day of ~ ~ ~ (stamp or seal) ~~
Nota~ Public .................................... County ~ ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
[~ 85 JOHN STREET, NEW YORK, NEW WORK 10038
THIS CERTIFIES THAT
only the electrical ~qulpment as described below and introduced by the =pplicant named on the above application number in th~ premises of
Donald ti, Chattaway, ~/~,i~t Cory Creei~ Lane, ~,out,~olc, L.I.
inthefollowinglocatlon;oC, rob e ~ ~asementl 1 n'f ~ ~ lstFl. [] 2nd FI. outsld(: Sectlo, moc~ rot
was examined on · -' ~ and found to be in compliance with the requirements of this Board.
FIXTURE L I I FIXTURES RANGES COOK NG DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ~ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT M~V~C~¢~¢ ~T. K.W. AMT, K.W. J A.V,T, K,W. ~T. K, W. AMT. FI. p.
DRYERS I meNAGE MOTORS I FUTURE AmlANCE FEEDERS ;PECIALRECPT TIMECLOCKS I BELl. IUHITHEATERS MULTkOUTLET DIMMERS
. . ,. . 1 II1
SERVICE DISCONNECT I NO. OF I S E R V I C E
METER NO OF
OTHER APPARATUS:
Per
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
SUFFOLK COUNTY DEPARTMENT OF HEALTH
H.D. Reference NO33~-j
APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS
Approval to construct said systems is requested,pertinent data herewith: Date~_~~
i-Applicant Phone 6-Sub .div
Address Ce V. Povell ~7_SectmonCV~.~
2-Detailed~ ~ion ~.Z~' '~ 8-Lot No.
Hamlet w
OrA' W~nl~- ~%e~ we~? ....
.... 9-Private
3-Public ~$~ply name ~*m~e~Distance to nearest main
4-Lot Size~ Width.._.~ft. ~%9~ft. (also enter on center plot plan'~l%w:)
10-Proposed system. Septic tank ~_/Precast ~.__/Cesspo~s ~_/Shallow pools / /Other / /
il-Septic tank insi.de.dimensions.~ Volume~,,_~gals. Length i~t. Width ft. Liquid depth ft.
12-Precast sections. ~,_/Number~./Squa~VFt. Cesspools: Block sizeL incs. D ins. H---~ns.
Total blocks below inl~et: ~1 ~2 ~3 ~^ ~ ~ '~.
C~apa cit~_Gal s.
.P.M.
~ade
Street
Indi
No
The Undersigned CERTIFIES: "Construction of authorized installations will be in
accordance with the Suffolk County Health Departments' current Standards, Bulletins,
and amendments thereto, covering Private Sewage Disposal Systems".
~ .~ ~ ~ Signed
Date
FOR HEALTH DEPARTMENT USE ONLY. Based on the informatioR presented herewith, it is the
opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System
can be installed on this Plot.
Date Signed
(10/65 Revis.)
S-15
~ate
'th
Data ~eet
0
2
( 4
~ 6
~ 8
~ 10
· ! 12
~ 16
1¥
sou'mou~, N. V. ~/-
....... . ........
............................ ......... , Pe,,,,it No ....... ..................
( Ulldtng In, tar)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS ~
a. This application must be completely filled in by typewriter or in ink und sub'mitt~d in d~pllcate to the Building-(
Inspector.
I~lbllc streets orA
b. Plot plan showing location of lot and of buildings on p~emises, relationship to adjoining premlees ar thio appllcatton. I
areas, and giving a detailed description of layout of property must be drawn an the diagram whlch I! part of
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building InspectoF will Issue a Building Permit to the applicant. Such permit~
shall be kept on the premises available for inspection throughout the pragress of the work.
e. No building shall be occupied or used in whole or In part for any purpose whatever until a Certificate of Occupancv~
shall have been granted by the Building Inspector.
./
APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Bu Idlag Permit punluont to the~
,Build!ng Zone. O~inance of the Town of Southold, Suffolk County, New York, end other applicable I.awl, Ord nantes ora
~egulotlons, tar the construction of buildings, additions or alterations, or for removal or demo It on, al herein delcrlbed.'N
ne applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations.
(Signature cf applicant, or name, If a corporation)
380 gobiueon nd greempor$v N. Zo (Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premise~ Done&& ~ Lee Ch-~ave,y
If applicant Is a corporate, signature of duly authorized officer. ~
(Name and title 'of corporate officer)
4928 4
1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ........................
Street and Number ~oze~r ~zeek L~ae lleut~old, 1. I.,
..~ ~ C~ Municipality
2. State existing use and occupancy of premises and intended use and occupancy of prppaeed comtructlon:
a. Existing use and occupancy B~I:LI.d~Lug ]~1_a%
b. Intended use and occupan:', ~oside~al DW~14u~
3. Nature of wo~k (check which applicable): New Building ~..~ ........ Addition .................. Alteration
Repair .................. Removal .................. Demolition .................. Other Work (Describe) ......................................
4. Estimated Cost 140~000
(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 ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front ....~/~....t. ........................... Rear ~6e' Depth
Height '~5'~ Number of Stories
10. Date of Purchase ..................................................... ;..Name of Former Owner .C..o..z....l~....C...~..e.~..e~....~.~....t~...t,..?.?.~ ..........
1 I. Zone or use district in which premises are situated ..~...e..~...J:.~'...l~...../f'..:rl:.e:.]'.. .........................................................................
12. Does prOpOsed construction violate any zoning law, ordinance or regulation? ...... ~..e. .................................................
]3. Name of Owner of premises~.....(~...?:.~..~...l:~?..~. ............... Address ,,G,z-..e....e~..~.o.?...~. ...................... Phone No'..4.~.?...-~...~..~....
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of ContractorC. e...[a,,1,.~e...~.e.~..[. ........................ Address G~le..e~..]Da~f' Phone No
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro~:
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or comer lot.
STATE OF NEW YORK, tee '
COUNTY OF ..............................
...~...~........~'.~eX:~... ........................................ being duly sworn, deposes and says that he is the applicant
(Name of individual signina application)
above named. He is the ................~...':.......~..~ ....................... .........................................................
(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; th0t 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.
Swam to before me this
Notary Public, ............................................................ County (Signature of applicant)
I~ON~LO
So u I-~OLD
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