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HomeMy WebLinkAbout14923-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15947 Date July 13, I987 THIS CERTIFIES that the building ..... q n..e..f.a.m..i .1.y.. d..w.e.l. 1. i..n.g ..................... Location of Property ...3.99..E.a.g.l.e. Nest Court Laurel House No. Street Hamlet County Tax Map No. 1000 Section ! .2.7 ......... Block .. 09 .Lot 03 S ............................... Filed Map No. 7770 .Lot No. 3 ubdivision Golden View Estates .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...4 p.r.i.1...2.2 .... !.9.8.6 ..... pursuant to which Building Permit No. I4923z dated M a y 30, I 986 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 ......... ·..Q,n.e.. ~ q~.~.l.~. ,d?.e. ! ~. ,~.n.a ,...2..c.a..r, .g.a.r..a.g.e.. ..................................... The certificate is issued to GOLDEN VIEW ESTATES, INC. (owner, ~e~s~rr~ ~bt) of the aforesaid building. Suffolk County Department of Health Approval ...... 8..67.s.q-:.2.9...J..u.l.y' 10, 1987 UNDERWRITERS CERTIFICATE NO .............. ~.8.0.3.8..9 .5. AP..r ./.1.. ! 5. :.. 1. 9..8 .7 .......... PLUMBERS CERTIFICATION DATED: May 4, 1987 / 0luilding Inspector Rev. 1/81 I~OBM 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) 14923 Z Permission rs hereby granted to: ...... ~../...-..~.~ ...... .~..~.~J..,-...~ .............. ,o ...... County Tax Mop No. 1000 Section ...1.**-~..3 ........... Block ...***O***?~, ..........Lot No....O~.,,**~** .............. pursuant to application dated ......C~......~....~... ...................... , 19..~..(m, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date May 4, 1987 Building Permit No. (please print) Plumber BERTSAND PLUMBING & HEATING, INC. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (~lumber' s signature) Sworn to before me this · ~ day of 3~ , / 19F? Notary Public,,.~ County Notary Public oooo6 THE NEW YORK BOARD OF FIRE UNDERWRITERS pm BUREAU OF: ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,ot~ April 15, 198'7 ~pp,,¢.tia. No.o, fi,~ 4i.9932-86 N 803895 THIS CERTIFIES THAT o~ly the electrical equipment as described belotv and irtgroduced by the applicant named on the above application number in the premises of Carmine Rufrano, Eagle Nest~ Laurelwood Lane & Dead End~ Laurel~ in the follo~,i.g foc. tlo.; [] l~.s.ment [] Ist Ff, ~2.d ~7. ,%~io. Btoc~ Lot tt~sexamlnedon April 6, 1987 a"dfoundtobelncompllanceu'iththereq.lre.~entsoft&isBoard. 49 63 49 49 DRYERS FURNACE MOTORS FUTURE APPLIANCE F$EDERS TIME CLOCKS UNIT HEATERS MULTI*OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: Elec o Room Heater/s: 1-1.25KW Motor/s: 1-1bp 2-G.F.C.I. 1-Smoke Detector S E 4/0 C NO OF HI,LEG AWG. OF HI4EG 1 OF NEUTRAL 4/0 Gustav Bartra 227 Eo Breakwater Rd. ~attituck, N.¥o 11952 Lic. 1529 GSNERAL MANAG$~ This certificate must not .be altered in any manner; return to the office of the Board ~f incorrect. Inspectors may be identified by t~eir Vcrede~tials. COPY FOR BU!LDING DEPARTMENT. THIS COPY OF CERT FICAT~E MUST NOT BE ALTERED IN ANY MANNER OF SOUTHOLD ~ ~' TOWN Building Department JUN, ' Town Hall ~i ~:' * Southo d, N.Y. 11971 ~U ~ .................. APPLICATION FOR CERTIFICATE OF OCCUPA~C~ ............................................ Instructions A. This application must be filled in typewriter OR ink, and submitted l~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Fina~ 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 installa- tions, 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 pmoperty 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of-occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.'00, over 5 ]years $10.00 4.Vacant Land C.O. $ 20,00 5.Updated C.O. $ 50.00 Dat6. ?.~.n.e. 9.: I98.7 NewConstruct±on......X Old or Pre-existing Building ............ Vacant Land ........... . . 300 Eagle Nest Court Laurel, New York Location of Property ..................... ' House No. Street Ham/et Golden View Estates, Inc. Owner or Owners of Property ............................................................ I27 09 03 County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. 5/30/87 ~ . Golden View Estates, Inc. PermitNo. ]4923Z Date of Permit ......... ~pp cant Health Dept. Approval ........................ Labor Dept Approval ........................ Underwriters Approval .....N8.03895................ . .Planning Board Approval ...................... ×z Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ 25.00 Applicant ...................... Rev. 10-10-78 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DAT INSPECTOR TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. .~./_--< No Underwriters Certificate on file. /_--~ NO Health Dept. Approval on file. /--/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. ~Building Permit Building Dept. *** _~-~o~?2,u_mber Solder C~e i~fi~ate on file. ( all permzts-~.V~l=~i~g plumbing being issued~a'f~er April 1,1984"~~ FIELD ~INSPECTION --3----~ FOUNDATION COH~ENTS FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING I ~. Y. · G CODE FINAL ADDITIONAL COMMENTS: T6S-1802 ..~~k BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ~]/FOUNDATION 1ST [ ] ROUGH PLBG. [ ~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ]65-1802 BUILDING DEPT, INSPECTION /FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE INSPECTOR 765-3,802 BUILDINq DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ] FINAL REMARKS: looooe= THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Ap=*1 15. 19e? Ap~,,..,,o.~o.o./,,. 419932-e6 N 803895 THIS CE~IFIES THAT o~y t~ ~t~ ~uipment ~ ~c~ ~ a~ int~ by t~ ~t M~ ~ t~ a~ ~t~ numar ~ t~ p~ o~ Canine Rufrano, Eagle Nest, Laurelw~d ~M & ~ad ~d, Laurel, N.Y. in t~ ~lowi.g I~.tion; ~ ~nt ~ Ist FI. ~.d n. ,~tlon BI~A ~t ~sexamin~on Ap~ 6. ~987 andfoundtobeincompllanceu'iththerequlrementsofthls~rd. RXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS SWITCHES FLU~ESCENT 49 63 49 49 SERVIC~ Dle~ONNECT OTI~R APPARATUS: Elec. Roo~ Heater/s: 1-1.25KW 2-G.F.C.Z. 1-smoke Detector S E R V I C E 1 &/O i 4/0 Guitar Bartra 227 B. Breakwater ~attituck, N.Y. 11952 Lic.1529 This ce~ifica~ m~t not ~ alte~d in a~ manner; ~urn to t~ off~e of ~e ~ard if incorrect. Inspectors may ~ identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN AHY MAHHER. TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 TEL.: 765-1803 BLDG, DEPT. TOWN OF SOUTHOLI) Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of OccupancY shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant 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 for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buil~code,/bm~g cpd~ and regulations, and to admit authorized inspectors on premises and in building for necessary~s.,~.,.__~ 'lu2[ . ) '/~//ffc,c{x,-r-~ /f(Signature of a_tSpli~aht, or name, if a corporation) ,.,. p., ............ .............. · · ' (mail±ns ~t~Ire~' of appl±cant) ...... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. ..................................................................... Name of owner of premises .(~..f~..~:A?.: .~./~-..~....~--. ~..'-~....~..~. '... y.~./..C:... ............................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder s LicenseNo ......................... Plumber's LicenseNo ......................... Electrician's License No ....................... 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 ...... I..~..~ ....... Block .... ~ .c..~ ......... Lot .... .C?/'.~. .......... Subdivision..~-?...°..[w..X~.~..~...~.! .~..hD.....~--..~.' .T-~....~...~... Filed Map No...-2...7.. ~.~.... Lot....~. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ... ~ .[ ~..C~- .L-.E~ .... · .'~-..~...vx~..%.~. X ......~)..~. ~-. L ~-. [.hd. Co ....... 3. Nature of work (check which applicable): New Bu/lding ~ Addition I Alteration Repair .............. Removal .............. Demolition ........ .. Other Work ............... (Description) 4 Estimated Cost ~ .O..C?./ d~.~ZY-~ Fee .' (to be paid on filing this application) 5. If dwelling, number of dwelling units .............. Number of dwelling unit on each floor ................ If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each typb of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ i ...... Depth ....... i ....... Height Number of Stories ' Dimensions of same structure with alterations or additions: Front ............. ,' .. Rear .................. Depth ...................... Height ........... ., .......... Number of Stories .............. ./ ....... - 8. Dimensions of entir~ new construction: Front ... :~ ......... Rear .... c~. I 'i ... Depth ...'~.~ ........ Height ....~...C~..'. ..... Number of Stories ....... ~ ............................................... 9. Size of lot: Front .. [ ~t..~>.,. 7..(q. ......... Rear .... I..~..C~.: 6~ .~ ....... Depth ...~...7..~,..~f~]i ....... 10 Date of Purchase Name of Former Owner ' 1 1 Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ....Kl..q~ ........................ 13. Will lot be regraded .... I~ ~ .......... Will excess fill be removed~ from premmes~ Yes ..._ ,I51_o 14. Name of Owner of premises ~.-~'~..~,~ .~.t~.- ...... Address .~].-.~.~..~. ¢'.~.~,~ ./~.c...p... Phone No. 7./.~. Y..7..~.~. Name of Architect B ~.~..~.... Y.. ~.~..~9~... Address ) ~, .~?.P~..~..~.~ '~hone No. 7.~..'7... I ~. ~. } .... Name of Contractor .......................... Address ................ !... Phone No ............... 15. Is this property located withinli00 feet of a tidal wetland? * ~es ..... No ~.. · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indlicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. d&l,&~f~E~ k/ '~>~ L~c_c._~ being duly sworn, depo es and says that he is the applicant (Name of individual signing contract) above named. He is the i. (Contractor, agent, corporate officer, etc.) ~ of said owner or owne~, ~d is duly authogzed to perfom or have perfomed the said work ~d to m~e and file this application;that all statements contorted ~ this application are true to the best of his mowledge and belief; and that[th~ ~ork will be perfomed in the m~ner set forth in the application filed therewith. Sworn.to before me this ......... ~ ............. day of...~l ............ , 19 .~. Not Public, ..... ~q ~].~...~.. ........ County GOLDEN VIEW ESTATES SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE~ LOT 3 "GOLDEN VIEW ESTATES" AT LAUREL DATE: NOV. 26,1985 FOR APPROVAL OF CONSTRUCTION ONLY ~N ~ SOUTHOLD SC*LE: ~"=50' DATE . HEAL~ DEPARTMENT-OATA F~ APPRO~ TO C~STRUCT mE ~R~ FOR WHOM THE $U~EY IS PREPA~EO ~c. ~ ~] ~ ~NDER AVE~E YOUNG YOUNG NOTE: ~ = MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ALDEN W. YOUNG: PROFESSIONAL ENGINEER OF SUFFOLK COUNTY ON AUG~,198~ AS FILE NO. 7770 ANO LAND SURVEYOR N.Y.S. UCENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR ~ L~ ~LlW),~IC T~NK(1T)e CE~S(~) ~N ~E~ N.Y.S. LICENSE N0.45895 BRANDIS & SONS INC, 1046 ~ ~ ~ SUFFOLK OOUN*~ "~ALTH ' ~ LOOATION HAVE BEEN tN~PE~i ED EY Tr,~S DEPARTMENT AND ~ FOUND TO BE SA[ISF&CTORY, ... _ chief of ~aste~'te~nage~ SU~Y FOR ~ .......... ~ GOLDEN VIEW ESTATES [ ~ LOT 3 "GOLDEN VIEW ESTATES" MAR. le,19e7 ~UNE 4~1986 b AT LAUREL OATEn' NOV. 26,1985 JUN 8 19~ ~WN ~ SOUTHOLD SCALE: ~"=50' SUFFO~ COUNTY~ NEW ~RK NO. 85-1511 SURVEY · 4 VI~ATIOff ~ SECTIO~ 720G ~ THE H~ALTH SERVICES . ~: ,~w Yo,~ STAT[ (~CAT~O, C*W mHg~~~, iNC. NOT BE CONSIDE~DTO BEAVALID T~U[ COPY HE~ DEPARTMENT-OATA F~ APPRO~ ~ C~STRUCT &~o ~ ~S ~LF ~ ~ TITLE c~, ~OV~N- ff ~F~O. T~ MAP ~l~q SECTI~ J~7 ~K ~ LOT ~ H~E~, AND TO ~E ASSIGNEES OF THE LENDING N~E~ ~ ~ ~ELL~8 WITHIN IOO FEET-OF T~S PROPERTY INSTITUTI~, GUARANTEES ARE ~T T~SFERABLE OTHE~ Tfl~ THOSE SHOWN HEREON, TO A~ITIONAL INSTITUTI~S OR SUBSEGUEHT ~OTE= I = MONUMENT ~ = STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ALDEN W. YOUNG, PROFESSIONAL ENGINEER OF SUFFOLK COUNTY ON AUG~,I984 AS FILE NO. 7770 AND ~ND SURVEYOR N.Y.S. UCENSE N0.12845 HOWARO W. YOUNG~ LAND SURVEYOR .f 3 Yz" OETAII. I -1 ~1 '79 ......................... FOUN OATIO N PLAN OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERRRCATE OF OCCUPANCY APPROVED A~ NOTED ~r~. 'Jl/, ~-~:-~' ~l ~ BUlL~I~ ~A~TMmT AT 7~1~2 9 AM TO 4 PM ~R THE ~WING INSPEC~ONS: [ ~UNDATION T~ REQUIRED FOR POURED CONCRETE 2 ROUGH FRAMING & ~UMBING ~. INSULATION 4. FINAL CON,RUCTION MUST BE COMPETE FOR C.0, A~ CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y ~A~ CONSTEUCTION & ENERGY CODES, NOT RES~flSIBLE FOR ~GN OR ~NSTRUCTION ~RRORS, CIETAII. ~- I I 1 IO'-O" % ¢.,," O.C.. I t t '- ~. 7',-4" PLAN Jl t DO',,/£ C. O'T ~ RIGHT SECTION SECTION