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