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Home My WebLink About24665-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25586 Date: 03/13/98 THIS CERTIFIES that the building ALTERATION Location of Property: 160 APPLE CT SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 1 Lot 6.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 27, 1998 pursuant to which Building Permit No. 24665-Z dated FEBRUARY 11, 1998 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 ALTERATION TO SECOND FLOOR OF EXISTING ONE FAMILY DWELLING INTO HABITABLE SPACE AS APPLIED FOR. The certificate is issued to WALTER H & MICHELLE BERRY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H058967 03/06/98 PLUMBERS CERTIFICATION DATED 02/25/98 PECONIC PLUMBING & HEAT. q'/a"z— BulldG nape or Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWNN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date,_.FEBRUARY....,1.?:........................... 19..44.... 24665 z Permission is hereby granted to; .................... ..................................................... SO,I�THO.I T?. N.Y...,IXa?.7..1........................................ to...-QJSIN$TRW.Q?...&TQRAT.T.QN....TO... NF-2NA...FInQ.RR...QF..AN...F.XxQT.TXQ..QZNQWF...... .........FAM14.Y...A.WF I,-J,b NQ...T NTQ...HAP.x TAAI,IQ..QF.AGI ..AS...P.P..P,W ER...FQFKV........................ ................................................................................................................................................ ................................................................................................................................................... ............................... . at premises located at...................T.A.Q.....AP.RIZ..Q.T....,.........,.........,....,,............... .R4J.T.N.G1t..R........... ................................................................................................................................................................ County Tax Map No. ....!473.QQI?..... Section ...Q.7.Q............. Block .....Q.QQI......... Lot No, .QQ6.A.Q.Q.7..... pursuant to applicatlon dated ....JA.WOR.Y.........2.?2z........................ 19.....9A....., and approved by the Building Inspector, Fee$,.......77.80..... Building inspe r Rqv. 6/30/80 rorm No. o ._,. J�� TOWN OF SOUTHOLDp BUILDING DEPARTMEp��n TOWN HALL MR 12 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY" A. This application must be filled in by typewriter OF, ink and submitted to the buildil inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property line: 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 19 lead. 5. Commercial building, industrial building, multiple residences and similar build_ 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 < "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 applicar. 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 - m .25v_ - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . //o? . . . . . . . . . . . . . . . . . . . . . . New Construction. . .. . . . . ./. . Old Or Pre-existingBuilding. . . . . ... . . . . . . I Location of Property. . . . J.G. . . .. . . . . . . .. . . . . P-C . . .C�" /. . . . .. . . . . uo�d. . . . . . House No../ Street Hamlet Onwer or Owners of Property.. .(Nc � r f . . . . . . I�r • . . . . . . . . . . . . . . . . . • County Tax Map No 1000, Section. . . ?. . . . . . .Block. . . ./ . . . . . . . . . .Lot. . �': l. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No. . .a .W.ZDate Of Permit. . .. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . Planning Board Approval. . . .. . . . . . . . . . . . . . . . . . . . Request for: Temporary Cerrtificate. . . . . . .. . . . Final Certicate. . .�. Fee Submitted: $. . . . . . . . i . . . . . . . .. . . . . . . . . . . �. . . . . . . . . .. . . . . . . . . . . . . . Q < - S4 IS 7 APPLICANT %oma° ,0 Town Hall, 53095 Main Road ti Fax (516) 765-1823 P. O. Box 1179v �'� .� Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N p DATE: Building Permit No . 0? 7 �� Owner: GC 146r Cr (please print) / J Plumber: P�/G fi'Z6MI111�; (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. J - r ( Plumblelits Sig' ture) SL+orn to before me this _js-- day of �, 19r� Notary Public , County } ' UIR3ARASTEPNOWSKI - Nctary Public,State of New York No,01 ST4844752 Qualified In Suffolk County /2, commission Expires Sept.30,19"I hILLII Iltjil'8Ci'INiI III;I'DII'l' "" •Ilr,'I'l{ i ;:. 'w ;lvi } -;:fit••-- -^--- .....�..,.. ..-..-... -___.._._..,...._.. .__---•-•-- . .._.- _. _.-�--'-- --' �� r•ununn•l•nnr ( rr•r) �\ :oirnunriorr__-_------ rr - ------ .m..------ ------------- _x • nnurn rnnnr. a � rl.unn l rla d L r. { t Iqi IIi.Ri'I Illl 1611 rl :rrn•rr. enrlll:v ronl: Y—. -------.._____-----—----- ______ ----- �ev_�� r r nnr. of G IJ� -� I THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8070032 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date MARCH 06,1998 Application No. on file 15573698/98 H 058967 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of WALTER H BERRY, 160 APPLE COURT, SOUTHO.LD, NY in the following location; ❑ Basement ❑ Ist Fl. ® 2nd Fl. Section Block Lot was examined on FEBRUARY 26,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESC TI FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. I K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS I FUTURE APPLIANCE FEEDERS SPECIALREC-PT,j TIME CLOCKS I BELL IUNIT HEATERS I MULTI-OUTLET DIMMERS SYSTEMS O. AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NOF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A W G A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 9W 3 0 4W PER 0 OF CC.COND. NO.OF NI-LEG OF HI-LEG NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: 2ND FLOOR ADDITION-1 *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated. " "No obvious unsatisfactory condition was found. LL WALTER H BERRY 160 APPLE COURT GENERAL MANAGER SOUTHOLD, NY, 11971 per 1 i This certificate must not be altered in any manner; return to the office of the Board If Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE, ALTERED IN ANY MANNER. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ GH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY RE ARKS: ox Ole �i� /�G�✓C�®ave A�_ DATE -INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ION [ ] FRAMING [ INAL [ ] FIREPLACE A CHIMNEY REMARKS: w q`' DATE 3 1 V INSPECTOR BOARD OF BEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: 19.... _.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved. l .., 19.... Pennit No. ` h Disapproveda/c .................................. .................................... ......................................... .. ......... K- 22vi (ItuildingInsptorA LICATTON FORBUILDING PERMIT Date. . . 19.INSTRUCTIONS a. etely 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 mist be drawn on the diagram which is part of this application. c. the work covered by this application may not be c mrenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be,kept on tine premises available for inspection througliout 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. APPLICN1'10N IS UE-RERY KW to the Building Department for the issuance of. a Building Permit pursuant to the Iluilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regiil ations, for the construction of buildings, additions or alterations, or for removal or demolition, an herein described. 'Hie applicant agrees to comply with all applicable laws, ordinances, building code, lousing code, and regulations, ard to admit autborized inspectors on premises and in buildIT14 for necessary inspections. �9'.`:...... !. .................... l (Signature of: applicant, o if a corporation) &0 4PP/c COL"r ......................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pltnber or builder. ............. :�2�E✓.. ......................................................................................... ��,, )) II h2 ... Ilam of owner of premises ..lt,<Gl I e C. �:.rVI�:'...1.............V-e..C J - .............................. (as on the tax roll or latest deed) V If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nacre and title of corporate officer) Builders License No. ......................... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License ND. .................... ` 1. Incation of land on which proposed work will be ....A2.L2...IMI'X ......Co�S,l: ... �K:............ te A0............................. (��.....s...:...............................:.o..��d c� ................................ house limber Street Hamlet County Tax Map No. 1000 Section ...... Q...... Block .....,1......... I.ot ...G1..';?....... Subdivision ...................................... Filed flap No. ............... Lot ............... (Name) 2. State existing use and occupancy oQff,, Premise and�inteInded use and occupancy of proposed construction: a. Existing use and occupancy ...T!...Sl°s� ..�ic'Si.d�/jG .............................................. b. Intended use and occupancy ..........�lE�.4f .......................................................... 3, I Kilore of work (cheek which a'filicable): New Wilding .......... Addition ..�.�Iteration ...J'...... . I � (' . Removal i........... Dem1iC' nfee............ Other Work .../.-�YtLS.�i.kfp. (Description) i I1. IisC lnnale(1 Cost ..... d6 ... .....�........ ... .........�............................ 'I (to o paid.ori filing Lhis application) 5. If duelling, uxmber of. dwellhIkF units ............ limber of ch lling units on each floor ................ If garage, her of b. If filminess, nernnercialror mil,,,,,,.., weal occupancy, specify nature and extent of each type of use.......2............... 7. Dimensions of existing aCnxhlres, if any: Frrnt......1.�....... Rear ....Y-(e ....... Depth ........... lleight ......................a.. Mmber of Stories ..,p2...........,..... Dineru nsions of sane stcture J. lk alterations or additions: Front ............... Rear ............... Depth ............... girt .................... Amiler of Stories ............... R. Dinensions of entire new constl,'ruction: 1Yrmt ................ Itear ................DepriyT:r-:..:......... lieiWut ........................,I.. NNullifier of Stories ..................... - I0. Date nE 331rdase Size of lot: 1�r nC 1 ........... /n�3Uj/JJII,......... Rear .................... Depth ....., ,.. . . ... �...... Name of Former Omer .......................................... 11. Zone or use district in whidl premises are situated ........1`PS n;,a Py ;k ... ...........a....................... 12. ilexes proposed ccxlstnx ion vi glate any zoning law, ordinance or regulation: .......P 1.b:::........ `' ' 13. Will lot be regraded .......(1�..... Will excess fill be slave/d from premises: YC3 14. Nines of Owner of premises.....!,..�... Address ...!(?d/. ..�1,lX..A '9X4... Ptxxie No. Meme of Arduitect ............�............... . Address Noneof Contractor ...........i,........................ Address ...............................19wne No. ............. 15. is this rt within 300 feet of a tidal xaetland2 * Yf4 .......... ND .- ...... P� Y � , ` *IF YKS, SOUTI [AD IUM '1TQISIII3S W-114rr 11AY 1% RR(XNR(ifl. PIAT' DIAGRAM Tnoal:e clearly and distinctly all buildings, wheLller existing or proposed, aril indicate all set-back dimensions from property lines. Give street and block outlier or description according to deed, and show street names aril indicate odueWer interior or corner lot. III ' til SI'wils Op PBli Y(AWp, F'� til (MINTY Ol? ...5('6.,5:1,911-,...... b4 (Main of irxliv�.ual signil�andtract)!...."•.........""'•lining duly sworn, deposes six] says Lhat he is Lhe spliticrn(: G/al��1 slxrvc mined, / Meis dip ......,.V.w n.e':r............................................................... ................ Miul.ractor, agent,-ccorporate officer, etc.) of said owner or owners, laid is duly I'imdhorized to perform or have lerformxI Che said work incl Lo make and file I.his application; that: all. state ants cort'aio-vl in I.his Application are Lae to file best of his knowledge noxi lxd ief; sort Ilial. the work will Ire lerl'ooned in Iliii mvinirm set forth in the application filvil 11erewil-It. Sworn Lo before ne this .............817 ,day of ........ �2 j � L" e�CGcUGG�P� Ncxsry Hnblic .... .. ....�(... :...... .. if . ......... ... .......... Si�u�prre of Applicar RUTH A.POLIWODA Notary Public,Slate of New York No.4982430 Qualitled In Suffolk Counti q cornraission Expires June 3,199 I c Irl 1 J11- • .�to t � •�'•7.s4 �� / fl X 57ee � 1 G, I'� 1 Y✓� �� Y �� ate`'' ,,-�• t } '�^ '•'f ��s5 �� \� y - - V UNOFRWRt7ER3 Gp ;5€^tILSYEdL AS NOTEP,7 PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS ��u/ F� / \ F: ---- sy. — REQUIRED BY PART. 714 OF f �aou• v o-l�ul�.o!�t ap cnrF � '��/ 7G5-.;tcr: fn F1R4 1q 4t P N.Y. STATE BUILDING CODE. I ,.0 -- - — --- — pay' ' ""irrc iusp=r,TlaNIS.11'"0 qFoulpizu raR r ie a, r , .o iaaio v .. f•(l�li;Ft3Cayt:RMC A t ",H - FR4hiSM1IC iq, PLUI1!lOil�dG . ; ;Udi_,eanOw; cowsrRucTICIN MUST k f,lr,f.[FE 7=(7R rt7, rar,,i-rt,errlchi lllU. eulcrr O ' .'fflEiPiF1b1C:IVTS Clip 'CHp EA'y h _ PROVIDE OPENINGS FOR L �r — EMERGENCY ESCAPE AS c°lent pry 's:= r REQUIRED BY PART. 7I4 OF . K'Tlpaa o 0,C, , 1 N.Y. STATE BUILDING CODE. 14 copper tubing is used �l] / OCeUp 9 for water distributing q)Vl"Y system; piping shall be USE IS UN►gWOR of types K or L o� W I POUT CERr,F1 ASE PROVIDE AMI_;SCALD OCCUPgNcY THERMAL A^ID/DR PLUMBER CERT/FICATMA "i SkoC'K PREVEIITINc ON LEAD CONTENT REt' a°� PROVIDESMOKE-DETECTING DEVICES AS IO IPA RT, ( 1 ALARM DEVICES 902'6 K CevRT7FICATE OF OCCUb' �!, ,,V f C N.Y. STATE BUIILpING Co.DE. AS TO PART. 7CI.1 SOLDER USED 74U 4VATFP? k.Y.S BUILDING CODE. SUPPLY SYSTEM C,4N E? y T PI.0 SUPPLY '�fatA�uuNo _A tEstt�TEWIMIEg NEFa BMW mm" I;f,l9� • -� _i