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HomeMy WebLinkAbout24495-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25732 Date: 05/21/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 585 MOORES LA GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 33 Block 2 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 7, 1997 pursuant to which Building Permit No. 24495-Z dated NOVEMBER 18, 1997 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 ADDITION AND ALTERATION TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CANDICE MACCULLEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 450247 04/06/98 PLUMBERS CERTIFICATION DATED 05/18/98 ROBERT VANETTEN PLUMBER 1 Building Inspecto Rev. 1/81 FORM NO.3 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) NOVEMBER 18 97 24495 Date.....................................I......................., 19........... Permission is hereby granted to: CANDICE MACCULLEY ................................... . ................................................... PO BOX 3 ..................................................................I....................... GREENPORT,NY 11944 .......................................................................................... CONSTRUCT AN ADDITION AND ALTER AN EXISTING SINGLE FAMILY to.................................................................................................................................... ...................... DWELLING AS APPLIED FOR ....................................I......I............................. ........................................................................................ .................................................................................................................................................................. .................................................................................................................................................................. ................... .................................................................... ..................................................................... at premises located at............ ..585.....MOORES...LA...........................................GREENPOR........... .................................................................................................................. . ........................... ..... ....... 473889 033 0002 County Tax Map No. .......................... Section ........................ Block ........................ Lot No. 036............... OCTOBER 7 97 pursuant to application dated .......................................................... 19................ and approved by the Building Inspector. 229.80 Fee$......................... ... ........... /.. ..`�. ............................... Building Inspector 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, 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. 4Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. k 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 - - .25r. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .qa 4/. Y. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. .... ... Old Or Pre-existing Building. . .. . . . . . . . . Location of Property. . .��. .. .. H©.QR.e�. -1}:�✓ r. . . . . ,/.V4!? `�'1.2. . .�0JQ:21t.n. A/��':-: . . . House No. Street Hamlet n Onwer or Owners of Property.. 1.:�Awkicy c)-_�/tri . .�� .Cj-',_.`11 . ... . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . ..-?.? . . . ..Block. .. . . . .47 . . . . .Lot. . . K:'.0. . . . . . . . . . . . . Subdivision.0&4v "I,sCMC4 szc*.40-.n-a . . . . .Filed Map. . �:k• • .Lot. . J� . . . . . . . . . . . . . . . . Permit No. �.? �.-1. . .Date Of Permit. .-/. /. �LJ. . .Applicant.� Health Dept. Approval. . .. . . . .. . . .. . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . . . . . .. . . . .. . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . Fee Submitted: $.� �. . . . . . . . . . . . . . . . . . . . . . . - APPLICANT Town Hall. 53095 Main Road _ =ax 1516) 765-182 ?. O. ox 1 179 �- Teleonone (516) 765-18C2 3 Soutncid. New York 1197, � Qom: �ol - OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: �O Building Permit No . p 4T'q6 Owner: J o k e ftl C (please print) Plumber: (x©6"4 VouiE+4-en (please print) certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of 19� Nc z _a Public, s t4b Count MEtAN1E OOROSKI NOTARY PUBLIC,S p t-Do- 4634870- Commission Expires.q 301.qq �+ q!' M L_L-C— THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date APRIL 09,1998 Application.No. on file 15447398/98 N 450247 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 CANDICE McCARLEY, 585 MOORES LANE NORTH, GREENPORT, NY in the following location• ® Basement ® Ist Fl. ❑ 2nd FL GAR/ATTIC/OUT Section Block Lot was examined on K'kIL 02,1998 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCE FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. : AMT. I H.P. 41 48 35 39 2 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT.I TIME CLOCKS BELL UNIT HEATERS I MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. 11 H.P. NO.OF FEET AMT. WATTS 1 20 1 1 1 1 2 600 SERVICE DISCONNECT NO.OF S E R V I C E METER NO. C ND. A.W.G. A.W.G. A.W. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HIAEG OF HI•LFG NO.OF NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: SPECIAL RECEPT. AMP.30-1 PADDLE FANS-3 G.F.C.I:-7 SMOKE DETECTOR:-4 rr:, JIM SAGE ELEC. INC. ',� LIC.0CrtE � �z PO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11 Per 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. BUILDING DEPT. INSPECTION [ /'FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ j FINAL [ ] FIREPLACE & CHIMNEY REMARKS: VZ� �Cl� Cc a DATE �� -INSPECTOR BUILDING DE". INSPECTION [ ] FO ATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE / / 2/�' Z_INSPECTOR7 � qs� Z M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO M P ULLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: ix2�' DATE I S IN8PECTOR__�2�s���� ass-seo2 suauINc DEPT. SPECTIO [ ] F UND ON IST [ ROUGH PLBG. N�� [ F NDATION 2ND [ � ] INSULATION [ FRAMING +- � [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: v w DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ J FOUNDATION 2ND [ ] 1 ULATION [ j FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS• IV � DATE INSPECTOR 1_11:I:I1_111!111_1:l lull 111,1'1111 l' DMT ,, • r VIII It IIIA'1'11111 ( I!;'I') t � U1►(111/�( IUlrl. tllp)___ _ rte. ------ Lit e nlltllal trunru� R _ � i� ll Pl.11r 111 l 11(: � / 1 n:;ttl.n t'I nrl rtCtt II. T . _ R I I -1 r. !"I A R ttPIITIMY r.nnr c • ------------------ «.--- _. ..-. ..Y.. .. .. ll R r � Ir I IIA1. Al VF- ---------------- 1111'1'10 t,;(NI111�11 —/! V --- .. i...-11.._._._ _. .. _ .. .. «---.._ -- i b LI 1'j BOARD OF HEALTH . . . . . . . . . . . . . . . -FORM NO. 1 __,�,3 SETS OF PLANS TOWN OF SOUTHOLD ,..,SURVEY . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . 7 1997 SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: Ca��►.... m��G..1� CALL . . . . . . . . . . . . . . . . . . Examine4 ... .f..�::..:`, `#4 m" MAIL T0: . . . . . . < ,( .. ......, 19 Penni t No. UUU approved. . ......... ........... Disapproved a/c .................................. ........ 4.R QS1;;c1.�'0??........... ...................................................... y7 /000- e),4f 1,2 .. .: (Buil •ng or) APPLICATION FOR BUILDING PERMIT Date. 19.`. . . . . . . . . , I9 INSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector witl 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 commenced 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 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 BERM MALE to the Building Department for the issuance of a Building Permit pursuant 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 lams, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ...XZ . .. . �,9<kge.a.e... ............ (Signature of applicant, or name, if•. corporation) ................................................... (Mailing address of applicant) ,i State whether applicant is owner, lessee, agent, architect, engineer,.general contractor, electrician, plumber or builder. ........ .c�N... . ................................................................................................... Name of owner of premises .....� �� ..c O.iL ............ ............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. Plumbers License No. .....4 q©.3.P.... Electricians License No. ...'3]�.3.`J..�rr...... Other Trade's License No. .....N�1g.......... 1. Location of land on which proposed work will be done.............................................................. ....... .�`r.............. �. .!CfAlzTlf ..............(ZZ ...eQ tee ....................... house Number Street Hamlet County Tax Map No. 1000 Section ....35....... Block ...('_Z .....,'.rr.``.��. Lot J.0p..... Subdivision 4k r�Fc. .. HJ2..e.a..!S'���r4:-►.3... Filed Map No. ..:7:-7.7;!5 ... Lot ..4L........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...: J./:ZS K..��... '% l��t'! '(.f�.-........................... b. Intended use and occupancy ...S!� V_It�....I�Q�S�✓.[.LX�t 1 ........... ................. 3. Hature of work (check which applicable): New Building .......... Addition ....Y... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work ........................ (Description) 4. Estimated CostJ= ......... fee ................................... .......... (to be paid on filing this applickion) 5. If dwelling, nuidvr of dwelling units .... k019) Number of dwelling units on each floor ................ If garage, number of cars ..............I....C,O,r1,Z�......... 6. If business, commercial or mixed occupancy, specify//nature and extent of each type of use...>ti�t�...p............ 7. Dimensions of existing structures, if any: Front..&Q........ Rear ..la/..�....... Depth .. . ........ Ilei ht ..... !�................ Nmder of Stories ( ......... , Dimensions of sane structure with alterations or additions: Front ......./../... Rear .../........... Depth ........ 47�........ Height ....../6!......... Number of Stories ...,l.......... 8. / Dimensions of entire new construction: Front ................ Rear ............... Depth .............. ]]eight ......................... Number of Stories ..................... i 9. Size of lot: Front ....ZZO ........... Rear ....//0........... Depth ...�So...... ..p.,.._ 10. Date of Purchase f.�gl� Name of Former Owner ./C44, '�,1._R /�' .kl,C1GcJDACl�.tO44,6&Wr - 11. Zone or use district in wbich premises are situated ....... C4�X1 ..................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..N.Q................ 13. will lot be regraded _ .40CQ........... Will excess fill be removed flan premises: YES 14. Names of Owner of premises .�'.$.N�l��.�:/.j1R��JI2/Address ./3 F.. ,SAV t. ST, one No. 6 Z7:/:4.1(6.. Nameof Architect .................................... Address .............................. Rhone No. .............. Name of Contractor Address UASS CIS P. J...Nnone No. 's 4.7g. 15. Is this property within 300 fee/t of a tidal wetland? * YES .........,�......... *IF YES, SCLMKtD MM 1AlS1ELr.S PERMIT MAY 11E WgUIRMI . PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set—back dimensions from 'nes. Give street and block number or description according to deed, and show street names and indicate Mwthe interior or corner lot. g5 rnaaRes k"E hyo 2.rµ LoT q , LP SL'C�okk Cry C 12-Iks's as L4 q Ti��- EZ: s� o � 315ib 0 s750''E Ito T R_L4 -to <TO 1 FomC$ act WaX (Y100ko.S 1—a r)e. til o2TH 0 2n 1.+ (�oncl�M oac� ,S['KIE Or. N;W YoiK, SS ...� .O.S. .................being duly sworn, deposes aril says that lie is the applicant (NNr-me of individual signing contract) above named, lieis Llhe ........Q. .'......................................................................... (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; that all statements contained in this application are true to the best of his knowledge and belief; arxl Lhat Lime work will be performed in the rrranner set forth in the application filed therewith. Sworn to before me this .� � ......... ....day of � 0: ... Notary Public HELENE D.HORNE (Signature of Applicant) N01..1y Public,State of New York N0.495136Oualified in Suffolk County Commission Expires May 22, IV • . Al INLET POND ROAD - SURVEY OF NQ LOT 92 MAP OF EASTERN SHORES SECTION THREE FILE No. 4475 FILED SEPTEMBER, 27, 1965 - SITUATED AT GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-33-02-36 SCALE I"=20' OCTOBER 10, 1997 AREA = 16,500.00 sq. ft. 15p p0 un O� 0.379 cc. a Y!� W ' LpT gg Tos • SN.wa0 °� " / T^ e• CERTIFIED TO' FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK NORTH FORK BANK JOHN MocCULLEY 69 p2, 3� CANDICE M cCULLEY I e•� s eN • a Vv �i^?y ,• Wim° / a . _ 0= \\ �P 4a'+n ink,NT• "+ i O / POO 92 yr ' ••j•� Q yAs. - — ovTawrAD xtRts aN�' O O' W UNATHDRIZED ALTERATION OR ADDITION TO THIS SUHYEY IS A NOIATMIN OF 6�pZ 1p, ESECTION DUCATION LAW. OF ME NEW YORK STATE Ab5 COPIES OF THIS SURVEY MAP NOT BEARING i THE IMID SURVEYOR5 INKED SEAL OR - tP EMBOSSED SELL SHDLL NOT BE CONMOERED 'p TO BE A VI110 TRUE COPT. CERTIFICATIONS INDICATED HEREON S RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS KERNS TO THE TIRE COUP . GOVERNMENT&AGENCY' AND LENDING INSTINRDN LISTED HEREON. AND TO ME ASSIGNEES OF ME LENDING INSR- TUTHIN. CERRMAPONS ARE NOT TRDNSFERIALE. THE EXISTENCE OF RIGHTS OF WAY "(1 AHO/OR EASEMENTS OF RECORD. IF r �)J ANY, NOT SHOWN ARE NOT GUARANTEED. o �sz Tf STANDARD IN ACCORDANCE WTM SHE MINIMUM n YY Y` STANDARDS L AND RRA SD""EYE ASD ADOPTED Joseph A. Ingeg\ ,o 5J HI US BY MEN YORKNSTATEE LAND � N�. 1�t 5��r Land Surveyor �p �.. - .0 c'o -. M 0 9 * . Ttle Surrey{ - Subdivisions Ske Plans - COnstuction Layout - T6 ° 8669 OQ�� PHONE (516)727-2090 Fox (516)722-5093 - - NE\0 OFFICES LOCATED AT MAILING ADDRESS N.Y.S. Lic. No. 49666 One Union Aquebogue. Now York 11931 Riverheae P d Naw York 111901 97-424, ENERGY CODE CALCULATIONS (For Non-Glee Lric heat) Desigu Criteria 6 , 000 Deyree' Days O.A. lU°r 1 -A. 7U°F � / FOR: f//04), /r/ C C•/ , Ylili• �2hny ,,C.... G.a,� Mu J' t, /-eht i/o,-/ Kr't lit'h . ARCA DCS IGN '1'IIERMCL REMARKS SUBSYSTEM "U.' 13A'1'1NG Plxterior Walls (opaque) /D3 07 7 Glaz iuy 1( 1 B L73 3 L Doors ^y e Coil illy/Roof (Opaque) 75 [/Q 0,S D Skylights /• 8 25 3 - / v- e `I'el rloor / G 9 U r UundaLloll Walls Slab Insula Lion ,T'O'TAL + G Z Notes: Building Envelope Sys Gems to meet requirements of 7015 . 2 IIVAC Cqui.pement to meet requiremenLs of 7015 . 11 imc Systems to meet requirements of 7015 . r2 UucL Systems to meet requiremcu Ls at 7015. 13 Ven Lilations Systems to meeL requiremeu Ls of '7015. 14 L:sulu Lioll of PipLly Systelny to meet requir.emen Ls of 7915. 15 Service Water IleaL-iny Systems s LquipmeDL to meeL requirements of 7015 . "7.1 Clec Lrl.cal 6 Liyltting Systems 6 Equipment to meet requirenienLs of 7U15- 31 To the best of lily knowledge, belief, 6 professional - -- - judgement, these plans are ' it _ w r conipllance W1Lh the code. 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