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Home My WebLink About20790-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21154 Date NOVEMBER 18, 1992 THIS CERTIFIES that the building Location of Property 265 JASMINE LANE House No. County Tax Map No. 1000 Section 70 Subdivision NEW DWELLING SOUTHOLD, N.Y. Street Hamlet Block i Lot 6.2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in 'this office dated JULY 2, 1992 ~ursuant to which Building Permit No. 20790-Z dated JULY 9~ 1992 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 ONE FAMILY DWELLING (FIRST FLOOR ONLY) The certificate is issued to PECONIC PROPERTIES MANAGEMENT INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-38 - NOV. 17, 1992 UNDERWRITERS CERTIFICATE NO. N-256224 - NOV. 9~ 1992 PLUMBERS CERTIFICATION DATED OCT. 8, 1992 - ARTHUR MALANSSEA, JR. ~--B~ldin9 Inspector Rev. 1/81 FOn'M' NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERAAIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-°N? 207§0Z Permission is hereby granted to: · - ..;./~..../../..'f.~ ...................................... ........ . , County Tox Mop No. 1000 Section .... .'~....0.. ............ Block ...... ..C~...[ ......... Lot No.....C}....(~ ............. pursuant to application dated ....... ...~...~.......~.. .................... , lg.c~....~:~.., and approved by the Building Inspector. Buildinl~ Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL' 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 1% lead. 5. Commercial building, industrial building, multiple residences a~d 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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 I. 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 Building - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date November 18, 1992 New Construction ........... Old Or Pre-existing Building ................. Location of Property ................................................... House No. Street Hamlet Onwer Owners of Property PgCONIC PROPERTIES MA~IAGEMENT INC. County Tax Map No 1000, Section..~? .......... Block .... ! ........... Lot .... ~.0..~. ............ S-b~ivision M[O SOUTflOLD VILLAS Filed Map ~7~.~ Lot ~ Permit No. ~?~7.~....Date Of Permit...J~L.Y.9, 1992 A~li~an~ DONALD.~.P~.CKEN Health Dept. Approval.. ................ Planning Board Approval ................ ....... '.Underwriters Approval ......................... Request for: Temporary Certificate ..... Fee Submitted: $ ....................... ..... F~Certicate ........... ...... APPLICANT ?OUNDA'TION ( ls t) ~OUNDATIO~! (2nd) ]. tOUGH FRAME & .PLUMBING CODE FI;;AL ADDITIONA'L COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TO~VN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Owner' -- A (piease" Print) Plum~er~/~ ~5~ ~/'~. (p~ease prznt) certify that the solder used in the Water supply system COntains less than 2/10 of l%'lead. S. worn t~ b~fore me tkis ~_~da¥ of ~,. 19~. ';Otary Public, %~-~.~ (plumber's signature) County . ~ARYANNE E. OOWLING Notary Public, State of New ,, No. 5000030 uualified in Suffolk Coun Commission E~p}res August MAYOR 296 THIRD STREET GREENPORT. N[W YORK UTILITY OFFICE {516) 477-1748 FAX (51§) 4'/7-1707 POWER PLANT (516} 477-0172 SUPT. OF UTILITIES JAMES I MONSELL ASST. SUPT. OF UTILITIES GERALD W. HICKSON November 10, 1992 Mr. Robert Petritseh Suffolk County Health Department Suffolk County Center Riverhead NY 11901 Dear Mr. Petritsch: The following water service lines were recently connected to the Public Water Supply by the Village of Oreenport. The installation was done according to our rules and regulationS; and to the best of our knowledge, meets with the Suffolk County Health Department standards. The location of the work and the date the job was completed is shown below: Joseph Best 265 Jasmine Lane Southold NY 11935 Lot Number: 1 Reference No. 92-SO-38 Job Number: F93-076 Water District: Outside Date Completed: 10/26/92 Paul Zeneski 365 Jasmine Lane Southold NY 11971 Lot Number: 2 Reference No: 92-SO-39 Job Number: F93-076 Water District: Outside Date Completed: 10/26/92 Edward Dunne 665 Jasmine Lane Southold NY 11971 Lot Number: 3 Reference No: 92-SO-40 Job Number: F93-076 Water District: Outside Date Completed: 10/27/92 Norman Waterhouse 775 Jasmine Lane Southold NY 11971 Lot Number: 4 Re~erence No: 92-$O-41 Job Number: F93-076 Water District: Outside Date Completed: 10/27/92 Kevin L. Santacrose Lot Number: 5 875 Jasmine Lane Reference No: 92-$0-42 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: 10/29/92 OverlOOYea~ ofCommunitySe~ice John Jaklevi¢ 780 Jasmine Lane Southold NY 11971 Lorraine Naeg 95 Apple Court Southold NY 11971 Robert Jenkins 55 Apple Court Southold NY 11971 Glenn A. Staples 205 Apple Court Southold NY 11971 Julia Benjamin 235 Apple Court Southold NY 11971 Roy Macomber 275 Apple Court Southold NY 11971 Donna Lyburt-Childress 250 Apple Court Southold NY 11971 Delaney 220 Apple Court Southold NY 11971 Walter Berry 155 Apple Court Southold NY 11971 Lot Number: 6 Reference No: 92-SO-43 Job Number: F93-083 Water District: Outside Date Completed: 10/29/92 Lot Number: 7 Reference No: 92-SO-44 Job Number: F93-083 Water District: Outside Date Completed: 10/29/92 Lot Number: 8 Reference No: 92-SO-45 Job Number: F93-083 Water District: Outside Date Completed: 11/02/92 Lot Number: 9 Reference No: 92-SO-46 Job Number: F93-087 Water District: Outside Date Completed: 11/10/92 Lot Number: 10 Reference No: 92-SO-47 Job Number: F93-087 Water District: Outside Date Completed: 11/10/92 Lot Number: 11 Reference No: 92-SO-48 Job Number: F93-083 Water District: Outside Date Completed: 11/2/92 Lot Number: 12 Reference No: 92-SO-49 Job Number: F93-083 Water District: Outside Date Completed: 11/2/92 Lot Number: 13 Reference No: 92-SO-50 Job Number: F93-087 Water District: Outside Date Completed: 11/13/92 Lot Number: 14 Reference No: 92-SO-51 Job Number: F93-087 Water District: Outside Thomas Helenski 60 Apple Court Southold NY 11971 William Gaffga III 420 Jasmine Lane Southold NY 11971 Rose Anasagasti 360 Jasmine Lane Southold NY 11971 Page 3 Lot Number: 15 Reference No: 92-SO-52 Job Number: F93-083 Water District: Outside Date Completed: 11/2/92 Lot Number: 16 Reierence No: 92-SO-53 Job Number: P93-076 Water District: Outside Date Completed: 10/27/92 Lot Number: 17 Reference Nor 92-SO-54 Job Number: F93-076 Water District: Outside Date Completed: 10/27/92 The above are from Southold Villas off of Main Road, Southold. If I can be further assistance, please contact me. Superintendent of Utilities JIM:jgk sept23a ~790 ~ 765-180;2 BUILDING DEPT, INSPECTION FOUNDATION 1ST [/X~ ROUGH PLBG. FOUNDATION ZND [~X~ INSULATION FRAMING [ ]FINAL REMARKS:~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION AND []INSULATION FRAMING []FINAL DATE ?///~/~ ~ , ,, INSPECTOR '~/g L 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [] FRAMING [] fINAL REMARKS: i~r ~~ ~: ~'~ DATE 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] FOUNDATION ZND FRAMING REMARKS: ROUGH PLBG. INSULATION [~] FINAL DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS [~4~? BUREAU OF ELECTRICITY ~- , . 85 JOHN STREET, NEW YORK, NEW YORK 1OO3B Date' ~()VJ~I[;~R ~)9~[092 Application No. onfile '7~J, 892/~2 ~ ~5(~?~ THIS CERTIFIES THAT Lot FIXTURE OUTLETS DRYERS FURNACE MOTORS FIXTURES RANGES COOKING OECKS OVENS DISH WASHERS EXHAUST FANS OTHER FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT )THER APPARATUS: S E R V I C E GRNRRAL MANAGER 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 credentiaJs. COPY FOR BUILDING DEPARTMENT. THIS COPY OF ~.{=., ,I~ICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved .2 .... 19~' .-)-. Permit No..~9..~..-/.O..c~ ..~ Disapproved a/c ....o ................................. . (Bu~Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTIt ......... ~ s~T~ o~ P~s..........'--------,- sug~ ......... CII~CK .................... SEPTIC PORH .............. C^LL ...7~...~ zSc J/. .... HAIL TO: a. Tkis application must be completely filled in by Wpewriter 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 coverdd 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 w6rk. 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 pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk CounW, 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, building code, housing code, and regulation§, and to admit authorized inspectors on premises and in building for ne~'S~ary inspections. .~ ~; --' (Signature of applicant, or hame, if a corporation) fo~. £~ //~/~ C.~7~,~ 27.(4~. //9~ ~- ............. ¥::': .... 'c:f[. ..................... (Mailing address of applicant) State whether applicant is owner, lessee, agen.t, architect, engineer, general contractor, electrician, plumber or builder. ............... ~ ....... ~ ..... , ................ ;; ............................................ Name o/~:r o/f,~remises ~~..~/c~.~..~-d..&.~f~/~.~?..~..: ............... I /' /~ / / / (as on the tax hSll or latest deed) if~ )p~//c~/~s i 4r~ratfn, signature of duly?~orized officer. · ........ .... . . . / l('il tree and title of corporate officer) , t Builder's License No .......................... ' Plumber's License No ..... c~5/'.,,~../.. ~ ........ .. Electr c an s L cense No ............. Other Trade's License No ....................... 1. Location oflandonwhichproposedworkwillbe'done. ~f~q,-5~:.~.-dO:-~.~. //.~/)eCe .fff~/~,fd, f,./~f/),;~.. Ilouse Number ' Street Hamlet County Tax Map No. 1000 Section ..... ~..O. ......... Block ..... .Q ./ ......... Lot ................... Subdivision.. ~.-¢.<-7~.A.4: f:fff..,./.~,.d)~.~. ..... Filed Map No .... ~. 2.~. ~.. .... Lot ~ f. (Name) ............. 2. State existing us'e and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intende~use ahd occupancy ..... ~..x~A-.-.-.-.-.-.-~.. ........................................ ~ ch applicable .~. '~ ' 3. Nfftute fwork (check whi ): New Bu. ilding ....... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition ...... ~ Other Work 4. Estimated Cost . ~...e:fi~.~.~ ....................... Fee .. {."] 7,.~ (Description) (to b~ paid on filing this application) 5 If dwelling number of dwelling units Number of dwelling u~its each floor If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ......... 7. Dimensionsofexistingstructures, ifany:Front ............... Rear ..... i....... Depth.... ........... Height ............... Number of Stories ........................... ~ ............ ................. Dimensions of same structure with alterations or additions: Front i Rear Depth Height ................... ........................................... Number ~ f Stories .............. ~ ........ 8. Dimensions of entire new construction: Front ............... Rear ................ Depth ............... Height ............... Number of Stories ......................................................... 9. Size of lot: Front ...................... Rear ..................... Depth ...... 10. Date of Purchase ................ ............... ': .... ' ........ Name of Former Owner i .... hp ' " ....................... I I.Zone or use d~stnct in winc remmes are situated .......... ' ' ' ' 12. Does proposed construction violate.tiny zoning law, ordinance or regulation' . ...... 13. 1~¥111 lot be regraded ............................ Will exces~fill be remov~d ~r'o~ pr;mi~es: Yes fp · 14. Name of Owner o remises ... Address .... ' Phone No ............. hit . Add ! Phone No .... . Name of Arc eot .......................... tess .......... I .... · ....... N fC b ........ ame o ontractOrty ...................... 't'i~l'alAddr ss .............. es ..... i...~ ..... Phone No ........ . ....... 15. Is this proper within 300 feet of a wetland? *y No. ~ ...... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. i~dicate 'all set-back dimensions from property lines. Give street and block number or description according to deed, and shQw street names and indicate whether interior or coruer lot. STATE OF NEW YOi'<I~,.. __ COUNTY OF. S.s . ~O.~g ~. ~ ~ff~ ...................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ~ ..... '... ' ' ~ (Contractor, agent , corporate officer, etc. )[ .................... )f said owner or owners, ~d is duly authorized to perfom or have perfo~ed the said work and to m~e and file this ~pplication; that all statements contained N this application are true to the best of his[knowledge and belief; and that the ,york will be perfo~e~ in the manner set forth in the application filed therewith. ~wom to before me this ~ ......... . ........... ..... , .q - Ter~ ~pir~ May 31, 1~ AREA = $7,798 sq. ft. ?tapered In accordance w/Ih /he minimum slonderds for lille surveys as established by t/~e L./.A.L.S. ~ad opproved ~nd adopted for ~uch u~e by The Ne~ Ycrk;.~l~ Lend,.:.-' . Tllle Assoclollon, ?:~ ..-,, ~ '"..'."~*'.;' ~."~ ~'~ : '- ' The wa/er supply and se~e~e.~,dJ~osoJ syslems for this residence ~1il con[erin to lhe standards of The Suffolk Counl$ The Nc=llons of Well$ ond cesspools shown hereo~ ore from field ob$erwllon~ =nd or trom dolo obtolned from olher~. SUFFOCK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 70 - 01- PlO O~ Scale: 1"= 40' March 11, 1992 S.C. DEPT. OF HEALTH SERVICES Y,$, LIC. NO, ~19618 N/OIF FZOWEt~ HILL ~UILOIA~ YOUNG N/OfF ANNA N/OfF AREA = 32', 798 sq. fl, CERTIFIED TO~ THE LONG ISLAND SA VINGS BANK PECONtC PROPERTIES MANAGEMENT CORP. Prepared In accordance wllh the minimum standards for lille surveys as established ~[ lhe L.I.A.L.S. and approved and adopted r such use by The New York Slate Land Tllle Assoclallon. The waler supply and sewage disposal systems for this residence will conform lo the standards of The Suffolk County Deparfmenl. of Heollh Services. The locations of wells and cesspools shown hereon are from field observations and or from dala ofllained from olhers. SURVEY OF LOT 1 "MAP OF $OUTHOLD VLLAS"' FILED JUNE 25, 199gMAP NO. 925z A T SOUTHOLD TO WN OF SOUTHOLD SUFFOLK COUNTY, N K 1000 - 70 - 01- PlO 08 Scale: 1"'= 40' March 11, 1992 JUL Y 15, 1992 (foundation) SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE, HS. REF. NO. APPROVED ;Y.S. LIC. NO. 49618 Y, 119'?'1 R =321, q6' AREA = SZ, 798 SO, ft. CERTIFIED TO' THE LONG ISLAND SA VINGS BANK PECONIC PROPERTIES MANAGEMENT CORP. Prepared In accordance wilh lhe minimum standards Ior /lin surveys as es/ab#shed ¢~o the L.I.A.L.S. and approved and adopted r such use by The New York Stale Land Tlile Association. The water supply and sewage disposal syslems for INs resMence will conform lo lhe slandards of The Suffolk County Deparlmenl of Heallh Services. The locations of wells and cesspools shown hereon are from field oflservatlons and or /rom dala oblalned from olhers. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY 92 SO 38 DATE HS. REF. NO. APPROVED SURVEY OF LOT 1 "MAP OF SOUTHOI. D Vli. I. AS" FILED JUNE 25, 1992M~P NO. 9237 A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 70 - 01 - P/O 06 Scalez 1" = 40' March 11, 1992 JUL Y 15, 1992 (foundation) Oct. 23, 1992 (final) Y.S. LIC. NO. 49616 P.C. SOU7 N.Y. 119)'/