HomeMy WebLinkAbout19465-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20009
Date JUNE 21~ 1991
THIS CERTIFIES that the building
Location of Property 2500-8 MAPLE LANE
House No.
County Tax Map No. 1000 Section 38.01
Subdivision
ALTERATION
GREENPORT~ N.Y.
Street Hamlet
Block 1 Lot 8
Filed Map No. .Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 25, 1990 pursuant to which
Building Permit No. 19465-Z dated OCTOBER 16{ 1990
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 ENCLOSE EXISTING DECK "AS BUILT"
The certificate is issued to GREGORY MILLER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-043514 - NOVEMBER 2~ I988
~ ~uilding fnspector- -/'
Rev. 1/81
lVOR~ NO. ~
TOWN OF SOUTHOLO
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Yo
BUILDING PERMIT
(THIS PEPu~AIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 1946L~ Z
Permission is hereby granted to:
.....
...£.~.,../'~......,J...~ ......
..................... /./...~....= ...............................
at premises located at .......... .~.ff.~....~.. .......~'"~'"'~'"'~'7~"~ ~' ..........
Co.n. Tox Mop No. ,000 Sec,on ..~--Z../. ........ B,ock ....... ./......~ ..... Lo, No....~... ..............
pursuant to application doted ..... ~....~.~.....~... ......... , I9~;~'~..., and approved by the
Building Inspector,
Building Insl:mctor
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING....I~..VACANT LAND ........
~ous~ ~o. ST~ ~A~
0~ o~ 0~ of P~o~r..-.~.~g~Z...~/.qk~ ......................
Subdivision ....................... Piled Map ........ Lot ..........
/
Permit No ...... Date of Permit /..~ .Applicant ~./.~..~.f.~..~..~.;.~...~.~.~-
Health Dept. Approval ..o~../~ ......... Underwriters Approval .~.. ..........
Planning Board Approval ................
Request
Fee Submitted: $ .....
for Temporary Certificate ....... Final Certificate ................
APPLICANT.
I0/14/88
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~(~[,, STREET, NEW YORK, NEW YORK 1OO:38
JOHN
only the electrical equipment as described below and introduced by the applicant named on tire able application number in the premises of
w~ examined on ~to~r 20, 1980 and found to be in compliance with the requirements of this Board.
FLUORESCENT
DRYERS
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
S E R V I
C
OF HI LEG
o;
NEUTRAl.
Sal Prate
Wlgg~m La.
GYee~ort, N. Y.
11944
Ltc.104~
GENERAL MANAGER
Per ].1
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 BI; ALTERED IN ANY MANNER.
THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
J qTt~ 85 JOHN STREET, NEW YORK,
*,,,,t,,,.t'.on ,','o. ,,,-.~',,, N 383253
only the electrical equipment as described below and introduced by the applican~ named on the above application number in the premises of
in the following Iocatign; [] Basement ~ 1st FI.
was examined on I~ p f' t ] ;? f'~ ~ ]9?8
[] 2nd FI. Section Block
and fottnd to be in compliance with the requirements of this Board.
Lot
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMEC~OCKS DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R
OTHER APPARATUS:
AW, G
OF CC, COND
C
A, WG
OF HI-LEG
NO F NEUTRALS OF NEUTRAL
~GENERAL MANAGER 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, MANNER., .... ...~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
Dat~ Application No, on file
THIS CERTIFIES THAT
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
DRYERS
SYSTEMS
NO. OF FEET
R APPARATUS:
E R V I C
A, WG
OF HI-L£G
SO~I'l'd()h~ I\(Y, ~ I ~)'7 I GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by thei~ credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
MOORE & MOORE
Attorneys at Law
Clause Commons Suite 3
Main Road P.O. Box 23
Mattituck, New York 11952
Tel: (516) 298-5674
Fax: (516) 298-5664
William D. Moore
Patricia C. Moore
Southold Town Building Department
Southold Town Hall
Main Road
Southold, NY 11971
June 27, iS
Margaret Rutkowski
Secretary
BLDG. DEPT.
TOWN OF $OUTNOLD
Attention: Curt Horton
Re: Crescent Beach Condominium Unit #8 (SCTM# 1000-38.01-7-21)
Dear Curt:
Enclosed please find an application for a building permit for the above referenced
unit together with a check payable to the Southold Town Building Department in the sum
of $50.00 to cover the cost of building permit and certificate of occupancy for the unit. The
application for this unit was omitted when the other applications were submitted on May
22, 1990.
The unit was inspected on April 9, 1990.
If there is any additional information I can provide, please do not hesitate to contract
me.
ours,
a~mD. Moore
WDU/mr
Enc.
Our file # 308-88
~' ' BOARD OF' HEALTH
,~ '),~ ~ 3 ,/SET~ hOF~ PLANS-~%*.'~po-%i?~
FORM NO. 1
WN OF SOUTHOEO
BUILDING DffPARTMENT
TOWN HALL ........ .... : . ~
~OUTHOLD, N.Y. 11971 ~OTIFY
TEL CALLU ·
,Examined .~ t9,":', uq.,.,v,, ~ ~ ' ' ' HAIL, ,TOlt.:~' ,~
O~sapproved ale ...... ' ' ~ , ' ',,[ ,~,~
........ , ........... ~ ............... ~ : -~,t~ , [~--~I[~N~ 'O
............. ............. APPLICATION,FOR BUILDING PERMlT';~:Irifl~aw/f~ )9ll~,x '
..................... , ' Date . ~a~k.':l~r~.; ;,.l, m 90
' ' ' a; ' ~us ~pphcah~n must be completely filled in b.. ~'~ewdter o~ :-~- '-: .... ,.;: w .- ,. .
...... , ,. , , ' , . , ~ .zP ~m ink,pa suDmltt~filo ~u}lalng lnspeetotl with 3
s~ts el plans, accurate.plot plan to scale ' Fee accordm~ to e~h~dnl~ ~; jt~ ~ ..... . ...... - ~
b. Plot pl~ showm~ location of lot and of bmldmo~ ~- -.~;~- ~.~ .... :,'. - -~' ....
o- ~- ~ ........ ~, -~,atlo~snlp [o aaJomlng pre~lse$ or pubac streets
or areas, and givMg a det~led description of layout of property must be drawn on t~ dia~.~m ~whjch is pa.,of tMs app,-
cation. " ~ ~d,~'~'?-!}bi~d ~ "th~,at~ztt~ om: '~,~,.
~- . e.~,The work d0verdd bY t~S'fipplication may not be commenced h~¢~ ;~e,,,~'i, a¢'~ i';th~a~ o;"~;,'wiD
. fi; ~pon app[oval of flui apphcatmn, the Budding Inspector will issued a Builaln- p,~i* *~ m .... ,~,a,' ~ a ._
saall ~e Kept on the premises available for inspection throu~out the work, ---.= .....~-~ ......-ee-~s. aucn
e. No build~g shall be occupied or used in whole or in part for a~F purpos~ whatever u~fl! a C~ficate fOccu
shall have been granted by the Build~g Inspector.
' ' i.", ~ ....... e~"r~'t~6,~ :t~ r~'im~o'~
APPLICATION IS:HEREBY'MADE to the Building Dep~ment for the issuance of a B~ldlfig'Pe~i/~u~uant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ord~ces or
Regulations, for the construction of bu~d~gs, additions or alterations, or for r~moval or demolition, as here~ described.
The applicant agrees to comply with all applica~e laws. ordinances, bu~d~g code,~ousi~ode, regulations, and to
. ' ;L f 'Tn,,
~tlliam D,
· (Marling address of applic~t)
P.O. Box 23~ Ha~i~uck~ N~ ~1952
State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder.
agent/attorney
Name o~ owner of premises
~ .: ' (as on the tax roll or latest deed) ~; ,~:
If applicant is a corporation, mgnature of duly authorized officer. ., , ,' ,'~ ~
(Name and title of co~o of Q ct) ~ ~
rate c , - -.
Builder's L'cense No' ~ ' ' "
Plumb Li No ~ ~
Elect i i s License No ': ' .........' ....
~ e .................. · · y~ , W :q~ '~D ~'~
I. Location of land on which proposed work will be done... ~P.~qgP~..~9~ .Condominiums '~
, D ~ ~ ~ , , ...... .~,,dmOr, ,l{{~ ~f'~t~rt~$~,~'.~Y~a~t,.~,
S bdlvmon ,'...~... .............................. Eded Map No.' . . .', '. ,,, .., ~ Lot .,
...... tN,lille) ..~,~k - ·
State existing use ' '
; and occupancy of prem scs and intended use aud Occupancy of proposed construction::.. ~'~td e] ';'.~ ~';
aingl~ .~ami.[.y · residence., ,., ,, ~ ,,~, · ~ ,. ...... ~ · · ~ .........
b. JUtended use, and,ftc .... ~ ' '* ~ "' ~ ': ' ' '
(u,~,~:q,~q~ a~,~:.,~, ~', , ..,,.,.,,.,,,...,,,...
Nat u .re, ° f'w0rk;(~heck . . . ,
* apphcab eT: New Building ., ....
.... Repair. ~,.,,q%,.;;.-...; Removal ........ .' · .... Addition., ........ /Uteration .x.., .....
....... *.* ......... '1' ,- ~-, ' ..... Demolition · ..... ~ .... ,,, Other Work., ............
tto be pa~d on filing tMs application)
$ If dwelling numberofd etli gunhs .... "'
''. , w n ........... N b
lfgarage numberofcars i :; um erofdwellingunilioneachfloor
6; Ifbusin' """ ................................ "~ ..... '''"'" *"~"~'
7 Di ess, comme?al or mixed ~ccupancy, specify nature and extent of ea h
. mensioni of existing structures ff an": F .......
Hight Nuh~er of~ ,urn... ~ 'R~a~ ' '~ ' ' ' .... Depth' ' .......
D' nsionsofsamestmctu ~ith ..... ~ '";11; U''"~',", ' ' ;;',i. "C,':'-'.'~-
D pth -.. , ........ ~,~ uraamuons: Pront , ................ Rear .........
e .................... ,. Ilei~t
8 Dimensions ofefitiie Number of Stories ..................
ne*{v "ti ................ "-" ......
. ' cons c on: font ..... ...,.....
Height ' N hber of Stofi .......... Rear ........... ,, ,. Depth ........ ,., ....
9. Size of lot: Front ~ ................. , ..................
10 D teofPurch ......... ' .......... Rear - Depth .. ' .............
11 Zone or use dist ictin hi l .... Name,q p ¢rg ner
12. Does proposed construction vi~late any zoning law, ordinan ' ·
13. ;,Will lot be rieraded'~*J. ,n, ce or regulation..,,. ,Qg, .', / ...... , ,'... .
~ '. .....t .................... Willexce ~ · . ...... ." '
14. NmeofOwnerofpremues.qK~qorv ~ . . _ ssfi{lberemovudfromprem~ses:..
Nme of Architect .... I ..... -~.-.n~. ~, aodress.%~, ~O&qX,
~ucate crawly ~ mstmctly ~1, bufldM-s whet" .............
~rope.y Enes. Give {~[eeti~d block inumber ;; desc~'~lOla'alt;~d?~ ~;f~,q' ~d, m{lcat0,~l,set.back ~,ensions from
,t~or or,cornel, lot. ~ [,i '] , .... · , ~,' g t ~ I ~ ~,s~i~i,~es and ~d,catc Whether
Re: .7~8 &, 9:, Se~ atkached
Work consists of encl~s~nq of existing
~PPeal.,.,l~,~',,.-38421;~ I ',, ~ '
L
STATE OF NEW YORK ':"
COUNTY OF'., .s,U~Okl~'.,.
'",Df MOore , , , ',,
. (Name of individual s ~ni ~ cnn,....~ ........ being duly
aoove named ..... ~, ?, ~ , ,;,. 7 ' ,
lle u the .... ,...u' ."~r~*ttt'6=nev ~ ~" :.
- .- ' ' ''m,",<' (Contractor a-chi
..ncanon: mat all statements conta ned in this n"-{ichtion --- 9av~ ~cr[o~e
fork will be perDme~,in th{,~ner sot forth in the applicatmn
~W ,' , :':.,', u., .... ' filed
O~ tO bclore me fills ~/,,,,} · ~
I;151 ~ ,~
ysthatheislth a Ii
:.'.Q>,,:.,..,......
mdto m~o and file this
, and that'the
1~¢~,. ,'