HomeMy WebLinkAbout19086-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
8outhold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20002 Date JUNE 21, 1991
THIS CERTIFIES that ~he buildin~
Location of Property 2500-1AMAPLE LANE House No.
County Tax Map No. 1000 Section 38.01 Block
Subdivision Filed Map No.
ALTERATION
GREEN~ORT¢ N.Y.
Street Hamlet
Lot lA
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 23¢ 1990 ....... pursuant to which
Building Permit No. i9086-Z dated JUNE 7, 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 SCREEN PORCH "AS BUILT"~ AS PER ZBA #3842.
The certificate is issued to
of the aforesaid building.
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
..N-04350~ -.NOV.. 2~ 1998
N/A ..
Building 'InSpector
Rev. 1/81
~0]~1~ NO. ~
TOWN OF SOUTHOLO
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, bi. Y.
BUILDING PEP, MIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
cOMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to: ~
,, .....
..... ./~....~.~_~...z..~..Z.......~..,....~..~....V...~ ................. . ........ : ............
at pre~mise, s ,~.oted at ..... .~...~..~..~...~ ,
.... ~~../. ............. >.. ~.. ~.... ~. ~....~. ~>, ~~..,~,~
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~o.n. To. Mop ~o. ,00~ ,,~,,o, ..~..~.~..L... ,,~ ............. ~. ....... ~, ~o ....... z..~.: .......
,o .~,,~.,,o. ~,~ .~~ .......-~.~ ............... . ,,..~.e..~ ~,o.~ ,, ,~.
pursuant
Building Inspector,
Building Inspector
Rev. 6~30/80
William D. Moore
Patricia C. Moore
MOORE & MOORE
Attorneys at Law
Clause Commons Suite 3
Main Road P.O. Box 23
Mattituck, New York 1~1952
Tel: (516) 298-5674
Fax: (516) 298-5664
Margaret Rutkowski
Secretary
May 31, 1991
Southold Town Building Dept.
Town Hall
Main Road
Southold, NY 11971
Attention: Vic Lessard
Dear Vic:
Re:
Crescent Beach Condominiums, East Marion, NY
Enclosed please find Certificate of Occupancy applications and Ne~.Y,,q~.~B%ard_ 9~
Fire Underwriters Certificates f~ tho Beac,l!~House and Deck, Unit Nosl~l~[32/teir5Ifi~V83
[9~){~ 0.~}~, ~_~ ~[~x.0 and~. Also enclosed please find our check ~n the
'~uZ of- $4750.0 f6'r p~yrfienffof youF~fee f6r the 19 Certificates of Occupancy.
Please prepare the Certificates of Occupancy and forward them to our office at your
earliest convenience. Thank you for your assistance with this matter.
Very truly yours,
William D. Moore
WDM/mr
Encls.
cc;
Greg Miller
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING....~...VACANT LAND ...... ..
C~E~¢E~ ~
Locatio. of Froperty.. M?./r-~l ~..6 /V~PcE.~K ~"o~r.,~.,?~/p?..
HOUSE NO. STREET HANLET
Owner or Owners of Property... .~..Q~./~. .... , .....
....... ~.~<~r~ .........................
cou.ty Ta~ .ap .o. ,0o0 Se~tlon J~-P./. Blo~ -~f'~l- Lot ...... ta
Subdivision ' Filed Map Lot
Health Dept. Approval ..... .~}.~../~. ....... Underwriters Approval ............. ~
Planning Board Approval ................
Request for Temporary Certificate .......
~. oo
Fee Submitted: $ ........
Final Certificate
rev.
10/14/88
C0~0002
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,~
1000121 BUREAU OF ELECTRICITY
~- 85 JOHN STREET. NEW YORK. NEW YORK 10038
THIS CERTIFIES THAT , . · - · theprem/Ses of
JOHN AHEARS, MAPLE LANE/CRESCENT BEACH, /CONDO.~i, EAST MAR~ON, N.Y.
in theJotto,ri,,g toc.rlo,,~ [] B.se,,,ent X~, 1st Ft. [] 2,,d FI. Sert;,,n Block
teas examined on OCTOBER 2 8.19 8 8 arid found to be i. ¢o.tpli.,we acith the reqt~iret en s of this Board.
PAUL R. BURNS
275 TOWN HARBOR LANE GEN~MANAG~R
$OUTHOLD, NY, 11971
LICENSE NO. 282 E 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.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined ................. 19...
D sapp o e /c ...................................
BOARD OF HEALTH .........
3 SETS OF PLANS ............
SURVEY ..................
E ECK .... '..
SEPTIC FORM
NOTIFY
CALL
MAIL
TO:
(Building Inspector)
APPLICATION FOR BUILDING PER
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets o£plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing Iocation 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 parr 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 w/il 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 m3y 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 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.
Thc apphcant agrees to comply with all applicab'le laws, ordinances, building lode, holt-sing code~ and regulations, and to
admit authorized inspectors on premises and in building for necessary inspect~, ~ _''N~ ,~
(Sig~attYre ;} ap~?c~n~r ~ame', it'a' c'o~'t~o'r~r~c~n') ' ' '
William D. Moore
(Mailing address of applicant)
P.O. Box 23~ Mattituck~ NY 11952
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
agent/attorney
lt' applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade s L~cense No ......................
Location of land on which proposed work will be done. Crescen.~ Beach Condominiums
Unit ~ 1 ~.~O.O M.aRle La~e East Marion '
tlouse Number Street, Hamlet
County Tax Map No. 1000 Section .... 3.8..'9.1. ........ Block .... /~c...[ ......... Lot.. ~... ]J~. .......
Subdivision ..................................... Eilcd Map No .............. Lot .......
(Name) .........
State existing use and occupancy of premises and intended usc and occupancy of proposed constrnction:
a. Existing use and occupancy ,Single f. am~-l-y rosi~len~o
b. Intended use and occuvancy
Nature of work (check which
Repair .............. Rex
Estimate'd Cost .~...-~.. ....
~pplicable): New. Building .......... Addition .......... ,'alteration
'royal ..............Demolition .............. Other Work ..............
~ ..........................Fee, . ....... (Description)
..................
If dwellin,, number of dwellinlg units (to be paid on filing this application)
Ifgarage ~'umberofcars ...~... ' .............. Numberofdwellingunitsoneach floor '
' ixlcd occu,~'-~,"' ' ' "'" ............................ - .... ' ..............
If business, commercial or m. ~ ~,--~y, speany nature, ' .............
Dimensions of existing structures if any: Front ' arid extent of each type of use ~;
Height Nunl" berofStories ............... Rear ............... Depth
Dimensions of same structure with ........................................................
Depth ~ alterations or additions: Front Rear
' IIeight ...................................
· 8 Dimensionsofentire c°nsiruetion: Front' .................. NumbcrofStories
H ht Nuinber of Stories ............... Rear Depth
9 Size of lot: Front
· ' ........ i ............ Rear ..... · .......
10 Date of Purchase ~ · ................ Depth
· ' ......... i ............... Name of Former Owner ...................
11 Zone or use district in which pNmises situated ....
· are .... .Ri~ .............................
12. Does proposed construction violate any zoning law, ordinance or re.ulatin, no
13. Will lot be re,,ra,~,.a ..... : ..... .
14. NameofOwnerofpremises a~hn A~^f~' ....... ;.),Vdlexcess fill be removed from premises: . Yes ~
Name of Architect ' t · ,,,.:e,,t.n ...... l*u~ress . $5..LafaF'.~l;t;e..S.t~ ,Phone No.(6.~6 ) 6q-6.-,3~6~
......... .................. Address ~ea. ,C1 i££., .NY .... Phone No.
Name of Contractor ..... :... . ..............
· ' ' i ............... Address ll 5.7.St ............. Phone No ........ - ....;...
15.Is this property loc ted within~O0 feet of a tidal wetland? *YES.~..NO ....
· If yes, Southold Towh Trustees Permit may be required.
... PLOT DI AG FOU%{
Locate clearly and distinctly al! buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether
interior or comer lot.,
Re: 7,8 & 9: See atltached Survey
Work consists of encllos~ln~ of existing screen porches per ZBA approval in ~
Appeal No~ 3842. '
STATE OF NEW YORK,
COUNTY OF. $.U~FO~K S.S
William D. Moore
Na · · '.' . ' ." ................. being duly swol~, deposes and says that he is the applicant
above named(. me oflndlv dual slgnn}g contract)
IIe is the agent/attorneyI ' '
(Contractor, agent, corporate officer, etc.)
3f said Owner or owners, and is duly iauthorized to pc,rform Or bare performed tile said work and to make and file this
:Pplication: that ail statements contained in this application are true to the best of his knowledge and belief;and that the
.,York will be performed in the manner 4et forth in thc application filed therewith.
~Wom to before me filiS
..day i' · ........ l,
tar3 Public, .. ~[.
............. County .
~,o. ,~,~, s, ~o:~ ~,,, ~ (Signature of applicant)
Co==~.,,a~.j~,. ~,~rtgy~ William D. Moore