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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20004 Date JUNE 21, 1991
THIS CERTIFIES that the building ALTERATION
Location of Property 2500-2A MAPLE LANE GREENPORT N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 38.01 Block 1 Lot 2A
Subdivision Filed Map No. 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. 19088-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 EXISTING SCREEN PORCH "AS BUILT" AS PER ZBA #3842.
The certificate is issued to_ EDWARD BORG
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N-043480 - NOVEMBER 3 1988
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
Fosu x®, s
vowN of souTtloLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N ~ i ~ a~ ki Z Date G~~t~~%1.~~........../ I9..~d
~
f ~C --~G~~~~~G~
Permission is hereby granted to: '
..~.o~....G .
ta ......'..1~.~..~...-y7/~
n~,~ ..........~a:~%.'Y:)e~~~,'~~..'~:?:c....f/;~~..u.,,,~~.~LrL~:r~~
at premises located a[t/.....~i
. ......:..:.....?.`......1!„lrA~r.T~U!~....4.~Y}~,~.~!„C,1~~~>,
..............................................................7....qq............................................................................................
County Tax Map No. 1000 Section ~Jyy.C!.~..Q...~... Blcek Lot No.......~.~....
pursuant to application doted .........:~1..,~j.........~...y~1.........., 199, and approved by the
Building Inspector.
Fee 0.
Building Inspector
Rev. 6/30/80
4 a_
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 Mazgaret Rutkowski
Patricia C. Moore Secretary
May 22, 1990
BY HAND w..~-
a ~
Southold Town Building Department }4
Southold Town Hall ,,a,~ ~ ,;r~
Main Road a a ` ~ ~ ~
Southold NY 11971 -s ~m° `
~;s,.
i~er .,m
~c:`s,_~,° se,tr,~
Attention: Cart Horton m
Re: Crescent Beach Condominiums (SCTM# 1000-38.01-7-21)
Dear Curt:
Enclosed please find eighteen (18) applications for building permits for the above
referenced matter together with eighteen checks payable to the Southold Town Building
Department in the sum of $50.00 each to cover the cost of building permits and certificates
of occupancy for the respective units needing permits as well as for the deck and beach
house undergoing renovation. If all is in order, please advise and I can pick up the permits
when ready. If possible, perhaps the permit for the deck and beach house can be prepared
in advance of the others.
The units were inspected on April 9, 1990.
If there is any additional information I can provide, please do not hesitate to contact
_ me.
Very truly yours,
William D. Moore
WDM/tnr
Encls.
Our file # 308-88
{ ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTIIOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE.. ~ 3~_ 9~.....
NEW CONSTRUCTION .......OLD OR PRE-EgISTING BUILDING-.Y...VACANT LAND........
C2E'ScE"NT pEigcH CON DOM/N/Nr'!S
Location of Property.. u!`!LT..'~_°~....__-• m'4P~E,•f~f~N~--•••-Lr-flS7-l~f~RlfJN..
HOUSE NO. STREET HAMLET
Owner or Owners of Property......~:.~ OR ~
Couuty Tas Map No. 1000 Section ~:~/Block .:7-f:':.~Lot
Subdivision Filed Map ........Lot..........
Permit No. /~O.o.~.Date of Permit ....__....Applicant ~~LL11gM/~: M002~
Health Dept. Approval Underwriters Approval.:!...........
Planning Board Approval
Request for Temporary Certificate Final Certificate
Fee Submitted: ~ O D___•,..-
ArrLICANT..
44~~? ,
~P! ~ ~ .r_
i~
~~Ca~. r~ S., cs ~p_
.lf~th~ri E
N~~v
rev. 10/14/88
Q:,c,y1993
r.,~~nnnc~
TttE NEW YORK BARD 'OF' PI~RE UNt~HRWRiTE!!5
' ~..y~ IIUREAU Oi ELECTtUCITY
8a JOHN STREET. NEW YOIIIC, NEW YORK 10038
A~rii 21R 1978 9fS3296 N 383250
THIS CEPtTIF E8 THAT ~¢~d ,Sy
°~yµ°111Y8118NA9ni~~ 1if18S~F3ri°iTS 1.lthe°6ar~numharintMpr'eKai.s°4/
kt tMfdlotoinA'!oc°t/~~np emspt ~-7J~ let Fl. ? Snd FI. Section Block Lot
tow asomitted on ' 'r ~ R 1 Y 7 e and found to 6e in rnmplisncs mirk the requirements of tkjs Boird. s
IIXiUtl Atilt tYYIiORa R%TUYt RAf18lS COOKRp KS OVNK lKT FANS
OU'fll15 NCNlOtaCEMT rMN71RSCEM NAT. K. W. AMT. K. W. .AMT. LW. AM(. •K;
W. AMT: N. r.
ORYMf F11WAQ RtOn9Rf FUfURI AMIIANq FNDIRS tFEGAI REC'/1 ilil Cft7C7ft Ray INU1 taAilK ONNAAIR;
AMT. K. W. On H. r. OAa N, r. AMi. NO. A W.O. AMT. AMr. NAT. AMra. iWet. AMT. N. r. NO.OF RSi AMT. WATIa
.fiptlOE-RIi60MdFiC1 S E R V 1 c l
Aw,r. AAV. Trtt AIl1N i a aw i p aw a a aw a w Aw ra. of cc. corn. A. w. ~ uo. a NMec •w.0. uo. a uEFtfRAlt A. w. c.
IQIIN. A / as CC. C D. Hr Ot NFUfIIAI
i f?0 CA x 1 4 t 4
O111M AMARi17Uf:
1 4.5 kr hot rater heater
WWSaI PratLOt Elaetrletan G~~~
G~~~np~ri°D~.l. If944 llc. 1049E i
Per ~ ~ ~ ~ ~
,)'f1iK geliNc°N'1NKf not IMr Oltsred in °^Y IIIaTNNr, rot°m ro fM office oftfte Board if incoryect. Intpetton may FMt iderodisd.. 1Mir cndentiok.
FEiR WILDMItIi I~ARiMNR. TNIf Cii1TY O/
THE NEW YORK BOARD OF FIRE UNdB~RWRITERS pmcr
~noolzl
. I g BUREAU OF ELECTRICITY
AfOVSMHE;N {t3, 19D8JOMN STREET. NEW YORK, NEW dY~~R1,C`TOOPi6 N D¢tdRO
Dote R Application No. on file ~~RB SS 8 nn ~~RR
THIS GERTIFIEf THAT
only the elsctrlcal pulprwent a deecrihed 6shTa and Introduced by the alyPlicant tEarrsd on the oboes opp/ication numher in the pnwsleu q(
Y.,. NONG, t".Rk:SCF:NT HISACH t;OMIH),,~X.(,,-#'J.. MAi'IIA: (.A1V1!:; F,pS'C' MANCt31d, N, Y.
in tkefdloainA!°`°?S~'!'oHt~t ~ee~~ Ll IAt FI. ? Pnd FI. .Section Black Lot
waa examined un and found to 6e in compliance with the reyuiremente of thle Beard.
AK1UR! ~ SINITGIK RXTUNS RANWf COOKNIO MCKS ONMW T f
OUTIETS INCANaFSCENT ~ PIUOIIESCENT y AMT. K. W. MAT. K. W. AMT. C.W. AMT. K. W. AMT. N. P.
DRYMS RlRNACE MOTWS EUTURR Atl/UANCE PwRRf SMpAt RtC'M IYAE CIOCKf RNl IRNTIIEATNS tYX140LLTIRT EIR1R1pf
AMT. K. W. Oll N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AAVS. TRANS. AMi. N. P. t10. ~a ~T AMT. ' WAiTl
fERVIC! DISCONNECT tKP.Oi S E R V I C E ~p~
AMT. AIM. T1TF I,e TN 1 / SW S 13\V S / AW O~
`COND. ~ ZC. C NG. Of NI.IFG a ~ No. a NEUIMU ap
HEU1Ml
OTIKM AMARATUS:
ppYJY~ K. 4iliNN'4
275 9't)NN HANAON 1,ANW
SQU`PH9LIb, NV, 11.471
11
Per
lllic . aE1wf rat be dNrd in any mama`; rewrn to Na oNice Gf the Eoord if incomct. Inspectors ba idaMiliod ~ tl~fir credentials.
OEPARTMtNT. TF#3 CO?Y OF ClRTIfK:ATE MUST NOT ~ ALTlRlO IN AMY MANNER.
BOARD OF HE,\LTH
3 SETS OF PL,\NS
FORM NO.1 SURVEY
70WN OFSOUTHOLD CtIECK
BUILDING DEPARTMENT SEPTIC FORt•1 .
' TOWN HALL
SOUTHOLD, N.Y. 11D71 NOTIFY
TEL.: 765-1802 CALL
MAIL T0:
Examined .................19... .
\PProvi~/y.. 19~Y. Permit No. 1 .~(~.C/. ,l~
Disapproved arc r, ; t .
, t
i>fll~Y 2 3'~~~
(Building Inspector) ~ ;~;tif~'_~s..:'t::f.-~'~:^.,t~
APPLICATION FOR BUILDING PERMIT •
- Date . ,March, 13 , • • , . Iy 90
INSTRUCTIONS
a. Tlus application must be completely 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 must be drawtt on the diagram which is part 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 will 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 any purpose whatever until a Certificate of Occupancy
6ha11 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
Rc;ulations, 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 ode, oustnG code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspe io
(Signal ire of applicant, or name, if a corporatron)
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
Name of owner of premises
~ (as on the tax roll 0 latest deed)
If applicant is a corporation, signature of duly authorized o(Eicer.
• (Name and title of corporate officer)
Builder's License No . .
Plumber's Liccnsc No .
Electrician's Liccnsc No . .
Otltcr Trade's License No . .
1. Location of land on which proposed work will be done. . ,~Fescent Beach •Condominitxms •
Unit Z...........`~~.Q6...Maple Larie...... ...........East •Marion.....
(louse Number Street llatnlet
County Tax Map No. 1000 Section 3$:~•~•••••••• Block ....,n,,,~.,,,,•••, Lot
Subdivision F.ilcd tap No. .Lot .
• •(Nvnc)
Slate existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy &ingle. •fami.•1•y • residence .
b. Intended use and occupancy
5i ,t, P~ yrl
3, Nature.tlf,work'(Fhetk (dhich Applicable): New.0uiWing • . • Addition • • • • • Alteration X
. ,Repair a . Removal Demolitltln , ........Other Work , .
. , ~~1..11'.;tl ~ ,(Description)
~'t ' ~I ,,~{•~-''~i
' 4r • Estimated Cost , . , . Fee ,,,l.~:Gl. ~ . .
~ ~ , a?~ (to be paid on filing this application)
5. , If dwelling, number of dwelling units . Number of dwelling units on each floor.. , , , , ,p, , , .
If garace. number of cars ~ . . . . , t.. .
.
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use,....... , , '
7. Dimensions of existing structudes, if any: front . h6at Depth , • • .
Height , Number of Stories . ~
Dimensions of same structure rvith,altcrations oradditions: Front Rear , , , , .
Depth . . IIcight , Number of Stories , .
' 8. Dimensions of entirF new consGttrction: Front Rear . , , , Depth .
Height ...NwnbcrofStorics........,.....:..,..............
9. Size of lot: Front Rear Depth , .
10. Date of purchase . . . Name of Former Owner ,
l 1. Zone or use district in which premises are situated . , , R$..: ` . . .
12. Does proposed construction violate any zoning law, ordinance or reEulation: , , ,no, , , , , , , , , , , , , , , , , , , , , , ~ '
13. .1Vi11 lot be regraded' :fl ....uo ...........1Vill ex G~1 be rc ov ``tt C m premises: Y
14: Name of Owner of remises . ,Bo'rg : Thorn~ii~i ~r (803) SFS14: 89
p • ~ . ..Address . .Phone Na.
Name of Architect . .Address Spartanbure...SC.. Phone No.. . .
_ Name of Contractor , . .....Address .~~34J:.: '"i Phohe'No. , ,
IS,.Is•,tbisl property•loca,ted within X00 feet of~ a tidal wetLand7~9*YES.~x .NO....
*If yes, Southold Town Ttustees Permit may be, required ,.~i"''"1
.y~~, a."irrr~ ~r? , i PLOT DIAGRAM i,t :r_ ~i1, , t;~ ~as.7 , , ~rfrj r, ,
~'LoCate clearlytand distinctly all buildings, whether existing or proposed, and.indicataall set-back dimensions from
property lines. Give street and block'number or description according to deed, and shotJ,street names and indicate whethea
1nI0r10r Of COtIler l,Ot. ,ell ~ i ,,,!i.t w., ~9; ~ ~ -
f
' r, i', (S"1 •'t -fzi 11~ .r.<i-1ltpi
Re: ,7, 8 a&i,t9:, , See at~ached 6urvey . , r',i~i„ 31 `
'Work consists of enclosutn~ of existing screen porches per,~ZBA'approval in
. ,Appeal ~No~:~3842.~ ~ ~ ,+d ~ ~ ,
,
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' v ra' „ +y (t{~.'.3 ~,~'91'st1~'21;di-= ,tt~°tip~PSl3 r,~3c"; d t, ? -
. ~ t"~=°81')+a"~~.t~~Ci~iiti: insf,i8ltri:,~nrs.;.. ,
STATE OF KE1V S~ FFbLK S IS ~ ~ . ~ • • • ~ „ ~ ? , ~ • . , •
COUNTY OF . . . . . . . <,z~Ya~i~1 ~ ite,i r
, , , ,Tq} 11 am, R.; ,Moore , , , , , , , . , , , , , , , , , , being duly sworn, deposes and saiys that he,is,the applicant
1 ' ~ nru z.aF s
(Name oCindividual signing contract) • ~ ~ • • ;
above named.
t ti'F'r !±t) i ainil~t u•~i~:.',•z . ,
,~h s,:! It w (~t.l~rr l~a~~caryc~7c1 r'~i
itcisthe,. ..~,g€Fl~%li'~:~.'~~~eY., ' .
} t~ ..1.,
' ' , ' ~ • (Contractor, agent, COrpOratC~tltfICaC4~~tb.)' %:i • :'Ct . ter'- a',Y7 ill ~
• ~ •~(t ii ~ } I .
~C said owner or owners; and`is duly authorized to perform or have petfdtmcd the said work and to make and Cite this
sPPlication; that all statements coritaini:d in this application arc true to tlic best.of liris}I~~~g~vle~~yi~~n~,bciicC,and that'the
work will be performed in th ,manner sit forth in the application filed thetawith. " .
iworn to betorc me this ' ' ' g•. ' • ' , , ~ r';,' y1 +'t
, t' . 5
~ q,~ • n)Sdr
a,.,.. ~.•r'. ~,1„day tlf. 19 .1.~: ~ S'1"Jt~~,~~~.7$(. +,~~'Il mt •r,v .`)?1:
~ ~iiii la ~ ~,"t l`~ ~t(~I tl
;oWry Public. :a`~i!'Sa r~.~'8-~",~.. , County l,: • ~ aria p.;, ~r t ~
, .....x.s.n,> P! FSAC dfX•L. • a ,,,,..la.w ana44 ~i'~s~, ,Sl~i,
o V~f 4Ib PL t . i<uk , r ~ n•. 1Z~9t,14i1
f:,°." (Signature of applicant)
, , , 4 , , , . co~E.,.,c::,., : ,:r
l9yo
Wi11'iam D.`. Nloox~',`!;,".