HomeMy WebLinkAbout19090-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No_ ~20006 Date JUNE 21~ 19~1 .
THIS CERTIFIES that the building. ALTERATION
Location of Property ~500-4B MAPLE LANE GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 38.01 Block 1 Lot 4B
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. 19090-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 ELIO d'EUSTACHIO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
.......
N-043509 - NOVEMBER 2, 1988
Building
Rev. 1/81
TOWN O~ $O~TItOLD
BUILDING DEPARTMENT
TOWN HA~
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
....P.,...~......../.~.~.....~..~ ..................................
..~...~.,..~...~....../../..7...~.T..~
· ..........
at premises lactated at ......... (~...~/..~..~....~'.~....~ ....... ~ ...............
........ ~~~....<.......-.......;....~c~.....~...~...:~ .~....~ .......................
.................................................. .L~.~......~.. ....<7/..I.~ ..........................................
County Tox Map No. lO00 Section ,~..~.~...~.,../.... Block ........ L ............ Lot No ..... ..~....~.... .......
pursuant to application dated .......... ..~.......~....~..~...., 19...~..~;'~ and approved by t~e
Building Inspector.
Rev. 6/30/80
TOWN OF SOUTROLD
BUILDINC DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE ..........
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND
Location of Property ...............
HOUSE NO. STREET HAMLET
Owner or Owners of Property ...................................... .. .. .. . . .. .
coup. ~ ~ ,o. ,00o ~.~o. ~.~:~,,,o~, ~.!. ~o~ .~..~
Subdivision ....................... Filed Hap ........ LoC ..........
Planning Board Approval ................
Request for Temporary Certificate .~ ..... Final
Fee Submitted: $. 2~e ~0
Certificate ................
APPLICANT..
I0/14/88
Co ~_joo~
THE
Oate A p r.f t 2 ~
THIS CERTIFIES THAT
NEW YORK BOARD OF FIRE UNDERWRITERS
I=IUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW'YoRK 10038
only the ele~trlcal eOulprn~nT os deserl/~ed belo~ ond i,*troduced by the applicant named on the above application number in the premises of
in the following location; [~] Basement []~ /st FI, ~ 2nd Fi. Section Block Lot
tvas examined on fl, ~ V { ~ 2 0 ~ ~ <} ~ ~ and found to be in compliance with the r~quirements of this Board.
FIXTURE
OUTLETS SWITCHES FLUORESCENT
FIXTURES RANGES :OOKING DECKS OVENS DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT S E R
)THER APPARATUS:
I 4,"~ k~ hot w<~fr~r he. attar
I C
NO' O%E~C. iyCONO]OF ACC.W'C'COND' NO OF HI-lEG OFA' W' O'HI-LEG NO' OF NEU[RAL5
This certificate must not ~e ~ltered in ony monner;, return fo the office o~ the Boord Jf incorrect, inspectors m~y be identified by their credenfiols.
COPY FOR SUi DEPARTMENT. THIS COPY OF ANY MANNER.' '
THE NEW YORK BOARD OF FIRE UNDERWRITERS
· ~)~ /' EUREAU OF ELECTRICITY
~ }.!~V~,;~'!I~':,~ '~,, t ~8'~'JOHN STREET, NEW YORK, NEW YORK 10038
Date Application No, on file
THIS CERTIFIES THAT
only the electrical equipment as described hereto ~nd i~troduced by the applicant named on the obove applicatlot~ number in the pren~ises of
FIXTURE
OUT'LETS
FIXTURES
SWITCHES NCAHDESCE~T FLUORESCENT
RANGES OVENS DISH WASHERS EXHAUST FANS
SYSTEMS
E
~THER APPARATUS:
R V t C
This certificate must not be altered i~ any manner; return to the office of the Board if incorrect, Inspectors mc~y be identified b~-thel~ c~e'nft6'ls.
COPY FOR I~UILDIHG DEPARTMEHT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IH ANY MANNER.
Examined ................. 19 ...
FORM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-180:3
Disapproved a/c ..........................................
3 SETS PLA.S
SURVEY ....... ,
SEPTIC FORM ................
NOTIFY
CALL'
MAIL TO;:,: '
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
. Date March 13,' 90
· ................. ;.., 19...
.,,./ .... ,'~ INSTRUCTIONS ,, , < !- ' ' ,
a. Tlds 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 lhyout of property must be drawn on the diagram ~which is par~ of this appll-
c. The work covered by this application may not be commenced before issuance of BuUding Permit. "·
d. Upon ppi-oval of th,s appbcahon, 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
'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
Reo~ulations, for the construction of buildings, ad~ditions or alterations, or for t:6moval or demolition, as herein described.
Th~ applicant agrees to comply with all applicable laws, ordinances, building code, h~u~in~ codq, and regulations, and to
admit authorized inspectols on premises and in building for necessary inspec~ions.~tf~ ~~
(Si~natu~ o-f~tpplicant, or nerve if a C'orl~orauon) '
William D. Moore
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 ........ t. .........................
(as on the tax roll or latest deed)
Ifapplicant is a corporation signatu.re ofduly authorized officer.
(Name and title of corporate officer)
Builder's License No ...........................
Plumber's License No .........................
Electrician's License' No .......................
Otb~'r Trade% License No
I. Location of land on which proposed work will be done...~res, qen,t, ,Beach Condominiums
Unit ~ 4 .... D~Y','hc~ Maple La.~q .. ' . . .; s~ ~arxon
}louse Number ' Street,"g ,' "'" ~' Ha nlut ' z~ ~ .... ,,' .......
CountyTaxMa~N6. 000Section .'...}~:P.L ...... ~2 Block,..,,/ .>:,: .... '..'Lot.' ........ ,,.,
Subdivision Filed Map No
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exlg~ing use and occupaoc~y ..... 8ingl* ~am~ 1.y rosaaen~e' '
b. Intended use and occupancy
· 3i 'N (Ch ppli ) ' ' .'
ature of work; eck which a cable: New. Building ......... Addition .... , ..... oration .X. .......
pal .....
·; ~ Re r. , ~ ...,..,; ....... Removal ............... Demolition .............. Other Work...
~ ' ' ,Y/' (D rind )
4~ 'Estima Cos ...... i ' , ,d,Jl,,. , . ese on
$.., If dwelling, number of dwe ing~ units ..... ,, , .. ~, _, ' ~to be paid on fihng tMs application)
If garage, number of cars ! ' · ........ ~umOer ofdweHing un~t~ on oaoh floor, . '
6 Ifb ' ' ...................... q' ; ................. "'~"
Rsmegs,¢omme · . I .. ...,.,....,. 4 ..... ..
~y nt .. .............. Nmfibcr ofSto~es . .. ' .......... · ............... Depth .., .............
u~menSlons of same $f~cture with altcratio ..... -; ;,~.' ' '; ...... .' ' ' '. '.'.',',' '?' ~'
' Depth ............ ; .' .,ao[ aualllORS Front , ' ~ ' ' ' ·
· · ..... ,. IIei~t ........
m .............. Number of Stodes~...,.
' 8. Dimensions of entire new const ction: Front ..... ................. ,.,
igl , .......... Rear ~ ....... ~.,.... Depth
He It .............. Nm~bcr of StoNes ..... , , ..............
9. Size of lot; Front .... ; , ' ........ ; ..... , .....................
10. DateofPurch ................. Rear ... , ,,,~ ..............
use.. .......... i:. ............. .... ~ ~ ............ Depth ·..; ..... ,.. .........
....NameofFo~et wner ~..,,, ,..,,.... ...
l 1. Zone or use district in which premises are situated ...................... ~ .......
12. Does proposed construction v elate any zoning law. ordinance or '
13. ;.WaI lot be'r~graded:,~...,~nn [ regulatmn ......
14. N~e of Owner of oremises ~o d'gus~ac~$''f)ydloxg~ss~rcm?edfromprem~ses:. Ye
~r~--.-~ ..... ' ''. ................ ,~u~ress'~,~,~l~.~ve.
, ew' ................ ,.
· ~remtect ........................... Address T" ~h~, ' ~,' '; '/' ' ,' %Phone,No.. ~, ..... , .......
. N~e of Contractor ......... , ........... ·
~ LoCate ch~l ~d dm' i · · . .
. . y , ,, ~ctly ~1 ~bu~dmgs, whet~e~ ex:sting pr proposed, ~,d. lnd~cate~l set-back d~ensions from
prope~y ~nes. G~ve s~eet ~d block number or deacnphon accordm tO ee ·
interior or ~o~e - ~ g d d ~d sho~ str ·
: ~ ~Iot.; , ~ ....... ~ ~ ~. ~ ,,,,~,R~es and.md~cato Whether
Re: ,,7,8 ~ 9: See atfached Survey ~. dy ~ ~..~'~f~ %~'q{tOg~.9~Jttm~;'~mib
Work consists of encl6s~ng
STATE OF NEW % ORE, ."
COUNTY OF ,SUP, FOLK S
. (Name of individual s chin- c~' '
He is the. '.~' ~,~i~i~az ,L/ ' '.
.~ ~9~u ~wner or ow~er~, ~d is duly author zed to ~crfo
· ppi Catlo . . . .. ,, -... u, nave petioles tile Said WOrk and to m ·
..... ....9' tha~all stat?nents contained m t I s appl cation are ~....~ ..~ ~ ..... ~..,. ~e and file this
; .....,.ul ~e.pcrxo~?q tn.th~o~=ner set forth m thc application Hl,,,~ ,...~;;.:.L ~' gl{ and t~at the
,,urn [O bolero me'tills' ~' ? ~ .........