HomeMy WebLinkAbout19091-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20007
Date JUNE 21, 1991
THIS CERTIFIES that the buildin~
Location of Property 2500-5CMAPLE LANE
House No.
County Tax Map No. 1000 Section 38.01
Subdivision
ALTERATION
GREENPORT, N.Y.
Street Hamlet
Block 1 Lot 5C
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. 19091-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 GREGORY MILTRR
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
H-020854 - MARCH 12~ 1991
Buildin~ fn6pect6r J
Rev. 1/81
FO:II, M NO. ft
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALt.
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTKUCTION ..... OLD OR PRE-EXISTING
'' VACANT LAND
Location of Frope~. ~.~. ~r..~. ~ ...... ~..~e~.e...~..~..~.¢ .....
HOUSE ~O- S~REET HAHLET
O~ner or Owners of ~ropert~ ...............
Subdivision ....................... Filed Map ........ Lot ..........
Plannloa Board Approval ................
Request for Temporary Certificate ....... Final
Fee Submitted: $ ....
Certificate ................
APPLICANT.
Io/14/88
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~E 1
8022868 SUREAU OF ELECTRICITY
~-- ES JOHN STREET. NEW YORK, NEW YORK 10038
o.t~ MARCH 12,1991 ~pplic.tio.~o.../a~ 72471791/91 H 020854
THIS CERTIFIES THAT
o~y the el~tricffl equipment ~ ~scribed below and int~oced by t~ applicant ~med on the a~ve ~plicatlon nu tuber in the premises of
;REGORY MI~ER, 5 MAPLE ~ANE, EAST ~ARION, N.Y.
~. e~.,.ined o. MARCH 05,1991 .,,tiro.nd to be ~n co,npHance .'ith the reqairen,ents of th~s Board.
OTHER A~ARATUS:
SURVEY ONSY-1
WIhLIAM D. MOORE, ESQ
MAIN ROAD P.O. BOX 23
SUITE 3
MATTUTUCK, NY, 11952
GINEI~AL MANAGER
11
Per r~.m _
This cerfifi¢ole musf ,of be oltered in on), monner; refurn }o fhe o}{ice o~ the Boord i} incorred, lnspecfor$ mo¥ be idenfi~ied by fhelr credenfiols.
William D. Moore
Patricia C. Moore
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
May 22, 1990
Margaret Rutkowski
Secretary
BYH~D
Southold Town Building Department
Southold Town Hall
Main Road
Southold, NY 11971
Attention: Curt Horton
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/mr
Encls.
Our file # 308-88
FORM NO. 1 SURVEY~ ......... '.
BUILDING DEPARTMENT SEPTIC FORH ..~? .......... ..
TOWN HALL ......
SOUTHOLD, N.Y. 11071 NOTIFY
TEL 765 1802 CALL '
Examined r 19 ' ':~ '
Disapproved ale ..............
~ ' ' Date ....Mar ,
,. ,.. ,,~ ....... ,' INSTRUCTIONS ' ' ,,,-,~ .... ,,~i. .... ,
a. ~fis application must be completely filled in by ~pewflter or in ink and submitted to tho Building inspe, toe, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule. ': /~ ' ' :' '
b. Plot pl~ showing location of lot and of bulldogs on p em~ses, relahonsMp to adjolning premises or pubic streets
or areas, and givMg a det~led description of layout of property must be drawn on the diagram ~hich is pug of tMs appU-
e.' .The work covered by tMs application may not be commenced before issuance of Bu'fl'd~n~ Permit~
' d. Upon apptOgal of this application, the Building Inspector w~l issued a BuildMg Pe~it to the appgc~t. Such pe~it
skull be kept on the premises ava~able for inspection throu~out the work.
~. No buildMg shall be occupied or used in whole or in part for any purpos~ whatevSr until a Ce~ificate of Occup~cy
shall have been granted by the BuildMg Inspector. '
APPLICATION IS HEREBY MADE to the Building Dep~ment for the issuance of a B~Iding Pe~it punuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, =d other applicable Laws. OrdM=ces or
Regulations, for the construction of bu~dMgs, additions or alterations, or for f~moval or demolition, as hereM described.
The applicant agrees to comply with all applicable la~s, ordinances, bufld~g code, h~sing c~4e, and regulations, and to
admit authy~ed ~pecto~ on premises and ~ build~ for necessa~ inspect~;~ ~~
~illiam D. Moore
State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder.
a~ont/attornoy
If 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 License No ......................
I. Location of land on which proposed work will be done... ~r.e.s.q~p.t..B.?.a?.h. Condominiums , .
., ::..: ........ . .ap3.q. Ea. q .... : ......:'.':: on. .....'
tlouse Number,. , r; ' Street ' , .... ~ ,z ~ ~,.,.}.~,'~ a'<:..,'.,,' .... ''''* .....
County Tax MaI~'N07100(~ Section .... 3.8.,..0.1. ........ Block .,,.c~'~,,~,,,~,,
Subdivision ................................... Eiled Map No ............... Lot ............
· ' (Nanle) ....... to '~'r,% ............ ' ' '
,~. State existing use and occupancy of premises and intended use aud occupancy of proposed constrt.clion:
Existing use and occupancy .9.gngle. f. am.11.y ' ros-,detl~'
b. Intended use and occupane~ '
,3~ 5/ °f%vork"('~h~ck which ~pplicabl ): N ' " :
ature. ,
[I ildi X
' ' Repair e ew. u ng ...' ........ Addition .......... /alteration
' ~ ~ ' ' ~* ........ R mo al D molition
· . e ·,,. ·,.. Other Work
~ 4t 'Estimat~d'Cosi ............ ~ ' ~' --u~L.Ht,'~ ~: , . ' ~(Dcsc~ption)
' '.~ ' ' ~ ~(~'~'0,: , " ......................
' ' , ,, , tto be pal on ~hng th~s application)
. ,., If dwelling, number of dwcllin units ............. Number of dwelling un on each floor ....... ~.., .,,. i~.
' ]fgarage, numbetofcars ,...i..; .....
6. If business, Commercml or mtx'ed occupancy s-cc '- ............ ' ' ' ..................
· ~ "~ "~natureandextentofea~htyp~ofuso: .... , ...... L:
7. D~mens~ons of existing stmctu es, ifany: Front ............... Rea? ...... , ..... ~., Depth ..............
Height ............... Number of Sto~es ...:
Dimensions of Same structure with,alterations or additions: F~ont ', ................ R
~a~~ ,
Depth ................... :.., Ilet~t ...... . .... . ............
~ ............ , ......~inum bet of. Stones ,...,., ....., .
8, Dimensions of entire new cons motion: Front ......... Rear ........... ,.. Depth ,,.
mgnt ............... Nm'nbor of Stories : ' · ...... ,.
9. S~ze of lot: Front ..... ~ ~ .......... .... , ........... , ........
.................. ..... ....
I0. DateofPurehase , i ...... Depth .... '
~ ' .
]"' ." '~ ............... ]~..Namco[~o~e~ vnet .,,,,.,,, ...... , ......
11; Zone or use district m which premises are situated ' un l,t ~ ~,~ ,~ ~ ~ ,,,,, , . .......
12. Does proposed Construction violate any zoning law, ordinance or ' '
13. eW~l lot be~r~urad~d'.:,t~ ..~ ] . regulatmn ...... 09, ~',. i .....
l< ~m~ or ow~ ot.~i;S~';;;~;;: ';;;; ........ wm ~ n, u~ ~mo~a t~o~ .r~tl;,i:' ....... "'
..... ~w~a..'v+~A~,. , Addr,<,6~5 Lahov ~ ~,- ' . Yes
~ ,
. .................. .... . .....
N~ of Contractor ..................
~lS,Is. ~;.T.~k'~ . : . . · ...... Address ..Q~,,~.~i+~ m~m~vh.~.,u.., ~., '.
· If yes Sou.U..~ ._ 9 ~a w~th~n~OO,,feet of~a~t4dal~et~a~d?N:~yEs,;:.~.,;N~ ~ ....
_:_~a~E c,e~y ~d d~st~ctly ~1 bu2d~gs, whether existin~ or ....... ~ '- · -. ' :.' · .
prop~ay unes. Ulve !treet,~d block;numbs--- ao..~-.__ ~. ~?~u, ~,a, ln~{catmml,set-bac~ d~ensions frm
inte~or or comer IOL" =~' ~ :" ..... ~,,~,,un accormng ~o asea. ~d sho~ stree* ~ .... ~ ~-~, ...........
Re: ,7,8 '& 9=. See at~aohed Survey. ,t-,*D'tt ...... ~,, .
Work consists of enclbsm~ff
"~'"",: <.d'I~'' .;""~..[ ,'~hh::~l ........
STATE OF NEW YORK,'"
COUNTY OF. S Ui~.EG)LK ........
Wi 1 1 ian~ '.'b.."Moore ,
"" ............ * .................. being duly sworn, deposes and sayj; that he :..,.
(Name of,ndividual signin~ contract) ~ ~ ~ut3 ~,%pm appncant
lPpligalion: lhat'all ~J~J{m~J~ co~lnmbd i~ ~his application are Irua
~ork will be perfome~ ]n thc m~ner s6t forth in thc application ~ed fl and t~al'the
nVom to belbre me'thiS'~'?t' '
igna,tute ,of applicunt)