HomeMy WebLinkAbout19092-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 2-20008 Date JUNE 21, 1991
THIS CERTIFIES that the building ALTERATION
Location of Property 2500-6C MAPLE LANE GREENPORT N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 38.01 Block 1 Lot 6C
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. 19092-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 J.A. POLLICINO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N-043512 - NOVEMBER 2 1988
PLUMBERS CERTIFICATION DATED N/A
~~~n~sfi
pector
Rev. 1/81
FOBadt NO.
TOWN OF SOUTHOLD
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~ ~ ti J ~ Z Date 19. l
d
Permission is hereby granted to:
.....,.l.l...9..:
~1
„rg....
at premises located at ......(/?...ct's...~.........
/~`''1r2
' County Tox Map No. 1000 Section .~l~<...r%...l.... Block Lot No......~...~....
pursuant to application dated .........:/.l (.~j.........~~5...., 19..~.~and approved by the
Building inspector.
Fee 5..,.1~..I.ai.. d
Building Inspector
Rev. 6/30/80
4
,
' TOWN OP SOUTIIOLD
BUILDING DEPART2IENT ,
TOWN UALL
SOUTIlOLD, NEW YORK 11971
765 - l802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
L.~DATE...~ .3l /
NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUIyDING......PACANT LAND........
CRESCEN//T~` B~'i9GH CO/!/Z>OM//?/~lMS
Location of Property. Lt!'~(7: ~Y .~E! .....~!~pL.C. ~.l9NE...,.Fie35T ./?!/9RIDN
HOUSE NO. STREET NAMLET
owner or Ovvers of Prapertq....~•.R:/... ~4~?LL~I
iGJ NO _ .
County Taa Map No. 1000 Section 3g0[ Block ..':'T'.~LoC
Subdivision Filed Map ........Lot..........
Permit No. t ~O ~~.Date of ,Permit .._.......Applicant ~~~-~:~~!y.~'.MAO~E
Bealth Dept. Approval Underwriters Approval
Planning Board Approval
Request for Temporary Certificate Final Certificate
Fee Submitted: ~
APPLICANT...
i~ j`,'
ev. 10/14/88 ~ „s.
YL~~,~
~~N
1993
e ~.L' 11y'~ly {3~~A i
C~ ~ aooo
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~ ~ - E3UREAU OF ELECTRICITY
85 JOHN STREET. MEW YORK, NEW YORK 70038
Date i1 P ~ ~ ~ ~ } ~ ~ ~ Application No. on file L~arI <$,9 ~ ~
THIS CERTIFIES THAT
only the electrical egeiipment as described below and introduced by the applicoht named oa the above application namber in the premises of
JaTrn~~ ~~v~e~~tt~kr,t--s7~~~€a~e~ t.zn~, ~r~ac~n~~rt~, t_.i. ~ifd{~g~~-
to the followirzg location; ? Basement L1K 1st Fl. ? 2nd Fl. Seotion Btock Lot
was examined orv ~ ~ ~ ~ # y ~ ~ , ~ and fourzd to 6e in compliance with the requirements of this Board.
FIXTURE FIXTURES CC RANGES ~ COOKING DECK$ OVEN$ DISHWASHERS EXHAUST FANS
OUTLET$ ECEPTACLE$ $WITCHE$ INCANDESCENT FLUORESCENT aYgPOBT AMT. K.W AMT. K.W. AMi. NW, qMT. K.W. AMi H P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELL UNIT HEATERS MULTI-OUTLET DIMMERS
$Y$TEM$
AMT. K. W. OtL H. P. GAS H. P AMT. NO. A. W. G PMi AMP AMT AMPS. TRANS. AMT H. P NO. OF FEET AMi WATia
SERVICE DISCONNECT NO.OF $ E R V f C E
AMT AMP TYPE METER I 4W I 3W S % SW 3,e" dW NO. OF CC COND. A. W. G NO OF HbLEG A G' NO OF NEUTRALS A. W. G
EQUIP. PER % OF CC. COND OF HI-LEG Of NEUTRAL
ti~ i~i ~ ~ ~ ~1
OTHER APPARATUS:
4 4.S ~Vrl #tca`!' wi~t~:r #tc~a3#~~sr
' ~
Sz~f r'Srx~-~hP E}e~~i~r°ic~tr~n G~~~~
4d 141 C,T I `h W L 71 fl k? ~ - GENERAL MANAGEg ;
f,l~~~>Tr~~~-~, ~...sP €~~a~ ~r~~ t~~~e ~ I.
~ ~
Per ~ 1
This certificate musT not ba altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by~ their credentials.
COP1f~~ POR BUI DING DEPARTMENT. THIS COPY dp C~Ri'IPISa7`E-MI~SS ~it~T;; `E' A~.TE~t~D;JN ANY; MANNER::
F . e -
_
THE NEW YORK BOARD OF -FIRE UNQERIAIRITERS `'A~'`' 1
~.ooozal
~ BUI~AU OF ELECTRICITY
3 JOHN STREET. NEW YORK.FI~
yvyy YppRIt 76098
Mk N(>YEMAr'',R t)~~.9~£t Application No. on file 5A541URRf8£S N o4351l.
THIS CEFCI'IFIES THAT
eFFIY the abetded equipment v deeedhed hdoto and introduced 6y the applicant nnned an the show ahlleatbn numher in the promises ~
.PAGT.'CC7N0, NAPJ.N: T.A..<'i?ESt',P;N9' 8!•:A('N, C(TNJk).-$f,; F:AS't' MARION, N. Y. ~
a
in thefdbuvttR beattwnOA~Ba[e»wyt ~ lAt Fl. ? End Fl. serti.m Block Lot
uas examined on tX;~A~ 72i . `f 6n and found to 6e in complionee with the rcyairementK of ehb Buard.
F111TW 110BS fYFITt)NS CDOKtNG aSCJIf DISH WASN[RS E%NAUST FANS.
ODUET{ INCANDESCENT I1110tltC[NT v AMT. K. W. AMT. W. AMT. CW. AMT. W. AMT. N. I.
• DRYERS 111E1{RCE htOTOK F1R11Rt AFNIANq tgpEi EK'fT 1MIE OWgtf Wt t111B NM1Mf ~fTii~MlST1ET DIIAIt1LRS
.AMT. K. W. ql N. I. CMS N. I. AMT. NO. A. W. G. NAT. AIM. AMT. AA115. TRANf. AMT. N.I. ~ 1@T AMT. WATTS
fERVICI DISCONNECT I/O.OF S E R V 1 C E
AMT. AIM. 11'PE ~ 1 / ZV/ 1 / SW t / tlv 3 / AW NO.OF Cc,,cgA. OF Cc
cONO. No. q NI.IFG a•~.~ N0. q NFNRAIS ~ ~~~~Al
7 1 oD CA ] X 1 IM 1
oTta AI?ARATaS:
-
G~~.~
PAUL R . A(l1tNS
~75 9'O1IN HARNOH LANK
SOlJTTtOLD, NY, '1.1.971. OBNpAL
11
' F.1'c,JtiNtiF: NO. ?,8~2 E Per
-Thit eeraYico».tmnt tat ba aNered in Qtly aatlner; return to tl+e o}fiu of Me Beard S itltpryp.. b• idetlfifietl by their
E~1'1f ItOR MJILDINP OEPA _ CAPY QP . TE
BOAFD OF HE.\tTH
FORMN0.1 ,,;3.:SETS;OF,PL.\NS
u~i~t:C~tif, 4 SURVEYI
. .li„li : . TOWN OP SOUTNOLO ~ GttE~K L~ ..A.~~. .
' BUILDING DEPARTMENT SEPTA: FOHI.1 .
l i. TOWN HALL , . ~ . i, , ,•u -
. • EOUTHOLD, N. Y. 11D71 NOTIFY
?iF;l " t TEL.: 765.1802 ~ CALL•; ? t
f ~ i ti p ...~:'v .'1'. i .
i+,(? :,r. „ . i9, . , , . MAIL TO,i.a .~r:.cc .
Examined ~ , , , , t rs
Approved . 19~~~/Pcrrnit No. s/.~O~P.` ~ ,
. d 9 t.., t..1 ~ t , , : ,
Disapproved a/c : „ . ,~,+i, i,~ w t.fi„ ,
°E ,
, pal P•'li ~11~'!l!f/~L~'
6i • • y •[~~~i$ ta'k _ t 1 t~,!
_ ~ (Building Inspector) ' € ,',J1~€~~.., ~~~=i~;; ~ i ~ ~
s„ r.. ;
• _ • • • ~ ~ APPL{CAT10N FOR BUILDING PERMIT ~ ~"+t'{~~~ ' ~ ~ ~ ~ ~ ~ `
!,ti+. Date~..~Marr~h, 13 t: 1S 9b
drydi '
n'A _ INSTRUCTIONS , , , y'r• a :7 t..
a. This application must be completely filled in by typewriter or;in inkhnd submitted to the Building Inspectofi with 3
tt,c ~ : ,
sets of plans,'accurate plot plan to scale. Fee according to schedule. ' •r t: t ' • - = , " °
b. 'Plot plan showing location of lot and of buildings on premises,'telatioriship to adjoining premises ar public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which,is part, of this appli-
t,>+j'~yr- ti Eih~ 'k tl i)Ya:fgerl tD, n, ,i
C.' The work Covered by this application may not be commenced before issuatiCe of Bu~ildiuo Permit.
d. Upon apptdvnl'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 throu~liout the work.
e. No building shall be occupied or used in whole or in part for any purpose ivhateVer until a Certificate of Occupancy
shall have been granted by the Building Inspector. ~ ~ ~ , n,= ,,t , ; . a .G-<-
~ APPLICATION IS HEREBY MADE to the $uilding bepartment~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.
Tlie applicant agrees to comply with all applicable laws, ordinances, building co e, hou cod ,and regulations, and to
' admit authorized inspectors on premises and in building for necessary inspecti s.
(Signature of applicant, or name, if a corporanon)•
William D. Moore
(Mailing address of applicant)
P.O. Box 23, Mattituck, NY 11952
State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
agent/attorney
. .
Name of owner of premises ...~~I~.X.?~C-~-J~d:.l. d . Y .I. ~-IL-cJ . .
(as on t tax roll or latest deed)
IC applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No `
Plumber's License No . , fir; ; _
Electrician's License No . , , , , . , .
• Ot}ti:r Trade's License No.I i , ~k~, ~ i~~, k t,;?~,£
1. Location of land on which proposed work will be done. . , ~p'esggnt Beach Condominiums • . ~r'
' .i:oni.t:#:6:.::...m°P.~1?~?..Maple LaR~........ ..i'',y....,,,n')~ast Marion
' ~ .f
E[ouse Number ~ ~ ,Street, _ +t~. g•r :r+:~ fi[amlCt' ~i + . -,tr~~
. ~ _ . ~L' h;tr rri O~ ~y", ,arY1, ~ Y +fi{ <ti+ iii I t k 13 iro riFfk , ft - ~ .
County Tax b1a'~'Nd3~ 10Ot~ Section ,3 8.0,1, ~ . Block • ~;+~1~j1 :~~1....i Lot ~ ~ . t, •:1 '
Subdivision , Filed Atap No. , Lot .
State existing use and occupancy of premises and intended use and occupancy of proposed construction: ;
~ . ?L ~ ~ .
a. Existin!; use and occupancy .....Single. •Eami•1•y • residence • , , •
b. Intended use andoccupanty
";v• -'t~-Ft:l~S 7YttrCtt;jitS)
' 3: Nature.of.tivorkli;thet:kwhieh applicable): New.lluilding , . Addition , ~Uteration R .
• • Repair . a r...1 : Removal Demolitlbn , ....:..Other 1Vork .
, . ~ ~ :ry.~stt;tt, ~ >(Description)
dP •Estimated'Cos)' , ~ Fee :
••E,?iSf„~,
Ito be paid on filing this application)
5.. If dwelling, number of dwelling units , , Number of dwelling unStst on each floor . ,t,
If garacc. number of cars : . . , . , . ' .
6. If business, commercial or mixed occupancy, spccil'y nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front . , , , Rear ~ . : . . Depth . .
Height , Number of Stories . i , ,
Dimensions of same structure ~4ith.,altcrations or additions: Front , , Rear . . .
Depth . . height . , . Nuntbcr oLStories .
8: Dimensions of entire ne~v const
• ruction: Front . . Rear , , ~ Depth .
Height ...............NwhberofStories..:..,.....
9. Size of lot: Front , Rcar . , , : , Depth : , . .
t0. Date of Purchase . . . .Name of i•ormer,Owner : , , , , .
' 11. Zone or use district in which premises are situated , RA .'.t.'::::':.~. i. , , : , . . ~ r .
13..Nill lot be r6graded'>i~ . , , , faa, data any zoning law, ordinance or regulation: , .n9. , • • , .
12. Does proposed construction vio, 1Vill excess fill be ramoved from premises: , Ycs Who
14. Name of Owner of premises . ,Ti..A Przl.l iCJ-xw . ,Address ;9.~ ,summit.. Dx'.,, ...Phone No. 4516.).62 7r3.G85
Name of Architect . . . • ......Address MarllaaSfi„t r NX , , .Phony No:. , . ,
Name of Contractor • . • . . ...........,Address ~.k~4 ~ Di : ' T:'. i'ir~': s'Phone'No.":. .
~;15,;Is ;thist ptiti¢~'rt'¢ located within X00 , feet ofl a,^tidal "w@t:l'aiidRl~#YES'.'yt '.NO,,... •
*If pes, ;Southold Town Trustees Permit may b,e,; requiredtt7o~faaol "1tPt ,
, !:r,~,u •,o ~~a3ies'~~~a s;t~` i ~ ~PLOTDIAGRAbiaia,.rs,l `it,, aica ftt.~s~,Er Ii~aCEfifx~ri, ~rr~ ~°a -
''"l'Lodate dearlyland{li~istinctly all, buildings, whether existing or proposed, and.indicate,all setback dimensions from
property lines. Give street and block number or description according to deed, and, sho1+~ street;names and indicate Whether
intdrior or corner lot", ~ ~ ~ ` ~ ~ ~ ~ ~ ~ ~ '
IiY°i: ~ , , t 7ir. Jlf: rill :'f3l ~ rt: al N. f"1 9 s~'~ )tfl t~lkY~~'3'1 ~°~ftr x ~ , a~~ fig
'~dll"!' t i °'tf 1`.~ ~a"} f~'t1751r7 £)Y.l ilF i.' t1. Ai117 ` .,i
,rrrR~~~~` s~,~',gr.t6rt-9,y ,See, atitached Survey , ~.r;,t~c,~pr~r1 .d.~iu+R•,,;t,v~ t •triur.; r ~
t-' '
Work Consists of enclps~ai~g of ,existing scre~tt.;pot,cues;p~rx•,ZBA:dpi3Y~bval~in,'~y'
Appeal,<No.yrS842i' l •a ~ ~ '
i.~, > ~rr.l I~'~,t;. a w. nl,br ~ !ta yeti#; 77LZti.f,U ar.:
,r. „ (
, L'"S.t ~ri rv. i ~)1:~ .i ,x, ,,~LiP,1l+3 CYt f" ~ ,
_ .'R7sk} l+ti - ~ ~ j'd~p., , ~ LL ~ „ ~i~t~ Tt;°k?CJ.. ~'',1
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i ( [4, . ~ ~f~af'".' , `T; r~r ...f ~Y^,tS `tjG 4~3 'l Ylo ~~t")41G
;.~t i ~ r.fdtnul+! ,rt"i:''+1 ~ i xs[~("f a7'1 t~i ~^trV!~4. `
• .f... i-5 ~.:'~i".if=~')!1 )gip ~tJl;'.. '~7~i
w~,
, d, ~ ~ .r;.~tlfi SMII~~L'/ fzutangt~ vt~~~~~i5~t+~~7 `i) .`itr~r,; C. {I
1, ~
a a
t~n~,13e~+aft~~AaleCtr~ICr~ll~,l~lrstrszPnrtt~rl
,
' ~ ~ ~ ,,Cs'~1 atH~ail :'~e~~•li:rtt
« ,~ll~ ~,.r ,W,?~N1i t`s9`Si~~ 7`'t;t!1;;'Ll hl
ST,1TL• OF KE1V YORK, ~ ~ • ' r
COUNTY OF . , 6U•F~FOLIC• S:S , , , , . < , f ct6+i ~ttxa~&~..~`tt:,i',, : =,t.i
williafri• D., Moore . . G Y P ?Y a ~ „ ppiicant ,
• , . bcin dul sworn do oscs ands s th t he s he;a
(Name oCmdividual signingcontrnet) l~+,i k '."„~,~~aF~dna,a:.t
above named. ~ ~ •
s ~ ab #)bitlw~~~ir).a#LM ~~s gTnt+t.?i? ~
. ~ t E,Ca aKl iM~vr kicz.t~ t~ «.Ltgb~fhl „ e i
]]{{~tlt(
1IC15the ?Ha~a~:7: ~.ttO~;CY12~.......• ..a° sYt:.ii.~r.f.61i ~.,•.~~.a
. • , Contractor a •l'nt COr Oratl<~tilflQ~lr~ ~t~i) p k ~ ~ fbt~ ~;e£~k ~~+t
x,, i~ rt,~ ~ ~ < 6 P ~ ; ,.b' ~ ~fiel~~~r:,~~~ ~„rtt>t1
of said otvncr or otvtldt5; 9tld'is duly authorized to perform or have petfdGmcd the saidw6rk'hnd to make and file this
~PPlication; that alt statements containi:d in this application arc true to thabest~of hts~F~ont~~„~~FS`',~tt~r~,ei)4fC and tR1f the
work will be performed i4 thei manner sot forth in the application Gled th~tcwuh t . t~: ~ ~ti=~~~ aj , : ; ~
i tVOjn't0 bafore mC t11~3 t~,E x dt-t ~ ~~'r ~ +~a ~ a"~ ~ u + 14~ ~~w wl + tp3 ,r+11++tr
~,1G ~ ~ s { t +
i
• ~ P , i . • a l f J i . a • , _ ~ ~ 1 ,-1 ~ N - ~ ' t f F 9 f f ~
:.d
Y~ 194•'~SnI l s`I g `k~ ~`'d1~~ti~~~~~~~~TBss. ° +
~otaryPublic, ,.~+~'tlaiiit~~?•?+':~~9'^;;:':'County i ;5 x~ r~~0~~]Y~ 7 ~ixttatJ;tss~+z~x;i.i,
t, -
- y-~. ~z. Y ~ . ~ ' ~PATRIt 1A f 70C) , . . . , i 1 , c a 7" ~ 4 ~~/5~ ~~'li ~J'>> Y .9 j9~
? ° AO7ARY t Ul Y h w 7c+rk t h l~ ~
+ ~ No. kat 6 , i, y • • : ~ , nature Of a llcant)
ca~,,i. ~ r , ..rte ~ 9Ra ~ ' fStg PP
wa.llia~41~' •MO~z`~?
G,,., E,~~ , 3 ~.~a~ ; ,