HomeMy WebLinkAbout19095-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hail
Southoid, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20012 Date JUNE 25~ 1991 .
THIS CERTIFIES that the building. ALTERATION
Location of Property 2500-i1F MAPLE LANE GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 38.01 Block I Lot llF
Subdivision Filed Map No. Lot No.
conforms substantially to the Appiication for Building Permit heretofore
fiied in this office dated MAY 23, 1990 pursuant to which
Building Permit No. 19095-Z dated JUNE 8, 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 ANDREW GOLE
(owner)
of the aforesaid buiiding.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATIO~ DATED
H-022192 - MAY 20, 1991
N/A
B~ilding Inspector
Rev. 1/81
FOyer NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWH HALl.
SOUTHOLD, N. Y.
BUILDING PER,AlT
Cf HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
D 8
Permission is hereby gronted to:
................ ~.L..~..'. ...............................
,o ...*.~...~...'./......~..~~...~
......... ~ ......... ~.~.~ .............. ~ ......... ~.~ .............................................
~, ~,,~,,,,,=,,~ ~,....~...z/. ......... ~....~ ...... ~~..~..~.~
.... ~.~..~....~~...~;~ ....... ~ ............
Buildln~ Inspector,
uuildlng Inspector
Rev. 6/30/80
TOWN OF SOUTUOLD
BUILDING DEPARTHENT
TO~N HALL
SOUTHOLD, NE~ YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Permit
Health
Planning Board Approval
UATE .................
NEW CONSTRUCTION ....... OLD OR PPg-EXISTING BUi~DiNG....C~..VACANT LAND
HOUSE NO. STREET HA~L~T
: ..... ......
~ubd~v~s~o~ ....................... F~ed ~ap ........ Lo~
.,~. ~o~ .... ~:~ ......... ,.,~,~, ,~o~ ..............
Request
Fee Submitted:
for Temporary Certificate o; ..... Final Certificate ................
.... ............
10/14/88
Co ~0o
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~E 1
802~.~ BUREAU OF ELECTRICITY
-- BS JOHN STREET, NEW yORK, NEW YORK 10038
t).,~ MAY 20,1991 ~r~.~o.~o.o.~ 72471691/91 E 022192
THIS CERTIFIES THAT .' . .
~ANDREW GOLE, 11 MAPLE LANE, EAST MARION, N.Y. '
~. ,~. ~o,o~.~ ~,,~.~io.~ ~ ...~,...~ ~ ~. r~. ~ ~.a r~, OUT s~i,,. .:~ Lo~
wa~exa,,,i.edo,, MAY 13,1991 .ndfoundtobelnco.tplianeewlththereq,,ire,ne.~.~fthlsBoard.
OTHER APPARATUS:
~e~ses i~ca~ed." "~o
~sa~is~ac~o~ co~i~io~ ~as
WILLIAM D. MOORE, ESQ
MAIN ROAD P.O. BOX 23
SUITE 3
GENERAL MANAGER
~J Th~ certificate must not be a tered in any manner return to the office of the Board if incorrect. Inspectors may be identified by their credentials,
William D. Moore
Patrida 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
May22, 1990
Margaret Rutkowski
Secretary
BY HAND
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,
~Moore
WDM/mr
Ends.
Our file # 308-88
BOARD OF- HEALTH .... ,,...~..~..
FORMNO. 1 .~,',~ ~i Ib;B'~SETS~OF !PLANS
SURVEY.,~ ........
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL , ,' ............. ~'a,) o~hm ' ,,., ' '
~OUTHOLD, N.Y. 11971 NOTIFY
....... APPLICATION FOR BUILDING PERMIT '
0~
.......... ,-M "mmF~ . . . , , INSTRUCTIONS
'. a..' ~Ifls ~pplic~smu¥ be com~let~y filled in by ~pewdter
sets oi plans, accurate plot ptan to scale. ~ee according to schedule.
b. 'Plot pl~ showing location of lot and of build~gs on premmes,~fel~tiOnship to adjoining premises or public streets
or areas, and giv~g a det~led description of layout at property must be drawn o~ the di~gr~m~h~c~ i~p~of t~s app~-
. ~.' ?~e work aov?e~ ~y tMs ?phcabon may not be commenced before issuance of Bu~ifiS'per~it~
. upon appt0val ottms app ~cat on. the Budding Inspector w~l zssued a Budding Pc~zt to the app~c~t. Such pe~it
shall be kept on the premises ava~able for inspection throu~out the work.
shalle'haveN°becnbUild~ggrantedshallbybethe°CCupiedBuild~g°rlnspector.USed in whole or ~n part for soy p, rpose '(Vhat6~r uatJl a Ce~ificate of Occup~cy
APPLICATION IS HEREBY'MADE to the Building Dep~ment for the issuance of a B~ldihg'Pe~it pu~uant tO the
Building Zone Ordinance Of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ord~ces or
Regulations, for the construction of buBd~gs, additions or alterations, or for ~6moval or demolition, as here~ described.
The applicant agrees to comply with all applicable laws, ordinances, bu~d~g code, ~ous~ode, 9n~ regulations, and to
admit authorized ~spectom on premises and ~ build~g for neccssa~ inspections.~ '
· .... .......
t ~gnature at uppUcant, ~ame, ff a corporatzon)
' ~ll~am D. Noore '
(Mailing address of applic~t) ,
P.O. Box 23, Ma~ei~uck, NY 11952
Stat~ whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder.
aq~nt/aetorney
Name of owner ofpremi,e~ ...................... , .....................
(as on the tax roll or latest deed)
Ir applicant i~ a corporation. ~ignature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ...........................
Plumber License No L?J~
Electrician's License' No .......................
Otll~r Trade s License N
I. Location of land on which proposed work will be done... ~.r.e.s. ge.n.~..B.c..a?h Condominiums
.......................
}louse Number . - ~ ~, .
.... .~ .~ !~ el ,'~.c ;.v'~ , Street.
County Ta~ MQ~ N0; 1000 Sectmn .... ~:9.~ ........
Subdivision ..... , ............................... Kiled Map No ......
(Name) ' ' ' ~ .....Lot .............
S~ate existing nsc
' and occupzncy of premises and intended nsc and occnpancy or proposed constru~ti~
g l 1.y
a. ~xJ~fing u~e and occupancy ..... ~in ~ .~ami. · r~si~emoe ........
b Intendedand oceUpandf ' ' ' ~; .'~': '
(~e,~ ' o ~aa~i~) ............... ~,..,.,, ..........
, ,$:, Nature, oLwork~(~heek which 9Pplicable): New. Building , '
' '~ ........ Addition ,, ~ ....... Alteration .X. .......
, . Repair~ ~, :,,...,.;;., .... Removal .
~" . :%, ...... , ; '''"~ .... ,., ~ Demolition .~ ~h~
' stlmatedCost ........... ~"?;'"'~'~' "~.",,.'.'... Ee ~ /~ ( npnon)
0,o;/~ .d./~ .... ~..~ .....................
' ~ ~"? :~ ' , ~ "~' ~ (to be paid on filing this application)
. ~t .,If dwelling, number of dwelling units ............. Number of dw ,11; ..... :* ...... g n __
If garage, number of ears ,. .:. ,, ....... . e..,.,~ ~,,~ o. ~.~. uOur .......
Hmght ............... Nunlb~r of Stodes ............. Rea~ ...... , ....... , Depth , .........
Dimensions of ~ame structure with. alterations or additi :
D~pth ...... .~.. ,., . ~. ohs Front ...... , ........ Rear
8. ' ' :; .......... ....el~, . . .......... ~ ......
Height , ........... h ,~; .......... ....., .....,Number of, Stod~s,.~,,.,...-.,,;,. ,... ~ ~
D~menstons of entir~ new construction ..................... Rear , .............. Depth ...... ' .....
9, Size of lot: Front .... ~.. Nm, her of StoNes ............. ;. ..... ,.
10. DateofPurch~ ................ Rear ..... ~,c,~ ..... '...[ Depth .......................
se .~ ........ ............... · · .~ ...................
! 1. Zone or use d~strict m which premises are situated .... Name of ~o~c<~vner ',., ~,,. ,. ......
12. Does proposed construction violate any zoning law ord na .
13. ,,W~llot ~,,~n,~ ,_~ , , ncc or regulatmn, .. no ' ,
, ~ , be ..~..~ ..... ~.~ ............ . ,, ....... ,.~.,.~... ..... ,..
14. N~e ofOwner ofp~mises Andr~ a~ ..... ~.?~dl e~es~fill be removed from premises: ~. Yes
. N~c of Contractor ........ ~ ................. ~rcss ~.~:! ~'p,,..~, ,.. Phone No. ,,, ,..,.. ' ......
dq'L°dat~ cle~l/}adddistactly ~l' build,cs, whether existing or propose~, =d, indicate,~l,set.back d~ension~fri~
propy~y Unes. Gwe !}?~=d block number or description accordihg t0,'deed; =~ shq~,! r~t,,h~es and ~dicate Whethe
intenororcornerlot,,:~ ~ ~ ~ ~ ~ ti ~
Re: ~7.8 &,~:. ,See at~aohed Survey ..... i"¢)F u~'~6 ~d iir:d,,,l,p~ibttmi
og.~xisting
STATE OF NEW YORK
COUNTY OF S UP F~JlJK S.'S
..,.,. William I~ MOore
(Name of ind,vidual s -nip- ~ .... · ......... be,ng duly sworn, d~pose$ and aais that
fie ~s the .., ..... - ~[~.~ ' ' a~eht/a~'en~.~J - ~ t .., ,l~ ag '{~ W ~{1'0,~
~e ._,., ~- .t,, ', (Contractor, agent, corporat6'0ffi&~ ~t~.l ,',:L~i':~:e¢'~;'~g*.,~:~,¢'~.:
- a~,u owner or ownerg, ~d'is'duly autho.;-.a .... ~ ..... ~ : "' ,'
IDDhcat on: that all statements con'-:-~,~ ' '~'~ ,u ~,r~orm or haw Derf0rmedt ~ sa d work and to
~aln~u IR [nls application are trlto tn '
......
?rk wilt be performeq jn,th{L~anner set !forth in the ap lication ,
~Wom to before me'this',~7,t ~' ' * [ A ~ P 01cd th/ ,: ,
' dlI __ Il, ,,,,. ......
· ,.,,: ...... '. ...... ,, ,
. " ~"" ' ' .... * .~~~ ~ .... ,.. ' ' i ~
~ ,,,? 'F'{~ :,',,,: "