HomeMy WebLinkAbout22686-Z (3)FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26749
Date: 10/20/99
THIS CERTIFIES that the building CONDOMINIUM
Location of Property: 1565 D14 CALEB'S WAY GREENPORT
(HOUSE NO.} (STREET) (HAMLET)
County Tax Map No. 473889 Section 40 .1 Block i Lot 14
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 23, 1999 pursuant to which
Building Permit No. 25845-Z dated JULY 2, 1999
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 UNIT 14D-MULTIPLE RESIDENCE-COMPLEX "D" AS APPLIED FOR.
The certificate is issued to MOORES LANE DEVELOPMENT CORP.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0011
ELECTRICAL CERTIFICATE NO. N-499983
PLUMBERS CERTIFICATION DATED
Rev. 1/81
01/19/95
09/07/99
10/18/99 WILLIAM DOOLEY
Building I~spe~or
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
mo
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar building
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'~pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00· Businesses $50.00.
2. Certificate of Occupancy on Pre-existinR Buildin~ - $100.00
3. Copy of Certificate of Occupancy - ~ .25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
J e n Da~el ..... ~' '/'~'~ ..................
New Con~t uccion ........... Old, Or Pre- xisti g Buj~ ding ...............
Location of Property ..... ~.~ ..... ~ .............. ~ .................. ~.~ .............
House No. Street Hamlet
Onwer or Owners of
County Tax Map No 1000, Section.../'.¥.Q. ...... Block ................ Lot ....................
Sub division ..................................../Z~____~'~'/P~f/~ ~-~ Filed Ma~ ............ Lot .... ~.-- ........... .
Permit No. ~ .~.. ........................................
· Date Of Permit 7
Health Dept. Approval .......................... Underwriters Approval .......................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
THE NEW YORK BOARD OF FIRE UNDERWRITERS AGs i
1195099 BUREAU OF ELECTRICITY
~-- 40 FULTON STREET, NEW YORK,,NY 10038
Date SEPTEMBER 07,1999 Application No. on file 13333697/97 N 499983
THIS CERTIFIES THAT
only the electrical equipment a~ described below and introduced by the applicant named on the above application number is in the premises of
PHF-kASAN'? RUN, 14 CALEBS WAY, GR~ENPORT,
in the fotlowing location; [] Basement [] 1st Fl. [] 2nd FI. O~JT Section Block
was examined on S'~.~'~.R 02,1999 and found to be in compliance with the National Electrical Code.,
Lot
FIXTURES
26 17 /
FIXIURE I~CEflACLE$ SWITCHES ~NCANDES(~N1 FLUORESCENt OTHER
OUTLETS
23
/
SERVICE DISCONNECT -[ NO. OFI
METER
1 150 CB 1 X
OTHER APPARATUS:
2 TON AIR CONDITIONER-1
6OA DISCONNECT- 1
PADDL~ FANS-F-4
G.F.C.I:-5
SMOKE DETECTOR: -4
RANGES
17 raT. ,C.W.
DRYERS I FURNACE MOTORS I FUTURE APPLIANCE FEEDERS fPECIAL REC'PT.
AMT. K.W, O't2 FH'P' GAE H.P. 2AMT' -- NO. A. --W' G. AMT..,L '1 AMP.,.]~j 9FA
S R
JIM SAGE EL~C. INC.
PO BOX 38
GP~PORT, NY, 11944-~38
1
LIC.
EXHAUST FANS
AMT.2 FH'P'
DIMMERS
Per 11
~hls cedtflcate mum not be alfered In any manner; return to the office of the Board If Incorrect. Inspectors may be Identified by their credentialE.
COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED iN ANY MANNER.
GENERAL MANAGER
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] F~NDATION2ND [ ] INSULATION
/
[~/]' FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765.1~02
BUILDING DEPT.
.__. INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] R~UGH PLBG.
[~]/INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE ~/J~
INSPECT~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~ULATION
[ ] FRAMING [ /-'] FINAL
[]FIREPLACE&CHIMNEY/
DATE~/~~/,~ INSPECT~~_~