HomeMy WebLinkAbout25097-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26457
Date: 05/19/99
THIS CERTIFIES that the building CONDOMINIUM
Location of Property: 1235 G23 CALEB'S WAY G~EENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 40 .1 Block i Lot 23
Subdivision Filed Map No. __ Lot NO. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 15, 1998 pursuant to which
Building Permit No. 25097-Z dated AUGUST 12, 1998
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 CONDOMINUM UNIT -(G-23) WITH REAR DECK AS APPLIED FOR.
The certificate is issued to MOORES LANE HOLDING CORP. (OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-011
ELECTRICAL CERTIFICATE NO. N-488055
PLUMBERS CERTIFICATION DATED 05/17/99 WILLIAM DOOLE¥
01/19/95
05/10/99
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 25097 Z Date AUGUST 12 98
Permission is hereby granted to:
MOORES LANE HOLDING CORP.
P.O. BOX 1143
CUTCHOGUE~NY 11935
for :
CONSTRUCTION OF A CONDOMINUM UNIT (G-23) WITH REAR DECK
AS APPLIED FOR.
at premises located at 1235 G23 CALEB'S WAY GREENPORT
County Tax Map No. 473889 Section 040.001 Block 0001 Lot No. 023
pursuant to application dated JULY 15 98 and approved by the
Building Inspector.
Fee $ 592.63
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
Bo
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 buildings
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:
1. 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 ~o 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~ - $i00.00
3. Copy of Certificate of Occupancy - ~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..
New Construction ........... Old Or Pre-existing Building .................
~.ocation of Property .... 2~ ................. r/.~..~.~../. ..... ~..~.~.~.~./~.~.~.
C~.Z .................
House No. Street Hamlet
Onwer or whets o Propert) ....................................
County ~ ~p Mo 1000, Section... f0 ........ ~look...O~..~. ..... Lot ..... 2~. .
Subdivision ............................. Filed Map ...... Lot ..................
Permit No..~.O..~2 .... Date Of Permit ................ Applicant ............ ~ .....
Eealth Dept. Approval .................... Underwriters Approval .........................
Planning Board Approval .....................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1195~99 BUREAU OF ELECTRICITY
~-- 40 FULTON STREET, NEW YORK, NY 10038
Date I~%Y 10,1999 Application No. onfile 17877399/99 N 488055
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
TINA COVELLO, 23 CALEBS WAY, GREENPORT, NY
in the following location; [] Basement [] 1st el. [] 2nd Fl. OUT Section Block
was examined on I{%Y O6,1999 and found to be in compliance with the National Electrical Code.
~t 23
FIXTURE 19
OUTLETS RECEPTACtES SWITCHES }HCANDESC~
19 29 25
A~DT"YER~.w. I OiL FURHN. pA. CE M¢OA~ORSH.p.
2
SERVICE DISCONNECT I NO. OF
METER
AMT. AMP. TYPE EGIUIP.
1 159 CB 1
OTHER APPARATUS:
6'3.% DISCONNECT- 1
FOR FUTURE A/C-!
G.F.C.I:-5
SHOKE DETECTOR: -4
FIXTURES OTHER
FLUORESCENT
FUTURE APPLIANCE FEEDERS
7T' 7' A.7.
S
RANGES
,MT. K.W.
1. 8.2
SPECIAL REC'PT
AMT. AMP.
1 3O
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET
SYSTEMS
AMT. AMPS. TBANS, NO, OF FEET
I C
OF CC. COND.
NO, OF HI-LEG OF HI-LEG
EXHAUST FANS
DIMMERS
AMT, WATTS
OF NEUTRAL
JY],! SAGE ELEC, INC.
PO BOX 38
GR~ENPORT, NY, 11944-~X~38
LIC. #3635
GENERAL MANAGER
11 ~
( .'
This ceHiticate must not be altered in any manner; return to the office of the Board if Incorrect. Inspecto;s may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
..,F, ,C,. OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
:£ E ~T i F ~ C AT ! 0 N
DATE
~IUUK) M. I. ANG
~NMM~ I'MM~ ~lMe d New Yo~
765-1~02
BUILDING DEPT.
, INSPECTION
[ ~ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
INSPECT~
765-1~02
BUILDING DEPT.
INSPECTION
?
[ ] F/OUNDATION 1ST [ ] ROUGH PLBG.
/
[ ~ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLAC.~E*-~ CHIMNEY
REMARKS: ~
7GS-X802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING //~-~~--~FINAL
[ ] FIREPLACE ~
REMARKS: ~ ~/~ ~ ~/~~ _
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ~ROUGH PLBG.
[[. ~)U//] FRA~NiDNA~ION 2ND [[ i IFNiNSAULLATION
[ ] FI REPLACE~&~/~H IMNEY
REMARKS'- ~ /~ 2/~
__INSPECTO ~
DATE /~//~//~/~/~ ~
~ BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [/]~PLBG.
[ ] FOUNDATION 2ND [(-.,/] INSULATION
[ ] FRAMING [ ]FINAL
[R E]MF~ ~A~C~,~ &~ C H I//~M~/~Y
DATE/~/~_~ INSPECTO~
765-1802
BUILDING DEPT.
INSPECTION
[ I FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] ~ULATION
[ ~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: O/~___~ ~
FIELD INSPECTION REPORT
FOUNDATION (
FOUNDATION
ROUGH FR~NE &
DATE COl~'lgl~S
#
FINAL I1 ~
n ~
FORfl
TOI,/N OF ,qOUTIIOLI)
BUILD1HG~ I)E P^P, 1HF, N T
SOUTIIOI.I)~ N.lr. 1197 I
1'El, .'
IIOAIU) OF IIE^I,TII ...............
3 oVE'l'$ OF I?LANB ...............
(~IIE(;K .........................
SEPTIC FOP, H ...................
API~I,H;^'I'ION FOIl BUII.I}INO PF, IIHI'r
I N .cFI'R U {;T 10Ng
n. 'lhin nlq~l~cnt~(n* nx~.nt Im ct~pletely [Jllml in Irff tyl~.~riter or in ink n~l m~ttt~l to the ~ildlng lnn~ctor
net. off pis.., .c~rnte plot pl~ to ucnle. Fee .ccotxllng to .ch~l~.
b. I'lot plm~ r~h~ I~.ti~ off lot ~ o[ I~tthhngn ..... ~ W~.en, relnt~Mup to ~jom]ng' ~ ' p~.e. or l*~blie
dn nl~l jcnt: h~.
d. UI~I .l~nal o~ thln n~llcatlm, th~ l~Hhli~ hm~cl:or ~lll i.me n ~fihll.g ~mtt to the .l~li~nt. Such
e ~ L ~hnll I~ kept ~m tim ~nl~n ~nilnhle For hmlmcti~ thn~gh~mt the ~rk.
e. ~ l~Hhlh,g ~mll Im ~m~l~l or un~l i. ~1~ or i. ~rt For ~ ~t~.~ ~.t~r ~mtll . (3rtt[te.t~
;: ~qg ~.y rJ.1] [ I,n~ I~n ~rnnt:~.lW tl~ ~ hlh~ Inn~cl:or.
Al'lq,l(~'l'l(~ I~ ll!l~ilff f~ll~ to I:l~ l~,lhllnfi l~ltqrtuont [or the inm~.~e o~ n ~.thllng Pemlt ~ltmmnt to tim
:H hlh~ 7xnm (hdi~tm.:e o~ tl~ 'r~ o~ ~thohl, ~{rolk {~mty, ~ York, n~l other nl~llc.bl~ I.~., Ordi.~en ur
~i~dnl:i~nm, for I1~ ~ntu~tlm o~ I.dldh~., ~kllth~m or nll:~rntl~nm, or [or r~,.,~nl or g~mllti~,
~ncril~l. 'II~ n~llcn, t .grin to c~y wHh .it ~llcnble I~., o.lhm~, I~ihllng ~, I~mln
.: . ....... .......................
~ ' ' (g gT~qt ~re or .~llcn.t, or ~,
I ale ~ther nH?I ~(:m~S~' ~'~~ :~::' e,,gq,~er, ~rnl cmtrnctor, electrlclnn, ph~r or I.,ihler.
.............................. ~ ~. ~ ~ ..................................................................
':~,' ~' ~D~ '~'~ ~ ='.~ ~ V' ~ .... ~ 7' .," ~ ...............................................
APPROVED AS NOTtD
DATE: ~l~l-~f~' B.P.#~
NOTIFY BUILDING I}~s~l~rMl~T AT