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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