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HomeMy WebLinkAbout25699-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP/kNCY No: Z-27456 Date: 12/11/00 THIS CERTIFIES that the building CONDOMINUM Location of Property: 435 051 CALEB'S WAY (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 40 .1 Block 1 subdivision Filed Map No. Lot NO. GREENPORT LOt 51 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4, 1999 pursuant to which Building Permit No. 25699-Z dated MAY 6, 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 CONDOMINIUM UNIT 0-51 AS APPLIED FOR. The certificate is issued to MOORES LANE HOLDING CORP. (OWNER) of the aforesaid building. S~IFFOI~K COL5%VffY DEPART~T OF }~F~%L~ APPROVAL R10-95-011 01/19/95 ELE~-r~ICAL CERTIFICATH NO. PENDING 11/29/00 PLUMBERS CERTIFICATION DA'x'~ 12/05/00 WILLIAM DOOLEY Rev. 1/81 Authorized Si~at ~re 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. 25699 Z Date MAY 6 99 Permission is hereby granted to: MOORES LANE HOLDING CORP. P.O. BOX 1143 CUTCHOGUE~NY 11935 for : CONSTRUCTION OF A CONDOMINIUM UNIT (0-51) AS APPLIED FOR. at premises located at 435 O51 CALEB'S WAY GREENPORT County Tax Map No. 473889 Section 040.001 Block 0001 Lot No. 051 pursuant to application dated MAY 4 99 and approved by the Building Inspector. Fee $ 592.63 Authoriz~ Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPArTMeNT TOMq H&LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 locatiou 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 slectrical installation from Board of Fire Under,fliers. 4. Sworn statement from plombar certifyin$ that the solder used in system contains less than 2/10 of 11 lead. 5. Com~ercial building, industrial building, multipls residences and s~mllar buildings and installations, a certificats of Code Compliance from architect or engineer responsible ~or the buildin~. 6.Submit Planning Board Approval of completed site plan requirements. B. For sxlstln~ buildinSs (prior to April 9, 1957) non-confoz~tnS uses, or buildings and ':pre-existing" land uses: 1. Accurate survey of proper~y ahowinS all property lines, streets, buildln~ and unusual natural or topographic features. 2. A properly completed application and a consent ~o inspect si~ned by ~he applicant. If a Certificate of Occupancy is denied, the Bnildin~ Inspector shell stats ~he ' reasons therefor in vritin~ to the applicant. Fees 1. Certificate of Occupancy - New dv~llin$ $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, -~--lng pool ~25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buiidin~ - $100.00 3. Copy of Cer£ifical:e of Occupancy - 4. Updated Certificate of Occupancy - 5. Temporary Certificate of Occupancy - Residential $15,00, Co~nerctal $15.00 ,,ts ..... .......................... New Construction ........... Old Or Pre-existing Building ................. House No. Street EIm, let county ~= ~p .o 10000 sect~un .... ~.~. ..... ~- ....~.ot .... ?./ ............... . .Block ............ Subdivision ,~//£/~ f ~/l/ / ,~/~ ................................. Filed ~a ~Y 3--/ · *- P.~ ........ Lot ...................... ........... _ ......... ~e/.. ~. ..... ~ ........... Health Dept. Approval .......................... Under~rriters Approval ....... ; ................. Planning Board Approval ........................ Request for: Temporary Certificate ........... ~inal Certicate ........... Fee Submitted: $ ..... ~.. ..................... ~, y~e~ .... · ....................... THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGe, 1~95099 RUREAU OF ELECTRICITY ~-- 40 FULTON STREET, NEW YORK, NY 10038 Z~', DEC~ER 05,2~ ~4,p~,,"o, No. o, file 198~3~/~ N 544411 THIS CERTIFIES THAT only tke electrical equ~ment as described below and introduced by the applicant named on the above application number is in the premises of HOORES LA DEVELOPMENT CO, CALEBS WAY, GREENPORT, NY in the fo~owing Ioc~g4on; ~] Basement [] Is, Fl. [] 2nd Ft OUT $,¢Mon Block was examined on ~OV~S~n~ ~ , 2~0 and found to be in compliance with the National Electrleal Code.. PIX~JRE I RECEPTACLE[' ~Wff"H~4, I FIXTURES DRYERS FUENACE MOTORS I FUTURE APPLIANCE FEEOER~ RANGES · EClAL REC'FT. I CO0.N~ ~C. I OVENS I DISH WASHERS TIME CLOCKS, EELL ~UNIT HEATERS MULTI-OUTLETsYsTEMS AMT. AMPS. I~N$. .1~1~'~. NO. OF FE~T SERVICE DISCONNECT 1 15~ CB s R V I C E t~t 51 r°i°~ X 1 DIMMERS OFCC, COND* 2/0 NO, OF HI-LEG 1/0 PADDLE FAN F-1 2 /'ON AIR CONDITIONER-1 G.F.C.I,-5 SHOKE DE/'ECTOR = ~3 JIM SAGE ELEC. INC. PO BOX 38 GR~ENPORT, NY, 11944-~38 LIC.#3635-B GENERAL MANAGER 11 This c®~'flccde mu~t not be abemd In any manner;, rmum to the office of the Board If incorrect. Inspectors may be Identified by their credentials. COPY FOR I~UILDTNG DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 01 OFFICE OF THE ~UILDING INSPECTOR TOWN OF $OU'TiHOLD 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~ROUGH PLBG. [ ] ~)~NDATION 2ND [ ] INSULATION [/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECT~ 765-1802 BUIL~NG DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &/~HIMNEY / 765.t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION2ND [ ]INSULATION [ ]FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY DATE ~ INSPECT~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROU~LBG. [ ~5ULATION [~] FINAL [ ] FIREPLACE &CHIMNEY DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. I ] FOUNDATION2ND [ ] INSU.~L~ON [ ] FRAMING /~~-I~L [ ] FIREP~E&CHIMNEY [KID INSPECTION P~PORT DATE CES FORN NO. I TO~N OF SOUTBOLD BUILDING DEPARTNENT TONNHALL SOOTBOLD, N.Y. 11971 TEL: 765-1802 BOARD OF EEALTB ............... 3 SETS OF PLANS ............... SURVEY ..... .................. . SEPTIC FOR~. ................. . NOTIFY: CALL ......... HAIL TO: ................ ... . '¢':d I tQOg i3 APPLICATION FOR BUILDING PEP. HIT -k .......... ~ Bate... ~ ..... , 19 .... ........ ~ INS~UCTIONS a. ~is ~liatim ~t ~ ~leCely fill~ in ~ ~iter or in i~ ~ ~tt~ to ~ ~ildi~ I~tor ~ b. got plm ~ l~tim of 1~ ~ of ~il~ m p~ma, ~lati~ip to ~joini~ ~ms or ~lic s~mts or m, ~ 8i~ a &~il~ ~im of l~t of p~ ~t ~ m m ~ di~ ~i~ is ~ of ~is ~li~tim. e. ~ Mldi~ ~1 ~ ~i~ ~ ~ in ~le ~ ~ ~ ~ ~ ~ ~tmr mtil a ~ifi~ce of ~I~ IS ~ ~ ~ ~ ~ildi~ ~t ~ ~ ism of a ~ildi~ ~c ~ co t~ .......................... ~ ............ ~ ....... (Si~ of ~li~t, or ~, if a ~ci~) ~ili~ ~ of ~limt) is mr, lem~imt, ~i~,'~ral ~t~t~, el~tricim, pl~r or ~il~: S~te ~limt ~ of oaner of p~mises .................................................................. (as on the tax roll or latest deed) If applicant is a cotlxa~im, signature of duly authorized officer. (I,l~ ami tltldof mt~ offie~) 1/lectricians License No ...................... Other Trade', Lic~me No ..................... .~..~. f..~...~..~../ , .~..~...~. l. location of land on d~ich proposed york will be done ............................................................ .................................................. ~t~..o~....~ .......................................... Itmse Nm~er Street (/ . ~ T~ ~. ~ ,s~,i~ .... .~0. ........ ~o~ ....0.~.. ....... ~o, .y~.-..~.:.?..~r-~ 2. State existing use ~a o,~ ~.~y of t~aes as~ intesd~i use and o~ of~ ~o~ comtn~tion: b. Int~.~od use and occupancy ............................... ~j. ............................................ 3. ~.ature of ~ork (check ~l~id~ applicable): Ne~ Ihilding .... .P~.... klditiee .......... Alteratio~ .......... Repair. ........... [~mvval .. .. ...,..... llamlitiee ............ Other I/ork 4. Estimated Cost fee ....................................... (to be paid o~ filing this al~licatina) 5. If d~elllng, utxdoer of d~lling ~mits .... ~. ...... lx~t~ber o~ d~elling tmlts o~ each floor ................ 6. If bus/ness, ~.,:ccial or mi~ed occupancy, specify nature and extent of each type of use ...................... 7. Dimensions of existing structures, if any: Front ................ Rear ............... Depth ................. Ileight ........................ . Number of Stories ...................... Dimensions of sa~ strucil~re vlth alterations or edditiona: Freer ............... Rear ............... Depth .................... Beight .................... N~ber of Stories ............... 8. Dimensions of entire ~ construction: Froot .... //.'.~. ....... Rear .... /.[. ~ ..... I]epth .... .~T:/. .... Beight .......... ./.~. ........... Number of Stories ..................... I0. lhte of Purdmse . . .................... ~ of Fomer Omer ............................ I I. Zo~ or use district in vhich pmalses are situated ..... 12. Does proposed conatructio~ violate any z~ing l~, ordin~ce or regulatina: ........................ [3. ~/ill lot be ~egreded .................... I~ill e~cexs fill be rem~ed f-r~a premises: W,S N3 14. li~es of O~er of ~,,~ises . .. Nklress ................ Pho~ No ......... ~ o~ &-ddtect ......... ~ ................~tdreas ...~ ........................ ~ m .............. 15. Is lifts property ~rlt~hin ~ feet of a tidal ~etland? · l~S .......... ND .......... PLOT DIAGRAI~ l~cate clearly and distinctly all buildings, ~,~eti~er existing or proposed, and indicate all set-bock dimensions frc~ property lines. Give street a~l block r*~her or descriptio~ according to deed, and sho~ strut maes and indicate ffeether interior or corner lot. STALE OF {i'~/Yin, SS ........................... being i, (~ of i~ivi~ si~ing c~tr~t) h is the .............. ~ ............................................................................. ..... (~t~tor, ~nt, ~rate officer, etc.) )[ ~id ~r or ~rs, ~ is ~ly ~t~ri~ to ~rfom or ~ ~r[o~ tim ~id ~ ~ to ~ ~ file this ~licati~; ~at ail star--ts ~tai~ in ~is ~li~tlm am t~ to ~ ~st of his ~1~ ~ ~liefi a~ ELIZABETH A STATHI~ NOTARY PUBLIC, State of New York No. 0 lST6008173, Suffolk ~Co~ty Term Exoires June 8, 20~ (Signature of t~pticaut)