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)