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HomeMy WebLinkAbout26057-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27709 Date: 05/23/01 THIS CERTIFIES that the building CONDOMINIUM Location of Property: 635 M43 CALEB'S WAY GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 .1 Block 1 Lot 43 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 14, 1999 pursuant to which Building Permit No. 26057-Z dated MARCH 16, 2000 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 M-43 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 01/19/95 ELECTRICAL CERTIFICATE NO. PENDING 04/26/01 PLUMBERS CERTIFICATION DATED 04/24/01 WILLIAM DOOLEY i Aad/L/ Authorized Signat/ e 00111( 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. 26057 Z Date MARCH 16, 2000 Permission is hereby granted to: MOORES LANE HOLDING CORP. P.O. BOX 1143 CUTCHOGUE,NY 11935 for : CONSTRUCT MULTIPLE RESIDENCE UNIT M-43 AS APPLIED FOR. at premises located at 635 M43 CALEB' S WAY GREENPORT County Tax Map No. 473889 Section 040 . 001 Block 0001 Lot No. 043 pursuant to application dated OCTOBER 14, 1999 and approved by the Building Inspector. Fee $ 592 . 63 i, Authorized Signa re ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD ___ BUILDING DEPARTMENT 11.-1-1 r ' f' I �.' '-n TOWN HALL _ > 765-1802 ' APPLICATION FOR CERTIFICATE OF OCCUPANCY ({1 A. This application must be filled in by typewriter OR ink and submitted to-the--building—._J 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 12 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. B. 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 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25r. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 // Date y/'�a/A/ New Construction 1-"*----- Old Or Pre-existing Building Location of Property ii,3 Ashf Apo/ Giretwfret House No. Street ,J Hamlet Onwer or Owners of Property ,(�OO,�F//��S L9.t1[ �O,(C! c y �,to County Tax Map No/ 1000, Sectionio1 0 Block ()Sr- Lot ti,.? SubdivisionD.14077 1,'_A*S6 AN/ ^-UN Filed Map.X- Lot fq Permit No. .GW Y 77 Date Of Permit Applicant. . I67.Q/C,Eis'o7/ Health Dept. Approval Underwriters Approval Planning Board Approval Request for: Temporary Certificate Final Certicate c/ Fee, Submitted: $ 3,ic,. SQrJ le 4....,: LICANT Co 0/110• THE NEW YORK BOARD OF FIRE . UNDERWRITERS PAGE. ;195099 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date MAY 04,2001 Application No. on file . '`' . . N 557545 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 ?400RES LA DEW.CORP, 43 CALEBS WAY, GREE4PORT, NY in the following location; ® Basement 1st Fl. ❑ 2nd FL ATflC.r': • Section Block Lot 43 was examined on APRIL 26,2001 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. X.P. 25 31 24 25 1 11.7 1 1. 2 3 r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REMIT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL X.P. GAS X.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. SYSTFMS AMT. WATTS NO.OF FEET 2 F 1 A/C 10102 1 30 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. I R 7W 1 R]W S R SW 3 R eW PER R co CC.COND. NO.OF NI.LEG OF NIL NO.OF NEUTRALS OF NEUTRAL 1 150 CB 1 X 1 1 1 1 OTHER APPARATUS: CO tEFFLTOR-1 G.F.C.I:-5 SHORT Dha''X."T'UR: -4 f , JIM SAGE ELEC. INC.. 1.IC.g3535E L PO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11 • Per This certificate must not be altered in any manner; return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 07/12/1939 12:30 2081573 DOOLEV PLUMBING PA8r 01 �\petfilJL 45;1/40G? 7:rn arl "695 Nun zoo • :0 . a = =u ,514)M.:822 Sex -fl T;iooncns 15187 i8�5-;802 .Soe�'cc waw vpfk '197' :: rut m OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C. 5 R T I T I CAT I O N DATE: 1/21/4 Building ?trmit No. ;140S-7 /� Owner: .like&. LW! /oat// Coy ' , (please prat Plumber: (42i//)4 9coaa �y ;please print; /J dert..i'v :.sat tag solder used in the water supply system COnt3.ini less than 2/10 o.t ,.b lead. (Plumbers Signature) sworn o be fare -me thls v21zaa say of i '/P/L. Zi 2 v o• Vats,r, Pub _ �--flan // A'.ed,; Cit:Pty Svf101,14< GERARD M.LANG Notary Public,State of New York No. 4751573 Suffolk Court Term Expires /4r.1C- 31)County 765-1802 A ,--- ILDING DEPT. I NSPECTIO [ ] FOU ATION 1ST [ ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REal, KS: 1�-/%%& Q/c nzze ", _ If - I, �� . _/ i DATE /I* INSPECTO,,71/ x t " l o 'c7p 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ a FINAL [ ] FIREPLACE & CHIMNEY R MA KS: as- ,Q,,,,,,,, • , op%Li /� _ __ d /�.e 1L%-. yaeg / j d0 1 7.ta I/ /74,taki/Pre 97:y64 Oil oe p et 40 - DATE ; A//4/ INSPECTOR :-/-aist, !.D INSYECP I ON_KY,I'UKC DATE l.vru,cn1a n A /(w-i lL2 LIQd, - -- / --pik, y 1 Y(���J1- ' - -- NDATLON ( IS II - �/ S _ - a 11.(v/4 c II NDAT ION ND) IIII _ IF_ ic , II / V1 II p GA FRAME & n � �� /n/�1 y� _ - •. ,/ ; .'• I" j� �LL..g��� • PLUMBING it I r . ., i-__ "". t1 d tt . it- I . II I -.aid_,: C ..- - ih1 f�i _–i• ii -- ��� �-. Or II 1! II di.et2rfar aele,i, - r 7StThC43 PU :ULATION PER N. Y. m— / j1t� frit" litligliee El )41t) STATE ENERGY II u__ ,nI /'- - I D V //CODE ii/ a ' 9` - '`_ 0 N ����4�'�%�� { I II _LYBLA- – / . . 1"f q ril 4 H I H „ Sad , &7 / e�..p . . „ I II if 41 11 �I FINAL N MN , ii II I .Q:xsxxxxx_xxxx_xxxxxY x—x_x=lk=x—c=—xx_x_----xc==xxc=xxxcaxxx—xxcxxxsxxxx=xxe O ADDITIONAL COMMENTS: Lk,p .xx.xxx==xx— xx,xx-----x-x==x�sxxx—max _ — _ -=�xxx 7y, ,2 „i. ellR 'a H 'L' H O ZCab eI ^ BOARD OF HEALTH -FORM NO. I 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL Exanined..l.0cc2Q ......, 1917. MAIL TO- Approved. Q. 2,a , 141 Permit No. 42/(205 2 Disapproved a/c c L , 2-- -- __-' (Building Inspector) L �„ ( OCT 4 i � APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date , 19. . . . --J a. This application must be completely filled in by typewriter or in ink and submitted to the Building Insl,eLtor w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sharing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of propertyoust be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MATE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. f /r�� A:c;'"fSC Z:14/e ,Q,Tcif4e/ofrr/JL( (Signature of applicant, or name, if a corporation) /,o( ///3 620/c1;,54/4 /(. .///y.:5"-- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build( /¢GfX/f Name of owner-of premises ...x/069"1- �•f c/E a' ”A f ,� (as on the tax roll or latex deed) If applicant is a corporation, signature of duly authorized officer. ( and tit corporate officer) Builders License No. Plumbers License No. 02.'/403./, Electricians License No. //'Z IF- • Other Trade's License No. Ap 772,W4( // 1. Location of land on which proposed work will be done y/......_4 -m riilf/ � 4.)/9y House Number Street// Hamlet County Tax M `` ap No. 1000 Section -LU,/ Block /7 Int ....,1. y3 Subdivision ,/fAtIh/4/71 4elw Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of•proposGd-construction: to �•1 a. Existing use and occupancy 1�«.0r:,,.1 tyi b. Intended use and occupancy F.✓ (we 0 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost fee (to be paid on filing this application) 5. If dwelling, nudner of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, camercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front Rear Depth height Nuaber of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Ninber of Stories 8. Dimensions of entire new construction: Front ...//U Rear /( Depth 5-4/ Height l4 &ober of Stories / • ' 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner / 1 I. Zone or use district in which premises are situated F5f5.1 f� 21/0/___ 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded / Will excess fill be removed from premises: YES ND 14. Names of Owner of premises .f.'1fterf L,A1( /4�K:!U Address //y3 Cu4-//605-az- Phone No. 4/77-rlf 6 Nate of Architect .C.7760.../.P;6141/41/ ,..'��1'°5/ Address/.t'I<¢�!r!t O 54. '/`/�'(c'&1 '.... Phone No. Name of Contractor ..!!x";614 '( 1/ AcH-6-1/111.UfAddress ,l,?./33)" cP.7 ..lgQ.yfd1, 4' ..Phone No. 722.51/ 15. Is this property within 300 feet of a tidal wetland? * YES NJ *IF YES, sc(nuom 11W TRDSIEES PERMITMAY BE REQUIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. SfNlE OF NEW YORK, SS COONIY OF being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to e re me this day of ., ,,2_'i19. A".7 . / Notary PublicG�! :C J.. 4 E ETHASTATHIS (Signature of i.cant) NOTARY PUBLIC,State of New York _''' No.01 ST8008173,Suffolk County Term Expires June 8.20W