HomeMy WebLinkAbout23467-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25040 Date MAY 15, 1997
THIS CERTIFIES that the building CONDOMINIUM
Location of Property 335-N53 CALEBS WAY GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 40.1 Block 1 Lot 53
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 1, 1996 pursuant to which
Building Permit No. 23467-Z dated MAY 23, 1996
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 DWELLING - UNIT 53 WITH ATTACHED GARAGE &
DECK AS APPLIED FOR.
The certificate is issued to MOORES LANE DEVELOPMENT CORP.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-95-0011-JAN. 19, 1995
UNDERWRITERS CERTIFICATE NO. PENDING - MAY 1, 1997
PLUMBERS CERTIFICATION DATED MAY 5, 1997-DOOLEY PLUMBING & HEATING INC
ing I spector
Rev. 1/81
FORT[ NO. f
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)
N° 23467 Z Date . 3..................................... I9.?!�
Permission is hereby granted to01
:
�. .//..��, ........... .............
...............Q...
ro CI i . �' Z. . (/ .. .. ......
�...... ........ .. .,�.de. � ..
teds�
,�35 of premises located at .. .... .... .......6a�aq�+� .. .�jif.�......................................................
County Tax Map No. 1000 Section ............t./......... Block ...................... Lot No. f. ...../.....
pursuant to application dated ......U� .......................................1 19.59, and approved by the
BuildinggInspector.
Fee $.../•1 ...6. .
...... ......... .."Z X. 4 ................
Inspec or
v . V516-
-�,�,�
Rev. 6/30/80
.. C � � d
• Form No. o � F .
TOWN OF SOUTHOLD � Lit,
BUILDING DEPARTM?NT MAYS
TOWN HALL
765-1802 BLDG.DEPT.
T61NM OF SO<;'dOLD_
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 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 1Z 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.
L' 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
5 OBT Acce cry building $25.00,
Additions to accessory building $25.00. usinesses S50
2. Certificate of Occupancy on Pre-existing Bui din¢ - 100.00
3. Copy of Certificate o" Occupancy - .25¢.
4. Updates �ertiricate of Occupancy - $50.00
:'—fi emnora— r— Certificate of Occupancy - Residential $15.00, Commercial $15.00
/ Date . . . �XY(r �. . \. . . . . . 1 � � . . . . . . . .
New Construction. . . ..• • .. . Old Or Pre-exist=' Building. . . . . . . . . . . . . . . . .
Location of Property. . . .
. . . . . . . . . . . . .� d G!QFf.(//.b/Z� . . . . . .
House No. Street Hamlet
Onwer or Owners of Property.. ... .. .. .. .. ..wf3
. . . ... /.. . <". . 1. . . . . . . . . . .
County Tax Map No 1000, S"emiction. ..` od.. . . . .Block. . . . .f. . . . . . . . . .Lot. . . . .P 4 . .
Sub division�Vl_ -.Ck44?Sa�'SuYL ,`�3f �. �.. .Fil d Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
W. . .Applicant. ^W6. he!Uf. .y`Y"v� eall
Permit No.�341b./. . . . .Date Of Permit. . . .�J
q . . . .
Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Undexwriters Approval. WO3O -.!1.7. . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . .. . . . . .
Request for: Tempary Certificate Final Certicate. . . . . . . . . . .
Fee Submitted: $.�a . .�-. . . . . . . . . . . . . . . .
ee
(R"Q,r_ . . . . . . . . . . . . . . . . . . . . . .
" Jz 4 O/ PLICANT .
co jL_7as0V0
�a '4eltXc4e �a
PROFESSIONAL ENGINEER
HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 516 -765-2954
Date: May 5, 1997
Reference: Unit 53
Building Department
Southold Town
Main Road, Southold
Dear Sir,
IL6-3
I inspected the instillation of insulation unit A-52"in e project Pheasant Rum in Greenport
and found it in accordance with current New York State Codes.
Ptk OF INV Y
ery 1Cp I
J 4iscti =m�
�O °• 05250
iFESS10NP�'
M-1802
BUILDING DEPT.
ANSPECTION
( FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
( ] FIREPLACE & CHIMNEY
REMKS: �r
DATE INSPECT
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
RE ARKST .�i
D 4r -
/ N ,
tie
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACCE & CHIMNEY
R MARKS:
�-
DATE INSPECTOR
M-1802
BUILDING DEPT.
SPECTION
[ ] UNDATION IST [ ] ROUGH PLBG.
[ (FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARK - 3
DATE INSPECTO
53
765-1802
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] FOU ATION 2ND [ ] INSULATION
[ RAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: 6z"
DATE INSPECT
0�3 (� 7
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO H PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLAC CHIMNEY
REMARKS:
'SATE INSPECTOR
M-1N2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS.
lilt S/d -
DATE /� .2 INSPECTO
3 � 7 f-�
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
"ATE INSPECTOR
M-11W2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
c.
DATE % INSPECTO
M-1802
BUILDING DEPT.
INSPECT
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE✓&CHIMNEY
REMARKS:
�
Gl/ '
DATE �✓ �� INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] R GH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
J s
DATE 3 9 7 INSPECTOR
3 46 7 '
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ V�UGH PLBG. Ge�as<
��.ttacrsw)
[ ] FOUNDATION 2ND [ "] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE blk INSPECTOR
�3
M-1802
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION IST [ ROUGH PLBG.�,tec. .61
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
�,/
REMARKS:
DATE 2 97 INSPECTOR �O
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
RE ARKS: �- -'e � e�
DATE S / INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
s1
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: �b
DATE 9 ' INSPECTOR
COMMENTS
----------------------------
it
FOUNDATTON OST)
it
j--2=UnAT1ION (2ND)
r
I It/
ROUGH FRAME &
PLUMBING
/it
�.�.�
06
INSULATION PER N. 7-
STATE ENERGY
�' ��.
-
�L� J
-
.. -
/
i
1 • '� /�� , %/��-�!�i1�_-"tel�� ._
i �NWWAW�-
J, illp
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1
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WOAO� __��/.,MYA0 I: , Al
• 1
+ ?I la BOARD OF HEA/:I'll . . . . . . . . . . . . . . .
. l�'I.K]`..'�R:?' ."?',( 4K ^':•"i;'A FORM NO. 1 J SIiTS OF PLANS . . . . . . . . . .. . . . .
lAet'.`1"'} '_ %''� "'F 'nl TIM14N OF SOUTHOLD SIIRVRY L
L CHI `T OIL'°(f Ul l.OI NO DEPAR'fMF.NT CiN?CK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN IIAL1, Sr P'f1.0 FORM
SOII'LIIOI.D, N.Y. 11971
IEE: 765-11302 NOTIFY:
CALI. . . . . . . . . . . . . . . . . . .
MAIL TO: . . . . . . . . . . . . . . . . . . . .
19.(�.� L'enniC 7. ................. ............ .. ... ..
....... ................... . ........ ..............
V"......................... ....................... . .. ✓ s .... ..... ..
(Iknildi Inst or)�.
APPLICATION FOR IMILOING PERHI1'
Date . . .�1. . . . . . . . . , 191. .
I NSTIIIICTI ONS
a. 'Ibis application nest be coiplel:ely filled in fly typewriter or in ink aril stlmil:t.ed to the Iknilding inspector with
3 sets of Plans, accurate plot plat to scale. fee according to sche(hhle.
b. Plot plat ;Jrowing location of lot: and of Urildirys on prenises, relationship to adjoining premises or ptblic
streets or areas, alcl giving a detailed description of laytmt: of property nest he dram cm file dingrmrwinich is part of
this application.
c. 'Ilse work covered by thin spplicatiorn Play not Ile cmuerx-ed lnefore isskance of Building Permit.
d. Upon approval of this application, the Iknilding Inspector will issue a fluilding PermiL to the applicant. Sort,
permit: shall he kept of tine premises available for inspection thronglnout the work.
e. No Wilding shall Ile occupied or used in uinle or in part for any purpose wlntever until a Certificate of
Ocnhpxmxcy shal1. have been granted fly Ole Iknilding inspectnr.
APPI.I(7Yf1(N IS IIRPoi11Y ME, to the Iknilding Deportsentfor the issrnrxe of n Iklilding Pernit plrstnot to the
Ikuildirng 7rxne Oniinarnce of the 'Itr.tn of somtinoitl, Suffolk Qxmty, New York, aril other applicable l.nws, Onlinances or
PvpjIaLions, for the cnstntctirm of Inildings, atklitions or alterations, or for reintmal or demolition, as herein
described. 'Nue applicant agrees to cagnly with all. applicable laws, ordinances, Imil(ling cock, Ixmsing code, stiff
regudalioms, aril to admit a11.110rived inspectors at premises axl in Wilding for necessary inspections.
(Si "More of appl icant, o/r [�k� e,®®tf a corporation)
(lktii ing rrkh ess of nppl icant)
Slate wi net lrer rapppIii cant is one-r, Ier.rPe, agent, architect, engirneer, get'era I connL rsc Lor, electrician, plan
iner or Imii Ide .
.... ......fl-— :..'..:..................................................
Kine of owner of premises .....&t"es..., ...../7�•/-(// ..... ./^:�...................... ...
(as an tine tax roll or latest deed)
If ap lic• it 'a rlor ion, signature of drily nl.lnrized officer.
. .. . �[.._ ........ .�..!1�:...
(N:u . 1 L tie of corporate officer)
=- I
floiltlers License No.
PT
1'Lrnlrers License- No. ....v.� I'. �.._... TOWNOF .O
v,yl •• _ UTMOLD
RlecLricians License Nu. ..........!.(t��G.. •J
Other Trak's License No. .................... s
I. IacaLiot of lam] on widdl propo, cm it will Inc oknne,4 .1•
.... / ....... ..... .... .. ..............
Ikmse timber Str. / Havilet
(2emty Tax KIP No. 1000 Section ......�a�f. II1mk ..�l.... Int
Su 11 x1 ivi Sion /X S.� :)•. �'�.• I%filed Lknp Lk>. Ian ...............
(KIM.)
2. Slate existing use ail ocr-opvnucy of premises aril intentlexl use aril ocapatcy of Proposed construction:
a. Existing use and! occupancy ....///./�►,, ,, .. .......... ..�.......... ......... ............................
b. Intentlecl use sol occopnocy .../'•L.,wc'.!+�L° ��!"[,......` G?t!t'(/�4!... ....��..:.5!.C!!/.
'I. I!dnn! of tank (dieck ldoidt alg)licahle): NI1+ Iklildiol; . .. Mkiition Alteration ... .. .. . ..
Itigwir . ... .... ... . ReumnI Ik+toil it ion .. . .. ..... .. 011ier IJcak . .. . .. .. ... ....... .. . . . ...... . . . . .
(Dencr I ptioo)
to. 1?81 incited Omit. ... . ............. .... .... fee ... . ..... ..... ...... .......... .. . . ....... .... .
(lo lie paid [m filing I.his application)
:i. If (k.xel1roll, txniler of Aoelling Imlla .. . . ... ., llr,iwr of cA+elIIng on11's on each floor ... .. . . . .. ..
If gstnlle, txnl,cr of cars .......... . . I. . . . .. .. . . .. . ... . . .. . . ... _ yyAA
6. If Ixosiowsn, camnercial or utixed oecolatx:y, specify nature niMl extent. of each lylw of ose.� - .
7. I)i1lumicon of exist-ing sttwulles, if fifty: Pr(x11:.. .. ... .. . ...... Hear .. .. . . . .. . .. .. . Depth . .. ... .. .. . . . . ...
Ib igIIL ........ ....... .......... fAnlwr of Sl ar i(!a . . . ... . .. .. . ... .. . . . ..
1)low I In i vos of sone s(voctore. Willi alleral.11xa fir :Mklil.innn: Pr oot. ... . .... .. . . ... Rem' ..... .... ... .. .
lkplh Ik!il)it .. .... . .. .. . .. .. .. . . Mnlwr of Slorien . . .. ... ........
fl. Dlnxansiw,s of entire o(v uoosl'.11MA i(x1: F1(NIL Ik!ul . .. . . .. ... . . ... Dela h . .. . ... ... ....
lloijJtt Mofn 0.r of filoriefi . . .. .. . . . . . ... . . . .. ..
7. Size of lot: Proot ...... . ... .. .. .. ... . 14earDepot] . . .. .. . ..... ... .... .
10. Ible of nodatse Rol[s of vomer U+,wr .. .. . . . .. ... . . . . . . . .... ;,:... ....... .. . .
II. Pxxw or ase dist.Viet in ldoich premises me silmled Zi"W* *.-" '.!!. . . .. ...,... .t. ?'.S/. .. . .. ... . . . . . . . .
12. Ikws prol,osanl caslimlicm violate nay zcxoing It", ortlioal M:e or lellul alta,: /. .�.t'.'.:-.�..... ....
It. Will lot_ Ix regrlxled .... .... . .. . .... .... Will Pxces fill Ix. rot weo frnn Invonitea
I/i. Mine m74 ; �,)( a ! ... ... / klress x / ��[[
Yr:
. . e .
no
N:nr of Architect � .. . .�, lrea �. IL 1I tR . a -.. . ... . . S
Wnxf of Umitracfor ...... . ..... .... .. .... ...... .... .. . nrklreas .. . .. . ..... . .... . .... ... .. .....111one Ill). ... .. . . .. . .
15. Is this properly Wilhin NO feel: of a Lidal 1.etlalMl7 * Yl?S . .. . .. .. . . N) .. .�... .
*IP y1m, w111111) ISll7?S lldid-IIT my Ill; 1071piRP1l.
PLOT Di AGIIAN
I(x:nte clearly noxl distiox-l:ly nil Ixlildiogs, 1A,elher existing or prolx)sed, txxl hxlicate all set-buck dlinensions
Inn, properly lines. Give stteel: mill blo(:k txxtlwr or ckescripliom according Io deed, soil sliott street: Torres atxl ilxlicale
1d,ether interior or corker IoL.
!;ITIP. (11' fJ34 Yom,
UAIIJIY (yN}'Q,... ... .�.//.'�/./{T,°!4...��.f. .
A L)
r'( "D" "' � . .. .. . . . . . . . . . ... . .Iwinll doily [:wlrrn, (IelMn!a!!: f11M1 says that he Is the applicant
(Woe of i,xlividonl nillniug ccmlrncl)
filx)ve Ixr,red,
Ilnc .. . . ... .. ... . . . ..... .. .. . .. .O.VD.M1P.-Y/(. ... .. . . . . . .. ... . . . .. .. . .. . . .. .. .. ........... ... .. .. .... .. .. ..
(Um1.rnclor, ngeol , corlxonle offi(:er, etre.)
of said cxawr or (""tern, Still is duly oolhorizcxl to lx!r fulfill fir have two fonred the said lank mill to nr,ice mill file Iloilo
nppl icnt iool )11111. n 1. sl at eteu1.a cont ahlet in llIic; :opplical ism o I e I11w to I11e Twat. of hire ki op"ledge nrxl Ixil ie r; no MI
that the W1rrk Will. Iw lwrfofmvd in Ow amnlwr setfotlh in 1110. appyI'.ion filed tlwrr!Wilh.
:
!k.xaa to Ix!lole sr! this Q
. . . ..1 . .. .. ... . .day of .. . . . . . . . .. 19. .! �. . .
all my INIMic . . .. .....
4,m
. . ..... ...ROBERT L SCOT R. of nppl icant)
NOTARY PUKX. to of N.Y. s
No.4725088. olk Coo
Term Expires MsY 31, 18
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TOWM OF SOUTHOLD
s M:=COLWrY, H Y.
VW - 40 - 01- 59& 34
ScaVsr• I"= 40'
Ady mss, IM
4F Nr
L C NO. 496IB
PEC P.C.
f1l61 '
P. O. BOX
1230 TRAVELER STREET
SOUTMOLD, N.Y. 11971
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MAP SMO WMA'VG ,
UNITS 53 & 54 $
'WAP Of ABO OEMAIID"
MEASAWRIAVESMIES
OOIhOIS i I
am� TIY6 237
TOWN OF SOUTHO D
SWfVLKCOLWY, NY.
1000 - 40 - 01- 53 & 54
Scads: r'= 40' a
.Atdy 25, 1996
0
Q
� %E OF �F�Y
S o�H r..HErr��Q�
° �R.. .S. LK. NO. 49618
PEC S, P.C.
(516! 765 - O
P. O. BOX 909
1230 TRAVELER STREET
SOUTHOLD, N.Y. 11971
PLUMBER CERTIF!C4?'ON
ON LEAD CONTEIV-~ SE?ORE
CERTIFICATE OF OCCO, ~,NEY
SOLDER USED IN ~ ? ' ER
SUPPLY SYSTEM
EXCEED~IO OF I% LE~q~,- .
Do NOT PROCEED WITH
FRAMING UNTIL SURVEy
OF FOUNDATION LOCATION
--;--_ NAS BEEN APPROVED.
ii PROVID£ oP~II
.... ""~I~G COD~.
If~oppertubingisused "~ ~, ~ ~y. ~
~N. wamr distributing [,'~(r!r~y-5.{t~i[.D(NG OEP~RT~ AT
Iystem; piping shall be
of ~tpes Kor L only
i
-t '
I
!
FIRE
~ATEO SEPARATION TO
~ATEB~.LDIN6
,i¸
L~FT SI~E
k