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HomeMy WebLinkAbout19265-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20033 Date JUNE 25, 1991 THIS CERTIFIES that the building NEW DWELLING Location of Property 1480 CEDARFIELDS DRIVE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 5 Lot 1.36 Subdivision CEDARFIELDS Filed Map No. 8966 Lot No. 36 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16, 1990 pursuant to which Building Permit No. 19265-Z dated JULY 26, 1990 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 ONE FAMILY DWELLING ( 1ST FLOOR ONLY) The certificate is issued to DONALD BRACKEN & DIANE CARROLL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-79 APRIL 24, 1991 UNDERWRITERS CERTIFICATE NO. PENDING - 731-409-91 PLUMBERS CERTIFICATION DATED AFRIL 15, 1991-GAH PLUMBING & HEATING Building Inspector Rev. 1/81 FORK rr0. e 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° , 9 2 6 S Z Date ............. .....a.!l............... 19..9..0 Permission Is hereby granted to: m0-.Ap..........Z....... `1 1 A4r.". .. ...QAd6........ .�:'�s.t......�z.:! :.............tl...�r..1.�3... to ................................................................................................................................................................ at premises located at ...010..... ......1.�.xult .......... ................................................................................................................................................................ ...................................................................................................................................... 11 ,, r County Tax Map No. 1000 Section ........q.0........ Block .....0..5...... Lot No. 4.��.. `A. pursuant to application dated ....�. ..J..1 ....................... 19.90.., and approved by the Building Inspector. Fee 5.1.7.r�.... .... 2ing Inspector Rev. 6/30/80 l Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 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. 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . .'a ''T. .�I/eT!����. . .. .. . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . 1480. . . . . . . CEDARFIELDS DRIVE. . . . . . . . GREENPORT,. N.Y. House No. Street Hamlet Onwer or Owners of Property. . . . . . DONALD BRACKEN 6 DIANE CARROLL County Tax Map No 1000, Section. . . . 40. . . . . . . .Block. . . S. . . . . . . . . . . .Lot. . 1... 36 Subdivision. , !CEDARFIELDS 36 . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . .. ... . . . . . . . Permit No. . .19265-Z . . . ,Date Of Permit. . ?/26/90 Applicant. DONALD. BRACKEN. . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . ... . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Fina Certicate. . . . . . . . . . . Fee Submitted: $. . . . . 25.00 Q._c, 'faoa2 . . . . .. .. . . .. . . . . .. . . . .. .. ..... . .. . . 0 �-- a003 3 APPLICANT . Alf �Oc,VEFOL,1'CO TEL. 765-1802 TOWN OF SOUTHOLD l'. < OFFICE OF BUILDING INSPECTOR P.O.BOX 728 .r -• 'e TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I CAT I O N Date L Building Permit No. /10 ,7 - Owner [ i lJ/ANC GgRRBLL (please print) Plumber G.A.H. PLUMBING & HEATING (please print) P.O. BOX 507 ROCKY POINT, NY 11778 821�9471 uc # a8►8-P I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( tuber 's gnature) Sworn to before me this 4 < -�day of L , 19-JL, c- Notary P lic Notary Public, SU County ROBERT D.REDICAN. Notary Publio-8tate of New York No.481178B Qualifled in Suffolk County Commission Expires 30, 1a THE NEW YORK BOARD OF FIRE UNDERWRITERS 1.0(16i+]7 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 10038 Date ,71(ta N, I9Yj Application No.on file � ��..iAf flai /-3i N i'15U79 ti. THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of .)OP BRACKPA/01W CAN?OIJ„ i4El(I C'.F�ilARh1M�1:0� f)RiVr�,. .H9W 7Pi; Git�:F;ivYORT, N - V . inthefollominplocation; ElBasement A ' I"i 1st Ff. ❑ 2nd Ft. /I.Tii Y' .Section Block Lot JIINi; I i . f.941 was examined on and found to be in compliance with the requirements of this Board. FIXTURE RXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECFPTACLES SWITCHES INCANDESCFNi F1011E CEm OTHER AMT. K.W. AMT. K.W. I "T. I K.W. "T. I K.W. AMT, M.P. ] DRYERS FURNACE MOTORS FUTURE APPLIANCE REDERS SPECIAL It[C'PTj TIME CLOCKS I RELL I UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT. K.W. 011 N.P. GA$ N.P. AMT. NO. A.W.G. AMi. AMI. AMT. AMPS. 7RAN5. AMT. R.P. NO.OF FEET N^T WATTS 1 Y 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. AMI. T1Tf MUFF. l,e IO/ 1/]W 31 3W13,9 IW PFR d OF CC.COND. MI-LEG W.l& �'Di NEUTRALS OF NEUTRAL 00 OTHER APPARATUS: 6.F.C .f:-i SMOKE DETECTOR:--1 �-C t SPUOS H,Lh;C?'kTC SF;RV7_C.: ? 175 iRD.':T. BOX 'lfib OWEEAE MANAGER oT. JAPEX:: . NY, 1 i180 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. 1onl�s ;? THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 s MAY 20,1991 7219259.3/91 N 181494 a Date Application No.on file II THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of DON BRni•R'FN/DTANE CARROLL, ]605�[ WASHTNGPON AVENUE, JOW3 7 CEDARFULDS, GRF;'UPORT, N.Y. in thefollowinq IncatAQp. 1 .Ft Basement LJ Ist Fl. t 2nd F1. GAR/A'f'1"1C/CtUT .Section Block Lot was exarninedon tf'i!/hv XX tttttt��,��,,,,,,,J11111`�?4411. andfound to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS KEPTACLES SWITCHES INCANDESCENT-FLUORESCENT I OTHER ANT. K.W. AMT. K.W. ANT, K.W. T. K.W. ANT. H.P. 20 14 22 18 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL UC'Pfl TIME CLOCKS ECll UNIT HEATERS I MULTI-OUTLET DIMMERS AMT. K.W. ql N P. GAS N.P. MIT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. ANT. H.P. NO.OF FEET SYSTEMS /W.T. WATTS m 3 F' 1 30 SERVICE DISCONNECT NO.OF S E R V I C E METER t "T. AMP. TYPE EQUIP. I/1W 1,9 3W 3 A 3W 3 F 4W NO*Of CC.COND. A.W.6. NO.OF H1-UG A.w.G. NO.OF NEUTRALS A.W.G. PER a OF CC.COND. OF Ni.,% OF NEVTRA[ 1 IfI(i CB l X 4 i 4 OTHER APPARATUS: G.F.C. I ,-3 SMOKE OFTECTOK:-2 3 e — SPUDS ELECTRIC SF:RVTCE L1C. 732x; C!�� 175 3RD.ST. BO;i 166 G01ElAt MANAGER ST. JAMF;S. NY, 11780 } j Per �-)-) .r1_ 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. I Jim COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �o'y�FFo�K�o JAMES C. McMAHON = SCOTT L. HARRIS Administrator Supervisor Telephone (516) 765-1892 y0,r � Town Hall, 53095 Main Road �1 P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 TOWN OF SOUTHOLD COMMUNITY DEVELOPMENT AGENCY TO: VICTOR LESSARD, PRINCIPAL BUILDING INSPECTOR FROM: JIM MCMAHON, DIRECTOR, COMMUNITY DEVELOPMENT SUBJECT: CERTIFICATE OF OCCUPANCY - AFFORDABLE HOUSING PROGRAM DATE: June 26, 1991 I hereby certify that Neal D. Catapano has been issued a valid Certificate of Eligibility for the Town of Southold' s Affordable Housing Program and the issuance of a Certificate of Occupancy to Neal D. Catapano will not permit a use, occupancy, sale or lease of a dwelling unit or unimproved lot in violation of the provisions of the Southold Town Affordable Housing Code. James C. McM hon Director, Community Development Officers illaye of greea�nort TELEPHONE MAYOR (516)477-2395 GEORGE W.HUBBARD INCORPORATED leas NEW INCORPORATION APRIL].19" CLERK TRUSTEES RE-INCORPORATION UNDER GENERAL LAW MAV M 166. LORNA M.CATUS W'ILLIAM D.ALLEN STEPHEN L.CLARKE 41 TREASURER DAVID S.CORWIN y'/ • " '• 0.. MARY E.THORNHILL GAIL F-HORTON S L A N p N 236 THIRD STREET P.O.BOX AH GREENPORT,NEW YORK 11944 1 Jtt July 12, 1990 Mr. Robert Petritsch BLDG. DEFT. Suffolk County Health Depart nt TOWN OF SOUTHOLD Suffolk County Center Riverhead, N. Y. 11901 Enclosed: Test Results Dear Mr. Petritsch The following water main was connected to the Public Water Supply by the Village of Greenport during June 1990. The installation was complete according to our rules and regulations and meets with the Suffolk County Health Department standards. Cedarfields at Greenport - Donald Bracken & Diane Carroll 100-30 South Jersey, Setauket,NY 11737) Project location - Moores Lane, Greenport - Installed 6/5/90 - Job #F91-2 - H. D. Ref #87-541 - File Map #8966. If I can be of further service, please contact me. Very truly yours, G. W. Hickson Superintendent of Water & Wastewater GWH:lkm rISLD INSPEC:IUN E. COMMENTS -o 1 . Cw m FOUNDATION , ( 1st ) �( FOUNDATION ( 2nd ) m Cj 2. /1 o L ROUGH FRAME PLUMBING 3 . `� n CA x ta. m m IIISULATION PER N . Y. STATE ENERGY CODE S a -r 4 . �m y FINAL O ADDITIONAL COMMENTS : m r m ' - x H " LM m r V x -mo H \ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ~-.~.., 1979. Pennit No. Disapproved a/c ................................ ......~. ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS · BOARD O,F HEALTH SURVE-?" .-.j / /~' ' ' NOTIFY CALL ...e.'?.? ...... MAIL TO: io0. XO 4_~.d~dfl. x;! ~OW~-b[ ~OUi ~u~ Date Y/ ...... 19 ¢~. a. Tiffs applic.4tion must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing 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 property must be drawn on the diagram which is part of th.is appli- cation. 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 issued a Building Permit to the applicant. Such permit droll 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 · hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the iltJilding Zone Ordinance of the Town of S0uthold, Suffolk County, New York, and other applicable Laws. Ordinances or Re,zulations. for the construction of buildings, additions or alterations, or for ~:emoval or demolition, as herein described. Fhe 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 necessarg~. ,spections _.~, (S~gn, ature ot applicant, or name, if a coi'~o'r~tldn')'/' /'or,-3o ~(.£'.~,~.z~q_ 'fY .... [,'./' ....................... .... 'rk. ...... ' ' (Mailing address of applicant) ,o , itf(li !~~~!i!i!!! ~~i~i i~iTi'i in~ii')geneQ~.'i°iiiiiiTr'~'l.'iitii~iii' ii;b~''r or builder. (as on the tax roll or latest deed) ~:' ::;,plicant is a corporation, signature of duly authorized officer. (Name and titie o~ corporate officer) Builder's License No. '" Plumber's License No .... /8/.~.. T./'.''/ ........ Electrician's License No... I ~ .~...~. ........... Otller trade's License No. ' ...... Location of ,and on which proposed work ~~~~ '., ........ ~ .... . ..... :.~ ~,..~-~,~~ ................................ l{Ouse Number e~ .... ' ' [~e' ', ....... ~ ............... County Tax Map No. 1000 ~ection .... 9 , , mo~k .... O. ~,.o.q ..... Lot..Da g~ ~.0 , [~ (Name) " ' ................ State existing use and occupancy a. Existing use an ~ , ~ .' ........ . .............................. d occupancy ............................. ~1 [~ , ~,,,....,~~~ ................ 3. Nature of work (check ~vhich applicable): New Building .......... Addition Alteration Repair .......... .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimate'd Cost.. ~...~..~/. ~..?.a.o.o. ~..~.. ~./y. 3-3'7~,v~..0.o.. Fee ...................................... (to be paid on filing this application) 5. If d~velling, number of dwelling units . .,~ .~. Number of dwelling units on each floor...-"A~.... If garage, number of cars -- ' ........ · ........ 6. If business, commercial ........................................................................ or mixed occupancy, specify nature and extent of each type of use . ~ ............... 7. Dimensions of existing structures, if any: Front ...... ~-:: ...... Rear ....... ---. ...... Depth Height ....... .--.W. ...... Number of Stories .... Dimensions ofsam__e structure with alterations or additions: Front .... ..--=. · Rear .... . .. D.epth .. ..................... Height N : ': L' ' . ................ 8. ' .......... v .......... umoer or Stones....--:7-. .... . >' .,..., ...... D,mens~ons of entire new construction: Front ...-~ .5-..-.0 7.... Rear .. '.~ ~.<~.-;o De · r = O ' He,ght ............... Numbgr of Stories .. / -~'" t ......... pth .,~ .> ........... 9. Size of lot- Front/Z~-O.. 7 to~..- 0 R'e' '"~',a'; Z~ ' t:;2-'-"<'.:, ...............; .... .... ET ....... . ........ ar t,q'~. /3 - '~ De t ~.'~ ~ '7 "2 ;-'b .... 10. Date of Purchase //'3 I/ ¢t9 '',, '~fi'._' .......... . P:~ ,~:=~'~...-~ ...... Y ....... ~- · · INam '.t2 ~ - ' ....... .... /'. ........ :. e o~ l~'ormer Owner . ~t4*/ ~ .... I 1. Zone or use district in which premises are situa /:'/D ~./~ · · _,o-¢d4~, ........... ,, ted .... , ............. 12. ooes proposed construction violate an~zonin, l~w ~--,: ..... : ...... c/._ ........................... 13. Will lot be re-rade' //,_~ ,,~/~, /~ ..... ,~mm,mce or regumnon: ~ ...................... .... ° ~ .... ~/~'~0 7~ ;' ' '.": ';''' Will excs ~I be. remoyed rom premmes Ye. 14. eaameo~uwnerozpremises~./d0?.~.~.~/t~,~l~,v.,/ --~ ~-r= ,~-~-~>~-[ ' :~ · · us~ ..t~.,t.. auuress ~/.-ttttk~ 4 ~ c-.-'. · [ ' Name of Architect ~.~/~./t4.~c~Q.q~a-c..k ,,, (5 ..,..-.54.:~1. ~.... Phone No. ~,.q './..~. Name of Contracto2-P/),3v.c~-}a-Q~ ' ~,'.3 ~4t~ './?,,q',~ 7' ' ' .aa, a, resso~'a~,z'-/~r4~t'~-~'07~;~',~''' Phone No..'~.*.~"T.. 8.~. fi.C/... - , ............ ~-~4-,-.. ,..,~..~.~ . . . ^aaress O~.tct~(it~4'..7/.~.~... Phone No..q~/.~../.? .5-'.,~, .. IS.Is this property located within 300 feet of a tidal {~etland? *YES .... NO.I~.}. · If yes, $outhold Town Trustees Permit may 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. STATE OF NEW YORK~ cou. r-'y OF ........................ being duly sworn, deposes and says that he is the applicant ' '" (Name of individual signing contract) above named. " ,,eis,he ..... .... .......... ' ................................. (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 ~he work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .1. [ . .-~..~, ........ day.of .... ~...t.~. ....... ,19 ~' ry bile, . · ..... County [.,/ No. 47..~/34 ........................... Oaafl~ la 8u~o~ 0our~ (Signature of applicant) i ,IH ~09 ,10 .9l N ~ ~7 731_,-/ ~/ V 0_,-7 0