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
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FOUNDATION ( 2nd ) m Cj
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IIISULATION PER N . Y.
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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