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HomeMy WebLinkAbout20795-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21161 Date NOVEMBER 19, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 720 JASMINE LA & 45 APPLE COURT SOUTHOLD. N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 69 Block 3 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2, 1992 pursuant to which Building Permit No. 20795-Z dated JULY 9, 1992 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 FIRST & SECOND FLOOR AS APPLIED FOR. The certificate is issued to PECONIC PROPERTIES MANAGEMEN'P INC. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-43-NOV. 17, 1992 UNDERWRITERS CERTIFICATE NO. N-258439 NOVEMBER 1992 PLUMBERS CERTIFICATION DATED OCT. 8, 1992-ARTHUR MALANSSENA JR. i ding Inspector Rev. 1/81 - 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 OP, 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 17 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 S years - $10.00 4.. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..,,November 18:.1992 . New Construction....... Old Or Pre-existing Building Location of Property.. ~ ~~..,,,•JASMINE ....fig ~ 45 APPLE CT. SOUTHOLD, NEw YORK_..... . House No. .Street. Hamlet Onwer or Owners of Property..........,,PECONIC PROPERTIES.MANAGEMENT INC . QQ . County Tax Map No 1000, Section...~a.l...... .Block..,............Lot.... .,~,7,,,,,,,,,,, Subdivision..,Ii~O SODTHOLD VILLAS.. .......,,Filed Map..,9737. ...,Lot...._....6............ Permit No...ye-207952... „Date Of Permit..:~Y.9,,1992.,Applicant„ DONAI.D.BRACKEN.....•... Health Dept. Approval ..........Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $,,,5,•,•00..•• C~-e.~,. 4S) y 7- APPLICANT C~~~~~/r~ 1t*Olill N0. 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°~T° 2079 Z Date 19.9--~ Permission is hereby granted to: .rarer 4r. I VV~ ~~.~c.....1.1.. 4: 3~ .~,.-~......~.......~a~.--.-:-.y~~......,..~.g.a.a ~ , ~ to ...........................sA.~....l~19~.:~......... `...a~..l..r.~R.~!.~ .....~°......~lL~~... O (J , n of premises located at ~.A.Q...~A~'MMiA..~;....(..5....~j(~rX/.......y~,,{~'~~,~/,~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .u. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . # . ~ a . . County Tax Map No. 1000 Section ....Q.7.4........ Bloek ......4.~........ Lot No....Q..~P pursuant to application doted .....~.....wtr 19.~,?.:, and approved by the Building Inspector. Fee 5..1.'?'1.:.~~?... ding Inspector ~ '9`' Rev. 6/30/80 ,r~ :,~p.>rl~.JS* r,~.u,.~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS erlcE 1 IR00837 BUREAU OF ELECT6R~~ICITY - ~ 83 JOHN STREET, NEW YOIlIF'rvEW YORK-tb038 - Date NOVEHBER 25,1997 Appfiratfon No. on file 78705392;92 N 258439 gq} THIS CERTIFIES THAT • only the electrical equipment as described hebta and introduced 6y the applirnnt rEamed on the ohooe opplicetion numher in the premises of JARLEVIC SOUTNOLU VILLAS, 45 APPLE COURT, JUB~t;, SOUTHOLO, N. Y. in thefollominq location; ®Bwement ~ /at fl. ®2nd F1, OUT Sertion Block Lo[ NOVEHBER I9,t992 uaa examined on and found w 6r in cmnplianre with the reyuirernenta q(thia Roard. FIXTURE RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST TANS OUTLETS ECEPTACIES SWITCHES INCANDESCENT. fIVORFSCENi OTHER AMT. K.W. AMT. K. W. AMT. K.W. AMT. K.W. AMT. N.P. f IS 35 20 15 ~ p 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'?T TIME CLOCKS REII UNIT HEATERS MULTIAUTLlT DIMMERS AMT. K. W. dl N. P. GAS N. f. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AM}, R p. SYSTEMS AMT. WATTS NO.OF FEET 1 2 12 SERVICE DISCONNlCT NO.OF S E R V I C E AMT. AMC. TYPE METER 1,a' tW 1 ,I ]W 3 F ]W 3,a AW Of CC. COND. A. W.O. NO. Of NbLFG A' W' G' NO. OF NFU1RAl5 A. W. 4 EQUIP. PER B OF CG COND. OF NLIEG OF NEUTRAL J t 100 CB 1 S 1 4 1 4 4$ OTHER AP?ARATUS: G.F.C.II-3 S SHUEE DETBCTOR:-1 r t m SPUUS ELECTRIC SERVICE LTC.A192 6 G/~~~ x / ~ 175 3RD. ST. BO% 166 OWHAt MANAGER ST. JAHES, NY, 11780 it 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. • ST NOT BE ALTERED IN ANY MANNER. _ S~FF~~ TEL. 765-1802 o ,-v. _ TOWN OF SO'iJTIIOd.D f ~ ~ < OFFICE OF BUILDIt•7G INSPECTOR r°f, ~ P.O. BOX 1179 ce E ~ TOWN HALL O%1 ~ ~.~Q SOUTHULD, N.Y. ] 1971 i C E R T I F I C A T I O N Date if 9y Buildirq Permit No. Q / s` Ownerj~ L)d'a/JPI;Tips ) ~ (plea e rant) ~NAL.ER~P/JI~C4./N~' Plumber~7/{~~~~~~~ f (please print) 2~3/- P I certify that the solder used in the water supply system contains less than 2/10 of l~ lead. (plumber's signature) Sw n to before me this day of ~jp~ 19~ , , Notary Public Rotary Public, ~1 n,'~ County MARYANNE E. f)O~VVUNO Notary Publie, State of Naw yrtN# No.5000p3p ~y CommOission~ Expires Auigust 3, i99~ ao"lgf ~ T65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL REMARKS: ~ 4~'~ DATE ~ i~ g L INSPECTOR V ~ L ~0 7qS^~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND ~ INBULATION [ ]FRAMING [ ]FINAL REMARKS: D~+~ ~f'~ DATE `1 L. IN8PECTOR ~ _ _ a o~ q 5 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION iST [ )ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [x] FINAL REMARKS: ~ C , o . DATE " ~ INSPECTOR '1cLJ i:::::~...~:::; ~~Un:r, I~ :;ii5-fi'iLNT.^J np,, Y 71 II m O ~1 _ ? J _ I /~.J 9~AJ~Mi.-Lt/ I.d IIn y ?OUIIDATION I _,__-r~d~_ v (1st) ~ I 'OUNDATI011 (2nd) a I ~ to m q i I z .c. I ° //'i ;OUCH FRki~fE & PLUMBING ~ . 9 ~ - ~ !1 I m f IJSULATI0;1 PER N. Y. I m r7 . ~ STATE EilERCY II ~ CODE . , x I ~ FI;IAL I u~ b I ~ - O p• ADDITIONAL COMMENTS: m `C~ a ~1. .ws ~ D • m x ~9 ~ a ` .ef/~0 r-i -O O C o a m ~ ~ ~ ~ _ - ~ z W c ~ - 0 1 t ~ ~ a 7 ' BO,1RD OF HEALTH FORMN0.1 J SETS OF PLAttS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CIICCf~ . . TOWN HALL SEPTIC FORtf . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:OT i FY ~ ~6 6n~/~ nn q CALL Examined ...~~~.I. 1892_ PfAIL T0: APProved ~ , 19~?. Permit No. -~a 7 ~.S ,L . . Disapproved a/c qq~,~ (Building Inspector) APPLICATION FOR BUILDING PERMIT . Date .cYi 19 9 Z"' INSTRUCTIONS a. This application 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 this 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 shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pazt for any purpose whatever until a Certificate of Occupancy shall 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 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 nece inspection~/~, ~J ~ (Signature of applicant, or nG~corporation) (Mailing add eY ss of appl4f;ant) Stale whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~J ~ ~ / Name of ner remises .:P:C.~Q I~c<~:.lU,!'2..C~,O ,~~'lda ~~L.4 .~k 1~ ~ . (as on the tax roll or latest deed) If f t ' a o ora on, si^^gnature of duly authorized officer. (N:.............. C~ ame and title of corporate officer) Builder's License No . . Plumber's License No.....~.4.3~.~'........ . Electrician's License No. ~ . Other Trade's License No . , ~ ~I/~/~ f~~,q 1. Location of land on which proposed work will be done. .........Y. ~~:Q'... ~fG4~ul!L:. (lG~....... . ]louse Number r-Street Hamlet County Tax Map No. 1000 SeQQcQtionqq~~./,...../. ~ Block a , , . , Lot . Subdivision ~o-CK/. //~C,~~p,~¢ . Filed Map No. 7 .Lot . ~ . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 7 b. Intended use and occupancy .J..~~i~... " C~ 3. Nature of work (check which applicable): New Building . ! Addition Alteration ePair • • • Removal Demolition Other Work . (Description) 4. Estimated Cost Fee...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each t 7. Dimensions of existing structures, if any: Front ...............Rear ype of use . Depth Height Number of Stories . Dimensions of same structure with alterations or additions: Front . Rear Depth Hei t........... Eh Number of Stories . 8. Dimensions of entire new construction: Front Rear De th Height P • Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase •••••••••••••••~••••••.......NameofFormerOwner Zone or use district in which premises are situated . Does proposed construction violate any zoning law, ordinance or regulation: . 3. Will lot be regraded ' • • ' • • • • • • • • • • • • • ......Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . .Address ...................Phone No............... . Name of Architect ...........................Address ...................Phone No............... . Name of Contractor .........Address Pha~rle No. 1` I5. Is this property within 300 feet of a tidal wetland? *yes,,,,,,,. No *If yes, Southold 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 YRQ~R.K, S.S COUNTY OF ..Sv.1.R,/O \!`^J~.... . D ~u • • f~~N~~~~ • • • • • . • . • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ~ ( tractor, 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 before me this ..day ~7.~~.7.. 19 Q.Z Notary Public, , , • Co~~~~ ROBERT 1. SCOTT ~~~~C,,c~rv" NOTARY PUBLIC, Stafa~of N.Y. (Signature of a hcant Tearml:~ires~Ali 91 19~ PP • ) r _N- p~~ASE NOTE Sanitary S n'dy P~°~ 4~ T 0/356.6,5?NSF ~ N O Q3 ' O O hl CP F/ky V 4(% SG y. ei zrJ 31. ~ Q~ ti~,~ ~(Q~o 0 2 J Q'VRQ~ [i_ C e~ sos 3 p o M y ~0' ~ 1 s°Pri~ ~~5•g3y~ ~ ~ `TyafeM Q pJq`5'~1 ~ ~~0.00, a.2 9 z1. l" 07 ~ A~ ~~~J °Pe.~ ~ ~1 l ~ W/~ P~ 24~~ ARE = 10,788 s~ N o. ~ ir~~ , Fyn SURVEY OF LOT 6 o,F soun~a~co vuAS~ ~v ~Ma , Prepared !n accordoncs wllh the minknum A T $OUTHOLD s/andards /or lgle swveys os ss/abpshsd by /M L.LA.L.,£ and opprovsd and odop/sd TO WN OF SOUT/MD for such use by Ths New York S/ols Land r1~ ,a:sacloton. SUFFOLK COIJWTY, K Y. The woler sup~y and sewage dlrposd - ~ - ~ - P~ ~ syt/ans !or 1 rss/dsnce w!N con/o~rm ii 30i l0 1he slandords o/ The Su/lolk Counly SCele~ r lnanl o/ Health Servlcss. ~~ocollG~~ wsgs~ o/s shown hereon are /rom lls/d . observoliona and or Iron doia oblavned lrom o/hers. Q f/, J/}(~~~~ SAND ~FF~OR ~ROV ~D~CTO~TR~TIO~NI~YSERVICE3 ~ v UW?'ova ?C t~` 02~ MAY 2g 1~? sl ° N.Y.S. LIC. NO. 496/8 aaTE ~ REF. NO. ~ P r S EYORS, P.C. ~ as PO ~ ~ NEgI ~/DEPT ~F 9 SfRS~~ S SO 0, N. Y. !1971 _N- / V~ ssss~2s~ ~ r 0 • . ~ r • O O V AUNT 933, ~ B r l~~IX. ~ ~0, ~ P a , ti~;,~: oe ' ~ ~ ~ ~ ~ ~ ~ I ' M'S•43/O~' l ?qS ~io.°o, 0~1' ~„o~ ~q a~~92 POh W~'"I ~ ~ CERTIFIIEO TOE ~ SURVEY LONG 1sLa1~ s~?~lss au~r~ LOT 6 l~cowc PROPERTIES ~?unr~cE~eaT cols. - ~~or~~un~xxc v~?s~ Ar.~.~,~~w~I ~~t~aa ~ Prepared h accordance wllh the nrnrinrwn T s+W T~„~A~ sJandads /or Npi awreys os eslabNaAed sy the L.bA.L.~ and owd and pNd ]'QN/N ~ gp~(Jj'}~p n ~u~~Ths .w cork siol.°dOLand $UFFOiLKCOt~VTY AL Y. The wafer syopry and sewage dFpasd 1bOn - 7n - 01- P/G ~ ' syshrns !a /hk res/dsne w~ aonlam s , le the siondards of The SN/o~AF Caur?ly SC~' r a Depa?hnanl of Heallh srr/ce. My~ i7 .!u r ~~1 fiF~ai~c!?1 TM /ocallona of weds and c~apook shown hereon are iron flNd observolhms and or from dale ob/almd ham others. THEN SAND g F ~FF~OR A~RNOTMV ~oF~tO~TTRI~T ON ~0 ~Y$ ~u~~~Om...`,~(yq < ,-rv ~ KY.S Ll~ NO. 496y8 onTE ~ RffF. No. ORS, P.~ o• AP~ov® S , N. Y. 11971 g7 - X01 ~ (lo SUFfOsK CC~UiJTY pEFAhii>tENT ;f F;rA!TH ScR~Jt;ES ' Sift~S~c!,',~'~ILY D'zic!l„1C'~h~Y~ l~hp 3'R"i~P t -5d(?I ~ t -...51~J °?JL'.~^5 `Ji ti11S IDfa 1C~ f:d' i ~ ~ i:~.Cq r: othar agerr.fsal'tu ioLii~to u~paa~f .isr~ Chief of ureau of N,'a~tewater Management l V,C N s6s~ Oq r, S~~SF ~ O ~ \ ~O V'4CANT ~ ryo~ zS3. ® © ~ ~ 2s yy ~I zs 3 / 9~ $ ti ~PO . ~ ~H ~ .,z ~n aL M h . + tO O ' M~ ~ w ~ 53.0\ / Mf ~ Q N.7S 43j0 ~ ~ % A Q JgSMjNE ~o oo, 50?, R`?39,2 ~qNE AREA = 10,768 sq. ft. CERTIFIED TOE ~ SURVEY OF THE LONG !BLAND SAV/NGS BANK LOT ~ _ PECONIC PROPERTIES MANAGEMENT CORP. ~'.O ~ c~ y3 ~~u i/ 9 3 ~ FLEDJCA4iE 25~ ~ ~ 237 Prepared /n accordance with the minlmum A T SOUTHOLD s~ ndards !or l/1/e surv~~ as eslab/!sh ~ TOWN OF SOUTHOLD 6 !hs L.I.A.L.S and o roved and ado led /or such use by The ew York Stole Land SUFFOLK COUNTY, N. Y. TIl/e Associollon. The water supply and sewage disposal ~ 70 ~ 01 ~ P~0 ~ sys/ems for Ih/s residence wA/ conform ~ to the standards of The Sullolk County .SC8~9~ 1 = 30 Deportment o/ Health Services. March 11, 1992 Y 15, 1992 (fo~dation) The /ocollons of wells and cesspoo/s shown hereon are /ram Ileld OCt.23,192(f%nal) observol/ons and or tram data obtained /ram others. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ~ `i +~II II V~'~ FOR APPROVAL OF CONSTRUCTION ONLY ~ ~{J+ ~ VVV N.Y.S. L1C. N0. 496/8 DATE _ HS. REF. NO. 92 SO 4.~ I~QV 1 s ~ ~ hilC SL/ ORS, P. C. '<r7~4, ` 500 S.C. DEPT. Of ~ QF 9 APPROVED Hf.AI.TH J SOUTHOLD, N. Y. 1197/