HomeMy WebLinkAbout20803-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21164 Date NOVEMBER 19, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 160 APPLE COURT SOUTHOLD, NEW YORK
House No. Street Hamlet
County-Tax Map No. 1000 Section 70 Block 1 Lot 6.7
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. 20803-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 FLOOR ONLY)
The certificate is issued to PECONIC PROPERTIES MANAGEMENT INC.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-51- NOV. 17, 1992
UNDERWRITERS CERTIFICATE NO. N-258431 - NOVEMBER 1992
PLUMBERS CERTIFICATION DATED OCT. 8, 1992 - ARTHUR MALANSSENA, JR.
ilding Inspector
Rev. 1/81
1081[ NO. ~
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°11T° 2080~Z Date isl.~
Permission is hereby granted to:
k . . !
. . ~
. ~
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
to .....~~-~.....`.:4. ~!!~:~:4:c.~..9.~....4~-t....~.. ~..i~cr:l:
R,fL......lar.Pt
at premises located at ...~.a~
.
County Tax Map No. 1000 Section ......Q1Q...... Block .......Q.~........ Lot No....~.~............
pursuant to application doted ~s 19.~ and approved by the
Building Inspector.
Fee 5..1-1-1.l..~...
Bu np Inspector
eZo...,~,..4~. T ,i.CX4--
Rev. 6/30/80
Form No. 6
l
TOS,1N OF SOUTHOLD
BUILDING DEPARTMENT
TORN 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 5 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... X60, APPLE, COURT, SOUTHOLD: NEW YORK .
House No. Street Hamlet
Onwer or Owners of Property...........,PECONIC PROPERTIES.MANAGEMENT INC: .
. .
County Tax Map No 1000, Section...~~.........Block...~............Lot..6:~
Subdivision..M(0_SOUTNOLD,VILLAS,,,,,,,,,,,,,,,Filed Map.. 9737 .....Lot...
Permit No.. 208032 ,,,,,,,Date Of Permit..:~Y.9,,1992 „ Applicant..DONALD.BRACKEN......
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $,,,,25.UU vv~ ~JC=-WV
'Y t/J Z/ ' APPLICANT
W ~ d~ N 7
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
e7 i'083~1 BUREAU OF ELECTRICITY
4 ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
Date NOVEMBER 35,1992 APPlicationNo.onfile °8706E9?i92 N ;58437
THIS CERTIFIES THAT
only the electrical equipment as deacri6ed hebTO and introduced by the opplicont named on the above application number in the premises of
GEOC<<i;E BERRY, t55 APPLE COURT, JOBpl4, 50!ITUOLD, N.Y.
in thefollotuing locationq ®Baaement ® /Rt FI. ®2nd F1. D(1T .Section Block Lut
uwa examined un HOVE NBER 19Fi.992 and found Whe in contplienre with the requirensenta of this Buard.
NXTURE KEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
tNITLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. N.W. AMT. K.W. AMT. N.P.
iP "5 15 SP 1 g
t
DRYERS FURNACE MOTORS FUTURE APPl1ANCE FEEDERS SPECIAL REC'PT TIMf CLOCKS RRL UNIT HEATERS MULTI.OUTIET DIMMERS '
AMT. K. W. Oll X. P. GAS N. P. AMT. NO. A. W. G. AMT. AMp. AMT. AMPS. TRANS. AMT. N. P. SYSTEMS AMT. WATTE
NO.OF RET
~ 1 2 3.2 ' _
i?
j SIRVICE DISCONNECT NO.OF S E R V 1 C E -
AMT. AMP. TYPE METER I,a' tW 1 A JW D.F 3W J,F ~W NO. OF CC COND. A W G NO. OF M4LEG A. G. NO. OF NFUTRAlS A. G
* FOWP. PFRd OF CC.COND. OF NI-lEG OF NEUTRAL
1 ?ee cs 1 x I 1 2;e
- OTHER APPARATUS:
? ~
c.e,c.I;-z
!t SMOEE DETECTnRL-1
Y
I J J
SPUDS ELBCTRIC SERVICE GI:C 0192 E C!~~~ -
175 3RD.ST. BO% 16f
GENERAL MANAGER
ST. JAMES, NY, Ii'18R tl
T 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.
~~FFQ(~ TEL. 765-1802
0~4~-~. TORN OF SOtiJTHOd.D
~ _4, - - OFFICE OF BUILDIP7G INSPECTOR
r;, P.O. BOX 1179
•y ce~ TONN HgLL •
Off' SOUTHULD, N.Y. 11971
. rppl ~ yb .
C E R T I F I C A T I O N
Date Z
Building Permit No. 3
Owner
(please print)
Plumber ~Q~f{GC2 ~YG~3+E~Af
(please pr nt)
~Z~3/-P~
I certify that the solder used in the water supply system
contains less than 2/10 of l~ lead.
~-4-~
(plumber's signature)
Sworn to before me this
day of
19~,
Notary Public
Notary Public, S County
MAR1'ANNE E. DOWUNp
Notary Public, Stata of Naw YoA[
No.50ppp3p My
Comm ssio~n' Expi es Auiguq 8, 18~
l
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST ~ ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
FRAMING [ FINAL
REMARKS: a-~ ~o `~,.~..P~~
DATE ~a i i- INSPECTOR
ao8o3~.
~
765-1802
BUILDING DEPT.
1 NSPECTION
(]FOUNDATION iST [ ]ROUGH PLBG.
]FOUNDATION 2ND [D~ INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~
DATE )o ~ 9 Z INSPECTOR Y(, L
~0803~,_
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING FINAL
REMARKS: r-k ~.a.. C. o
DATE " 1 9 g 1- INSPECTOR P> L
'1_LD Ii::.:....~i::; I~ ~ I~ :;ii:4i4LNT.^.
J ;
J. ~ I ~ m o
a oG
_ H 0
'OUtJDATION (1st) I -a
c
'OUNDATI01! (2nd) 0 ~ ~ y
d
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I V
OUCH c1E I
~P INO
.
m
_IISULATIO;f PER N, Y, I y
STATE EiJERCY II
CODs I ~ ,
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1• H
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FZ;lAL I
p
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ADDITIOPIAL COMMENTS: m J
~ ~ - x~.
- _ 9:
~07d tr ~
m
x
b~
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.+0
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a !
BOAFD OF HEALTH
FORMN0.1 ~ SETS OF PL\ttS
TOWN OF SOUTHOLD SURVEY . . .
BUILDING DEPARTMENT CIIECI: _ . _ .
TOWN HALL SEPTIC FORt! .
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 t:OT I FY ;
p CALL
Examined , , jg92._ htA I L T0:
APProved , 19 Q?-. Permit No..a~Q S ~ .~.L . .
Disapproved a/c
(Bui ing Inspector)
APPLICATION FOR BUILDING PERMIT
.
Date 19 .
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 part 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~a mspection~n ~
(Signature of applicant, or ~a corporation)
(Mailingng
add~plicaHt)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of er of emises . ~.-~,G'd~.f,Le:.(,~!, ~wL~.~l~~ ~ .
.
(as on the tax ro 1 or latest deed)
If p ' ~s c r ra 'on, signature of du authorized officer.
. CG.L:~I....... .
( me and title of corporate officer)
Builder's License No . .
Plumber's License No. lj,h~ - - , , - . ,
Electrician's License No. . 9~ ~ .
Other Trade's License No . ,
1. Location of land on which proposed work will be done. ~~~:~-t-QC . Q.. .
^ n
~~c:-u-i~~ . ~ .
Ilouse Nwnber Street Hamlet
County Tax Ma~+p No. 10~0j0 Section , Block .....d.~ .n....... , Lot ~
Subdivision ..~L~O. 5~:~~~1.~rx".C~. Filed Map No. ..7... 7.
- ~8 . ~3. Lot .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a• Existing use and occupancy . .
b. Intended use and occupancy ~ ^
~ ~ z',Gt~..... V .
PLEASE NOTE
Sanitary system is not to De
p4aced under driveway are1.
N
f GC 2~ t
~Q. ~ 27. G'
/l/~/0~~ / t°T
. = v / ~ i ~
R=50.00 S: 73,
8.25.00" ~=51.05" 4 ~ ~ 20' 30.
F.
e~\~ \1~~ L=25'37 ~ `e y /ig9s,
'16. z S A~~' ip Jy
~ 4~C ~
~ P
P/ZS ~Ol' ` .35. O.O Z3
V N ss. P n `Or ~o.
~h'o,• ~ ~ ~
~ ~ ,o ~a~ c o~ `O''O
h, ~ 3s•
00 /as ~
s ~ d Q'~
o~ y
P'23o~?~ SOT P, eZ
?qSE ~'qNE
A/ZEA = 12,804 a¢k.
~~u~~~~
~0 I/y3
F~MitY dWEtEMi6 QNLY SURVEY OF
a~~EOFov~u. LOT 14
'XAAP QF SOUTJ'f01LD VLLAS"
RED MAP /Vb
Prepared /n accordance wllh Jhe m/nlmum A T 30UTHOLD
s/onabrds for Jll/e surveys oa eslabNshsd TOWN yr S+v~/'s'~a~.D
by the L./.A.L.S and approved and odop/ed
for such use by The Nsw York S/a/s Lord SUFFOLK COUNTY, l1L Y.
rule AssocloNon.
The wo/er supply and sewage dYsposol - ~ - 01- p~~ ~
systems /or hls res/dsncs wNl con/arm ~
to the s/andards of The Su//o/k County SC~r ~ = 40
D~~
sn2~ ash Servlcss. ~Ch 1~f ~g2
The /ocolhurs o/ wells and cesspoo/s shown hereon are tram geld
observollons and or tram do/a ob/alnsd Jrom o/hsrs.
S~/S" CGS ~.3~oa - aoa•~ i~~~r-~~.~ <AM~s~9
SUFFF~OR P~PROVAL~OAFpCO~TRUCT
ON
ONLY~RV ~ A` L i~ ra ~ ~ G~+~'9p~,11 c'~'F. `FO
lC~ ' N. Y.S LIC. N0. 496/8
q~ Q r
DATEJUN O2f99twc REF. N0. !~S -S MAY 28 ~gg2 v,~ ~ ~ YORS~ P.C.
O
r
.C. DEPT. pF ~ 09
Ar~ROVED HEALTH SEAV.,,r
S SOU OLD, N. Y. l197/
87-670 - 14,
N
r
t~C ~ ~l y
27.G~
GO / `~T
8.25.00' R.~05' S ~3.2p, 3
p.
~J ~ f.
~ ~'l~
0 x.25.3?' ~ '~c \ ~ /i4 ys.
• , P
i5 Co~s.d Jan a.
~I 3 ~ s
v ss~ W /9~~ No ~O~ 9.
C ~ p~
8~ ' 2s• l 0
r 8 yes ti
r o 4T, y.
2 00,x. `o~ t
~~Q,592 ~0~, z
b
?qs
~A~r
I~I, s ~8~~ 1Nd I~~~.
~ ~'~Z ~,la.
caen~n ra
ram Logs tsti,M,n s~v~s auMr
~co+wc tRr~s w~uws~rr cones
$(~~r ~
LC~T 14
~~r~P o~ Sovv~av v~us••
~~P
Prepared k, accordance wtM the enkrimwn A T .5~~0
shndarda /o? tpte airwys ar eshb~lihsd TO~
6 /M L.L4.L.S. aRd owd and hd
~
a
Ar,~ rh. n~:w rock s~ot:°~~d SI,I~FO~LK CO~LhIT Y K Y.
The wehr and sewage dlrpoeaJ 1600 - 7n - 01- P/~
syahm~a fa tl!!c roaMence wAI con/am ri a 40i
l0 1he a/anda?ds of TM Sutlo~ Counly
Deparhr?enl o/ hNalN? Servkes. ~l
JUL Y 15, 188? (founa?itia?1
The /ocoNona o/ wells and ceaspoo/s shown hereon ore /rom tk/d
observaNona and or lrom data oblakrod from others.
8UFFd.K COUNTY DEtARTAEN7 OF 1l+N.TM iERVICE3 ~~~'C;~
FOR APPIIOVAL OF CONSTRUCTION 0lLY t ~ ° / ~ N.Y.S. LIC. NO. 496/8
i~
o~TE REF. No. ' ORS, P.C.
o,
'~'P~O~ S F , N. Y. l197/
87-670 - 14,
,N r f~~-`.L1~-i Ff~dHiES
v
~ 5~ S~
r!. - - _s___~
iii .pis
!~•si ti
~ ;i
L......._.. ...,w...
N
~b
/ nor
G /
/ O R.25.00~ R.5~05' ~ s ~3~ 2p' 3p• E.
p _
\1g
0.25.37' F ~
c~ ~ ~~9.gs.
moo.
3s O
Qom/ N, 66• ~lo° }5.3 ~Q~. of
Q OOb 2 ~ ~
V O
:n .
0 /es
2b 0 91 y .
0
X9,2 `Or ® l
?qs~E `'q/1/E
~ . raw ,4n
c~T,~~v ra
ThE LAMG ISLAAD SAVAM~S &INMC
P~CONC PAQPERTiES MANA6~7ENT CORP.
LOT 14
o~ savrr~a~v vacs-~
Prepared !n aticordance w/N? /he n+Nu6nrm? R~~~11E1~ iD82 ~P ~ 9?87
slande?ds /or Hd. swwrs ass ee/a6NeMd A T $OUTMOiLD
nr >h< L.La.L.~ and owd and ld TOWN OAF SOUT~I~OLD
n/>
~a
:
~?r°r~ rn. n~ York sa~o??d SUFFOILK COU~TYf
X111 Y.
TM wo/er sy~/y and sewage aYsposaJ - ~ ~ ~ Pro
spshwns for /hk~ rssklence wAP con/orm r~ = 40 ~
to the slandords of The Su/MAt Counfj~
Deparhna?I o/ FhalN? Ssrv/ces. March
.lam Y 115. 1992 (fou?a{~fia~)
Ths /ocoNons o/ wetls and cesspoohr shown hereon ore ham Ns/d QCt 281992 (f/ISI)
obssrvalk~ns and or barn ab/a oblair?ed lrom o1Mrs. R
suFFauc err oFrMrwo+r aF ?~u.rN spa ~il~~~
FOR At'MOVAL OF CONETRUCTpN OILY
92 S1 ~C~ N..'~S LIC. NO. 496!8
o~~ w. REF. NO. NOV 1 S 1942 :•5r - 3020Y09, P.C.
S.C. DEPt. OF ~ 909 rr
NEALTFf SERVICES SOUT~l97/
87-670 - 14,