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Home My WebLink About24665-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25586 Date: 03/13/98 THIS CERTIFIES that the building ALTERATION Location of Property: 160 APPLE CT SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 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 JANUARY 27, 1998 pursuant to which Building Permit No. 24665-Z dated FEBRUARY 11, 1998 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 ALTERATION TO SECOND FLOOR OF EXISTING ONE FAMILY DWELLING INTO HABITABLE SPACE AS APPLIED FOR. The certificate is issued to WALTER H & MICHELLE BERRY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H058967 03/06/98 PLUMBERS CERTIFICATION DATED 02/25/98 PECONIC PLUMBING & HEAT. Build n nspec or Rev. 1/81 FORM NO.3 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) Date.....FEBRLIARY 11 ..................................... 24665 Z Permission Is hereby granted to: ...... WALTER...H...&...MJ.CHELLE„BERRY,,,,,,,,,,,,,,,,,,,, 160 APPLE. ...CT ....... .. ....... ................................................. SOUTHQLD,NY„�1197� .. ......................................... to .....G.QN5T.RW.q.T...KJERATi.QN..TQ...THE...?NQ...F1,QQR...QE..A(q...ITX.I.$T.T.W..Q..�1NQj-F;...... .........F M.T.4.Y... W1�4,4ING....NTO..HARITAB1-E..�PAQ....AF4R.......................... ......................................................... ......................................................................................................... .................................................................................................................................................................. .................. ........ .................................................................................. , ............................... at premises located at................. APP.[�F...GT.............................................WUTH.QIZ........... ................................................................................................................................................................ County Tax Map No. ....4,739959..... Section ...Q.7..Q............. Block .....Q001......... Lot No, .ROc�.,.R.R.7..... pursuant to application dated .... AMU,ARY.........?......................... t 9......29..... and approved by the Building Inspector. Fee$........77.80...... .................. ..................... . ...................... Building Inspe or Rev. 6/30/80 a rorm Ao. o "�.. .,- TOWN OF SOUTHOLD BUILDING DEPARTME i.�A TOWN HALL NAR 1 P 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY`- A. This application must be filled in by typewriter OR ink and submitted to the buildii inspector with the following: for new building or new use: 1. Final survey of property with accurate location�of all buildings, property line: 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 build_, 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 '-'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 applicar, 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . �f �. . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . .. . . . . Old Or Pre-existing uuil ing. . . . . ./.' . . . .. . . C - `r�1 ld Location of Property. . . . J.. . . . .. . . . . . . .. . . .. /. . . . . . .CMG.. . . . . . . . . . .J�u,1. . . . . . . . House No./ (�' Street Hamlet �.—r Onwer or Owners of Property.. .(,ti! :�.`:�. . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . ?... . . . . . .Block. . . ./ . . . . . . . . . .Lot. . .( l. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . ... . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No. . .2, G 0.ZDate Of Permit.. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . Planning Board Approval. . . .. . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . �. . . . . . . . . . . . . . . . .� J. . . .. . . . . . . . . . . . . . (� !a�• S�o.� APPLICANT eoGy Town Hall, 53095 Main Road �z Fax (516) 765-1823 P. O. Box 1179 +�- =' Telephone (516) 765-1802 ob C Southold, New York 11971 'f1p1 Aa OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No . 0? Owner: `%l) (please. print) Plumber; (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (P lu s Sig ture) Staorn to before me this day of Notary Public ,` C � /� County G,';R3ARA STEPNOWSKI Nc=y Public,State of New York No.Ot ST4844752 Cuslified in Su{folk County Commission Expires Sept.30,196"//�� I THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8070032 BUREAU OF ELECTRICITY F_ 40 FULTON STREET, NEW YORK, NY 10038 Date MARCH 06,1998 Application No. on file 15573698/98 H 058967 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of WALTER H BERRY, 160 APPLE COURT, SOUTHOLD, NY in the following location; ❑ Basement ❑ lst Fl. 12 2nd Fl. Section Block Lot was examined on FEBRUARY 26,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER AMT. AMP. TYPE EQUIP. 10 2W 1 0 3W 3 0 3W 3 0 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: 2ND FLOOR ADDITION-1 *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated. " "No obvious unsatisfactory condition was found. l_ L WALTER H BERRY 160 APPLE COURT GENERAL MANAGER SOUTHOLD, NY, 11971 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. t� V4 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ RM GH PLBG. [ ] FOUNDATION 2ND [ ] INS ON [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY RE ARKS: � � P' (!-.etc � DATE v�? /� INSPECTO ` 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � � � INSPECTOR 1='11:1,11 I II'i I'IiC r I UI( Ill�l'UICC •^" p�•ft: � r' '�. �:9 1 t�nnnnn'rinn ( IrT'r) 1 � ►°ut►rnln'cttla( (znu) �1 • r.r..w.w•�.r...—w•.rw........w..rw+—ww�+nw...r.swwrr�.w..• t'1.111111 1 fl(; r --------w---------------- • —www mww ------- - --—w•—w..wwwww�w ww rwwwwwwwrw.ww,w ww�ww ww. I n:;ul.A•T'I(111 1!1:)t 11. T . /�i /� �•I A r:iav ly .•..---------w.ww..ww..-- ---w 'w...w..ww .... n-,.w......+......w�(J..w.,w—....,...f•••, .•.•..w.. ..w 1 �. ale- I'l t l A l. ..--------------. ------- --www--- wr-_--- ---- w-w--_ ._-_ •+ w--_--•-_--w.._- rod --_-__-- i AIIIII'I'IUIIAI. (:(lllt(I,I11Tt — -w—.w..ww-....,.._.•�----------.+----r --------------------www..ww,..-------ww------www—ww---- �1,• rl r . tj 1 , ILA • V- t.. • hl� r �i i�ir.fn•; BOARD OF HEALTH . . . . . . . . . . . . . . . -FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . .. . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOI.D, N.Y. 11971 TEI.: '765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . .. . ell- Emnined...�'/_i�./l 19.... (( _ MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved. .� .•• 19.... Penmit No. �P, .... .................................... Disapproveda/c ................................... .................................... ......................................... .. ......... �n 2 (Building Inspector A LIGATION FOR BUILDING PERMIT QQ JANj Date. . . V�2 � . . . , 19.!� INSTRUCTIONS BLDG.DEPT. a. hi�T� �KO�tS�hlorr?mrasLD completely filled in by typewriter or in ink and submitted to the Building Tnspector wilt 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 application. c. 1be work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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. APPIAC1111ON IS HEREBY MiM, to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the 'Ibwn 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 dennlition, as herein described. '11me 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 necessary inspections. �� ;,cf .................... (Signature of: applicant, o if a corporation) L-).APP/C... coo'r ......................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,.general contractor, electrician, plumber or builder. ..............d �........................... ( ..I............................................................. Name of owner of premises ..(N..4L..1 t ............L'..1�.... ................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... // /� ,l 1. Location of land on which proposed work will be done...,1.6�..1./.��/.�:.....L�?�!{rl�... So.:t�`� /J- . ...�G�.............................APPfe-.-..CC1--V. : ........................... ...... o c .................... House Number Street Hamlet County Tax Map No. 1000 Section ...... ...... Block ...../......... Lot ... .7....... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premise and intended use and occupancy of proposed construction: La. Existing use and occupancy ... .5��..PSG'Sf.Jv lC-Z .............................................. b. Intended use and occupancy .......... �!'� 'Cl........................................................... 3. Hature of work (check wlhidh applicable): New lluilding .......... Addition - Alteration ... 10apair ............ Removal ............. lk=)l:fee ........_... Otier Work (Description) 4. Estimated Cost ..... �b -- /..............:...... .... (to )e paid,ori filing this application) 5. If rkaelling, rxnber of dwelling units ......... rber of eh Ming units on each floor ................ If garage, txnber of cars ......... (. If. ixisiness, commercial or mixed occupancy, specify nature and extent of each type of use....................... 7. Dimensions of existing strictures, if any: Front.....V�?........ Rear ....y.V........ Depth .3's........... height Number of Stories ... ................. Dimensions of same structure with alterations or additions: Front ............... Rear ............... DepClh .................... Height ...... IJtnber of Stories ............... 8. Dimensions of entire new construction: Front ................ [Lear ............... Deptlf................... height ......................... Number of Stories ..................... 9. Size of lot: Front ...... .......... Rear .................... Depth .... w' 10. Dale of Purchase . d .�J--.--. Name of Former Owner ........................ 11. Zone or use district in whidi premises are situated .........A—s !^ .� .. ...:....:............ 12. Does proposed construction violate any zoning law, ordinance or regulation: .......t`1.�.::...:..... 13. Will lot be regraded .......1.0 Will excess fill be removed from premises: /YES Ili. Nahhes of Oririer of premises k u.G?`...& .. .. Address ...&d�X ..,�a��r .. pf e No. l4 me of Architect .......... ... ... ... Address Name of Contractor ... ......................... _. Address ... No. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .X...... E.S IF Y , SOUIIIrH.D 1TX%N 'IM SIl-9 PE.1mCf MAY BE. EQI RiIR Mi . PLOT DIAGRAM incase clearly and distinctly all buildings, whether existing or proposed, and'irxlicate all set-back dimensions from property lines. Give street and block umber or description according to deed, and show street names and indicate uliether interior or corner lot. SfAlh ()17 i ;W Yo w, (XXJNIY (A? ...Yo,,-. � ...... SS ................ .............. being duly sworn, deposes and says that he is Lhe applicant (N. ne of individual. signjccmtract) Mitme IWMIVA, Ik! is [.lie•_ ........0 w�.�/................................................ ......................_ (ColiLractor, agent,-corporate officer, etc.) of ;;aid amer or omxtrs, atxl is duly authorized to ix--rform or have perl•onued die said work aril to make and file Lhis application; that al.l statements contained in this application are true to the best of his knowledge arxl b6l.ieH arxl Ihat the mirk will be perfonix-ml .in the uranner set forth in the application fil(_.d LherewiLit. S.x)ni to before me this r............ .?.clay of .....),UrA�119..Tffl. 612 Notary I'iililic ._. .:: `-19 ... s`�CGlJG�� / RUTH A.POLIWODA R1,g, :ure of Appl.ic Notary Public,State of New York No.4982430 Qualified in 2;uffoikCounty q Commission Expires June 3,199 1 T'A A- clic f/A e--o �.fP��,OKV AS' NOTED DATE R-P 4 �)VfNlms rOR FFE By. 1101CAPE AS l- H f ()f 9 ANIP ET-oCTww[ ) -I11()k 4. M p F FOR CA SHALL PROVIDE OPENINGS FOR '? E NTS 0 F 0 0) & IMERGENCY ESCAPEAS RFOUIRED BY PART. 714 OF N.Y. STATE BUILDJo'16 ('0plu. 0 CC,UPA p1pi'm typn (.w. ont Q tit, OF )A PROVIDE ANTI-SCALD VC j TlIERhlAL SHOCK Pj VEpjTj( E v DEVICES A ov PROVIDE SMOKE-DETECVING S TO PA Rr 902 0 f OF 0 Vt',lf ALARM DEVICES PJ*Y, SIATEBUILL)IJ G(K) AS TO PART NG CODE. 'IF . 721.1 N-Y-S BUILDING CODE,. 0 of I% AlLJlLtjj,W8ljV,3 W WAYER LINE,,, ,.rj,v(3 DEFORg VaVErl&,a