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Home My WebLink About20802-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22022 Date DECEMBER 14, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 220 APPLE COURT SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 11 Lot 6.6 Subdivision SOUTHOLD VILLAS Filed Map No. Lot No. 13 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2, 1992 pursuant to which Building Permit No.. 20.802-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 (1ST & 2ND FLOORS) AS APPLIED FOR. The certificate is issued to PECONIC PROPERTIES MANAGEMENT INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 32-SO-50-NOV. 17, 1992 UNDERWRITERS CERTIFICATE NO. N-258828 - DEC. 2, 1992 PLUMBERS CERTIFICATION DATED OCT. 8, 1992 - ARTHUR MALANSSENA JR. ui ding Inspector Rev. 1/81 FORM NO. 2 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) NW? 2080 2Z Date ............... .4elf, .................. 19.1 Permission is hereby granted to: A,C;v.. .... .. .. ...... . .... . . ...V),e-,le I .:..Qx,A. ...................................................... .... .. .... . ...... ........... I-. -Q ,1�j f* - to ... ..... AVU..... ......... . . C; C ....... ... . ..... ...................................................(a.,................................................................................................... ......at premises located at . .. .... .... ........... ................................................................................................................................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section ............ 0"1....0........ Block ......90......... Lot No. ............ pursuant to application dated .......... ;6..................... 1914n., and approved by the Building Inspector. Fee $ lz� U`�:... .. ................ ............. .............. C4 Building Inspector Rev. 6/30/80 Form No. 6 "sI-, TOWN OF SOUTHOLD BUILDING DEPARTMENT . r TOWN HALL ` 11 DEC 1 11092 i!1 )� e 765-1802 `` ` .OU HOLD 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 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. . . . . . . . . . . . . . . . . YORK Location of Property. . .. .�.Q. . . . . U � _�r . . . . . . . . . . . . . . . . . .S01 . . .L. . . . . . . . . . . . . . . . House No. Street Hamlet PECONIC Onwer or Owners of Property. . . . . . . . . . . . PROPERTIESMANAGEMENT.I. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . _�.Q. . . . . . .Block. . . J. . . . . . . . . . . .Lot. . .�. . . . . . . . . . . . . . . Subdivision. .t4l9.SOUTHOLD.VIL.LAS. . . . . . . . . . . . . . .Filed Map. . 9737 . . . . .Lot. . . .1,; . . . . . . . . . . . . . . . . Permit No.�%Q. 1�� . : . . .Date Of Permit. Applicant. ,DONALD.BRACKEN. . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. .. . . . . . . . . . ... . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . .25.00 . . . . . . . . . . . . . . . . . . . a L/ 6bw C as b APPLICANT A J THE NEW YORK HOARD OF FIRE UNDERWRITERS PAGC 1 1.000837 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date DECEMBER 02 ,1992 Application No.onfile 78706192/92 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 µ .e KATIIGEEN DRAUBRIDGE , 220 APPLE COURT, J0I3#13 , SOUTHOLD, N.Y. in thefollowinglocation; F11 Basement i4 1st Ft. ® 2nd Fl. OUT Section Block Lot was examined on HOVE RB E R 2 5 , 19 9 2 and found to be in compliance with the require►nents of this Board. FIXTURE FIXTURES RANGES I ICOOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 11 38 1..7 11 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS M LTI EMS T DIMMERSSYS C 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 rc — 3 F 1. 2 12 2 SERVICE DISCONNECT NO.OF S E R V. I C E AMT AMP TYPE METER I�,4W I�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�'• EQUIP. PER AY OF CC.COND. OF HIAEG OF NEUTRAL 1 100 OTHER APPARATUS: r Y 0 T 0 R 1.—P II. P Zi SROKE DETECTOR: -2 SPUDS ELECTRIC SERVICE GTC.4192 I 175 3RD.5T. BOX 166 GENERAL MANAGER ST, JAMES, NY, 11780 11 c:.q 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. .4 TEL. 765-1802 o12� `� C�� TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTHOLD, N.Y. 11971 , C E R T I F I C A T I O N Date Building Permit No. (� Q Owner (Please print Plumber � �(e/1/G°(�L /S�eVA (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% * lead. (plumber 's signature) gw�•olrl-n to before me this . day of �. Notary Public Notary Public,_. Sk County MARYANNE E. DOWLING Notary Public, State of New York No.5000030 ty Commission 1eExpires August 3, 1814 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION @{� FRAMING [ ] FINAL REMARKS: d1 DATE °� Zg z INSPECTOR �' L. �0 80 � �; 76s-iso2 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE �� 11 o q'— INSPECTOR Y�_ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [5Q FINAL REMARKS: C - o - 49 DATE _INSPECTOR CL , zu FOUNDATION ( � st � c 7OUNDATI01d (2nd 201g `o N, ;OU RAiSE & Z4 • o NG 3 :11SULATION PER N. Y. m STATE ENERGY II CODE m 4 FINAL ' b ApDDI`TIONAL COMMENTS : P . LOB � • X � � O W ` H V/ • a BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . _ _ _ . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . _ . _ . . . . . . . . . . . TOWN HALL SEPTIC FOR. _ _ _ . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL., 765-1802 r,aT r-Y CALL . . . . . . Examined . . . . , ,q, , 199 L- ; MAIL TO : Approved . . . . .i. . ., 19N2. Permit No. . . . . . _ _ . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •, c . . . . . . . .. . . . . . . . (Building 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 bd 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, ordinance building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neces inspecti ;S. (Signature of applicant, or n e,if a corporation) (Mailing address chf applicant State whether applicant is ow per, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Na#en. mises. . ..�82 . . .jlQi . . . . .�.� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on t e tax roll or latest deed) f aatio , signature of duly authorized officer.. . . . . . . j. . . . . . . . . . .�.�: . title of corporate officer) No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . 16.aL p. . . . . . . . Electrician's License No. . . 1?.a.. . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . ... 1. Location of land on which proposed work will be done. . . . . . .m .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Iiouse Number / Street Hamlet County Tax Map No. 1000 Section . . . !.'q . . . . . . . . . . Block . . . . . . . . . . . . . . . Lot . . . .6 . . . . . . . . . . . . . Subdivision . _ YZ6��. . . . . . . . . . . Filed Map No. 3 . . . . Lot .-*. 4-3, . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . l. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . ./.`. . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . 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 . i • ness, commercial or mixed occupancy, specify nature and extent of each type of use• _ . 6. If bus 7. Dimensions of existing structures,if any: Front . . . . . . . . .". . . : . . Rear . . . . . Depth . Height . . . . . . . . . . . . . . . Number o.f Stories . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front Rear Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . .. . . . . . . ... . . . Number of Stories . . . . . . . . . . . . . . .. . . . . . . 8. Dimensions of entire new construction: Front . Depth . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . Rear . . . . . . : . . . . . . . . . . . . . . . Depth 10. Date of Purchase . . . . . . . . . . . . . . ... . . . ... . . . . . . . . Name of Former Owner . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate•any zoning law, ordinance or regulation: • . 13. 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 . . • •. Pho a No. . . 15. Is this property within 300 feet of a tidal wetland? • *yeS, No.7e � � • . . . . . .. . . . . . . *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 Y S.S COUNTY OF . . . J • • • •.b47,X1•A• . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . . . . . . . . . . . . . . . .. . . . . . . . .(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 the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . . . . .�R.... . . . . . ay o Y. . . . . . ., 19 Notary Public, . . . , , , , , . • , • , , S4k ' County ROB I:RT 1.sCOTT, . . . / . . . . . . . . . . . . . NOTARY PUBLIC,Sta of MY. (Signature of applicant) No.472 9,Su Co Teruo Expires Bray 31,19 v✓/MA w APPLE COURT `',•• N14 isgo E Sani#ar PLEASE NOTE "r N, y sys#em rs o# #o be 10001 6 Placed under dri ' not area R'175.00' 0�1 L=1O5.15' <�2s�0o � 4��9ti -0 a l� o L s, •oo, -• lk � � S � F 3c W 0 N O %3\ 35 1 O / del o P�;-•. CCer a� SERV P,�t�tJ r J o SMEND R / - EPE -o 130�6 00 •� � R 0 0, �odw. M�ciN� ..:: 2 17' yr �,F• SINGLE FAMILY DWELLING ONLY -EXPIRES 3 YEAR$ FROM PAT&OFAPPROVAL AREA = 22.1 29 sq. ft. SURVEY OF LOT 13 . 11" 3 S— r' "MAP OF SOUTHOLD VILLAS" FILED MAP NO. Prepared In accordance with the minimum A T SOUTHOLD standards for title surveys as established by the L.I.A.L.S. and approved and adopted TOWN OF SOUTHOLD for such use by The Now York Stale Land Y N. Y. Title Association. SUFFOLK COUNTY. The water supply and sewage disposal 1000 — TO — 01— PIO 06 systems for this residence will conform Scale: I" _ 40� to the standards of The Suffolk County �7 �t/ Dqffrtment of Health Services. March 11, 1992 The locations of wells and cesspools shown hereon are from field observations and or from data obtained from others. W SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ��T' °"^ .;1; p FOR APPROVAL OF CONSTRUCTION ONLY 1992 `, — .Y.S. L/C. NO. 49618 DATEJUN 02i JiS. REF. NO. S'd RS, F.C. C R[Al S r!°t PT. OF P. 9 � St�VICES MAIN APPROVED SOUTHOLD, N.Y. 11971 87-670 13 ,+✓/MA APPLE COURT N./47650,E. �� \ IO.00' R1175.00' <9•�s L-105J5' a R.50.000, P� -044- 5 Z \ F O W O rA /5.3 c• .fpno- vJn�d `5 �p 5 �p Je}aP�' m -6s ERV PT�O� COBS C a I301 r F N� Q �o°w. M�cIN�' 0 Zo 1� CERTIFIED TO, THE LONG ISLAND SAVINGS BANK PECON/C PROPERTIES MANAGEMENT CORP. AREA - 22,129 sq. ft. SURVEY OF LOT ,13 "MAP OF SOUTHOLD VILLAS" FILED JUNE 25, 1992MAP NO, 9237 Prepared In accordance with the minimum A T.SOUTHOLD standards for title surveys as established by the L.I.A.L.S and approved and adopted TOWN OF SOUTHOLD for such use by The New York Stale Land Title Association. SUFFOLfC COUNTY N. Y , . The'water supply and sewage disposal 1000 - 70 — 01- P®O 08 systems for this residence will conform to the standards of The Suffolk County SCale 1" = 40 Department of Health Services. Mcvch 11, 1992 JUL Y 15, 1992(foundation) The locations of wells and cesspools shown hereon are from field observations and or from data obtained from others. R 15 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY Y.S. LIC. NO. 496/8 DATE HS. REF. NO. P.C. P. � 1 APPROVED MAIl1O SOUTHOrN.Y. 11971 87-670 13 SUFFOLK COUNTY DEPHR"i!,vIENT OF HUtfL H SERMES Sii'GLL{�F�: iLV The -*wa'oe diSnosal and ';,,Ere supply facUties for this locatiar, have been is s r' ;"y'`this ;e,artment and/or APPLE COURT other agencies and fofknd to be satisfactory. N.14%6'S0 E: Chief of E4ur—& of Wastewater ManaLfement /0.00' RN75.00, fli L-105./5' hci 3� I 00 , 05 <��Ooo L \ os 2Q) � LA N E.sr ZIP w ? m ,o Er' m �s. G00S�R 0 EPSEMEN� _ 13016 y � NIpR�pN 'IA ouw MK'N� 0 Zo� 1� CERTIFIED TO$ THE LONG ISLAND SAVINGS BANK PECON/C PROPERTIES MANAGEMENT CORP. AREA = 22,129 sq. ft. SURVEY OF LOT 13 "MAP OF SOWHOLD VILLAS" FILED DUNE 25, 1992MAP NO, 9237 Prepared In accordance with the minimum A T SOUTHOLD standards for 1Jl/e surveys as established TOWN OF SOUTHOLD by the L.I.A.L.S. and approved and adopted for such use by The New York State Land SUFFOLK COUNTY, N. Y. Title Association. 1000 — 70 — 01— P/O 06 The water supply and sewage disposal systems for this residence will conform Scale: 1" = 40" to the standards of The Suffolk County Department of Health Services. March 11, 1992 JUL Y 15, 1992(foundation) The locations of wells and cesspools shown hereon are from field Oct. 23,1992 (final) observations and or from data obtained from others. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY NOV 13 1992 N%Y.S LIC. NO. 49618 92'SO 50 ECONIC; EYOf1S, P.C. DATE HS. REF. NO. S.C. DEPT. OF (5/61� 765 - 50201 HEALTH SERVICES P. ,O,o80X 909. MAIN ,,,ROAD, = , APPROVED SOUTHOLDj,5.N.Y..<'`'//97/ 4, . � 87-670 13