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Home My WebLink About12469-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z-!-2.1.6-1- .......... Date December 27 19 83 THIS CERTIFIES that the building --new dwe llin~ 285 The Green 'Way East Marion Location of Property .......................... . .... House NO. ' ' ' ' 'S't/e~i ....................... Hamlet County Tax Map No. I000 Section . .0.3.0. ....... Block ...Q2. .......... Lot ..... .0~.0 ..... ;. [~. S,d, ah,;~;,,,, Pebble Beach Farms ~. 6266 . 94 ........................................... lied Map No ......... Lot No ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated August 1 ..................... 19.8.3. pursuant to which Building permit No. 12669 Z dated ...A..ug.u.s.t...8 ................ 198..3. , 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 ......... a pr±rate one-family dwellin ..................................... The certificate is issued to RENATO F. & ROSE E. COLOMBINI ..................... ?o¥.'0;, ...................... of the aforesaid building. Suffolk County Department of Health Approval ! .3:-.S. 0. r .~ .2.9. ~..~ ?. /. 7. ./ .8 .3. ,. R p.b.t.... ?...V..i.l.l.a. ~ P.E. N 626~74 UNDERWRITERS CERTIFICATE NO ................................................ Rev. 1/81 FO~ 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? 1246,9 Z Date ..~..~.........~.. ................ , 19.~....~ / Permission is hereby granted to: ..... ~,...g.., ...m...,... ~ .... :~..;..~..;.~~...~...:_..i .......... ...... ............. at premises located at ....~..~..~......,~..~.~.~....,.~.~.?....~:.....~.......~.........K~Z..(..O....~. .......... ........... 9. ............ ?...s..~. .......... ?...~....,~. .~ ..................................................... County Tax Map No. 1000 Section ~,~..~. ......... Block ......... ~ ........ Lot No ....... ~ .......... pursuant to application dated ........ ~.~.../. ............. , 19~.~., and approved by the Building Inspector. 'Fee $ ..L .~.~..,..~..~-..... B~lding Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" tend uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. :2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling / land use 3. Copy of certificate of occupancy $1.00 [ --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date .......................... New Building ........ Old or Pre-existing Building ............ Vacant Land ............. L ocation of Prop erty .'.~...~..~.....~..~..'~. .....~ .P~.~.~ ~ .... ~. ~ ~ ..... ~ ~ ~... ~.~ ~'~ ~ ~V'. .... Hou~ No. Street Ham/et Owner or Owners of Property ~.~ ~ ~..~....~.~ .... ~ ~ ~.~J ~.'~ .............. County Tax Map No, 1000 Section ~ ........... Block . ~ Lot ~O ... Subdivision ~ ............................. Filed Map No. .Lot Permit No.l~ ~ Date of Permit~ .~..Applicant ~.. ~.~.~.'.. Health Dept, Approval ~.~ :.~ T.~ ......... Labor Dept. Approval ........................ Unde~riters Approval . .~ .................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .. ~ ................ Fee Submitted $ ........................ Construction on above described building and ~ermit meets all app~licable codes and regulations. 0- 0.Ta // / / / ].ooo2sl THE NEW YORK BOARD OF FIRE UNDERWRITERS rte BUREAU OF ELECTRICITY ~ DeCeln'.be'J:' 1.~, ~OHN STREET. NEW YORK. NEW YORK 10038~, THIS CERTIFIES THAT only the electrical equ~prnent as ~scrlbed be~ and introduced by t~ applicant ~m~ on tl~ able apphcat~on number m t~ premises of TGN ConsL. Corp., 285 ~he G~een Way~ East Marion~ N,Y. in the following location; ~ Base,nent ~' 1st FI. ~ 2nd FI. Section BIocR Lot was examined on Decembar 1 ~ 198 3 and found to be in compliance with the requirements of this Board. FIXTURE SWITCHES OUTLETS 19 ZO DRYERS FIXTURES RANGES OVENS EXHAUST FANS NCANDESCENT FLUORESCENT 19 SYSTEMS NO. OF FEET E R V I C NO OF CC. COND A.W,O, NO OF HI-LEO A,W,G, NO. OFt~EUTRALS A.W.O. PER ~ OF CC COND OF HI-LEO OF NEUTRAL 1 1 1 1 OTHER APPARATUS: 1-GFCI 2- Smoke Detector *Future Appliance Feeders:l-2#14, 1-2#12, 1~3#8. Eastbridge Elect. 291 Lake Ave. St. James, N.Y.,. 11780 LIC.~138 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect, may be , COPYI=OR UILDI GDEPARTME~T THISCOP¥OI~ [' BE ~ALTEI~ ANyMANNER. lis. FIELD ~PECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION FER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, r,LY. 11971 Q~e~¢o'~, x,~ TEL.: 765-1802. Examined ,19~..~. A;proved~~'~ .~.', 19.'~..Permit No. J.'~.9.~.,o.t~.~ Disapproved a/c ....... ; ............................ ', l opP/' / I'-/ (B il I g In r) ' u ~ m specto APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build 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 stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl cation. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the applicaut. SucB pen shall be kept on the premises available for inspection throughont the work. e. No buildiag shall be occupied or used in whole or in pa~ for any purpose whatever until a Certificate of Occupar sh~l bare been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pe~it pursuant Building Zone Ordinance of the Town bf Southold, Suffolk County, New York, and other applicable Laws, Ordi mnc=s Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describt The applicant agrees to comply with ail applicable laws, ordinances, building code, housiug code, and regulations, and admit authorized inspectors on premises and in buildings for nece~saw inspections. (Signatnre of applicant, or name,'if a corporation) (Mailing address of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build (as on the tax roll or latest deed) Builder s License No,. ......................... . Plumber's Licens~ N= ......................... Other Trade's License No ...................... I. Location ofland on wllich proposed work will be done ~.~.~./~.~ ~Cu-.4o_2,t4 ¢~. ~:~.., 'o.~ ' / w .................. .... ............ ........ ...................... ........ ......... House Number Street Hamlet County TaxMapNo.1000Section ..~O ........... Block ..~ ............. Lot ~:; ¢ Subdivision~ ~e,5 ~ , Filed Map No. gg.~ "¢ ....... ......................... Lot .., ~ ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ ~ ~ &o ~ - Repair .............. Removal ............. Demolition .............. Other Work ............... : (Description) (to be paid on filing this application) ;. If dwelling, number of dwelling units .... t2. ~).~"7. .... Number of dwelling units on each floor ................ If garage, number of cars ,"'1~.~4..o .................................................................. i. If business, commerciaI or mixed occupancy, specify hature and extent of each type of use ..................... I. Dimensions of existing structures, if any: Front .......... , ..... Rear .............. Depth .............. Height ............... Ndmber of Stories ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depttt .................. ;... Height ....... f' ' 'r .......... Number of Stones ........... ~... t. Dm~ens~ons' ' o_f~entl~e' new construction:' ' Front/~/~. :.~ ........ ' Rear . ~.~. !..n ~'. t, ...... Depth ~..'=-'r...... , .°'/l .... Heloht . ./.~ .......... , Number of Stones ...~/01.~...,, ............................. / .............. · o · "--0t', . 20/' o ~ ). Slz,, of lot. Front ...'7..7. ................. Rear . .~.7 ................. Depth . .'~2 ...... }.: .......... ). Date dr Purchase ./.'i~.°. · . .: ................... ,N,..~me of Fom~er O~.Ener l~l:tO~t,~ .1~. ~'/~.c:.~.., · .~,Q. ,.T.Y'.: ..... I. Zone or use district in which premises are situated..,~.~.~..'..~..~..~.x..x:~.'X...~.'% .e~. ) .~.~....~r~. ? .t~.'~.,: ............... ). Does proposed construction vi,olate any zoning law, ordinance or regulatmn: . ~. ............................ t. ~A, ilJ lot be regrad~d .......... ' .................. Will excess fill be removed from premises: Yes ~-.Nam e of Owner of preln ises ~:~,t. ,o./') .e,.~ ~ ~,..... ..... Address/.?~C.O~.~. ?.0! .~?.,. Phone No..tt7.2..".~..~.~'~.... Nmne of Architect 1~..'. ~.-~.'3. ).'3:0.? .......... '.. Address .~r'~..~'~i.~ ¢~./~/..//~ltVaone No.~.%..3. -r,~.af'. l l ..... Name of Contractor .~.~.~..~,;,~a:-p. J'fte. ,~....te~'.; .... Addreis~. .... .':~...."~. ........Phone No.~.2.'~l.'r~. ,~./1 PLOT DIAG RAM Locate clearly and distinctly ali buiklings, whether existing or proposed, and, indicate all set-back dimensions frorr mperty lines. Give street and bloc:k number or description according to deed, and show street names and indicate whethe: ~terior or corner lot. r^'r OF OUNTY OF'T..~. ' S.S ~..~ !~{ ~ ~.. ~ ~ ~ ? ................ being duly sworn, deposes and says that he is the applican (Nan/e of indMdual signing contract) ~ove named. e is the · (Contractor, agent, corporate officer, etc.) f said owner or owne~, and is duly authorized to perform or have performed the said work and to m~e and file th[ )plication; fl~at all statements contained in this application are true to the best of his knowledge and belief; and that th 'ork will be performed in the manner~ sut' forth h~ the application filed t:',.erew~th.' ~om to before me this : ......... ...... ...... R=20. O0,' 5~IFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE~ FOR APJ:'ROVAL OF CONSTRUCTION ONLY HEALTH DEPART M ENT- DATA FOR APPROVAL TO CONSTRUCT '~' ~NEARE~T W~TERMA~N~MI ~ ~SOURSEOFWATER'~VATE~U~LIC~ OTHER THAN THO~E ~HOWN HEREON. ~- THE LOCATION OF WELL (W)~SEPTIC TANK(S T) 8 CE3SPOOLS {CP) SHOWN HEREON , ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS "C ' ~, bot_::O0 scl'ft' AreO ~Y' L,ot NOTE: · = MONUMENT SUBDIVISION MAP F/LED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE II, 1975 AS FILE NO. 6288. EXCAVATION IHSPECTION REQUIRED SURVEY FOR RENATO F. COLOMBINI 8 ROSE E. COLOMBINI LOT 94 '"PEBBLE BEACH FARMS'" AT .E. AST 'MARION Town OiF SOUTHOLD SUFFOLi~ COUNT~;, NEW YORK JUL"/' 2/~,, i9 6"~ DATE SEP[ 20, 1978 SCALE' I": 40' NO 78-559 NEW YORK S~TATE EDUCATION LAW GUARANTEED TO: THE TITLE GUARANTEE CO, JNiG 8 YOUNG II mJ ·1 ALDEN W YOUNG, PROFESSIONAL ENGINEER II m~'~lA~° LA"D SU"VE¥°R"~S'LIcENSE N° 1284~ Il ~ m J HOWARD W YOUNG, LAND SURVEYOR ~ N~S:LICENSE N0.4589~ /ENUE YOrK 00' L=31.42' Opep ¢.ft. FOUND i..0t NOTE: · = MONUMENT SUBDII/ISION M,~P FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE:II, 19 7§ AS FILE NO. 6266. SUFFOLK COUNTY HEALTH DEPARTMENT oA~. D[C 0 ? 1985 ~. D. so,~½ .r''~ "][ )roaai ~.~ ~,~,~:r supply taD!Ii' ', ' ' ~hlJ ~..~..' ~'~ have been inspected !',7 ¢',tF de;:~ %aF,h~ and found ~hief of General gnglneerin~ ~ervlces HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ~(' NEAREST:WATER MAIN__ MI _4- ~t- BOURSE OF WATER, PRIVATE~ PUBLIC 'N*EUFF. CO. TAX MAP DIST. .SECTION BLOCK __ LOT 'I~TBERE ARE NO DWELLINGS~ITNIN lO0 FEET'OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON. ~THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEN FORTHI~ RESIDENCE WiLL CONFORM TO~HESTANDARDSOFTHE SUFFOLK COUNTY DEPARTMENT OF HEALTH ~ THE LOCATION O~ WELL (Wi,SEPTIC TANK(S T) I~ CE.qEPOOLS (CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERSt SURVEY FOR RENATO F. ¢OLOMBINI 6 ROSE E. COLOMBINI LOT 94 "PEBBLE BEACH FARMs" AT .EAST 'MARION TOW'N O~ 'SOUT:HOLD SUFFOLK, COUNtrY, NEW YOrk ~.~UNAUTHOR~ZEO ALTeRATiON OR ADDITION TO TH~S TGUARANTEED TO: SURVEY IS A VIOLATION OF SECTION 7209 OF THE /THE TITLE GUARANTEE CO. NEW YOR~ SYArE EDUCATION LAW / T * COP~E~ OF TH~S SURVEY NOT BEWARING THE L~ND ~ SOU HOLD SAVINGS BANK SURVEYOR'S ~NKED SEAL OR EN8OSSEO SEAL SHALL / NOT 8E CONSIDEREO TO BE A VAL 0 TRUE COPY / AND ON M~S BEHALF T~ THE TITLE COMPANY, GOVERN- J ~ ~ ~ MENTAL AGENCYAND ~ENDING INSTITUTION LISTED [ ~ ~ HEREON,AND TO THE AESIGNEES OF THE LENDING [ [ ~ ~ ~. (.STITUflON GUARANT~ES ARE NOT TRANSFERABLE m / ~( '~ J YOUNG YOUNG ~ I N~suc[~s[ ~0.4SO*~ .AuC. IZ, 1983 JUL.h/ D&,, ~9f,'5 DATE SEPT ;'0, 1978 SCA~-E' I"= 40' NO . 78-559 ~e~ AVENUE ~EW YORK .~ .'...;,'¢ ' , .-; *.- ' ,'. , ,t~/l:'., '-~ '~rll**~/%~a~~ I - ,,, , '* · '~' . z% ~1~- *, 4 ~ , ~= --~ ~ · *:. , .:,,,.,:~:,,, ;.,>.,-,. ~..~l;¢.r~ 4,,,,,.,,,, ,. ~_L, ~ ,. ,..i I , ,, , ,~ ,. ,.,;~'~:,~ q,; I ~,, ,? ..,,. ..% , _'~..~. ~, ' ' , ' ~ ~;, ~ ~-**~ , , ~ ..... ~ ..... · . -. , ,. , ,. q _ i ,~ kv~ ~ kI '~ , ~ ,~, ,,, . ,'~ .... ,. ~'~ , , . , ~ , ~ ~ '--'-.,. .~¢;,. ~ ,,¢.J,.>, .¢. .... ';d . - ' / .:¢¢--= ,, ,,,, ~, ,. . ~ ,, .,,. , ~ ~ ~ , I .... .~' .- ~ ,', ' ~ ' ~ I ~ ' _, ~,':~-/. ': J ~'k,.., , , ?. ' , i J II cl plumbing diagram ~I~ r' ~ ' , ' J i ,, i ENERGY CONSER ( NEW YORK STATE ENERGY CONSERVATION CODE) ¢t ,/ , ' I ~' ': ~ ~ ........ ' 1. ALL CONC~TE TO BE CONTROLLED STONE CONCRETE HAVING ~" " , ~SS T~ % OF ~T~ WALL A~A. DEGREE DAY '" EQUAL FOR CO~TY. "~'~, ,. , ~ ',: :' , ~ , 2. BOTTOM OF ALL FOOTINGS S~L BE~ ON ~DISTURBED SOIL /r. ~; ~' ' ' SHSL ~VING A MINIMUM BEARING CAPACITY OF TWO (2) TONS PER +~,' ~ v I 2. THE FOLLOWING V~UES OF THE~ T~SMITTANC~ ~, , ,- , , [ ~ // BE MINIMUM V~UES FOR USE IN THIS PROJECT: ~IENT CONDITiO~ .................. Ur' .0 5 W~LS. ~ ~ / ~' ~ ,. EXTERIOR WgLS ....... ~ .............. U~ ', .~nB,, 4. NO ROTE OR DETAIL OR ~CK THE~OF S~5 BE CONSTRUED I floor lan pman GLAZING. . . . Ug= 69 ENTRANCE DOORS ..,..,~..~ ............. Ud~ .40 FLOORS OVER, OR A~0VE GRADE BASEMENT WALLS ENCLOS~NG UNHEATED SPACES ..... Ur= ,,08 SLAB EDGE INSULAT~HUNEEATED SLAB .. Ri= '5.5, :".HEAT INSULAT~ ED SLAB .... Ri 8.0 FIREPLACE ,TEE PROVISIONS OF STATE ENERGY "4., ALL DOORS AND .f~ TO LIMIT AIR LEAKAGE ., ', 402.4b'OF TEE N. Y. RUIhDI~ MEC~NICAL ~ ' WITH PART,5,- OF TRE N. STAT SECTIpW SHALL BE IN ACCORDAN~EB WITH E - 402.4 OP TEE N.. ~-, '" BE DESIGNED AND CONS~T, RU~TED ACCORDANCE WIT~ SECTI[Q~ E - ENERGY CONSERVATION,~ CODE, ;~s s~ ME ~ acco~c~-', I D~SIGN BY ACCEPT~L~ P~C~IC~ CODE, SI2%B EDGE HEATED BASEMENT / ~ELLARWA~LS (ABOVE ~RADE) ~ - HEATED BASEMENT / ,$EL~J~RWALLS (BELOW GRADE) .... ~'''~2 ............. , AS RELIEVING THE CONTRACTOR FRO~ EXECUTION OF ALL WORE IN ACCORDANCE WITH ALL STATE AND/OR LOCAL CODES. 5. FRAMING LUMBER SPL~LL BE STRESS RATED~DOUGLAS FIR OR SOUTHERN PINE STP, ESS RATED 1200 POUND~ PER INCH MINIMUM FOR BENDING (fb) FO~,:8~D~MEMBER USE, AND ~A~ING A MODUL~S OF ELASTICITY OF 1,500,000 UNLESS NOTED OTHERWISE. VALUES APE FOR SURFACED DRY LUMBER ONLY USED AT 19% MOISTURE CONTENT. 6. BEADERS AND TRIMMERS TO'BE DOUBLED WHERE REQUIRED. DOUBLE ALL FLOOR JOISTS UNDER PARTITIeNS PARALLEL TO FLOOR JOISTS AND (~/ER 6'-0" LONG. 7..A?J. PLUMBING WO~/{ TO BE IN STRICT 'ACCORDANCE WITH LO~AL TOWN ORDINANCES. 8. ALL ELECTRIOAL WORK TO RE UNDERWRITER APPROVED. 9. CUP. RS, CURB CUTS AND PAVING MUST CONFOPJ4 WITH ALL REGULATIONS AND RKQUIRE~ENTS OF THE DEPARTMENT OF PUBLIC WORKS. OWNERSHIP OF DOCUMENTS T~ESE DREWING'H AND SPECIFICATIONS ARE ~NS~RUMENTS OF SERVICE AND SHALL REMAIN THE PROPERTY OF THE ARCHITECT :WHETHER THE PROJECT FOR WHI~h THEY ARE MADE IS EXECUTED OR NOT. THEY APE NOT TO RE USED ON ANy OTHER PROJECT EXCEPT BY WRITTEN AUTBOR~ZATION OF THE ARCHITECT. 3 It ----- X~,~-/,,~ bath bedroom basement section 'b b' riglht side I¢ elevations I¢ 'left side I¢