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HomeMy WebLinkAbout12497-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificnte Of Occupnncy Date Fabrua~y 9 1984 THIS CERTIFIES that the building 7.-n~W..d.w.~ ~i.n.g ............................... Location of Property 285 Emery Road Cutchogde House No. Street Hamlet County Tax Map No. 1000 Section ....1.0.3 ...... Block ...Q.4 .......... Lot ' 038 Subdivision ...... .S.u.n..n.y..S.h.o..r.e.s. .......... Filed Map No. 3.2. 3. .1 .... Lot No..1.5 ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .A.u.g,u.s.t...1.2 .......19.8.3. pursuant to which Building Permit No. 12497 g .dated ...... A.u.g.u.s,t...2.4 ............ 19 .8.3. , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tt~is certificate is issued is ......... a private one-family dwelling. The certificate is issued to ROBERT DiMARTINO, JR. (owner, les~e~ or-t~rrtP of the aforesaid building. Suffolk County Department of Health Approval . .3~$ .-~.qr 1..2.6.,.. 1. [.2.7./..B.4.,..R. 9.b.t..' ..Ar..V.i..1.1.a, UNDERWRITERS CERTIFICATE NO ........... ~1..6.~9. 9 .0.0 .............................. PoE. Building Inspector Rev. 1/81 lrO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12497 Z Date .................. , 19 Permission is hereby granted to: ..... Z.~.~....~.~....-~.~.~..../.~.~. ..... ~.z.~.?....~.~...~---~...~... ...... ~/.,./~.....~.~,.~.~.~......xz...~.~: ....... ,o ....... ~__~.,,u.~.z~.~.~.......c?.~.....~,~.Y.....~.~././.~../,~ ..................... ............ ~.~. ........... ~..~. ....... ~..,~.,~z.~.~.....~: ............ ....Z. ..................... ,, premises located at ........~..Zr-~..~.......~.~.C~.~..~..... -..~.~.K~-i~-..;).....~.~...~..~.~(~.~...~..7 County Tax Map No. 1000 Section ..... /.~...~... ........ Block ....~....~... ........ Lot No..~..~...Z .......... pursuant to application dated ...(/..~.~...../.~. ......................... , 19Z~., end approved by the Building Inspector. / Building 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 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 featu res. 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" land uses: 1. Accurate ,survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 1 2. Certificate of occupancy on pre-existing dwelling / 3. Copy of certificate of occupancy $1.00 landuse--Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 D ate .......................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. House No, Street Ham/et Owner or Owners of Property .,¢.'-..~. ;<~ ............................ ' ................... County Tax Map No. 1000 Sec tion.-./~4 ...... Block..~/.. .......... Lot.....~/. · .~. · ...... Subdivision..~, ,/? .......... ,z~, .~. ,-~, ......... Filed Map No.~. ,~2. ,~¢'~... ,Lot No. ,~, ,~. ........ Permit No./.°~..~.,~. .. Date of Permit /- . ~ .... Appdcant . Health Dept. Approval . /.':.]..'~..'~..~..~../.c~. -d . .Labor Dept. Approval - · ZZ~..~. g B App Underwriters Approval ..~'.."~. ................ Plannin oard roval ...................... Request for Temporarv Certificate ..................... Final Certificate Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. ¥OLUME~IIIC TECHNIQUES, L~D. BERNICE DRIVE BAYPORT, NEW YORK 11705 516~.72-4845 SANDER R. STERNIG DIRECI'OR OF LABORATORIES TO: Law Bros. Homes, Inc. 2749 Sunrise Hwy. Islip Terrace, NY 11752 SAMPLED BY Laboratory_____ DATE: COLLECTED RECEIVED 01-20~4~ COMPLETEO~ .'~' Well analysis, Em0rY Road PARAMETERS pH Nitrate Deteroent Chloride Bacteria Iron Manqan~e Sodium RESULTS 6.05 ppm (mg/I)* 9.7 <'n nl , , , 94,64 2.2,0/5 /~0.06 ~ 29.86 PARAMETERS SAMPLE No. 84O12OO4 RESUL'FS ppm (rog/I)* *Unless otherwise noted Cotnmcnts: Water meets New York State Health Dept. reouirements and is satisfactory for drinking. MA/N OFFICE: 14OS Moarauk Highway MASTIC, NEW YORK t1950 Pl~m~ 28t-~454 CASOLA WELL DRILLERS WELLS -- PUMPS -- TANKS iNSTALLATION -- 5ERVIC~ -- RF2P.~RR$ BRANCH: 1704 Nol'th Highway SOUTt-IAMPTON, N.Y. 11~ Phone Dec. 16 83 th~o~Job Nb 44069 (U~JobN~mber~rF~tService) N~me Law Bros. Homes, Inc. JOB R-99 ~o," s/s Emory Rd. 250' e/o Little Neck Rd., Cutchoque well, pump and tank vhichcomlstsof ~IEL'© INSPECTION COMMENTS FOUNDATION (~st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION ?ER N. Y. STATE ENERGY ~DE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG.. FOUNDATION 2ND [ ] INSULATI°N [ ] FRAMING [ ] FINAL R?MARK$: ~ ~,'~(~ o~: ~ ~ ,, ,,., THE NEW YORK BOARD OF FIRE UNDERWRITERS i000~, BURaAU OF ELECTRI~-,.ITY ~;~ ~[[%~%1~¢~C~ [~t [~85 JOHN STREET, NEW YORK, NEW YORK I003B THIS OBRTIFIES THAT only the e~clr¢cal equip~nen¢ ~ described below and introduc~ by t~ applicant nlmed o~ the above application number in the premises of was exa.*ined on ~X' ~ ~ ~ and~ound to be in cotnpllance with ~he require~nents of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS J.b z~ 17 ~5 DRYERS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET OTHER APPARATUS: ~Jo~ors; 1-F ^.w~ NO OF CC COND NO OF HI-LEG A W, G, NO. OF NEUTRALS A, W g 1 4 1 4 ~.yv~.Mte, NoY. ll?8Z GENERAl. MANAGBR This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectois may be'identlfied by their COP~ F~).R. B,UI~OIN~G DEPART~ENT, THIS COPY OF £ .,.MANNER' 1~0~2~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........... ........... praved ........... , , ermlt Disapproved a/c .................... ;.........~ ~. ............ "7~ ........................................ .......................... ....... ........................ , , _ _'"Y'"'>:/' ............................... ................. ~:.:: .... :-~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ........ ;~,,~ ........................... ~ 9...~.,.~.-..-. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sere 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 ofproperty must be drawn on the diagram which is part of this application. 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 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. 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 buildings for necessary inspections. Law Bros. Homes, Inc. (Signature of applicant, or name, if a corporation) 2749 Sunrise Highway, Islip Terrace, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. Builder Name of owner of premises ..R.o. be.rt .Di Martino Jr. . ..................................................... If applicant is a corporate, signature of duly authorized officer. Pres. (Name and title of corporate officer) Builder's License No..3.0..0..6. Z.~.~ ...................................... Plumber's License No. ''~ ~ ~('' ~ ~C---q Electrician's License No.887..';~ ...................................... Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ..... 3...2..3..~ ............................ Lot No...~..5. ................... Southside Emory Road, 250' West of Little Neck Rd. Street and Number ............... ~ ............................................................ ' ............... o ............. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacant land, a. ExJsiting use and occupancy ................................................................................................................................ b. Intended use and occupancy .................................... ODe f.~milY. ~l~.~lling ................................................ -7-/~/ ~ /ooo -- /oS .-- oW ,,. o%k~ i 3. Nature of work (check which applicable): New Building, ...~ ............. Addition .................. Alteration ................. Repair .................. Removal ~ ................. Demolition .................... Other Work ..................................................... 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 ...... 3. .................... i car attached If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structur'es, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure[with alterations or additions: Front ..... .5.9. ........................... Rear ..~...5..0. ................ Depth ............................................................ 26 H~ight 22 Number of Storms' ........ .~.~ .................... 8. Dimensions of entire new conjtruction: Front ...... .5..0. .......................... Rear ......... 5.0. ............... Depth ..2.6. ....... : .......... Height 22 Number ]of Stories ...... ~ .............................................................................................................. 9. Size of lot: Front ..... ,]:.0..0. .............................. Rear ..... ~,0.0. ............................... Depth ....~.0.O. ............... ....... 10. Date' of Purchase /+/15/8,3.1 Name of Former Owner ..T~.9~s%?..~'.,...~.g.1,~.~.;L .................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... .~...o ............................................. 13. Wiff lot be regraded Yes i Will excess fill be removed from premise, s: ( ) Yes ) No ..........................., L~o excess fill( 14. Name of Owner of premises .~.°..b..e.?..C....D.~...,YC,,,~...t.~..g.9....J%.: ......... Address ..~.~..1.~.~...~,~g ....... Phon~ No.5~.~n~Z~.~. ........ Name of Architect ........... ~.o.~...p.o..b..e.~..~. .......................... Address .g..e.g.~..e.~p.9.~ ........... Phon~ No. ~.~L:'.~.,5...], ...... Nam,e of Contractor Law Bros. Homes Inc A,~ .... .~.s...1.~.g....~..e.~.a_e.e. ..... Phone No..5..8..t. 7,.4..0..2..0. ...... ; PLOT DIAGRAM Locate clearly and distinctly alI buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street end block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YO'~'J-<ffolknu COU N/'~ OF ................................ ............................. .~..e.p..q.e..t.~...A,.:...A.~.~.~.~..~j .................................. being duly sworn, deposes and says that he is the applicom (Nome of individual mg,nmg contract) above named. I j (Contractors agent, corporate officer, etc.) of said owner or owners, and is dgly authorized to perform or have performed the said work and to make and file this application; that all statemen~fs contained in this application are true to the best of his knowledge and belief; end thru the work will be performed in 'the manner set forth in the application filet/therewith. Sworn to.before me this i / / ....... ....... da, ...................... , Notary y u b I i/c"'~ ....... .~.'....~?M...t'~..i.....~ ............. t~oun~y ..... r..,.~r~..:...r....~;..~ -? .............................................................. ( , \ j~ ,-~-- ~ j [) (L rSignature of applicant) NOT/~RY PUBLIC, State of N'~W NO. 52-2621005, Suffolk County EMO Y EAW BROS. HOMES, I~L~ ~,~:~, N Y,' 1 ~ SUFFOLK CO. NEA~LTH DEPT. APPR ~OV'AL H.S. NO, STATEMENT OF iNTENT . TIlE WATER SUPPLY AND sEWAGE DISPOSAL SYsTEMs FOR TH!S RESIDENCE WILL CONFORM TO TH~STANDARDS O~' 'I~HE ~P~tCANT .K COUNTY DEPT, OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: ~'~/--~,,~/,~ ? H. $. REF, NO.: ~/ J' APPROVED: 'SUFFOLK CO. TAX MAP DESIGNATION: SECT. B[.O~., K pCl~, OWNERS ADDRESS: ' T i 'THE WAT E~S~--w-~ t 'SYSTEMS FOR THIS RESIDENCE ~  CONFORM TO THE STANDAROS, OF SUFFOLK CO. DEPT· OF HEALTHLSE~VI'CES. (SiA A-PPLiC:NT ~FFOLK COUNTY' DEPT, OF HEAET~: S;ERVI~ES' -- FOR APPROVAL ..?~':',m~:'2 :.:.:'~'~m. t:~-~ ' , : , ,,., ,,~ AUG 8, 1983 LAW BROS. SPLIT SH i OF 3 ENERGY INFORMATION NOTES: 1) Engineer ceTtifies thet plans comply vith NEW YORK STATE ENERGY CODE. 1/1/79. 2) All construction including mechanicals aud systems shall comply with sane, 3) Doors and windows shell comply with Table 4) Thermostat minimum range: 4S° P to 7S°P. S) Service water setting: 140° F max. DESIGM CONDITIONS: Indoor Tenper~ture: 72° F (~202.2(a]) Outdoo~ ~empera~ure: 10° F (Table Nind Velocity: 15 mph Degree Days: 6,000 (Table 2,13 Total Wall Area: 992 Sf (exposed to ambient) Glass Area Gross: Percenta§e of Glass: tirs~ Floor Area: 130 '/_9. OCCIJ?~NC¥ OR USE IS t~EA,WFUL Vil'[(~ CERTI[:ICJ~TE (l(: OCCiJPA,HC¥ AP~RO,V~D AS NOTED ~.~ 765-}B02 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. fOUNDATION - TWO REQUIRE[} FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBrNG 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C. O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF TH~ N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. V AU8 8 1983 3;d, x FL 0o1~ P'L A ~q -© h 4 AUG 8 1983 ~ f P~.O O-_M_ ........................... ALT, F'P~N, ATE