HomeMy WebLinkAbout26784-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27594
Date: 03/26/01
TI{IS CERTIFIES that the building NEW DWELLING
Location of Property: 245 THE CROSS WAY EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 30 Block 2 Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 14, 2000 pursuant to which
Building Permit No. 26784-Z dated SEPTEMBER 20, 2000
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 WITH ATTACHED ONE CAR GARAGE & COVERED PORCH AS
APPLIED FOR. (FINISHED LANDSCAPING DUE WITHIN 30 DAYS)
The certificate is issued to SCHEMBRI HOMES,
of the aforesaid building.
(OWNER)
SUFFOLK CO~ DEPARTMENT OF ~-RALTHAPPROVAL R10-00-0178 02/26/01
ELECTRICAL CERTIFICATE NO. 1807 03/09/01
PLZ~BERS CERTIFICATION D~fff~3 03/12/01 ATLANTIC PLUMB.&HEATING
~horized Signature
Rev. 1/81
FORM NO. 3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIT.nING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PEr, MIT NO. 26784 Z
Date SEPTEMBER 20, 2000
Permission is hereby granted to:
SCHEMBRI
325 THE CROSS WAY
E MARION~NY 11939
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED ONE CAR
GARAGE & COVERED PORCH AS APPLIED FOR.
at premises located at ~2~ THE CROSS WAY EAST MARION
County Tax Map No. 473889 Section 030 Block 0002 Lot No. 0~k~./~
pursuant to application dated AUGUST 14~ 2000 and approved bythe
Building Inspector.
Fee $ 606.00
Rev. 2/19/98
ORIGINAL
TOWN
OF
BUILDING DEPARTMENT ~, ~;..
TOWN HALL!
765-1802 i
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the bui, lding
inspector with the following: for new building or new use: ,
l. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
21 Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo'tm).
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 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.
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, puilding 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
I. 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 Qccupancy on Pr~-existing Buildin~ - $100%00
3. Copy of Certificate of Occupancy - : .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building ............. ~-~.. ^
~House No.\kJ / [%1 ~~ ~ ~treet~_J Hamlet
County Tax Map~No 1000, Section....~.O. ...... Block..Q '~'..% ........ Lot...I.'~. .......... ' .....
Health Dept. Approval..~.~l.~...~..~.n~jU,~.. ...... Underwriters. Approval '
Planning Board Approval ........................
Certic~../f [ ......
Request for: Temporary Certificate ......... ... Final
Fee Submitted: $ ............................. ~~~.
C0£
I-Z:2'3F'I,'I SOLITHOLD T,:)WH HRLL 516 '~ =
,6.> 182:3
Town Hall, 53095 Main Road
P. O. Box t179
$ovlhold, NewYor'¢. 11971
P,1
F~ (5~6) 765.1823
Telephone (.516) 755.1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD '
CERTIFICATION
Building Permit No.
Owner: ~1
(please print)
l(~ease'print
I certify th.a.t the solder used in the water supply system
less than 2/10 of 1% lead.
(Plumbers Signatu g~')
coBt&ins
Linda B. Hans~
Notary Public State of N~ York
Qualific~ In Suffolk Colm~
No. 01HA4524455 ~-'2_
Conh-.2~sion Expkc~ 7/3 ll?...q~~ ....
Sworn to before me this ~l/
I~)-.-~.J'x~, day of. ~/?~. . .,. i-9-'
Notary Public, -- 7°7~f~. County
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street * Center Moriches, New York 11934 * Tel: 631-878-3500 * Fax: 631-878-3764
Application No: 1807 Date: 3/9/01
Issued to: Schembri Homes
Address: lot~ 14 The Crossway
Village: E.Marion Zip: 11939
Introduced By: DeLane Electric Inc.
Township: Southold
License# ' 4354-E
was examined and found to be in compliance with the National Electrical Code
Switches Receptacles Fixtures G.F.I. Heaters Air Conditioners
23 47 28 4
Oven Carbon
Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoxide
5-Paddle 1 20A 30A 40A 1
Smoke Bell
Furnace Oil Gas Circulators
Detectors Transformers
1 yes 2 6 1
Other Equipment Meter Amps Phase Motors
i 1-ExhaustBath 1 150AUG 1
1-Hood
;)ut,Res
Building Permit No.26784-Z
This certificate must not be altered
in any manner
MARTIN F. SENDLEWSKI, A.I.A.
ARCHITECT -- PLANNER
RE: Clinco Project 0015
STATE OF NEW YORK )
) SS.:
COUNTY OF SUFFOLK )
IT~C-~r~ ~'. ~,~J/~5~ being duly sworn, deposes and says:
That deponent is over the age of 18 _years, and sides at
That on the qCOday of/~.D~jIgS¢ ,2000, deponent, being the
Architect/Engineer, licensed by the State of New York, hereby
Accepts full responsibility for the accompanying plans
York State Fire Prevention and Building Code (9 NYCRR).
Sworn to before me this
~H~ day of/'dO~oZ7t 2000.
~ott{r~-Public '
ELIZABETH V. ATKINSON
Notary Public, State of New York
No. 01AT6019878
Qualified in Suffolk County .~/
Commission Expires February 16, 20 ~
Cc: Applicam
209 EAST AVENUE · RIVERHEAD, N.Y. 11901 · [631) 727-5352 · FAX (631) 727-5335
~ND^T'~ON ( ~ ST)
UNDATION (2ND)
,UGH FRAME &
PLUMBING
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FORM NO.
TOWN OF SOUTBOLD
BUILDING DgPARTHgNT
TOM HALL
SOUTItOLD, N.Y.
TEL: 765- ~802
Disapproved a/c ..................................
APPLICATION FOR BUILD~NC FERHIT.
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CUECK .........................
SEPTIC FORH ...................
HAIL TO: ....................
a. 'ibis application ~Lqi' be caupletely filled in by type~iter or in ink and ~itted to the l~dlding Inspector w3
3 sets of plans, accurate plot plan to scale. Fee according to ~hedule.
b. Plot plan shc~ing location of lot and of tmildings on promises, relationship to adjoining promises or public
streets or areas, and giving a detailed description of layout of property ramt be dr~ra on the diagran qnich' is part of
this application.
c. The ~rk covered by this application my not be c~menced before issuance of Building Permit.
d. Upon approval of this application, the Building l_,mpector ~dll issue a Building Pemit to the applicant. Such
permit shall he kept on the. premises ~railable for inspection throughout the ~ork.
e. No building shall be occupied or used in ~qole or in part for any purpose ~.~atever tmtil a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATI(IN IS t!~ MAlE to the Building Delr~lamnt for the isstmnce of a Building Penuit pursuant to the
Building Zone Ordinance of the Tram of Sonthold, Suffolk Coonty, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of lmildings, uaditiona or alterations, or for re~}al or demolition, as herein
described. The applicant agrees to ccmply with all applicable lin, ordinanca~ code, ~ausing cede, and
(Signature of applic~l~ or naue, if a corporation)
(Mailing address of appl
State ~hether applicant is o~.mer, lessee, agent, ar. chitect; engineer, general contractor, electrician, plmber or builde~
.......................................... ..............................................................
Rare of cx~ner of premises .............................................................................................
(as on the tax roll or late~t deed)
?
If applicant is a corporation, signature of duly authorized officer.
.........
(Nam and tqtle of corporate officer)
Builders License lb.
PhJubers License No ....................... .
Electricians License No ......................
Other Tr;~t~'s License No .....................
~. i~tio~ of l~ on ,.,',ia pro~ ,,,orkwin ~ de~.~.W:...Z?.. .... ./..'<.~.×..~..~'...~.e~. ..................
.................. 7733.~.:...~. .~.] ~..a. ......................
.w.~. ............ /~. ~..~.~-.. ~.~.-4..~.. .....
Hotme l~,~her Street P-q~!et
Coanty TaxNapNo. 1000 Section .... .~...9 ...... Block ....{~...O~.. ....... LOt .... ~........]..~.~.
2. State existing use and occupancy of pr~nlses and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........... .., .. ?~.:. ,.. .........................................................
b. Intended use and occupancy . .... . .....................................................
t~amre of work (ctmck whid~ applicable): New Building ...~.. .... tkklition .......... Alteration ..........
Repair ............ Remmml ............. Demolition ............ Otlmr Work ..................................
!Description)
Estimated Cost ......................... fee ..............................................
(to be paid on filing this application)
If rk~elling, nuttier of d~elling traits ............ Nont~er of Oaelllng imits cn each floor ................
If garage, n~ber of cars ...2 ......... ./. .......................
If b~miness, eumercial or adxed occx~pancy, ~ify nature and extent of each type of use ......................
' " ..
Dimensions of existing structures, if any: Fron~. .¢. 2./. .¥. ? .... Rear .... ~..~., ...~... Be,th .~. ............
lleight ......................... Ntrnber of Stories ...... ~. ............
Dimensions of sane structure *rith alterations or additions: Front ............... Rear ...............
Bapth .................... Beight .................... Number of Stories ...............
Dimensions of entire ne~ construction: Front ................ Rear ............... 13ep~l~ ..............
Beight ......................... Nmt~6r of Stories .....................
of ...... Rear ..... pt,, .....
Bate of l~lrchase ..................... Ram of Former O~mer ........................................
Zone or use district in which prmi~e.s am s~t'uated /
Poes proposed cormtruction violate any zoning lm*, ordinance or regulation: ........................
Will lot be regratted ...7/.~"~ .......... Will ex~ess fill be removed frcra premises: YES
Nares of O~mer of pre,rises ........................... b~ktress .............................. Pt~v~e No ..............
Nome of Architect .................................... Address .............................. lt~me No ..............
Nane of Contractor ................................... hddress ............................... M~ne No ..............
Is this property within 300 feet of a tidal wetland? * 3rES .......... hD .... : .....
PLOT DIAGRAM
I~cate clearly and distinctly all buildings, ~her_her existing or proposed, and indicate ail set-back dimensions
mm proper~y lines. Give street mxt block number or description according to deed, and aho~ street nares ar~t indicate
Imtber interior or corr~r lot.
ANITA J. N~R~, ~'
No, OIN~
SS
~~lO,.~J /
of indivi~l signing c~tract) o
the ~O/&~ .........................
(~tractor, a~nt, co.rate officer, etc.)
~id ~mr or ~rs, a~ is ~ky ~tl~ri~ to ~rfom or h~ ~rfo~ Om ~id m~ m~ to rake ~ file this
~llcati~; that all stat~nts cmtai~ in ~is a~llcatim are t~ to fl~e ~st of his ~1~ md ~[ief~ a~
the ~rk will I~ ~rfo~l in tim mmmr ~t forth in ~e a~licatlm fil~ t~.
mm to before me this ~/~
.......... [[ ...... day o~ ./~...'.{~..~..~r-..~...~. :2.0. ~O..(~...
JOB No. 00-41
TAXI.D. No. 1000-30~~
LOT 4O
LOT 41
LOT 42
EDGE OF PVMT
LOT 15
N 83°27'45"E 77.73'
THE CROSS WAY [ 60']
R=20.00'
L=29.16'
TIE 193.62' ~
m
LOT 13
6'~ .0'
~ i oo'¢0 ~'''''
~ S 83°27'42"W 77.73'
Z
Unauthorized alteration or addition to this document is a violalion of Section 7209
of tl~e New York State Education Law.
Cerlificat~ons iedic~ted hereon shall run only to the parson for whom it is prepared
and on his behalf to the Ti'de Company, Governmental Agency and Lending
Institution listed hereon, and to the assignees of the lending institutions or
subsequent ovmers.
Copies of this document not beating the professional's inked seal or embossed
seal shall not be considered a valid t~ue copy.
The o~ef~ [ or dimensions ] show~ hereon from sb'uctares to the proparty lines are
i'or a specific purpose and use and therefore are not intended to guide the erection of
fences, retaining walls, pools, planting areas, addition to buildings or any obher
constTucfion.
The ezJstence of right of ways and/or easements of record, if any, not shown am
not guaranteed.
FILE MAP No. 6266 6/11/75
SURVEY OF: LOT 14
MAP OF PEBBLE BEACH FARMS
EAST MARION, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SURVEY DATE: 10/12/00 SCALE: 1"=40'
CERTIFIED ONLY TO:
SCHEMBRI HOMES
By DESTIN G. GRAF N.Y.S. LIC No.
DESTIN G.GRAF
LAND SURVEYOR
73 Woodlawn Road
Rocky Point, N.Y. 11778
516-821-3442
JOB No. 00-41
LOT 40
EDGE OF PVMT
LOT 41
N 83°27'45"E 77.73'
WATER
SERVICE
LOT 15
6~ .d
THE LOCATION OF WELLS, WATER SERVICE
LINES, SEPTIC TANKS AND CESSPOOLS
SHOWN HEREON ARE FIELD OBSERVA-
TIONS AND OR DATA OBTAINED FROM
OTHERS.
TIE 193.62'
LOT 13
I-r
m
0
Z
S 83~27'45"W '77.73"
FILE MAP No. 6266 6/11/75
Unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law
Ce~flca~ons indicated hereon shall run only to the person for whom it is prepared
and on his behalf to the Title Company, Governmental Agency and Ler~diog
Institution listed hereon, and to the assignees of the lending institutions or
subsequent owners
Copies of this document not bearing the professional's inked seal or embossed
seal shall not be considered a valid true copy.
The offsets [ or dimensions.] show~ hereon from structures to the property lines are-
for a specific purpose and use and therefore are not intended to guide the erection of
fences, retaining waits, pools, planting areas, addition to buildings or anyother
CERTIFIED ONLY TO:
ANTHONY CLINCO AND-THERESA CLINCO
[ ALSTS3
ALLSTATE ABSTRACT CORP.-
INSURANCE COMPANY i
FIDELITY NATIONAL TITLE
By DESTIN G. GRAF N.Y.S. LIC No.
SURVEY OF~ LOT 14
MAP OF PEBBLE BEACH FARMS
EAST_ MARION, TOWN-OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SURVEY DATE: 01/25/01 SCALE: 1"=40'
DESTIN G:GRAF.
LA:ND SURVEYOR
'3-Woodtawn Road
~ocky'Point; N:Y. 11778
516-821':34zl2