Loading...
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 I[ II II [I II II (I II [I Ir 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