HomeMy WebLinkAbout25848-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26918
Date: 02/04/00
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 6380 ALDRICH LA MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 120 Block 3 Lot 8.5
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 10, 1999 pursuant to which
Building Permit No. 25848-Z dated JULY 7, 1999
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 TWO CAR GARAGE & COVERED FRONT
PORCH AS APPLIED FOR.
The certificate is issued to GREENBRIAR HOMES, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0108
ELECTRICAL CERTIFICATE NO. 32976
PLUMBERS CERTIFICATION DATED 01/28/00 WARREN J. KEANE
02/03/00
02/02/00
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 25848 Z Date JULY 7~ 1999
Permission is hereby granted to:
ASSOCIATES FARMVEU
MAIN ROAD
CUTCHOGUE~NY 11935
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR ·
GARAGE & COVERED FRONT PORCH AS APPLIED FOR.
at premises located at 6380 ALDRICH LA MATTITUCK
County Tax Map No. 473889 Section 120 Block 0003 Lot No. 008.005
pursuant to application dated JUNE 10 1999 and approved by the
Building Inspector.
Fee $ 586.60
Rev. 2/19/98
ORIGINAL
Form No. 6
oF SOUT OLD
BUILDING DEPARTMENT
APPLICATION FOR CERTIFICATE OF OCC PANTY F ~ -4 2~00 ~,;,
This application must be fil.led in by typewriter OR ink nd subm~tt:~d to...~e bu 2dtn~
inspector with the following, for new building or new u~e~--~ ........... '~ ~' '~-O_
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 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildi
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
Ppre-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 applican
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 te accessory building $25.00. Businesses $50.00·
2. Certificate of Occupancy on Pre-existinR Buildinm - $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
Date ..... .~.. ,~ ........................
New Construction ........... Old Or Pre-existing Building .................
Location of Property .....................................................................
House No. Street Hamlet
Onwer or Owners of Property ..............................................................
County T,= ,o 1000, ...... Bloe' .... ......... .ot ..................
·..Lot ...............
Subdiviszon .................................... Fize~ Map.. ·''
//
..... Applicant..~..' ...................
Permit mo ................ Dar Of Permit.. · ·
Health Dept Approval Underwriters Approval .........
Planning Board Approval .
Request for: Temporary Certificate ..... .. .... Final~_~//~/~/~Certiqate .........../~/~ /,~
..........
~.~ ~,2-~ 'Z' ..........
DATE., 2/2/00
ELECTRICAL INSPECTION SER VICE INC.
375 DUNTONAVENUE
EAST PATCHOGUE, NEW YORK 11772
($1~6) 286-5642
32976
APPLICATION No. ON FILE
VILLAGE: Mattituck
ADDRESS: 6,~tqO Aldrich Lane
ISSUED TO: Greenbiar Homes
TOW3t. Southold
INTRODUCED BE, Zar Electric
was examined on 02-02-00
L1C No: 4808-E
and found to be in compliance with the National Electrical Code
LOCATION: Base,. 1st x 2nd ~ Srd Attic
Det. Garage Hot Tub Pool
SWITCHES RECEPTACLES FIXTURES I HEATERS FANS I G.F.L AIR. COND.
18 40 20 2 exhaust 5
DISHWASHER DRYER CLOTHES WASH. ,GAR. DISP. RANGE OVEN SMOKE DETECTOR
x gas 20 amp ,.gas 7
FURNACE OIL GAS CIR, MOTORS BELL TRAN. SERVICEDISCONNECT
1 200oh
OTHER
EQUIPMENT
outside residence
1 micro
carbon dioxide
BUILDING PERMIT No.
BLUE ORIOINAL YELLOW COPY pINK COpY OFFICE
Town Hall, 53095 Main Road
P, O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No. o~9~9"~OGz~O ~
(please print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
NOTARY PUBLIC, State of New York
No. 52-4673765
Qualified In Suffolk Cuunty.,
Commlselon E)rplres Sept SO, ~ ~
Sworn to before me this
day of
Notary Public,
County
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
February 2, 2000
Warner Adel
59 Hawkhurst Rd.
Cold Spring Harbor, NY
11724
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
XX
XX
XX
XX
XX
No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25848-Z
Please contact our office on this matter.
cooperation.
Thank you for
$OUTHOLD TOWN BUILDING DEPT.
PLUHBING ~
~SULATION PER lq. Y. i [ /'
STATE ENERGY I
CODE
FINAL
ADDITIONAL COltMENTS:
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [~']*-ROUGH PLBG.
[ ] ~'DATION 2ND [ ] INSULATION
[ ~/] F~MING [ ] FINAL
I ~' FIREPLACE & CHIMNEY
/
REMARKS.' ~ '/ _ .U°-'~'
~'
I I~'.~ -
/
DATE
I NSPECTOR~~~~*%
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ~t~~L
REMARK~ S:
l
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROU.~GH-PLBG.
FOUNDATION 2ND [ ,~.~INSULATION
REMARKS:
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
7GS-~.802
BUILDING DEPT.
INSPECTION
INSPEC~
[ '] FRAM~Q~ [ ] FINAL
REMARKS~
765-1802
BUILDING DEPT.
INSPECTION
[~'~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] iFOUNDATION 2ND [ ]INSULATION
[ ] iFRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE ~ ~_/~~_ INSPECTOR _~~~,Y~
JOB No.
FRMV-3
TAX I D. No.
101.9
LOT 2
UNDER
CONSTRUCTION
PROPOSED WELL
REAR YARD
LO'f 22
VACANT
PROPOSED
WELL .~
110'
FF 106.6
GAR 105.1
42'
PROPOSED
~ SINGLE
FAMILY
104.5
N 26°09'16''W 25.$7'
LP
N 23°09'16"W 99.63'
ALDRICH LANE [ 49.5
LOT 4
VACANT
>
<
TIE 600,01'
103.6
103 3
ELEV IN ASSUMED DATUM
FARMLAND
LE MAP No. 8808 9/1/89
:.ERT OF CORRECTION
L 11854 P 27
L 11866 P 247
and on hm behalf to the T~tle Company, Governmental Agency and Lending
CERTIFIED ONLY TO:
GREENBRIAR HOMES
By DESTIN G. GRAF N.Y.S. LIC No. 50067
SURVEY OF: LOT 3
MAP OF FARMVEU ASSOC.
MATTITUCK, TOWN OF SOUTHOLD
· SUFFOLK COUNTY, NEW YORK
SURVEY DATE: 5/20/99 SCALE: 1"=50'
~,~~7 3D ESTIN G.GRAF
LAND SURVEYOR
Woodlawn Road
ocky Point, N.Y. 11778
516-821-3442
JOBNo. FRMV-3 J TAXI.D. No. 1000-120-03-8.5
i
~ LOT 22
~ 25o$6,$0,'E 123.58"
I
!
i
[
i CONC FOUNDATION LOT 4
! Z
LOT 2 2.0'/ 41 ~' I.
~ [ L=36,67'
~ ' i N23"09'16"W 99.63'
o09,16,, W 25.37'
ALDRICH LANE [ 49.5 ]
CERT OF CORRECTION
, FARM~ND L 11854 P 27
~~Or ca,dion to thins dooument isa vmolatio, of ~e~tion 7209
t,~o,t,o,~w : SURVEY OF: LOT 3
CeAlfi~ons Ind~oated hereon shall run only to the person for whom it ~ prepared
and on his ~half to ~e Title Company, Governmen~l Agenoy and Lending
Ins~tut,on Isted he eon, .~d o he ass gnees o the le.dmg restitutions ¢ MAP OF FAR MVEU ASSOC.
~piesofthlsd~mentnotbeanngtheprofessional'sl.kedsealore~bossed/ MATTITUCK, TOWN OF SOUTHOLD
f°raspec'ficpurp°seanduse~ndtheref°rearen°t'ntendedtogu'detheerert'onef SUFFOLK COUNTY, NEW YORK
Theex,stenceofnghtofwa~ane/oreaseme~tsofrecord, ifa.y,.otsh~nare SURVEY DATE: 7/30/99 SCALE: 1"=50'
CERTIFIED ONLY TO~REENBRiAR hOME DESTIN G.G~F
JOB No.
FRMV-3 TAX LB. No. 1000-120-03-8.5
LOT 2
LOT 22
WELL
CONC
1 ST BAY ENT DOWN
9 STEP
CH[M
2 ST ~
~ FRAME ~
SEPTIC
LP
65#
THE LOCATION OF WELLS, WATER SERVICE
LINES, SEPTIC TANKS AND CESSPOOLS
SHOWN HEREON ARE FIELD OBSERVA-
TIONS AND OR DATA OBTAINED FROM
OTHERS.
LOT 4
LU
LU
>
n~
TiE 600.01'
N 23°09'16"w 99.6:3'
i'.i N;26°09'16"W 25,37'
,-;, ALDRICH LANE [ 49.5
FARMLAND
R=25 00'
L=36,67'
FILE MAP No. 8808 911189
CERT OF CORRECTION
L 11854P 27
L 11866 P 247
Unauthorized alteration or addition to this document is a ViOlation of Section 7209
of the New York State Educahon Law
Cerbflcaben$ mdicatad hereon shall run only to the person for whom d ~s prepared
and on his behalf to the Title Company, Governmental Agency and Lendlf~g
thstaut~on hstad hereon, and to the assignees of the tending ~nstitubons or
subsequent owners
Copies of this document not bearing the professional's ~nked seal or embossed
seal shall not be considered a vahd true copy
The offsets [ or dimensmns ] shown hereon from structures t~ the properb/hnes are
for a spec~c purpose and use and therefore are not intended to guide the erection of
fences, retaining walls, pools, planting areas, addition to buildings or any other
The existence of right of ways and/or easements of record, if any, riot shown are
CERTIFIED ONLY TO:
JOHNANDDONNACALIENDO ,~
QFNFW YORK 1~[
SURVEY OF: LOT 3
MAP OF FARMVEU ASSOC.
MATTITUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SCALE: 1"=50'
SURVEY DATE: 11/15/99
CONSUMER HOME MORTGAGE INC.
By DESTIN G GRAF N,Y S. LIC No. 50067
DESTIN G.GRAF
ND SURVEYOR
A/oodlawn Road
)cky Point, N.Y. 11778
6-821-3442
-FORt/ NO. I
TOI,IN OF SONTHOLD
BUILDING DEPARTt'ltINT
TONN HALL
SOUTHOLD, N.Y. 1197 I
T~L: 765-1802
3 SETS OF PLANS ...............
SURVEY ........................
C~lgCK .........................
SEPTIC FORH ...................
NOTIFY:
ltllL TO: ....................
APPLICATION FOR BUILDING PERHIT
INSTRUCTIONS
a. l'ais applieatico ~st he completely filled in by t-ype~iter or in ink and sul~itted to the Building Iml~ector
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan sho~ing locatian of lot and of buildi~s an presdses, relationdaip to adjoining premises or public
streets or areas, and §lying a detailed descril~ion of laycot of propert~ must be dra~ on the diagram ~hich is par~ of
~his applicatian.
c. The ~o~k covered by ~his applicatian my not be cemented before issuance of lhilding Pemit.
d. ~ approval of ~his applicatico, ~ lhilding Inspector will iseue a lhilding Pendt to the applicant. ~
permit shall be,kept an the premises available for inspectico thrcolttx~t the ~ork.
e. No building shall be occupied or used in ~aole or ia part for any propose ~hatever antil a Certificate of
Occupa~y ~hall have been granted by ~e lhilding Inspector.
AYPLICATHI/ IS ~ ~ to the lhilding Uepar~t for fl~e issuance of a Buildir~ Pemit pursuant to the
lhilding Z~e Ordinance of the To~ of Southold, /hffolk Camt-y~ ~ York, and other al~licable Ls~s, Ordln~es'or
~P~gul.a, tior~, ~or the.c~sVa~ctico of buildi~s, ~iticos or alterations, or] for re.oval or de~lition, as herein
deserabe, d.. Tce appheamt agrees to c~ply vith all appliceble la~s, ordim~ces~ Imilding code, housing code, and ·
regulations, a~l to /~l~it ~athorised inspectors on premises and in hail~!/l~ for necessar~insl~cticos.
. ...................
(Signature of app!ican~, or nam, if a corporation)
(l~ilin~ ~,4~ress of applicant)
State ~/~ether applicant is o~r~r, lessee, a~ent, architect, engineer, ~ral c~tr~tor, el~trici~, pl~r or ~il~
..... ..................................................................................................
(~ m ~ ~ mi1 or latest ~)
If ~li~ is a ~ati~ si~ of ~ly m~ri~ offi~r.
(~ ~ title of ~te offi~r)
lhilders License l~ ..........................
.... ..~.Z.~L,~ ......
Plumbers Li~,e ~ ..........
El~trici~ Li~ ~.
~r ~s ~ ~ .....................
I. ~tlm of 1~ m ~i~ ~ ~ ~11 ~ ~... ~
.'
~.~,~ ~ ~..~~... m~ ~ ~. ...............~ ~ ~ ..~ .........
a. ~*ti~~ ......................................................... . . .. . ... . ....... . . . .
b. ~r~ ~ ~ ~ ............................................. ~a-.~ ~t .................
15.
Locate ctearly and distinctly al
from taoOerty lines. Oive street and
~aecher interior or corner lot.
3. ~ature of ~rk (check */dd~ applicable): l~ Building .......... fiddition .......... Alteratiun
Repair . .. Reren, al ~ l)emolitiun . . Otlmr Rork
I (ReacrJpt~un)
6. Estimeted Cost ..... f ....... ~ ..... fe~ .....................................
{ (to be paid on flliug this application)
/
5. If duelling,' number of d~lllng iunits ............ Nu~i~r of duelling units on e~ch floor ................
If ~ar~ m~0er of Cars i ~ ......
6. If business, c~m~reial or mi~d nccupancy, specify nature und extent of each ~ of tree; ...... '. ..............
?. Dimensions of exieting etn~ctur~a, if any: Front ................ Rear ............... Depth .................
tleight ~ Ix~/~r of 8toriee
Din~neio~ of m attx~2ture m~h altereti~ oc ~lditiunst ~t ............... Rear ...............
l)epch .................... Beight ......... ' ........... Nm~er of Storiee ...............
8. mmensio~s o£ entire ne~ co~stn~ction, l~xmt ................ Rear ..... ~ ......... l~pch ..............
?~/ i · ~ /
tleight .......'e~./. .............. i ltumber of Stories .....~r:~.. ..............
9.' Slre of lot: Froot ..../..~. ..... I ........Rear ..!.~.~.:.~.~. ........ Depch ..?./?.'.~...~..
,0.of ..... ! .... of Po--r ....... /.. ..............................
II. ~ or use district in ~hich p~emiaes are altuatM ..... .~.. ......................................................
12. Does proposed couatmctico violate any z~ning la~, ordimmce or regulatico:
{
PLOT DIAO~
~ildi~, ~r ~is~i~ or ~,
(~ of i~1vi~1 ~i~itg cmtract) {
I~ is Che (~tractor, ~nt~ c~rato o[~cor, etc.)
o~ ~id ~r or ~rs, ~ is ~fy ~tlmri~ to ~rfom or. h~ ~rfo~ ~ ~id ~ m~ to m~ ~ file Chis
a~licatico; ~at al1 stat~nts c~tai~ in ~ia a~iicati~ a~ t~ to ~e ~st of his ~1~ a~ ~tiegi aM
,q~urn to before re Chis {
/0 _ ~ ~"u/v-F__. ; ,~
~otary l~blic .~;. .. , ....
LYNDA M. BOHN
NOTARY PUBLIC, State Of New Yo~
No. 01BO6020932
~)uallfied In Suffolk .County
Term Expires March 8, 20 ~
(SisnaCure of Appliceut)
E3
, AND/OI~
DEVICES J ;TO PART. 902.6{K)
:BUILDING CODL
LEFT ELL~ATI~
PROVIDE
REQUIRED I-- OF
N.Y. STATE NG CODE.
DO NOT PROCEED WITH
FRAMING UNTIL SURVEY
OF FOUNDATION LOCATION
HAS BEEN APPROVED.
PROVIDE ~ HR. FIRE
I I
ON LEAD ~
SOLDER
SUPPLY SYS~
EXCEED 2/1~~ of 1%
ff copp4m' tu.bi**ng is t
for water d~'tribut
system; piping shal
of types,K or L on
UNDER~ITERS CERTIFI
REQUIR~
PLUMBING
: : ALL PLUMBING WAi
'& WATER LINES NE
TESTING BEFORE CO~
OF
USE IS UNIAWi
WITHOUT CERI
OF OCCUPANC~
:RIN
:UL
IFICATf
APPNOVED AS NO1 !D
DATE: ~B.R # ~ 22~ ~
FEE: ,*~* ~ BY: ~' ~
NOTIFY BUKDING DEPAI~
?~ ~ ~ ~0 · ~ ~O~THE
I FOUNDATION TWO ~EQUIRED
2- ROLI~H ~ & I~LUMe~NG
/
4, FINAL - CON$'rRUCTI~N MUST
BE COMPLETE FOR C.O, ]
ALL CONSTRUCTION SH,~LL MEET
"THE REOUIREMENTS OF] THE N.Y.
STATE CONSTRUCTION ~ ENERGY
CODES. NOT RESPONS BLE FOB
DES4GN OR CONSTRUCTIO ~l ERROR~
ng
ly
~TE
!=! P~/ATION5
414 Maln f;/t, reet., Port; Je.r-~er,~,l, N.Y. 11TT/
Tel: ~516) R2&-445~ Fax: (~16) ~
L_J
FOUNIDATION t:::'LAN
t<rrC.,Ht~
I=,N~IIL'r'
o
FIf~T FLOOf~ PLAN
5EC,~N~ FLOOf~ PLAN
Eric Nico~ia
t:~E~IS'TERE~
414 Hain 5fl-c,,~, Port, Je~aP~ofl, N.'Y. 11~
Teh ~1~) ~ 4~ ~: ~1~) ~
FLOOf~ PI. AN~
I ~ A9
SECTION A-A
550TION
r2
PLUHDIN¢ RISEt~. IPlA®~Ah4
NO ~OALE
~2FPIT
14ALL ~VAL.UF=~