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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=~