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Home My WebLink About25595-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27112 Date: 06/01/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1400 E~rERGREEN DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 1 Lot 4.10 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 18, 1999 pursuant to which Building Permit No. 25595-Z dated MARCH 11, 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 COVERED FRONT & REAR PORCHES, REAR SCREENED PORCH & ATTACWRn TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to EDWARD & SUSAN FORTE {OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0025 03/10/00 ELECTRICAL CERTIFICATE NO. 96832 05/08/00 PLUMBERS CERTIFICATION DATED 05/01/00 THOMAS PACZKOWSKI 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. 25595 Z Date MARCH 11 99 Permission is hereby granted to: EDWARD & SUSAN FORTE 105 JAKES LANE CALVERTON~NY 11933 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH COVERED FRONT & REAR PORCHES~ REAR SCREENED PORCH & ATTACHED 2 CAR GARAGE AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 102 pursuant to application dated FEBRUARY Building Inspector. 1400 EVERGREEN DR CUTCHOGUE Block 0001 Lot No. 004.010 18 99 and approved by the Fee $ 978.60 Authorized S i g/naVarre ORIGINAL Rev. 2/19/98 Fomn No. 6 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 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 certifyi~g that the solder used in system contains less than 2/10 of 1% lead. 5. Con~ercial 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, building 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 reason~ therefor in writing to the applicant. C. F~es 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 to accessory building $25.00. Businesses $50.00. 2. Certificate of qccupancy on Pre-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 Date ....... f/~ ?/~.~ ........................ New Construction .... .~.. .... Old Or Pre-existing Building ................. Location of Property ........................................... House No. ~ Street Ha~g~ ............ County Tax Map No 1000, Section. ~ ~ .... Block. ..~- I ..... Lot. Subdivision ................ ~ ...... ~zsd Hap ............ Lot ...................... Health Dept. Approval....................-...--Underwriters Approval.. ....................... Planning Board Approval . . Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. APPLICANT Town Ha~, 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 Owner: BC~ f'~'"£c~' (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this _ ~ day of~ ~QOOO 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 May 18, 2000 Mr. & Mrs. Edward Forte 105 Jakes Lane Calverton, NY 11933 RE: 1400 Evergreen Drive, Cutchogue. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file.)$25.00 XX No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25595-Z Please contact our office on this cooperation. matter. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~IELD INSPECTION REPORT ' DATE FOUNDATION (IST) II FOUNDATION (2ND) II ~OUGH FRAME & INSULATION PER N. STATE ENERGY II II CODE ......................... flOR: '" NS CODE CALCULAIIO _ (For Non-Electric lleat) X'o Design Cr~ter~ 6,Q00 Degree'.~ays O.k. Io~F i.A. 7U°F DATED: SUBSYSTEM Exterio~. Walls (Opaque) (Opaque) skylights % Floor ~oundat£o~ Walls slab Insulation AREA 2 I/O TOTAL DESIGN REMARKS Notes.: Building Envelope Systems to'meet requirements of 7815.2 HVAC Equ].pement to meet requirements o£ 7815.11 ~VAC Systems to ,ueet requirements of 7815.1'2 Duck Systems to meet requirements of 7815o13 Ventilations Systems to meet requirements of 7815.14 Insulatiun of Piping Systems to meet requirements of 7~15.15 Service Water Heating Systems & Equlplent to meet requirements of 7815.21 Electrical & Lighting Systems & Equipment to meet requirements of 7~15.31 To the best of my knowledge, belief, & professional .~ judgement, these plans are 3. n c,,mpllance wJ_t[~ the code. 7GS-t802 BUILDING DEPT. INSPECTION [ ]]~FoOUNDATION 1ST [ ] ROUGH PLBG, UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] ; CHIMNEY DATE SPECTC /765-1802 UILDING DEPT. INSPECTION ,~/~x. [ /J' FOUNDATION 1ST [ ] ROUGH PLBG. L//¢r;~ [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765.180:~ BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING ].~JLATION FINAL [ ] FIREPLACE & CHIMNEY - ~_1 DATE INSPECTOR./ INSPECTION' ] FOUNDATION 1ST FOUNDATION 2ND ] FRAMING ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] IN/.SULATION [~-'~INAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]~ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [///~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR./~~/?///~ / ~BB 765-1802 UILDING DEPT. INSPECTION " '~G [ ] FOUNDATION 1ST [ H PLBG. [ ]~ATION2ND [ ]INSULATION [~ FRAMING [ ] FINAL [ ,~EPLACE & CHIMNEY REMARKS: DATE ~//,~.~/q ~ INSPECTOR_ ,, ........ ,~ 670 iMiddle Coqntry Road * Saint James, NY 11780 '~ ~;;'~ ~'" ~ /Tel: (631) 265-3075 ~lS CERT~ T~AT ~D PORED ~O~ t400 ~VDRGRDDN DRIVE CU~CHOGU~ ~t~f~l~gl~ti~; ~e.~ ~I~tFI. ~2~FI;r ~Ou~ide ~ Bilk 1 1 A... ARELCO ELECTRIC ,,~' ~ , P.O. BOXy213, ,, ~6 ': ~"~ ' COPIAGUE$ NY 11 1tc~3973-E WHUE-0RIGJN~PY ,~OW*M~IP~ P~.A~V ~-0~~ FORtt~O. TOI~ OF SOUTBOLD BUILDING DEPARTI4ENT TOIt~HALL SOUT~OLD, ~.Y. 11971 TEL: 765-]802 Disapproved a/c ......................... . .. · · -- · · BOARD OF HEALTH .......... SURVEY .... CB~CK ......................... SEPTIC FO1L~ .................. NOTIFY: CALL I~AIL TO: .................... _ ~ ~ ~ ~ ~ ~ (llolldl~ 3 ~ts of pl~, ~a~e plo[ pl~ Eo ~le. F~ ~i~ to ~le. ' b. Pto~ pl~ ~ l~Ci~ of lo[ ~ of ~ildi~ ~ ~s, mtaci~ip ~o ~joini~ pr~s or ¢1ic scr~[s or ~e~, ~ givi~ a ~cait~ ~ripEi~ of lay~E of pm~ ~E ~ ~ ~ ~ di~ ~i~ is ~E of als a~li~d~. c. '~ ~ ~r~ by ~is a~li~ci~ ~y ~c ~ ~ ~fore is~ o~ ~ildi~ Pe~t. d. U~ ~al of ~is a~li~ci~, ~ ~ildi~ ~cuor ~11 ~C ~11 ~ ~pt ~ ~ ~s a~il~le for i~Ci~ e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rr for ~ ~ ~[~er ~[il a ~r~ificaEe of ~m~ ~11 ~e ~n ~C~ ~ ~ ~ldi~ ~or. ~I~ IS ~ ~ Eo [~ ~itdi~ ~nE for ~ildi~ ~ ~ of ~ T~ o¢ ~1d, ~ffolk ~, ~ Yo~, ~ o~r a~li~le ~s, ~i~s or ~la[i~, for ~ ~Ei~ of ~ildi~, ~iEi~ or a1[eraCi~, or for ~ or ~li[i~, ~ ~min ~ri~. ~ appli~ ~s ~o ~y ~ ~1 ~li~le l~s, ordi~s, ~ild~ r~laci~, ~ Co ~i~ ~ri~ i~tors ~ ~s ~ in ~ildi~ for ~s~ i~Ei~. ...... ......... . ~ili~ ~rea of ~li~t) Stare Mm~her applicant is o~er, lessee, agent, architect, er~incer,' general co~tr~:tor, electrician, pluxber or beilde~ O neC ................................................................ (as c~ I-he lax roll or lares~ deed) If applicant is a corporatian~ signature of d~ly anthoriz~l officer. (time and title of corporate officer) l~ilders License lle .......................... Plt~oers License l~o .......................... Elecrriciar~s Li~e lto ...................... Orber Trade's License l~o ..................... !. Leca~ian of la~d m ~aich proposed ~rk ~ill be dooe .............................................................. ceun Taxl ap o. 000 secri a ....... . ........ Bleci Subdlvisic~ ..................... ?0~. Filed ~ap I~o. (~) 2. Stare existing use and occupancy of premises and intonaod use and occupancy of proposed b. Inr~ded use aM occupancy .............. ~. A-I ............. ~ ............... L Rature of work (check ~hidt applicable): ~ Building .......... Additio~ .......... Alteratio~ .......... Bepair ............ l~oeal .... ; ........1~rolttioo ............ Other ~1ork I (I)escriptioo) (to he paid on filing this application) 5, If ~lling, nud~r of d~lltng' lairs .... ! .......lk~ber of dwelling units un each floor ................ If garage, n~her of cars ...... ~ .............................. tleight . . ~ l~her of Stories ..................... Dt~nsiuns o~ s~re s~mcture vith altera~ioos or ~itioos: Froot ............... Bear ............... thi~c ........................ ~ ~r of Stories ..... ~ ............. PLOT ~r interior or ~r lot. a~ ~, ..................... (~tr~tor, ~nt, :o~rate officer, etc.) of ~d ~r or ~rs, ~ is ~Iy mt~ri~ to ~rfom or h~ ~rfo~ tim ~id ~ ~ to rake ~ file this HELENE D, HORNE Notary Pub. Ilo, State of New York No. 4951364 Qualified In Suffolk County Comm~a$io~ Expkes May 22, (Signature of Applicant) / ? / ~..6¢44-00 \V I-10T ¢_.. lV~.AP. Q LP TIlE ~/OODS AT C UTCI..tOGLIE VllUEYAItD t , i I FOf'~ r~ ~ou~ FILED: AT CUTCHOGUE TOV, IM OF SOUTHOLD SUFFOLK COU IqT¥, I000- I0~- 01-4-.10 VlklEYAED DRIVE C~ -,~,r~N'~ ,,.~f:f:f:f:f'~m LOT ,10 ,TI...IE ~00:P'5 AT CUTCI-IOGUE. AT CLITCHOr~ UE, TOWN OF' ~,OUTHOLI~ SUFFOLK CC)LINT'f, $. C.TI: A4 ~ I000- 10'7..