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HomeMy WebLinkAbout25623-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Bouthold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26630 Date: 08/13/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1625 CHABLIS PATH SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) county Tax Map No. 473889 Section 51 Block 3 Lot 3.6 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2, 1999 pursuant to which Building Permit No. 25623-Z dated MARCH 18, 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 FAMTT.y DWE?.r.T~G WITH ATTACHED TWO CAR GARAGE AND UNFINISHED SECOND FLOOR AS APPLIED FOR. The certificate is issued to SCOTT B AUGUSTINE ( OW-NER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0037 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 07/12/99 08/03/99 H 064715 06/21/99 K & K PLUMBING & HEATING Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25623 Z Date MARCH 18~ 1999 Permission is hereby granted to: SCOTT B AUGUSTINE PO BOX 487 BELLPORT,NY 11713 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR (UNFINISHED 2ND FLOOR). at premises located at 1625 County Tax Map No. 473889 Section 051 pursuant to application dated MARCH Building Inspector. CHABLIS PATH Block 2 1999 SOUTHOLD 0003 Lot No. 003.006 and approved by the Fee $ 471.40 ORIGINAL Rev. 2/19/98 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo Thi's application must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of ali buildings, property lines streets, and unusual natural er 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, muitiple 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 a Vpre-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, Sw~ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50,00. 2. Certificate of Occupancy on Pre-existing Building - $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-existin Building ............ Location of Property .............................................. House No. Street Hamlet Onwer orof Property . . Health Dept. ~pproval ~. .......... ~nde~rers royal ~ ...... ....... App ....... PlannSng Board ~ppro~al .................... Requesr for: Temporary Certificate ........... F~nal Cerr~caee...~. ..... Fee 8ubm~e~ed: TOWN OF' $OUTIIOLD OFFIC~ O~ ~UILDII.IG INSPE~O~ P.O. BOX 728 · TOWN 1 IA LL ~O~llOLD, N.Y. ! 1971 ~,,E R T I F ~ C A T i O M Notary Pub/i= ~SULATION PER N. Y. STATE ENER~-'Y CODE !//?~/ AFFIDAVIT Coun ,ty of Suffolk State of New York To the Southold Buildings Department I, Scott Boger, residing at 455 Willow Pt Road, Southold, NY, am the owner and builder of 8aid property on Chablis Path, Chardoany Estates, Southold, NY which has been issued a New Building Permit No. ~ ~- ~99 by the Southold Building Dept. When apply!ng for said permit, a survey prepared by a licensed surveyor indicatit~ the allowable buildable ~enveiope/ The foundation, as constructed, lolls within that allowable envelope. I plan to have a foundation survey prepared by the same surveyor to memorialize that fact. However, sinqe the surveyor has been hospitalized, he is ~nof ~ivaihi~l~:~or several weeks and the earliest I can get a replacement surveyor will be se{/eral'in6nths. In order to proceed expeditiously with the construction of the dwelling, now that the weather permits and my l~bor 'force is'available, I will ~ss~e full respon~s~blhty for correcting the location of the dwelling if it does not meet the lo~ation' requirements of the Southold code. SWORN to me this 21st day of April, 1999 Scott Boger NOTARY PUBliC, State of New York No, 480~ Quatified in SuffOlk COUn~ /: Commission Expires ~~ 765-1802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ~;;~~- ~,~:. X''~ DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST [~ROUGH PLBG. [ ]/FOUNDATION2NO [ ] INSULATION / FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE~ M~RKS: ~ ~-~-~ INSPECTOR 765-J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~/~' ~ [ ] ROUGH PLBG. [ ] IN/SULATION [ ~FINAL INSPECTOR 7sS.lso, BUILDING DEPT. INSPECTION [ ] FO~IDATION 1ST [ ] ROUGH PLBG. [ ~r~UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA~CHIMNEY REMARKS: ~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R/OUGH PLBG. [ ] FOUNDATION 2ND [~*~j~ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CH/U~INEY R~MARKS:/~~~~~ -// Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD TO: Scott Boger P.O. Box 1603 Southold, N.Y. STOP WORK ORDER 11971 YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 1625 CHABLIS PATH~ SOUTHOLD~ N.Y. TAX MAP NUMBER - 1000-51-3-3.6 Pursuant to Section 45-8 of the Code of the Town of Southold, New York, you are notified to immediately suspend all work and building activities until this order has been rescinded BASIS OF STOP WORK ORDER: FRAMING STARTED WITHOUT FIRST SUBMITTING SURVEY OF FOUNDATION LOCATION TO BU?LDING DEPARTMENT FOR APrRoVAL. CONDITIONS UNDER WHICH WORK MAY BE RESUMED: WHEN SURVEY SHOWING FOUNDATION LOCATION IS SUBMITTED & APPROVED BY BUILDING INSPECTOR. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable DATED: APRIL 21~1999 . Bou IS / / ZLDZN XNSPECT0a' (CERT. MA L) FOR: ENSRGY CODS CALCULATIONS~ (For Non-glac~ric Ileal) SUBSYSTEM Exterior: walls Glazing /~ % Doors ceiling/Roof (Opaque) Skylights % (Opaque) Floor Foundation Walls Slab Insulation TOTAL DESIGN THSl~MSL "U" RAT I NG .3z .3I 0,3' o o'~ 6 REMARKS ~]uildlng envelope Systems to'meet requirements of 7815.2 HVAC Squipement to meet requirements of 7815.11 HVAC Systems ko meet requirements of 7815.1'2 Duct Systems to meet raquireme~ts oE 7815.13 Ventilatious Systs,us to meet requiremeuts of 7815.14 ~nsulatio~ of Piping Systems to meet requirements of 7815.15 Service Water Heating Systems & Equlp~ent to meet requiremeuts of 7815.21 Slectrlcal & Lighting Systems & Equipment to meet requirements of 7815.31 To the beet of my knowledge, belief, & professional judgement, these plans are 3. n tempi.lance wtti~ the code. -FOBIiN0. I TOUNOF SOUTHOLD BUILDISG DRPARTHENT TOWN HALL SOUTII0LU, N.Y. 1197! TEL: 765-!802 Disd~Loved a/c . · ...... BOARD OF HIIALTlt ............... 3 SgTS OF pLANS ........ ' --- SURLY ..................... CNKCK · SEPTIC F01~i ................... CALL .................. HAIL TO: · APPLICATION PON BUILDING PgRIilT ' Date: ............... ,19 .... INSTRUCTIONS a. This application mst be c~wfletely filled in by t3rpe~iter or in ink and submitted to the Ihildi~ Inspector wi 3 sets of plans, accurate plot plan to scale. Fee accordi~ to schedule. b. Plot -plan si~ri~ locetion of lot and of buildi~s on premises, relationship to edjoinin~ premises or p~blic streets or areas, aed glvi~ a ~e~ailed ~esorlp~ion of la. ut of propet%7 ~ust be dra~ oa the dia~m ~hich is part of :this application. c. The work co~ered b~ this application ~ not be ccr~eeced before issuance of Buildi~ Pemit. d. Upon ~p.X~L1 of this application, the Buildi~ luspector will issue a Buildiz~ Pe~it to the applicant. Such pamlt shall be.lml~ on the ~-,.ises available for iuspection fist ~be work. e. NO buildi~ shall be occ~)ied or used in ~hole or in par~ for a~ purpose ~hatever tmtil a Certificate of 0cee~,v~ shall have bse~ ~a~ted by the l]uildi~ hmpector. AITLICATI(li IS 1]~¥ ~ ~o ~ Buildiu8 DeparU~nt for the issuance of a BuildiL~ Pemit porsu~t to the I~uildiu8 Zone Orfllna~e of ~ To~ of ~on~old, Suffolk CourtLy, li~ York, and other applicable I~m, Ordimmces or Regulations, for the ccesL-mction of buildi~ss, additions or alterations, or for reg~al or demolition, as herein a!~ses to ,~=?ly with dl .applicable la~, o.~.?am:~.._building .ced~, .h~sir~ code, and t~.~ulatices, a~l to admit 0 2/ ........ ...... .... 9.. (l~{l{r~g ~klre~ of appl{e~ot) State ~'~etber ~pplicant ~ o~r, lassee, ~e~t, ~hltect, e~g{seor, geseral ~ou£r~ctor, eleetrici~, pltm~er or bu{lde~ ..... .0..~..¥.~.~, ..................................................... o ............................................. · ' .' . <o~-~ 4 ~¢.0.~. ~. ................................... (~ o~ the t~t roll or late~t deed) / If ~plieant ~ a tozl~r~ti~, ~i~nce of 4uly ~thori~l officer. title of corporate officer) lhilders License No ........................ Plt~bers Lic,~ne No ................... l~lectricians Li_-~e No .... {~ T~'s I,ice~ No ..................... I. Incation of 1~ on ~hich ~ ~,~zk~vill be dot'me .............................................................. ' ' f' ~.~l~ l)~-r/-/- ~ou.O ,. ........ ............. ~ .............. B0use l%~mber Street ~let · ~/ ,u~,, ...... ~ ......~t ...~,~ ....... Camt~ Tax 1~_ .......... ,,1,ed No ................ .......... 2. State existi~ use and occupancy of ~,~..ises and intended use aed ~occul~mcy Of proposed comstnx:tlon: a. l~xlsti~ use aed occupancy .......................................... ,-.--., - ~ ................ b. ~d 3. ~t,re o1~ ~ork (daeck ~hid~ applicable); ~ Building .......... Addition .......... ~pth .................... ~t .................... ~r o[ 8tor[e~ ............... ~ of ~tr~tor ................................... ~rese ............................... ~ ~ ....... PLOT DIAGRAH £~cate clearly ,and dlstimtly ali Imtldin~, ~aetl~r ~ist:ing or propo~l, ~1 indic~to all set-back dhn~nsions h'a'a vt'o~rt'y lit, es. Give street: ~! block nt~bor or description ~eeordtng to d~l, ~ ~ atrc~t n~aes ~ ir~eate ~hether interior or mr lot. ~FA1E OF K¥.'W YOlk, '~B .....~..~..O...'/.~[...'.~..~/~ ........... , ...................... beitlg duly s~om, deposes and says thst he is t~ appl. ieant (t~ma of individual si~i~ contract) above ~mad, (Contractor, ~ent,; corporete officer, ere.) of.' said (x~er or c~mers, and is dutyl ~Jthoclzed to perform or have per£or~l the seid ~ork ~1 to make ~ file this applieati~; that all statements contained in this applieatlo~ are true to tJae best of his lex~ledge end betiefi and that the ~ork viii be performed to the mariner set forth ie the application filed therewith. ,9~om to ,~ r~ this Notary Publio, State of Now Yo~k No. 4961364 Ouallfied in Suff..olk County Commission Expires, May 22, THE NEW YORK BOARD OF FIRE UNDERWRITERS 8'~756~5 BUREAU OF ELECTRICITY /! ~-- 40 FULTON STREET, NEW YORK, NY 10038 Date JU~]~ 21,1999 Application No. on file 18228099/99 H {~64715 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above applicaHon number is in the premises of SCOTT BOGER, 1625 CHABLIS DRIVE, P O BOX 1603, SOUTHOLD, ~ in the following location; [] Basement [] 1st FI. [] 2nd FI. GkR/ATTIC/OUT Section 51 Block3 Lot 3.6 was examined on JU~ ~§ , 1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES OUTLETS 26 26 DRYERS FIXTURES RANGES OVENS EXHAUST FANS FLUORESCENT OTHER OTHER APPARATUS: WELL PUHP--F- 1 ~.F,C.I:-10 SHOKE DETECTOR~ -4 E R V I C NO OF CC COND, I A. W, G, PER ~ I OF CC, COND 2/0 NO, OFHI-LEG AWG. OF HI-LEG NO. OF NEUTRALS OF NEUTRAL 2/0 SCOTT BOGER 1~25 CF,~BLES DRIVE P. O. BOX 16~3 SOUTHOLD, NY, 11971 Per .~iGENERAL MANAG~ This certificate must not be altered in any manner; return to the office of the Board if irtcorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWel OF SOUTHOLD June 24, 1999 Scott Boger P.O. Box 1603 Southold, NY 11971 NOTE: Before a Certificate of Occupancy can be issued, an Engineers letter is required. 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) No Underwriters Certificate on file. XXThe check is (not on file.)$25.00 XXNo 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 # 25623-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT.