HomeMy WebLinkAbout25628-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPART~NT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26826
Date: 12/10/99
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 6590 ALDRICH LA MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 120 Block 3 Lot 8.4
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 8, 1999 pursuant to which
Building Permit No. 25628-Z dated MARCH 19, 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 GARAGE AND COVERED FRONT PORCH
AS APPLIED FOR.
The certificate is issued to FABMVEU ASSOCIATES
(OWNER}
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-99-0041
ELECTRICAL OERTIFICATE NO. 31717
PLUMBERS CERTIFICATION DATED 10/06/99 WARREN KEANE
12/07/99
11/17/99
Rev. 1/81
FORM NO. 3
TOWN OF $OUTHOLD
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. 25628 Z Date MARCH 19t 1999
Permission is hereby granted to:
FARMVEU ASSOCIATES (GREENBRIAR)
MAIN ROAD
CUTCHOGUEtNY 11935
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR
GARAGE AND COVERED FRONT PORCH AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 120
pursuant to application dated MARCH
Building Inspector.
6590 ALDRICH LA
MATTITUCK
Block 0003 Lot No. 008.004
8 1999 and approved by the
Fee $ 510.40
Authori~e~ ~'igna~m~e
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Thi~ 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 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 i% 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 a'
'!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 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 t~ accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing 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... ~ .~./..~f .......................
New Construction ...... ....;Old Or Pre-existing Building .................
.
Location of Property ................ c; ....................................................
House No. Street -~ Hamlet
Onwer or Owners of ~roperty .......................................... . ...........
ty Map 1000 '' '
Court Tax No , Section ........ ock ........ ~o~ ...............
.~./~..~?~--~ /~z~--~ Filed Map .~..~.~..~. Lot . .~.. ·
Subdivision ......
Permit No...........,...~ >~ ~ .Date Of Permit..?>.~:~. ·~. ...Applicant~-~/'~'- '~' '~' '~' '~V'
Health Dept Approval Underwriters Approval ·
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
, ,, ............................ : ..... .
414 Main Street
Port Jefferson, N,Y. 11777
Phone (516) 928-4456 Fax (516) 928-95zl3
To: Mr. Vedty From: Edc Nicosia
Southold Building Department Pages:
Phone: Date: 03/29199
Re: Bossano Residence CC:
[] Urgent [] For Review [] Please Comment [] Please Reply [] Please Recycle
· Comments:
Revised plans to reflec~ required light and ventilation in mas~er bedreore.
Town H~,[I, 53095 Main Ro~,d
P. O. Box 1179
Southold, NewYork 11971
Fax {516) 765-1B23
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No.
Owner :~ C--~C.~/W~/~g/'~
Plumber:
(please print)
(plea'se 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
Notary Public, ~ County
HELENE D. HORNE
NOtary Pu, b. lic, State .of. New York
Comm~s.eion
Su~k Court
May 22, ~ /
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTON AVENUE
EAST PA TCHOG UE, NEW YoRK 117~2
(516) 286-6642.~
DATE: 11/17/99
VII2MGE: Mattituck
ADDRESS: 6gOB Alr/~it~b Lam*
IS,qUED TO: GreenBriar Homes
. 31717
APPLICATION No. ON FILE
Southold
Zar Electric ', ~ ~ ~ ' I2C N~:
was examined on 11-17-99 and found to be in comphance wth the National Electrical Code
LOCATION: Base.. x 1st ,x 2nd X 3rd Atitc ,
Dat. Garage Hot Tub Pool
S~rTCHES RECEPTACLES FIXTURES HEATERS FANS G~F.L ~ COND,
38 46 28
DISHWASHER DRYER CLOTHES WASH. GAIL DISP. RANU~E OVEN ~OKEDETECTOR
X 1 20 amp 5
FURNACE OIL OAS CIR, MOTORS BELL TRAN. SERV1CEDISCONNECT
x 3f x
x 200oh
OTHER
EQUIPMENT
outside residence
1 nicro 20 amp~2 ac outlets/
BUILDING PERMIT No.
BLUE ORIGINAL YELLOW COPY
PINK COPY OFFICE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
ROUGH PLBG.
FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR/.~'~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ I,~NSULATION
] FINAL
DATE (~/-~/(~ INSPECTOR /~///~
765-'"802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ .~~OU~H PLBG,
[ ].~NDATION 2ND [ ]INSULATION
~/]".~ING [ ] FINAL
FIREPLACE & CHIMNEY
REMARKS:
765-1802
BUILDING DEPT.
JNSPECTION
FOUNDATION 15T [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
DATE
/ INSPECT~~-~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [
[ * ]~FouNDATION 2ND [
ROUGH PLBG.
INSULATION
[ ] FRAMING
[ ] FINAL
[]FIREPLACE&CHIMNEY
DATE
INSPECTOR
)UNDATION ~
BOARD OF REALTN ...............
FORM NO. I 3 SETS OF PLANS ............ :--
TOWN OF SOUTROLD SURVEY ........................
BUILDING DEPARTMENT CHECK .........................
..... .M.t~)__G, DEPT.~ TOWN HALL SEPTIC FORM ...................
~WN OF $OUTHOLD
~ ...... SOUTROLD, N.Y. 1197 I
TEL: 765- 1802 .NOTIFY:
CALL..... ............ .
,0.f nil TO: ....................
Disapproved a/c .................................. ' ......................
.... iBuilding Insp~r~'~ .....
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. 'this 'application mast be completely filled in by typewriter or in ink and setmitted to the Building Inspector ~
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan shoaing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of property n~mt be dra~n on the diagram ~hich is pert of
this applicatian.
c. The work covered by this application my uot be cc~esced before issuance Of l~ilding Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be l~pt on the premises available for inspection throughont the work.
e. No building ~hall be occupied or ased in ~hole or in part for any purpose ~i~atever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATICN IS ~ ~ to the Building Depar~nt for the issuance of a Building Pemnlt pursuant to the
Building Zone Ordinance of th~ Tow~ of Southold, Suffolk County, New York, and other applicable La~s, Ordinauces or
P~gulations, for the coastroction of buildings, additions or alterations, or for removal or demolition, as herein
described. The applicant agrees to c~ply with all applicable laws, ordins~s, building code, .housing code, and
regulations, and to ntlmit anthori~d inspectors on premises and in boi~h~g/for necessary~j~fspec/~toos. ~
, ...............
(Signature of applicant, or~ _n~, if a corporation)
..... ~ ................ ~.: ..... .~. .................
(Nailing ~,taress of applicant)
State wbeth~r applicant is o~er, lessee, agent, architect, engineer, general con.tractor, electrlcian; plumber or build
(as on the tax roll or latest deed)
If applicant is a corporation, signat~a-e of duly authori~:t officer.
(Nam aml title of corporate officer)
Builders License No ......................... ·
Plug0ers License No ..................
Electricians License No. 4~m°O~? ~
o~ ~'s Licer~ No ..................... m'/~z ./..4..~...~ ,EZC~/
, · '..
~ivisim . ~! ............................... Fil~ ~p ~ ................ l~t ...............
(~)
2. State ~st~ ~ ~ ~ of ~s ~ int~ ~ ~ ~c~ of pro~ ~t~tion:
a. ~sti~ ~ ~ ~ ...................................
b. ~t~ ~ ~ ~m~ .....................................................................
3. ~a~ure of work (cheek ~hich applieable): lq~ lkfilding ....... Addition .......... A~tere~ion ........ iL
l~lmir ............ llemoval l~liti~ Off,er ~
............................................. ~ ~- 0~.~ ....
(~rip~)~'
4. Esti~mt~ ~st ~ ~ f~ ..............................
(to ~ ~id ~ filing this
6. If ~i~ss, ~ai,~reial or ~ ~, ~ci~ ~ture ~ ~ten~ of ead~ ~ of ~ ......................
7. D{~nsi~s of ~{sti~ st~s, {f ~1 ff~t ................ ~ar ............... ~pth .................
I~{~{t .................... ~ ~r of Stories ........
U{~ns{~ of ~ st~e ~h alterati~s or ~itions: ~ ............... ~ar ...............
~pth ............ .. .... .. ~i~t .................... ~r of S~ories ....... .. ......
t~i~ ................ ~ ~r of 8toriea
....................
II. ~ or ~ dis~rlet in ~i~ ~i~ a~ ~t~ .............................................................
13.
lot
.....................................
15. Is fl}isp~in~ f~ofa ti~l~tlaflV ~ .......... ~ .~ .....
: ~LOT
I~ate clearly ~ disti~tly all ~ildi~s, ~r ~is~i~ or ~, aM {~{eata
~ ~r~ li~s. Gi~ at~t ~bl~ ~r or ~seripti~ ~co~{ng to ~, a~ ~
~tl~r interior or ~r lot.
....... ...............
(~ o~ {~ivi~ s~mg e~tr~ct) '
Ih is tl~e ........................... ~.~ .......... ~ ..........................................................
(~trsctor, a~nt, or.rate of[~eer, etc.)
i
o[ ~id ~r g ~rs, a~ is ~ly ~thor/~ to ~rfom or h~ ~r[o~ tbe ~id ~& ~fl to ~ke a~ file this
that the ~rk will ~ ~rfo~ in thd m~r ~t forth in
JOSNo FRMV-2 TAXI.D. No 1000-120-03-8.4
LOT 23 LOT 22
WELL IN REAR OF LOT VACANT
THE WATER SUPPLY & SEWAGE
N/F GATZ
HOUSE\ WELL\ SEPTIC
NEAR SOUND AVE
pRoPOSED WELL
LO~' 't
S-~ p, UO'~ uP'E
~*A~NN(~-f OOC~JPt~°
FF 107A
31' pRoPOSED
siNGLE FAMILY
N 24°21'43"W 51,95'
N 2B°39,16"W 46.07'
104.4
-'LEV IN ASSUMED DATUM
/' '~ 'r t~. 755.09'
~04.5
N 26°09'16"W 38'82'ALO¥:~,,~C~ LANE' [ 49.5
104,0
FARMLAND
Z
FILE MAP No. 8808 9/1~9
CERT OF CORRECTION
L 11854 P 27
L 11866 P 247
CERTIFIED ONLY TO:
GREEt
SURVEY OF: LOT 2
MAP OF FARMVEU ASSOC
MATTITUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
RVEY DATE: 2/99 SCALE: 1"=50'
DESTIN G.GRAF
LAND SURVEYOR
By DESTIN G,
73Woodiawn Road
Rocky Point, N.Y. 11778
516-821-3442
Jo8 No. FRMV-2 TAX I.D. No. 1000-120-03-8.4
LOT23 LOT 22
N/F GATZ
LO% ~
CONCFOUNDATION
-- i! 47.9'
22.4,' 39.8'
725.09'
N 26°09'16''W SS'82/kLoR~CH LANE [ 49.5
N 24~21'43"w 51.95'
N 28°$9'~6"W 46,0T
----'-----'---- FARMLAND
FILE MAP No. 8808 9/1/89
CERT OF CORRECTION
L 11854 P 27
L 11866 P247
Unauthorized alteration or addRion to th~s document is a VlOJahon of SectloR 7209
of the New York State Education Law
Cerhflcabons md~cated hereon shall run only to ~he person for whom d ~s prepared
and on h~s behalf to the Title Company, Governmental Agency and Lending
Insbtut~on hsted hereon, and to the assignees of the lending insht.tlons or
CERTIFIED ONLY TO:
GREENBRIAR HOMES tN
By DESTIN G. GRAF N.Y.S. LIC No. 50067
SURVEY OF: LOT 2
MAP OF FARMVEU ASSOC
MATTITUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
DATE: 7/8/99 SCALE: 1"=50'
G.GRAF
~ND SURVEYOR
Woodlawn Road
,cky Point, N.Y. 11778
516-821-3442
JOB No FRMV-2
TAXI.D, No. 1000-120-03-8.4
LOT 23
o ~
LOT 22
WELL
Tid E L OCA"f iON O!: :¢V;: LU:::, ',,', .-; it SERVICE
LINES, SEPTIC 'rANKS AND CESSPOOLS
SHOWN HEREON ARE FIELD OBSERVA-
TIONS AND OR DATA O,BTAINED FROM
OTHERS,
~ I~ I ~o.~' ~'~"- /~;
s ALDA~C~ LANE [ 49. ~
N 26°09'16''W 8.82' - 5 ~
N 24~21'43''W 51.95'
N 2g°3o'~6''W 46.07'
FARMLAND
FILE MAP No. 8808 9/1/89
CERT OF CORRECTION
L 11854 P 27
L 11866 P247
Unauthorized alteration or addltfon to ~his document is a VlOlctlOn of Section 7209
of the New York State Education Law
Ceri¢lcaPons red,cared hereon shall run only to the person for whom it i$ prepared
snd on his behalf to the Title Company, Governmental/Ngency and Lendin9
lnsbtutlon hstsd hereon, a~d to the asslgflees of the lending ms0tutlons or
Cop~es of th~s document not hearth9 the professional's inked seal or embossed
seal shall not be considered a valid tr~e copy,
The offsets [ or d~menslons ] shown hereon from structures to the property hnes are
for a spemfic purpose and use and therefore are not Jr~tsnded to guide the erectlOrl of
fences, retammg walls, pools, plactmg areas, add~bon to bu~ldmgs or any other
SURVEY OF: LOT 2
MAP OF FARMVEU ASSOC
MATTITUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
The existence of right of ways and/or easements of record, if any, not shown are
not guaranteed
SURVEY DATE: 11/15/99
SCALE: 1"=50'
CERTIFIED ONLY TO:
CARMEN M. BASSANO AND CARMEN BOSSANO
NORTH FORKBANK
COMMONWEALTH LAND TITLE
TITLE NO. L364470
By DESTIN G, GRAF NY.S. LIC No, 50067
DESTIN G.GRAF
~,ND SURVEYOR
Road
Point, N.Y. 11778
16-821-3442
'l
LIVIN~ A~
UNDERWRITERS CERTiF]GAI'E
DO NOT PROCEED WITH
VEY
-FRAMING UNTIL SUR
OF FOUNDATION LOCATION
HAS BEEN APPROVED.
If copper tubing is used
for weter distributing
system; piping sh~J~ be
of types K or L omiY
UNDER~'CRITERS CERTIFICATE
REQUIRED
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED ZN VV. ATER
SUPPLY SYSTEM CANNOT
EXCEED 2/'/0 of ~% LEAD,
~ROV~D AS NOTED ~
NOTII~ ~IILDING DEPAR'[MERI~'AT
?~s-~o~ g AM TO 4 ~ ~ THE
FOLtOWtI~ INSPECT~NS:
1 FOUNDATION - TWO REQUIRED
FO~ FOURED CONC~.-
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
PROVIDE OPENINGS FOR
EMERGENCY ESCAPE AS
REQUIRED BY PAR~ 714 OF
N.~ STATE BUILDING CODE.
PROVIDE ~/~ HR. FIRE
RATED SEPARATION TO
PART. 7,I.7.3 (f) (~) OF
m.Y. STATE BUILDING CODE.
PROVIDE ANTI-SCALD AND/OR
THERMAL SHOCK PREVENTING
DEVICES AS TO PART. 902.6(K)
N.Y. STATE BUILDING CODE.
PROVIDE SMOKE-DETECTING
ALARM DEVICES
AS TO PART. 721.1
N.Y.S BUILDING COOE.
PLUMBING
ALL PLUMBING WASTE
& WATER LINES NEED
TESTING BEFORE COVE~aNG
~ENEI~kL NOTE..~:
0
t~.~l~ I ~E~:~ AI~.C. HI'Ft~CT
414 Maim ~hr~, Po~ Jefferson, N.~. 11~
~055ANO ~ESIgENCE
~A~:S~/~ ~: 1/~ = 1 ~"
FOUNDATION,, 2
~00~
®
12'-2'
~00~
I FLOOR. PLANS
P^TE:9~/~ SCALE: VD" = ~'~" ] A-~
JO'B~': ~qO040 P-"L="/'~: I BY: ~
I
,~EC, TION A-A
CO.
t~LUt,4BIN~ RIDER I~IA.
NO 5OALE
~ U-VALUE~
Eric Nicosia
I~.E~ISTEI~E~ Af~,HITECT
4-14 Main ~treet. Port
Tel: (51b) q2~.-,4,45& Fax::
Ek255ANO
E~ m E~ G
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FI~ONT ELEVATION
Eric Nicosia