HomeMy WebLinkAbout25638-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26731
Date: 10/07/99
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 1300 PARK WAY SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 70 Block 10 Lot 45
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 9, 1999 pursuant to which
Building Permit No. 25638-Z dated MARCH 23, 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, COVERED FRONT AND REAR PORCHES, AND ATTACHED TWO
CAR AS APPLIED FOR.
The certificate is issued to MICHAEL E. & ELLEN M. MEHR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0173
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
10/05/99
29921 08/26/99
Building Insp~or
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. 25638 Z Date MARCH 23t 1999
Permission is hereby granted to:
DONALD MCINERNEY
176 E 77TH ST
NEW YORK~NY 10021
(SCHEMBRI)
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO
CAR GARAGE AS APPLIED FOR.
at premises located at 1300 PARK WAY
County Tax Map No. 473889 Section 070
pursuant to application dated MARCH
Building Inspector.
SOUTHOLD
Block 0010 Lot No. 045
9 1999 and approved by the
Fee $ 1,008.20
ure- .-v-----
ORIGINAL
Rev. 2/19/98
ELECTRICAL INSPECTION SERVICE INC.
,? 375 DUNTON AVENUE
EAST ?ATCHOGUE, NEW YORK 11772
(516) 286-6642
DATE: 8/26/99
VILLAGE: $outhold
29921
AJ~PLICATION Mo. ON FILE
TOWN: Southold
ADDRESS: [,,Ot # 8 Parlav~v
INTRODUCED BY:
De Lane Eleclric
was examined on 8-26-99
LICNo: 4354E-
and found to be m compliance with the National Electrical Code
LOCATION: 2qd xx Attib
, xx i st xx
Hot Tub
3rd
SWITCHES RECEPTACLES FL~vTURE$ [ HEATERS I FANS G.F.L At& COND.
42 61 50 2-exhaust 6
DISHWASHER DRYER CLOTH~8 WASH. GAR. DISP. RANGE OVEN SMOKE DETECTOR
1 1-30 amp 1-20 amp 1~-40 amp 7
FUPuVACE OIL GAS CltL MOTORS ~ BELL TRA2~ SERVICE DISCONNECT
5f . ,[ 1 , ; ~mrm ,e~s , m~sE
! 200 ug
OTHER~
EQUIPMENT
1:40 amp sub panel
1-20 amp watev pump
BUILDING PERMIT No.
BLUE ORIGINAL YELLOW COPY PINK COPY oFFICE
PRESIDENT
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A, 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:
Final survey of property with accurate location of all build ~,'~%~operty lines,
Final Approval from Health Dept. of water supply and sewer ;is~~ ~S~
2 streets' and unusual natural °r t°p°graphic features' ~~~r~i
3 Approval of electrical installation from Board of Fire Und 't s~'~
4. Sworn statement from plumber certifying that the solder u n ~
less than 2/10 of 1% lead. ~ ~
5. Commercial building, industrial building, multiple resid c~ g~ il~r~u /~'gs
and installations, a certificate of Code Compliance fr
responsible for the building, om
6, Submit Planning Board ApproVal of completed site ~lan re~,,~ ..... ~Of~
B, For existing buildings (prior to April 9, 1957) non-conforming
"pre-existing" land'uses: uses, or buildings and
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 ts denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
,. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swi~ing po~l $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy 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
~ k/ Date... ~ ~.~
ew Construction.,. V n~ ~_ . . . _ ' .....................
· ..].~,f ~u ~ rte-existing suilding ..........
Location of Property..,~...~.~.~a~ .............. ~
House No. ~ ~ Street Hamlet
)nwer or Owners of Property,.~,..~...~.~.~] ~.~,~..
,ounty Tax Map No 1000, Section ........ Block ....... Lot .....
...........
,ubdzvision, . , ~
,~__.,' ~ ,~' ....................... ~z~e,d ~ap ............ Lot,,,~
.................
..................... ~ .... ~de~r~te~s Approval .........................
~ann~ng Board Approval ........................
.........
g ............. k .......
MAY 2.5 '99 02:46PM SOUTHOLD TOHM HALL 516 765 1823 P. 1
Town Hall, 53095 Main Road
P. O, Box 1179
Southold, NewYork 11971
Fax (516) 765-18~.3
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
_CERTIFICATION
(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
County
~ B, liAW~I..,~w York
STATE OF NEW YORK '~
COUNTY OF SUFFOLK] ~s:
and t:h~ol~ ~ ~ f~adiv~tl de~ihed in,
and who ~ t~m ~twe~*oin~. ~i~s. trument, and
765-1802
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ I FRAMING
[ ] ROUGHPLBG.
[ ,,/] IN~L//~TION
[/-~ FINAL
FIREPLACE & CHIMNEY
DATE ~/~/~ INSPECTOR~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ,~]/~JGH PLBG.
[ ] FOUNDATION 2ND [ /~ INSULATION
[ ] F~ING [ ] FINAL ~
[ ~/FIREPLACE & CHIMNEY- ' ~,~--* ~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION¶ST [ ] ROUGH PLBG.
[ ] FOUNDATIO~L~.!~D [ ]INSULATION
[L/~RAMIN~ [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
[ ] FOUNDATION 1ST [~'"] ROUGH PLBG.
[ ]~uNDATION~" 2ND [ ] INSULATION
~,4 .-...,~
[~']/FRAMING [ ] FINAL
[~/~'~ g] FIREPLACE & CHIMNEYL"~,~,~,'~,'~)
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ~-4RSULATION
765-180Z
BUILDING DEPT.
INSPECTION
[ ] FRAMING [ ] FINAL
[ ] FIREP~A?I~ & CHIM~ NE~Y
REMARK S. ~//~~-~
765-1802
BUILDING DEPT.
INSPECTION
[ ] Fo~o~JJNDATION 1ST [
[ F/] FOUNDATION 2ND [
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
REMARKS: ~~
] ROUGH PLBG.
] INSULATION
] FINAL
INSPECTOR~/~
765-~802
BUILDING DEPT.
INSPECTION
[ ~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE_~& CHIMNEY
DATE ~
/,
UN~ATION
REFORT
(JsT)
COheN'rS
~'DATION
(2ND)
,UGlt FRAHE &
PLUI4BIN~
{sULATIONPERN- Y- ~
STALE ENERGY
CODE ~
I1 -
II
II
II
II
FINAL
;H NO,
80UTIIOLD, It,Y,
T~I,~ 765-11102
~Oa~v O~ UgALTil ...............
sZTs OS ~Lims' ...............
CB~C~ .........................
~T~C ¥O'a.tt ...................
HOTI~¥~
CALL ..................
HA~I, ~O~ ....................
IIq$'I'RUC¥]OHS
p]~, acc;ate plo~ plan to ~ale, F~ ~ordJg to ~le.
orces, ~ 8tvi~ o ~Cu~t~ ~ripCt~ o~ luya~ uf pro.rOy ~C ,
for tl~
(St~CurS ol a~ll,~C, or ~,~f~ ~r~tt~)
.....................
....................
title o~ ~ruCe o~Eicer)
~lmtlmr Intarloe or cot'r~t' 1oi:.
'
Ila ia Lha
(C~,rracror, ~le.t,*co~Fornte ol~Elcar., ate.)
oF sn{d ~ur or ~rs, ~1 ts t~ly ~1~¢1~ ~o I~Ceonn or I..a i~r~or,~l tim ~}tl ~rk taxi to rake o~l fil. a Uti.
' LINDA J. COOPE~
N.o~ary Public, State of New York
N~
O. 4822563, Suffo,tk County.~
Term Expires December 31, ~ o~ O~c)
^ppl
J
,-,~' SCDHS ReL'-ff/'
tOT (~
194.10 ....
/
r'/'~'' R/0-98~0173
'
/
TEST HOLE
Dark brown
seedy lOlL
;endgr°wn Io~w~
Pole brown
ll~e send
SI=
~ Pule ~row~
D~ELLJW
~,,
pr*# '~
CERTIFIED TO~
MICHAEL E. MEHR
ELLEN M. MEHR
188,
AREA = 36,329 sq. ft. "
The locutions of we/Is and cesspools
shown hereon are from field observ;tions '
and or from daio obloined from o/hers.
P-"~.~--~-~~ I am familiar with the STANDARDS FOR APPROVAL
'AND CONSTRUCT/ON OF SUBSURFACE SEWAGE
'DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide fly /he conditions set for/h therein one on /he
· ~--~ permit lo construct.
SURVEY OF
· LOT 8
"MAP OF SOUTHWOOD "
LOT (~
FILED NOV. 24, 1953 FILE MAP NO. 2141
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, IV. Y.
NOTE CHANGE(~) ~oo - 7o - ~o - .~
$CAI.~: 1" = 40'
by Del~. of Health S~rvi~ NOV. 5, 1998
JAN. 5, 1999 (Addil/ons)
SUFFOLK CO[/N']"Y DEPARTM'ff/~ 0~' ~AL~ S~
~4~ FOR ~PROXCAL O~ CON~u~ON ~R A
t77
AFfOrD
FOR ~AX~U~' OF ~ BEDR~MS
P.O.
1250 TRAVELER STREET
SOUTHOL D, N. Y. 11971
98 - 337
LIC. NO. 49618
tOT (~
BEACHWOOD
' ,-,~" $CDH$. ReL~ #
LOT (~
~ , ,~,-I-"__-~-~- __
~ST ~E
~ , CERTIFIED T~ ~Ou~IO~ LDCAT~O~ ~.
~ ~rown ~ ELLEN M. ME~
~ smd
se ]~ AREA = 36,3~ sq.~
~NY~EcTioNAL TE~A TION OR A~DITION ~'O TI-II$ SURVEY 15 A VIOLATION
X'~09 OF T~E I~-W' Y. ORK $7'A TE EDUCATION LA~F~
HEREON, ARE VALIO FOR THIS M,e,P ~ COPIES THEREOF ONLY IF
tg'tOSE Sl~VA71.,ertE APPEARSHD~EON.
ApDfflO~_ LL Y'~ TO COIV~L Y F~iI.I $AI~ LAW THE TE~M 'AL TERED BY
MUST B~ t.l~EO BY/4NY~ AND ALL ~URVEYOR~ UTIL~BV6 A COPY
OF AN~I~ER ~J~VEYOR'$ t~p.. ~t~1~s ~ AS ~VSEECTEfl' ANO
~ROU~HT-TO"DA~I'E' ARE NO, IN COM~.~4NCE ~TH T~ LAFI.
a. ~. The Iocalions o! wells ~nd cesspools
sho~ hereon ore from field observations
~ ~ / from
- * and or doto oMo/ned from o/hers.
...
.... ~ ] om, ferrY, jar w?th Ibe STANDARDS FOR APPROVAL
'AND CONSTRUCTION OF SUBSURFACE SEICAGE
DtS?OSAL,,$YSTEM$ FO.,R.. SiNGLE FAMILY R, ESIDE. NCE. S.
and .~. / .2b/de bJf rite cond/flons set £orfh /hel~eln ~nd on
,~'~ perml/ fo conslrucL ·
i SURVEY OF
.r LOT8
MA~ $ THWOOD
LOT 5(~ FILED N01/. 24, 1953 FILE MAP NO. 2141
A,T SOUTHOLD
TOWN OF SOUTHOI. D
SUFFOLKCOUNTY, NY.~oo-ro-~o-,~5SCALE.. NOV. a, r'~ = 4o
JAN. 5, 1999 (Additions)
e~z~ MAY I0, 1999 ( hse u/c )
LANe _____ tc. No.
P, O, BOX 909 .
I~$0 TRAVELER STREET
SOUTHOLD~ N,Y, 11971
.. 98 - 337