HomeMy WebLinkAbout25678-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26816
Date: 12/07/99
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 2100 ARBOR LA MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 121 Block 1 Lot 1.11
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 22, 1999 p~rsuant to which
Building Permit No. 25678-Z dated APRIL 16, 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 WRAP AROUND COVERED PORCH, REAR DECK AND
ATTACHED THREE CAR GARAGE AS APPLIED FOR.
The certificate is issued to JAMES MILLER JR. & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0017
ELECTRICAL CERTIFICATE NO. PENDING
PLUMBERS CERTIFICATION DATED 12/06/99 WILLIAM DOOLEY
11/24/99
12/06/99
ui- ~ in~g~i'nspect or
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
AMENDED
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25678 Z Date APRIL 16 99
Permission is hereby granted to:
T SMITH (MILLER)
2100 ARBOR LA
MATTITUCK~NY 11952
for :
CONSTRUCTION OF NEW SINGLE FAMILY DWELLING WITH ATTACHED THREE
CAR GARAGE~ WRAP AROUND FRONT PORCH & REAR DECK AS APPLIED FOR.
at premises located at 2100 ARBOR LA MATTITUCK
County Tax Map No. 473889 Section 121 Block 0001 Lot No. 001.011
pursuant to application dated MARCH 22 99 and approved by the
Building Inspector.
Fee $ 1~468.80
- : 75.00
BALANCE DIJ~ 1,393.80
Rev. 2/19/98
ORIGINAL
TOWN OF SOUTHOLD / j
' BUILDING DEPARTMENT '
./.!,/ TOWN HALL
~)~ /~ ,/ 765-1802
i ,, ,. '"i/ '
~ ~.,_, ~_ . ~ .. ~ "/ APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. T~is appti~a~ .~.~n ~3s~t bo filled in by typ~writer OR ink and submitted to the building
inspector with th~ 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 1% lead.
, 5. Commercial 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
Vpre-existing" land uses:
1. Accurate survey of property showing ali 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 de~ied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - Ne~ dwelling $2~.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 Occupancy on Pre-existimg Buildin~ - $100.00
3.Copy of Certificate of Occupancy - ' .~5~.
4.Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Resid~ntial $15.00, Co~ercial $15.00
Date ..... ............................
New Construction .... ~t~..,,,, Old Or Pre-existin~ Building .................
Location of Property ................ ~ ..... ~ ....................
House No. Street Hamlet
Onwer or Owners of ~roperty ......
County Tax Map No 1000,
..B c ............... Lot ......................
Subdivision ................................. Filed ........................
Permit No .............. Date Of Permit ................ Applicant ..... ~. ..................
Health Dept. Approval .... ~ ................. Underwriters Approval .... ~.. ................
Planning Board Approval ........................
~erticat /
Request for: Temporary Certificate ........... Final u a, ..........
OFF)CE OF THE BUILDING iNSPECTOR
TOWN OF
C~RTIFICAT !O,N
PA~E 01
:~i,!..j.'''. .,. ,.,.~., · , .. ,:., ,:: ·
, GERARD M ~NG
.... / :' . . .Note~ Public, State of New York
. . =: No. 476157~, S~ff~k County
BLDG DEPT.
r____.~TOWN OF SOUTHOLD
426 Kane Ave., E. Patchogue NY 11772
(516)286-3394 286-3394 (FAX)
P.E. License # 042377
Town of Southold
Building Department
Main Road
Southold, NY 11971
Arm: Mt. Gary Fish, Building Inspector
May 3, 1999
Re: BP # 25678
The Arbor Subdivision, Lot 3
Southold, NY
SCTM # 1000-121-1-1.11
Dear Mr. Fish;
In accordance with the request of Mr. Raymond Dickofl~General Contractor for the above
referenced new residence, I have reviewed the saabstitution of three cheek walls in the rear
foundation wall and two cheek walls in the/~ont foundation wall for the piers specified on the
approved plans. It is my opinion that this substitution is acceptable in this case, as the cheek walls
serve the same support function as the specified piers.
Should there be any questions regarding this matter, please do not hesitate to contact me.
~.~.~Respectfully ~bmitted,
l~reoerlcK 1,1 , . .
Cc: Mr Raymond Dickoff
P.O. Box 696
Aquebogue, NY 11931
THE NEW YORK BOARD OF FiRE UNDER'WRITERs
1195099 BUREAU OF ELECTRICi'I:~t,,' ,,i ',:, ~ ,, ~;, ,,
~ 40 FULTON STREET. NEW YORK~ Nyc,fo038;' :, :, ,~,,
D~te DECEMBER 10 1999 ~i~.ao. No o.~1. ~8514099/99' ." N 509333
THIS CERTIFIES THAT PE~T NO. 25678 ~ .~:~ ,. ,, :~ ~. ~
only the electrical equipment as described below and introduced by the applicant name~ r~ ~h~ ~0~' qp~ica~ ~mbey i$ i~ the premises of
MR. MILLER, ARBOR LANE, MATTITUCK, NY
in the following location; [] Basement '[] 1st Fl. [] 2nd Fl.
was examined on DI~CEHBtlR 06,1999
GAR/ATTIC/OUT 'Section Block
and found to be in compliancq with the Natiottal Electrical Code.
FIXTURE
OUTLETS
6'7
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDER~ SPECIAL REC'PT. TIME CLOCKS B~!.~ L~NIT HEATERS
SERVICE DISCONNECT I NO. OFJ S E R' ' .:'Vr , ':' I ' o'~,C
2 ~50 CB 1 X 2~ 2/ "c'' ~ ~ ',' '~
109 ~ 67 FIXTURES RANGES COOKING DECKi ,OVENS I DISH WA~SHERS
RECEPTACLES SWITCHES66 INCANDESCENt FLUORESCENT OTHER %MT. K.W. ~AMT...~ '~r*K'W' ~ ' .7e'zK'W' MT.~ K.W.i,~
WELL PUMP- 1
WIRPOOL BATH- 1
AIR CONDITIONRS-4
3 1/2 TON-2
2 TON-2
MOTORS~2-3.5 H.P. ,2-2 H.P. ,4-~
PANELBOARDB~4-1 CIR. 60
G.F.C.Ir-10
SMOKE DETEC~OR~ -8
~ot 3
<<< Continued on Page 2 >>>
MULTI-OUTLET
SYSTEMS
NO. OF FEET
E
NO2OF NEUIRAL$
EXHAUST FANS
DIMMERS
1/0
This certificate must not be altered In any manner; return t,o the office of the Board if I~n~orreot: Inspect0rs ruby be identified by their credentials.
COPY FOR BUI,LDING DEPARTMENT. THIS COPY O,~ CERTIFICATE ~S~; NOT,: .B~ '~TE,~ED IN ANY~ ~ANNER. i v
OF NEUTRAL
THE NEW YORK BOARD OF FIREU,NDERWRITERS P GE2
1195099 * BUREAU OF ELEDTRIC!'~r~':?, . ~: '~ ': ":
Date DECEMBER 10,1999 Application No on file 1'8~i409~99:' *-'~ N 509333
THIS GERTIFIES THAT PE~T NO. 25678 ~/ ~'~ , ~. ~
o.ly the elec~cal ~quipment as described be~w a.d i.trod.ced by the applicant .am~d o. the abo~e gppHcafio, number is i. the prem~es of
~. MI~R, ~OR ~E, ~TTITUCK, ~ *
was examined on DECE~ER ~6,1999 and found to b~ in comp~nce ~th the NaHonal Elec~cal Code..
EXHAUST FANS
DRYERS MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT UNIT-HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R . ~V , ! ~ '~, C E
pER · OF CC CQN~* ' . pF~II-~G , ~' OF HI-LEG
NO. OFNEUTRAL$
OF NEUTRAl*
JIM SAGE ELEC. INC. LIC.#3635
PO l~OX 38
GREENPORT, NY, 11944-0038
11GENERAL MANAGER
This certificate must not be altered In any manner; return fo the office of the Board if, ncorrect.'{nspector~ mdy be identified by their credentials.
and are not to be used for selection of heating system.
SUMMARY OF TOTAL THERMAL RATING
If the Total Thermal Rating is zero (0) or greater, the proposed
design for the building envelope complies with the Energy Code.
A. ROOF/CEILING
~ THERMAL TABLE
AREA U-VALUE RATING USED
B. NET WALLS
D1.
D2.
D3.
GLAZING
Window
Window
Skylights
FLOORS
BASEMENT/CELLAR WALLS
Wall Perimeter
Exposure Above Grade
Wall U-Value
Depth of Wall U-Value
Below Grade
SLAB INSULATION
Slab Perimeter
Insulation R-Value
INFILTRATION CONTROL
Conditioned Floor Area
SOUTH FACING GLAZING
South Glass/Total Glass
Gl. Area/Gross Wall Area
Conditioned Floor Area
Feet
Feet
Inches
Feet
Sq. Ft.
Percent
Percent
Sq. Ft.
TOTAL THERMAL RATING~' ~_~<~Z>~
.Th.e. Engineer certifies that to the best of his knowledge,
belief, and-p~ofessional judgement, these plans, are in '
compliance with the New York State Energy Conservation ~e
as amended effective 3/1/91. ~]~.~~~" ~
ILDING DEPT.
SPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[/~J~NDATION 2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~ o-.~'~
DATE~~
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ~OUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE &CHIMNEY
REMARKS·
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ~ROUGH PLBG.
[] ~U~NDATION 2ND [ ] INSULATION
[~'F/~'IlNG [ ] FINAL
[,~IREPLACE & CHIMNEY
REMARKS'- ~f~d-~ --~~ ~
' L,/ /
765-1802
BUILDING DEPT.
INSPECTIO/N
N:;;
~ [~/] FRAMING [ ] FINAL
[ ] FIREPLA~,~ & CHIMNEY
~ .,,,~,.,~ /L_
DATE ~///~ INSPECTO~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ~] FRAMING [.~C
[ ] FIREPLACE & CHIMNEY
INSPECTOR
JELl)
OUNDATION
REPORT
DATE
COI~EI~S
0UNDATION
(
OUGH FP, AI~ &
lr~u~BING
[NSULATION PER N. Y.
STA~ ENERGY
CODE
II
ADDITIONAL COI~IENTS:
YOIL~I ~0. I
TOI~I OY sOIrl~IOLD
BUILDING DEPARTI4ENT
TOI~I BALL
SOI1TItOLD, N.Y. 1197 I
TEL: 765-1802
Disapproved ale ...................... .. · · .. .- ·
APPLICATION YOR BUILDING PERIilT
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORI4 ...................
NOTIFY:
CALL. ............ . . . . .
application must be cc~pletely filled in by t-l~e~iter or in ink and antanitted to the Building Inspector ~it
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan sh~in8 location of lot and of buildings on promises, ~elationship to adjoining pr~Mses or public
streets or area, and giving a derailed description of layout of property mint be drann on the diagram ~hich is part of
this application.
c. The ~ork covered I~F this application my nor be camenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Penuit to the applicant. Such
pemit gaall be.kept on the premises available for inspection thronghonr the
e. It> building ~ha11 be occupied or used in ~ahole or in part for any purpose ~ahatever tmtil a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICttTI(It IS II~t ~ to the Building l)eparumut for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of ~ To~n of Southold, Suffolk Count'y, ~ York, and other applicable La~s, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for r~noval or demolition, as herein
described. ~rbe applicant agrees to cc~ply with all applicable la~s, ordinmmee, building code, housing code, and
regulations, and to aa~i t anthorized inspectors on Premises ond in buil~ ne?~.f~o~i°ns -
...... , ....................
(~(ig~ature of appllcamt, or name, if a corporation)
State ~aether applicant is oaner, lessee, agent, architect, engineer,' general contractor, electrician, plunher, or builder
.....................................................
of of pr see .... gi.i.iJ.. .F.. .....................................
(as on the tax roll or latest deed)
If applicm~t is a corporation, signature of duly authorized officer.
(ltame and title of corporate officer)
Pit,abets .License No ..........................
Electrie~tms License No ...................... /
~ ~r -- St~t
(~)
d
3. I~ture of ~ork (check ~tid~ appiic~ble): Ne~ l~ilding .~ ..... ~iti~ .......... Alteration ..........
4. Esti~mt~ ~st ' ~ f~ ...........................
If ~rage~ ~r o[ ~r~ ......
7. Di~nsi~s of ~isri~ st~s, if ~: ~mt ................ ~ar ............... ~pth
I~i~t ......................... ~ ~r o~ Stories ......................
Dim~i~ of m st~ ~th alterati~s or ~itio~: ~nC ............... ~ar ...............
8. Di~nsi~ of entire ~ ~st~tia~: ~ ............ ~ar ...... ~p~ ......
......................... I ~r of Stories .....................
~ of ~dt~t ~ ~ress
PLOT
I~ate clearly ' ' '
&~r interior or ~r
RFA1E Ol* Ixl~ YOI1K,
SS
12ClllglY (~ ......................,
.... ........
(Nan~ of indlvidtuff slgnlt~ contract)
abov~ r~ed,
.. ~../7.~ .......... I~ing duly m0orn, depots and says tsar tm is tlr appl. i~nt
t~r.e of Applicant) .
Ile is the ...................
(Contrsetor, ,~eot, cor~rate officer, etc.)
of uaxd miner or o~n~rs, nnd is ~ly ~tl}orz~ to ~rfom or h~ ~rfo~ tim ~id ~ m~ to m~ ~ file this
a~li~tlm~; ~at alt stat~nts c~tai~ in
~,~ PublI~ Stele of
4962246, ~uflMk
Term ~l~ June ~
.ARBOR LANE (50')
PECONIC LAND TRUST
N 59"27
\
\
?~o~ #6
· ~86Z ae?e
225906'2963%~ ~
L=I
54.14'
408
P.O. ~ 801' ~a~;i Mortche~, N'Y 11940
"E
ARBOR LANE
(50')
N 59°27
PECONIC LAND TRUST
L=I
0
54.14'
119.52 '
/ ~' .... ~:~9~'._,,..
'/
/
· 1861 acres
225906.2963 sq
~c ~ ~s~ 408.29 '
~.0. ~o~ 801' E~.~ Mo~4¢~, NY 11940
B~E
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