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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 J