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HomeMy WebLinkAbout24951-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26220 Date: 01/15/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1105 AUGUST LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 53 Block 4 GREENPORT (HAMLET) Lot 44.20 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 1998 pursuant to which Building Permit No. 24951-Z dated JUNE 11, 1998 wae iesued, 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 & PORCH AS APPLIED FOR. The certificate is issued to SCHEMBRI HOMES of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-98-0070 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 24015 01/08/99 WARREN KEANE 01/13/99 12/30/98 Buildi~ InspeCt -- FORM NO. 3 TOWN OF MOUTHOLD 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. 24951 Z Date JUNE 11 98 Permission is hereby granted to: PETER SCHEMBRI PO BOX 163 WADING RIVER~NY 11792 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE~ REAR DECK AND PORCH AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 053 pursuant to application dated MAY Building Inspector. 1105 AUGUST LA GREENPORT Block 0004 Lot No. 044.020 8 98 and approved by the Fee $ 782.40 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 1. Final survey of property with accurate location of all buildings, property lines, streeta~ 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/i0 of i% 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 "pre-existing" land uses: i. 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 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 to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50,00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date ......................................... New Construction ..... ~4 ..... Old O~ Pre-existin~ g Building ............ ' Location of Property ........................................ House No. Street Onwer or Owners of Property .......................................... County Tax Map No~ 1 'i000 Section...~..... Block ...~..~. ....... Lot....~ff:.,~.. .......... Subdivision ..... ~.~ .... :..1Filed Map ............ Lot.. /.~. ................ Permit No ..~...~.~...~.~....Date'--- Of Permit .... . . ._.~. ........ ap p x ~ cant, ,--z~/~, ~..~%-~f. ~..~.¥ .~...~,-f.. Health Dept. Approval...~.~.~.....~.....~ff...~.~...Underwriters'~ ~ Approval ......................... Planning Board Approval ........................ ~,~~ Request for: Temporary Certificate ........... Final Cer~icate Fee Submitted; $(~ ~Q~ ............................ ~~i'~~ ¢o & 0 .............................. i APPLICANT Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYor~ 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD . CERTIFICATION DATE: Building Permit No. (please print) Plumber ~ ~//A.~r-~? ~ (please Print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature)~ Swor~to before me ~hZ day of · 19 ~ Notary Public, ~~.. County FRANCES INSERRA ~I~'A~y PLIBLIC, State of New ¥o~ NO. O~INS01 ~34 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 January 14, 1999 $chembri Homes, Inc. P.O. Box 163 Wading River, N.Y. 11792 Re: Bellissimo - Lot 18, August Acres To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX XX XX XX No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24951-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PA TCHOGUE, NEW YORK 11772 (516) 286-6642 DATE: 12/30/98 VILLAGE: Green?oft $outhold 24015 APPLICATION No. ON FILE ADDRESS: Lot t? 18 A u_oust Lane 1SSUF. D TO: Schembri Homes ~NTRODUCED BY: DeLa~e Electric Inc. was exammedott 12/30/98 LICNo: 4354E and foutid to be in comphance with the National Electrical Code LOCATION: Base.. XX 1st XX 2nd 3rd At~ XX' Der. Garage Hot Tub Pool ,cIWITCHES RECEPTACLES FIXTURES HEATERE FANS G.FL AIR, COND. 22 42 17 ! 1-exhaust ' 4 DISHWASHER DRYER CLOTHES WASH, GAR. WISP. RANGE OVEN SMOKE DETECTOR 1.210V 30Amp. 20Amp. 40Amp. FURNACE OIL GAS CIR. MOTORS BELL TRAl~. SKRVICEDISCONNECT 2-f 1 tammt m~'s 1 150 UG OTHER EQUIPMENT Outside, Res. : l-hood Mapli: 1000, Sect. g: 53, Block& 04, Lo~: 44.2 B UILD1NG PERMIT No. BLUE ORIGINAL YELLow COPY PINK COPY OFFICE Anthony Bellissimo 379 Wellington Road Mineola, New York 11501 Town of Southold P.O. Box 1179 Southold, New York 11971 To Whom It May Concern: We, Anthony and Marian Beltissimo, have purchased a house on lot #18 on August Lane in August Acres, Town of Southold, Village of Greenport we are willing to except the responsibility of seeding and landscaping the property. Very truly yours, ~~thyBellissimo Southold Town Planning Board FOUNDATION Ilst) FOUNDATION 2. (2nd) ROUGH FRAME & .FLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDI' Anthony Bellissimo 379 Wellington Road Mineola, New York 11501 Town of Southold P.O. Box 1179 Southold, New York 11971 To. Whom It May Concern: We, Anthony and Marian Bcllissimo, havc purchased a house on lot gl 8 on August Lane in August Acres, Towa of $outhold, Village of Grc~nporl wc arc willing to except thc responsibility of seeding and landscaping the property. very truly yours, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] F~JNDATION 2ND [ [P']F [ //~MING [ u~ FIREPLACE & CHIMNEY ] INSULATION ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] RO/0/UGH PLBG. [ ~ INSULATION ]/~0UNDATION 2ND FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~.~~_~- DATE ..... INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R~G. PLBG. [ ] FOUNDATION 2ND [ ~/]* INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~.,o>. ~:~-~ 765-1802 BUILDING DEPT. INSPECTIO~N [ ] FOUNDATION 1ST [~/] ROUGH PLBG. 76S-1802 BUILDING DEPT. ~//INSPECTION [~' ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] F/OtJNDATION 1ST [ [ ~I FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: / ~/ /__/ ] ROUGH PLBG. ] INSULATION ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING [ c~]~=INAL [ ] FIREPLACI~G~MNEY ~ REMARKS: ~~-~ ' DA~E/~~'~ INSPECT~/~ 765-~80:' BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG~.~G. [ ] FOUNDATION 2ND [, ,~.~IL~TION [ ] FRAMING ~] FINAL .INSPECT~ 765-1802 BUILDING DEPT. [ ] INSPECTION FOUNDATION 1ST [ R~~OUGH PLBG. [ ] F,~OUNDATION2ND [ ] INSULATION /~.[ .'~]/~MING [ ] FINAL FIREPLACE & CHIMNEY .-M^.KS.- ~ ~~~~~~  4 PERAd/T IPOR APPROVAL O1~ ~ROV~ ARDS OFTHE SUFFOLK COUN'~ DEPT. OF H~LTH SERVICES, EQU RED I ~ U~laulhOrlzed altoratlon or addition tO this document is a VlOta!ion ol Section 7209 ol the New York S~ate Education Law Certlhcal~ons indicated hereon shall run only to (he person for whom it is prepared and on h~s behalf to the Title Company, Governmental Agency and Lend~ng InslltUtlOn listed hereon, and ~o the assignees of the lending instlluhons or suOse- quent owners Copies ct Ih~s documenl not bearing lhe professional's inked seal or embossed sea~ shall nol bo considered a valid true copy, The offsets (or dlmenmons) shown hereon Irom structures to the properly lines are Icl a specific purpose and use and therefore are not intended to guide the erection of fences, retmnlng walls,pools, patios, planhng areas, addition to buCdlngs or any other SCALE: I '/: 40' CERTIFIED ONLY TO: By ._ DESTIN G, GRAF N.Y.S, LIC No, 50067 TAXI.D. No. I )oo- - 04 - 4.4, DESTIN G. GRAF LAND SURVEYOR 73 WOO)~)LAWN ROAO ROCKY POINt, NEW YORK 11778 PHONE (~16) 821-3442 THE LOCATION OFWELLS, WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS, Unauthonzed alteration or addstlor~ to this document is a violation ol Section 7209 ol ~he New York State Education Law, Certlhcallons indicated hereon shall run only to the person for whom it is prepared and on his behall ~o the Title Company, Governmental Agenoy and Lendln9 Institution hated hereon, and to ~he assignees of the lending restitutions or subse- quem owners Copies ol this document not bearing the profeaslonaCs inked seal or embossed seal shall not be considered a valid true copy CERTIFIED ONLY TO: , By DESTIN G. GRAF N.Y.S. LIC No. 50067 TAXI.D. No. ICc)o- ~'~ - 04- 44,~ J ~0, O0 ~R~c:.dved JAN .!. 1. 1999 SURVE OF: , J~ SCALE: ['/= ~o' DESTINO. O~ LAND SURVEYOR 73 WOODLAWN ROAD ROCKY POINT, NEW YORK 11778 PHONE (516) 821-3442 BOARD OF BEALTH ............... FORH NO. I 3 SET8 OF PLAN8 ............... TOI~N OF SOUTIIOLD SURVEY BUll,DING DEPAR~R~T CIIECK ......................... 'I'ONN IIALL SEPTIC FO~ .................. SOUTIIOLD, N.Y. 1197 [ TEI.~ 765-1802 NOTIFY ~ .................. ,~ . . HA~I, TO: .................... .... Al~r~c~, ~ 19 .... Penll ................ ' ................................... a.~ ~i~ ~t ~ ~letely fJIl~ in by tT~riter or in 1~ ~l mdelCt~ to ~e ~jjl(Ji~ Tns~etor 3 sets of ~]ans, accuraCe plot plan to scale. Fee accordin& to sche~[e. b. Flor plan ~o~Jn& location o~ lot ~ o[ ~tldl~s ~ ~[~a, mtati~dp to str~ts or areas, ~ 8[v{~ a ~cail~ ~ri~J~ of layout of pro~rCy d. U~ a~al oe ~is a~l.i~ti~, tl~ ]~lld[~ lns~ctor wilt is~ a e. m ~iiai~ ~mll ~ ~t~l or ~ in d~le or in ~rt ~r a~ ~ dmC~er ~cil a C~rri~tcate of ~.l~'rI~ IS }E~ ~ co tim Ik~ildi~ ~rt~nt [or Lira issue oi a ~ildi~ ~mit ~r~t ~o tim ~lati~s, for tl~ ~t~ti~ o[ ~ildt~, ~iti~s or alteraCi~, or f~ ~al~r ~litl~, as ~i~ ' · ..... ~~~'~'v~~~ .................. ,;" ' (St~tu~o[ a~it~t,,or~,~f a ~atto ) S:aCe ~r a~;yT~:r,' lee~, ~ent, ard,it~:, e~Bi--r, ~,~rat .(~ m tl~ tax ~i~ or ~ateaC ~) I0, II, 12, 13, 16, 15. I'~ltm'e of uork (d~'ck ~ldl eI~HcaMa)i. ~ ~lld~ ,. ~lzl~ .......... Alteration .. ........ (~ripci~) E~ime~l ~ ,, . ~ .......... ~ .............................................. (~o ~ imid ~m fllln~ tllia al~ticatl~) I~ &~lll~. ~t,*l~r o~ ~lllt~ tmlra ............ tt~t~r of (k~lli~g traits ¢~t ead~ ~r ................ If garage, t~sd~r o~ cern ...................................... Dl,~lml~m o~ ~ls~lng srn~s, l~ any: ~¢mr ................ '~ar ............... ~p~h ................. I~i~ IHmensi~m o~ ~m steerer* ~lth alteratims or ~irl~s~ Fr~ ............... ~ar ............... ' ' '"' .... m-~..2~;,T'~:~" · ..... ~~~_, ........ ~ms of ~r o~ p~l~s~ ........................... ~klrena .............................. H~m ~ .............. · ,~ o~ c~t~ro~ ................................... ~,~ ............ .~ ..... ~ ~ .............. is this p~r~ ~Ithln PLOT I}][AGRAH ~ l~ate clearly and dletlnet:ly all buildings, drafter ~[aring or pro~. ~ J~licate all ~t-I~ dl~naions ~r¢~ prolmr~y ll~s. Ol~ or~r fll~l bl~ ~fdmr or t~scriptl~ acco~lng to t~. a~ ~ street ~ma a~l indicate ~dmtlmr interior or co~r Jar. ..... ~Z ........... f?,~]~l ........................ I~inB duly ~;n~, {Isl~e and ~?s II,ac Im i~ the (~,e of i;xlividtml, signing c~ttraeC) I~ i~ the ...................................................................................... (C~ttracror, agent~car~r~te af~icer, etc.) o~ ~ld (~r or ~rn~ afKI is (~dy ~tl~rj~ ~o I~r~onn or h~e I~rfor,~l t.he ~[cl ~rk alii Lo meke ami file this al~d leeti{m; Llmt all statamnrs omta[~ in this al~}lleatkm ere tn~ to the beeE of his kt~l~ge and I~l. ief~ that th~ ~rk will I~ ~r~on~l in tbe n~;iumr ~e forth in the nppl. icntion ftl~ ~>vn lo before me U'de .... ..... UNDA J. COOPER Notary Publio, State of New York.~ No. 4822563, Suffolk County~c:~ Term Expires December 31, 19 --* = ($1g~mt:ure of ^FI)lleant)