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)