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HomeMy WebLinkAbout24966-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26032 Date: 10/15/98 THIS CERTIFIES that the building NEW DWELLING 680 DUCK POND Pd). & Location of Property: 200 IHAR LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 83 Block 4 Lot 15 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 1998 pursuant to which Building Permit No. 24966-Z dated JUNE 18, 1998 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 ATTACHED GARAGE & COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to ZOUMAS CONTRACTING CORP. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0033 ELECTRICAL CERTIFICATE NO. 23175 PLUMBERS CERTIFICATION DATED 10/06/98 HI-TECH PLUMBING 10/13/98 10/09/98 Builo~-ng Inspector Rev. 1/81 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. 24966 Z Date JUNE 18~ 1998 Permission is hereby granted to: ZOUMAS CONTRACTING CORP. 18 DEERFIELD DRIVE WADING RIVER,NY 11792 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AND FRONT PORCH AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 083 pursuant to application dated MAY Building Inspector. Block CUTCHOGUE 0004 Lot No. 015 and approved by the 15 1998 Fee $ 626.80 Appillcatlon Fee 75,00 701.80 - Bu.ildin~ ln~-~ectoJ ORIGINAL Rev. 2/19/98 ~ ~,-~ ~~ Form No. 6 --- BLDG. DEPT. ., i':~ .,~~0 ~7~ '. APPLICATION FOR CERTIFICATE OF OCCUP~CY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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-c~nforming uses, or buildings and '.'pre-existing" land uses: 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 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 bnildfng $25.00. Businesses $50.00. 2. Certificate of Occupancy on P~e-existing Buildln~ - $100.00 3, Copy of Certificate of Occupancy - ~ .~5~. 4. Updated Certificate of Occupancy ~ $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,/_/~Commercial $15.00 New Construction .... ~...... Old Or Pre-existing Building ...... .~.~ ........i ...... ~/~ .... ~..~uc,.~...~ ....... ~... ~.~:.~.~:~- .... ~oc~o~ o~ ~o~=~.~. -. ~ ~ ~ ...... House No. Street Ha~et ..... Onwer or 0~ers of Propert7 ...... ' .................. Co~Cy ~ Hap ~o 1000, Sec:~o~ .............. ~[oc~ ................ ~o~,..- ................... T ,%bOg .... / ............ ~rm~ ~o...aV~f ...... ~. o~ ~ ........... ~f/f- ~ .. z~" ' Health Dept. Approval .......................... Unde~riters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ............ Final Certicate../~ Fee Submitted: ~ ............................. DATE: V]LLAGE: ADDRESS: ELECTRICAL INSPECTIONSERF1CE:INC. ISSUED I0: Zoumas Contracting INTRODGCED BK'- DgLane ~e~ct)ic lnc. $75 DUNTOJW!VENUE' EAST PA TCHOGUF',NEW [ORK 11772 ~ (516)286,:~642 ~ Cutcho~e , ~ ¢~: Lot ~ 15 Duck Pond Road ' ~ ' ,' APPLICATION No. ON FILE $outhold LOCATION: Der, Garage was exan~ned on 10-9-98 and found to be )n compliancc wlth the Na#onal ElectgicM Code X ~ ~a x "~2~a X' Hot Tub , Pool SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.F~L AIR. COND. 27 35 26 1 exhaust 4 DISHWASHER DRYER CLOTHE~WASH. G~:'DISP. ~GE O~ ~Mo~DETEC~R ['40amp 7 : ' I 3~ 20~ : ~CE OIL, ~ ~ CI& MO~ ' BELL T~N. SER~CE DI~CO~E T ~ ,, ' < I 2000H'~' ' EQUIPMENT Outside, Res. 1-hood BUILDING PERMIT No. BLUEORIOINAL YELLOWcorY rINK COrY'OFF~CE. 7o,,v,~ Hall. 53095 Main Road P.O.@ox1179 Soutr~old, New Yod( 1'i97'1 F~Lx (516) 765-1823 Telephone (5 I6) 765-i 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION ,% Owner: (please print) (b'lease print) I certify that'.the solder used ~n the water supply contains less than 2/10 of 1% lead, ' (Plumbers $ · . . Sworn to before me this ROSALIE SALEMME NOT~Y PUBLIC, S~te Of N~ Yo~ ~818 19~ County ?'lmL ,t~,S~ -~ .ON FOUNDATION (~: FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL COMMgNTS Z COMMENTS' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ROUGH PLBG. ] IN~JL~ATION ~]/FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ]/~OUGH PLBG, [ I~ INSULATION [ ]~R~I/NG [ ] [ Z.,~FIREPLACE & CHIMNEY FINAL DATE~/~~ 76~-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST []//FOUNDATION 2ND Er] FRAMING [ ] RO/UGH PLBG. [/.~j~ INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ] FOUN ATION 1ST [~j ~x,v~H~ PLBG. [ ] FOUNDATION 2ND [c./j INSULATION [ ] FRAMING [ ]FINAL [ ]FIREPLACE & CHIMNEY D ~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [ ] FOUNDATION 2ND [ [ ~F~MING [ [~'~IREPLACE & CHIMNEY ] INSULATION ] FINAL DATE ~/////~c~ 765-1802 BUILDING DEPT. INSPECTION [.. ]~I~iDATION 1ST [ [//J FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ,~~.~ d'~/~ .. ] ROUGH PLBG. ] INSULATION ] FINAL BUILDING DEPT. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~~,oS~PECTION [ 1ST [ ] ROUGHPLBG. PORN HO. I TOWN Off 8OUTIIOIoD BUII,I}ING DF, PARqMF~NT 'ro~IN IIALL ,qOUTllOLD, N.Y. 1197 I Tgi,:^ 765a- 1~02 SURVEY ........................ GllgCK ......................... 1)isepproved a c ................................. INSTRUCTIONS NOTIFY: CAI L ....... HAIl, TO: .................... · 18.D.~rt[eJd D[i . wamng Hiver, NY 11792 a. 'fids application ruaut be coepletely filled in by tTp~vrlter or in ink and md~nitted to the l~dlding Inspector ~i 3 sets o[ plans, accurate plot plan to scale. Fee according to achedule. , b. Plot plan iix~atng location o[ lot and o[ buildings on prenmi~e8, relationship to adjoining prmt~ea or lx~blic streets or areas, end giving a detailed description o[ layont o[ property mist be (Ira~n on tl~ diegran ~hlc{) Is I~rf of thi.~ appl icati~. ' c. *Ihe ~ork covered by this application may not be corseted before issuance o[ Building Peunit. d. Upon approval of this application, the Building Inspector x, il/ issue a Building l'emit to the applicant. permiC d~all be.kept on the prenduea available for tr~spectton thm~J~cut the ~erk. e. NO building dial1 be occupied or uued in *~ole or in part ~or any purpose ~lmtever until a Certificate of Occupancy droll lucre been granted by the Building lnspeetor. APPLICATII'g{ IS tlEI~BY ~1/~ to tl~ Building I~epartment for ti~ iaauance o1~ a l~uitding Femit purmumt to the Ikdldlag Zone Ordlnan~e o~ the 1~ o{~ So~thold, Suffolk County, I~ York, and other appItoable I~a, Ordi~mnces or Regulations, ~or tl~e construction of hfllding~, addittona or alterations, or for rm~uval or demolition, aa herein descril~.,d. Tl~e evplJcant agrees to ccmply with all applicable la~a, ordtnmw.~a, building ~ie, hcu~lng code, atxl regulations,~a~ to admit authoriz~l inspectors c,~ premises and in building for necessary (Signature o1~ applicant, or n~e, ii a corporation) (Nailing address o[ applicant) /t~,~/.~/17~ State vhetl~er applicant ia o~nmr, lessee, agent, arddtsct, engineer,' lgeoerat contractor, electrician, plmt~er or Ixdlde~ ................... O. ............................................. · ....................................... ~ o~ ~ser o~ prem~sea .............. -.~.~-'~ ......... ..~..~.~..C. ?..~.~..G ...... -. ........... ' ............... (as on the tax mit or lateat 1[ applicant ia a corparatlon, stgnatmre o~ duly antl.~rt~l o[[icer. (NOm~ and titl~ o[ corporate Builders I icen~ No ........ P~embe~. ueee~ ~o .......... ~Q. rg.o.. 2.(? .... Electricians l,i~ ~ ....... *..-- ........ Otber ~'s Lice~ ~ ..................... I. l~oti~ o[ lund ~ ~id~ pr~l ~rk viii ~ ~ ....................................................... ' ...... I~ ~r St~t i~et 2. State exiating u~ a~ ~ o[ preni~s ~ tnte~ ~e ~ ~m~ o[ pro~ c~stnmt{~: a. ~ati~ ~ a~ ~y ........................ ' ............... b. Intended tt~ end occupancy ............................................................ If garage, t~sti~r el ~ra, ..... l DlnenaJmm oi ~m aCne.re ~l~th alterach~a or mMi:Jona~ Fron: ............... ~ar ............... ~J' , ............... I~ar ....... ~l)th ..... ~ ...... PI,OT DIAGRAH. l~a:e clearly a~ dlatl~tly all ~[ldl~n, defter ~lattng or pro~, ~ h~tcnte all ~t-I~ dl~nsiona ~dett~r Interior or co~r lo~. [' } .............. I~inl.~ duly. sw,:)r., (lelx)selt atxl says Lhal: he j.~ Lhe applie,~lm. o~ ~aid (~er or ~ere, afxl la (hiLy ~lmrJ~ to I~rfonu or lu~e l~rfl)r,~l I,he ~l(I ~rk taxi to n~ke afxl file Ihi~ ~)lJcaCto,; that all statemnt8 ecx]ta[~ In this fllqJl, icaC[(m are thac th~ ~rk ~iL[ Im ~r~on~l In the t~um~r ~C ~orth in the appl. tcaCion ,9~)m Lo before me thia i ...~. .......... .... ~ STEmEN NOTARY P~q[ a~ ~eunty Commis ....... . ~ ' ' NOTARY P~LIO, Slate ~1 }1~ 02-RE2519~i Qualffie~ in Suffolk Counl~/~,.~,~ Oomrois,~l~n ~:~,ciros July 31, LOT AREA: 40,365 Sq.ft. LOT NO. 14 150.OO ' ~,ze~ 8 N,30' O0'O0"W/ 125.00' DUCK POND ROAD JOB NO. ~J7--269 FILE NO. SURVEYED FOR ' I FiLE~ NAP NO, 823B ~ATE 12. ~,~ ~ ~e6, LOT AREA= 40.365 sq.ft FF EL 'P¢,O 44,(2 LOT NO 14 Ld Z 0 E DUCK POND R OA D (~*~ b 0 8-34 I 6-23-1998 FOUNDATION LOCATION .~. 15' ':).6 RO¢l oEO, DWELL IANTEED ONLY TO JOB NO, ~: ~' %~ NO, W~DBI NE SURVEYED FOR LOT NO. 15 'MAP OF WOODBIN6 MANOR MANOR SITUATED AT CUTCHOGUE TOWNOF SOUTHOLD -- --- SUFFOLK COUNTY SCALE 1" = 50' DATE 7-- 23 -1997 FILED MAP NO. 8239 DATE 12- 15 - 1986 TAX MAP NO. 1000 - 83- 4-15 (REF. ONLY) DISK 17~ HAROLO F. TRANCHON JR. P.C. LAND SURVEYOR 1866 WADING RIVER-MANOR RD. WAOING RIVER, NEW YORK, 11792 516-9Z9-4695 () < ~ ~ ~ ' ~.~_ . N:390"00" O0 "W. ~25:~'0 DUCK POND ROAD ~ VACANT 9-29- 19~8 F~NAL SURVEY 6-23- legS:FOUNDAtION ,LOCAfl ON 5- 15-1998' ~V~'Eb DWE~IN'G. ~UCTU~S m i~ ~i~ ~ W~ ~ ~ ~ ~ - . ' .*~ A~ ~.* ~ Pu~- ~A~, ANO ~ ~ ~ ~ SURVEYED FOR 'MANO~ "~