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~
"~