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HomeMy WebLinkAbout24979-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26258 Date: 02/03/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1200 WILLOW DR GREENPORT (house NO.) (ST~ET) (m~LET) County Tax Map No. 473889 Section 40 Block 2 Lot 6.7 Subdivision Filed Map No. Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 1998 pursuant to which Building Permit No. 24979-Z dated JUNE 26, 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 TWO CAR GARAGE & FRONT PORCH AS APPLIED FOR. The certificate is issued to SCHEMBRI HOMES INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-97-0041 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 02/02/99 WARREN KEANE 01/27/99 23938 01/28/99 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. 24979 Z Date JUNE 26~ 1998 Permission is hereby granted to: SCHEMBRI HOMES INC. PO BOX 163 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 040 pursuant to application dated MAY Building Inspector. 1200 WILLOW DR GREENPORT Block 18 1998 0002 Lot No. 006.007 and approved by the Fee $ 472.20 Application Fee + 75.00 547.20 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, 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 '7pre-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 building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 7. Date ......................................... New Construction ....... Old Or Pre-existing Building ............... Location of Property ...................... .~. ~ [[~.~ ~. i~.~.. }louse No. Street Hmmlet Onwer or Owners ofProper ty ........................ ~__~2~~,1..~. · ./~ ................ ................. County Tax Map No 1000, Section .... .~7l.~... Block....~... .Lot. ~.'~ Sub divis ion... ~.~_. ~4~.G~..~. a~~. ~ . . ........ ~ ~. ~Filed -- ~ ~ Map ............ Permzt No ...... .~ ........ Date Of Permmt ................ Applicant .............. Health Dept. Approval .................... lJnderwriters Approval ......................... Planning Board Approval ........................ ' Request for: Temporary Certificate ........... Final Ce~ticate.. Fee Submitted: $ ............................. ~///~ Co Z2 5 " " .......... > ....... DATE: 1/28/99 ELECTRIC INSPECTION SER ViCE JNC. 375 D UNTON A VENUE FM~ PA TCHOGUE, NEI~ YORK i17 72 (516) 286-6642 23938 · :' , A~PLICATION N% O~Z VILLAGE: ADDRESS: ISSUED TO: INTRODUCED BY: LOCATIO]~' GreenPort, Lot #5 I~ llow Drive Schembri Homes Southold DeLane Electric lnc. · : ~ £~C ~o: 4354E was exammcd ~n 1/28/99' and fouh~ to be i~ bompliance with the Naiioi~aI Etectrtcal Code Base.. X!C 1st ;OC 2nd Xoc 3rd ~4tttc DeL Garage Hot Tub ' Pool SWITCHES RECEPTACLES. FIXTURES HEATERS F~S : O.f~L ~ COND. 16 '35 21 . ~ DISHWASHER DRYER EZOTHESWASH. 'G~. ~ DI~. ~ ~GE OVEN' ~O~D~ECTOR 1 30Amp, 20AMP. ~ 40~ ~ ~ ~ACE OIL ~S CIR. MO~ ~ BE~ T~ SER~CE DISCONNECT~ I I50 UG OTHER EQUIPMENT OutMde, Res 1-hood 1-oil burner t000, 8eot.#: 40, BlooM4'2, LOt#: BU1LDING PERMIT No, BLUE ORIGINAL YELLOW COPY SUFFOLK COUNTY WATER AUTHORITY 624 Old Riverhead Road, Westhampton Beach, N)( 11978-7407 (516) 288-1034 Fax No.: (516) 288-7937 1/22/99 SUFFOLK COUNTY DEPT OF HEALTH COUNTY CENTER RIVERHEAD NY 11901 GENTLEMEN; This is to certify that the Suffolk County Water Authority has installed Public Water Service at the following location: Lot 5 Willow Drive - Greenport A water meter was installed on: 12/22/98. Very truly yours, SUFFOLK COUNTY WATER AUTHORITY Ronald P. Blake Regional Manager RPB/ak BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~] IN~ [ ] FRAMING [ c]--'FINAL [ ] FIREPLACE & CHIMNEY~ ,~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FIREPLACE & CHIMNEY REMARKS: ///~ ~ ..... 7~S-tfJ02 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] II~JL~ON [ ]~FINAL [ ] FIREPLACE & CHIMNEY DATE FOUNDATION COMMg~T£ FOUNDATION 2. ROUGH FRAME & .FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS - ~.~ ~.'~ Town Hall, 53095 Main Road P. O, Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION (pleaSe print)- Plumber: ~j~ ~'~ ~.6~ W (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( Plumb'ers Signature) Sworn to before me this Notary Public, ~ County HELENE O. HORNE Notary Public, State of New York No. 4951364 Qualified in Sul~olk County Commission Expfres May 2l, 19 EDWARD FORRESTER Director of Code Enforcement BUILDING DEPARTMENT TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 January 27, 1999 8chembri Homes, Inc. P.O. Box 163 Wading River, NY 11792 RE: 1000-40-2-6.7, 1200 Willow Drive, Greenport. 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 No Underwriters Certificate on file. XX The check is (not on file.)$25.00 XX No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24979-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND ,*3"-FRAMING [ ]~FIREPLACE & CHIMNEY [/-~]~INSULATION [ ] FINAL 765-1802 BUILDING DEPT. [ ] INSPECTION FOUNDATION 1ST [ ~ROUGH PLBG, [ ] FOUNDATION2ND [ ]INSULATION [ ~RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DAT /~ ~ 7~ INSPE~OR 765-1802 BUILDING DEPT. INSPECTION [/] FOX'ON 1ST [ ] ROUGH PLBG. [~'~'J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLAC.~& CHIMNEY 765.1802 BUILDING DEPT. F~OU.INSPECTION DATION 1ST ] ROUGH [ [ PLBG. [ ] FOUNDATION~ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTION ~OU~DA~O~ ~S~I~'~'6~ P~a.,~ I~ I ~DA~IO~ ~D I ~.~su~A~o~ [~]~R~ING ~ [ ] FINAL /~FIREPLACE & CHIMNEY,/~¢.~ REMARKS: /~. ~.~,~/. ,~..~--~,u~ DATE 7¢~ INSPECTOR_ FORH NO. I TOWN OF SOUTIIOI~ '- '[O~H IIALI, SOI{TIIOLD, N.Y. I {9? { I) i .approved~ a/c .' ................ BOARD OF BBAL3'H ............... 3 SBTS OF PLANS ............... SORVBY ........................ CH~CK ,.,, ..................... S~PTIC FOREI ................... BOTIPY: CALL .................. HAll, TO: .................... Date INSTRUCTIONS e. 'ibis application ut be co~letely filled in by CT~ri~er or in i~ ~] md~itC~ to d~ hdldin~ Tns~cLor ~i 3 ~C8 o~ plu, acetate plot plan to ~ale. ~ ack'iq to ~kfle. h. Plot pl~ M~iq l~tim o( 1o~ ~ o( hildi,~ m ~mi~8, .18ti~dp to Mjoiniq p~i~9 o~ p~flic str~8 or are88, a~ 8}viq a ~tB}]~ ~ripCim~ o[ 18y~]C o[ pro~rty chi8 a~fl icBCi~. d. U~ a~ual o[ rids a~{,{CB~{~, tim ]~ild{~ lns~cCo[ x, il{ {6u 8 hild{q ~em}C to tim 8pplicanC. l~h ~miC ~mll ~ kept ~ ~m i.~o~8 ~ail~]e ~or i,8~tt~ th~t tim turk. e. ~ ~iidi~ ~mll ~ ~p{~l or ~ in ~le or in ~r[ for ~y ~mll I~e I~n ~c~ by ~m ~did{~ ]ns~tor. ~,I~TI~ IS t~ ~ Co CI~ Ik]i]di~ ~rt~n~ for tim issue ~la~i~s, for ~lm ~ci~ o~ hfildi~, ~ici~s or al~mraci~, or for .~,~al or ~llti~, es ~min , · ..... ~.~.: ................ (Si~tur~ of 8~li~t, pr~, ii 8 co~8tion) ...... ...... (~ilt~g ~mss of ~1 tcont) SLate d~r ~canC is ~.r, ]es--, ~ent, 8rchi~C, en~i~r,'~e[mrai c~--Cor, el~Crician, pl~.r or Ixli,de ..... /~ .................. .: ......... v', ............ ~ ........................................ Y., ...................... ~o ~E r of ~t ~s ....... ~..~.~ ~Z% ..... ~.~ c ....... ; ............................ . I~ a~ , sz~e of duly ~lK)r]~l o~iicer. .. ............ and title of corporate oeficer) 8, I¢). 12. 14. 15. ·*ture o[ ~otk (d~.k ~liidl Sl~[icflbl~)~ ~ Iluildifl§ , .......... ~iti~ .......... Alteration .......... mir. ......... .. ~zl ..., .......... ~ .......... 0fl~er ~ ~ ~ (~ripti~) Es~im~l ~sc . ~,..../ ....... ~ ......... ~ .............................................. ~ / (~o ~ imid ~ filing this al~llcaCl~) garaSe. ~Md~r o~ ~rs .... ~ ............................ ~ l)lnensi~m o~ ~m ztn~mre ~ ~h alterati~s or ~l~lons: Fr~ ....... ~-~.,-~-~ar"-% ....... ~ ............ ~ ~~.~... ~*e oe Ard,lt~t .................................... ~lreaa .................. ' ............ H~ ~, , ............. PI.OT DIAC, liAH ~ ~.11 buildings, ~lmtlmr axial:tag or proposed, and ir~llcate all asr-track dimensions I~cate distinctly (xxmrY .~ .................... i ................................. ~ ..................... I~{n~ duly ~)rn, delX~s (C~tractor, nsent,~cor~rnte o~[eer, etc.) o~ .aid (~r or ~rn, taxi in (hflyl~LlmrJ~ ~o i~rfonn or h~we l~rfor,~l the ~id ~tk ntRJ tO rake aTxl fll.e Ih i~ ti*at th~ ~rk ~ltt I~ ~r[on~l iff tllm ,~at~r ~t forth in the n~l. ientt<,l flJ~ tl~r~t~. LINDA J. COOPER N~e~ Publio, SMle~f NewYo~ , T~rm Expires De~m~r~, ~ ~ WESTWOOD LANE ~uo,: WILLOW~iox, DRIVE I :Z. . (PRIVATE ROAD) ~'°~ THE WATER SI!PP[H & SHWAGE ~1,,., 0 ........... DEPT. OF HPiLTH bERVlOES. ~ ~, o SUFFOLK COUN1Y DEFer. oF H~LTH ~ERV~ C~S FOR APPROVAL OV , . o . .. . CERTIFIED ONd TO: DESTiNO. GRAF N.Y.S. UC a; ~d )67 ~ ;J¢~ 5 TAX I.D. No. 1000-40-2-6.7 WESTWOOD LANE ~rr Wll_.l_©W DRIVE '~ (PR)VAT£ ROAD.) ~ 1J78,51' LOT 5 NO2'I7'IO"E ~25.00' N/F MORRISON ~ .......... MAP OF HOMEST~D ACRES CERTIFIED ONLY TO: / , ~' TAX I.D. No. 1000-40-2-6.7 WESTWOOD LANE CL.:Z. ~ L~785~', --3z.6 NO2'I7'10"E 125.00' TH E LOCATION OF WELLS, WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS. ~/F MORR~ON SURVEY OF: LOT 5 MAP OF HOMESTEAD ACRES DATE: 2.(~.'~1~:~ SCALE: 1"= 40' DESTIN G. GRAF LAND SURVEYOR