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Home My WebLink About24991-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26223 Date: 01/15/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1515 PLUM ISLAND LA ORIENT (~OUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 5 Lot 5 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 27, 1998 pursuant to which Building Permit No. 24991-Z dated JUNE 30~ 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 & WOOD PORCH AS APPLIED FOR. The certificate is issued to SCHEMBRI HOMES, INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-97-0167 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 24215 12/11/98 WARREN KEANE 01/13/99 12/30/98 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. 24991 Z Date JUNE 30 98 Permission is hereby granted to: HOMES INC SCHEMBRI 76 OVERLOOK DRIVE WADING RIVER~NY 11792 for : CONSTRUCTION OF A TWO STORY SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE & ATTACHED DECK at premises located at County Tax Map No. 473889 Section 015 Block pursuant to application dated MAY 27 98 Building Inspector. 1515 PLUM ISLAND LA ORIENT 0005 Lot No. 005 and approved by the Fee $ 516.80 75.00 591.80 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 "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unussal 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. 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 - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $i5.00 . Date ......................................... New Construction... ...... Old Or Pre-existing Building Location of Property I.~.l.~. b~L~ ..?~.%.~-.~ !.~.'.~.~ 0~)'~ House No. Street Hamlet Onwer or Owners of Property...~~.~. ~ County Tax Map No 1000, Section .... ~.~ ..... Block ........... +...Lot ..................... Subdivision ............ ap .................................. Permit No..~.~/ ..... Date Of Permit..~j~..gpplicant ..... ~g ............... Health Dept. Approval. PJb~-~'ml~ .................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted:~--~ ~ ~ ~^$/' ............................ .~ ~~.~.~..' ~, CO ............................ APPLICANT FOUNDATION (1st) FOUNDATION (2nd ROUGH FRAME & .FLUMBING' e INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-~.802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST FOUNDATION 2ND ] FRAMING [ ] ROUG,~,BG. [ ] I~ATION ,~ [~:~INAL ] FIREPLACE & CHIMNEY 76S-1802 BUILDING DEPT. INS [ ] FOUNDATION 1ST [ ] PLBG. [ ] FOUNDATION2ND [ ] 9N [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ /] R~~PLBG. [ ] FOUNDATION 2ND [//] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA~&~C~I~NEY DATE~//~/~~// INSPE~OR~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]~ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ~FRAMING [ ] FINAL [ ~FIREPLACE & CHIMNEY ~/~ ~u 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]~ATION 2ND ~.~ [,,~] FRAMING ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE SP 76S-1802 BUILDING DEPT. INSPECTION [ ]~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [' ] FINAL [ ] FIREPlACE&CHIMNEY REMARKS. ~-~~ /~* DATE INSPECTOR DATE: F1LLAGE: lSSUED TO: 3~75 2806642 (516) 24215 12/30/98 ~PHCATION No ON ~ OHent Point ro~: ~ Southold Lot ~ I 17 Plum Island L~e SchembH Homes ~ was examined ~n 12/30/98 and f~nd m be in compliance w~th the Nanonal E~ctrical Code ~CATION: Base.. ~ ~st '~X ~ ' 2nd XX 3rd ~ ~ ' ~ D~i Garage ~ HotT~b Pool $FITCHES RECEPTACLES FIXTURES HEATERS F/uV$ G.~L ~A1R. COND, i8 45 18' ,, 4 D}SH~VAEHER DRYER CLOTHE$~VASH. GAR. DISP. RANGE OVEN SMOKEDETECTOR ' 1 30Amp. 20Amp. ': 40Amp.: 6 FURNACE OIL, G,4~ CIR. MOTOPJ I BElL TP~. SERVICEDISCONNEC~ OTHER E~UIPMENT ------Outside, Res 1.20 ~dmP. water pump 1-ga* fireplace Mal~: lOOt9, Se~t.#: t5, BlockJ4f 05, Loll: 05, BUILDING PERM'IT No. YELLOW COPY PINK COPY OFFICE BLUE 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: [~/&m~ ~ /~-~ (please print) certify that the solder used in the water supply system ntains less than 2/10 of 1% lead. Qualified in Suffo k County ~:ommission Expires July ~18, ' (~ lu-mb~r s ~ignature) Sworn to before me this // day of ~z~- , 19 ~c~ Notary Public, ! c~o Z~-~ County Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone(516)765-1802 BUILDING DEPARTMENT TOWN OFSOUTHOLD January 12, 1999 $chembri Homes, Inc. P.O. Box 163 Wading River, N.Y. 11792 Re: Premises @ 1515 Plum Island La. Orient (Lot 117) 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 # 24991-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 3 i0~,0 TH E LOCATION OF WELLS, WATER SERVICI LINES, SEPTIC TANKS AND CESSPOOL~ SHOWN HEREON A~E FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS. Unauthorized altecaffon or addition to this document ~s a violation of Section 7209 of the New York Stme Education Law, Certifications indicated hereon shall run only to the person lor whom R +s prepared and on his behaff to Ihs TRle Company, Governmental Agency and Lending Inst~lutton hsted hereon, and to the assignees of the lendiDg mstlt utions or subse- Copras el this dc~ument not bearing the professional's inked seal or embossed seal shall riel be conmdered s valid Irue copy The offsets (or dimensions) shown hereon from structures to the property lines are for a specific purpose and use and therefore are not intended to guide the erection of lances, retmnmg walls,pools, patios, planting areas, addition to buildings or any other no~ guaranteed CERTIFIED ONLY TO: By DESTIN G. GRAF N,Y,S. LIC No. 50067 TAXI.D. No. Iooo,--. I¢-o~ ~ o~ GRA DESTIN G. GRAF LAND SURVEYOR 73 WOODLAWN ROAD ROCKY POINT, NEW YORK 11778 PHONE (516) 82t-3442 ¢,¢-,¢,J, ~0~,0 THE WATER SUPPU( DISPOSAL I.:O[~. 't HIS RESIDEI" WILt. CONFROM TO TH E STAI~ ARDS OF THE SUFFOLK OOUI )EPT. OF HE. ALTH SERVICES, 4~/ [i q FOR ~ O~ __~ £XPIRES THKI~ ~ FI~OM DATE OF APPROVAL DATE: CERTIFIED ONLY TO: 8y DESTIN G. GRAF N.Y.S. TAXI.D. No. Iooo~ I¢-O~ --- O~ 73 WOODLAWN ROAD ROCKY POINT, NEW YORK 11778 PHONE (516) 821-3442 and on his behalf to the T~tle Company, Governmental Agency and Lending Institution I,sted hereon, and to the ass,gnees of the lend,ng ,~a,,tutions o~ subse- Copies of ~hts d~umenl not bea¢,ng the professional's ,nke~ seal or embossed seal shall not be considered a vahd true copy. ~o,~0%~:::l::~nce °' ngh' of ways ao~°r ease'ents °' roc°rd' 'f anY' °°' 'h°wn are guaranteed · X~*~ DESTIN ~ - ~ ROCKY POINT, NEW YORK 11778 APPLICATION FOR EUILI)ING PERHI'r BOARD OF HEALTH ............... 3 8ET8 OF PLAH$ ............... SURVEY ........................ CIIBOK ,,,0,, ................... SEPTIC FORIt ................... NOTIFY: c~,.[ .q.~.q....~.q~ t ..... ~II, TO~ ............... ' ..... THSTRUC'rION8 a. 'ihis application must be conpletely filled in by t-ypevrlter or in ink a~xl m;bmltted to the lkdldlng Inspector wi 3 sets of plans, accurate plot plan to acale. Fee according to acl~kfle. b. PloC plan abusing location of loc and OE buildit~gs om premises, relaticumhlp to adjoining prouisas or l~t)lic streets or areas, and Biving a detailed deecriptto, of laycut of property mist be dra~n ¢m tim diagran d~ich ia part of this appl icoticu. c. 'lhe work covered by ~J:is applicotion my not be con. enced before ismmnce of Building Pemit. d. UUoo approval of this applicaticu, the l{uilding Inspector will issue a Building Pemi~: to the applicant, a~h permit ~{mll be kept co ~he pre~lsea available for inapactio~ thro~cut tim work, e. No L~iiding ~lmll be occupiad or u~d in vt~ole or in part for any purpose v/mtever until a Certificate Occupancy slmll lurva been granted by tl~e Bui}ding Inspector. APPLICATIOn{ IS }i~E~BY )IAU6 to ~{~'li,~lding Departm~at for ~l~e iasueece of a Building Pemit puranant {kfilding Zone Ordinance of ~he ~ of 8oithold, Suffolk County, I~ York, and otl~r appticable I~a, Orditmuces or {~egulatleea, for the co. traction of hdldin{~, additions or alterations, or for reuoval or dorolltion, as herein ~e.,,at,.s,,-~ to ~,t .~ort.~ ,..~to--cu--,se. nnd t..Bu,,~'~/..._.~/V~"On.'__..~Z..~"-- ' (Signature of applicant, or e~m~, if a corporation) (Hallt~g address of applicant) State videlicet applicanl~ is avatar, leasee, ~ent, archil'ect, engineer,'ge:~ral contractor, electrician, ph~ber or hdhle .................... Cfx~.ac4~. ........ , ................. .; ............. , ....................................... (as on tl~ tax roll or latest deed) If at:cu, siBnature of duly antls)r~ officer. .. ~./..,. ,,'~.~lY~/~..: ........................... (Hare end title of corporate officer) Builders License Ho .......................... Plumbers License Ho ............ Elect icians Iicense HO ..... ,. .... ......................... ..... : .......... .O.r.t ~ l~Ya..~. ~.a.~. ..... ~.xj. ........................................................... IIo~se Nmi)er Street ~ ii~nleC ~,~ ~a,~p HO. ,~ ~ticu .... ........ ~,.~ ....~ ...... .. ~i~t,i~ .O.r~k.B.q..~..~ ...... v,~ ,,~ ~ .......... . ..... ~,.. 117 ........ a. F~i~ ~ a~ ~Y ..................... ' ..... Ix)care clearly and dla~lncl:ly I=rcxn prol~rty lines. ~A~ethac interior ar corner / [ (to ~ lmid (m filing tilts al~lica~l~) 5. If {Lmllh~, t~*dmr o~ ~llh~ unite ............ IL*altar of (kmlling traits ¢m east fi~r ................ If garage, titular o~ ears .... ; ................................. ~. DIncnalam of ~latlq stnmtu~a. 1~ any* ~mt ................ '~ar ............... ~p~h ................. 14. ~a of ~r of p~a ........................... ~klreaa .............................. H~m ~ .............. · ~m of Ar~lt~t { ~lress ' · .m of C~tr~tor PLOT I bl~ a~dar or thzerlptl~ acco~lng to ~, aM ~ strut ~ma ami i~llcate (IIINI'~ OF .................... { , (~aJe of i~xlividtml, signing c~ltraet) i~ ,,,~ ......... ~~.~ ............................................ I .aid {~mr or ~mrs, aigl J8 &dyJ~Ll~r]~ to i~rfonn or h~we [~rForn~l tile ~Jll ~rk al.l Lo rake taxi file I. hJ. lilq)l iCatiOU; that all statamnte cmita{.~ in thin alqdicatkm are tam to t:he treat of his kiml~g¢ arm ImJ ~ef,' : tilgl timt th~ ~rk will Im ~r~on~l In tl;m nant~r ~t forth in the application fll~ tlmr~L~. ~to lafore ~ Ods ~N i · ...... ...... ,,.?..L .. _ A~c~a.w,~,,~ "[ ' . ' · ' '" ' ~abti~, Slate of ~OW' ~ Apl)I iemlt) ...... o. 4g~2248. Suffolk Cour ~ Term ~piros dune i~ lg. ~