HomeMy WebLinkAbout25072-zFORM 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. 25072 Z Date JULY 30, 1998
Permission is hereby granted to:
FARMVEU (MALPIEDI)
79 VIOLET AVE
FLORAL PARK~NY 11001
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 120
pursuant to application dated JUNE
Building Inspector.
150 OLD FIELD CT
MATTITUCK
Block 0003 Lot No. 008.028
15 1998 and approved by the
Fee $ 534.00
+ 75.oo
609.00
ORIGINAL
Rev. 2/19/98
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26022
Date: 10/13/98
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 150 OLD FIELD CT MATTITUOK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 120 Block 3 Lot 8.28
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 15, 1998 pursuant to which
Building Permit No. 25072-Z dated JULY 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 CAM GARAGE AS APPLIED FOR.
The certificate is issued to FA~MVEU ASSOCIATES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0032
ELECTRICAL CERTIFICATE NO. 21910
PLUMBERS CERTIFICATION DATED 09/19/98 MARK BAXTER
10/07/98
09/23/98
Buil~ng Inspect~
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ~ALL
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
unusual hatural 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.
3. F%es
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-existinR 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 $15.00
Date.../.Ol~.l%..~. ..... ....................... .. ·
~ew Construction .... ~. ...... Old Or Pre-existing Building .................
~ocation of Property... l~.0 ........... O .~?.~.g.~..~. ~. ................................. ~ ~[~/[({ ..........
House No. Street Hamlet
)nwer Owners of Property --- · · · ·
;ounty Tax Map No i000, Section .... I.-7%..0 ...... Block...~. ........... Lot..~J .................
;ubd~ision Filed Map Lot ....
{ealth Deptl Approval ...... t.~i'. ....... ' '' ~ ters Appr 1
?lanning Board Approval ...... ~...~.-- ............ ~/~
~ee~equest for: Temporary Certificate~O ~ ~o~Submitted:~...............~ ~,~ .... .. ........... .......... Fi~e ~ ..........
APp:
Town Hall, 53095 Main Road
P, O, Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Owner: ~4,/~ C~/~ ~J~
(pleas~ print)
Plumber: ~/~O~,lC- 'J/~q
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(PlumbWrs Signature)
Sworn to before me this
~/ day of ~_~DT-~c/~c~_~, 19~
Notary Public, t-~ljF/~O C/~ County
~.~?.AB~U'I'N A ~TA~
N.O, TA. RY PUBLIC, Stateof New¥o~
~'o, 01ST6008173, Suffolk Cou
DATE:
~0/~$/98
ELECTRICAL INSPECTION SERVICE INC.
$75 DUNTONAVENUE
EASJ' PA TCHOGUE, NEW YORK 11772
(.516) 286-6642
21910
APPLICATION No. ON FILE
VILLAGE:
ADDRESS:
ISSUED TO:
fNTRODUCED BI5
MattHuck
OM FieMCou~
Charles Malpiedi
Thomas J. Melle? Ina ,
was examined on 9.23-98
$ou,thold
LICNo: 2523-E
and found to be in compllanc~ wHh the Na#onal Electrical Code
LOCATION:
Base.. x 1st X 2nd 3rd
Der Garage Hot Tub , , Pool
Ata~
SW,ffC, HES RECEPTACLES FIXTURES HEATERS 'FAN, S ' G.~L ' I 'AIR. COJVD.
4 $ 7
DISHWASHER' DRYER CLOTHES WASH. GAR. DISP. RANGE OVEN FJVIOI~E DETECTOR
FURNACE OIL ' GAS ClP~ ~,IO'TORS BELL TRAN. SERVICE D1SCONNECT ....
3F ~rm .o~,s vn.4~
1 200 UG
OTHER
EQUIPMENT
Outside, Res.
1-20amp water pump
2-air handlers
2-20amp compressors
BUILDING PERMIT No.
ORIOINAL YELLOW CoPYPINK COrY offiCE
HUGO $. SURDI
pRESIDENT
:OUNDATION (1st)
FOUNDATION
(2nd)
ROUGH FRAME &
.PLUMBING'
®
INSULATION PER N.
STATE ENERGY
CODE
C~
FINAL
ADDITIONAL COMMENTS:
FROM : QUALITY CRAFTED HOMES PHONE NO. : 516 -~26 6432 Oot. 08 1998 11:45AM P1
., . 1~%~B.-1997 2:27PM FRO[-~ ADA[4 WHLS CARLISLE 8~,,; 2828~';,', :~': -, P. 1
Pease 90 Minute. Door Systems
There is sql. some confusion on what can and cannot be done with a Pease :-2201 and
1~270 door ~ ystem, and maintain the label.
In late 199~, Pease received Warnock Horsey certification for their 90 minw e fire ra :ed
system. Wi'~ this certification comes the testing cfa door in rated situation:. We at e
Warnoeh I-I ~r~ey certified, and may only apply a label in tested and approve t situations.
Mtaehed is ~he certification page from thc Warnock Mersey sp,dfioations r ~anual.
1, This doer can be hung in a 90 minute rated steel flame (Kediffame) ifthe'followhg
condltlOIl$ e re met.
A, Door must be bored for cylindrical tocksct, 2.3/4" backset.
2, The folio uing options are available and label can be maintained.
A, Deadbolt may be bored for and installed.
B, A rated closer maybe ingt~lled usin~ through bolts or sex boll
C, A rated viewer may be installed.
The folio Mng conditions are not tested, and a label may not be applied if they are
present.
B,
D,
Doors are to be hung as singles only. No pairs may be rated.
Mortise prepped locks may not be used,
Panic hardware may n~)t be applied.
Doors may not have any ~ype of lite installed. This includes ne[al vi:ion
panels.
Doors may not have any q,]~e of fire rated louver installed.
Doors with no bore may not be sold as rated.
Ordering a door in a Rediframe does not automnticslly guarantee a label. Acam muil
apply this 1~ bel0 and keep a logofall'labeled door, and their preparation wht ~ they leave
our shop. ~he app~cation cfa labd must be specified inside the assembly. ')cora c~.nnot
be labele~ in the field 'once they leave our facility. The code ~ add the label is '.'
492E90~,
FROM : QUALITY CRAFTED HOMES
Oct. 08 19B$ 11:46~M P2
;023 ~..OO~ -
"b6flAetiZ~4,' .~ ~toal ~'~ocmed aL ~h~ atllss to ca~u~n ~n~o ~ grgv. An
mate~al bat~om mvtep.. AI~ Sve~-S~rat~
~e K .Value ~ th~, door ~e ,7,22.
pHONE: {516) 286-6642
FAX: (516) 286-6683
RESID[~N r ;i~ COMMERCIAL
NEW '~ ADDITION
NAME..
ELECTRICAL INSPECTION SERVICE, INC.
375 DUNTON AVENUE
EAST PATCHOGUE, NEW YORK 11772
Application #
SURVEY []
Pore No.
PHO,4E:
ADDRESS: .....
¢,E'TWEEN CROSS STREEI'S:.
; SWl ICHI:~S RECEPTACLES
FIXTURE
OUTLETS
HEATERS
FANS O.F,I, POOL O1HEft
MOTORS DIMMER HOTTUBS
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] IN~JL/ATION
[]FRAMING [/~INAL~/~~/~
[ ] FIREPLACE & CHIMNEY
INSPECTOR ~(~
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN~JLATION
[~FINAL
[ ] FIREPLACE & CHIMNEY
DATE ~~ INSPECTO.
765-1802
BUILDING DEPT.
INSPECTION
[ ] F~NDATION 1ST [ ] ROUGHPLBG.
[~/] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: .~~:~~- ~;
DO NOT PRO[;EEu wl~H
[RAMINP, IINTII..~IlRVF¥
OF FOUNDATION LOCATION
HAS 6EEN A~ROVED.
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE ~/~.~,.~[ / INSPECTOR~(¢~
otc -
Unauthorized alteration or affditlon to Ihte document is a wolat~o~n of Section 7209
of ihe New York State Education Lew.
Certifications indicated hereon shal~ run only to the person for whom it is prepared
and on his behalf to the Title Company, Governmental Agency and Lending
lnsht ubon hsted hereon, and ta the esslgnees of the lendin9 institutions or subse-
quent owners.
Cop~es of this document ffot bearing the professional's inked seal or embossed
seal shall not be considered a vahd Irue copy
The offsets (or dimensions) shown hereon from structures to the property lines are
Iol a specific purpose and use and fherefore are not intended to guide the erection of
fencee, retaining walls,pools, pat~os, plandng areas, addition to buildings or any other
SURVEY OF:
THE WA~ER SUPPLY &
DISPOSAL FOR THIS R
WILL CO~,~FROM TO'
ARDS OF THE SUFFOI.
DEPT. OF H=EALTH 8ERVIOES.
By
DESTIN G. GRAF N.Y.S. LIC No. 50067
TAXI.D. No, 100o-12.o.-~- b,~O
DESTIN G.
~eceived [~
73WOOO~WN ~ ,,, ~ ~
PHONE (516) 821 .~_.,[ss[ewa[er, ~gmt-~. J
Sgp £ 5 1998
).~OOMS.
THE LOCATION OFWELLS, WATER SERVICE
LINES, SEPTIC TANKS AND CESSPOOLS
SHOWN HEREON ARE FIELD OBSERVA-
TIONS AND OR DATA OBTAINED FROM
OTHERS.
Unaulhonzed alteration or addition to Ibis document is a violation of Sechon 7209
of the New York State Education Lew,
Ceriifications indicated hereon shall run only to the person for whom it is prepared
and on h~s behalf to the Title Company, Governmental Agency and Lending
Instituhon hsted hereon, and to the assignees el the lending institutions or subse-
quent owners,
CERTIFIED ONLYTO: , ,
By.
DESTIN G. GRAF N.Y.S. LIC No. 50067
DESTIN G. GRAF
LAND SURVEYOR
73 WOODLAWN ROAD
ROCKY POINT, NEW YORK 11778
PHONE {516) 821-3442
FORH NO. I
TOWN OF SOUTIIOI,D
BUll,DING DEPARTHENT
TOiIII I1ALL
SOUTIIOLD, N.Y. 1197!
TEl,: 765- lB02
BOARD OF HEALTII ...............
~ SETS OF PLANS ...............
SURVI~Y ........................
CIIlICK .........................
SEPTIC PORN ...................
NOTIFY:
H^II, TO.' ....................
I NSTIIUCT]ON$
a. 'Ibis aFq~l {cat|au tnJst I)~ t_~]etely I'{llcd in
3 ~s oF plans, acmJrate plot plan ~o ~ale. F~ accordlag to
b. Plot plan ~t~ I~et{~ o~ lot n~ o~ {x~Hdtags
struts o~ nreos, o~1 Rivi~ a ~ktail~l ~ripti~l of layout of pro~rty .~t 1~ dr~ ~ the din~an ~ich {. i~rt of
this nlq~l lent i~.
c. lhe ~ c~r~ ~ fl~ia a~lica~i~ ~y ~t Im c~al I~fove isam~e of ~ildlug Pemlt.
i~mit ~all ~ kept ~ Um ~l~fl available for tns~eti~ thra~a~t O~e x~rk.
e. ~ I~ildi~ ~mll I~ ~o~p{~l or ~1 in d~le or in ~rt for m~ ~ d~at~er ~mttl a C~rtiflcate of
~y grail h~e I~n grant~ by Um lh~ildi,~
'API~,ICA'FI~ lfi 1~ ~ to tl~ Ik~tldln8 ~Dart~et for the ismm~e o~ a ~tldlng Pe~dt ~rm,ant to Lhe
I~ildlng ~ ~1~ of t~ 1~ of ~tl~ld. &~ffolk ~,n~, ~ Yo~, a~ other a~ltcable l~s, ¢~t~e. or
~l'ati~s, ~or tim ~st~tt~ oE h~ildi~s, ~Mitt~s or altarattonsAor for r~al or ~ltti~n, as herein
,~scril~. 31~ a~lteant ~s to ~ly wi~ all a~}icaUle
(Sig~m~e o[~licant, or m, if a cor~raLion)
SLate whether applicant is o~mr, lessee, agent, architect, eagt.eer.'geoernl contractor, electriclaa, pl~r or la~ihlet
.........................................
(as ~ the tax ~x)ll or latest d~)
If a~ticant i8 a co~rati~, si~e o~ ~Jly ~tl~)ri~ officer.
...... .... .......
(~ a~ title o~ co.rate officer)
I0.
II.
12,
13.
16,
locale clearly al~d dJ~l:i~ctly al
prol[~arty ]Line~. ~ive ~t~l:
M~H~r interior or eoroer ]at.
P;iture o~ ~ork (cl~_k Mdch al)Plicable)~ ~ ~lldin8 ......... ~iti~ .......... A teratlon ..........
I~l~ir ............ l~al ...~...; ...... l~nli~ioll ............ Oti~er J~)~ ......... ~ .................
EaCillat~J C~st ,, , .,.%01.,..,.. ~ ..............................................
~llil~i unica (to ~ ~id ~l filing thia ~l~l. icatt~)
If Inml~aa, ~m~reial or mi~l"~qm~y, ~l~ai~ ~tura m~ ~tent o~ earl ty~ o~ u~...~.~. ..............
I~i~lt .........................1 ~i~r o~ 8toriaa ......................
I)l~l~nui~m o~ ~t~i~ at~t~re ~l~h al[erati~ma or ~ tiona Front ........ ~ar ......
I~i~lt ~? t L ..............................
........................ .............
/
9111 lot I~ reBr~ .......... ~ ......... ~ill ~:e~ till I~ ~al~al fxan pr~d~a~ YES
la Ild~ pml~[t~ within ~ f~.of a riehl ~1~ a ~l~S .......... ~ .~. ......
PI,OT I)i ASIIAH
................... I~illl~ (J~lJy ~)[ll~ (lelx)~8 alXl rely8 lhllt lie i8 the alJplJ(:anL
~u, i..,- ..... ~i(':;': ........................... ~ .........................................................
', xm:ract( r, ngentl~rgc~raLe oEftcer, e~c.) ,
of ~aid (~r or ~ra, a,xl i~ (luly m~lhorJ~ to i~rrorm or have ix~rl'ontcnl I.he said ~rk taxi to hake taxi file Ihia
flPIJlJcat~otJ; tirol at[ ~tata~ota c{mt'aJ~l in I.h[a Ol~)lieatiou are I:~x~ to Ihe I~
thaL thg ~)[k wiU I~ ~rfon~l in Lhe u~m~mr ~C ~orth Jn the appl. Jca~i(~