HomeMy WebLinkAbout25103-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26875 Date: 01/07/00
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 285 WILLOW DR GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 6 Lot 9
subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 29, 1998 pursuant to which
Building Permit No. 25103-Z dated AUGUST 11, 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 COVERED FRONT PORCH, REAR DECK AND ATTACHED
TWO CAR GARAGE AS APPLIED FOR.
The certificate is issued to SARAH E. MATEO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0052 12/01/99
ELECTRICAL CERTIFICATE NO. 23937 01/28/99
PLUMBERS CERTIFICATION DATED 12/04/99 G.A.H. PLUMBING & HEAT.
Author' ed Signature
Rev. 1/81
50 811
GENERAL NOTES o ' 8" -- - — - - - --- 281 011- - - ---- 12, oPRE „
I. ALL WORK SHALL COMPLY WITH THE NEW YORK STATE UNIFORM FIRE ANY
AN AL AND BUII.OINB LORE. DIRER TO OB SHALL ORDINATE 2-° 6 " °,1 b'- °" 0'
ANY ANO ALL INSPECTIONS AS RFOUIRED TO OBTAIN CERTIFICATE OF
OCCUPANCY H BEHALF OF THE THE NEW
2 ALL WORK SHALL COMPLY WITH THE NEW YORK STATE ENERGY —
LOISBRVATION LOOS. SEE NOTE 5 4-
9 ALL ELELTRIO WORK SHALL COMPLY WITH THE NATIONAL B_CERTIFICATE
LODE. SPLTRILIAN NOW
OBTAIN L SU UHDER4KITBtI CERTIFICATE O
FOR ALL AND
JUNG WORK Alb SHALL SUBMIT TO OWNER PROVIDE,ALL p I E R ((1
EOjl S AND C. ccON ACTOi RHAIIRED FOR ALL ICE RaNOEL, FTC:,
'
ALL LI B p ETC. LEYSi,FIXTURES,
SHALL REVIEW SERVICE BLE J CK5, E,
ALL OWNER
OUTLETS PIXNR T PHONE INSTAL,T.V.CABLE JACKS,ETC
WITH OWNER N F OWNER FORRIS THE RILL ,AMP INSTALLATION AND
SATISFACTION P OF DE SAA l . ARCHITECT
T 1 ANO CODE COMRIANLR --- --- �-O
Alb SHALL PROVIDE SME. ARLNITELT I6 NOT RESPONSIBLE FORj \U
ELECTRICAL DESIGNS FOR THIS FROJELT IN ANY CAPACITY. 2 q '- 8
,Yb RK U 4" 1 I I
4. ALL PLIMBIN SHALL COMPLY WITH THE RATIONAL PLUMBING a ± 0
LODE Aim ALL LOCAL CODES CONTRACTOR SHALL REVIEW WITH -� -9 =� GONG. STAIR PER COPE
THE OWNER THE REwIREMEM5 FOR PWMBUHS INSTALLATIONS J VERIFY # OF STEPS INLLLDINIs BUT NOT LIMITED TO FIXTURES,TRIM,ACCESSORIES, - !_) -I REQ'D
ETC,AND REQUIREMENTS POR WATER SERVICE AND ODMFSTIL HOT 0
P@ ` . SY ACTUAL DEPTH OF CELLAR
WATER ARCHITECT I5 NOT RESPONSIBLE FOR ANY FLIIMBIN6 T-
SYSTEM5 IN ANY CAPACITY. CONTRACTOR SHALL P VE SANITARY 9- V DROP T o.W y" -3'-(o" �I• T' BELOW FIN, GRADE AX
(O,M . RISER)
5Y5TEM IN ACCORDANGB WITH THE OWNER5 APPROVED SITE PLAN .,
AWSHALL COORDINATE ALL INSPECTIONS RBCUIRED FOR APPROVAL -00 A5 NEEDED .$
OF SAFE. AND SURVEYS INDICATING FINAL TANK LOCATIONS SHALL �' Pc. HAurJ cH
BE BY OWNERS SURVEYOR CONTRACTOR SHALL FROwIDE SAWEYORWITH O �`, 4 AT TOP OF STAIK
IMC IFORM FIRE AT�ION BUILIVINANILN.SY TEN WITI OVER /� - \ �* oN+ 1
EVIEW ALIL
5. ALL HVAC,WORK 5HALL COMPLY WITH ARTICLE IO OF THE N.Y.S. ee � 1 FAIR- � ^ _
HOT WATER OR AIR ETC)Ilk1WINIB AIR LOFDInONIN6 RELUIREHENIS -� - \ "I "-�"-A'�' QLD R�PN. s L (9)FJ,.
N
FOR TYPE OF SYSTEM TO BE PROVIDED RE.OIL,6A5 OR ELECTRIC / _ _ __ _ - _
ARCHITECT 15 NOT RESPONSIBLE FOR HEATINI6 OR AIR CONRITIONIN6 �•' - - - -, . - - F ASAF S 3" AT H-0 `
SYSTEMS IN ANY CAPACITY. .' ' 1
6. OWNER SHALL OBTAIN ART Alm ALL REdIIRED PERHITS PRIOR TO I ;;,,' - -I- = �- - -I P)TcH To P R A I N - J
CANn LEVEQED L - _I ' /
ALLOhtlNB CONTRACTORS TO PROCEED WITH ANY OF THE WORK. �_ w pRYW ELL BELOW + CUPANCY OR
1. ALL 51M WORK INCLUDING SANITARY SYETW.V 1LITIE5,06EMENA5,
SETBACKS ELEVATIONS ORAINA&E,RETAINING WALL5,ETC.SHALL = j FJ. j (VERIFY) SE IS UNLAWFUL
BE IN ACCORDANCE KITH A SITE PLAN PREPARED BY THE OVERS 0 h WALL '"I�. SND/ATG. I _ - __ - _ _ _ ._ _ �- I WITHOUT CERTIFICATI
SURVEYOR THE ARCWY5CT 15 NOT RESPONSIBLE FOR SITE DE516NS _ 'G
OF ANY TYPE IN ANY CAPACITY. - - y/
B. ALL WORK SHALL BE PERFORMED BY LICENSED WNTRACTORS WHOM -N N OF OCCUP/yN y
ARE ExPERIENCED WITH THE TYFE OF WORK MINIS PERFORMED ALL "f _
CONTRACTORS SHALL MAINTAIN LIABILITY IN5URANCE AW WORKERSof)
COMSSATION INSURANCE IN CONNECTION KITH ALL WORK BEING : LL _ T/(9 - V£RIFY DIM5 . As READ.
FERPOR ON THE FR0.BLT. d- a ,'t}l Fog PREFA6. FP 4, FLUES
9. ALL HAT9VAL5,SYSTEMS,EGUIPFEFIT,FIXNitES,ETC.SHALL BE - GtI_LAR (L /B TYPE•%• G-w fS.
IRSTALLED IN STRICT COMPLIANCE KITH THE MANRACTVRERS WRITTEN S } PER MFR 5 FEcS . ANO
5MIFILAT,IONS AW INSTALLATION INSTFU1CTIOR51NCLVOIN6 ALL NT i 4' C } OVER HTNG. POLUIP. ELOILE
c�� A5 PER COPE 4WN - - N.Y• '- CODE •
LLL CONT FS FOR SERVILE,ETC. _ PG "LN4.F�
10.ALL CONTRAS HINT SHALL WARRANT THEIR WORK IN WRITN6 TO THE 1 _I LL I� / 1 -
OWE AR FORA $14ALLI PERIOD OF ONE YEAR g (p' (�" (y' (O
I. THE ARCHITECT 5mu NOT HAVE CONTROL OR S,HETH OF AND SHALL 1 �° " (O•, 3' 4' D' 2" IO (D" 9' 10' _ +
Be RP5PON51&YM TRUCTION MANS,NSAFETY, o:
1ELMiITilE5r N WITH THE
OR K M FLRFS, M FOR SAFETY
IN CgMECTON AX TIE ACTO OR FOR ACTS OR OMISSIONS RHJ OF ANE rWIT
LDNARACipR OR FOR.THE FORS E F A Y OF T W T OCARR ANY ~ -N DO NOT PROS D �O
OF THE WOIW OR FOR THE FAILURE OF ANY OF T-EM TO CARRY OUT
THE YDRk IN ALCORDAWB KIni THE INTENT OF THE CONTRACT _ - _1 '-
DOLWIENM IN THAT SAID RESPONSIBILITY 15 THE SOLE RESPONSIBILITY ��) �" FRAMING UNTI SURV
1].ALL ZKTEPI DOOOR OF THE TTOR.R5,ROOFIN5 SHINGLES,TRIM,SIDING,ETC. SHALL o " ' ` ~ ` Of FOUNDATION LOCATION y
BE REVISED AND APPROVED BY OVER O y T x V2 L�/�L 1 r L _ r y fl a • - - - - - - =s -'-
15.ALL INTERIOR FINISHES 1WAWINS ELT NOT LIMITED TO WALLS, 00 - (2)13/4
HAS BEEN AP ROVE \/
FL.00RINC,TILE,ETC.SKILL BE REVIRWEP KITH AW AFPRaVED N
L _ J I_ _ J I_ 1_J _L J •� L -� O
-"— 14.ALL INTERIOR ITEMS INCLUOINI6 BIT NOT LIMITED TA _ � 1 W.P. 6 M
DOORS,TF4M,PITSPLACES,CLOSET SHELVING,KITCHEN CABINETS Pgoy T. O, / ,,LL - - PpLKE'( 11 IV rt
SHELVING,HARDWARE,BTG.SHNJ_BE REVIEWED WITH AND APPROVED 3'2 1 ly 6.W.F. COL.
Br'owrER ! F1r DER J aN 24'�x 24" x 12"D. - GRANULAR 501L AND/ORCCMFIIcRTF,p FILL 6 1✓
1 _9 P.c. FTC;, (.TYP) 13 R Ll'%ta± AS N6EDE O . PITCH (LAO, DOW4 TO j �y - F � /
NLSIN T Is 9„+lyq' O.H. NOOKS ('/s” PER FT.) Z / _c^ }- I
1 0 -Z G I T � I
TYP. CELLAR _x __ W z O °- MmNN'AREIIS CERTIFICATE
WINDOW _N _ UP - s 24"x24"x12"D _ - now
F - a / P.C. F7G. �J N +
(VERT r) TYP P!LAsTER : 7 � ° azl __ N APPPPR�O,VEEDDASNOTED
o
lb"?, 6" Pc. w e&KAL 4FOP � D� m � -- � p-fpTE.-� mp.
-� ON 24" x S" PRoJ EcTIaN IN N ,SI( CFF• 33 .
N SIL 03
FNP WALL FThU . _ - . _ S-1O' N4LT .
I r0 - - -Ir.`FW T` - - _ _ - '`.-. ___ - __ _'---�--,I- ; FY BUILDING TI TAT
r.�
1212" wd" 6-0802 8 AM TO 4 PM FOR THE
'---- - FOLLOWING INSFECDONS:
L TWO REQUIRED
Y P. N O E S I ,L . _ FOUNDATION -
r - , . .. + , - „ 1 • o I FOR POURED CONCRETE
a PRO1IDESNOKE2.� ROUGH -
- �Wnft ` F FRAMING,A PLUMBING
ALARM D S > 3.,INSULATION
2x (n' CcA $O LTED NIAdER ZTEF F'(G. BSI m LL 4.I FINAL - CONSTRUCTION MUST
2�%10 6oY ON 2'x Ya CcA SRL � ' @I •� 7Eco EACH DJ (Typ,) - I Up (I'1 '2 AS TO PART�7x1•l d IBE COMPLETE FOR CO.
OVER 4RMI E 5H1ELp SILL p_ " o p > AIL CONSTRUCTION SHALL MEET
r 1 _ MAA. ,To 3' MIN q'.T.sewai FoDc ;w 4
5EPL6R �'( Vq '� x 12"L ANCNioR o d-9 S PiElow ANAL [j RADE 7Yp THE REQUIREMENTS OF THE N V
YioLTS CA b�-oo.c. MAY. 12' FRoM a T=Y
S ATE CONSTRUCTION & ENERGY
C DES Y f N _ - 'oJ �_ -- D SIGN OR OT FIE�,Po CONSTI C I0N ,.H q[�N
EACH 6NJ0 OF SILL PIECE . T — , ~ f-; -T ir
Sub - f Loan r — I
5/0" MIA. A.F.A. RATED PLYvJ D. �P'- l0' I, !A' b" (n, 8„
TYP PIER - * ° w F 6M. F—K57 — — — — YDwell
— tubm"hV Mid
SU6 -FL R. $ 3/4 Tay@ CARPET 'CCA -PosT To FIJD FTC,- for dWftgnp
FURS.
PND. /FTG � — 291. 811 (TYP ) 21L �„ eY�: pipiny'ehtllbe PLUMBERCERTIF/CA>'10N
— ----- - - - -
--- - -- - -- LO—EL on ON LEAD CONTENT BEFORE
0" THICK Y $'.0" HT. IFC. WALL
oN CaNT,NJO JS 16;'"+ N 8" D.
_ PLUMBING PROVIDE ANTI-SCALD AND/OR CERTIFICATE OF OCCUPANCY
_ ._. ___ SO - PJ"
PC. FTG• 014ONVISTurI CLEAN ALL PLLIMBWGV"IE THERMALSHOCK PREVENTING SOLDER USED IN WATER
(A RANULAR SOIL. DAM PPR ooF •NWTERUNBMFAD DEVICES AS TO PAIR 902.6(K)
(�iZAA'I rP SOIL ,� SUPPLY SYSTEM CANNOT
N-Y- STATE BUILDING CODE. EXCEED 2/10 of 1% LEAD.
PIER 4 gED AFC I D T�T-�
811% I(p" PC. -K CMU FILLE�D` II �� ��1�\ II I r�'G\s��F' ENOL irFo ��IN I���IY�I �I l..� DATE', JOB r`IO. q � 05
5OLID (w/ TYP. ANCHOR 7,ppT T �U�D�ID��L1�' N 18 AFP- qb L)kG. NO.
C"ALV MTL CnNNE(,TBR To GIRDER : ftj� * �R � I �O 1q&'75-F.
f ro9T.) ON lb"- 24"x10"DEEP �. °
P.c. FT4• To UNp15TOK55P CLEAd CO CRETE ' SrL' �J.
EQCTH 1:W P5,r.(MIW AT 26 DAY TP5T
GRATJU LAR SDCTRADEo MIN. ALL }-TAGS, TO AE>,R ON IJNDI5TUK13ED CL AQ GRAIJ LILAR er9r�o i woA`� � I fjj��1J
gELoW FINAL OIL W/ 2TONS/c,F. MIN 'LSEA121NG C,n+l�yT`/
SCI- 1 �� IfJC . �� /M o OF 4
5TEPs To GIX.^PE AZ (Rc&P-
FER cove . (TYP)
PROJIDE RAI15 A5 PER CODE (TYP)- — --
r
25�x 12 DEGK
2 1 11 si •' x �" vecRING .�j III
I�, 2'-OI , VEkIFY CHIMNEY GIMS.
PROVIDE - F/ RPQD. FLUE CLEAF_AI E5
-/ F{AfJD�GUARp RAIL5 �"r A5 PER MFR SPECS.
1 1I 1 1 GUARD RAIL PER CODE.
--- 1I 4, - - -- - - -k--- - - - - -- -- - -� 1
I
I 1
p 1 1
� 4 � 6 p� PREFAB. �IRE'PL�,cE �v�I�YSIz.E�FTc,)
— n
OPT vJ5 INSTILL AS {' R Mf P_ SPECS. ' N.Y•S.
OHP AwNo — — fWB — -- — CODE .
45-444ra-20 (uOfn05AL IQ—I - I �
Z „ log, -
ry 1 AR31 41
Well C Nf
T (2)2 12 + x.10 x45" 1�, -
1 -J ,L _1
4„ II 9 {- 4., ---1 11�- 3' -_ 20- 4 ,I 1 4” / 1p
u �I 4
r! 1 D.W, '1 I I
PINING RM. - � V _-
OI K VL, 0I0 O iz -
I CLL FIX7WRE 4166 PT. OF r I
CVERIFY) OIO — - _ — — L — — V O
p -7 Ua cPTd cLG -� �1,\ $
-1 d
Ll
v FAMILYRM. Hyl!
OI • CAP-IEDRAL CLG,
CARPET
-
REF 3,_0„ 2L 8„ 3_ 0 F°- o� 7
p i} (2)Z9 l2 - 4 2` 4, 4 - - 2x 10Ruca _ O /
now—
CpEOFtJa. 210 OPNy2x4 KNEE WALL ABS. ! 33
N - - 26 pN TO S.IPFbRf ROOF/121LYaE
° �`
<w
a � - ; v • 4" 1?c.sLga. PITCH DIN 1-07�5 - PROAli NR. FIRE �
i rPE'x'Gwa(N uALLS RATED R TION TO
- K zGLG x PART.7 .30(1)OF
� ,p LIQ NC, Rm . j � o / Iv LLLbbbbbb �'� k 3�
-N o ? cA�ptr %i F z ,A a e N.Y.STATE UI IN6 CODE 'o
xo�c 14Rc o
-7 x± UP 'N'� I 1- -K0
L
11 N - 12T C. 9"+ Iy� n�� lnw s I� N�IN 2K4KNEE
5WILL A6 V,TO - -
iL w/LANOIN(" 21 FJ 4 d' 1 J4 LI1-PoRT r- \\ I p
J PEpE51PL / Rcc \vl
20 .Aa - 4 �' FSI 4,NK(oPi) _ ( N�F I Deo . D of w N
z o'.
– 21
r N
F – ., -o " _ 11
os f. op wa 6L2 0'-0^ 6' Z° v1 I
_m AEOVE Cl ) �O � 1+1.3i.9 � � ��� � � I 11
/ x IQu �9 f
2 (,(0rrP. PR
Ge
TR/o 104 lo'
TRANSOM A%Vp 0 oPL ELLIPTICAL
0 j 2x62POW"oc 2,6
Ic ; OI ( o { jR�VcGK1U (IE j OL� III
T.
2t�4Z _2442
A
4
}}�' //'/�//�/(K� I �II�\I 1151 S.F \SjfaE ARC �, Y Y �1 FSILEI `1C4� DATE ' JOB fJa . qb05
IKS I EL•--'V I � P1--� `1 ' C4.v gyp. ENOL Fo'A
l a APR q 8 D'I16 IO.
/t LL ydlN DoW jDmR REAPERS : 1-72x8 E><CT:7� AS NOTED
No
�2JVID SMOKE DETEK70R(s) 5t'EtZ Nv.L. cO� sr � R
OF NE O
�Jf ��� r l 1 I o1F
4
'fY P
NOT 5 NEW YORK STATE -
ENERGY CONSERVATION CONSTRUCTION CODE 31'4" 4-1 20" 4"
g0,>< /OIL L• I'AIi'i6 COMPLIANCE FORM
TIi IANIAL RA'1'INU NIP:I'IIUIf —2442 a 2442—
Q">< IO ?)ox ON 2. fn CcA 51LL ONE ANO'I'WO FAMILY BUILDINGS -
OVER TgRMITE 5NIE4D SILL V-; 3 p
5EAL6R +'/ '�1 Q1 a12"L ANCHaR IIuIIJhlg mldtcss NEW RE5IPENCE lhnss llnor nrcn 19875.F.
MAY. 14"FROM __— 'L_
Nnmbcr of stories _ li
EACH Eov OF SILL PIECE Ucgree Axys fo 000 = SI
_ 3 _
etub - FI-t90Fd OENERALNUIM: O
MW, A.P.A RATED PLYw P� �EDRM ar3 PRO IDE OPENINGS F R
O All Wight%envelope of nueuls Rod!cnulnlo 1...I nh uldch rue cnpnble of I...It g mAlslme _I = x #� U
3 $FORM. 2 ERNE GENCY ESCAPE A� y?
� CARPET hall he protected Ly n vnpur relnuler Incnled mI the winter rvmm side of the InodMian. ; O � ; N Q,
FI-P5 . Inmlaiinn to be lnflnlleJ in n mm�ner lhnl provides cuntiunily ul lnsulnllan nl plvlc lines, sill �- } REQ}II gP F1' FI RT. 72�17,�— _b
Tines, band Julio,and centers. L LG
Slab edge Insulation shall coufonn to rade ru ullemenls.
oN C o" NUO U 5 i f"' v 2, All doors and whWows to useel code rxr nheumnls for,nlr infill,mlon. S a I I- q �" II 411 (^
B" DIc7FTa o" 1}T. L. WALL 1 `pE C P 1.�' � =,n t- _ ' 8„ 3- . ,
Flours over unconditioned spaces shall be Inndnicsl
Y P �n -
P e. F T( , 00 UnID}5 dM166D C LEAs rireplu a to confunn to code for Gefb air k nlr hdlllmlian rcgnbcmc"Is pe�Ns E ' E N � 26 911 Lid.
IIVAC system io cunfonn lo,cade requhenle'IU. V E n N
(,RANULAR 501L. DAMPPKOoP QRp GEHC 1 @� _-= _ - OPT. PEDESTAL --I
�ELO VJ GRADE TOI'ALTHERNIALRATINU EH`E REp B� Qp ,Lap _ 16 n SINK (JEIRiFY�
'�
PIER T'hc tolnl'1 hennni Ruling fur III,building design , -73 BEdp ZptE Bp�C �I €r E , a
T—I The worksbect Iha1 developo lhif'I bennnl hiding is nllncbed N• -Q j q N1 7xIOKIDGE
% 1(D P e. eR G MO FILLED A 1lteonld Rning of zero or grenler Indicates Rod the bnilding wt0ope cumpllef will.nbc
$OLIO �'�/ TYP AdL11DR BOLT d. Energy Code. r N -IX— IV K ` \V
N
0 T;CIIAL' HIGH WINDow AR21 /OR A9 SELF crE D)
QALV. 11TL. CANNEcToR Tg GIRDER - 4 \ / N -- — 1 = r Ti GRN Y \
> SUAMIAIgV Ulv'1'U'1'AI,'I'HI'sItN1Al. ItA'I'INI' I J TO GLG� Q- Tc CL - Rooc
.; ¢.Po5T ON Ito" 24 l0"DEEP F—
If the Teed 'I henna) Ruling Is e,. IR) er grenler, the oup.md ledge Int Ibe 'T�t� '�
P.L. FiG To UN015TU9bFP CLEAd I`�It f� R \� r
building envelope cumplles rvRh lite energy Code. / -
1C,RAnIULAR SOIL ( 3'-o" MW.
BELow FINAL C_XADE .) TIICRNIAL 'rAIR.E _ il I \
-f,• W ALO.c. •w R'Isj IIJSO L. A. ROONCEILING AREA1214 11-VOA L`OE RA'I IONU U�U3 N' I n O Q__ _12'-_B, _ / 4 I- fa- B° 4" 3-0 4 4 I 1{oWER ANGLE
E=XI
2"x 4 G I / I 5x3 NEO'
5 '�(V ERiFY)
112" COK PLYYr D. 5FlEAfAa UNDER -,5
B. NCI WAlas 191 . 07(A 140 (0- 1 co
1YJEIC (oR EpUA L�VI.P. MEM6RANE —� -0 S If SPACER 51PLA1fOR�
ViOyL 51D1�I4 . K r No"f s'• N AS NEEDEiD (v ERBFY)
Et,00FI C, C. ULAZINU u - BLVILR K�VEI G>vaL,� QO 9 \ tea' °0
tIL WhiduWf(If1 PTI) 264 .33 - 53 (0-1 I -1 c0 W Ov�R MNN FW�2x(o 1v' i 55x55"
A5PHAL1 5FIINGLES OVER 15 L5. WindI(2nd rlrl � _ =x ' ON�LivTO R hTHING•,_j .- ^- '� -� A.DATH I Tue
1 FELT � Va 1e D% PLyov. 5HI5ATO� Skyligllb 10 • F5 (�-3 - `� � TU TOrM / SYS (ZXP9 O TEco SA
U. 1'LUURS/WALLS/SCAR$ RR/cJ z4 ~
fA5CIA �50FF1T : L rlOORs 1151 . 05 O n-3 C�2KIz Ezs T I _ — �_
2. UASL'M[N'I'ICRLLAII
1°r 6" AV. FASCIA (ALUM. CLAD - 24J10-Z_Q;_ 1Y P. cJ
wIVENTov, VINYL SOFFIT °I � wnLL NI
O.s.F aF
Po c
, PosT - LaE 24 -
34q" NOMIOAL DIA. 50LIP WOOD 4 / I
1uRNED POST w/ QALV. MTC . 4' S" ( _ 6 _ a^ 4_i" 4'- 5" PROVIDE OPENINGS FOR'
4 I' E tRGENCY ESCAP A
Ga NNEc To RSI ToP - °TiOM , - --.— ._ - _._ —$- --i-Y-
0 — -- SI REQUIREDBYPARL- 'Ed
H E pN D r,2 / — ------ Ar. - STATE BURDI NG OD . -
(2>2'x B�CEPT A5 t4OFED.
HURRICAIJE TIES
'(Eco (nREaLIAL)TIE5 4TFINCH / ---._
R.R. 4 CATH. C1 (15. 4 AT EVERY / A
OTHER RR wl FLAT CLf�s. 4
W P VE.N7•THRLI ROOF
-- 83Cn s.F.
- - - , - Loom PLA /I = , 1-oil
Z° zn z" z„ 1112 1 I2
LAV 1 LAVI ALL ROoMJ CA1PL1f-T; ExCEPr BATH 7-0 T-_ TILE
1TLl(S -TY? HPk• � (2) 2 xB MIN ExCEPT' A-`- NO>fil
TU C� I
ZnI' Flr. pa ail 2n 2;; ICO.
I
KIT.SINK 21 LAV 3'•
D WW. 2
( " r l nT 'PL
3., 2..
711
cTYP > 4" —1-UD ARC ��I � DATe' Joa rJa. `i 805
TO S.c .D.H ?.pP�nO�/ED \Stga /F wI c r-SIDE. IIv
�E
tJo E : OPTIoIJAL rIT,� Cv- ziz TnC SrsTFM �a.� •SEN 16 APR q6IJO-
9o,Low IrJE WASTE LINE I J /�T'LO 190"1 5-F.
BLLOvN SLAPS (VERIFY) I I/VI l.– � -
FNq L.IALL - r � l.
Ne. � I DR#,V J IIY:
c�Ll�� (�L� "1P�IrJG �I �e� PIA C1ft/A N . (-5 - S �IvC IBJ /MRO oF4
F
_ - ---- OPT A921�
—.—_ .- HALF ROJNp I4 —�__-
- °SONBURs7' " --- �N BATH
TRIM -- _ -- - -
- 2'-012.
3.5IND �
�® IF ® ® - 1-2 F
7 =_
n 18'MAX.
i 1_ _I ii WITHOUT -
LB® MB - - - I I-
—
- I -!TYP PIER -{- ---- -,
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Ra T LEV�T1ot� -F
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501- 811
GENERAL NOTES o '- g" 281- °11
DECK
I.
ALL ENRJ SHALL COMPLY WITH THE NEW YORK 5TATE UNIFORM FIRE q'-o' 61 0" 6�- o�� L a�- o" 2-0 •
ANY ANNON AND BUILDING LOOS. CONTRACTOR SHhLL COORDINATE
ANY ANO ALL INSPECTIONS h5WTO OBTAIN CERTIFICATE OF
OLCLRANCT HA TH
BEHALF OF THE OWNER,WN
2. ALL WORK SHALL COMPLY WITH E NEW YORK STATE ENERGY
GATON CODE. SEB NOTE S. -
9. ALL LL ELE ELECTRIC WORK SHALL COMPLY WITH THE NATIONAL ELRTIFIC O TYP. PIE R
CODE. j_E G MG SHALL OBTAIN FIRE MIT TO OWNER CERTIFICATE -1
FOR hLL ELELIRIL WORK AND EHALL SUBMIT TO OWNER PROVIDE ALL (2) 2 X 0 N W�O F TAT.
OUTLETS ANO o. CCNN BOWS RHALL REVIEW FOR ALL APPLIANCES,R1MP5, _ -' - .• .
FL L 1-161.711 ETC. CONTRACTOR SHALL JC SERVILE RECIIIREMETI ET C c q
ALL LIGHHNG,OUTLETS,FI FORTEPHONEMLL .NSTAIL TV. NA LE!AND -VLKS,ETCWITH CACTI M REQUIRED FOR THE FULL INSTALLATION AND — -- ---- - - - - - --- -SATISFACTION OF DE SAM REcRCHIT ENT I AND LODE COMPLIANCE U 'I
AND SHALL PROVIDE SAME, ARCHITECT IS NOT CAPOW51BLE FOR 2 9 �- 8 n
ELECRTILAL DESIGNS FOR THIS CO PROJECT IN ANY NATIONAL
tt. _ _ ---.- __— _ --- ---- ---- _
4. ALL PLUMBING WORK SHALL L. GcNi WITH THE SHALL RE PLUMBING = _ _lo GONG. STAIR PER COD E
THE 0,wo,uE LOCAL REWIRE ENTS LONTR.ALTOR SHALL REVIEW WITH O 9 - -- — - — �/ERIFY # oDEPTH OF CELLAR TIE OVER IT NOT
LIMITED TO FOR PCU•,TING INSTALLATIONS _ O
INCLmIN6 BUf NOT LIMITED TO FIXNRES,TRIM,AND DO 0RE5, �N W i :'. ", $Y ACTURE DEPTH OF GELLp R
ETC.AND REWIRErEHTS FOR WATER SERVILE hND DQMESnc HOT /t - P a - }- T3ELOW FItJ, GRA DE�a„MAX.RISER
WATER. ARCHITECT 15 NOT RESPONSIBLE FOR ANY PLUMBING • • ” DROP T O.W '-��_ _ 7! �
- ( � LOCAT'ON5J
SYSTEMS IN ANY LMALITY. LONnRALTOR SHALL PROVIDE SANITARY 9 3. G 4 u A5 NEEDED N9
SYSTEM IN ACCORDANCE wNH THE OWNERS APPROVm SITE PLAN _'Ip_� _� �X g' F L HAWN'H
AND SHALL COORDINATE ALL INSPECTIONS REd11REO FOR AFFROVAL r
OF SAFE. AND SLRVEYS INDICATING FINAL TANK LOCATIONS SHALL AT TOP of STA R
BE BT OWNERS:!l cm_ CONTRACTOR SHALL PROVIDE SLRVEYOR _ N �lL/t�}fY1L � �'.: - 4'� -1 1WITH IN`ORMATION AS RSGBIKEDS. ALL H.V.AC.WORK SHALL COMPLY WIW ARTICLE IO OF THE N.YS. ON J -
LHIFORM FIRE PREVENTION AND BUILDING GOOE AND EIERUY CODE. -�' - -- . = - - -d I _O 1 _ —_ — — :-.-
CONTRACTOR SHALL REVIEW ALL MECHANICAL SYSTEMS WITH OWNER - <9 2xg C!A-Nh
FOR TYPE cf SYSTEM ro BE FRwlveD O.E.OIL,ens OR ELEGTRIc 1 - - _ ` 1- �- —�— ' - rtJ, _ �� _ LC . P�1.iED - �I —1 = 4"P c 5 L A F, w/ 3' (2)FJ (E"x1 00
HOT WATER OR AIR ETC) INLLWING AIR CONDITIONI NS REGVIREMEM5. - I R E I N F. AZ KE C10. AT M.0 CO
ARCHITECT 15 NOT RESPONSIBLE FOR HSATING OR AIR CONDITIONING T ,- : '- %' "'
_ _J PITH 70 DRAIN I2.p +
SYSTEMS IN ANY THIN Att. - - .
6. OWNER SHALL TRACIN RS AND ALL RECWITH A PERMITS PRIOR TO - "' W j DRY W ELL BELOW I +-
ALLOWING CONTRACTORS TO PRARSED WITH ANY LT'THE WORK - _ - CANTT LEvERED --
1. ALL SITE WORK ELEVATIONS,
SANITARY SYSTEM.UTILITIES,EASEMENTS, J=.J, (VERIFY T7 P•)
BENIN A" EI.E/AnoNI,DRAINAGE,RETAINING WALLS,ETC.SNARL _ -- - 1 :r ,- WA,LL. V'. FN�/ ("'
BE IN ACCORDANCE WITH O SITE PLAN RESPONSIBLE
BY THE OWNERS / `C _
SURVEYOR THE ANY CA GT 19 NOT RESPONSIBLE FOR SHTE.DESIGNS
OF ANY TYPE IN ANY GMALitt.
B ALL WORK SHALL BE PERFORMED BY OTIC EI CONIRhLTOR5 WHOM I. _
ARERACTORSSHWITHTHETYPE AINLDFWORKSURANFE ANDNOR. ALL
N_1 VER1KE DIMS. As READ.
CONTRACTORS NOM MAINTAIN LIABILITY WITH &LE AND BEING S .I , _ _.
CO FORMEDON ITHE PROF IN CONECYION WITH ALL WORK BEING -� _ For M FIz. 5. F P. FLUE'.
4. AALLFr�AL5,5YSTE� BGUIPFENT,FIXTURES,ETC.SHALLBE I LLAR�� `'/B -W.g y PER MFR. SPECS, AND
INSTALLED IN STRICT COMPLIANCE WITH THE MANIFALTUREAS WRITTEN 4'PG , �•L/1L=, r oven Hl•1G. Eau,P. PILE _ N.Y. s. coDE .
SPECIFICATIONS AND INSTALLATION INOILS 5TRUGTIINGLWINB ALL _ AS PEF CODE -, '� W."�H
LL -
CLEARANCES FOR SERVICE ETC.
10.ALL CONTRACTORS SHALL WARRANT THEIR WORK IN WRITING TO THE .I. OFli_ 1 (n' 2" 101 (p" 9,- 10"
I
OWNER FOR A MINIMUM PERIOD OF ONE YEAR. __. T
it. TRE ARCHITECT SHALL NOT HAVE CONTROL OR QHAREE OF AND SHALL
NOT-5E RESPONSIBLE FOR CONSTRUCTION MEANS,HEWODS,
TELHNIQLES,5EGIENGES OR PROGEDURGS,OR FOR SAFETY PROGRAMS
IN GON1ELnON WNN THE.WORK OR TH
FOR ALTS OR OMISSIONS OF E 31Z F '
LONIRALTp(URR SUBCOMRALTCTLE OR ANY PERSON PERFORMING ANY -m I J�OF THE WIORk.OR FOR THE FAILURE OF ANY OF THEIR TO CARRY OUT
THE hGRK IN ACCORDANCE WITH THE INTENT OF THE CONTRACT — —, --
pOLLTENT5 IN THAT SAID RESPONSIBILITY 15 THE SOLE RESPONSIBILITY L(Z)FJ ,t .`
`
OF THE CONTRACTOR •., . . .- -" 1
12. R DOORS,
ROOFING GHIHGLE5,TRIM,SIDING,ETC.SMALL r
ALL EXTERIO
ceRene�D AND APPROVED BY OWNER, i_ -- (2)13/4 x9YaLVL
15.ALL INTERIOR FINISHES INGLUOING BUT NOT LIMITED TO WALLS,
PLOORING,TILE,ETC.SHALL BE REVIS Ev WITH AND APPROVED O I ., --
5L .LAREaU9 D9O EE96 v. L- _ J L �J - -l_ _L 1 J W R RwI.� c n rCT� - O
"-- M.ALL MI INTERIOR ITEMS INCW4ING BUT NOT LIMITED TO A5 NEEOEO UN yXGR�AC 1 E >
o00R5,TRIM,FIREBALLS,CLOSET SHEEVIN6,KITCHEN CABINETS, 1 RA 3'/2�� z.w,P. coL. - - P7Y JT ' 4'1 P.c. SLA53 U•1 UN06Tu Rt3ED GLtAlI -1
SHELVING,HARDWARE,ETC.SHALL BE REVIEYEv WITH AND APPROVm N - _
BT OWNER
oN 24°x24" x12"D GRANULAR 501L AND/OR cc�anPACTED F'LL
A5 NEED6O . FITcH SLAG DOW,J TO
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PROVIDE HAND/GNARP RAIL5 _D o ! z
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6,OLIP " P. F oR GMU FILLED I 2AD/ \ I ICI V 1 IL^ V p4Y F END` �Oi PJ APR qPJ D �Ci. NO.
soLly (w/ TYP ANCIIOR BOLT H� y"=1L0" _ 1967 s- .
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+ � I
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P.L. FIC".-To UOVISTORBEP CLEAN GRANUL
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GRANULAR SOIL ( 3,-o' MIN. }TNGS, TO tSE.AR ON IJNDISTUKSSED CLEANAR JqY� MDN'F RA�tJ �Y(
6ELoW FINAL GRADE SOIL LJ� 2TON S�S,F. MIN. 'Lis�A�hING CAH CITY OF NEW ' " Iv, \I �l„� I II �f \� . NIW /NI�Q OF 4
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. 25103 Z Date AUGUST 11, 1998
Permission is hereby granted to:
SCHEMBRI HOMES INC.
PO BOX 163
WADING RIVER,NY 11792
for
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
W dG�e fit
GARAGE FRONT PORCH AND REAR DECK AS APPLIED FOR.
at premises located at 285 WILLOW DR GREENPORT
County Tax Map No. 473889 Section 033 Block 0006 Lot No. 009
pursuant to application dated MAY 29 1998 and approved by the
Building Inspector.
Fee $ 657 .20
Application Fee + 75.00
732.20
Building Inspector
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD n 7
BUILDING DEPARTMENT
TOWN HALL
765-1802 JAN _ 7 `q,,'i ,
APPLICATION FOR CERTIFICATE OF OCCUPANY ' �
A. 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 11 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,
B. 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 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 Buildine - $100.00
3, Copy of Certificate of Occupancy - .25V,
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential1.0, Commercial $15.00
/ Date . . . .�-�e :'`.!. . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . .
Old Or gPre-existing Bye\ilding. . . . . . . . . . . . . . .
Location of Property. . NyU. 1. . . . .LV.t. VI,Q.0 . .!�Y4A . . . . . . . . . . . i {!���� �y ! . . . . . .
House No. Stre"e/ Hamlet
Onwer or Owners of Property. . . . .v(. .l!1�. . . . r-Al!`s. . . . . . . . . . . .
/. .�. . . . . . . . . . . . . . .
County Tax Map No 100pp0,, Snnecction. . . . .Block. . . .r!. . . . . . .Lot. . . . . ./q. . . . . . . . . . . . . . .
Subdivision. . .���!,r77/u,!��;I,,6d. . . � ,(, ,Filed Map. . . . . . . . . . .. .Lot
(. . . .
.J.� . . . . . . . . . . . . . .
Permit No. . . �.�, o : .?.Date Of Permit. .(.( /. (/`* a. . . . . . .Applicant. . . lk ib.�. , ,
1Q
'' ryry��
Health Dept. Approval. . . 1QUA �.4:7-.0 D `)
. nderwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Sub fitted: $. . . . . . . . . . . . . . . . . .
APPLICANT. . . . . . . . . . . . . . . . . . . . . .
January 1, 2000
Sarah E. Mateo
P.O. Box 326
Greenport, NY 11944-0326
Town of Southold
Building Department
P.O. Box 1179
Southold, NY 11971
Re: Building Permit # 25103
Tax Map #473889-33-6-9
To Whom it May Concern:
I the undersigned as the owner of the newly built house in
Homestead Acres
Lot #16
285 Willow Drive
Greenport, NY 11944
will take full responsibility in maintaining the property
landscape, upon obtaining the certificate of occupancy and
moving into the house.
I have already contracted a professional Landscaper.
Respectfully,
STATE OF NEW YORK
COUNTY OF SUFFOLK}
on the= "''M 22W beim Sarah E. Mateo
mepsrronallyoame Swrvatj� �1'ec
-to me known to be the Acknowledgments
and Proofs of Execution individual described in,
and who executed, the foregoing instrument, and
acknowledged that halsheoikocutid the same. nn
LYNDA M.901A
NOTARYNo PUBL011CB06020M
Qualified in Sufkk CauW
11um Fxpl►ea I�Aaroh 4II0
I9RY 25 '99 02: 46PM SOUTHOLD TOWN HALL 516 765 1823 P. 1
�D*,%Sf R���G
a
Town Hall, 53095 Main Road y iC Fax (5 16) 765.1823
Southold, Neoww York 11971
P. O. tt79 Vh , Telephone (516) 765.1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F_ I_ C.A T I O N
DATE: GO
Building Permit No .
Owner: var111�
(please print)
Plumber: 6-/)-fl- PWM61At-'044, j)A14-
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of l% lead.
Atpn r Sig ature)
Sworn to before me this
day of /j � - 1g�
Notary Public, V,,/) �a County
t1NYA E. HAN9EN
NOTARY PUBLIC, 9fate of Nov York
No.52.1524455, Wffoik COMP
Teem Expires 6WW-*'—v6 7/3//00
f
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTONAVENUE
EASTPATCHOGUE,NEWYORK 11772
(516),286-6642
23937
DATE., 1128199 APPLICATIONNo.ONFILE
VILLAGE: Greenport TOWN.. Southold
ADDRESS.' Tot416 Inlet Poll Road
ISSUED TO: Schembri Homes
IN1RODUCED.BY.• "DB e'EleCtrtC iJC _--_,._ _ - `.-7TCNor_— 435E
was examined on 1128199 and found to be in compliance with the National Electrical Code "
LOCATION: Base.. ,xx 1st xx 2nd 3rd " Attic " ax
Det,Garage Hot Tub Pool -
SWI -HES - 'RECEPTACLES ,FLYTURES 11 HEATERS •-FANS, G.F.I; _ - ' -AIR:COND.-- - - -
30 52 42 1-bath 5
DISHWASHER DRYER CLOpT/ES WASH GAR.DISP. RANGE OVEN SMOKEDETECTOR
I 30 Amp. 20 Amp. I 6
URNACE OIL GAS CIR MOTORS •BELL IRAN SERVICE DISCONNECT
1 METER AMPS PHASE .
1 150 UG
OTHER
EQUIPMENT - _ -
Outside,Res.
1-20 Amp. airhandlerfora.c. �
1-30 Amp, compressor for a.c.
/ 1-od burner
3 paddlefans '
Map#: 1000, Sect.#: 33,Block#: 6,Lot#:8
JIB`
- HU .S SURDI Z
PRESIDENT-
" BUILDING PFRMITNo. Th nfiwm muei notb xUered naN mann
Inapwc may W idm[ifW by their=&ntia6
BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE
m,...� a>a.�.. ...,..s. , ,....,, . .. ,, .e': ra .,�� `* s,a..'w�•? .rs..,A ,.iH'Yht,.o%' s3�.ary
I
71-
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH P G.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING AL
[ ] FIREPLACE & CHIMNEY
REMARKS:
e
DATE /��qNSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ) FOUNDATION IST [ ] ROUGH PLBG.
[ ) FOUNDATION 2ND [ ] 1 ULATION t
[ ] FRAMING FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE 16161 INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ) FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: A,,/- /� ez
.04
DATE �o'` %INSPECT
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU PLBG.
[ ] FOUNDATION 2ND [ J 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE f& CHIMNEY
REMARKS: /L
�GP'l
t Ka-
DATE Z INSPECTOR
• � ' �' /� � � moi/'% //i /�� i�-.
i
: i
BUILDING1
rROUGH
• • •
�UNDATION • INSULATION
REMARKS: C��POir
All-
174 / �
Dc
M-1802
BUILDING DEPT.
1SPECTION
[ /FUNDATION 1ST [ ] ROUGH PLBG.
DATIN 2ND [ ) INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLA A CHIMNEY
REMARKS. _
/67
DATE INSPECT
22
M-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING j ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
*�-�-
DATE �� '` INSPECTOR
i
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUN ION 2ND [ ] INSULATION
[ ] F MING [ ] FINAL
[ FIREPLACE S CHIMNEY
REMARKS: A
Ole--
DATE
le DATE INSPECTO
765-1802
'f' UILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ RAMING ✓ [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: --� � L� �,�Y
r
DATE 1411 INSPECTOR Am
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] R GH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ 4-�FRAMING [ ] FINAL
[ (REPLACE S CHIMNEY
REMA S: tv
J 0"74--
DATE
74"DATE INSPECTO
o��gUFF01/(
Town Hall,53095 Main Road o Fax(516)765-1523
P.O. Box 1179 W Telephone(516)765-1802
Southold,New York 11971-0959 Oy • ��
dol � dao
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December 27 , 1999
✓u- ,t-��sGcl
Schembri Homes, Inc.
----------
-
2042 N. Country Rd. , Suite 203
Wading River, NY 11792
RE: 285 Willow Dr. , Greenport, 1000-53-6-9 -
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
�J 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 # 25103-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
i
� ��i _J
I�
2.
ROUGH FRAME &
I—I
TLUMBING
���r _
• • ray ,
/`lel.- "
nV R M BOARD OF HEALTH . .
ll L5 V D FORM NO. 1 3 SETS OF FLANS . . • .
TOWN OF SOUTHOLD SURVEY ... . . . . . . . . . . . . . . . . . . . . .
MAY ,10 BUII.OiNG D8l'AWYMENT CHECK .. ... . . .. . . . . . . . . . . . . . . . .
'TOWN HALL SEPTIC FORM
SO117'1101.0, N.Y. 11971
LOG.DEPT. fi TEL: 765-1802 NOTIFY:
CALL .. . . . . . . . . . . . . . . . .
Emmnined.. �/� ....�.1 19.... MAIL TO t . . . . . . . . . . . . . . . . . . . .
,.p. ,J// 3
Approved.... 0..., 19.... Permit No. ��� .. ....................................
Disapproved arc ................................... ....................................
........................................ ... .........
qS3 ...
(Building Inspector
?PLICATION FOR BUILDING PERMIT
Date.. . . . . . . . . . . . . . . . 19. . . .
iNSTRUC'TIONS
a. This application must be completely filled in by typewriter or in ink and suhmitted to the Building Inspector wi
3 sets of plans, accurate plot plan to scale. Fee according to sebedule.
'h. plot plan slowing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of property mist be drawn on the diagran whleb Is parr, or
this application.
I 'line work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building inspector wilf issue a Building Permit to the applicant. Such
permit shall be.kept on the premises available for inspection throughout the work.
e. No building slall be occupied or used in whole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building inspector.
APPLICKrION iS IEWEY IWZ to the Building Department for the issuance of a liuilding Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. The applicant agrees to comply with all applicable laws, ordinance it ng code, housing code, a
regulations,mand to admit authorized inspectors on premises and in building ins tions.
•
(Si"[ur✓�Y�!'..applicant. or nems. ifrlxur..«..m.).
GciJ/� ....3 (//�/
(Mailing address of applic t)
State ole r a cant ss own
lessee, agent, architect, engineer, general contractor, electrician, pluder o Ixdlde
Now of owner of pr isea ........... ... :..........................................................
(as on the tax roll or latest deed)
if applicant i ra• si a of duly audorized officer.
.......... ..................................
(Name a title of corporate officer)
Builders License No. .........................
Plunbera license No. .........................
Electricians i.icense No. ..................... S,
Other Trade's License No. .................... ,' K
1. hocation of land on w1ildi proposed work will done.. :••:. ..•........•..
................................ .. .. ........ ... .1 ......................
(louse Naber Stri C�. ``
County Tax Map No..1000 .. a ....... Block ................ Lot .. .......1..�......
Subdivision .. . ........... Filed Map No. .........r.. lot
(Nate)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ......... .......... .. ... ...........................
b. Intended use and occupancy ........ .. •• •... ....•
�f. ,. '.`.. i'.r"i�f5fl
yinuc�;7�fti�tmmtx!ru b;.FtlE[a�3f3
yrM aonigx3 m oT
n,
1. Nature of work (dteck ,Addi applicable). New Building ,...,.///, Akklition ... Alteration .::...,., '
Repair ............ Removal ..}.......... 1>0110litloo .......... Other Work01 't�[�[�'
(I)AW �ption) }�
4. Estiueted Cost ............: fee ....................... ...
(to be paid on fillrif flits JR
5. if (koel I ing, utul.er of dwelling unite lksiber of dwelling units on-ea h floor
Ifgarage, umber of care ....j.................................
H. If lehsihhess, mnhercial or mixt(occupaney, specify nature aud extent of each type of use......................
7. Dinhensioha of existing stmctu)ces, if any. Front................ 'Rear ............... Depfh .................
Iluiglht .......................6. Msiber of Stories ......................
Dimensions of sons structure w4h alterations or akiltions. Front ............... Rear ...............
I •. ...... liei0ht .................... Mnber of Stories .........
S. Deien`tohs of entire new construction. Front .. K .... Rear ..d ...�... nepth ..�k
De nth .......... ..
......... .........
!d '. Mui /r .
� of Stories ... ...............
9. Size of lot: Front ..,, .... / ... Rear ...:L`.P t�......... Depth ... ... �(.�.
10, flare of Purchase .............i........ Nom of lrorner Owner ....................................... .
If. Zoe or use district In uPubdh hremiaes are situated ..............................................................
12. late any zoning law, ordinance or regulation. ........................
13. Will lot pbe regraded construction.. ........ Will excess fill be removed from prenises. YES
v o
14. Nana of Owner of premises .,.I........................ Mimes .............................. Phone No. ............
Norte of Ardnitect .................................... Address .................:............ Phone No. ...:........
Mire of Contractor ...........�,........................ Address ..... .Plhone No.
......... . ............
15. Is tints property within 300 fget,of a tidal wetland? * YRS .......... lin
*Ip YES, SM11KAD 1CJ4N 11{US'EM PERMIT' my ne rapilim.
PLOT DIAGRAM
locate clearly and distinctly all buildings, wlhetber existing or proposed, and indicate all set-back dimenalons
from property linea. Give street an block nminer or description accordhhg to deed, and slow street .tyres and indicate
windier Interior or corner lot.
t
SI'A'IE M Nil1 Y(� `! ........ S+S
�D .. ( �
.. �.r.i.........lxini; duly sworn, deputies and says lbnC he is the appl.ic:rnu.
(Noin of individual signing ctnt'raut
alx,ve hxmed,
Ile in the .......... � � ��..........................................................
(CxItractor, agent,+corporate officer, etc.)
of said owner or wahera, and In duly attnorized to perform or btnand re performed the said work reto make and file [.his
411110 [cation; tint all statements con�alned In this nlgnllcatiou are tax to the Leet of hie knxwledge and 1x61 ief; and
that die work will be perfonmi in the manner set forth in the npplication filed therewith,
yahm to lerore me this
. .....:Z\s...... day of �. �1 t
Notary Public ....... ..
BERT 1.SCOTL
N Public, Is of New Yo
Qualified in SuffolklCounty
No.01SC47Z6f�q
Tenn Expires May 31; 1®m
THE WATER SUPPLY&SEWAGE SUFFOLK COUNTY DEPT. OF
DISPOSAL FOR THIS RESIDENCE HEALTH SERVICES FOR
WILL CONFROM TO'FNE STAND- APPROVAL OF CONST ONLY Q
DATE------- C)
ARDS OF THE SUFFOLK COUNTY W S PER NO O
DEPT.OF HEALTH SE=RVICES. APPROVED BY
t-- W
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750.00'
_3
zL`I q
zz ET POND x
X INL
N86-07'00"E 146.18'
zz.V
R = 25.00'
Z i• L = 36.58'
X Xlz.o
n
ro
o
0
W LOT 16
14 N O
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SUFFOLK COUNTY D ARZA�MI p OFHBALTH SiiRVIC L
PR;D�raT F)OIR APP18 AI.03P c0�y g O1V Ft!$A
J Yt�t3 F Y t OwLY
x 18.3 I :RTfC �S MOO.
)Bra N87'42'50"W APPgMr a e4e
F R OF4BEDROOMS
ry
CAVATI N �N�P o�TIN R RRI DOT 3EMPMES MBEY&Ar 3FROM DAM OFAPPROVAL
/��// 6/zqv;v4 4/,q-"i
.e��S 7 7-)17-&— ITf" D r- 2, 1�1D v 17�5-�
EL-E/ hufV�VL-e- Zounr'T 1Wrtiwl
Unhu@onzed alteration or addition to INs confident is a violation of Section 7209 SURVEY OF: LOT 16
If me Mew 10"sate Caucunan taw.
cennimeana;ej to t anrean mon me
y. only m ran pAgea mr doom n is preparaa M1 f
and on tin t,,J I.la Ina line Company.Owemmehe rgenry and leodPQ -
IrZ"on Ir'. h.,nnn.nuA b IM a..itnr., al the Irnalnq inalirolin,2 or dine._ MAP OF 1 I V M ••t
„none a
chpine of the aocmnml nm nmmry ran profneimafs inwna xrol or emnannna
seal sMll not be amen ion a Shod Ther copy. O
Pie pain Fiat
(m aimenlene) vend rue co from elmduren to the property Nnen are ('C'L..YS(VCO� 1 / Wh,
for a x reloading
paposn No use and therefore are not mlmaea to 9wae the ewnlion of �O OF N y I, 1�%A/
_ / � �
fences,retaimna runs,pools,patios, eref ore mean.Manan la ohluids or any altrte (/moi.^r�sr•vl 1�4Y
mnn,n°n p,
•.)tie eurl.q til dfu of war,and/aa eoamienl, of",aid.d aur.nnl ,unto ran �f0 Y DATE: ,Z I� SC .6 POW not 9ua adeoa } .,,t--
CERTIFIED ONLY TO: rX,
room®
DESTIN G. GAF
a LAND SURVEYOR
BY DESTIN G. GRAF N.Y.S. LIC No. 0067 ]J WOMAW PfNO
fri POW. Will ti1Po( 11718
TAX I.D. No. 1000-33-6-9 RM(6111)1121-"'Z 7 1
c-Ilr
150,00
3
7,0
L :36,58
Se,3
za i
J �
ZI U N Zq.7
rl r \1�1
Go�l� �ou�oaTt�Fl 0
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t °
°' 9 0Ci 14 1998
BLDG
T sou T OLD
Reim
Unauthorized alteration or addition to this document Is a violatiod of Section 7209 SURVEY OF:
of the New YOM State Education Law.
Cenilicallons indicated hereon shall run only to the person for whom it is prepared
and on his behalf to the Title Company,Governmental Agency and Lending AAA �J
Institution hereon,and to the assignees of the lending institutions or subse- 1/�C
puenl owners.
Caples of this document not bearing the pp�professional's inked seal or embossed / �z, _�_ ,f��
seal shall not be dimension a valid true co l��
The specific
a(or dimensions)shown hereon from structures to the properly lines are / /p•
for a s,rotac purpose and use and therefore are not intended to
guide the erection of (�� n, I! / Alw NT!/ I✓_ �'M
fences, tion. ng wells,poola,patios,planting areas,addition to bulltlings or any other / "rf� "R/N/�•t` 1 ' I rr /�-�
construction. r
The existence of right of ways and/or easements of record,if any,not shown are I
not guaranteed. y E VEY DATE: tO Ib ejb SCALE:
CERTIFIED ONLY TO: DESTIN Q.C%Flftly DESTIN G. GRAF
Gvn G rib 4, v
r t a LAND SURVEYOR
' no
By CE405 73 WOODLAWN ROAD
TAX I DDESTIN
INo. I OOF N.Y.S. ; No.
0(p-7 A � S' A� ® ROCK HONE(5 6)21Oaa2t na
THE WATER SUPPLY&SEWAGE SUFFOLK COUNTY DEPT. OF
DISPOSAL FOR THIS RESIDENCE HEALTH SE;iVECE8 FOR
WILL CONFRO%1 TO THE M-AND-
APPROVAL.OF COf,SST: ONLY c]
DA1'f� O
ARDS OFTHE SUFFOLK COUNTY H S REI". NO. O
DEPT.OF HEALTH SERVICES. APPROVED BY
!— W
(f) Z
150.00' j Q
zz•° z� l o
x INLET POND x
N86'07'00"E 146.18'
zz G
R = 25.00'
2I L = 36.58'
X xyz.o
Ln
D
I
0
O n LOT 16 $ z
I� Q< N m
Lu �
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i
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wA,�K xr,,,�E ; N .S
kj:
� Acl�EwhY �3p' � E
2 -
SUFFOLIS COUNTY T OP WIALTH SMVXZS
3 �SPERMT FOR AFPR VAI.OF OOPID5°P4eIXMON FM A
f Y ONLY
NO. U. •� 7, O��y
N8742'50-w APPaWo
F OF BEDROOMS
rri�aa @@ttpp qq ��qq ��ee �p ��yy qg8� E�'CPMES THREE YEA FROM DATE OF APPROVAL
CACAIIATI N INSP 4TIO lit I EGUI ED or 3
�v7�' � 77"c6-l`/ �tZ`��Ilvv z✓f17'aiZ. iJi�af
7-;N7?�= 1,Y L- Gr— 2_
tF-L,E�,J. 61.)1'VIVLr- Zounr'T 9ACUw\
Una.th.o,d oil,ra0oo or addliar to Ws doeuo.mt.s a dolalgn of Saelion 7x09 SURVEY OF:
of hoe New York Slate Education Law. LOT 16
CedXicotions indicated hereon .hall mn only to the p.nan for venom it b prepared
ll a till th 5;
an lin ytnIR till,Company. A
C9w'.nmanld gency and Leiter,
hdM h.,�.a,. Ih.n.. ...ot to.hnl ,Within,.or .ah..- MAP Or 06M,lac
Cairo,.1 Ihn docvm.nl nal hear,the paf.ear.1,Ink.d.1 or<mnoa.d
sed dull not hr ronaldmd a van nue ropy, /,y��
The on«I.(or mm,ns.nn.)known n.nan from ewgar<.to me property rtn.. n2 (,JG Wn� v 1gg1
for a sp..ho pupas.old usa and Ih<rator,of nal.nbnded to 9u•d,the.ration of / 1 y ..1..p
f.nfa Irinmina wnAy pnalx pa.n•R rinnliny o aF.Manion m nundmq. r any the, Of N . ! ✓ ,l.{ I N`w�� 1"�Pi`•,�g
Inon,.ran W f Ul/�—. 1 (�' {��,yip^ (`•
n,ru=I•rr,•nl u.pil r.l why,nndA.,, naernwnl. M o-i .4. .f any.nat nLnwn nir t Y DATE:
oar gm,nnl<eA (f ,•,nl
to
CERTIFIED ONLY T0: P moo` ron
. DESTIN G. ( AF
LAND SUP4VEYOR
L'
ByDESTIN G. GRAF N.Y.S. LIC No. 0067 9J WOMAA RM
YOM rover,NEW YM t ore
TAX I.D. No. 1000-33-6-9 nnrc lsia)nt-u.:
THF LOCATION OF WELLS WATER SERVICE
LINES, SEPTIC TANKS AND CESSPOOLS
TIONS AND OR DATA OBTAINED FROM
OTHERS.
iA
Q 3 a
'R=2s'oo ��- v,,A S wE
wouo vo�N
v4/0
z1,w
tA
S � ji,1
�.y��G.wnY � i 2� M L,r•IG E..rr Dowa
I� C iA.ti
21.4 "' y
I —7
Z_,,44, e"t' Powe lukY dJ
0
N
o
1 t, f?EC 9-9999.. a
A �4
M 00, q �jEl4rlt, w ' Zy
87- 42-
LPI 25'' 2i '
Cl- v: P2 L0 42
< 14, IDCo-r6,44,
41
C.FJ C
Unauthorized alteration or addition to this document Is a violation of Section 7208 _ SURVEY OF: r
of the Now York Stele Education Law. _ _.
Con his behalf
indicated hereon shall run
n vent the person for whom d is prepared
and on hissisted her the Title Company,Governmental Agency and Lending
Institution listed hereon,and to the assignees of the lending institutions or subse-
quent owners
Capias of this document not bearing the professional's inked seal or embossed
seal shall not be dimension a valid true copy
The ousels(or dimensions)shown hereon from structures to the property recti are
for a specific purpose and use and therefore are not addition
to guide the erection of (—nuY.,Gn. 1! NTY,
fences,retaining wells,pools,patios,planting areas,addition to buildings or any other WW�-�, 1 1
The ranted. of right of ways and/or easements of record if any,not shown are �� c ! I
not guaranteed. SU ATE: SCALE: � �U
CERTIFIED ONLY TO: iQ� ° STIN G. GR.AF
�K-A* �. MhTA DES Gt AF
�inc ink ATtia:kly I RF Y lirP/p r I SURVEYOR
O
By 3 WOODLAWN ROAD
DESTIN G.GRAF N.Y.S. LIC No.50067 I EN r 0 KY POINT,NEW YORK 11778
TAX I.D.No. 10 PHONE(516)821-3442
:J BION