The URL can be used to link to this page

Home My WebLink About25166-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26344 Date: 03/25/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 360 OLD FIELD CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.25 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 22, 1998 pursuant to which Building Permit No. 25166-Z dated SEPTEMBER 10, 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 & COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to GREENBRIAR HOMES, INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-98-0101 ELECTRICAL CERTIFICATE NO. 25297 PLUMBERS CERTIFICATION DATED 03/19/99 WARREN KEANE 02/26/99 02/24/99 Bu il~rng Inspec~r Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25166 Z Date SEPTEMBER 10, 1998 Permission is hereby granted to: FARMVEU ASSOCIATES MAIN ROAD CUTCHOGUE~NY 11935 for : CONSTRUCTION OF A TWO STORY SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH. at premises located at 360 County Tax Map No. 473889 Section 120 pursuant to application dated JULY Building Inspector. OLD FIELD CT MATTITUCK Block 0003 Lot No. 008.025 22 1998 and approved by the Fee $ 856.20 Application Fee + 75.00 931.20 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thi~ application must be filled in by typewriter OR ink and submitted to the buildin, 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 buildi 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 a' Vpre-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 applican 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 - $100.00 3. Copy of Certificate of Occupancy - , 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 ................. Location of Property ...................................................... House No. Street Hamlet Onwer or Owners of Property .............................................................. County Tax Map No 1000, Section....~.~..~.~ ....... Block.---.~. .......... Lot. Subdivision ~/.'~.~...~... ~'/.. . /~z~/~%~'~. . . . Filed Map Lot ...~..~.... .......... ~-/~ ~-- Date .~i~/f~...Applicant.~ .~. .~. · -~' '~t~' '~z~'' ''~'' '~'~' Permit' mo..~: ............ Of Permit.. · Health Dept Approval Underwriters Approval . .. Planning Board Approval ........................ Request for: Temporary Certificate ..... Fee Submitted: $ .... ...... Final Certicate ........... · ....... Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 CERTIFICATION DATE: Building Permit No. ..~gS'/~ Owner: ~/2~/~ /~4~_~ (please print) Plumber: ~/~c~ /~F~ ~ -~glease pridt) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn.to before me this /¢ day of ~c~ , 19 No~,~ County HF. LENE D. HORNE Notary Public, State of New ¥0~ :OUNDA'TION (1st) COMM£NT£ FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING' INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: GRE£NSRIAR HOMES, INC. §9 HAWXHUBST ROAD COLD SPRING HARBOR N.Y. 11'724- (516) 421-1434- March 23, 1999 Town of Southold Building Department Town Hall Southold, N.Y. 11971 Re: Building Permit No. 25166Z New Home 360 Oldfield Court. Mattituck, N.Y. 11952 Dear Building Inspector, With reference to the above mentioned premises, will finish grade and install the asphalt driveway in the Spring when the weather and ground conditions permit. / You.r/ ~/~uiy, / Greenbriar Homes Inc. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]~JLATION [ ~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE ~/~/~//~ INSPECTOR ~/~ 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS~ULATION [ ~AL [ ] FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL []FIREPLACE&CHIMNEY [ ]~GH PLBG. [ ~] INSULATION DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [z~ROUGH PLBG. ~ [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY D^T~ /# ~/grt ,NS,.~CTO. 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST [~J/ROUGH PLBG. [,, ] F~TION 2ND [ ] INSULATION [ ~--'I~REPLACE & CHIMNEY ~/~-- ~:~/ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] F~INDATION 1ST [ [~"] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ~ ROUGH PLBG. INSULATION FINAL 765-1802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ROUGH PLBG, INSULATION FINAL FORH HO. I TO~/H OF SOUTIIOLD llUl 1.I)1 FlU DEPARTFIENT TOT, HI HALL 8OUTIIOLD, N.Y. 1197 I TEl.: 765-1802 ~;,~,i,ed ...... ..~/~,^..., 19 ?? ........ ?'/7"'" ,..,,,t Disapprt~ed a/c ................... ~ .............. ( I~n' l~li~ns~ac tot ) APPLICATION FOR BUILI)ING PERHIT BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CI1ECK .......... ~ .............. gEPTIC FOI1N ................... NOTIFY: - GAl.,, FlAil. TO: .................... 'fOWN OF $OUTHOLD INSTRUCTIONS a. 'Ibis application nt~t be conpletely filled in by t~riter or 3 ~ts of pl~ acetate plot plan to ~ale. ff~ accordi~ to b. Plo~ plan ~t~ i~att~ o~ lot a~ of ~ildi~gs ~ ~i~s, ~lattonMdp to Mjoinlng pr~t~s or Dd~llc str~ts or areas, a~ 81vi~ a (~tailed ~:riptlon of layon~ o~ pro~rty ~mt be dr~ ~ the d~a~aa ~icl is I~art of thi~ application. c. 'Iht ~ c~r~ I~ this a~licati~ my ~t be c~t~ed before is~e of ~fildl~ Pemit. 'cd. U~ a~al of ~ds a~licatlon, tl~ I~dldi~ lns~ctor wilf is~ a ~ilding ~mlt to the applicant. $~ch {emi~ M~all ~.kepC ~ ~m ~s ~afl~le for ins~tim thro~l~t tim ~rk. e. ~ ~ildi~ ~mll ~ ~pi~l or ~ in ~mle or in ~y M~all h~e l~n gr~t~ l]y ~ ~dldi~ Ins~tor. ~H.IC~'FI~ IS IE~ ~ to tim lh~ildi~ ~art~nt For tim issue of a ~ildlng PemlC ~rsxmnt to the I~ildi~ ~ ~i~ of tim 3~ o~ ~tlmld, ~ffolk ~nty, ~ York, ~ otlmr a~llcable l~s, ~di~es or ~lati~s, for tbe ~st~tt~ of hdldt~s, ~itt~s or alterations, or for r~al or ~ltti~, as bereln ¢~scril~. lira applt~t ~s to c~ly wi~ all a~llcable l~s, ordi~,~es, I~ildi~ c~, ~ing c~, ami re~dati~s,~a~ Co &it ~ri~ in~tors on p~i~s a~ in ~ildtng ~or ~ca~ inertias. ~ ~/~ ................ ........ ............. (Sig~ture of a~licant, or ~, if a co~ration) - ~d~z~ .......................................... ..... ~ ......................................· ...... (as ~ tie tax z~lL or latest d~) If appt~t is a co~rat~, a~r~ of duly ~tl,)ri7~l officer. l~Jilders License I% .......................... Plt~bers License No ...... ..~.~..~...~-.-~. ....... ~.l~tric~a ,.~c~ ~. · .~g~-.g- ...... ..................... . / I. l~ati~ of la~ ~ ~lid~ pr~l ~rk ~ilI tm &~.. ~ ~ ........................................ I~ ~r St~t l~et ~,~ ~-,. ~ ~on .../~ ....... ,~ .... ~ ........ ~ .... ~.~.~... ~Mivlsi~ ~.~..~E~/~--~il~ mp ~..~. .... l~t ...~ ....... 2. State existing u~ aM ~y of I~i~s aM iate~ tree ~ ~a~ of pro~ e~stn~tlon~ a. F~sti~ t~ a~ ~y ............................................................................. e~ ~<~ ....................... 3. I,kaure of ~ork (ct~.ek ~hid~ al~licahle)l FL~ Ik~ildin§ ......... N~l~i=~ .......... Alteration .......... lC 8araae, ,.,,t~r oe tara ..... ~ ........ ~ ..................... 6. 1~ Ix,sigmas, ~rc/al or m[~l ~aqm~y. s~cl~ tmture a;~ extent of eadt tyim of u~ ...................... 7. l)l.¢nMam oE ~la~l~ atn~u?a. 1~ any: tk~m~ ................ ~ar ............... ~p~h ................ PI,OT I)IAglIAH- i~ate clearly aM dlatl~tly ~11 ~lldl~a, ~mtlmr ~lactnfl or pro~, ~ h~lieate all ~t-i~ dl~nslona ~r¢~, prolmrLy ll~fl. Ot~ er~t taxi bl~k axdmr or chacrlpti~ acco~tnfl to <~, a~ ~ atreeC re,me ar~l l~llc:ate tdmtlmr interior or co~r 1o~. ......... Imi~ll[ duly ~w~rn, delx)~aa taxi maya Lhat he ia the appli(~Jnl: Notery Public, State of New Yo~k No. 4952246, Suffolk Could/_ Term Expires June 12, (Sll~,Tmt:ure ol: Apl)l leant) lie ia the ........................... ~ ....................................................................... (('xmtractor, at~ent~orlx)ra(:e officer, etc.) of aald (xinet or o~a~rfl, mKI la &dy &thorJ~ to i~rfona or h;~e l~rforn~] I.he ~ld ~rk alxJ to .~ke taxi file thia appl icatiou; that: all state.nra ccmt~t~ in this .l~licatl¢m are trim to the Imat of I~ta k~x~l~ge m~ I~tJef~ taxi that th~ ~rk wltI Im ~rfon~l t. thd .vm~mr ~t forth in the appllca[ion fil~l tlmr~[~. ~)rf~ LO Imfore ,]~ this i 1o3...( ~N,= ~0, 0 ~o~. 5 mE WATER SUPPLY & S~AG~ ~ ~ ~, ~ ~ ~, ~1 DISPOSAL FOR THIS RESIDENCE ~ / ~ WILL CONFROM TO THE STAN~ Unauthonzed alteration or addition to th~s document ~s ~ wct ation of Section 7209 el ~he New York State Education Law Cer[ihCa(lons indicated hereon shall run only to ~he person for whom it ~s prepared and on hi8 behag to the Title Company, Governmental Agency and Lending Inst~t ution hated hereon, and to the assignees of the lending institutions or subse- quent owners. Cop~es of th~s document not bearing the professional's inked seal or embossed seal shall not be considered a valid true copy The offsets (or d~mensions) shown hereon from structures to the property lines are lot a specific purpose and ese and therefore are net intended to guide the erection of tences, retalnlng walls,poma, patms, planting areas, addition to buildings or any other CERTIFIED ONLY TO: By DESTIN G. GRAF N.Y.S. LIC No. 50067 TAX I.D. NO. I000 - I ZO - C)3 - ~). SURVEY OF: ~)-~ Z')) · , DESTIN G. GRAF LAND SURVEYOR 73 WOODLAWN ROAD ROCKY POINT, NEW YORK 11778 PHONE (516) 821-3442 THE LOCATION OF WELLS, WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM ~=..~O, O , 2 OTHERS. of theUnautb°dzed alleratio, or addition . ,his document is a violation of Section 7209 'New Ye* State Education ~w SURVEY OF; ~ Z5 . . and on his behalf to the Tille Company, .overnmental Agency and Le.d,ng ~¢, ¢¢ The off,ets (or dimension.) shown hereon from struCur.8 to the prope.y lines are ~U~ ~ The existence of nght of ways an~or easements of re~, if any, not shown are iI .et g..,.,t..d. ¢ DATE: SCALE: ~ ¢ ~0 / CERTI lED ONLYTO: By, DESTIN G. GRAF N.Y.S. LIC No. 50067 TAX I.D, No. I000 - IZO- 03 -~. 2.~ ' OI ~U~'o"z~ alteration or addition ,o this d~ument is a violation'of Section 7~gNew Yo, S~te Educatmn ~w, SURVEY OF: ~,~n. indic~,ed her.on sha~l run on,y ,o the ~on for whom i, i. prep.red ~'~ Insl~tu~ li$ted hereon, and Io the ~ssignees of the lending institutions or subse- quent owners The o,.. {or di~nslons) shown hereon f,om s,ru~ums to the pro.~ lines are not~%~;~L~' ~e °l .ght