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HomeMy WebLinkAbout21322-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22478 Date JULY 27, 1993 THIS CERTIFIES that the buildin~ NEW DWELLING Location of Property 500 MOCKINGBIRD LANE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 15.56 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 1993 pursuant to which Building Permit No. 21322Z dated APRIL 8, 1993 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 DWRT~.TNG WITH GARA~GE ON FIRST LEVEL & ATTACHED DECK AS APPLIED FOR The certificate is issued to of the aforesaid building. DBM CO. (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-73- JULY 16~ 1993 UNDERWRITERS CERTIFICATE NO. PENDING - JULY 23, i993 PLUMBERS CERTIFICATION DATED JULY 21~ i993 - K&K PLL~4BING & HEATING Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N_°N? BUILDING P£RMIT (THIS PERMIT MUST BE KEPT ON TIlE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 213 Z Dot, .5~ ............................................ , 19~ Permission is hereby granted to: at premises located at .. ,~,,~,~,.,/,,~~~ .................................................... County Tax Map No. 1000 Section ..... ..f~...~... Block ........... ~ ....... Lot No ...... /..~..'.....~'...~'.. pursuant to application dated .... .~/~,...-~.. ......................................... , 19 .~...~...., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 JUL 2TI9 BLDG. DEPT. TOWN OF SOUTNOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN }{ALL 765-1802 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 accuraie location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from ttealth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 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 (prier to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and nnusual 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 Occupaocy on Pre-existing Building - $100.O0 3. Copy of Certificate of Occupaocy - $5.00 over 5 years - $10.O0 4. Dpdated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.O0, Commercial $15.00 Date .~/ /V .~. . . Coastruction ........... Old Or Pre-existing.Building ................. .ocatio. Property .... M ._CO House No. Street Hamlet )nwer or Owners of Property ~P~ ~ ' . :ounty Tax Map No 1000, Section...~. ..... Block ...... ~ ........ Lot .... Z~'~4 .......... ;ubd~vision Filed Map ' ' 'ermit No..~.~.~.~.~...Date Of Permit. ~/~/q~ ..... Applicant...~ .~o. lealth Dept. Approval...~.7.~.7.~.~ ...... Underwriters Approval ......................... 'lanning Board Approval ~equest for: Tempbrary Certificate ........... Final Certicate.. ~ ........ '~e b d $ P-~ ,OO - Su mitte : ............................. TOWN 'OF $OUTIIOLD OFFICE OF BUILDIHG INSPECTOR P.O. BOX 728 ' TOWN IIALL 8OUTIIOLD, N.Y. 11971 TEL. ~ E ET I F ICAT ION Date day o~ , ~ (pZumber'~ signature} Notary SU~ANN~C J. p~R~ICON~ 140TARY PUBLIC, State of New Yo~ No. 4882799 Quatified In Suffolk Count'/ Commission Expires Jan. ~0, 19 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ].~J~TION [ ] FRAMING [p//FINAL REMARKS: DATE INSPECTOR ,iOU~DATION (1st) ~OUNDATIO|! (2nd) ~UGH FRAME & .PLUMBING ~SULATION PER N. Y. STATE ENERGY CODE FI;;AL ADDITIONAL COMMENTS: June 4, 1993 Fairweather · Brown Architects. Designers Box 521,122 Front Street Garden Greenport, New York 11944 (516) 477-9752 Mr. Gary Fish, Building Inspector Town of $outhold Building Department Main Road Southold, N.Y. 11971 Re: DBM Co./Highpoint Meadows Cohen Residence, Lot 50 Dear Mr. Fish: After reviewing the structural design of the subject house, I have determined that 2" x 8" floor joists at 16" on center is sufficient between the lower and upper floors. Although the plans originally show 2" x 10" joists between the two levels, please accept this letter as a design change. If you require revised drawings, or have any questions or comments, please let me know. Thank you for your attention to this matter. Sincerely, Brown, A.I.A. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [//]~NSULATION []FRAMING []FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ,=o..o~T,O. ~T ~~.O.,~. ,'L,,,~. ~/~ FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION r ~ FOUNDAT, ON ~S~ ~,d~O"G, ] FOUNDATION ZND [ ] INSULATION ]FRAMING [ ]FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]~NDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS'- DATE 765-~80Z BUILDING DEPT. INSPECTION ~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FINAL [ ] FRAMING REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~ROUGH PLBG. [ ~/FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE THE NEW YORK BOARD OF FIRE UNDERWRITERS l t ~ 9 ~i 0 9 ~ BUREAU OF ELECTRICITY ~ 8S JOHN STREET, NEW YORK, NEW YORK 10038 Date ~lJ~,~' ~0119~)3 ~pplicationNo. onfil~ ~93~93/~ ~ 2~'~g~ THIS CERTIFIES THAT inthefotlowlnglocatlon; ~ Basement ~ IstFt. ~ 2nd FI. (;~R/~'JJT[C/OI~T Section Bilk Lot ~0 FIXTURE OUTLETS DRYERS FIXTURES RANGES OVENS EXHAUST FANS OTHER SYSTEMS NO. OF FEET E E R V I C NO. OF CC COND PER ~' A.W,G, NO, OF HI,LEG A W G Of CC, COND OF HI-LEO NO. OF N~ UTRAL$ OF NEUTRAL OTHER APPARATUS: ~OTOR,q ~ 1 ' 5 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPy OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, t OI.DG. DEPT. TOWN OF SOUTHOLD Examined . .~..~../y ...... Approved .... ¢/~ .... Disapproved a/c .......... FORM NO. 1 'FOw~ OF- gOUTIIOLD BUILDING DEPARTMENT TOWN ttALL $OUTIIOLD, N.Y. 11971 TEL.: 765-1802 ..... ..... ~Buil~g Inspector) 'APPLIC,ATION FOR BUILDING PEflMIT NOTIFY: c^t. .q. ....... HAIL TO: INSTRUCTIONS Date Ap.,~. 2, a. 'Fids application must be completely filled in by typewriter or in ink and submitted to the Building lhspector, with $ sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot platt showing location of lot and of buildings on premises, relatlonslffp to adjoining premises or public streets * or areaL, aRd giving a detailed descrlpffou of layout of property must be drawn on the diagram which i~; part of this appli- · cation. e. The work covered by tiffs application may not be commenced before issuance of Building Permit. d. Upon approval of ibis application, the Building inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection tbrou~tout the work. e. No bnilding sball be occupied or used in whole or itl part for spy pntpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a BtL{ldlng Permit pursuant to the Building Zone Ordinance of the Town of Soutbold, Suffolk County. New York, and other applicable Laws, OrdL;~,'mces or Regtdatious, for the coustruetion of buildings, additious or alterations, or for l:emovaI or demolition, as herein de~crlbed. The applicant agrees to comply with all appllcagle laws, ordinances, building code, housin,4 'code, and regulations, and to admit authorized inspectors on premises attd in building for necessary inspections. (S~gnature of app leant, or name, tfa corporat,ou) P...O..B.oL 2130, Greenport, N.Y. 11944 (Mailing addres~ of apl~li~:an't) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electriciah pinrnber or builder. .................... qc,,ge¢, .................................... Nameorownerofpremises .... D B]d Co. ' as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ' Builder's License No .......................... Plumber's License No ......................... Electrician's License No ' ' Oilier Trade's License No ...................... J. Location of land on which proposed work will be done: ~4~ a~ Mockingbird Lane Southold '" Ilouse Number ' ' Street, Hanllet Cotulty ' ' ' ' ' Ts., 100o s c,io,, .... ........... .................. Lot. ,.. ' Subdivision fl~ghpoi~ Meado~ ....... ,.,, ............................. Eiled Map No. 5.0. (Name) .............. Lot ............. 2. S!~te existing nsc arid occupancy of premises atvJ in/ended use attd occnpancy of proposed onstrt ctlo,: A F. xisting use aiqd occupancy B. Intended use and occupn.cy..O~16. 3. Nature of work (cheek which applicable): New Building .... ,X...X.. .... Addition .......... /~Iation ~ep~r .............. R~mo~nl .............. Demolition .............. S~mm~oo~ .......... renni~ court ......... ~ec~ory Build~ng...: ....... ~enee ....... o~h~e ~ork;,., ...... 4 Estimated Co~t ~ ~. Fee ~' (to be paid on filing thi~ application) 5, If dwelling, number of dwelling ~nits ... I ......... Number o f dwelling units on each floor .............. If garane number of cars ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of uso ............ 7. Dimensions of existing stmcture~ if any: Front ............... Rear ............... Depth .............. lleight ............... Nmnbcr of Stories .... . ....................................... Dimensions of same st~cture wiih alterations or additions: Front ................. Rear. ~ ............. ..... ~.. tlmght ............ Nump~r of Stones ...... ~ ~,. ~,~ ..... 8. Dimensions of entire new consta~ctton. Fr,m~ 47~ .... R~ar . .~ ........... Depth . Height Num:ber of Stories ' ' 9. Sizeoflot: Front ...................... Rear ................... Depth ~ ................. IO. Date of Purchase ........... ] .................. Name of Foyer Owner ..... , ...... ,,., ........... 11. e ...... are situated , Zon or use district m which ptmmses ................... , .................. , ........ 12 Does proposed construction violate any zoning law ordinance or regulation: fi,.,. · · 13. ~ fil lot be regraded ......... , .................... Will excessfill be rflmoved from premises: Yes .... 14. Name of Owner ofpremises ? ~.~ co~ ..... ~ n,~n ....443 fl~n, ~regnpo~ mm,~ ~ 477:22~ , Name of Contractor ' Address Phone No.. tlf yes~ Southold Towq Trustee~ Permi~ may be required. PLOT DIAGI~M Locate cle~ly ~d distinctly ~1~ buildings, whether existing or proposed, and. indicate El set-back d~ansion~ property lines. Give street ~d block]number or desc~ption according to deed, ~d show street n~eS and ~dtcate whether intedor or comer lot. STATE OF NEW YORK. COUNTY OF..S..t4'. f~q'~,~. ........ e.h . (Name of individual sigpiug contract) above nan{cd. being duly sworn, deposes and says tba,t he is the applicant lie is llre P'~'~' '~. I ' ' [ (Contractor, agent, corporate officer, etc.), of said owner or owners, and is d ,dy anthorized to pe,rform or have performed iht said work and to fiiake and file tiffs application: that all statements con:rained in this a ~ fl c:mon are true to tim best of bis knowledge and beliefl and that the wor, k will be performed in the manlier set forth in the application Filed thereWith. Swm~l to before me this ................ Cou.ty J. ~RRICONE PUBLIC, State ~ ', ' 4882799 ~ffolk (Signature of applicant. SURVEY FOR D.B.M. GOMPANY LOT NO, 50,"HIGHPOINT MEADOWS,SECTION THREE" APR iZ 1993 AT SOUTHOLD D~T£ JULY 22, 199l TOWN O~ SOUTHOLD SUFFOLK COUNTY, NEW YORK NO 9 I - 0647 CERTIFIED TO ~TIONAL BANK NTEE "~,:',,,,, ,~-, ~ . F SINGLE FAMILY DWELLING ONLY ~PIRES TWO Y~RS FROM DATE OFAPPROVAL SU~Y FOR D.B.M. COMPANY LOT NO,50~"HIGHPOINT MEADOWS~SECTION THREE" ~UFFOL~ COUNTY DEPARTMENT OF AT SOUTHOLD DATE: dULY 22, 199~ FOR APPROVAL ~F CONSTRUC%~ON ONLY ~N ~ SOUTHOLD SCALE: 1":50' SUFFOLK COUNTY, NEW ~RK ~0 91-0647 .... 5U~ E~R'S ~NKED SEAL O~[~O~S/D SEAL SHALL ~GUA~ANT[[S INDICTED NE~[ON ~ALL RUN ~LY m ' HEAL~ DEPARTMENT-DATA F~ AP~ 12 C~T ~H[ ~R~ FOR WHOM THE $U~EY iS PREPARED YOUNG YOUNG NOTE= SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN WYOUNG, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MARCH 19,1990 AS FILE NO. 8912. AND LAND SURVEYOR N Y_S UCENSE NO. I E845 HOWARO W YOUNG~ LANO SURVEYOR 8RANDIS & SONS 1NC* HEALTH DEPARTMENT-OATA FOR APPROVAL TO CONSTRUCT NOTE: · = MONUMENT FOUND · = STAKE FOUND SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MARCH 19~1990 AS FILE NO. 8912. 8RANDIS & SONS INC, SURVEY FOR D.B.M. COMPANY LOT NO.50,"HIGHPOINT MEADOWS,SECTION THREE" AT SOUTHOLD DATE. TOWN OF SOUTHOLD SCALE SUFFOLK COUNTY, NEW YORK NO APR 29, 1993 APR. 12 ) 199:5 DEC 16 ) 199i JULY 22, 1991 1": 50' 9 I - 0647 CERTIFIED TO: ATIONAL BANK ~NTEE RIVERHEAD, N[W YORK ALDEN W YOUNG, PROFESS ON L ENG NEER AND LAND SURVEYOR N Y.S UCENSE NO 12845 HOWARD W YOUNG, LAND SURVEYOR NYS LICENSE NO 45893 ~o~,~ ~~ / / ~o..,. SU~Y FOR ~ muN~ ~T ~ ~1H ~V~ STEVEN ~H EN ~ ~N~.F~Y ~U~ ~ LOT NO. 50, "HIGHPOINT MEADOWS ,SECTION THREE" DAT 1,,,6 i~.S. REF.~. ¢/-,%~-~ AT SOUTHOLD DATE. JUL. 13, 1993 The ~wage dis~l and w~ supCy bcilAi~ for this ~N ~ SOUTHOLD SCALE location have been ins~cted bythis ~paffment and/or SUFFOLK COUNTY, NEW ~RK NO 93 - 0506 other a~ and fo~ to_~ ~sf~t~. -- ' ' SURVEY · A VI~ATION ~ ~[CTION 7209 ~ THE STEVEN COHEN Chief ~f Burke of Westair Manageme~ ] .[w ¢o.K ST~T[ ~CaT,O. L*W TICOR TIT~EE .' su~vg~'s I~KEO SEAL OR [~BOSS[O S[AC SH~LL BRID~~~L BANK ~GUA~ANTEES INDICTED HE~EON ~ALL RUN ~LY ~ H[~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUC T ANO ~ HIS BEHALF m THE TITLE C~P~Y, GOV~N- ~ YOUNG ~ YOUNG .,v[.~o..[~ NOTE= · = MONUMENT FOUND ~ = STAKE FOUND SUBDIVISION MAP FILEDIN THE OFFICE OF THE CLERK OF ALDEN WYOUNG, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MARCH 19, 1990 AS FILE N0.8912. AND LAND SURVEYOR N Y.S UC[NS[ NO 1~84~ HOWAROW YOUNG, LANOSURV[YOR BRANDIS & SONS INC.