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HomeMy WebLinkAbout26448-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28087 Date: 11/29/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 280 GREENWAY EAST ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 2 Lot 20. Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 14, 2000 pursuant to which Building Permit No. 26448-Z dated APRIL 12, 2000 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 REAR PORCH, FRONT STOOP AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to DENNIS & SUSAN LONG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0206 10/18/01 ELECTRICAL CERTIFICATE NO. 44033 05/08/01 PLUMBERS CERTIFICATION DATED 11/19/01 EDWARD M SANDORA V 4, — Authorize ignature Rev. 1/81 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. 26448 Z Date APRIL 12, 2000 Permission is hereby granted to: DENNIS & SUSAN LONG PO BOX 924 MILLERTON,NY 12546 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE, FRONT STOOP AND COVERED REAR PORCH AS APPLIED FOR. at premises located at 280 GREENWAY EAST ORIENT County Tax Map No. 473889 Section 015 Block 0002 Lot No. 020 pursuant to application dated FEBRUARY 14, 2000 and approved by the Building Inspector. Fee $ 644 .20 Authorized .ignat ORIGINAL Rev. 2/19/98 Form Nd. 6 307 00) u TOWN OF SOUTHOLD BUILDING DEPARTMENT OCT 2 3W TOWN HALL G 765-1802 ',q K03.OE1IOFt APPLICATION FOR.CERTIFICATE OF OCCUPANCY 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 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. 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 - , .25) 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 �( Date . . . . . IQ1. )�IQ.�. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . .,!. . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . (n� Location of Property. . .CT. v. . . . . !(�� .�. . . . . .Ort.�'(NT . .pb.cNf• •0 '• House No. •Street Hamlet Onwer or Owners of Property..`���:P1)a �� , . „ • , , , , ��A. . . . . . . . . . . . . . 4-) 2 <6 � �' , — a a County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . .6u-re_1). ./. exz,6. . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . 1�.'. . . . . . . . . . . . . . t '' .h4 Permit No.c �Gt��. .Date Of Permit. . . .dQ. . . . . . .Applicant.� fo1�1 ��..►�. 11J. Health Dept. Approval. . .K.. . . . . . . . . . . . . . . . ..Underwriters Approval. . X . . . . . . . . . . . . . . . . . . . Planning Board Approval. . .0 a . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Corticate. . . . . . . . . Fee Submitted:, $. Vs�(..(. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT Y �$uFFot,��o Town Hall,53095 Main Road co Z Fax(516)765-1823 P. O. Box 1179 p • Telephone(516)765-1802 Southold,New York 11971 ifi O! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. r Owner: E (please print) .Plumber: k''D ul (please print) 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 Notary Public, �� t ' iy SUSAN R.MICKEL Notary Public,.State of Newhblk No.4996613 Qualified in Suffolk Coote Gwmission Expires May 18, �'� Electrical Inspection Certificate Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 (631)286.6642 Date: 5/8/01 Application No. : 44033 Issued to: Dennis & Susan Long Street: Lot#2 Greenway Road East Village: Orient Zip: 11957 Town:Southold Section: 20 Block: 02 Lot: 02 Introduced by. Circuits Incorporated(L) Lk.# 4408-E was emmined and found to be in compliance with the Motional Electrical Coati ❑Attic 01st Floor ❑Indoor © Residential ❑ Pool ❑ Det. Garage ®Basement ❑2nd Floor ❑Outdoor ❑ Commercial ❑ Hot Tub ❑ NV Defects Switches Receptacles Fixtures GF/ Heaters A/C Fans 37 38 39 7 2 Dishwasher WasherJAmp Dryer/Amp Oven Range/Amp Garbage Disposal 1 1 20 1 30 1 40 Furnace Oil Gas Circulator Smoke Detector Bell Transformer 5 Meter Amps Phase UG/OH Telephone Television Carbon Monoxide 200 ®/ ❑ 1 Other Equipment: hood/microwave Hugo S. Surdi President Building Permit No. This certificate must not be altered in any manner Inspectors may be Identified by their credentials Kip*, M-lW2 BUILDING DEPT. INSPECTION FOUNDATIONROUGH FOUNDATION 2ND I INSULATION FRAMING ] FINAL FIREPLACE & CHIMNEY REMARKS: A-A - s p/ qe DATEINSPECTO f+ / i j 01. M-ieoz BUILDING DEPT. C�J INSPECTIO" [ ] FOUNDATION 1ST A [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ j FIREPLACE & CHIMNEY REMARKS: ,DATE INSPECTO 90 BUILDIN<i DEPT. INSPECT7ROUGH [ ] FOUNDATION 1ST [ PLBG.Jptj�/d1r4- [ ] F NDATION 2ND [ ] INSULATION � [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4,w, 'e- 11100 94 Cue -4 s " �•� AE INSPECTOR �Z4 , ,�OjG— X65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH P [ ] FOUNDATION 2ND ULATION [ j FRAMING [ ] FINAL [ ] EPL A & CHIMNEY RE ARKS: .1017 ,DATE INSPECTO M-ieoz BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND SULATION I 1 FRAMING [ �]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: eg-0172, z DATE 0 �� � IN8PECT0 suu.nINa DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION 1 FRAMING �, [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE // '2 � / INSPECTO or ". SL= FIELD INSPECTION RRPORT DATE _ COMMENTS ==aaxv=oaxxaaasasasaxss I�x� m D:--a a==xx=— ___= xa=aams===aasaxx:=a=ax===axaxx==aa= II II FOUNDATION II aq, Ir OF rZold FOUNDATION (2ND)---_- - ---��11G�'d ---- Qc��f'$E -- --- I� z ROUGH FRAME & ii u O II— N PLUMBINGlr- rl 11 a rt --_—�I ----------- II - max—x-x-------------=----xx==__-- --s-xexxxex_ INSULATION PER N. Y. STATE ENERGY II N CODE -ii u N II p H FINAL Iir — ADDITIONAL COMMENTS: j. U � � U Vic - o c x BOARD OF HEALTH . . . . . .. . . . . . . . . FORM NO. 1 , 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . .. . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y.. 11971 TEL: 765-1802 NOTIFY: CALL 01cCI.. .a �Sb3 Examined. ., MAIL TO: .. � n� : b : !�f?.X. C1 Z Approved.. ..... .. Permit No. ��. `t•o•. .........C!:'.�.��:�.f.� y.... Disapproveda/c .................................. ......................�al........... : 111 ' r f7,"_ .................. ....... .. (Building Inspector) i ,,,� APPLICATION FOR BUILDING PERMIT 14 � __. Date. . . .. ... . . . . . .ts.OP -'"- INSTRUCTIONS a. This application mLs letely filled in by typewriter or in ink and Submitted to the Building Inspector Wil 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing 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 must be drawn on the diagram which is part of this application. ' c. The work covered by this application may not be commnced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall bekept on the premises available for inspection throughout the work. e. No building shall 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. APPLICATION IS HMM MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ..... . . .... .. . .. ....................... ( lgnature of applicant, o name, if a corporation) ...P.Q:. ... i.��CA XJ. ?..I�:` ... (Nailing address of applicant) Z State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ............Q.4�?!1�. .".-............................................................................................. l_.o.. Nape of owner of premises ..... IlU6.�... T.. 0 2`J/°CK�........... ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .................................................... (Nam and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. GLS l lJe_ NA�e COcr F7 Other Trade's License No. .................... i 6 A.S`j 1. Location of land on which proposed work will be done.............................................................. .... ?........ .� ?u? ....4 .�..........�Ya.e .t......r.0 f.....�.1�1. .............. House Neer S reet Hamlet If,Canty Tag Nap No. 1000 Section .015.QQ.. Block .00.%Q Q.... Lot .Q.oLL)!.CQC0 Subdivision ... .... ......... Filed Nap No. ..��7.�... Lot ...�.�...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...............................I.........(�................................... b. Intended use and occupancy ....... '. .�C�.....0 1�:�1:1�.1�. .....] ���.f 4l.N�.�.�............. 3. Nature of work (check which applicable): New Building ..X..... Addition .......... Alteration ....�.�... ' Repair ............ Removal ............. Demolition ............ Other Work ................................. (Description) 4. Estimated Cost .. . .... fee ..... .�O.y�:�•..Z�......................... Itt �(to be paid on filing this application) If dwelling, number of dwelling units .....1. ... Number of dwelling units on each floor ................ Ifgarage, number of cars ...................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use...... ............... Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Number of Stories ....................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Number of Stories .... ........ Dimensions of entire new construction: Front .....W2....... Rear .....(9.4..... Depth ..Zy'..... .. Height ............0............ Number of Stories ......I............... Size of lot: Front ..... ......... Rear ....,. -t.� ........... Depth ....�.�J.bt.......... 10. Date of Purchase ... ..... Name of Former Owner ...5054 0 ..AA-4r.. II. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .....1.2 Q.............. 13. Will lot be regraded ........L). Q... . Will excess fill be removed from premises: YES 14. Names of Owner of premises1S,l;oal�ll�.F1.`.K !..Lw`fddress��.: �f� ..I l ... Phone No6E$:3�:.�3 Name o .�r.:. �YV�iG ................. Address a� .4�Fr�s34?.�( . G..0 �LoPhore No. .............. Nameof 444 .................................. Address ...............................Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES ........ NO ...X..... *IF YES, SOITMD MM TRUSIFE.S PERNIIT MAY BE RE4JLRM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block cumber or description according to deed, and show street names and indicate whether interior or corner lot. C,rrn#-& s.rnir. Or-crux, S,s COUNIY Or, .. ...... .........�A)6tA ).... 11). ..........................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above rkwed, Ileis the ........CLO nt-)r'-V2 ...............I............................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this '1 4-- ....... .........day of .�-f:l(-� m�l-i�.W....... Notary Public .. ..`=: (Signature of Applicant) ' MARY C. MAILLET NOTARY PUBLIC MY COMMISSION EXPIRES JUNE 3o,2000 F SUFFOLK COUM i3F•I'ARTUM OF F IALIN SWKV Rd SUFFOL K U t'r#,Y rZMj-V=AFP'K WAL0WCONjvkRUCTM PMA DEPT. OF HFA�.'y SEt2Yii:F� FAMII.T �+T RtYERHF ; `NY 11901 nATB 10 ,25 .NO► AprRovsD .� 199 SEP 29 P3 .59 �x�uxauttnKo� wan TMW YEARS FIM DATB OF AWROWAL FOR SANITARY SYSTEM RTMENT g� N -00 ON i N A q1. LE*,, 4� G.O.e• J l z PLEASE NOTE Minimum distance between well and cesspool is to be 150 feet. y .dao <161 'E i'✓5,d' .3u�✓Ey,S�,e• D�j�/N/5�✓'�'IJ�iS'.i/.�Ar!/cs yC/•l.�is�.�v�i�.�.ri' !o�% Z,ti1.t`+Ia.�G•CB'2�Vi�I.E'ES ATOie/�'N1 0,14 h/iY G ov HacO/✓ /�Y7/ ��1�is�y!EEo To'• D�yy/���G�,s,�/,Cor�G � ��J.yrr��h' T.4' Ca. scjy�c►�/''Fflo' .. 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' ZUFFOLK ;,v.PrNULnARTMPNi'OPHEALTHSERVPM I APMVAi,OV, C(WS'MTV FA WOWG FOR A S114GLE FAMMY Rr-%nMCl rte« OCT 18 Ml s.Re.N�. � dCt T(� sewage d's 'a; ^., .�,, �A"!. !xi!•';�^ .!►�!�tg t icz&ij haft b z ( oil in,recte9 •.;� tte�A.�c;a*a,PP..,Chief '44a&,A W&Uwam Manest:mt I w `— ;O� 2Dc'•y� , L,P. L,v w N OSgD LApo vpb LE Zy ,�. w"9'y '��► � woe" � F,eq�e . F`� t � 9 azo *?�4to�3e98 riiw co n �,vEtt.. ,�E,eryiv faooz.ve�X r4l� wr::� �%� �iJrh�'9•�l � 3c�yEYF�.e• �/�N�/i:���✓�;��.�O.r/d y yt/LF�.s�.9.��x�.ri' ,sio.�vRY�.e �rxr��' 1 sir a�✓moi oF-Sav>-,ya�v/�/y 1117/ Gvy..��urE�v To�• �����.r��Sv�,s��,/.�o�G.� �!J"yrr��'i9.8 >,�f�cr Co, ���T.�u�E`���/��Ay z,.zoa a Fov,uoq riau.loc.✓rJ.tres S z oo� 1U.evaV,IPJ' 23 Poa/ �C:7�f1.#/DSO-ZO-Dz••J� m =/X.�.�6'i:✓.� Applicant/ UA aie if Ov✓ners Name �n ni- S 5 -150. �— Reviewed 7 Architect/ Date SI - (�h Engineer: ubmittal o� - SCTM ll: District: 1,000 Section f_5_ Block I,ot Project n Subdivision location C)1�.-�,+ Name �j1� e/l AC/-�� U Sin&le& separate Required ©G certification Yes - Rcq Rcq. Toning District Aual �ci �cQPotxscd - - � A97 �30 Rcq / t/ Rcq `5- 3 / Rcq r / (Frons Yaid Proposed �-J (Side Yard � Propose _/- ( (Real Yaid �_ Proposed � - � 3G Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County p Health De t. _— ,�/O —517 New York State D. E. C. r J Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: b0 to • Town Of Southold , P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 02/14/00 Receipt#: 1382 Transaction(s): Subtotal 1 Septic Permit-Construct-}Resid. $10.00 Check#: 1382 Total Paid: $10.00 Name: Long,Dennis And Susan P. O. Box 924 Millerton N, Y 12546 Clerk ID: LINDAC Intemal ID:2147 )�S �s•ti c, glZ(, let y ick Az z , 8 cid, z W (404-1u) z 77-ZZ z z = )0'77 PS i I � ,p oiZ h Sbb,S r�1.ZS� �+ 17'�l fl ILlfu .io x 1Sc+ 7 Z z u ok- v, Yc�K FLxK � V� e S7 . (° Li-LO Sze 7� i� Z I,A = Szf� 4i : 5315 Iz 4 5- �. UV- Ct-j I �5�. �GP-, V--t FMIFTT —_.— I -- -_ ,. 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APPROVED AS NOTED DATELI-41 -60 B.P.,IWFIORT14i NO 63c-bo gy;_ R NOT PROCEED WITH RVENOTIFY BUILDING DEfRAMING UNTB. SURVEY FOLLO I 9 NS TO 4 FOUNDATION LOCATION FOLLOWING INSPECTIONS; OF 1. FOUNDATION - TWO REQUIRED "M BEEN APPROVED. FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET PROVIDE AMI-SCALD AND/OR THE REQUIREMENTS OF THE N.Y. THERMAL SHOCK PREVENTING STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DEVICES AS TO PART. 902.6(K) DESIGN OR CONSTRUCTION ERRORS N.V. STATE BUILDING CODE. OCCUPANCY OR PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE USE IS UNLAWFUL CERTIFICATE OF OCCUPANCY WITHOUT CERTIFICATE SOLDER USED IN WATER XEuioiaOF OCCUPANCY ECED0f1% s PLUMBING UNDERWRITERS CERRFICATE ALL PLUMBING WASTE REQUIRED &WATER LINES NEED TESTING BEFORE COVERING it copper tubing is used for water distributing PROVIDE OPENINGS FOR system:piping shall be EMERGENCY ESCAPE AS 01 types K or L only REQUIRED BY PART. 714 OF N.1L STATE BUILDING CODE. PROVIDE 3/4 HR. FIRE RATED SEPARATION TO PART. 717 3 (f) (1) OF N.Y. STATE EUILIING CODE.