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Home My WebLink About23934-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C~RTIFICAT~ OF NO Z-25158 Date JULY 29, 1997 THIS CERTIFIES that the building NEW DWELLING Location of Propert~ 2060 GABRI~?w.A ~O~T MATTIT~CK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 4 Lot 7.47 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 19, 1997 .pursuant to which Building Permit No. 23934-Z dated FEBRUARY 25, 1997 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 TWO STORY ON~ FAMILY DW~'~.ING AS APPLIED FOR. The certificate is issued to K~ DEVELOPMENT CORP. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-O013-JULY 24, UNDERWRITERS CERTIFICATE NO. N-425031 - J~LY 8, 1997 PLUMBERS CERTIFICATION DATED J~NE 3, 1997-WILLIAM DOOLEY 1997 Rev. 1/81 1~ NO. ~ 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) N-° 2393 Z Permission is hereby granted to: E.L.E. DgVELOPHEI~T CORP. (BOC;GE) P.O. BOX 1143 CI~CHOGut~, N.Y. 11935 CONSTRUCT A T~O STORY SINGLE FAMILY DI~ELLING AS APPLIED FOR. at premises located at ..... .:~.0.~.0...Ca6~.l~l.~Isl~..~gI.~ ...................... ~I[~.T~.][.~I.(~..~..~..,I., .......................... County Tax Map No. I000 Section ....... I..0..8. ............ Block ...... ~ .............. Lot No.....7.:..6..7. ............. pursuant to application dated ...... I~IL,...[~., .................................. , 19..~..7..., and approved by the Building Inspector. Fee $....../!.O..I..:.0..O. ....... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 i% 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 ~f 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 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. Certificate of Occupancy on Pre-existin~ Buildin~ - $100.00 Copy of Certificate of Occupancy - , .25~ Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date ... ~///. ~ ............................. New Construction ........... Old Or Pre-existing Building ................. Location of Property...~0. ........ .~..~..~..~.~.~.~.'~...~../. ............... V~. ~../~?'..~.~.: ..... House No. Street Hamlet Onwer or Owners of Property..~..~.~. ................................. County Tax Map No 1000, Section .... /.~. ~. ..... Block....~..~. ......... Lot .... ~.~.?. ...... ~e... Subdivision. ~./..-~..~.~'...~.'~..'~. ~.... ~.~..~...~..~ ...... Filed Map .f~../'.~. ..... Lot..~.....~.~.' Permit No... ~.~..~...Date Of Permit....~./.~..~/~.~...Applicant..~.F.. Health Dept. Approval...~./?.~ ~. ......... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate....~....... Fee Submitted: $ ............................. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. '~.~CI.~I 7-- Owner: ~ Oc~c~P__ (pleaSe~ print) Plumber: (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 ~ ~_ , 19~ Notary Public, ~c~%<~ County was ezamlned on ~ 3~ ~ ~9~ and found to be in compliance wilh the National Electrical Code. 15 22 ,19 15 ' ORYERS [ FURNAC~ MOTORS { IqJTUII! AIq'UAflC! ~ SIIWH:I DISCONNECT [NO.M] .~ S 1 150 CB I X 1 WELL PUMP- 1 PADDLE FAN-1 MOTORS:l-1 H.P.,1-F H.P. G.F.C.I,-4 SMOKE DETECTOR: -5 RANGES 2/0 EXHAUST FAN IgMMERS 1/0 Prr 1 1 ~ , This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by t~eir credentials. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~ ~ ~::~ 0 VILLAGE DISTY SUB. LOT TYPE OF BLD. LAND IMP. TOTAL DATE FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND ........... MEADOWLAND DEPTH BULKHEAD HOUSE/LOT ...... J ................. ~ ...... TOTAL COLO! :~ TRIM M. Bldg. Foundation cs Bath Dinette Extension Basement c,^wL Floors Kit. Extension Ext. Walls Interior Finish L.R, Extension Fire Place Heat D.R. Patio Woodstove BR. Porch Dormer Fin. B Deck -- Attic Breezeway --- Rooms 1st Floor Garage Driveway Rooms 2nd Floor OB Pool 765-~.802 BUILDING DEPT. INSPECTION [ '~FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION ] FINAL [ FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOK~~~' 765.t802 BUILDING DEPT. INSPECTION ] F~NDATION 1ST [ ] ROUGH PLBG. / FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY 76S-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [~ROUON PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ~/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: __~/'~-"'-'~ ~-~ DATE 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] ROUGH PLBG. [ - I,~]~NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &CHIMNEY DATE ~/~//~,~/~ '~? ''~ ' INSPECTORJ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ~NAL [ ] FIREPLACE~& CHIMNEY r~ REMARKS: /~-'~c,****~ i ~ DATE "~//~/~ 7 INSPECTOR '~~_~/~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION2ND [ ] INSULATION [ ]FRAMING [~FINAL~'~) [ ]FIREPLACE & CHIMNEY REMARKS; (~)~ ~.. O. INSPECTOR FIELD INSPECTION REPORT DATE COI~[~ENTS FOUNDATION (IST) II (,/ /~ ~ ~ ~r~ FOUNDATION (2~) ~ ~ ROU~ F~ & ~ ~ II II INS~TION ~R N.Y. , ~ STATE EI~,'ERGI' CODE I:ORH HI). I 'I'O~4H OF HUU'I'IIOI,I) I,I) I HG 'I'()~4N I1^1,1. ~OIFI'IIOI.|), N.Y. 11911 TEl.: I); nnppr~~ed n/C .................................. hli,,I; In:;IX~Ct or ) IH)/sH, I] {)r IH'.~l,lll . . :~./ ......... 3 ,SI,;'I'S OF rt.^Ns .............../ ,';urw~,Y ........................ CIIIr, CK SF, I'TIC FORH . . .t,...-.~.. ............. ^PI'I.IC^TION FOIl IHIIl.I) lbi('; IH:.RHIT I NS'I'I~IICI* IUN,S I)nt e ................ , 19... 'l set. of pin,m, nc:curate I~lot plm~ to ramie. I:~ ncco[ding 1(} m'h~h,le. d. UlXm niqm~al oE this nppI icnti(m, the I~H Idisll~ Isml~i:lor uill im~ n I~Hhllng Peuuit to the nlqfl icnn~. S.cl ~;/~lle ~tl~r IJl~)~icant i.~ le~m~, i~gent, nschil.ect, engh~er, ge~rnl contrnctor, electricjnn, plmt~r or I~,11 ,',,.,~. ,.i,:~_,,.~ .,,... ;~.~. ~.7~. :. ~ ......... Ikame Eidmr St reel Ibm,deL Si;He exi~ti.g mm nr.l (x:Cnll~m~ty of lnCs,ii*ms taxi iute~xl~l use ;.KI (*'cul~..:y of prolx)sed IN~l)l Il .................... I~ il~ll - .............. ' I~a~t' , .............. I'I.OT l) [ ACIIAII Iix:till: ¢;lellrJy lil~l dh~l;incl:l¥ till I.lihli.l~., t~ielJlol exJtil i.l~ .r litt)jx)setl, m.I il.licul:o nil seb-l.~(:k dJii~iillJolul ~ltHJ.~l' Jnl~i'jof of {;(ill~l' lot. ii, sly ~a.,mil~ (](:l~(j:;(!..i lllkl ~llly~l lhn( J..! i:l Ih(! aJ)jJJJ(:mfl ~ i~; Ih(: ('~',';;,';;,' ','~;,', ~ ..... : ......................................... h: :(.~X)ilX'"le ()ll'ic(~)/(!ll:.) ' ' I: mii(I (~4TK~i ()1 i~i~l'llI IIlXJ I.I (July ~ --~ i,i)1 i(:~ll i..~ IJmi nlJ lll~ll(~l~l]lll (:()l)lJiJlK~(I iii Ihi..I)pli(:~]l i(.] m(~ I~ I() lira I)e.I .f iii. k,~l~ll~e JliKI J~JJeJ~ , ............. .~.% ~ SURVEY OF o. . LOT 1 "ELIJAHS LANE ESTATES, SECT. $ I om fomlllor w/Ih the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ond will oblde by the condifions sol forth there/n one on portal! fo conslrucf. ANY AL TERA TION OR ADDITION TO THIS SURVEY 1S A VIOLA OF SECTION 7209 OF' THE NEW YORK STATE EDUC-4TION LAW, EXCEPT AS PER $ECTION ?EOg-$U~DIVI~ON E. ALL cERTIFICATIONS HEREON ARE VALID FOR THIE'M,4P AND COPIES THEREOF ONLY SAID MAP OR COPIES B~,4R Dv~ IMPRE,~.~E'D SEAl Ol~ TH~ SURVEYOR F/NOSE SIGNA TUR£ APPEARS HF_REOI~ ADDITIONALLY TO COMPI. Y FILTH SAID LAW TH~ TERM 'AL TERED BY' MUST BE USED 8Y ANY AN~ ALL b"1JRVEYOR$ UT~.IZIN~ A COlbY OF ANOTHER SURVEYOR'S MAP. TERM~ ~ AG 'IN~C~° AND 'BROUGHT-TO-DATE* ARE NOT IN C OMPL ~NCE WITH THE LAW. A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 108 - 04 - P/O 7.1 Scale.. 1" = 40' Dec. 4, 1996 The locufions of wells und cesSpoOls shown hereon ore from #eld observulfons ofld oc /rom dufu ohio~ned /rom others. ELEVATIONS ARE REFERENCED TO AN ASSUMED DA TUI~ lC. NO. 49618 PkdONIC ~U~iq~'~YORS, P.C. (5161 765 - 5020 P. O. BOX 909 1230 TRAVELER STREET SOUTNOLD, N. Y. 11971 96-317 SURVEY OF · LOT 1 'ELI. IAHS LANE ESTATES, SECT. A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. looo - loa - 04 - PlO Scale.. 1" = 40' Dec. 4, 1996 Mot. I zl~ 199 7 (foundotion) AREA = 40,2X8 sq. ft. ~ -~ ' ~NY_~!-~T_ER~_TION OR ~ TO ~ ~Y ~ ~ ~T~ I ~ fomlller with t~e STANDARDS FOR APPROVAL ~ sEc~ ~ ~ ~ ~ y~ $T~ ~ LA~ AND CONSTRUCTIO OF SUBSUR~ C ~E_~ ~s_~ ~ ~ ~ ~ ~ ~y~ ~a~ ~ ~lde by lhe condllfons sef f~th therein ~d on lhe ~ ~ r~ ~S ~ pe~t fo conslrucl, . 4~ S~y~$ ~. ~ ~ ~$ ~C~* ~ ELEW T~ AR~ ~ 1230 TRAVELER STREET 96-317 SCDHS Ref# RIO- 97-0013 AREA = 40,278 sq ft. SURVEY OF ,, . LOT 1 ELIJAHS LANE ESTATES, SECT. 3 A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 108- 04 - P/O Z1 Sc~e: 1"= 40' Dec. 4, 1996 Mor. I ~, 1997 (/oundo/ion) May 13 1997 (fin~) ............. ~u~,~ ............................... ~~.~,q. R~ ~...~ : ,- ,' ' IdUST 8E USED 8Y ANY Ahl~ ALL VEYOR$ UTI~.IZIV~/ A COPY BROUGHT-TO-DATE ARE NOT IN COMPLIANCE MTH ~ L.4FL I om fomllior w/th lhe STANDARDS FOR APPROVAL The /ocot/ons of we/Is one cesSpoOls AND CONSTRUCT/ON OF SUBSURFACE SEWAGE shown hereon ore from f/eld observoh'ons DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ond or from doto ob/p/ned from others. olde will ~lde by /he conditions se/ forth /herein and on /he permit fo construct. (516) 765- P. O. BOX 909 ELEVA DONS ARE REFF_.RF_JVCED 1230 TRAVELER STREET TO ,*Iv ,4SSU~ED DATUm. SOUTHOLD, N. Y. 11971 96 -317 49618 heMi~, V~ia~i°n, air ~ondifi~ning or a~y system not sp~eifically containe~ in the dra~s. ~ e~,~r~ c~de, and UCCo, Flur~oiog is to co~fform ~o ~be C.~an~y and local health depai'b,.a~t requirements and ~ Oo~e~ CODE COMPUAN(X~ providing ~ (2) ak W {~M ~. Seconda~ e~ts {window~ shell be 4 squnre foot mi~mtm~ with a minimum ~mension of la" a~d a meximum Sftl bMght of 42 ' abov~ finished floor. Stairwells ~q~l be 36" width minirr~tm, 2' -8" char CARPENTRY 4. Provide bridging for ail fk~r joi~ts 5, Pro,de solid bincking under afl bearing points 6. Openings to ha~ {o ~2) 2"x10" headers unless DiVe.vise noted PROVIDE ~ HR. FIRE RMED SEPARATION TO .PART.,7J,7...~(f),(I) OF N.Y. STATE BUILDING CODE. PROVIDE OPENINGS FOR EIEROENCY ESCAPE AS REQUIRED BY PART. 714 OF N.Y. ~AT£ BUILDING CODE. PLUMBER CERT/F/CATiON OCCUPANCY OR ON I.~-AD CONTENT BEFORE CERr F CAr=OFOCCUP, NCr USE IS UNLAWFUL SO ERUSEO WATER WITHOUT CERTIFICATE SUPPLY SYSTEM CANNOT EXCEED2/IOOFI%IFAD. OF OCCUPANCY PLUMBING N-LII~I! / If=ppIr tul~ iill foe water dl~dlmtlng shall be dt, Aw~ K or L only UNDERWRm~s CERTIfiCaTE REQUIRED APPROVED AS NOTED DATE: ~-~-~ R*P'# ~-~~ NOTIFY BUILDING DEPARTMENT AT 765-1~02 g AM TO 4 PM FOR THE FOLLOWING INSPEC~ONS: 1. FOUNDATION - ~0 REQUIRED FOR POURED CONCRE~ 2. RO~H - F~MING & PLUMBING 4. FINAL - CONSTRUCTION MUST ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y. STATE CONS~UCTION & ENERGY CODES. NOT RESPONSIBLE FOR DO NOT PROCEED WITH FRAMING UNTIL SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED. AREA U-VALUE TAmP USED WALL ~Y Tm~Rb~L RATING J . (-/0) - QDTI 0 ~t,~, L ' OFt "E % /3'$" I-5-r~-=~-- 4