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HomeMy WebLinkAbout26128-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30321 Date_ 07/29/04 THIS CERTIFIES that the building ALTERATION Location of Property= 1300 FOUNDERS PATH SOUTHOLD (HOUSE NO_) (STREET) (HAMLET) County Tax Map No_ 473889 Section 64 Block 4 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8, 1999 pursuant to which Building Permit No. 26128-Z dated NOVEMBER 5, 1999 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 NEW FOUNDATION WITH CRAWL SPACE FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KAREN C BROWN (GAINER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A //�Kori ed Si ature 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. 26128 Z Date NOVEMBER 5, 1999 Permission is hereby granted to: BARBARA R MELLAS & ORS . 1300 FOUNDERS PATH SOUTHOLD,NY 11971 for CONSTRUCT A NEW FOUNDATION WITH CRAWL SPACE AREA TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1300 FOUNDERS PATH SOUTHOLD County Tax Map No. 473889 Section 064 Block 0004 Lot No. 006 pursuant to application dated OCTOBER 8 1999 and approved by the Building Inspector. Fee $ 75 . 00 / Au o ized Sign re ORIGINAL Rev. 2/19/98 L _ ' TOW17 OF SOiJTHOr;17—_ '"'^�-ter�� Yy4L BUILDING D6PfRI ITS_ II ,J pp TOWN HALL �V,..L%LS 11..�?n �✓,� S4 765-LS02 t - ) �fc,5dttki AJ t APPLICATION FOR CERTIFICP. - _ CY - . , d A. This application must be filled in by typewriter OP, in ted to the bu inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 _ 3. Approval of electrical installation from Board of Fire Underwriters- 4. Sworn statement from plumber certifying that the solder used in system cont less than 2/10 of 1Z lead. 5. Commercial building, industrial building, multiple residences and similar bi and installations, a certificate of Cade Compliance from architect or engin.. responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. *S B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildii "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building ar unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the app_ If a Certificate of Occupancy is denied, the Building Inspector shall state , 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 $2` Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100-00 3. Copy of Certificate of Occupancy - .25F. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15 .00 Date l�' aCIF . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . i4'.e�S . . . . . Location of Property. !:?QO . . . . . . l�S. . .��. �. . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property..:d^. . e: . �'�t �. . . . . . . County Tax Map No 1000, Section. . 0L.q. . . _.Block. . .010Q. .. . . . . . .Lot. . . . . . . . Subdivision. ./.dd. . . . . . . . . . . . . . . . . . . . . . . . . . ./. - - . .. .Filed, Map . . . . . . . . . . . .Lot. . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . 1777 c. . .Applicant. . . . . - • Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . - - . . . - - Fee Submitted: $ . . . . .4y . . . . . . . . . . . . . � � f_ �, APPLICANT BUILDING PERMIT RETVTFW CHECK LIST Applicant/ me: A Date Owners Na ` _ �i�d/�.J Reviewed: Architect/ [ Date . �: /�.��G �1�/v4 Submitted: SCTM #: District: 1 000 Section: AK Block: Lot_ 3 f� Proect Subdivision— _ Location: ��lsD / l% �!/l� /oC�G�i R Name: Single&separate Re certification: No Ako eQ i/ _ �6 ��y^,j _ Reg. d Zoning District: yy p[�'�,�.'y [t.ot siz.: '06 49 Actual:/_/7- � 1' [Lo[coverage �' Proposed: G PIN Req Req. [Front Yard C�/"�' Proposed: 1 [Side Yard IO/C15 "4rowsed: 1 [Rear Yard S! Proposed: I Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A.. NO YES Number Suffolk County Health Dept. _ New York State D. E- C- _ Town Trustees Town Zoning Board approval: Town Planning Board approval: X _ Flood Plane Elevation??? ✓ Flood Zone: Notes: su NQ DEPT. SPECTION /FOUNDATION 1ST [ ] ROUGH PLB6. [ ] FOUNDATION 2ND [ ] INSULATION I 1 FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK ti oo DATE IN8PECT0 T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/] FINAL SULATION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ TION /�[ ;71N FRAMING AL [ ] FIREPLACE & Cl11MNEY RE RKS: ,DATE � � INSPECTO Nei M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING � [ FINAL [ ] FIREPLACE & CFIIMNEY REMARKS: ,oz �o ,DATE A)//YINSPECTO v� °iSPEZTION REPORT DATE _ - COMMENTS - - - -_ g II T �aa INDATION ( IST) II IIII Ir ll 7NDATION (-ND) ------------ --------------- ir II II u �y JGH FRAME 6 PLUMING Iii--- — —�I--- _u u it i 11 s— P' z SULATION PER N. Y_ jj ti' Y STATE ENERGY �! H Ir CODE II n n 11 p ! li Gam`="�� e,✓i�!!' � //7✓� FINAL IIII ------------ - 1,46 ADDITIONAL COMMENTS_— _-- oe 1✓� � --�UflllP��'ers,6f Y (9 Z H H h7 9 r � H x � ra ro uunuu uc . . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . .. . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK ... . ... . . . . . .. . . . . . . . . . . . - TOWN 11ALL SEPTIC FOBH J.' :r ' . . .. ... . . . .. SOUTHOLD, N.Y. 11971 - • • TEL: 765-1802 NOTIFY: f� CALL . . . .. . . .. . .. . . . . . . Ermined-- 1 ��" -- 19.... MAIL TO: . . . . . . . . . . . . . .. . . . ... Approved.. . .��� ..., 19.... Permit No. "`... o . , . Disapprov&f a/c- .................................. .................................... 1 .tInspecot) A CATION FOR BUILDING PERMIT T - i Date ic1P7P . , 19. INSTRUCTIONS a- This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plc s, 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 drin on the diagram which is part -of this application- c. The .. rk covered by this application may not be commenced before issuance of Building Permit. d- Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant." Sucb permit shall Le kept on the premises available for inspection througbout the work. e. No b-ilding shall be occupied or used in 4wle or in part for any purpose whatever until a Certificate of occupancy stall have been granted by the Building Inspector. APPLICKEON IS BERM MAIM? to rhe Building Department for the is—_ of a Building Permit pursuant to the Building Ordinate of the Tam of Southold, Suffolk County, New York, and other applicable laws, Ordinances-or Regulations, .or the construction of buildings, additions or alterations, or for removal or demolition, as herein described- TYe applicant agrees to comply with all applicable laws, ordinances, building code, bousing code, and regulations, cmd to admit authorized inspectors an premises and in building for necessary inspections. (Signature (Signature of applicant, or��naue, if a corporation) �2. S W�5H1A.G1D,✓ X772 jy�T/lipshf/AJGjD�.� (Mailing address of applicant) &'L/ i/e- o State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0" /' .... ........................... ................................ Name of owner of pramises /�A/?, (: - •......................... ......................................................... (as on the tax roll or latest deed) l If applicant is a corporation, signature of duly authorized officer. ............. ........................................... (Name and title of corporate officer) Builders License No. ......................... Pludoers License No. ......................... Electric :aas License No. -' " Ocher Ti.de's License No. .c]:.-'............... I. Locatioi. of land cc which //proposed work will be done.............................................................. 2 5v �o✓-✓ 2S DaTfj �G /o�0..................... ............... ....................... ..................... .... House Nua er Street Hamlet County .-ix Map No. 1000 Section ...... ....... Block ...C.�.t........ Lot Subdivision �sT.o ........ Filed Map .r'..�-�.`�.'........ Ion (Name) 2. State a isticg use and o=4kocy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............... �( i 'G[ _�AI71L y' ES �6. ay� b. Inte��d use and rtnmrry ................f1 i'1� ..... PI.V�'''�1...�:'::+.�. �'. .� . ........ 4- 3. Nature ..c work (check which applicable): New Building .......... Addition ........ .. Alteration r Repair ........... Removal Demolition ... ....____. Other WorkC:�n,STlcc!c-iL4r;.ye� ',�Gy�_,..rices ............. (Description) 4. Estimated Cost ... -----••---- fee (to be paid on filing this application) 5. If duaelIing, number of dwelling units .... ...... Umber.of dwelling units on each floor __..,,. If gara; e, number of cars ___.__._____-/A..................... 6. If business, commercial or mixed occupancy, i nature and extent of each ti specify U,type of use-•-`--`•'Z�----------- 7. Dimensi,ns of existing structures, if any: Pront.-._.AI/ ...... Rear ........ Depth ....Ce ...... 17eight - '........ .............. Number of Stories ........_........_. Dirrensicas of sane structure with alterations or additions: Front ....._.:. Rear ....:.......... 20 /I ,� .. �..,_ Depth . ................... Deight Nudger of Stories -_.-._.._ 8. Dimensi;ris of entire neva construction: Front ................ Rear ............... Depth .............. Height Umber of Stories ..................... i 9. Size of lot: Front ._._. -�K.......... Rear ....__.._S ....... Depth _... ........... 10. Date of Purchase2 ` !I F2..... Name of Former Owner _-•_- � ` ............. �.u- II. Zone or use district in wimida premises are situated ............�._.�.'<....a...................................... 12. Does proposed construction violate any zoning lav, ordinance or regulation: ....::NU.............. 13. Will logy be regraded ._..Y�S............ Will excess fill be removed Jf1rom - YFS 14. Nis o' Owner of praaises/i4( C ✓',6?? ........_._ Address t�- _.. Thom Name of Architect �'Te ............. AddressPlwc� Sc 2 CCn s- -✓ o z ................of Contractor No. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ..,ll.... *Ir YES, SOn=D TUa1 TRttSIM PRRMIT (NAY BE REgJ RED. PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and shwa street names mad indicate ubether interior or corner lot. r.C_j_ SCAIT OE N3,W I,,W, SS COONIY of/.3—bo-QLr......_.._ -----?-- `----....--'....................being duly sworn, deposes and says thatshe is the applicant (Nam of indi•:idual signing contract) above named, Ile is the .. .._...__.._v�y.A' � . . .........................._._ ..._._....._............_......_..._.... ......... (Contractor, agent, corporate officer, etc-) (a said-v :�r(Savers) and is duly authorized to perform or have performed the said work and to make and file this application; (hat all statements contained in this application are true to the best of his knowledge and belief.; and that the wort will be performed in the manner set forth in the application filed therewith. )orn rtfo befr.re mm this pF . ......11I-Y. . . .....day oBA BRBR AR�1 . ...19.`��.... fqG NDTARY PUBLIC, St"IfN�Yprk 7 Notary Public ......Que6fed tnNo 473oQ95............... Cunmlailnm Exp"St k -C-, 995 ------ MS .131 2� (Signature of Applicant) uZJ �-o s SURVEY OF rim LOTS 35 & 44 SUBDIVISION MAP OF FOUNDERS ESTATES a FILE No. 834 FILED MAY 10, 1927 SITUATED AT ?d• AnO SOUTHOLD TOWN OF SOUTHOLD p SUFFOLK COUNTY, NEW YORK "r C� S.C. TAX No. 1000-64-04-03 l �� 1000-64-04-06 4 SCALE 1 "=20' Fti JUNE 22, 1999 s6, 1A v rye? �e? c� 'P a SOA}- ee ,�J ,��� +� �✓y ASO � + ,' 'ay. fir' •• � 4.0, h / r.� � Ny IPj d rr` ,sem ' AREA DATA S.C. TAX No. 9,750.00 sq. ft. �M� - •CC• °�� 1000-64-04-03 0.224 OO. S.C. TAX No. 9,843.03 sq. ft. 1000-64-04-06 0.226 GO. �p sc r,4 ` TOTAL 19,593.03 sq. ft. •py o ° 0.450 GO. NO-10,a 09 bJ TO NIS RIIEO t IS ATON ORA DITION OF O' TO THIS MO9 6 A VNEW YO OF do EBECTON DUCATION LAW. THE NEW YORK STALE 1�0 6 COPIES OF THIS SURVEY MMP NOT BEARING THE LAND SURVEYOR'S INKED SELL OR C A&1 ' Dy, ,? yO�O EMBOSSED o BEE AmVwo TRUE COPi. BE CONSIDERED CERTIFICATIONS INDICATED HEREON SHAUL NUN ONLY TO THE PERSON FOR WHOM THE SURVEY ISOs IS PREPARED, MID ON H9 BEHLLF TO THE CERTIFIED TO: TITLE COMIRZY, COVERNMEMAL MENCY AND e ��� oV� LENDING INSTRURION USTED HEREON, AND O FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK TO THE ASSIONEFS OF THE LENDING INSTI- Qr HSBC MORTGAGE CORP., U.S.A. TUDON CERRFTGTONS ARE NOT TRANSFERABLE. KAREN C. BROWN THE EXISTENCE OF RIGHTS OF WAY AND/ORNTS Of RECORD. IF ANY,, NOT SHOWN ARE NOT GUARANTEED. S r pFO p °5 j O+ GJ PREPARED IN R TITLE SU NS THE MINIMUTABUSN il� O BY THE OS FUR }AILD SURvf15 ASD AGO EU HED Joseph A. Ingegno ��// 4r�,14, FOR SIIGI USEBRI�NEW D AND TIMID �J .(�`• a,. J• tl TRIE QCIATON. ° Land Surveyor SPH A c c9a F Tdle Survey, — Subdivision, — Site Plans — Construc6an Layout a +N PHONE (516)727-2090 Fax (516)722-5093 Nr. 956 �Qrµ OFFICES LOCATED AT MAILING ADDRESS P FNE`lJy One Union Square P.O. Rax 1931 Aquebogue, New York 11931 RN.M.od, New York 11901 99-405 µ�\V F•a / Ge7NG, L� LJG� I/L'"� Gr/-L� /��GHO2- }moi LTS E-XI<�T1N4 - P�iCIST \NDP + 16 ' �•' '- NUB'S�. ��IJ Ii._'�1f-t4 �111 � P1F-i4 -iYf% TP-LL ,pN 51L�- -T ` .a I�yy Z/ tJ GGr>_. TZ- E 0-//\ITE 4X4 GGn. � .a;.:11-' - i t -_'Y - � Stl_l.- ON 411.1_ / -T-H THI L-rJ .� r -- —a — — -� ,r �.IL..r ` r4 �_ ':� �'Y nt G.A.�-- /�dI.IGGor.+G. -4-jH IF L_�. _4 -0 Z FIS. 3�0' RE40`Y�Gc4pE _ __ Z GJ UPI� _ YYP. 52 b 't�OG. � � ♦ 1' 4 ,0 FIN . �—_ _�__ rT-zag- Jtll .• G�A17�- - 8�JI-I G, tS 1J JGrIL `:• O Y71J��F� Ya- 1 C.�'-J- '.✓,4 L_l� L gH=Lz1FWE— E- —•z ;,; E\V. FTG9 01 Gam. GO U tZLiL r, n, -I FDTN" AIJGkJ 2eDGOf-1G. �• 'F • w r• r .. �: �-., _ . 0- I-l� SLK' `, tC /rE/AS7GM(E L' Z l_O G. t�GtiYteh-I _ _ _ _ _ •%� �� fiAF-I-0IA /7 F•I A1Cf ALTER =, +IL' V ANT LVY fel pf F-vTr-i. \'✓h-�-lam ON I Tt i eBG2. N VENY IHG T`rP. & i \Yh�.�.-�1_ ' FOT 111111 k ''.JG/i Yi NS -._` I - / S",K I6 P o c 7 4. - ��� �; '' \YIN Oo`.V F ort 2A"< L4"'sl _ Zb I '� - FOJYIr-tG _ I t _Q r y. i-STIIJG CP, 4- LOG. J(/. .t / �l 8 r 1 0 1 , N U ``t i l- ' -h x e e�4o vh_ lG- Sd 7 z - 8 2'9 . 4, 4„ G, G�, ig' �LJGK FP Tl.1 , a1•s.1 3' E,"x .� , .d I Z'" P-4. F-OJ'-rr —�- ,}}ya I I 1:x17TiNG Fl rL E.TLGE I - ` I - -10 N OCCUPANCY OR 4. ' USE IS UNLAWFUL WITHOUT CERTIFICATE CEICIIFICAIE __ _ _ OF OCCUPANCY IIN®E11T Ep G. FOVTI 4 r'; i' 4 ^M APPIROiVEO&SK(MM XI�YING - "'TTT«< Aa�rGs.s C1 •,,s;'E:.r! MR# adz � GE.LI_ �[Zr Q tt YJ GRPW L- - t a 4, 7 0�� g;-_ Rv; 7HP 4 Er-ITK-ANG `� n?515��uGt N ,(WFY glI1 WNG !)EP .ar A7 I ��" Ks1l/? 9 AM TO 4 PM FOR '.'HE a011 ren/iNCr INSPECTIONS: '01`tlDATION TWO REQUIF.FL1 ( /'v JPLr'•�/'% -N r' P01)ra�OCONCRETF- PLUMBING _ y �.n la�alvlNlr-,, PLUNIMMG ALPLUMRINGWASM FOUNDATION NOTES WATER LINES NEED WG�.L-I_ Tp pi E��SCY 1-tpC t� ` 11 I I'IINSIFHJCTION AMJSTTING 6EFORE COVERING 1. All footings shall bur upon undisturbed toil having an assumed bearing 2 GJU �.�F..f3 aF 'I=`[,.t7G[C ` �PdWI FTF..F(1R C.4. G capacity .o! 4,000 P.M.F. Rearing capacity at toil to be verified by " �-•� TRUCNUN SHALT. di!°cL-'T 'the contractor prior to placement of Loatl.age !9'GrA I-\/" /`-.NG I-( Jf� E-O L-'r5 3 •b ` b �' a -- -_ IZ - IIS_ S' 4 ' 11111HEIIEINTS OF THE Ne' a, 2.N conucis to verily all field conditions prior to the beginning of NUT6 ' \Va. C-T� �- +;(INSTRUCTION & ErIEFltdti' oastrstrvatitian and is to report any and all discrepanciesto the 5e40\V n-t . Ig' 4' NOT RESPONSIBLE PAI' �j.L�M� Architect immediately. IIT CONS'rRUCTION ERRORS Pl-U ER CERT/F/CATS & All construction will comply with all state and local codes• latest AD CONTENT 8 editions. @^�RT//S FICA 7-E OF OG'L`f ,{� All concrete ooastructim shall conform to the American Concrete rO A L�y' Institute's " estBVILDIXGedit CODE AEgIIiREb>ZNNTB 70A REINFORCED CONCRETE '- . �L7ER U�^,�© �',rt �,/��.� ACI - ale, latest edition. y l�t{'•a _ t fir, .�4./u..n.. _f y°3 YJ�TE1(Y 1[,'��,(m.,v f All masonry work shell aoaform with ^ NATIONAL CONCRETE MASONRY N OQPWar tubing is ua9d ° 747f- a/f e e 2 �/ ASSOCIATION STANDARDS 0 latest edition. m �avatar di 1 ( ,o k. ';'s 8tributit) 6. The ultimate compressive strength of coaarate at IB days will be: aim Piping shall be Foundation A Footings - 3,000 p-a.i. a UPaa K or L cn Floors A Blabs 2,500 P...i. 9. All concrete alabs will have expansion or control joints as required. 1, �G•r L 1--1 '� D ARCH/ I TITLE 'tvt�i�i�t�L/F � 1J r-•6, p.�T ! r7 1.1 F'VA W \S`ERE � xl � rrt +L, �vue��n-rl�at A GARRETT A . STRAND �'z -,) \v1�1 L� ItZIIJtJG�. ��l/.aE..-lam `-t'J 'LF.�/h.A•`I I-I — Fes- LocATlox - I'�-�S.O 14.1 l N P {� �fv 'PATI-� >*X t�Y V N Ge FrT L1 N PA_TIP IJ _ � architect ��,.�-T-,-r� I--I \Vh�t�4 I,! SCALE sevlseo oxAwlxc x= 1230 Traveler Street Southold N.Y., - 11971 `����'� BATE — `I YCl r�� G.�F-ts'Yl�u�--r�t� — • `•"'�� -:. Dlssna � TrW Or NE`N 516 - 765 - 5455 ..Aux o. 6r�� PIIOJECT N 9 e�q�- t-J1. l (J F t s