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HomeMy WebLinkAbout32403-ZFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPARNCY No: Z-33477 Rte: 01/05/09 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 1565 NORTH SEA DR ORIENT (HOUSE NO.) (STREET) (HAMLET) County Taxx ~p No. 473889 Section 15 Block 5 I~t 26 Sut~ivision Filed ~ap NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 2006 pursuant to which Building Permit No. 32403-Z dated OCTOBER 4, 2006 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 FRONT COVERED PORCH, REAR STOOP AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to BMA CONSTRUCTION CORP (OWNER) of the aforesaid building. S~FFOLK COliCkY DEP~/R~ENT OF ~L~L~{ ;%PPRO~L~L R10-02-0201 RI~-rKICJkL C~RTIFICJ%%~NO. PLU~4BERS CERTIFICATION DATED o9/22/o8 3640 H 11/01/08 11/20/08 HI-TECH PLUMBING & HEAT Rev. 1/81 APPLICATION FOR CERTIFICATE OF OC U'P~/:D6.1} ~.~..QD.}Q_~D~:PT ~ This application must be filled itl by typewriter or ink and submitted to the Building Department with the following: A. For new building or new usc: ~ 1../Final survey of property with accurate location of all buildings, prope~ty lines, slreets, and unusual nalural or topographic featnres. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPAI/TMENT TOWN HALL 765-1802 2. Final Approval fi'om Health Dept. of wate~ supply and sewerage~disposal (S-9 fbrm). ~ Approval of eleet~5cal installation fi'om Board of Fire Undem, nters. .~4. Sworn statement from plmnber certifying that the solder used m system contains less than 2/10 of 1% lead. 5. Con'nnercial building, industrial buildiug, multiple 'es dences and simila~ buildings and installations, a ceNficate of Code Compliance fi'om mchitect ot cugince~ ~esponsible for tile 1ouilding. 6. Submit Planifing Bored Approval ofcompleled site plan requirements B. For existing buildings (prior to April 9, 1957) non-conforming uses, { - ~uildiugs and "pre-existing" land uses: I Accmate survey of p~opclty showing all 0lo oe~lx, l/nos, st~ocls, huildin ~ a~d tmusual natural o~ topographic features. 2 A properly completed application and C. Fees Swinmfing pool $25.00, Accessols, build ~,$25 )(. Addilioils lo a, q(sS(]lybuid g$25 , Businesses $50 00 2 Certificate ofOcct pal~c 3 Copyof(?e~qficateof )ccupancy $25 4 Updated Certificate of ()cctq~ u~cy 5 Tempota~ y Cctlificale of()cct panty NewC. onstl~,ctton:' _ ,{ J~.Ofl Old oi l>t c existing Buildiug: (clxeck one) House No Hamlet Suffolk C6unty Tax Map No 1000, Section Block {O Subdivision ltealtl~ Dept. Approval: Plam6ng Board Approval: Request fbr: TemporaU' Certificate . Final Certificate: _ ~ (check one) Fee Subnfitted: $ ~ -~pli~t ~i~ature Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York + 11931 Tel: 631-591-3097 Fax: 631-$91-3098 Application: 3640-H Date: !1/!/08 Issued to: BMA Corp. Address: 1670 Ryder Farm Lane Introduced By: Village: Orient Point License #: N/A H/O Residential [] Commercial The following was examined and approved up to the above date and found to be in compliance with the NEC: Attic [] 1st Floor [] 2"~ Floor [] 3rd Floor Garage Conversion Basement [] Hot Tub Addition Detached Garage Pool S~ilchcs Receptacle I:ixlures G[I. Microwave Hood Smoke Detectors 35 46 28 7 I 7 Fans I)ish~asher Washer/Anlps Drser/Amps Oven Range/Amps Carbon Monoxide E-Ex Balh I I I I 2 Furnace ( )il Well Punlp I [eat Zones Whirlpool Bell I'ranslbrmcrs I Yes 1-2(}A 2 I I Ihnilcd IIISp II l:illal hlSp. Meter Amps Phase Motors Iilccu'ical Surge) Of lIouse This certificate must not be altered in any manner I FROM : SOUTHOLD TOWN PLAHNIHG B Town H~I~ 63095 Main flo~d P, O, Box 1179 Soulholcl, NewY&n~ 11971 Fax {516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INS?ECTOR TOWN OF SOUTHOLD CERTXFI CAT ION I certify, that the solde~ used in the water supply system contains less than 2/10 of 1.% lead. Sworn 'co before me this 5 140q Notary Public, 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. 32403 Z Date OCTOBER 4, 2006 Permission is hereby granted to: BMA CONSTRUCTION CORP 225 STEWART AVE BETHPAGE,NY 11714 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GAPJIGE & COVERED FRONT PORCH AS APPLIED FOR at premises located at 1565 NORTH SEA DR ORIENT County Tax Map No. 473889 Section 015 Block 0005 Lot No. 026 pursuant to application dated SEPTEMBER 19, 2006 and approved by the Building Inspector to expire on APRIL 4, 2008. Fee $ 1,196.40 i0/~/ ~ ~~Au~hor~gnature Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration ,2008' PERMIT NO. L?_~03 ~ Building Insp¢cto~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the followin.~efore applying? -'"'Board of Health -.-4 sets of Building Plans Planning Bo~ approval --~-Survey Check~----~ Septic F~rm N.Y.S.D.E.C. Trustees Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 L a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. c. The work 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. Such a permit shall be kept 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may anthorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, 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. ) (Signature of applicant or name, if a corporation) ,, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises q-~ N'X ~, tqm, ~-,~.~,. ~---'7-kc~or)~a~- ~7~__~'] ~n ~ - ~ ~s on t~'t~x roll ~r late~t dee~) If applic~t~s a co~oration, si~amre of duly authorized officer ~ame ~d t~tle of co¢orate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: ouse Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) If Block ~'- .... Lot Filed Map No. ,, Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy_ 4. Estimated Cost .?tg-g_9, 04.5-0 5. If dwelling, number of dwelling units If garage, number of cars ~ Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear __Depth Dimensions of same structure with alterations or additions: Front Depth. Height ~ ~ Number of Stories 8. Dimensions of entire new construction: Front~Rear Height Number of Stories 9. Size of lot: Front ,/.~ f, , f~ Rear /'ff~' ~'~/z Depth Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~). 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ ~O~_ 13. Will lot be re-graded? YES ~0_,,) Will excess fill be removed from premises? YES__ O~) 14. Names of Owner of premises '-~.~.~ ~ .~., Address~gl~=~Phone No. Name of Architect Address~Phone No NameofContractor,.~.~c~ Q~._W~Oyo~ Address 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES (~0 __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED."~ b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) --r ~X- f;,c:yD,o I-L~.. q ff~'X ~ ~ P~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Heisthe -q-\' /-)IL) fl?_f_~(~_ (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 ,.---Iq day o~ ~ ~ .... ~ Public BONNI[J. DOROSKI Nota~ Publi:, Sta~ Of No. 01D06095328, Suffolk Term ~pims July 206fo Signature of Applicant TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. ] INSULATION ~]' FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE ~ ~-..,,2-. a ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~UlaATION [ ] FRAMING / STRAPPING [ ,k']~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT~CONSTRUCTION[ ] FIRE RESISTANT PENETRATION "EMARKS:~-'~7-O~'~-'''° ~ ~'~~ ~ DATE ~/o/~/~ ~ INSPECTOR ~/'/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION R.EMARKS: /~.~~~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY INSPECTION [ ] RO~ PLBG. [ ,.-3~1 NSU LATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ~ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION ~ F?AM!NG! STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RF.~I~ANT ~)NS~UC~ON [ ] FiRE ~ETRATION REMA~RKS:~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [,~ FRAMINi~S~THA~_I"_.~? [ ] FINAL [ ] FIREPLAC~NEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION R ~E/I~ARKS: ~ '~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] F~ATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL REMARKS: ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE ~/~/~//~ INSPECTOR ~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 5PECTION [ N 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE///h/~) ~ INSPECTOR IFIELD INSPECTION REPORT DATE COMMENTS STATE ENERGY CODE ~TIO~ CO~S '~' 2006 3:llPH 3ohn R. Barb~ere Rr~hite'~ ,~66769538 REScheck Software Version 3.7 Release la Compliance Certificate Permit# Permit Date Project Title: 2412 Repmt Date: 10/03/86 Enersff Code: Location: Constm¢(Io~ Typ~ Heating Ty~e: Glazing Ama Percentage: Heating Degree Days: Construction Site: NY New York 8tare E~t~ Conaer~atlon Conat~m:tlo. Code Suffolk Count~', N~ York Detached 1 or 2 Family Non-Electric 11% 575O Owner/Agent: MR. TED PETIKAS NORq'H SEA DRIVE ORIENT, NY 11957 Designer/Contractor: JOHN A. BARBIERE JAB DESIGNS INC. PISTILLI METRO CENTER, SUITE 104. 70 GLEN STREET GLSN COVE, NY 11542 p.2 Ceiling 1: Fldl Ceiling or Sctss~'Tmss: Ceiling I copy 1: Cathedral Ceiling (no atlic): Wall 1: W~cl Frame, Window 1: Wood Frame;Double Pane: D~or 1: Door 2: Solid: Floor 1: Ati-Wood Jolsbq'ms~. OYer Unconditioned ~pecae: ::~24 30.0 0,0 48 312 30.0 0.0 11 328~ 13.0 0.0 237 314 0,320 100 4O 0,2gO 12 37 0.670 26 1838 30.0 0,0 54 ~tetemeff of Com~/kance: The propoeed building ~ ~ I~ ~nt Is ~nt ~ ~ buildl~ p~, s~tl~. and ~her ~a~s ~bm~ ~ ~ pe~it ~1~. T~ ~d ~m8 ~ b~ ~n~ ~ ~t t~ N~ Yo~ ~, IhW ~e aa~ t~ a ~ ~1 ~ h~bar kn~, ~l~, and ~io~l J~gnle~, s~ pla~ ~ ~e~n= ~ ~ Builder/Danzig nar 2412 Page I 01'4 Oct 03 2006 3:llPH John R. 9arbierle Rrohitec 5166769538 p.3 REScheck Soltware VerSion 3.7 Release I a InsPection Checklist DMz: 10/03/06 C~ili~ll: [] Ceiling t: Flel Ceiling ar-~cL_*~_. True~ R~O.O ~i~ i~ ~n~: r-'l Ceiling I copy 1: CMhadml Ceiling (no a~;ic). R-30.0 Mn4ty insulation Comments: Abmm,,Gmde Wails: Wall 1: Wood Frame, 16' o.~., R-13.0 cavity insulation Door 1: Ob"sa, U-,factor: 0.290 Comments: Yes No --I Door 2: Solid. U-fac(or, 0.670 Commef~ts; Air Leakage: ~-I Joints, p~netral~n~, and all other ~uch o~nl~ In i~ ~i~ env~ ~et am ~u~ ~ air ~ m~ ~ ~1~. ~ ~ I~h~ m~ ~ 1 ) Ty~ lC ~, ~ 2) i~ ImlM in ~ air~M a~ ~ a 0.~ dMm~ ~ ~b~[i~e m~d~s Il ~IC ~, t~ ~m ~st ~ ~l~ ~h a 3" de~ ~m Insult. Vapor Retarckn~. Required an the warm-in-winter side of all non-vented flamed ceilings, -~alls, end tloom MMMiaI~ IdeetfltMtio~: [] MatE'~s and equipment mum ~ In~d k~ a~m ~h ~ ~nu~u~s I~llafl~ i~m. ~ ~ and ~ui~e~ mu~ ~ ~e~ ~ ~ c~p~m ~n ~ ~1~. ~ ~u~ ~n~s ~r ~ ~ ~ ~d ~1~ ~dp~nt a~ ~ ~ ~ ~u~m~ m~ ~ p~, ~ I~tion R~aI~ ~ ~ ~ m~l Du~ I~lat~n: ~ Sup~ ~ i~ ~fld~ ~ mum ~ i~ 2412 Page 2 of 4 Oo& 03 2006 3~:llPM John R. Barbie~ 8rohitec 5166768538 masllo-~lus-embedded-M~rlc, or ~ Tapes and n'm~cs mu~ be rated UL 181A t~:capttofl: C~nt~nuous~y wat~e;~ and IocMng-lyp~ tongi~udinM ~ and r, oame on ,4, ~..~= oper~tin~ at kaa~ ~n 2 in. w.g. (,500 n The HVAC sys~m must pfovtde a metals lot balan~ing air and water sysMms. Temperature Gont~l$: Each o'weit lng unit hes at esot one II~ennes~t capalsto of eutomaticaly adjustlrlg the sl)aoe tampemtum set point of the I~r~est Eleetrto Syatan~: 0 Separate electric motets am required for each dweiliro unit. 8ervlae Water Heatlr~g: Water ~m wflh vedlsel DIpO riser~ must have a heat trap on bo(h ~e Inlet and oullat unless the wa~' heater has an Intagml hset trap or is part of a drculat~ng syMem. Ir,~ulata oitculet~ng hot wator pipes to the levels in Tabto 1. Cimu~r~ H~ W/r Sye~e~: [] ]nsu~to d~uintng h~ waWr ~pes ~ Ihe ~ve~ ~ Tab~ 1. Heating and CoMing Piping Ineulatimt: n I-IVAC 13q0k~g conveying tlulds above 105 <togree~ F o~ chitlecl ~lds below 55 degrees F must i3e Insulated to t~e levels In Table 2. Pege 3 of 4- Oc~ 03 2006 3:llPM 3ohn R. ~arbi~e R?Chitec 516676953B p.S Table 1: Minimum In&ul~fan Thi~Jinese for Cb~ut~fng Hot Water P ~o~s Healad Water ~ 170-180 140-169 100-130 IfllUlllllon 'rhleknm in Inohei b./PI~I S~ Non-Clrc.llUfl~l Runou~ CIn~lMIng Illin. a~d Runoutl Up 1o t" Up to 1.25" t.5' Io 2.0' Over 2' 0.~ ~ .0 ~1.5 2.0 0.5 0.5 1.{) 1.5 0,5 0.$ O.S t .O Tai~e ~ Idi~imum Insulalfo~ Thickness for HVAC Pipes Ruld Temp. Range('F) I~ul~tlon ~lel~e~ In In~ b,/PII3e BIm 2' Runouts 1' and Less 1.25" ~o 2.0" 2.5'to 4' 1.0 1.5 1,5 2.0 0.5 t.0 t.O t.5 1.0 1.0 1.5 2~ 0,5 0.5 0.~ 1.0 1.0 1.0 1.5 1.5 NOT~ TO FIE~D: ( Building Del~r'm~ent Use Only) 2412 Page4 of 4 ICommonwealth Land Title [nsurance Company 185 Old Country Road, PO Box 4:L9 Riverheadt NY 11901-0203 Phone: 631-727-7760 Fax: 631-727-7818 LandAmerica Commonwealth RH8003074Z STNGLE AND SEPARATE SEARCH Effective Date: 3-13-03 Title No. RH8003074Z Commonwealth Land Title Znsurance Company DOES HEREBY CERTZFY TO: THE TOWN OF SOUTHOLD AND BNA CONSTRUCTZON CORP 225 STEWART AVENUE BETHPAGE, NY ZZ7Z4 THAT it has caused a search to be made in the Office of the Clerk of the County of SUFFOLK, in the State of New York, against the premises described herein and property adjacent thereto on all sides from t-31-72 to date to ascertain the fee chain of title respecting the premises described herein and the property adjacent thereto and has found only the returns as set forth herein on the following pages as they bear on record t,tle; and Certifies that the owners of the premises described herein have owned the same in single and separate ownership as defined by law during this period of time, except as otherwise shown herein. This Company's liability is limited to Twenty-five Thousand ($25,000.00) Dollars. NO policy of insurance is to be issued hereunder. Premises: 1565 NORTH SEA DRZVE, ORZENT, NY 11957 District: 1000 Section: 015.00 Block: 05.00 Lot: 026.000 County: SUFFOLK T/O: SOUTHOLD Commonwealth Land Title Zns~rance Co~mpany Title Number: RH80030741 Dated: 4-2-03 Single and Separate Search TQ20015NY (07/00) LandAmeil a Commonwealth Title No.: RH80030741 Applicant: BMA CONSTRUCTZON CORP Applicant #: 10010460 Premises: 1565 NORTH SEA DRIVE, OR/ENT, NY 11957 Date of Closing: Purchaser: BMA CONSTRUCTTON CORP Date Printed: Order Type: Sales Rep: County: Closer: FEE SHEET April 2, 2003 Informational SUFFOLK ZTEH AMOUNT ITEM AMOUNT Fee Insurance $ o.oo $ Recording Fees Mortgage Insurance $ 0.00 Deed Second Mortgage $ 0.00 Mortgage Third Mortgage $ 0.00 Satisfaction of Mortgage Special Search 402.00 Survey Departmental Searches Certificate of Occupancy Street Report Bankruptcy Sewer Search Housing and Building Transfer Taxes Fire NYS Transfer Tax Emergency NYC RPT Additional Taxes Mansion Tax Survey Inspection UCC's County UCC's State 8.1 Environmental Waiver of Arbitration Condo Endorsement Mortgage Tax Mortgagor Mortgagee Escrow Service Charge Escrow Special Delivery Less Deposit 402.00 TOTAL CHARGES RECEZPTS CHECKS PAYABLE TO Commonwealth Land Title Insurance Company (Circle One) Buyer/Seller $ Buyer/Seller $ Buyer/Seller $ Buyer/Seller $ CHECKS PAYABLE TO OTHER THAN Commonwealth Land Title Tnsurance Company (Circle One) Buyer/Seller $ Buyer/Seller $ Buyer/Seller $ TOTAL RECEIPTS $ *NOTE Rates & charges herein are subject to change based on the rates in effect at the time of closing. 185 Old Country Road, PO Box 419 Suite 2 Riverhead, NY 11901-0203 File~No.: RH80030741 CHAZN OF TZTLE FOR SUB3ECT PREMZSES: District: :tOO0 Section: 015.00 Block: 05.00 Lot: 026.000 Grantor; Woodhollow Properties, Inc. Grantee: Allan A. 8orghard and .]oyce E. Borghard, his wife Dated: ].-31-72 Recorded: 2-16-72 Liber: 7107 page: 571 Grantor: Allan A. Borghard and ]oyce E. Borghard Grantee: Henry M. Randall Dated: 7-20-84 Recorded: 8-2-84 Liber: 96].3 page: 242 Grantor: Henry M. Randall Grantee: Honor C. Randall Dated: 8-22-02 Recorded: 8-2602 :_iber: :[2205 page: 607 Grantor: Honor C. Randall Grantee: BlVlA Construction Corp. Dated: ]. 2 - ]. ]. -02 Recorded: ].2-3].-02 Liber: 12227 page: 807 LAST OWNER DEED STATE OF NEW YORK ) )SS: COUNTY OF SUFFOLK) ROBERT GAFFGA, being duly sworn, deposes and says: That he is a VICE PRES[DENT of Commonwealth Land Title Znsurance Company, That the above is a true Chain of Title of the subject premises as shown on the variance search under the above captioned title number. Commonwealth Land Tittle Insurance Company 8Y: ROB~R-T GAFF~A / (/// Vice President v ~ Single and Separate Search Subscribed and Sworn to this __2nd_ day of__ 2003 April Notary pu blI~kTHARINE J. I~INO (~ Nota~/Public, State o! New Yor~ No, 01-KI4844660 Qualified in Suffolk Count'/ Commission Expires Dec. 31, FgNo.: RH80030741 CHAZN OF TZTLE FOR AD3ACENT PREt4ZSES EAST: District: 1000 Section: 015.00 Block: 05.00 Lot: 027.000 Grantor: Woodhollow Properties, Inc. Grantee: Russell B. Miller and Mary G. Miller, his wife Dated: 10-29-70 Recorded: 11-5-70 tiber: 6834 page: 336 Grantor: Grantee: Dated: Recorded: tiber: 7638 Russell B. Miller and Mary G. Miller Michael .1. Collins and Marion V. Collins, his wife 5-9-74 5-16-74 page: 562 Grantor: Grantee: Dated: Recorded: tiber: 11883 Marion V. Collins, surviving spouse of Michael.1. Collins Marianne B. Pomperand Madeline H. Rosenschein, Trustees ofthe Marion V. Wood Trust dated 5/20/97. 1-21-98 3-13-98 page: 438 LAST OWNER DEED Commonwea!th~and Title~s~, rance Company BY: Single and Separate Search Subscribed and Sworn to this 2nd day of April 2003 ~,~,.-,. CAT:: ~,RINE J. lC;NO Nora ry Pu ~ P~biic, Stal~ of New York No. 01-K1¢844660 Oualif ed in Su~o:k County Commission Expires Dec, 31, ~ CHAZN OF TZTLE FOR AD3ACENT PREf4TSES SOUTH: District: 1000 Section: 015.00 Block: 05.00 Lot: 032.000 Grantor: Woodhoilow Properties, ]nc. Grantee: William Stavros Dated: :12-29-7:[ Recorded: :[-7-72 Liber: 7088 page: 170 Note: Covers this and other premises. Grantor: William Stavros Grantee: George Stavros Dated: 7-:19-75 Recorded: 7-11-75 Liber: 7872 page: 408 Grantor: Grantee: Dated: Recorded: Liber: 11858 page: LAST OWNER DEED George Stavros Adamantios Thomatos and Irene Thomatos :10-2-97 :[0-2:1-97 45 RH80030741 Commonwealth 4and Titl~surance Company Vice President / ~ ~ Single and Separate Search Subscribed and Sworn to this 2nd day of April. 2003 Notary P~I~ '~;ic ,c ~,~ of ~ew York Commission Expires Oec, 31, '~ ~ Fl~e No.: RH80030741 District: 1000 Section: 015.00 Block: 05.00 Lot: 033.000 Grantor: Woodhollow Properties, Inc. Grantee: William Stavros Dated: :12-29-71 Recorded: 1-7-72 Liber: 7088 page: :170 Grantor: William Stavros Grantee: George Stavros Dated: 7-:19-75 Recorded: 7-:1:1-75 Liber: 7872 page: 408 Grantor: George Stavros Grantee: Nicolas Alissandratos Dated: 10-2-97 Recorded: 10-2:1-97 Liber: :1:1858 page: 43 LAST OWNER DEED Commonwealth-Lapd Title/~f, ~surance Company ROBERT GAFFGA Vice President Single and Separate Search Subscribed and Sworn to this 2nd day of April 2003 Fi~e No.: RH80030741 CHAt'N OF TZTLE FOR ADIACENT PREMZSES WEST: District: 1000 Section: 015.00 Block: 05000 Lot: BOUNDED ON THE WEST BY RYDER FARM LANE. Commonwealt/.h_La~nd Title ~nsurance Company BY: ~OB':~T ~^FF~,~ / /~ Vice President ~ ~ Single and Separate Search Subscribed and Sworn to this __2nd_ day of __April 2003 Fi~e No.: RH80030741 CHAZN OF TZTLE FOR ADIACENT PREMTSES NORTH: District: 1000 Section: 015.00 Block: 05.00 Lot: BOUNDED ON THE NORTH BY NORTH SEA DRIVE. STATE OF NEW YORK ) )SS: COUNTY OF SUFFOLK) ROBERT GAFFGA, being duly sworn, deposes and says: That he is a VICE PRES[DENT of Commonwealth Lsnd 'title [nsurance Company, That the above are true Chains of Title of the adjoining premises as shown on the records of the Clerk of the County of Suffolk and the Variance search under the above captioned title number. Common~'h~and Tit~surance Company Subscribed and Sworn to ~__~~- ~/,~ this 2nd day of _April. BY: ~ 2003 Vice President C ~ Single and Separate Search Corem s$~0n EXpires Dec. 31, Town Of Southold P.O Box 1179 Southold, NY 11971 Date: 09/19/06 * * * RECEIPT * * * Transaction(s): 1 1 Septic Permit - Construct - Resid. Reference 3631 Subtotal $10.00 Cash Total Paid: $10.00 Name: Petikas, Theodore 225 Stewart Ave Bethpage, NY 11714 Clerk ID: MICHELLE Internal ID: 3631 ~RVE'r' OF LOT 81 MAP OF ORIENT B'T' THE SEA, SECTION TI,",IO FILED OCTOBER 26, IqGI FILE No. 9444 ~ITOA'I'E.' O~.IENT TOI'qN= 50UTHOL]:) 5t)FFOLK 60UNTY, NY SURVEY'ED Oq-11-02 HEALTH DEPT. UPDATE 8-22-200(2 SUFFOLF'--. GOUNT'r' TAX ~ 1000-15-5-26 CERTIFIED TO, Lob BMA CONSTRUCTION NOTES: · HONUf,4ENT FOUND o PIPE 'FOUND AREA = Iq,~lO SF OR 0.45 AC, RES PARC. EL RESIDES IN ZONE DISTRICT R-40 ELEVATIONS REFERENGE SUFFOLK COUNTY TOPO MAPS P~.OPERTY~ ZONE R 40 SETESACKS BASED ON NONCONFORHIN® LOTS OF LES5 THAN 20pO0 SUFPOLK COUNTY DEPARTMENT 0F H~.'~ S~R¥~CES PERI'41T FOR APPROVAL OF CONSTRUgTION FOR A SINGLE FAMILY RESIDENCE DATE ~j-l~2 H.S. REF. NO. ~ I ~PROVED ~~ J TOTAL ~]~UM~EDROO~,S ~P'~S T~RS FROM DATE~LA?ROVAL EXCAVATION INSPECTION REOU!Firg~3 J FOR SANITARY SYS"I'EM 1 BY HEALTH DEPARTMENT II 5,4 d~ollln9 s6~tio os ~'O_T~ I , 1 Minimum dJstapce bst¢¢9g?! '~/,~ J ~ cesspool is to be 150 fc¢.. J Lot. dvqellincj ~RAPHIG SCALE SO NSDo2&oO"E HOLE 7 o_ 35' Proposed House 45' Lot 8~ 82 dv~ellin~ Lo~. I00 d~ellincj Lot I01 ,~ ~f' \ '--'-'~' _, JOHN C. EHI ERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Compaqserver\pros\O2\02-257.pro .SUF~VE'T' OF LOT 61 MAP OF ORIENT B,'f' THF SEA, ~FOTION TI, NO FILED OCTOBER 26, IqSI FILE No. D444 51TUATE: Ot~IENT TOHN: EXDUTHOLD SUFFOLK COUNT'Y, NY SURVEY'ED O~-,,-O2 HEALTH DEPT. UPDATE &-22-2006 FOUNDATION LOCATION 11-16-2OO6 SUFFOLK COUNT1~ TAX ~ 1000-15-5-26 Lot CERTIFIED TO: BMA CONSTRUCTION NOTES: · MONUMENT FOUND 0 PIPE FOUND AREA = Iq,3]O SF OR 0.45 ACRE5 PARCEL RESIDE5 IN ZONE DISTRICT R-40 ELEVATION5 REFERENCE SUFFOLK COUNT'f TOPO HAP5 PROPER'fY ZONE R 40 SETBACKS BASED ON NONCONFORMING LOTS OF LESS THAN 20,000 SF Lot "PR 262oo7 Lot ®P-APHIC SCALE 1"=40' Lob &O N88o26 'OO"E 81.10' Lot ~ S88°26'00"1~1 81.61' Lot 82 Lob I00 N W~E S Lot JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 369-8288 Fax 369-8287 REF.-\\Compaqserver\pros\02\02-257.pro .5~RVE'i' OF LOT 81 HAP OF ORIENT BY THE SEA, 5~EC, TION TINO FILED OC,TOBER 26, 1~161 FILE No. 51TI)ATE-' ORIENT TOI~IN -' 50UTHOLD SUFFOLK COUN'I"I', N'I' 5,UR'v'Eh'ED O~-11-O2 HEALTH DEPT. UPOATE ~-22-2OO6 FOUNOATION LOC,ATION 11-16-2oo6 UFZOATE O2-Oq-2OO~ FINAL ~URVE'f' 02-1~-200~, 02-21-2008 O~-11-2OO6 50FFOLK C,OUNTY TAX 5~FFOLK C,OUNT'r' DEPT. OF HEALTH 5ERVIC,E5 REF. ti RIO - 02 - 0201 CERTIFIED TO~ BMA C,ON~TION NOTE~: · MONUMENT FOUND o PIP~ F:OUN[2 AREA = PI,-/-/O E:,F OR 0.45, AC.P-.ES PARC,EL I;~.EE~IDES IN ZoNE DISTRIC,T R-40 ELEVATION~ P~FERENC. E .E~F;FOLK TOPO F'ROPER'F'f' ZONE R 40 .E:,ET~AC,KE~ E~AE~D ON NONC,ONFORMIN~ LOT5 OF LE~E~ THAN 20,OO0 ®P, APHIC SC, ALE I"=~0' 26'00"E DI .IO' 2 5~on¢ S88°26'00"H 81.61' LoC N S Lot ~2 JOHN C. E 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 R/VERH~AD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Compaqserver~pros\02\02-257.pro vWOOD RAILING WITH 5/4" PICKETS ' STRUCTURAL WOOD POSTS ~1111 Ill rill I I III F~,ONT ELEV'~TiON 114" = I'0" RIGHT ELEVATION 114"= I'0" REAR ELEVATION 4.D 'PRIM = i'0" 'I~ ~'~ LEFT ELEVATION 1/4" = I'0" A'LF'...,NGW^STE '"* TESTING BEFORE COVERING SOLDER U$/~D IN WA TER SUPPLY ~, ~T. EMiC~NNOT EXCEED ~IdOF t% LEAD. OCCUPANCY OR USE IS UNL/~ ~'FUL 'WITHOLIT ~ ~ I ~ ' ' O0 NOT PROCi=ED WITH FRAMING UNTIL SURVEY OF FOUNDATION LOCATION HAS B~N APPROVED. ALL CCNSTRUCTDN SHALL, THE REQUIRE OF NEW YORK STATE~ CERTIFICATION OF NAILING REQUIRED, 3 AS NOTED B.p.~S~ DEPARTMENT AT 765-1802 TO 4PM FOR THE 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3, INSULATION 4. FINAL - CONSTRUCTION MUST DESIGN OR CONSTRUCTION ERRORS. RETAIN STORM W~T£R RUNOFF PURSUANT TO SEC TION ~ S-lOC oF THE TOWN CODE. JOE5 N 2412 SHEET NO. lOF4 37'-0" 1%8" T 12'-8" KITCHEN 2'-6" 13'-0" 4" DINING ROOM · EX, FAN 13'-0" [] CO. DETE(~OR LIVING ROOM 18'-4" 5'-0" 5'-0" 3'-0" 16'-0" OPEN 4w 12'-4" DEN 20'-0" 20'-8" 37'-0" 4" LIN. BEDROOM #2 BEDROOM #3 / / /MASTER // ~ §'-4" [] 86.~. DETECTOR .~ 3'-0" 3'-0" BALCONY 4" BEDROOM 16'-0" FIf~,ST FLOOR ~ 6MOK. E DETECTOR U,L, LAE~ELED 12'-4" !/4"= 1LO" 1:~', "'~ ,SECOND FLOOR I/4"= 1LO'' / ~ ~ ~ ~OKE DETECTOR U,L, LA~EL~ JOB NO. 24.12 ,.~I-tEET NO. 2OF 37'-0" ~ ~ 35'-8' 13'-2" ~ 7'~7' 7'-7" '~4" ' sl ~ ~ ~ ,,~ ~ /( 'N 24" X 24" X12" P. CONC. F~'G.~ - ~j ~. ~ ~, j FIRE RETARD dVER~ BO~LER ~ qTH ~ ' dl " --~ r-' ; e' __~u.~_.,. , UNE XCAVATED , -; ' ~ , · ~ ~ ......... "" ~' ~ ~1 ,, , , 8'I ~' I " , ~ ~1 ,' , ,' PrTCHSLABTOGAR ,OORS. = ~; ............ , ,~ , " I ~ ', , ,, , ~ ~ I ' ~ I:DER ~ . ,(2) ~2 ¢12"COA [DER ~4 ......... , "· - , --'I- '--, .... ~"Xe'CONC. P~ER [ .... ] ~ [ ..... ~ [ .... ~ ).2,.4, ),, 8,.8,, ~,, FOIJNC>ATION PLAN 114"= 1'-0" MASTER BEDROOM WALK-IN CLOSET MASTER BATH 2HID, FLO0~ 1ST, FLOOF~ WALL AND LIVING ROOM DINING ROOM I/2" WALL AMID KITCHEN OPEN CELLAR ON 0R0,55 ~,ECTION 1/,4"-- 1'-O" Itl4' I FII~T FLOOR~ DRAINAGE, UJA6'IE ,,~ND vENT PIPING 8N,ALL IBE ~',CNEDULE 4OP¥C OF~ E~¢::I IER ~,I5OVE GR~ND. IBELOLIJ GROUND:$N,ALL I5.E EXTR,,~, WEA¥¥ CA~T IRON F~IDGE VENT 2x4 ~OLE PLATE SIMPSON LFTA @ 16" o/c ~IM JOIST '2 e 2;<4 CAP PLATE ~3 JOtB NO. 2412 5NEET NO. 5OF4 , N4,1LING C;I-IEDULE (EXPO,. Ut E "B") F~ OD F F F~ A M I N G W 4, L L F R A M I N G F L O O t~ F ~ ,~, M I N G ~ OD F 5 N E ~ T H I N ~ C El L I N G 5 H E A T H I N G ~ A L L NAILING NOTES; WINDOW NOTE= CODE ,ANAL¥~I~ ENERGY NOTE~ GAFET¥ C~A.G~ RE~LIERIMENT~ EGRE55 LUINDOLU 5CNEDLiI_E (ALL SLEEPING ROOM,%) FLOOR ROOM N,AME REC~UIRED CLEAR OPENING PROVIDED (~.F,) C. LIMAI"IC 4 ~EOGRAPHIC DE61GN CRITERIA F:'ORCNIDECK, IJOI6T (;ONNEOTION DETAIL JOIST HANGERD PORCNIDECK,/NOUEE CONNECTION DETAIL ASPH,ALT f~OOF ~HINGLE NOTE8 GENERAL CONSTRUCTION NOTE~ RAFTER/TOP PLATE CONNECTION DETAIL HURRICANE TIE $1MPE, ON PORCHIRAFTEfRIGII~DER CONNECTION DETAIL LOAD PATH/FLOOR FRAMING DETAIL FOUNDATION UJALL/FLOOR F~AMING DETAIL ,ATTACHMENT FLOOR TIE ANCHOR elLL PLATE ~E~EMIO/ HURRICANE TIE OPTION COLUMNE TrE DO[UN 5TRUCTUR,AL RIDGE 5ILL PLATE ANCHOf~GISLAB ON GRADE OPTION INTO FOUNDATION METAL HOLD-DO~N UPLIFT ANCHOR 2I'x4Ii &ILL PLATE JO~ NO. 2412 ~NEET NO. 4OF4 3