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