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Home My WebLink About25478-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAR~ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26544 Date: 07/01/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 290 OLD FIELD CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.27 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 27, 1998 pursuant to which Building Permit No. 25478-Z dated JANUARY 19, 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 ONE FAMILY DWELLING WITH ATTA~W~ TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to FARMVEU ASSOCIATES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0163 ELBCTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 04/14/99 Rev. 1/81 06/28/99 26900 p6/30/99 KEANE PLUMBING & HEATING Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT nl~ ..... ~* 1~,I~ 0 ~ ~---- , 765-1802 J~\---L - I ! APPLICATION FOR CERTIFICATE OF OCCUPANCY k. v~s~.~'I.ic~a~09__must be filled in by typewriter OR ink and submitted to the buildin ~~b~-'~i~ th~ following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property lines streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildi and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a' '!pre-existing" land uses: I. 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 applican If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy ~ New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ...... · ~ew Constr~ction ..... .V~..... Old Or Fre-e~isting Building ................. Loc tion of Froperry ... .. ... ............. House No. Street Hamlet Onwer or Owners of proper~y ....................................................... County Tax Map No 1000, Section ............ Block. ~-~ . Lot .... Subd~vis on .................................... ~z~e~ Map ........ Lot .................. ~o ........... ....Ap~li_--t ................... Health Dept Approval Underwriters Approval .... Planning Board Approval............. .......... · Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25478 Z Date JANUARY 19~ 1999 Permission is hereby granted to: ASSOCIATES FARMVEU MAIN ROAD CUTCHOGUE~NY 11935 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR. at premises located at 290 County Tax Map No. 473889 Section 120 pursuant to application dated NOVEMBER Building Inspector. OLD FIELD CT MATTITUCK Block 0003 Lot No. 008.027 27 1998 and approved by the Fee $ 701.00 ORIGINAL Rev. 2/19/98 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. ~J'4F~) 2 owner: C~/~//~/~ /~ /~/~_~ (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn .to before me this day Notary Public, ~£~/>~ NOT~ PUBLIC. S~te of No. 01ST~173. ~lk T~ ~pims Ju~ 8, DATE: ADDRESS: ISSUED TO: 290 tOM Field Court Greenbrier Homes HvTRODUCED BY: ~r Electric ~ ~ wa~r. amb-,ed on LOCATION: . x Izc ~Io: 4808E and found to be tn corr~lian~ w~th the Yational ElearicM Code Ist x 2nd . X =··,~ Srd Det. Garage Hot T~b Pool SNfffCHES , RECEPTACLES FIXTURES HEATERS DISHWASHER DRYER ' CLOTHES tVASH. GAR. DISP. RANGE OVEN SMOKE DETECTOR I 1-20 amp l-gas FURNACE OIL GAS CII[ MOTORS BELL TRA3L SERVICE DISCONNECT BUILDING PERMIT No. BLUE ORIOINAL YELLOW COPY PINK COPY OFFICE HUGO $.-$URDI PRESH)ENT 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION'-t~ 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ]/GI~UNDATION 1ST [ [/,/] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ~.~ ~ ] ROUGH PLBG. ] INSULATION ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ *~ROuGH PLBG. /~)ONDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~L.,~t~..., /___ I) '~1'' , DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~IN~TION [/~FRAMING [ ,] FINAL [ ] FIREPLACE & CHIMNEY REMARKS.' ~ad4Mi.~~____ INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ~'i~AL ] FIREPLACE & CHIMNEY DATE INSPECTOR INSPECTION REPORT DAT~ FOUNDATION FOUNDATION (2ND) RODGII FRAME & PLI~ING INSULATION PER N. Y. STAT~ EI~RGY CODE COI~NTS FOIIH ~10. I TO~9 OF SOUTItOLD BUILDIItG DgPAgTI~NT TOISN HALL $OUT~OLD, N.Y. 1197 I TEL: 765-1802 BOARD OF [t~ALT~ ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORI4 .... NOTIFY: CALl. ......... I/AIL TO: .................... State ~Imther apglicant is o.~er, lessee, a&ent, archirict, ~i~r, ~r~ ~t~, el~ici~, pl~r or ~il~ ............................ (~ ~ ~ ~ mi1 or la,st ~) If a~li~C is a m~ra~i~, si~ of ~y ~ri~ offi~r. (~ ~ titleof ~)' Plt~bers License t'/o .......................... Elec[ricians Li~e lto. {Z:~w°l)~O f I. Locatio~ of land o~ ~hich ~ ~ork ~rill be dc~e...,/ ......... J ........................................... £. c~ ~ ~ ~. ~ s~a~ ... l.~..q. ...... E~oc~ .~... ........... u~ 7 (~) 2. S~ate existiuig use and oer~?n~y of pri~ises and intena~ use and ccc, .m~ of ,propose_ er~uctioa: a. Fndstir~ use ~nd c~ ~y .............................................. L ~ture of vo~k (check ~hi~h applicable): !~ Buildiug .......... ~ddition .......... hlteratioo .......... Repair ............ P~,~z~al ............. Dea~lltiou ............ Other {~ork ..... ................ ,. bt ............................ (to be paid on fillug this apptication) / 5. If d~elliug, uls~ber of d~elling ~mits ............ llumber of d~elling mits on each floor ................ If garage, n~ber of c~rrs 6. If business~ '~""--~clal or mt~-d occupancy, specify nature and extent of each type of use ...................... ?. Dimmsions of existing stmctu~s, if at~: Front ................ Rear ............... Depth ................. lleight .................. Itt.bet of Stories .............. l~ia~nsions of sm~ stmctu~ vtth alterations or additions: Front ............... Rear ............... Repth .................... l~ight .................... Ix~ber of Stories ......... .............. Bear ... th ............. ...................................... ~th .... .a. ~0. ~,e of ~ ..................... ~ of vo,~, o~...../~../...~C.~.: .... ~ ........... I I. ~ or us~ district in ~htch e,,~,Is~s ar~ sitm~ted ...................................................... i ~'; ;';... 12. I]o~s ~upo~ed oonstructloo violat~ 13. l~ill lot be regra~d .................... {lill 16. ,~,--~ ~. ~-~. ~. e.~-~ ................ . .................. .-~.~-_-._-..._.~.~. ............................. .......... 15. Is this l,~t~ vithia 300 feet of a tidal ~etlaud? tYgS .......... NO ..~.. ..... *Il~ ~l~, PLOT l~cate clearly and distinctl~ all buildiugs, vhether existing or proposed, aud i~dicate all set-back dir~easioos f,u, p, ol~r~y liras, giv~ street s~d block ~ or description ~_cordlug to de~d, sad sho~ street ua~es and iudicate ~ther iaterlor or con~r lot. ~AIE OF I~ o~ 0~ ....?..~..~..¢?_.~: ...... .... ~ ................................................... ~ ~ly ~m, ~s ~ ~s that ~ is tl~ a~li~t (~ of iMivi~ si~ig ~tr~t) / (~tr~t~, ~nt, ~e officer, etc.) of ~d ~r ~ ~rs, ~ is ~ty ~t~ri~ to ~rf~m or h~ ~rf~ ~ ~id ~ ~ to m~ ~ file this a~lieati~; ~at MI staC~ts ~t~ in ~is ~li~ti~ ~ t~ to ~ ~st of his ~1~ ~ ~lieli a~ that ~ ~ viii ~ ~r~ in ~ ~,~i,~r ~t f~th ~ ~ ~li~ti~ fil~ ~. ~m to ~fo~ m ~is ~. 4~1R AXELROD & CHERVENY, ARCHITECTS, A 66 HARNED ROAD ARCHITECTS/PLANNERS 11725 NCARB 8848 NY 8735 NJ 5276 CONN 4877 FLA 5106 MD 3896 MA 6089 KY4181 Tel: (516) 864-4411 Fax: (516) 864-3387 Town of Southold Town Hall Main Road Box 1179 Southold, NY 11971 Atto: Edward Forrester February 9, 1999 Plan # 93254 (Canterbury I) Please accept the following changes to the above referenced plan: · All (3) 2"x 10" wood girders in the basement to (3) 1-3/4"x 9-1/2" microlams. · Replacing the masonry fireplace with a pre-fab fireplace with an 8" foundation wall below and wood chase as per N.Y.S. code. · Adding a 6068 sliding glass door to the breakfast bay with a (2) 2"x 12" header · Removing the sliding glass door in the family room and replacing it with (2) 2842 windows with (2) 2"x 12" headers. Re spedth~ly-y-y~ubmitted, ~Glen R. Cherveny, A.I.A.~---'~' BLDG. DEPT. TOWN OF SOUTHOLD -- ~&" HIC-Crl WO42P PAIL .... ~ I BE,c-, (.,ELLAR "j ~5.:-, ,;';~ I ~ ~'-', -~ "' ,;¢ ,~.~ ,:: ..,:.. ~. X UNEX&AVATEP ~TGIPE 6ELLAR ENTRY ~ ~ ~ATI~ ~ THE ~IN~ ~l~ ~l~ ~ 66 ~RNED R0~ PHONE: (518) 864-.11 bANTE~~Y I CO~CK, N~ YO~ 117~ F~: (51~) i~r, BLDG. DEPT. ,, ' TOWN {;)F SOUTHOLD Ct *e New YO* S*te Eduction ~w, SURVEY OF: quenllnst'U"~owne~list" her~. and ,o ,he as,g.~ of the ,.di~ i.stitu,ons Or sub.- ~A ¢ I O T~ ofl~tS (~ dimen~s)~own her~ fr~ s,ru~ures to~e pro~ li~s are ~ ~ ~ ~1 ~ CERTIFIED ONLYTO: _~ . ,t ~ ~ / ~-~ DEST~ G. G~ ROCKY POINT, NEW YORK 11778 TAX I.D NO. ~O00 - I ~O ' O 3 - ~. ~7 ~: iA~ ~ PHONE (5,6)821 t PLEA$£ NOT,E, Minimun; distance between , ,- .., is to be ].50 ~4E WATER SUPPLY & SEWAGE DISPOSAL FOR THIS RESIDENCE WILL CONFROM TO THE STAND- ARDS OF THE SUFFOLK COUNTY DEPT. OF HEALTH SERVICES. 14o, oo Unauthonzdd altecaddn or addition to this document is a victatio~ of Section 7209 of the New York Stale Education Law. Certifications indicated hereon si~all r~n only to the person for whom it is prepared and o~ ~is ~ehelf ~o the Title Company, Governmental Agermy and Lending Insbtution iis~dd hereon, and to the assignees of the lending institutions or subse- quent owners Copies ol this documem not headng the profesmonal's inked seal or embossed seal shall not be considered a valid true copy The offsets (or dimensions) shown hereon Irom structures [o the proper~y lines are lot a specific p~rpose and use and therefore are not intended to guide the erection ol fences, retaining walls.pools, patios, planting aceas, addition to buildings or any other su.w o : 2¢ not guarantedd ~ SCAL~E: I": -- CERTIFIEDONLYTO: ~ * Ii ~ /~//DI~STING~ \DP, STING.G~ By ~~"'~ I 73WOODLAWN ROAD DESTIN G ~ ~ ~ ~OCKY POINT, NEW YORK 11778 PHONE (516) 821 3442 TAXI.DNo. ~O O-~O-O~-~.~7' ' THE LOCATION Of WELLS, WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS. ~7o'- 19'-5ov-/ 1 ffo,.oo' ~gT ~q ~X~DESTIN G. GRA.~ 73 WOODLAWN ROAD ROCKY POINT, NEW YORK 11778 PHONE (516) 821-3442 DESTIN G. GRAF N.Y.S. UC No. 50067 TAX LD. NO. ~OOO _ I ZO_ 03-~.Z7 SUMMARY OF TOTAL THERMAL RATING If the Total Thermal Rating is zero.(O) or greater, the proposed design for the building envelope complies with the Energy Code. THERMAL TABLE AREA U-VALUE RATING USED A. ROOF/CEILiNG l lO ,0~ ~ ~'~ B. NET WALLS D1. D2. 03. GLAZING Window Window Skylights FLOORS BASEMENT/CELLAR WALLS Wall Perimeter Exposure'Above Grade Wall U-Value Depth of Wall U-Value Below Grade Feet Feet Inches SLAB INSULATION Slab Perimeter Insulation R-Value Feel INFILTRATION CONTROL. Conditioned Floor Area· S~. Ft. ~ .~A SOUTH FACING GLAZING South Gl=ss/Total Glass percent Gl. Area/Gross Wall Area -Percent -. Conditioned Floor Area SC. Ft..' I~ .TOTAL THERMAL RATING :+F4, UNDEDJ~i;~I I'ERS OERTIFIC~~,YF ~'(LQ',JIR ED DO NOT PROCEED WITH'' FRAMING UNTIL SURVEY PLUMBER CERTIFICATIOI~ ,, ' OF FOUNDATION LOCATION ON lEAD CONTENT BE.£ORE HAS BEEN APPROVED. ?M-1III e AM 10 4 Iq~Nxl 'mE I I~ - ~ REOUIRED t. ~ - RMIJm~ · ImLUMBING 4. FINAL - CON~I'RUCTION MUST BE COMI~='~ FOR C.O. ALL CONSTRUCTION SHALL MEET .r THE REOUIREMENTS OF THE N*Y. STATE CONSTRUCTION I, ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTiFIC ,TE C ,F OCCUPANCY If copper tubing is used for water distributing system; piping shall be of types _K or L oni_~ UNDERWRITERS CEREII~[GAEE' . - PLUMBING ALL PLUMBING WASTE & WATER UNES NEED TESTING BE[~ORE COVERING CERTIFICATE OF OCCUPANCY SOL DER USED IN S(?F'FL'/ SY$7~M [i':','t.CE~ 2/10 of PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS ' REQUIRED BY PARE 714 OF N.[ STATE BUILDING CODE. PROVIDE SMOKE-DETECTING ALARM DEVICES AS TO PART. 721.1 N.Y.S BUILDING CODE· PROVIDE ANTI-SCALD AND/DR 'RIERMAI, SHOCK PREVENTING DEVICES RS TO PARt*. 902.6(K) N.Y. STATE BUILDING CODE. PROVIDE '% HR. FIRE RATED SEPARATION TO PART. 717.3 (fi Il) OF N.Y. STATE BUILDING CODE. , I;O'l .1 I ...... ' J I mm m ~ ~, ASSOCIATES, ~, .P.e. COMIvlACK, NEW YORK 11725 mill [] m. Jr jLm~ JEROLD AXELROD, 66.HARNED ROAD ARCHIE;CTS / PLANNERS 516,86,L- ., · 11725 JLl~ JEROLD AXELROD, 66 HARNED ROAD & ASSOCIATES,/'~, P C.e,OMMACK, NEW YORK ii ARCHffECTS / Pi ,~£.~ ,,8' 864 - 4411 ~,~T~i~J 4'4 L4" I~ROVlDE ~ HR. FIRE I~AT£D SEPARATION LTO PART° 717.3 (f) ('B) I~F Uti. DING ~ODE. I I 11 'oo" I$ ~L NMP alt ASSOCIATES', AIA, P,C. COMMACK, NEW~¥O~K !I ARCHI'ECTS / PLANNERS ,516' 864'~-~ 4~11 :'- -",' , .'