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Home My WebLink About28301-ZFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29111 Date: 12/09/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 185 SHORE LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 1 Lot 4.18 Subdivision FiledMap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16, 2002 pursuant to which Building Pezmit No. 28301-Z dated APRIL 19, 2002 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 SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GAR_AGE, AND COVERED FRONT PORCH AS APPLIED FOR. ·"ne certificate is issued to SCHEMBRI HOMES of the aforesaid building. ( OWNER ) SUFFOLK CO~ DEPARTMEI~T OF HEALTHAPPR0%rAL R10-99-0264 ELEC'~RIC~%L CERTIFICATE NO. 3163 PLUMBERS CERTIFICATION D~rE~3 12/04/02 WILLIAM SCHWAB 11/22/02 11/14/02 ~/O~~ri z~ignature Rev. 1/81 .;,' Form NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ItALL 7'65-1802 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCy' ' ' -' ~ ~},:~._~a~ This application must be filled in by typewriter or ink and submitted'to the Building Department with the following: A. 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 l~d sewerage-disposal (S-9 form). 3. Approxml of electrical imtallation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the. solder used in system contains le~s than 2/10 9f 1% lead. 5. Commercial building, industrial building, multiple residences and similar Buildings and installati0ns, a certificate of Code Compliance from architect or engineer responsible for the building, 6. Submit Planning Board APproval ofeomple~ted'~itdplafi requirements, B. For existing buildings (prior to.April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topograpkic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building lu.~pector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory builalng $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Photocopy of Certi_ficate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occup .aM'y - Residential $15.00, Commercial $15.00 Date. ///~.~ New Construction: Old or Pre-existing Building: House No. Location of Property: Owner or Owners ofProperty: ~__~j~q,~ _ , ~ Suffolk County Tax Map No 1000, Section {~ Block (check one) Perm/t No. Z~ ~) [ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ (~-o ~ Hamlet Filed Map, Lot: Underwriters Appro.val: Final Certificate: / ~, .(ch~ ~ignature LOt Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street * Center Moriches, New York 11934 * Tel: 631-878-3500 * Fax: 631-878-3764 Application No: 3163 Issued to: Schembri Homes Address:.Lot 18 Shore Lane Village: Peconic Zip: Introduced By: DeLane Electric Date: 11/14/02 11958 License#: 4354-E was examined and found to be in compliance with the National Electrical Code Basermnt [] 2nd floor [] ~m ~i~l ~ Tub PdcitJon Switches Receptacles Fixtures G.F.I. Microwave Whirlpool 27 51 42 4 1 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon Range/Amps Monoxide 1-Ex Bath 1 20A 30A 40A 2 Furnace Oil Gas Circulators Smoke Bell Detectors Transformers 1 yes 3 7 1 Meter Amps Phase Motors 1 200A UG 1 3ther Equipment: :)ut,Res Permi~:28301-Z This certificate must not be altered in any manner Town Hall, 53095 Main Road P.O. Box 1179 Southold, New Y6rk 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. "~ ~) ~ 3~ ~('~ / (please print) / Plumber: ~'\~ [~x ~(- ~x. UoJsX~'5 (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 z'-/ day 4~ 20~)__~_~ - '-1 Notary PubliC ' c,~ )(~---'/County ~._~lumbers Signature) DONNA FIRENZE I~iotary Public, State of New 4785585; County Of Suffolk Robert James Higgins Architect, AIA 50 Hidden Acres Path Wading River, NY 11792 631-208-3351 Town of Southold Building Division Southold, NY August 29, 2002 RE: Wahl Residence LOT 18, Richmond Shores Dear Building Inspector; I hereby approve the methods of vetoing the turret for the above project as follows: 1. Drill holes through the rafters to allow for air flow 2. Provide a 1 x 1 roof veto on rear of turret. Respectfully yours, Robert James Higgins, AIA AU0-29-2002 08:59 AM ROBERT HIOC[NS RRCH1TECT Robert .lames Higgins Architect, AIA 50 Hidden Acres Path Wading River, NY 11'/92 631-208-3351 Town of SouthoM Building Oivi~io~ Southold, NY 631 208 3351 P, O1 August 29, 2002 LOT 15, Ric. hnmnd,Shnres I hereby appmveltlte ~ of venting the tun~ for th~ above project ~ follows: 1. Drill ho~ through tl~ raltmw to allow for air flow 2. Provide m I ~ 1 roof vent on rear of turret. Respg~'t~l¥ you~, Robot James Hi.ism, ArA TOWN OF SOUTHOLD PROPERTYRECORD CARD ~0(~ -~,r~ -/- 4, t ~ tv'lc;, ~ ! -~' --~WNER STREET / <~'_~ VILLAGE DIST. SUB. LOT t ~ FORMER OWNER N E ACR. I (2,4 ,~2 ~OJ~- (.~,,'q_~ ~ S W ~PE OF BUILDING RES. SEAS. VL. ~ 3// FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS . , ~/~/~.u~,'~¢.~~ ~ Tillable FRONTAGE ON WATER W~land FRONTAGE ON ROAD Meadowland DEPTH Hou~ plot BULKH~D Total Applicant/ Owners Nmne: _ Architect/ Engineer: SCTM #: Districl: J~.000_ Section: ~ Block: Projec[ '1o "..; /'..: / Single & separate Required cerlifieation: (Yes / No) fi, JO Req. irtg 'l) is I r !;~'~--'- II ~( Z<m ~ Date Date Submilled: Suffolk County Health' Dept. New York State D. E. C. · Town Trustees Town Zoning Board.. approval: Town Planning Board approval: Flood Plane Elevation Flood Zone: Subdivision ~_~ /OO' PermR . NO YES Number STATE OF NEW YORK ) ) SS: COUNTY OF SUFFOLK ) , being duly sworn, deposes and says: That deponent is over the age,of 18 years and resides at That o. the/(o day of ~l~/4L. ,200,t.depo,,e.t architect/e.gi.eer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SOTM# 1000- ~-~!' LI/¢'/~/ ' street address Sw,~;~rn to befo, fe me this ~_~.~day of _~L~/ , 2001. CC: Applicant Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 04/16/02 Transaction(s): Septic Permit - Construct - Resid. Receipt~: 5752 Subtotal $10.00 Check#: 5752 Total Paid: $10.00 Name: Schembri, Homes Inc Po Box 163 Wading River, NY 11792 Clerk ID: LBOHN Internal ID: 52931 765-3,802 BUILDING DEPT. INSPECTION [ ~,~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] INSULATION [ ] FINAL DATE GPECTOR 765.1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FO~JNDATION 1ST [ ] ROUGH PLBG. [ ,--'] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 765-Z.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [ ~UNDATION 2ND [ ]INSULATION [ F~/IING [ ] FINAL [,,,]/FIREPLACE&CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO.O.O.~H PLBG. [ ] FOUNDATION 2ND [..,,~INSULATION [ ] FRAMING [ ] FIREPLACE & HIMNEY REMARKS: [ ] FINAL DATE 5PECTOR 765-1~02 BUILDING DEPT. INSPECTION [r.. ] FOUNDATION I ST [ ] ROUGHPLBG. ~" ]//~OUNDATION 2ND [ ] INSULATION ~.~/]~ FRAMING [ ] FINAL "'q-/[ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I.~"LATION [ ] FRAMING [ ~'J FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSerTION [ ] FRAMING [ ~ FINAL [ ] FIREPL~E & CHIMNEY !FI]ELD INSPECTION REPORT I DAT.E I COMIVII~I~TS FOUNDATION (1ST) / . .._~ . ~ ~ ,~ .. ...................................... x~.ZZ~, ~..~.~y'~ ~.~., F~_ STaT~ ~a~Y co~ ~D~ON~ CO~S TOWN OF SOUTHOLD BUILDING DE~'ARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved · ~t/l~ Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: uilding ~ Mail to: Phone: APPLICATION FOR BUILDING PERMIT a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 a Certificate of Occupancy is issued by the Building Inspector. 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 reg;u, lations, and to admit authorized inspectors on premises and in building for necessary inspections. ~J/ ~ (Signature of applicant or name~if a corporation3 (Mailing a~ess of applicap. J)fl State whether applicant is owner, le~, a~tect, engineer, general contractor, electrician, plumber or builder hameofownerofpremises ~ /~tq~,~ ~l,~ '~: ' (as on the tax roll or latest deed) applicant is a~,~o~a~of duly authorized officer. If (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. House Number Street (Name) Block Off Lot Filed Map No.~_ff__~ 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 3. Nature of work (check which applicable): New Building dition Alteration Repair Removal Demolition Other Work Estimated Cost If dwelling, number of dwelling units If garage, number of cars 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 Rear Depth Height. 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size oflot: Front I ~"'"- Rear Number of Stodes 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: 13. Will lot be re-graded ~ 14. Names of Owner of premises Address Name of Architect Address Name of Contractor Address 15. Is this property within 100 feet of a tidal wetland? *YES Will excess fill be removed fi:om premises: Y~ Phone No. Phone No Phone No. NO ~ '-' IF YES, SOUTHOLD TOWN TRUSTEES 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 ~_,_~,x'r_,,,~ l K~) A I '- . . [,~x. ~ ' being duly sworn, deposes ~d says ~t (s)he is the applicant ~me of individual si~ing contract) above~ (S)He is the (Contractor, A~nt, Co,orate Office, 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 this '3o'I'k day of fvXq..,e-c)rx 20 Not~ Public ~ant % % EXHRF~ THRL~ YEARS FROM DATE OF ~VA~ PLOT PLAN OF LOT 18 MAP OF RICHMOND SHORES AT PECONIC FILE ~1~. e873 FILED NOVEM~£R 20, 1979 SITUATED AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-86-01-4.18 SCAIr 1 "=40' DECEMBER 21, 19~g ARE~ = 21,733.34 .q. fl. 0.499 ac. Joseph A. ~ngegno Land Surveyor '8 LOT ~ ,~ / / SURVEY OF LOT 1 8 MAP OF RICHMOND SHORES AT PECONIC FILE No. 6873 FILED NOVEMBER 20, 1979 SITUA TED A T PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-86-01-4.18 SCALE t "=40' JUNE 24, 1999 APRIL 6, 2002 ADDED PROPOSED HOUSE APRIL 1!, 2002 REVISED PROPOSED HOUSE AREA = 22,733.34 sq, ff. 0.499 ac. NOTES: A#D/Oll [AS[MENT$ Of R[COI~I, fir ANY, I~OT SHO~fl~l AR[ NOT GUARANTY, ED, Land Surveyor PNONE (631)727-2090 Fax (631)727~ 1727 OFFIC£5 LO~ATEO AT ~LIN6 AODR£5S 99-8~5k ~,o~ (~) SURVEY OF LOT 1 g MAP OF RICHMOND SHORES AT PECONIC FILE No. 6875 FILED NOVEMBER 20, 1979 $ITUA TED A T PECONIC TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-86-01-4.18 SCALE 1~=40' JUNE 24, 1999 APRIL 6, 2002 ADDED PROPOSED HOUSE APRIL 11, 2002 REVISED PROPOSED HOUSE OCTOBER 29, 2002 FINAL SURVEY AREA = 22,7.35.54 sq. ft. 0.499 ac. CERTIFIED TO: FIRST AMERICAN TITLE iNSURANCE COMPANY OF NEW YORK HSBC MORTGAGE CORPORATION (USA) MARC WAHL LAURA WAHL M~O/O~ EASEI~-..NT$ Of' RECO~D, iF Joseph A. Ingegno Land Surveyor RHONE (651)727-2090 Fox (631)727-1727 ~..?/_l,~ I~-I {~ ~I~.-- ~PICAL ROOF CONSTRUCTION meArc~t Rrb)Com~rlorpe.om~.oyro~on~lOl 2xSor2xlOc~J~ Ii ' J Pitchi~%"/ff~d~ ~' I sYS?m; piping shall be 6. [n,uht, nfl plpiq and du~, per ~, I ~4~ ~ 24~ ~ ~te I U '< ':; J 7. MI domeitlt Hot Wn~r .ttl~ at 140 F. ~t f~tmB do~ to ~ c(f ~}~ r ' j .~*~s ~ ~ ' [RAMING UNTIL SURV~ OCCUPANCY OR ~,~gN~T,g~TtON ~ALL "EET s~,~t ~ ~ ' -- , I I OF FOUNDATION LOCATION USE IS UNLAWFUL ~r~,~)~E [~E N.y. / /~"~'~ I Pre- Fabricaled metal ~' I r ,r fireplace. Metal flue with F~ to extedor. Install to ~ 1~4" -~ ~ ~',~ d"/ LG,, ~,, / , , .... -t / v ~:.. . .,;~ .~ ~ p~7' - - ~ a ~~ I% / ~, M4,~.. ~ .1'~ t~',~" ~ i~" ~,, , %~~' "~' ~l. ell 1~.~, i,,~ ~, 41.1~d il. ~ll ~1 ~l,~ DLiI¢ ~ ~l,~i / / / / / . 74], ~,i ~ ~4~/...1~4~.~ PL ,J~ I 1/2 Extenor grade pl~ood sheat.hlng do ,~le t~ plate, single sole plate Garage slab-4 w/opt. W, WM INSU~TION SCHEDULE