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HomeMy WebLinkAbout28532-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29227 Date: 01/29/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 415 OLD FIELD CT (HOUSE NO.) County Tax Map No. 473889 Section 120 MATTITUCK (STREET) (HAMLET) Block 3 Lot 8.23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated glILY 2, 2002 pursuant to which Building Permit No. 28532-Z dated Q~3LY 5, 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 ONE FAMILY DWELLING WITH COVERED FRONT PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to MARCO V CALISE of the aforesaid building. ( OWNER ) SUFFOLK COUN/qf DEPARTMENT OF ~RALTHAPPROVAL R10-01-0130 ELECTRICAL CERTIFICATE NO. PLL~4BERS CERTIFICATION D~i'~3 Rev. 1/81 01/07/03 1095360 01/15/03 01/16/03 WARREN KEANE · &r Auth"~ri z ed~ ±gn~'ture 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. 28532 Z Date JULY 5, 2002 Permission is hereby granted to: MARCO V CALISE 6 RONLAIq COURT EAST HAMPTON,NY 11937 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 120 pursuant to application dated JULY Building Inspector to expire on JANUARY Fee $ 1,463.40 415 OLD FIELD CT MATTITUCK Block 0003 Lot No. 008.023 2, 2002 and approved by the 5, 2004. Rev. 5/8/02 COPY BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET- NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by F. CAMERLINGO ELEC INC. MARCO & NOEL CALISE P.O. BOX 655 OLD FILED COURT WAINSCOTT, NY 11975-0655, MATTITUCK, NY 11952 Located at OLD FILED COURT MATTITUCK, NY 11952 Application Number: 1095360 Certificate Number: 1095360 Section: Block: Lot: 21 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 15th Day of January, 2OO3. Name QTY Rate Rating Circuit Type Alarm and Emergency Equipment Sensor 1 0 Carbon Monoxide Sensor 7 0 Smoke Appliances and Accessories Exhaust Fan 3 0 F.H.P. Hydro Massage Tub, Residential 1 0 Dish Washer 1 0 1.2 KW Oven 1 0 4.5 KW Pump/Motor 1 0 1 H.P. Furnace 1 0 Oil Wiring and Devices Receptacle 54 0 General Purpose Switch 60 0 General Purpose Fixture 49 0 Incandescent Paddle Fan 5 0 Receptacle 2 0 20 amp Laundry Arc Fault Circuit Interrupter 3 0 15 amp seal Receptacle 12 0 GFCI Continued on Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by F. CAMERLINGO ELEC INC. MARCO & NOEL CALISE P.O. BOX 655 OLD FILED COURT WAINSCOTT, NY 11975-0655, MATTITUCK, NY 11952 Located at OLD FILED COURT MATTITUCK, NY 11952 Application Number: 1095360 Certificate Number: 1095360 Section: Block: Lot: 21 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, was inspected in accordance with the National [lectrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 15th Day of January, 2003. Name QTY Rate Rating Circuit Type Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence or' a raised seal at the location indicated. Town Hail, 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 DATE: Building Permit Owner: /~/~/-~) Plumber: (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of Notary Public, ~ ~ County ~ J. UHLINGE~'~ PI,II3~, 8tats of Nm'~ No. 01.4733066 Quail,,ed In Suffolk County .~- .~/Z4/Z~d2 2..:4'9 53~8643387 ~XEL~OD & CHER%'ENY P~GE 0~ AXELROD & CHERVENY~ ARCHITECTS, A. LA., P.C. 66 Harned Road Commack, NY 11725 TEL: (63 I) 864.4411 FAX: (631) 864-3587 wwwoaxel rodcherven y. com ARCHITECTS/PLANNERS NCARB 8848 NY 8735 NJ 5276 CONN 4877 FLA 5106 MD 3896 MA 6089 KY4181 Town of Southold Town Hall Main Road Box 1179 Southold, NY 11971 October 24, 2002 Re: Bldg Permit # 28532Z _Greenbriar ,Homes Lot #21 Please a~cept thc following field change to the above referenced lot: Provisions for ventilation thru roof rafter bays in cathedral ceilings over the living room and foyer. The ventilation holes to be as follows: 1" holes thru each bay approx 1" down from roof shea~jng. ff~_~..~erold L. Axelrod, A.I.A. 0CT-~4-800~ 03:37P~ TEL)6318643387 ID) P~6~:00~ ~=98~ TOWN OF SOUTHOLD PROPERTY RECORD CARD -~-~NER LAND IMP. TOTAL STREET Otd~'c~ I,d OX' TYPE OF BLD. PROP. CLASS DATE ~ILL--~GE ]- DiST] SUB. REMARKS TILLABLE HOUSE/LOT FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD TOTAL BUILDING PERMIT EXAMINER CHECK LISrl'' APPLICANT: DATE REVIEWED: ~- /~ /0 DATE SUBMITTED: :1 / L /0 SCTM# DISTRiCT: 1,000, SECTION: STREET ADDRESS: PROJECT DESCRIPTION: ESTIMATED PROJECT COST.T I r:;jb 12,o , BLOCK: ,.~ , LOT:?~,Z~ CITY: [~1'1'~¢le SUBDIVISION: ~zRE211~T/ENGINEER: /~v,~t-~e, .'v~ FAST TRACK?d~_ SINGLE & SEPARATE CERTIFICATION-REQUIRED? glo NOTES: ~ LOTS 40,000SF -I 00-24. Lot recognition.(CKEATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25 Merger.(.4. nonconfomling at any time after 7/ ZONiNG DISTRICT: REQ. LOT SIZE: ~.,zrrv REQ. FRONT ~3"~' CONFORMING? ACT. LOT SIZE: ([,~ REQ. LOT COV. _PROP. FRONT or~'" REQSIDE PROP. REAR '"'-/~ O RffQ. ltlEIGHT ACT. LOT COV. ACT. SIDE PROP. HEIGHT WATER FRONT? PANEL #: 4~F DESCR~TION: FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT~r NO, (BED #):¢ DTE: TOWN SEPTIC RECEIJ'T~'5')or N NEW YORK STATE DEc:VpR~-D~C 9/u?$ YES or~' SOUTHOLD TOWN TRUSTEES: YES otr~ ow zo No O PP OV L: TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES EGR~S (18 H~ 4 sq total) ~/' VENT (SQ. FT. x 4°/O). BUll,DING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- NOTES: PERMIT #:R10-O~ ~ Ol~(_~ LIGHT (SQ. FT. x 8%) / FEE STRUCTURE: FOUNDATION: ~SF FIRST FLOOR:~2,~_SF SECOND FLOOR: SF OTHER: SF TOTAL: ~,~-~- ~ SF 2. ( SF)- ( SF)= SF X $ =$ iNIT FEE FEE +$ led +$ +$ +$ OTHER TOTAL FEE Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/01/02 Transaction(s): Septic Permit - Construct - Resid. Receipt#: 1283 Subtotal $10.00 Check#: 1283 Total Paid: $10.00 Name: Calise, Marco & Noel 14 Taj Ct Centerreach, NY 11720 Clerk ID: LINDAC Internal ID: 58235 765-~.802 BUILDING DEPT. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] F.~UNDATION 1ST [ ] ROUGH PLBG. [ ~/] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & C _~H~MNEY., REMARKS: DATE INSPEL'~I'OR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [*~OUGH PLBG. [ ].~JND~ATION 2ND [] INSULATION FRAMING [] FINAL [ ] FIREPLACE & CHIMNEY REMARKS~: ,~.~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [-~/R~)UGH PLBG. [ ~OUNDATION 2ND [ ] INSULATION [~/]~p~RAMING [ ] FINAL ~ [/~ FIREPLACE & CHIMNEY REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND [ ]~JGH~LBG. [ ~.~ INSULATION [ ]FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: YO [ ] ROUGH PLBG. [ ] INS~II.AI'ION [ ~ ']~AL DATE INSPECTOR-,' .'~.~, / / ! / 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION I ST [ ] ROUGHPLBG. [ ]FOUNDATION 2ND [ ] IN. ION [ ]FRAMING [/-/] FINAL [ ]FIREPLACE & CHIMNEY DATE ////~ y///_~_~ ,NSP TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1502 FAX: (631) 765-9502 Examined //' ,20 Approved 7/5 ,20 ~ Disapproved a/c Expiration (/~'~ , 20 ~ · 22002 PERMIT BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval SurveK Check Septic Form N.Y.S.D.E.C. Trustees Contact: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 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 p!a41. ]sh. owing4ocation 0flot 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 Perm/t. 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 authorize, 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 Name of owner of premises /4],,~/~ff,~,~ Z~,~4,~'~ ff /I/ff,~-- ~-/~..~Z/-.-q'~~'' / (As on the tax roll or latest deed) If applicant)gTa,Zorporation, si111~fture~r~ dCy a, cthoriz_ed officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Block '~ Filed Map No. Hamlet Lot ,J-P~ ~2, ~ Lot ,:~.7/ State existing use and occupancy of premises and intended use and occupancy of proposed construction: · a. Existing use and occupancy ~r'/C~,.4..t/7" /---.,z/-~o'X.) ' Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost /'~'-~r O o ~ Fee Intended use and occupancy Addition Alteration Other Work (Description) If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if ahy: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Dimensions of entire new construction: Front ...O'~ ~/2~/'' Rear --~-~ /--~// Height O¢~9 ! Number of Stories r~ Rear Depth Depth ,,~o°O,,,~> r? 9. Size of lot: Front Rear 10. Date of Purchase ~'~f ~,~P2~- 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 13. Will lot be re-graded? YES No ,/' NO YWill excess fill be removed from premises? YES__ NO ~// 14. Names of Owner of]~remises A/~Z ~,~z./~'~' Address g~r~O~:J~?~Phone No.~/'~ ~'?,/° ~"-?~ Name of Architect/q~'~'OCe.~ ~A/~",~'v',~,O/ Address~~) Phone No d'~ Name of Contractor (~,~'p>/,~'~oO,~-/~,~¢~/,~'Address ._~7,'~//,,~)r,o,~,~ ~'-^ Phone No.~/- ,~r~..q-~ f~.~ NO 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ofatidal 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 W~',,~"~'.,~- ,~-. ./~ ~-~2.-- being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ~He is the (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 this / ~/--- day of '-~'~'~ ~/ - ~ ' ~l~Totary P~thlic 20 0.~ Signature of Applicant tiNOA J. COOPER Notary Publio, State of New York No. 4~22563, Suffolk CoU_qtY,c~ Term E~pires December 31,.~:.-~-. JOB No. FRMV-2. LOT 22 OCC RES SEPTIC FRONT YARD TAX I.D. No. 1000-120-03-8.23 and ceesPOo/~s to be 150 feet, LOT20 OCC RES SEPTICFRONTYARD 102.0 PR WELL X CERTIFIED ONLY TO: MARCO V. CAUSE GREENBRIAR HOMES By DESTIN G. GRAF N.Y.S. LIC NO. 50067 19' FE 0.~ E WELL AREA FE 0.~ E FILE MAP No. 8806 9/1/89 C~(/OF CORRECTION LIBER 11854 PAGE 27 9/2~97 LIBER 118~6 PAGE247 12/5/97 SURVEY OF: LOT 21 MAP OF FARMVEU ASSOCIATES MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DAT~ 5/09/01 SCALE: 1"=50' DEST1N G. GRAF LAND SURVEYOR Rocl(y PoilU, New Yod~ 11778 631-821-3442 JOB No. FRMV-21 .Ev~za/o2 ........................................... .OOTP.~ TAX I.D. No. 1000-120-03-8.23 LOT 22 OCC RE8 SEFrrlC FRONT YARD 1037 LOT 20 OCC R~S SEPTIC FRONT YARD WELL AREA 102.0 WELL X FE 0.4' E - © WELL AREA FE 0.3' E I01.1 FILE MAP No. _ _mY:~_ _ 9/1/8~ CERT OF CORRECTION I.J~ER 11854 PAGE 27 9Q8/97 LIBER 118~6 PAGE 247 12J5,'97 SURVEY OF: LOT 21 MAP OF FARMVEU ASSOCIATES MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 5/09/01 SCALE: 1"=50' DESTIN G. GRAF LAND suRVEYoR JOB No. FRMV~2. ~ __ ~, !~!t LOT 22 TAX I.D. No. 1000-120-03-8.23 25.7' FE 0.4' E LOT 20 z ~-. FE 0.3' E FILE MAP No. 88O8 9/1189 CERT OF CORRECTION UBER 11854 PAGE 27 9/26/97 UBER 11866 PAGE 247 12/5/97 CERTIFIED ONLY TO: MARCO V. CALISE GREENBRIAR HOMES By DESTIN G. GRAF N.Y.S. LIC NO. 50067 SURVEY OF: LOT 21 MAP OF FARMVEU ASSOCIATES MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 08/27/02 DESTIN G. GRAF LAND SURVEYOR PO BOX 704 Rocky Point, New Yo~k, 11778 631-821-3442 SCALE: 1"=50' JOB No. FRMV-21 TAX I.D. No. 1000-120-03-8.23 THE LOCATION OF WELLS, WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS. LOT 22 LOT 20 25.7' WELL FE 0.4' E FE 0.3' E FILE MAP No. 8808 9/1/89 CERT OF CORRECTION LIBER 11854 PAGE 27 9/26/97 LIBER 11866 PAGE 247 12/5/97 Unauthorized alteration or eddltlon to this document is a violatk~ of Section 7209 of the NewY~ Slate Education Law. Cerflaceflons Indicetod hereon shall mn only to the pemon for whom R is I:~epared and on his behalf to the Title Compa~y,C-ova~mental Agency and Lending Institutions listed hereon. Copies of this document net beedng the i~o~esslonars inked seal or embcesed seal shall not be considered a valid II~e copy. 'l~e offsets [ or dimonslons ] ~t~m hereon from stmcturea to the Ixopefty lleas me for a speci~c purpose and use and th~6 am not intended to guide the erection of fences, retaining walis, pools, patios, planting areas, addition to buildings, or any other 'rne e~dstewce of right of ways and/or easements of record, if any, not shown are CERTIFIED ONLY TO: MARCO V. CALISE AND NOEL CAUSE WACHOVIA MORTGAGE CORPORATION FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK By DESTIN G. GRAF N.Y.S. LIC NO. 50067 SURVEY OF: LOT 21 MAP OF FARMVEU ASSOCIATES MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 12/18/02 DESTIN G. GRAF LAND SURVEYOR PO BOX 704 R~cky Point, New York, 11778 631-821-3442 SCALE: 1"=50'