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Home My WebLink About929-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31992 Date: 11/08/06 THIS CERTIFIES that the building NEW DWELLING Location of Property: 175 SMITH DRIVE SOUTH (HOUSE NO.) (STREET) County TaxNap No. 473889 Section 36 Block 2 SOUTHOLD (HAMLET) Lot 23 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building'Permit heretofore filed in this office dated DECEMBER 10, 1959 pursuant tO which Buildi~ Petit No. 929-Z dated DECEMBER 10, 1959 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. THIS CERTIFICATE OF OCCUPANCY REPLACES TEMPORARY CERTIFIFATE OF OCCUPANCY #Z-503 DATED 2/9/60. ·"ne certificate is issued to TERRY & MAUREEN DEROSA (OWNER) of the aforesaid building. ~uF~3I~( CO~TY DEPART~4ENT OF NE~J~T7{ APPRO~-AL N/A ELEt-,~ICAL CERTIFICATH NO. 3001359 pLt~4BERS t~ERTIFICATION DA'£~U N/A 08/04/06 Signature Rev. 1/81 BY THIS CERTIFICATE OF COMPLIANCE THE ~ NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY s 40 FULTON STRE~-I - NEW YORK, NY 10038 ~ CERTIFIES THAT ~ Upon the application of upon premises owned by ~- r~ MAUREEN DE ROSA MAUREEN DE ROSA re 175 SMITH DRIVE S. 175 SMITH DRIVE S. ~ SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 re 175 SMITH DRIVE S. SOUTHOLD, NY 11971 ~ Located at 3001359 Certificate Number: 3001359 ~ Application Number: Section: Block: Lot: Building Permit: BDC: ns11 re Described as a occupancy, wherein the premises electrical system consisting of re electrical devices and wiring, described below, located in/on the premises at: ~_ First Floor, Detached Garage, Outside, re A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed re herein, was conducted in accordance with the requirements of the applicable code and/or standard re promulgated by the State of New York, Department of State Code Enforcement and Administratioh, or other re authority having jurisdiction, and found to be in compliance therewith on the 4th Day of August, 2006, re Name QTY Rate Rating Circuit Type re Miscellaneous re as built 1956 re Alarm and Emergency Equipment re Sensor 2 0 Smoke re Appliances and Accessories re Range 1 0 40 Amps re Furnace 1 0 Oil Wiring and Devices re Outlet 6 0 Fixture re Fixture 6 0 Incandescent re Outlet 38 0 General Purpose re Receptacle 31 0 General Purpose ~ Switch 13 0 General Purpose Receptacle 2 0 GFCI Paddle Fan 3 0 Receptacle I 0 30 amp Dryer Service seal I Phase 2W Service Rating 100 Amperes re Continued on Next Page 1 of 2 ~ ra 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 MAUREEN DE ROSA MAUREEN DE ROSA 175 SMITH DRIVE S. 175 SMITH DRIVE S. SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 Located at 175 SMITH DRIVE S. SOUTHOLD, NY 11971 Application Number: 3001359 Certificate Number: 3001359 Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consistin8 of electrical devices and wiring, described below, located in/on the premises at: First Floor, Detached Garage, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 4th Day of August, 2006. Name QTY Rate Ratine Circuit Type Service Disconnect: I 1 O0 cb Meters: 1 An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal 2 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. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or i~k 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 °r 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 buildings 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. 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 top°graphic features. 2. A properly completed application and consent to inspect signed by the applicant. 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 dwel!ing $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-existing Building - $100.00 3. Copy of Certificate of OccupanCy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary~-Ceftificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: [. Old or Pre-existing Building: (check nne) Location of Property: ~ ~ 4 ~"'~ ~'~'~'~"~/X,~'~· ~~ .~ ,, House No. Street Ha~et Owner or Owners of Property: ~~ Suffolk County Tax Map No 1000, Section ~ Block ~ Lot ~ Subdivision ~m ~ ~ ~ ~ ~ Filed Map. Nb~ Lot: ~ ]~ Pe=itNo. ~ ~N DateofPenmt. N~XX~g h Applicant:~r,~,5~ Health Dept. Approval: Underwriters Approval: ", ~[j~,~.,} Plamfing Board Approval: ..... '~~ '~ ~/1'~ Request for: Temporau Ce~te ~ ~ Final Certificate: ck one) Fee Submitted: $ ~'O - ~ ~/.. / ~ ~ 5~ ~ OLSEN & OLSEN LLP ~///~ 32405 MAIN RO~ ~//~//~ PO BOX70S CUTCHOfiUE, ~ 11935 L,_~a ;. DEF- Rose DeRosa Terry DeRosa 2280 Midwood Avenue Bellmore, New York 11710 March 7, 2005 Michael J. Verity Chief Building Inspector Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 RE: 175 Smith Drive South, Southold SCTM 1000-76-2-23 Dear Mr. Verity, This letter is in response to your notice dated 1/27/05 regarding expiration of the Temporary Certificate of Occupancy for the above parcel. Please see attached a copy of the Certificate of Occupancy issued on 2/9/60. We respectfully assume that this will clear up any question as to a violation to occupy. Thank you for your attention to this matter. Sincerely, Rose DeRosa Terry DeRosa Enclosure ~ ...~ .~ THIS CERTIFIES that the .. -'. AAt~'No..O..o..o..s..e....~.¥.?..k..... Block No ......................... Lot No ].~.2...&~..?.?..,. .... ..~..uthold, [.T..y. ~ ......:canfom~.F~_M,~tttally to the Al~llcatlen for Building Permit hlmeof~e f~led, in t~l~ office dated . .~_, Private one fam'ily d~:e't lin§ ~,: . '~h~l~...~ ..................................................................................................... FOruM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS ~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLk-FION OF THE WORK AUTHORIZED) N? 929 Z Date .................. .D..e. ?...?..1~....~.....~.0. ............ 19..??... Permission is hereby granted to: G.v. ~J~,~. ~ ~n.~ .A/~ T.e,~..~....e~.....~. ....................... ..... ~t;.~,~.¢.,.. ~,~., ........................................ to ....... l~,.Ll~.. ~.a~...~..~....f...~...i..lr....~..~.~.i.~ .................................................................................. at premises located at ..t,~l.~..~..~,]~.....~l.~..J~.~9~. ..~..~..t~....f~..~ ............................................ ............................................ ~.~..~.r~.~...~..C~b ....... ..se~o.~.~....~:.~... ........................................ pursuant to apphcat,on dated ........................ ~g..e~...b.~ ...~.0. .............. 19.....~..., and approved by the Bu~Id~ng Inspector Fee $.,1,.O.,.O~.....~:J,,d. ,l~eek TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..J~..~] .......... Date ..................... Fe~m~z~....9 .............. , 19.60... THIS CERTIFIES that the building located at ..~/~...~L.t~.~..~u~t ........................... Street ~op No ~..~ .... B~ock No ......................... ~ot No.Z..~.~.~.~. ..... ~.o.~...~:.~:. ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................... ~eoe~tber....~l) ......... , 195.9...., pursuant to which Building Permit No ...... .Z,.~.~. ............. dated .......................... ~ez~....;l:O.. 19j~)....., was ~ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ ................... .~.t.~.e....o.~.e...~...~.t..z~..~?.?. ~.z. ~. ........................................................................................ This certificate is issued to ..,(~,~,~lt~,t~.,~,~,J~,,.,,&//.C,..,~etZ',T~,..]~.~l~,,.-,.,..o~.~. ............................ (owner, lessee or tenant) of the aforesaid' budding. ........... t: ............ ~./,,.~ ...... ~.~ ............ Building Inspector ( FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam ned.. /.. ...... Approved...~ ./..~.....19~...Permit No...,~,~.~.. .......... Disapproved a/c .......................... ~--'~ ~L' ................................................... ..... (Buildi'~g Inseam:t;;) ~ ........ Application No .......~ ............ APPLICATION FoR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and suJ~mitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of building.s on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drown on the diagram which is part of this location. c. The work coyered 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 permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in port for any purpose whatever until o Certificate of Occupancy shall hove been granted 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 So~thold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or o Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signatu~e of applicant, or name, if a corporation) (Address of applicant)~/ State whether applicant is owner, Jessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ ............................................................ N o: ./. )~...-.../.~.. ~ MuniciPality 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. Noture of work (check which applicable): New Building..~~tion .................... Alterotion .................... Repair .... ~ ........ :~,...Removal ............. ~ ...... Demolition .................... Other Work (Describe) .................... (to be poid on filing this opplicotion) 5. If dwelling, number of dwelling units......g~. .......... Number of dwelling units on eoch floor ............. . ............... If goroge, number of cors ............................................................................................................................................. 6. If business, commercial or mixed occuponcy, specify noture ond extent of eoch type of use .............................. 7. Dimensions of existing structures, if ony: Front ............................ Rear ............................ Depth ............................ Height ...: ........................ Number of Stories ............................................................................................................. Dimensions of some structure' with olter~tions or odditions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... ..~...~.. .......... Reor ....~....~.. .............. Depth ..~".....~.. ............... 10. Dote of Purchose ........................................................ Nome of Former. Owner ........................................................ 11. Zone or use district in which premises ore situoted ....... .,,~.~g~*~. .................................................. ]2. Does proposed construction vio!ote any zoning Iow, ordinonce or regulotion? .... ~ ........................................ 13. Nome of Owner of premisesJ~,&~,.~,.~..Address~ ............................................ Phone NO ..................... Nome of Architect ...................... lY'.~ ......... :.._' ................. Address ~..-~ ...... i ....... Phone NO ..................... Name of Contractor,~,~,~~.4~..~ddress ,~.....~...~ll&..Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions fram property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior oF corner lot. STATE OF NEW/~'JDJ~Ig ~, ) S S COUNTY OF ~.....), ' ............. ~~ ............................. being duly sworn, deposes and says that he is the applicant ........ (Name of individua/l~' nin,~.app~cation) 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 befor~ me this ,x'-') ' ~u~m~ T. ~0~ .: ../~....~x~. day of .~geer~.,... 19.~.(,. b2~,~,~9~,3, sufmJ~ ,~ ~iignature of app, l~ant)~