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Home My WebLink About6152-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. u~TIFICATE OF OCCUPANCY No E-23919 Date SEPTEMBER 26, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Propert~ 500 SOUNDVIEW ROAD ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 15 Block 3 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT~ER 27, 1972 ~ursuant to which Building Permit No. 6152-z dated SEPTEMBER 29~ 1972 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 GA~A~ ~DNE & ATTA~D REAR DECK. The certificate is issued to NICHOLAS & MADELINE DeROEE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0106-SEPT. 21~ 1995 H-046568 - AUG. 14, 1995 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 /~ ~uild~ng Inspect~ ~o~ ~o. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 6 52 Z Permission i hereby granted to: ... ~lm~,~...lt. elln~. ........................................ ............. ~....~e~f.~ ...................................... ~ipursuant to application dated ......................... ~-'~ ................, 19.~1~i1.., and approved by the Building Inspector. Fee $. I~&~¢~ .......... Building Inspector FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Dote November 21, 89 ........................................................ , 19 ........ TO Hr. & H~s. Nicholas DeRose ~ner or authorized agent of owner) uu Soundvxew Road Orient, N.Y. 11957 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance · , CILU~. 100 Other Applicable Laws, Ordinances-'or Regulations ............................................ at premises hereinafter described in that Building Permit ~6152 Z has expired and (stote chorocter of violotion) the dwelling is being occupied ~tithout a Certificate of Occupancy. in violation of ARTICLE xxvrTI, CBA~ 100-281 & 100-284 (State section or poregraph of ~pplicable Iow, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Iow and to remedy the conditions above mentioned I'HHED[A'LET.¥ The premises to which this ORDER TO REMEDY VIOLATION refers ore situated et ...5..O..O....S_o...u~...d..v..J:.e.~....R~..:....,....O.~..~.e.?..~.., .......................... County of Suffolk, New 'York. StTFFOL[ COUNT'/' 'LAX [v. AP # 1000-15-03-30 Failure to remedy the conditions aforesaid and to comply wilh the applicable provisions of law may constitute on offense punishable by fine or imprisonment or both. ..... 0 R D ~'N ~ ~ ~' ' '~'~ ~'~.~",~ b'"~° · ....... VINCEN~ R. WIECZOREK Form No. (~ ~. '[OWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL 765-~802 APPLICATION FOH CERTIFICATE OF OCCUPANCY' This application must be filled in by typewriter OR ink and submitted to the building inspector with the 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. &. Sworn statement from plumber certifying that the solder used in system contains less than 2/[0 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 Flanning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "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 applicant. If a Certificate of Occupaacy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C, Fees ~ I. Certificate of Occupancy - New dwelling $25~00, Additions to dwelling $25.00, Alterations to dweliiog $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-existin~ Buildine - $100.O0 3. Copy of Certificate of Occupancy - $20.00 ~. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15-00-, Commercial $15.00 New Construction ............ Old Or Pre-_xisting Building ................. Location of Property..~.-.0.~. ,: ...... ~.~.~!~..~ ................. Or/~K~ ............. House No. Street tlamie t e ......................... ~;ounty Tax Map No lOOO, Sectio, ............. Bluck .... ~ .......... Lot .......... ~ ....... ................ Ueaikh Dept. Approua[ .......................... U.derwr~uer8 Approval ......................... '[*nning gonrd Approv~[ ........................ :~equesr for: Temporary C~rt~ca~e ........... F~.a~ Cer~cake...~. .... TOWN OF SOUTHOLD E-UILDIblG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date / TO ...~...: ...... :: ....... ~:....../~.Z.(..~.:.~...~.. ........... (own~'f or authorized agent of owner) , , -~ /..~ '/,A~/ ¥ (address of o~r~er or authorized age, of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances/?r Regulations ............................................ at premises hereinafter described in · /~/(state character of violation) -:/.4-,:,/>/}..,:/:- . ,. - ,/ ........................... : ............................. , ....... (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply ,~yith the I,aw and.to remedy the conditions above mentioned forthwith on or before the ..... .~-~.-;~. ....... .4. ................... day of ........ The qmises t~which t.his ORDER TO REMEDY VIOLATION refers are situated at ..................................................... Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. BuildMg InsFector COUNTY OF SUFFOLK DEPARTMENT OF HEALTH $ERVlCES Nicholas De ~o se 86 Berg Ave. King~ P~rk, l~ew York RE: DAVID HARRIS. M,D.. M.P.H. ' : l~arch .t~, 1~79 $O-1196 - Property .located '~[~p of Lot #69~ Orient-By-The-Sea, Sec; 2 s/s.. Soy. nd ~ew Road, Orient, "NY- De&r !~r. De,~ose: A recent check of our files indicates that this office has never issued final approval for the above referenced job. Please be advised that it is illegal to occupy the'building until the fol- lowing paperwork is s~bmitted to this office and/or the following inspec- -tton{s) are completed. 'L~4ell Drillers Certificate . -I~ii,~ater Analysis ~'~Cesspool Certification F'~Other ~ection of we~l. Should you have any questions, please feel free to contact this Office. Very truly yours, . Cc: Town Building Department~'~' SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D. Reference No. O~"//~ APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 1. Applicant / ,- .:-r~O ~',~Phone 5. Subdiv., ,i,~:t?~ ' . ." , , Address ~ ~ ;~. /~, ~'~ /~ 6. Sect ion ~ ~_ 2 Property location ~.,~,w? ~c-~z '~[%~ .'C/('~7. Lot No. : 6~ · ~ --8. Private well Village ~'/~'~ ~ Township ,,~ ~ /~3 9. Public water o~,./ 3. Public Water Company name / - Distance to main ~ 4. Lot size: Width /%'/feet Length /~o feet (Enter on center plot below) 10. Sewage Dispos~-~stem: A. /90~)/gallon septic tank: Precast .E~uivalent Block B. ~aching pools: Number-~ Precast~Block Special__ ! Street be in accordance with ards thereto." The undersigned CERTIFIES: "Construction of authorized the Date If private well fill in blanks below: Tank capacity ¥~als. Pump G.P.M. ~ Total well depth Depth to G.W. ~ Amount of water in well Test Hole Data Feet ~ 0 12 16 18 installations will Suffolk County Department of Health's current stand- Owner or Builder FOR HEALTH DEPARTMENT USE ONLY. Based oD the information presented herewith, it is the opinion of the 'Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this plot. Date ~//~ 7/~---~ Signed < ~ ~ EXCaVATiON i IS] ECTION REQUI . S-15 Revised 4/]/72 FIELD INSPECTIOR REPORT FOIINDAT[ON ( IST) DATF, COI~IEN'r S FOUHDAT ION (2ND) II ROUGH FRA~ & PLUHB [NG {I II l{ 1{ INSUI~ATION PER N. Y. STATE ENERGY ....... II { TOWN OF SOUTHOLD ~P£~ TOWN CLERK'S OFFICE ~ ~-z.- .. Annr~ed ~ ( 7~ Pe it ~f~ ~,~,~,~ ./~ ........................................................................ ~ ....... ~ ........... ~ ~/~.~. .......................... t .................................................. t .... / ~ (~) ~ /" n _~ ~ (Building In~ctor) ~ c~' ]- _ ~' '~ ~ O~e ...................................... , 1¢ ........... . a. This application must ~ completely filled in by W~writer or in~k~bA~;~i~to the Building In[Pector with~ 3 sets of plans, accurate plot plan to scale. Fee a~ording to schedule. ~ ~ b. Plot plan showing location of lot and of buildings on premises, relat]onship't~ adjoining premi~or public str~ or areas, a~ gwlng a detailed description of layout of pro~rty must ~ drawn on diagram which is pa~ of this application. c. The work ~vered by this application may not ~ commen~d ~fore issuan~ of Building Permit. d. U~n approval of this application, the Building Inspector will i~ue a~uild~ng Permit to the applicant. Such ~rmit shall be kept the premiss available for ins~ion throughout the work. ~ ~ ~ ~ e. No building shall ~ occupied or u~d in whole or in pa~ for any purpo~ whatever until a ~ificate of Occupan~ shall have ~n grant~ by the Building Ins~or. APPLICATION IS HEREBY MADE to the Building Depa~ment for the issuan~ of a Building Permit pursuant to the Building Zo~ Ordinan~ of the Town of ~uthold, Suffotk ~unty, New York, and other app icab e La~, Ord nan,s or Regulations, for t~ ~nstru~ion building, additions or alterations, or for removal or demolition, as herein described. The appli~nt agrees to comply with all applicable la~ ordinance, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for ~ssary ins~ction~ (Signature of applicant, or name, if a corporation) ~ ~ ~ (Address of applicant) II State whether appl nt is owner, lessee, age~nt, architect, engineer, general contractor, electrician, plumber 6r builder;. b l, v .N. . E Name of owner of premises /V/..~I.~...O.,..~...A:._~.. Z)~- ~c:'O~'L--' . If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) use and occupancy ..................................................................... ~ Existing use and occupancy .................................................................................................................................... 1. Location of land on which proposed work will be done. Map No.: ...~.....~..,.M.~. ..... Lot No ....... ...~.Z ............................. Street and Number ~/J/V' b J/'/~'J4/ ~I~,A ~ ~.~. I ~- N'7' ............................................................................................................ .2' ....... '~u~ici~;~'ii'~ ......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building ....................... Addmon~,,~ ~. ....:.; ...... ~Jterat~on ............... Other Work Repair Removal Demolition .......... · ' ....................... (Description) ~H~oo° Fee ,:,~,.~,' ~.. - · - 4, Estimated Cost .................................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units .,.,~,,..,~,,,~,, Number of dwelling units on each floor ........... ~,, ......................... If garage, number of cars ............ ~,,~, .................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..~'~?~c,, ,~", ,~,~,,~,~., .... 7, Dimensions of existing struc~ .......................... Depth ................................... Height ...................... ~~:: ....................................... Dimensi~ .............. Depth ... , ' ............ 8. Dimensions of entire new construction: Fron~ ..... ~....~....:..~...~.~... Rear ........ ~ ~ ........... Depth .....~...~..../.~..'. ........... Height ............. /....~......~. ..................... Number of Stories ............. .~....~..~.-. ......................................................... 9. Size of lot: Front .......... ~...~...~... ............. Rear ....... x~...~...~ ................. Depth ....... /..~..& ................................ Height .................................................... Number of Stories ............................................................. ; ........................ ...... ......... 10. Date of Purchase .......... ../...~...~....~....-...Name of Former Owner .~. ~ 11. Zone or use district in which premises'"7'-are situated ......................... ~ ....................................................................... 12. Does proposed constructior~ violate any zoning law, ordinance or regulation: .............................. .~. .......... 13. Will lot be recjraded ............................... Will excess fill be removed from premises: i~ ~']N // ~ ~ ...................... ...... 14. Name of Owner of premises ......,~... ...................... ~ ........... i~,'~;~';;i ~;~$ '-f~s~.~ (Phone No. ~. SElf'GE' II I-I',,eL"rl~ ~ l..~v~lrewN ..... - ...... Name of Arch tect .............................................................. i~,~i;~'~;i ...... v ~ 2t'_'"'~i~'~"l~'~. ' ..... Name of Contractor ................................................................... i~Ja';~')"' ~,~'l~;~'~'l~:i .............. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines, Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. / ~/,.~'/ ? 0 ~ STATE OF NEW YORK, COUNTY OF SS.~: ,~ O UW~ ~ ............................................................................................... = ...... being duly sworn, deposes and says that he~ the appli~nt above named. {Name of individ~l si~ing conFact} ~ ~ ~ .~ ~ ~ ..................... ~. ~.~.~< ............................. ~ ............................................................. {Contractor, a~nt, corporate officer, etc.} of said owner or owners, and is duly authoriz*d to ~rform or have ~rformad the said work and to mak* and fils this ap¢lieation; that all statements containad in this application a~ bast of his kno~l*dge and belief; and that tha work will ba ~ormed set forth in th~ aoolication filed t~t~gUO, $tat~ o~ ~a~ ............................ ...... ............. Notary Public, .~..~ ....... ~ ........... Coun~ ..... I~.L:.?.:-..: ......................................................................... ( Signature_._of applican t ) THE NEW YORK BOARD OF FIRE UNDERWRITERS P~s 1 8~55657 BUREAU OF ELECTRICITY l-- 85 JOHN STREET. NEW YORK, NEW YORK 10038 AUGUST 14,1995 88989895/95 H 046568 Date /Ippl~afiofl No. on ~ile T~I~ ~1~ THKT o~y t~ ~t~M ~u~t ~ ~ ~ ~ int~ by t~ ~t ~ ~ t~ ~ ~t~ numar in t~ ~m~ of NI~ ~,.5~ ~ ~, O~ PO~, N.Y. ,.,,. ,,., ~ exami~ on ~ou~ ~o be in co~ce ~h the N~ ~c~c~ C~. FURNACE MOTORS S~RV~CE mSCONN~O' ] NO. O4' I S E I. ~*~. ~ METER .ff2W .I*3W 3'3W 3~'4W Ma. OF CC.¢Gt4D. '140 VISUAL DEFECTS, "An electrical survey has been made o2 the exposed electrical equipment in the premises indicated." "Nq obvious unsatisfactory condition was found. ~ANGES R Of CC. COND. v I ¢ EXHAUST FANS DIMMER NICHOLAS DeROSE P.O.BOX 21~5 ORIENT, NY, 11957 11 Per / This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE AL1ERF. D IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING [ ] ROUGH [ ] IN. ON [ ~ql~JC ] FIREPLACE & CHIMNEY REMARKS: DAT~~INSPE~~d~ 765-~.802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [[i~OURA~N iDeAtION 2ND [[~TION [ ]FIREPLACE&CHIMNEY ~ DATE 7 / INSPECTO~ I DRAFTING SERVICES INC. ,11 HALTER ~ANE~ LE¥1TTQWN PE 1-5506 '~W'G ~Y L,,~'-"F~- JOB NO.TZ~9ol F-F-I DRAFTING SER~IC£S INC. 11 HALTER LANE, LEV[TTOWN PE 1-5506 DW'G BY .~ JOB N0.720901 F DRAFTING SERVICES INC. 11 'HALTER LANE, LEV1TTOWN PE 1-5506 ' N .-4 DRAFTING SERVICES INC. PE 1-5506 -2.t o,'+ 4'. ~( 5' DRAFTING .SERVICES INC. 11 HALTER LANE, LEVI~q'OWN PE 1-5506 DW'G BY ~' 'A'I~' JOB N0.'7~090 ! o ' _,¢,.? _ _ DRAFTING' S£RVIC£S lNG. 11 HALTER LANE, LEVITTOWN PE 1-5506 DW'6 BY APPROV BY L,A,P JOB N0~20901 6