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Home My WebLink About8526-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22208 Date MARCH 24~ 1993 THIS CERTIFIES that the building. Location of Property 655 JENNINGS ROAD House No. County Tax Map No. 1000 Section 54 Subdivision NEW DWELLING SOUTHOLDr N.Y. Street Hamlet Block 7 Lot 13 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Building Permit No. 8526-Z APRIL 22, 1976 pursuant to which dated APRIL 22~ 1976 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 AS APPLIED FOR. The certificate is issued to RICHARD & ANN ROMEO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 6-80-75 - AUGUST 4, UNDERWRITERS CERTIFICATE NO. N-365837 - NOVEMBER 28~ 1977 PLUMBERS CERTIFICATION DATED N/A 1980 Rev. 1/81 Inspector FO~M NO. ~ 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? 8526 Z Permission is hereby granted to: · .~Lc~ar~l...~ome~..., ......................................... ........... .t~...W.,...9.~.t ....... Kaw...~k ....... to ..~uild,..~e~..mne...fa~Ll~...d~.e 1 t nE ...................................................................................... at premises located at ...... Lo.t..~...:~D.....Oak~ldge...~LLls ............................................................ ................................................. Jem~ -~ngs...Ro~d .......... ~ou.~he~& .................................................. pursuant to application dated ............................. A~E,J,1.....2~....., 19...7.6., and approved by the Building Inspector. Fee $...~f~.~.....¢fir~t floor only) Building'Inspector 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 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. 4.~ Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences end'similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. '6. 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 topographic features. 2. A properly completed application and a 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 i. 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-existing Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4..Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............................ Yew Construction .... ~ ..... Old Or Pre-existing Building ................. ~ocation of Property .... ~.i~... -~-~ ' ~X ........... ~ .~b ..... House No. Street Hamlet ~nwer or Owners of Property ............. ....- ................... .. . . jounty Tax Map No 1000, Segtion ...... Block .............. Lot ............... ;ubdivision ................................. · - · Filed Map ........... . Lot ...................... 'ermit No .... ..Date Of Permit ............... Applicant .... . iealth Dept. Approval. ..................... Underwriters Approval ......................... ~lanning Board Approval equest for: Temporary Certificate ........... Final Certicate ........... ee Submitted: $ L% THE NEW YORK BOARD OF FI'RE UNDERWRITERS ~[k BUREAU OF ELECTRIC~IT~ ~ BS JOHN STREET. NEW YORK N~TM 'YORK 10038 ~ November 28, 1977 ~u,~o~o.o~ft~ 92~I58 THIS CERTIFIES THAT , only the electrical equipment as described bolow and ~ntroduced by the applicant ~m~ on the able application number ~n the premises of Richard Romeo, ~/slde Jennings Rd~,~100' ~w/o Boogh ~oa'd, ~ou~no~a,~.~. inthefollow~ngloc~t~on; ~J Basement ~ lstrl. ~ 2nd Fl. OUtS~i~ 3~i~ BlOc~~ Lo~ ~.s~x.~i~odo. November 2ls 1977 andfou,tdtobe,ncomphancewtththerequ,rementsofth,sBoard~ } FIXTURES SWITCHES F[UORESCENT 21 OTHER APPARATUS: I G:,'F. C. I. 2 Smok~ Detectors S E NO. OF CC COND. PER ,E 1 OF NEUTRA[ Mattituck, L.I. 11952 bio. ~242E . :' : o~t MANA~ER . ~ ~ INSPECTORS Victor Lessard Principa~ Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 19, 1993 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Richard & Elizabeth Romeo 655 Jennings Road Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XXNo Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 8526-Z * Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. * THE ABOVE BUILDING PERMIT HAS EXPIRED, PLEASE SUBMIT APPLICATION FOR CO IMMEDIATELY. COUNTY OF SUFFOLK DEPARTMENT OF HEALTH SERVICES Richard Romeo ~5 W. 95th Street New Yo=~, New York 10025 March 5, 19~9 ' DAVID HARRIS, M.D.. M.P.H. RE: Dear .. / 6 SO 75 ' Jennings Road, Southold. Oakr'idge Hills ~t 10 '' Mr. Romeo: A recent check of our files indicates that this office has never issued a final approval for the above referenced job. Please be advised that it is illegal to occupy the building until the fol- lowing paperwork is submitted to this office and/or the following inspec- tion(s) are completed: We must do an.inspecgion.on the well lateral. Please call us F--'lWell Drillers Certificate ~--lwater Analysis r~Cesspool Certification [~Final Surveys -. ~Other ' when ready for inspection. Shou~ld you have any questi'ons, please feel free to contact this off~ce. ~-~.~' ~4~.~,. '" .~. ,,,, o , ,. , , cc: TO~T~ Build Department ' ": ., 765-1802 BUILDING DEPT. INSPECTI*~''~ 0 [ ] FOUNDATION ZST [ 1 FOUNDATION ZND [ ] FRAMING ROUGH PLBG. [ ] INflATiON ~NAL TOWN OF $OUTHOLD/_.//'~/-/ TOWN CLERK"'S OFFICE ~UTHOLD, N. Y. ~prov~ ........................................ , 19 ........ Permit No. ~....M ...... ~..~...:/., ~mppro,ed ./~ ....... ~.~ ........................ ~ .................... ~A ........................ APPLICATION FOR BUILDING.PERMIT INSTRUCTION$ a. This application must be completely filled in by typewriter or~ in ink and submitted in triplicate 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 giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 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 whatever until a Certificate of Occupar~,v shall have 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 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 buildings for necessary inspections. ....... ~. ;~ Z...A.~. ~..~...~ ......................................................... (Signature of applicant, or name, if a corporation) ..... /.&...L:¥/~.d: ...... ~.:i~.....~.f. ......... L?~..~...;':.~:/.~... ~. ~:~.h:. ...... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... I..X. Lc,[~C~,~....I~:O .~...C~ ................................................................................................................ if applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... Location of land on which proposed work will be done. Mop No' ~.~..°~...~.~. ..................... Lot No ...... ~? .............. Street and Number .... :.J..c.~.~.,~,f~.....!.~..o~.~'-- "-- ..................... .~..~~......i ...................................................... -ce Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ....... b. Intended use and occupancy ...... '~.~,C~....:~( ....... k~m~....a.i ........ F"P'....~'. ..................................................... 3 Nature of work (check which applicable): New Building.. ................. Addition .................. A~Iterotic4~ .............. Repair .................. Removal .................. Demolition .................... Other Work .................................................. '~"~ ~ '~ ~ f~,~ (Description) 4. Estimated Cost ............................................................ Fee ....-¢'..w..:..;."'" ................................................................ (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 ................................................ 2: ............................................................................ : ............. 6. If basiness, commercial or mixed occupancy, specify nature and extent of each type of use ........... ~ ................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions; Front ....................................Rear .............. , .............. Depth ................................ Height ............................ Number of Stories ................................ 8. Dirnensions of entire new construction: Front ........ ',3...~. ....... ~. ............... Rear ...~..S.'..~,..ff.. ........... Depth ..~.]$ ................. 2Z' + I : I-]eight ............ i ...... Number of S,tories ......................................................... ) ............................................ i .............. 9. Size of lot: Front ...... ./..~..~:...~. ................................ Rear ...... /..~...ac~.:.....~..~.. ................ Depth ..../..~'....~.:..~.~.'. .......... 10. Date of Purchase ....~...q.~.~.b.-at...,..l.~.~.~.. .................... Name of Former Owner ./}4/.;.~.c,(.....,~..P.~C.c~ ..................... 1 1. Zone or use district in which premises are situated ...................................................................................... ; ............ 12 Does proposed construction violate any zoning law, ordinance or regulation: ....~..9. ................................................ I3. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes (,~0 No t4. Name of Owner of premises ...[~.i.r,[N~...JN-......~m.,~ .................. Address '~..3...7,....,~..~., .,~.~....., Phone No. Name or '~:,.¢.,itect ...,'..~J..~.¢~,~,*L....g. ta3x~ .......................... Address C,~.F.~.~, ..%/,~ ......... Phone No. ~'..'L/..Z..~.~..~.~.. Nome of Contractor .............~.~...~{..~?...q,~....~.t)t~.~,.... Address/..5....W....~.~.~...X..f..,..~.-~ Phone No. 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 whether interior or corner lot. ~TA'[ E OF NE'vVa, lCOFC(/,,' .,~ ~ S S ................................................................................................ being duly sworn, deposes and says that he is the opphcor, i (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 fl~is application; that all statements contained in this applicction ere true to the best of his knowledge and Belief; end tho~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this (Signature of applicant) ~ ~ ',2 03449a3 March 80, lt2~_.7 /,.,,/~,w o~=-/-OT /O t.5od/7','fOz., W, ,Yq/fb/,e c:o.~ .rd. Y. .. APPROVED AS NOTED DATE:__~ '~-~ ~ NOTIFY BUILDING DEPARTMENT AT 765-2660 9AM TO 4PM FOR REQUIR. ED INSPECTIONS: 1. BEFORE BACKFILLING FOUNDA- TION OR START FRAMING ~_~321 ~EFORE COVE~ING PIPELINE FINAL WHEN JOB COMPLETED 'Il I1 I/dH .... ,~