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Home My WebLink About15254-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22206 Date MARCH 23r 1993 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 405 WEST SHORE DRIVE SOUTHOLDr N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 2 Lot 2 Subdivision Filed Map No. Lot No, conforms substantmally to the Application for Building Permit heretofore filed zn this office dated AUGUST 25r 1986 pursuant to which Building Permit No. 15254-Z dated SEPTEMBER i0~ 1986 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for whmch this certificate is · ssued is DECK ADDITION & AL'£~i~ATION TO EXISTING ONE FAMILY DW~IJ.iNG AS APPLIED FOR. The certificate Ks issued to of the aforesaid building. JAMES B. SMITH (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-217627 - ~'~. 23r 1993 PLUMBERS CERTIFICATION DATED N/A ~~Bdzl/din~Inspector / '' Rev. 1/81 FOP.~ NO. S TO~VN OF $OUTHOLD BUILDING DEPARTMENT TOWH HALL SOUTHOLD, N. Y. BUILDING PERJ~.IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) N°. 15254 Date .................... /..~.. ........... , 19... Permission is hereby granted to: ...... Ld~ ~....~.~...~.~ ~.: ..... ....... ~.~...~...~.....!/..~..~..~ ..... to~....~., o-. ,~4, ~ ~ ~ ~ ~ ~ ........ .............................. County Tax Map No 1000 Sech~n~ pursuant to apphcahon dated Budding Inspector. Block ..... .,O_..'~... ...... Lot No .... ,c~....~.. .. ~..~' ..., 19..~., and approved by the ,~.~. ~ Fee $, . ' ..... 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 buzlding inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buzldzngs, 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 zn system contains less than 2/i0 of 1% lead. 5. Commercial build~ng, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the buzlding. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or bumldzngs and "pre-ex%sting't 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 zn writing to the applicant. C. Fees I. Certzficate 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 buzldmng $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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate . ................... ~ew Construction Old Or Pre-existing Building .ocation of Property .... ~.?~.. ...... .~..~.J~....~.~...~.... ~.~. Z ........... House No. Street Hamlet )nwer Owners of Pro"~, ~ ~ . . :ounty Tax Map No I000, Section ..... .~.O. ...... Block .... ~.. ........ Lot ..... Filed Map . . Lot :ubdivision .............................................. ~ermit No ..... Date Of Permit. Applicant.. {ealth Dept. Approval .......................... Underwrzters Approval ......................... Approval ...................... ~ lanning Board . . equest for: Temporary Certificate ........... Final Certicate....~....... ee Submitted: $ ........................ 7", .................... INSPECTORS (516) 765-1802 VICTOR LESSARD, Pnnc~pal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assxstant Fire Bualdlng Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TO~ OF SOUTHOLD March 3, 1993 SCOTT L. HARRIS, Supervisor Southold Town Hall P O. Box 1179, 53095 Ma~n Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Mr. James B. Smith, Jr. 405 West Shore Drive Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The checks are not on file. $50.00 PLEASE SUBMIT SO THAT CO'S CAN BE ISSUED. No Health Department Approval on file. NO final inspection has been made. No Plulmber Solder Certificate on file. (All permits involving plum.blng being issued after April 1, 1984). BUILDING PERMIT ~ 20374-Z & BPg15254-Z* Please contact our office on this matter. cooperation. *NOTE: BUILDING PERMIT Thank you for SOUTHOLD TOWN BUILDING DEPT. ~15354Z HAS EXPIRED. ~'isco INS~E~?t¢~ COI~M~NTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTI/OLD BUILDING DE FART.~[ENT TOWN I/ALL SOUTHOLD. NEW YORK 765- 1802 11971 BLDG, DEPT, TO~WN OF SOUTHOLD, APPLICATION FOR CERTIFICATE OF OCCUPANCY I{EW CONSTI~UCTION ....... OLD OR PRE-EXISTING BUILDING.~...VACANT LAND ........ HOUSE NO. STREET HAMLET C~unt7 Tax Map ~o. ~000 Sectioo ~,.O.(L%lockO.~:.O.Q. Lot Subdivision ....................... Filed Mup ........ Lot...q Permit No./f~..~..~..Date of Permit .......... Applicaot ................... Health Dept. Approval .................. Underwriters Approval .............. Plnnuimg Board Approval Request for Temporary CertiflcaCe ....... Final Cer=ificace ................ Fee Submic~ed: r~v. lO/ I4/88 TOWN OF SOUTIIOLD OFFICk OF BUILDING INSPECTOR P.O. BOX ~179 TOWN IIALL SOUTIIOLD, N.Y. 11971 December 19, 1989 TEL.~ James & Pamela Smith P.O. Box 1322 Southold, Ne~ York 11971 To Whom This May Concern, We are unable uo complete your Certificate of Occupancy because of thc followzng reasons. /_--/ An application for Certificate of Occupancy is not on file. /_~ No Underwrztcrs Certificate on file. /~/ The check L:~(outd,lted/not on file.) /~/ No Health Dept. Approval on i~le. /--/ No fznal ~nspectzon il,Is been made. P]easo contact our office on this matter. Thank you for your lh~.ld~.t,g Permit [t I 5 2 5 4 Z Build lng Dept, *~/~/ No Ph~mb~r boldei CertLficatc on file. ( all [:e~mzts iavo~v~t%g plumbing being [ssucd after April 1,1984 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION r~FINAL .... BUREAU OF ELECTRICITY ~,~ .~.~,,,.,i~ ~/,. el1 THIS CE~IFIES THAT _ ~11 RXTIJRE L~EPTACLESl SWITCHES I RXTUI~S OUTLETS ~ ~HCANDESCENT FLUa~ESCEHT OTHER 35 I$ 32, 20 DRYERS i FURNACE MOTORS J KJT~ AI~UANCE FII~III$ a sBmwcl ~"'KT I NO.,,.,..OF t ) 3 O0 CR I x G.) I .-5 SMORP r~,:TE~?OR :-2 OVENS WASHERS C ,( G & S CONTRACI 3R BOX 215 SOI)T)qOLD, NY, 1!97! hre,~578-E Per /' Chis certificate must not be altered in any manner; return ta the office af the Bo=rd ii in¢orrecL Inspe~ori moy be identified by their credenfiob. COPY FOR IIUII.DM6 DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Examined Approved Disapproved a/c ..... FORrt/I NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL.: 765-1802 ,191 . , 19~.~ Penmt No ] l~.i~. (Building Inspector) APPLICATION FOR BUILDING PERMIT Recezved ........... ~19.. Date .......... 19 .~.' INSTRUCTIONS a. Tlus apphcatlon must be completely filled m by typewriter or zn ~nk and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale· Fee according to schedule ' b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjomlng premises or pubhc street or areas, and gzvmg a detmled description of layout of property must be drawn on the dmgram which ~s part of t~s appk cation. c The work covered by t~s apphcahon may not be commenced before zssuance of Building Permit d. Upon approval of th~s apphcanon, the Buddzng Inspector will zssued a Building Pe~zt to the apphc~t Such penm sh~l be kept on the premises available for ~spectmn throu~out the work e. No bmldmg shall be occupmd or used m whole or m p~t for any purpose whatever until a Ce~ificate of Occup~c) shall have been granted by the Bmldmg Inspector ~PLICATION IS HEREBY MADE to ~e Bmldmg Depgtment for the zssuance of a Bml&ng Pemzt pu~uant to Bmldzng Zone Or&nance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ordm~ces Regulahons, for the constmcaon of bmldmgs, addmons or ~teranons, or for removal or demolmon, as here~ described The apphcant agrees to comply wzth all apphcable laws, ordinances, building code, housing code, and rcgulanons, and tc admzt authorzzed mspectom on premzses ~d ~ bufldmg for necessa~:~~ ~ ~gnature of apphcant, or name, ff a corporation) (Mmhng address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises '~/Q/7~.. ~ ,.~/~.~Y-~... ~ .......................... (as on the tax roll or latest deed) If apphcant ~s a corporation, s~gnature of duly authorized officer (Name and title of corporate officer) Builder's License No .~ Plumber's Lmense No Electrician's License No Other Trade's Lzcense No Locabon of land on which proposed work will be done House Number Street County Tax Map No 1000 Section ~..~ . . Block Subd~v~ston .. (Name) Hamlet Filed Map No, Lot State ex,sting use and occupancy of premises and intended use and occupancy of proposed constructmn a Existing use and occupancy b. Intended use and occupancy .R.~.~' ~).~z~' /7~.,~.Z~ ...~...v .~.. '. ....... Repmr ........ Removal ....... Demolition . . . Other Work .... ...' . ...... (Description) 4. EstlmatedCost · t ........................ Fee .............................. " (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 .............. 7. Dimensions of extstmg structures, ffany Front ............ Rear .......... Depth Height ........... Number of Stones . . ....................... ~ ...~. · D~ensmns of same structure wi~ alterations or ad&tions Front ......... Rear . ~0. ~/~ .... Depth .................... He~t ................... Number of Stones .................... - 8. Dm~ensmns of entire new constmctmn' Front .. Rear . ~.~.' ... Depth ........ Height Number of Stones 9. Size of lot Front ....... ~.; .......... Re~. 7~ ................ ~e;~ . ~.X.ff~ ........ I0. Date of Purchase . . X/~ .......... Nme of Fomer Owner .~. ~/~ . 11 Zone or use &stnct ~n which premmes are s~tuated .............................. 12. Does proposed constructmn violate any zomng law, ordinance or regulation ............................... 13. Will lot be regraded ............ : ...... Will excess fill be removed from premmes: Yes 14. Nme of Owner ofprem~ses ~$~ff~ ~.¢~.. Address .~ ~d~N~. ~. Phone No ~.~.'~/~. · · Nme of Architect ........................... Address ............... Phone No. Nme of Contractor ................... Address .............. Phon~ ............. 15. Is this property located wzthin 300 feet o~ a tidal wetland~ *Yes ..... ~ ..... · If yea, Sou[hold Tom Trustees Perm~ may be required. PLOT DIAG~M Locate clearly and dlstanctly all buddmgs, whether existing or proposed, and mdlcate all set-back dimensions fro~ property hnes. Give street and block number or description accordmg to deed, and show street names and indicate whetN_ mtenor or comer lot STATE OF NEW YORK, S S COUNTY OF ........... (Name of individual signing contract) above named ·. being duly sworn, deposes and says that he is the apphcan 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 tit application, that ali statements contamed m this application are true to the best of his knowledge and belief, and that th work will be performed in the manner set forth m the apphcatlon filed therewith. Sworn to before me this ......... .... day of . .. ...... 19 .... ..... (Signature of apphcan