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Home My WebLink About26340-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27196 Date: 07/17/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 1375 SMITH DR SOUTH SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 76 Block 2 Lot 35 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 1, 2000 pursuant to which Building Permit No. 26340-Z dated FEBRUARY 9, 2000 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 ACCESSORY GARAGE IN REQUIRED REAR YARD AREA AS APPLIED FOR. The certificate is issued to TIMOTHY P HOLLOWELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signat Rev. 1/81 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. 26340 Z Date FEBRUARY 9, 2000 Permission is hereby granted to: TIMOTHY P HOLLOWELL 83 OREGON AVE MEDFORD,NY 11763 for CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AREA _ AS APPLIED FOR. at premises located at 1375 SMITH DR S SOUTHOLD County Tax Map No. 473889 Section 076 Block 0002 Lot No. 035 pursuant to application dated FEBRUARY 1, 2000 and approved by the Building Inspector. Fee $ 35 . 00 �r Authori d Signatture ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 17 lead. ... 5. Commercial building, industrial building, multiple residences and similar buildin; 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 ani '.'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual na_tpral or topographic features. .�p p •'�"pp��;r� ompleted application and a consent to inspect signed by the applicant Cc•t ' 'cate of Occupancy is denied, the Building Inspector shall state the reasons E for in writing to the applicant. C. � �s eq no 9 , 1. _Ce"U.QL QQf Occupancy - New dwelling $25.00, Additions to dwelling $25.00, }L;Yk� e' ns too dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, 'fowN u" , ,,,, � s s to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25�,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 s �! Date �.�L.1/. . . /l. . . . . . . . . . . . . . . . . . . . . New Construction . . . . . . . Old Or Pre-existing Building. . . . . . . . . . Location of Property. . �/-37 `J r SW f tf 'Doe �8d �( , , , , � tJ7�L 1>G . . . . . . . . . . . . House No. Street Hamlet Id - Onwer or Owners of Property.. . . . . . . .. . .:. .. � .J� L� • .• • • • . . . . . .. . .. . . • • • • • J . . 3 s County Tax Map No 1000, Section. 4��. .. . . . . ..Block. . . O O a . .Lot. . d. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . .... . . . .Lot. . . . . . .. 7 tQQ \ PP /!K DT7t Permit No.a6 � y. . Z.Date Of Permi ? . 9�V U• . •A Applicant. . . . . . . . .f . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. / \. . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT S Fr 1 73 C 1 _E1_70?7)? 6 o��SUFFO(,�c Town Hall,53095 Main Road p Fax(516)765-1823 P.O.Box 1179 ,? Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 6, 2000 Timothy & Margaret Hollowell 83 Oregon Ave. Medford, NY 11763 RE: 1375 Smith Dr. S. , Southold. 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) No Underwriters Certificate on file. XX 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 # 26340-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. umwmm ma.mmem>. N 3 a a cfe sSevum � .dbnTdtBa1C.N..Ymk3N LOQ /L?7 mwem.<.nsatioe.mo 1.esaimrdaw.Wt 9`` 1 Il .. t i pfymerpm.aibMomLr mmol - J3 e a r w -- l f"''-stir s_ At �� .�.;� { 3 PwVmtlaMmNS M.rtmew S rte-� '�.. . E+mrs4rssWm.MidoDM6„ �' {euct=_ mmamwicewum�> ?� d DFt�zOPBiTY 54l�S 1-07- /l2` SZI 10 27' r �77 e' lco.cre AUL Jl:::� MQAevo NTOI2E� 2 _ lrr 4QW4Y t fr house 2x�- 0 i .pr BAVI//EW- I ' f TOWt11OF SOtJTHOLf7,NY � •-concr `Lvrb� � i Q ? walks f a- OF NEIy A! CO TeYs Y/acG - 5.Bo_30'W.3 —07-0 6- -7 L=LLs &tic* Gond , 8`OO LINDaVP }f S1YliTN Qi211/E=. .50UTH Guo,r/rfeed ,�ofelt Ina+sr Ca. lF�T4k� ti.� f7� ✓I{/IKiIC - .iGd/Gy j� - ..r ^^.�`' �s ric ui,=..: +{+{ lJEd,rr� �clerks rc+e • ,rort , -� LaceatSe�� 4 - ore 11/ava,�ibr�tk /p�/8 as- Mo�NIIldb3 _ - - �6ce�err t-��it/ewr�Yk�� x�'' All, 800301E�. S �.5T6e TD E MDJ l� !- 'D�QSC'OI Ga�as�e 0 40-7- Aro OTh►4 use ; f 1 c I f f ii I 4 � � F COptic r Evrbl . . I � f'• t oi1 ' � lr}1,:� oaf { i �G it II 1 [h lJ °IAT.ION ( IST) jj II u n )ATION (2ND) It m _--___=====11 ____ ---------------- ------- _______ II II I II JI_________. .-_-_____-_-______- 11 ft FRAME S II W PLUMBING itIT— _11.------------------ ------ ------ - ----- -- -------------.. II ii 1L--- ------------ ------ ----------' ----------- --------- ---1 n I -------------------itf II I II Hr CATION PER N. Y. I U TATE ENERGY 1 — a Cn CODE if ri _ l N A N _ �� II 0 II it Allo �1 FINAL ADDITIONAL COMMENTS: 8P H 0 .Q, z � M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE / INSPECTOR 765-1802 BUILDING DEPT. SPECTION [ ] UNDATION IST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMN,----, REMARKS: J� DATE / INSPECTO PF 765-1802 BUILDING DEPT. SPECT'®N [ OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ",y �T DATE / INSPECTOR BOARD OF`'HEALTB . . . . . . . . ..... . . . . FORM NO. 1 3 SETS OF PLANS .. . . . . . . . . . . . . . i FEB - 2000 " TOWN OF SOUTHOLD SURVEY . . .. . . .. . . . . . . ..... . . . . . . . BUILDING DEPARTMENT CHECK . . . .FORM. . . .. . . .. . ... . . . . . . . . . . . __..._ . . . . . . . . . . . . . . . . TOWN HALL SEPTIC SOUTHOLD, ,N.Y. 11971 ' TEL: 765-1802 NOIFY: , (&3CZ Ag�,-/p� 9.` . . .. . MAIL TO: . i-L o vJ C- L(- Approved. :...., .� Permit No. l/.Y. .C.... 3. O C( .. .... .... Disapproveda/c .................................. �. ................................................... / ........... . I ...... (BuildingInspector APPLICATION FOR BUILDING PERMIT 5, Dater hi2. .. . 7'1. . , 'LO.�.V. INSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 of property must be drawn on the diagram which is part of this application. c. The Fork covered by this application my not be commenced before issuance of Building,Pennit, , 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 cork. e. No building shall be occupied or used in whole or in part for anry purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HMW MALE to the Building Department for the issuancb of a Building Permit pursuant to the Building Zane Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,,Ordinancesor 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 ,,:(./1'1 O'�I;f;�..�:. 'h ��.�-"�l q-:...�!.1- O V�C -..L........................ (as L.- (as on the tax roll or latest deed) If aro cant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builders License No. ..O2:KG......., ....... Plumbers License No. ...�M................. Electricians License No. A................ Other Trade's License No. ...� .............. 1. Location of land on which proposed work will be done.............................................................. ..f .1S Sm.TB DRIJE moo-r'� .......................... Haase N:uber Street Hamlet County Tax Map No. 1000 Section .......... Block ..a`........... Lot 3'l.^.......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: f a. Existing use and occupancy .................................................................... S f o G c:.��tl��}U .................... b. Intended use and occupancy .......... ...:.....::......:............ Nature of work (dteck wltidr applicable).pp cable): New Ruildi ,,, . Addition ...... Alteration ......... , Repair .... Removal ....... hero ition ........ Other Work .. ...... ..... (Description) Esti4ted Cost ................. ..... fee .........................;4. ..... iE dwelling, ariber of dwelling r /1 IA- (to be paid on filing this application' on ng, �1nits ............ Hunber, of dwelling emits on each floor ..... .......... Ifgarage, comber of cars ... ..G............... ......., / IE business, oaare . 1 rcial or mixed occupancy, specify nature and extent of each type of use.. ............. Dimensions of existing structures if any: Front................ Rear ............... Depth ................. Height ......................... i Nurber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Dei i&t Rear ! Depth ........................... Nud: ..er of Stories ........... .. J L' .. Dimensions of entire new construction: Front .. ... lleight ......................... 'iNmfiet of Stories ..................... Size of'lot: Front .. E I 5....... Rear ........... ....... Depth .............. .... ........ .. D. Date of Rnclrase ...... ' Nare of loner r �oNn1 CAP.:IA .. kD'� 9 .................... 1. Zone or use district in v rcb premises are situated .. 5. Di �Tl f{ A ............... Ar....... .......................... 2. Does proposed constructionviolate arty zoning law, ordinance or regulation: .................. 3. Will lot be regraded ...< `Y ...;.... Wwr11 sa fill be removed from anises: YGS ® 25 > �r� Smr-rO i;i �drNr7�5 30 4. Names of Owner of premises .Imo ..f#.��-Ho,u1,4ck.... Address SaaTf(o�:l?r•• 102.. Phone No.01-°759:�O?Y pp f b F /�eE65 Ay Dk,Se. Nara of Architect .1 d�EeT �.RV'B�Je............ Address .1YRP 4P,,.d.,V ..r/,7.6'x... phone Nave of Contractor .T[�K h$ �� bRS. C. i .Te 4�„ y 765 ;3/7 X 17 .. Address .......?tQ_P ../!97✓.....flxxne 5. Is Chis property within 300 feet'lof a tidal wetland? * YES ..........(:N—D. ...... *IF YES, SCD1lY9D '1M TRl1S7P1iS PE[M MAY RR WF4JIVM— PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions =ran property lines. Give street and block ember or description according to deed, and show street names and indicate diether interior or corner lot. i 67.0 I - Ien<er y Lo-r //9 a <� �a o Si-c-nor 7/a 0 d L K a °'� /375 Sm1 -4 7>�iJc -500-M : „y O 4 . B� COMA✓.' f e, house ' ii ti pp d ifi14 � -r�oner. l ri,:, � I s1 st curb irA'lE Or NW Yow, I I h rr�/ -01NlT (V :r5Q rrV LV........ SS X3;80°30' Y' ELS _ A�?17aj Cid } rI-�'.y Gt�E``...............being duly sworn, depuses-§rK sways ILlwliei lieJappl.icaw: (Nave of individual. signing contracC) above need, :k is the ......('( 'eracCo (Contractor, corporate ...................................................................... officer, etc.) of, said owner or owners, and is duly aniChorized to perform or have performed the said work and to make and file this application; that: all statevents contained in this application are true to the best of his knowledge and belief; and that the work will be performer) in the;mamrer set forth in the application filed therewith. Sworn to before me this `_ .........�5) ......day ofR v "....'r2(1Q. .., _ Notary Rublic Russell Kram L (Signature of Applicant) / Notary Public,State of Newyorlk No.01 KR 5088018 Qualified in Suffolk County Commission Expires September 29 p._,.,L_ v FN RA NOTRI I ALL CONSTRUCTION SHALL HE IN CONFORMANCE WITH A.Y.S. BUILDING CODE. N.Y.S. ENERGY CONSERVATION CODE AND ALL LOCAL CODES HAVING JURISDICTION. 2. ALL CONCRETE SHALL BE MINIMUM Fc=2500 PSI AT 20 DAY TEST. ]. ALL FOOTINGS SHALL BEAR ON UNDISTURBED SOIL HAYING MINIMUM BEARING CAPACITY OF 2 TONS PER S.F. 4 ALL LUMBER SHALL BE DOUG/FIR .No. 2 OR BETTER MIN F6WI25D APPR VE ASNOTED UNLESS OTHERWISE NOTED. B•Y M AL3. L PLUMBING SHALL BE IN ACCORDANCE W/STATE A LOCAL FEE: B H, ELECTRICAL WORE BE IN ACCORDANCE W/ N.E.C. AND BE CERTIFIED BY BOARD OF FIRE UNDERWRITERS. NOTIFY BUILDING DEPART NTT 785-1802 9 AM TO 4 PM FOR THE I. ALL STRUCTURAL HEADERS TO BE 121 T' N S" UNLESS OTHERWISE •S G.yYC/A _____ _=---- FOLLOWING INSPECTIONS: NOTED. 3.�'. CO/✓C. .�0�✓. 1 FOUNDATION - TWO REQUIRED S. ALL FRAMING SHALL BE DOUBLED AROUND OPENINGS, "DER �/�/G X�'U�CL✓'J' FOR POURED CONCRETE PARTITIONS AND UNDER POSTS. 2. ROUGH - FRAMING ✓t PLUMBING B. U}MENSION5 SMALL HE CHECKED BY CONTRACTOR PRIOR TO 3. INSULATION ORDERING MATERIAL OR CONSTRUCTION, DIMENSIONS TAKE 4. FINAL - CONSTRUCTION MUST PRIORITY OVER SCALE. BE COMPLETE FOR C.O. 10, WINDOWS A DOORS SHALL BE WEATHER STRIPPED A CAULKED. MAE ALL THE REQUIREMENTS IOF THE N.Y.EU FACTOR - WINDOWS = D.EQU DONS = .DAO. 11. HEATING i V[NTILATING EQUIPMENT TO MBEf fifCT. E-503.2 STATE CON ATION :://✓EXC';9�s,�TEO N CODES. NOT AUCTION &RES RESPONSIBLE ENERGY FOR ALL HA ITABLEVSPACE CODE, 12. ALL ION 114 SPACE MUST MEET EGRESS AS PER N.Y.S. COD! DESIGN OR CONSTRUCTION ERRORS SECTION IIA "A MIN. FON ION O 1 VSE' MIN. 1 6p. Pt. OPENING WITH A MIN. DIMENKION OF 18". 1, T-` - - - - - - OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY /¢-O UN7RRITFRS ED WICATE _�Ol✓il/G�9T/ 2/t� ✓��h%y� �p �r / eos� v��r� I ¢„ - - -_ — a i LEFT LS/DE -- I \ AI z'cvx/��di✓o. .9.YEi9TNy N P \0 S F-9sciq A z”�or��s�wo. ssrcArHs 0 ' =�9iP�9� ,Zx¢iwo. .rTvoS�iG ��. /4=v" --- Sf-% Co�1/C. JG� d�✓C/1v� f�oGTS - £ L ° SCALE AS.A/oTEO "PPRoveO ar DRAWN BY DATE )—/�[� REV ISEO Robert J. Gruber - Architect 476 Expressway Drive So Medford, N.Y 11763 516-654-4949 DRAWING NIIMRER N f'igNs SECTi�EGc✓ ir/nTFS / Gb-d/S