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Home My WebLink About25713-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27215 Date: 07/26/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 500 OLD NORTH RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 1 Lot 8.1 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 7~ 1999 pursuant to which Building Permit No. 25713-Z dated MAY 10, 1999 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 ATTACHED GARAGE & WOOD DECK AS APPLIED FOR. The certificate is issued to SCHEMBRI HOHESr INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0060 ELECTRICAL CERTIFICATE HO. 40669 PLUMBERS CERTIFICATION DATED 05/03/00 G.A.H. PLUMBING Rev. 1/81 05/19/00 0s/09/00 Authorized Signa~e FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25713 Z Date MAY l0t 1999 Permission is hereby granted to: CHESTER DICKERSON & 500 OLD NORTH RD SOUTHOLD~NY 11971 ORSA/C P. Burns) for : CONSTRUCTION OF A SINGLE FAMILYt TWO STORY DWELLING WITH FULL BASEMENT & ACCESSORY 2 CAR GARAGE TO BE LOCATED IN THE REAR YD. AS APPLIED FOR at premises located at 500 County Tax Map No. 473889 Section pursuant to application dated MAY Building Inspector. OLD NORTH RD SOUTHOLD 055 Block 0001 Lot No. 008.001 7 1999 and approved by the Fee $ Rev. 2/19/98 847.20 Authorized Signature ORIGINAL BLDG. DEPT. 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. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and *'pre-existing" land uses: i. Accurst~ survey of property showing all property lines, streeg~, 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 ts denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Fees 1. 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 Buildinm - 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 --...4. ............................. qew Construction ......... .~ld Or Pre-existing Building.,,.. ~ocation of Property...~.~ ........ ¢.~..~0~..~. House No. Street Hamlet )nwer or Owners of Propert~.~.~.....~.~ ....................................... ;ounty Tax Map No 1000, Section...~,~. ..... Block..O.! ........... Lot...~.:[ ................ 'ubdivision Filed Map Lot 'ermic No..(J~...~..f~l.5..DaCe Of Permit...~,../.~...~.~.~...Applicant.~.~..~ ....... tealth Dept. pp .................. Approval ......................... 'lanning Board Approval ........................ . .equest for: Temporary Certificate.. Final Ce/r~ate./ 'ee Submitted: ' $ ........................... . .... ........................ 76S-3.802 BUILDING DEPT, INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG, [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP~~IM~N.~ ,,.~ ~ REMARKS: _L./--/ Town Hall, 53095 Main Road P.O~ Box 1179 Soulhotd, New York 11971-0959 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD June 21, 2000 Schembri Homes, Inc. 2042 N. Country Rd., Suite 203 Wading River, NY 11792 .RE: 500 Old North Rd., Southold. A notarized letter from homeowner is required d driveway and walkway. To Whom This May Concern: for landscaping 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. 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 # 25713-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. July 18, 2000 Southold Town Building Department Main Road - Town Hall Southold, New York 11971 Re: Landscaping at 500 Old Nor~ Road, Southold, New York Gentlemen: This is to inform you that my wife, Joycemarie and I will be maintaining the landscaping at 500 Old North Road, Southold, New York 11971 according to the requirements of $outhold Town, Very truly yours, i~:~gP~'l '50UTHOLD TOHIq HALL ~16 765 18~3 Town Hall, 530~5 Main Ro&d P. O, Box 117~ Southo~d, New Ycd'-, 1197~ F~x (5i6) 765.1823 Telephone (S~6) 7654'802 OFFICE OF THE BUILDING INSPECTOR TOWN OF $OUTHOLD C E R.T I F I C A T I 0 N (-please print) Plumber: (please p~int) I certify that the solder used in the water supply system contains less than 2/i0 of I% l~ad. Sworn to before me this Notary Publict ' County DATE: 5/9/00 ELECTRICAL INSPECTION SERVICE INC. 3 75 D UNTON A VENUE EAST PATCHOGUE, NEW YORK 11772 (516) 286-6642 40669 APPLICATION No. ON FILE VILLAGE: Souihold ADDRESS: O[rt Marth Rood ISSUED TO: Schembri Homes TOWN: Southold INTRODUCED BY: De Lane Electric Inc. was examined on 5-9-00 LIC No: 4354-E and found to be in compliance with the National Electrical Code LOCATION: Base.. X Det. Garage 1st X 2nd X 3rd Attic Hot Tub Pool SWITCHES RECEPTACLES FIXTURES [ HEATERS FANS G,F.L AIR. COND. 32 53 26 I 7 DISHWASHER DRYF, R CLOTHES WASH. GAR. DISP. RANGE OVEN SMOKE DETECTOR 1 30amp 20amp gas 7 FURNACE OIL GAS CIR. MOTORS BELL TRAI~ SERVICE DISCONNECT l[ 200 UG OTHER EQUIPMENT Outside, Res. 4 cable connections / $ phone connections/-2Oamp central air 1-200amp main breakers /1-20amp refridgerator BUILDING PER. MIT No. BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE pRESIDENT 765..1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~PLBG. [ ] FOUNDATION 2ND [ ] I~JLATION [ ] FRAMING [~.~FINAL [ ] FIREPL, ACE& CHIMNEY _ 765-:1,802 BUILDING DEPT. llNSPECTION [/-/~FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY RI ROUGH PLBG. INSULATION FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] F.~OUNDATION 1ST [ ] ROUGH PLBG. [//J FOUNDATION 2ND [ ] INSULATION DATE 765-1802 BUILDING DEPT. IINSPECTIO [ ] FOU/~tTiON 1ST [ ~ ROUGH PLBG. [ ] F/OOND~,I'ION2ND [ ] INSULATION /~~,NG [ ] FINAL / ~ FIREPLACE & CHIMNEY ~ '/~ ..~'~...**,J REMARKS: DATE .INSPECTO~ 765-1802 BUILDING DEPT. INSPECTIO N, FOUNDATION 15T ~ ROUGH PLBG. [ ] F/0UNr~)ATION 2ND [ ] INSULATION / [ ~/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY D^T~ //aY/,~-~ I.SPECTO~~/_~,,~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [. ]~. PLBG. [ ] FOUNDATION 2ND [~] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY __ REMARK~~ ~~-~'' DATE INgPECTION P. gPOR~ DATE COHMENTS OUNDATION OUNDATION ( ( OUGIt FRAME & PLUMBING FORItNO. TO}DI OF SOUTROLU BUILDING DEPARTNENT TO~IHALL SOUTHOLD~ N.Y. 11971 TEL: 765-1802 INSTRUCTIONS BOARD OF UEALTH ............... 3 SET8 OF PLANS ............... SURVEY ........................ CRECK ......................... SEPTIC FORI~ ................... C~LL .?~.3.:.X.~.4 ...... ~II, TO~ ................... wa.- 'Dints ap¢icatton mast be co~¢etely filled in by t'ytae~riter or in I~ ~ ~[tt~ to d~ hdidlng l~ctor 3 ~ts o~ p]~, acetate plot plan to ~le. F~ ~l~ to b. Not pla gmt~ l~tt~ o[ lot ~ o[ ~tldi~ strata or areaa, ~ givt~ a ~catl~ ~riptt~ o[ la~C o[ pm~rty mint ~ dr~ ~ tim dia~m ~[d~ la ~rt o this a~)l icatio~. c. 'H~e ~ ~r~ ~ tiffs o~licati~ my mt Im ~ ~fo~ issue o[ ~lldt~ ~mit. d. U~ a~al of ~l[s applicati~, tl~ lhildt~ lns~ctor viii ts~ a ~lldt~ ~mtt to ti~e applicant. ~ml ~mit g~all ~.~pt ~ ~m [,,=,d~a ~all~le for tns~tt~ thm~t t~ ~rk. e. ~ ~ildi~ gmll ~ ~t~1 or ~ tn M~le or ~ ~*all h~e l~n ~t~ I~ ~ ~dldi~ Inserat. ~,I~'~ IS t~ ~ to tbe l~tldi~ ~rt~nt ~or ~ ia~ o[ a ~tldi~ ~mtt ~r~t to tim l~[ld[~ ~ ~[~ of ~ Tom o[ ~ltl~ld, ~ffolk ~, ~ Yo~, ~ atilt a~ll~l~ l~s, ~i~ea or ~luti~s, for d~ ~t~et~ o~ ~stldt~, ~let~a or ~rt~. ~m applt~t ~s to ~ly vi~ all a~llcabte (Stature State ~mdmr a~tic~nt ts ~r, les~, ~ent, ~mhlt~t, ~tmr,'ge~ral ~tmtor, el~trtctan, plier or Ixd] ......... · ..,. = .................. ......... ,=,. .............. ..... .................... ~ o~ ~ o~ ~l,...~¢~,./~. ~¢~z... & ...... ~ .............................................. (~ ~ tim tax mil or I[ 8a~ti~nt is a co~ratt~, si~e of ~ly ~tl~ri~l and title o[ corl~rate officer) Plt~bers License No ............. I~lectriciana License No ...................... Otber Trade'a Li~ ~ ..................... I. I~ti~ of 1~ ~ ~dd~ ~ ~rk vii! ~ ~ ............................................................ ~. ~ d~/~ ~ ........... oA~ . ~q~. ~4~ ..................... .. . . ~ 9.~ ~ gO ....................... 1~ ~r St~t l~et ~T.,m~. ,~ ~l~ ..... ~ ..... .~.~ ...... d ........ ~t ..~/. ........ (~) 2. State exlsti~ ~ ~z ~c~ ................... b. ~t~ ~ ~ ~ ...~...~Z.Z ..... ~ ............. : .... I0. II. 15. I~1~( r ............ ~l ............. I~1 (lj~ .. ........... other ~,,~ ~ ~.~..:0:~.~ ....................... (to ~ ~ld ~s~ filing this 1~ aa~age, a~i~ ~. ................................... .. ,~i~,, ...... aUJ.g. .......... '.. a.,,,, o~ s~o,~, ..... 4 ............... I~i~lc ......................... Rifler o~ Stories ....................... I'll of~Fd ~ ..................... ~ e ~ r .............. ....... ~lll lot ~ r~c~ ~...~. .......... ~tll ~esn fill I~ la this p~rtywithln ~ E~t.o~ a ~t~1 I~Cl~? a ~ .......... ~ .~ ..... PLOT DI AGIIAM ~ frou pro[~rty lt~s. Ol~ ~t~t a~ b]~ ~imr or ~kncrlpcJ~ ac~h~8 to c~, a~ ~ attic ~a a~l t~ltca~ ............... &.~ ... ~ ...Imi,8 d, ly ~rn, delX~s a~l mays Umt he ia the (C~tractor, a~et~t~r~raCe o~Etcec, etc.) of maid t~r or ~rs, m~ is tktly ~ll~cJ~ to I~rfOnn or hs~e i~rfor.~l lhe ~id ~rk taxi to n~ke ami file this all~llcaLicm; that all state.uts ~ta[~ In this al~ll~ti~ are t~ to ~te Imst of his k,~l~e at~ I~lief~ that the ~rk will I~ ~rf~l tn tl~ n~n~mr ~C forth in the a~tlc~ttca~ fil~ ~>m to ~fore ~ Ods ~ ..