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Home My WebLink About23788-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25325 Date OCTOBER 21, 1997 THIS CERTIFIES that the building RENOVATION Location of Property 240 PRIVATE ROAD $17 House No. Street County Tax Map No. 1000 Section 123 Bloc~ 6 Subdivision Filed Map No. MATTITUCKv N.Y. Hamlet Lot 15 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 7, 1996 pursuant to which Building Permit No. 23788-Z dated OCTOBER 30, 1996 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 ENLARGE & RENOVATE EXISTING KITCHEN AS APPLIED FOR. The certificate is issued to THORNTON E. SMITH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED Rev. 1/81 %14827 - APRIL 30, 1997 AUG. 27, 1997-MATTITUCK PLUMBING & HEATING Bu~ f~in~ ~nsp/t or TOWN OF SOU'/HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PEPJv~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 23788 Z Permission is hereby gronted to: ...................... ..~..../E~,~.~.~ ......... /J.Z.:. .................. .~~-...,,...~:..y...,.......zz,¢.~ ........... , ,o. ~ ~.....~....~.-~...~.. ~ ~.... ~. ~:.;~X~.... ~ ~..... ~ ./~ ~.....~. ........... ~..~ ............. ~./..,.'~ ,,. .......... ~ ....... ,.~ ....... ~...'./.. ..... ~ at premises located at ............... ,~,,. ,,~, ,~,,.....~~ ....... ,,~,,,,,~,,. ....... ZZ ................................ County Tox Mop No. lO00 SectionZ.~....-~... .............. Block ~..~.. ...........Lot No. /~"-' p[Jrs,ont to oppJication dote~ ...~.~*~-~...,...~ ............... , I9..~../.~.~ ond opprove(~ by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING D EP .a. RTMEIqT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAzNCY This application must bm filled in by typewriter OR ink and subm~tue~ 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 Underw-riters. 4, Sworn sua=emeut 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 '3pre-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 ~o inspec~ signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing ~o the applicant. 2. 3. 4. 5. Fees Certificate~of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Al~e~ations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existlnR Buildins - $100.O0 Copy of Certificate of Occupancy - , .2~ Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............................ New Construction ........... Old Or Pre-~xistSng Building ................. Location Froperty .... ................... ...... ......... House No. Street Hamlet of Property K. CY. i ' Onwer Owners · County T~x ,.Map No 1000, Section ........... Block ............... Lot ..................... Subdivision ' Filed Map Lot Permit No .~ ~ Z~.%~ ...... Date Of Permit. [~/A/l~ ...... Applicant. r/C~R~ T.~/. ~, .,~./:.Z-/¢, . ,.. Health Dept. Approval .......................... Uude~iters Approval..~ .............. ~FLU~S/N¢ C~R T( FIC~T~ A ~TA¢MC~ Plann&ng Board Approval ..... . ................... Reques~ for: Temporary Certlfica=e ........... Final Cer~ica~e .... ~ ..... .kPPLiCA~N~f . :. . Town Hall, 53095 Main Road P. O. Box '1179 Southold, New Yo~ 1 t971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF $OUTHOLD Building Permit No. ?. 5 7~-~ Owner: :e~umber: (please print) I certify that the solder used in the water supply system contains less than 2/~0 of 1% lead. (Plumbers Sign~ Sworn to before me this Notary Public, ~ County ELECTPJCAL INSPECTION SERVICE INC... EAST PATCHOGUE, NEW YORK t 1772 : ' 14827 APPLICATION 3~o: ON:~ISE ' · SO~riOt, D ' "', . ~.. :.'., . "3g, gCtED:2'02.: .' 2ttORNTONSJ'urtTIar ' ' I~C,d~'ION: LADEMANN E~ECTRIC [?¢C. ", ktCl¢o: ~141-E " :' ~as~min~on : 4-3097 andfound~oba~ncompli~tk~Na~onal-E~HcalCo~ - Base,, J~t ~ ~ ' 3rd ' : ~v ' '.. .'.' Oa~e Hot Tub. Pool BUILDING PERMtT No, . .. OI~OINAL ~LLOWCOPY :' I~I~tC COPY OFFICE Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 8, 1997 Thornton E. Smith 44 Brook Side Drive. Plandome, N.Y. 11030 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) XX 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. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23788-Z Thank you for Please contact our office on this matter. cooperation. $OUTHOLD TOWN BUILDING DEPT. New York State Department of Environmental Conservation Buildin~ ~0,_.~-~L~45Yl_St~l~gBrook, New York 11790-2356 Dear Thomas C. J%rllng Date: ~ ~("'/ /9~ Commissioner Re: V/0¢o0 Based on the information you have subm. itted, the New York State Department of Environmental Conservation has determined that: Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions ara taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from yotLr project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of tke responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy Regional Permit Administrator Albert J. Kmpski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 March 24, 1994 Thornton Smith 44 Brookside Drive Plandome, NY 11030 Re: SCTM ~123-6-15 Dear Mr. Smith, The following action was taken by the Board of Trustees at their regular meeting of March 24, 1994. RESOLVED that the Southold Town Board of Trustees approve the request for a waiver to construct approx. 22' 10 1/2" X 9'6" addition to existing kitchen as per plans dated 1/15/94. If you have any questions, please call our office. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK:djh THORNTON 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~~ [ ] ROUGH PLBG. N~'~~TION ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [//] ~UNDATION 1ST [ ] ROUGH PLBG. i /'/]/..~N~/]. FRAjNAGTION 2ND [[]] IFI~INSAU~ATION INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] I~LATION [ ] FRAMING [ ~,~ FINAL [ ] FIREPLACE &/C~41MNEY REMARKS. ~ ! / INSPECTOR 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R~GHPLBG. / [ ] FOUNDATION 2ND [~ ]///INSULATION [ ] FRAMING ~/] FINAL [ ] FIREPLACE & CHIMNEY 1)it;npproved ,/c .................................. I~UAI~I) OF IIF. AI.TII ............... .3 ,qF, Tf~. DF PI,AN!~ ............... ~i~vF, Y ........................ CIII~,CK ......................... ,~ICP'J'I C F()RH ................... NOTIFY: C^I.I ................... H6.11, TO: .................... ^PPI.IC^TION FOK BUII,DINB PI~,IIH1T I). Plo~ pin. P4~in~ h~nl.i(~ ~[ lot ns~l of l~)ildlnRn ~ p~ni~en~ relntlo, nh[p to I~rmil: nhnll I~ kept m~ tl~ pr~nJ~ nvnilnhle For Jnnl~cti(m tl.x~sht~lt Ihe ~rk. Alqq,l(~'l'l(~ l!; Ifl~I~EI~Y f~l~.ta tl~ l~llhlh~ IMl~rltm~lL For I,Im ~c~r[l~l. 'U~ appli(~md ~l~r~ Io (:~ly vilh nil nl~)l ~('t~bl~, I~n~ or(li~m~n, l~ild~ng ('(xle, IKxm~n~ r(~l~, n~l ~/ ~/~0~1~ .. ~4*Z~Z~. ~. Z(~.~ .................. ............... ~ ~ ............................................................................................. /~, I~ i~(~l~ c~l (~)~1,,.., ...... ........,,.,,,.' I;n~ ....................................... ~,~ of Ai*~lJi~(:l ............. ,: ~h*:~ ............. J~j,~ia: ~j ....... * ... PETE~ J, ~ERGALDO NOTARY PUBLIO, State of NeW Yo~ No. 01ME5028435 ) Qualified in Nassau Count~ 9 'Gd:-