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Home My WebLink About23232-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24741 Date NOVEMBER 15, 1996 THIS CERTIFIES that the building ADDITION Location of Property 655 JENNINGS LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 7 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 11, 1996 pursuant to which Building Permit No. 23232-Z dated FEBRUARY 1, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD RONEO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-397146 - SEPTEMBER 16, 1996 PLUMBERS CERTIFICATION DATED NOV. B, 1996 - PECONIC PLUMBING & HEATING i Building Inspect Rev. 1/B1 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 COMPLE11ON OF THE WORK AUTHORIZED) X, 9 Date...... 1. /1.........1................................. 19..l.. . Na 23232 Z Permission Is hereby granted to, ........ y,t.0...... /GL�ER_f TL...................... ................. . :.... ...iii ................................................. �tel. si7� to ......�..L�!R,.F.?."`......... Ji'`5...!�..........//7TiJ�Y.........�....�'?�..��. /.........� 4444....... �.LF.......... r !�..�j. ` .............�4j...... ...........1! ...... cJ..................................1.........................,................................................4.........4.4.4.................. ........................................................ .. ........................................................................................ ...........................................................................r —p............. ............444.......4........ at premises located at....... ..............................4444. .......................... ..., ...........................................................4444.. County Tax Map No. 1000 Section ...ST../,,......... Block.......��......QQ.. Lot No. ..43....... .......... pursuant to application dated ................ .................4.......1 19.... .... and approved by the Building Inspector. / Fee ...... .... ... ..;� �f..................................... /j BInspector 9 P Rev. 6/30/80 Form No. 6 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 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and 4 "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 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 Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . Location of Property. . . 55 . . . . . . . . . . . . . . . . . . . .�1.w...� jS. .ZJQ . '. . . . . . . . . . S:s. ao . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . .1001& 12?0 a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . County Tax Map No 1000, Section. . .&. . . . . . . . .Block. . A . . . . . . . . . . . .Lot. . J. . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�./. . . . .Filed Map. . . . . . . . . . . ..Lot. . . . . . . . . . .. . . . . . . . . . . . Permit No. ..L3. .. . ..-. . . .Date Of Permit. .7. %. . I p (c,tc(;�;..A (Z.+;�r�� : l;vrwa l3,,�(,fa-1 . . . . . . .Ai ].icant. . . . Health Dept. Approval. . . . . .:-. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .Te. . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . il�. . . . . . Z> Pee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A,. .. . . . . . . . . . . . . . . . . . . . APPLLCANT Town Hall, 53095 Maln (load .� �+ Fax (516) 765.1823 R. O. Boz 1179 Telephone (516) 765.1802 Southold, New Yolk 11971 •,;;;j' - OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C 11 T I O N I)A TE: / b Building Permit No . 232�2 Z Owner: I &,�wc..eo (please print/) Plumber: G�/G (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead . J//<7 / ( Plu s Signal r) Sworn to before file this day of &V_/ 19 9C Notary Public, �(/ �/1llC County � C'a_� "Iele PARBARA STEPN00W_S;;I / - 1'•:ary Public,State of New Ycr:. No.O1 ST4344752 0ualified in Suffolk Cam'y r:..nmission Expires Sept.x,19 Town Hall, 53095 Main Road Fax (516) 765-1823 P 0. Box 1179 O� Telephone (5 16) 765-1802 Southold, New York 11971 ��! .>,a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 20, 1996 Romeo Builders,, Iut._ P.O. Box 1111 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) %X% No Underwriters Certificate on file. %B% 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 # 23232Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. rl.*-f Eilvd INSPECUION MP(Ml DA'I'li l:O(It 1811 Vi ( _ lam' it HF 170IIIII)A F(ON ( ISI' ) �� ,�/�1 era --------- : /d /,==y=====a=====-----mese--®==== 8011GIi VRAIIE h o i it Pl.urut I Nr iI n INSIII.A'I'IOl1 PER N. Y . I � %y� -_.._- .--- ---- 4i ( -i-✓! --- ti S"I'ATI? P:UMMY I:� ----------II'---'----------_—.._..--------_..----------...------------ - ---- CODE, f --=s---------------m`,= - --�m -ase-as---==--=a�===-�_ i TINA I. it t ADDI't'1(1NAl. CONNBN'l'S: . ---------------------- n: c r n � 3 ;23,.2-�. M-1802 BUILDING DEPT. SPECTI®N r' [ ] F UNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ( ] FINAL [ ] FIREPLACE & CHIMNEY R ARKS: DATE INSPECTO - 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ 1, ' SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: d r DATE3 ='- 7 5; INSPECTOR/r 323 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU LBG. [ ] FOUNDATION 2ND [ ] ULATION [ ] FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] NDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE RKS-� DATE �� INSPECTO THE NEW YORK BOARD OF FIRE UNDERWRITERS HI(T, I 10011':4 BUREAU OF ELECTRICITY F_ 85 JOHN STREET, NEW YORK, NY 10038 Date ::;fx'CF:fev' 16„199-C ApplirationNo.onfile 11.3,.[, +`r{.vI''1:; 11 3`•711= THIS CERTIFIES THAT only the electrical equipment as described below and introduced 6y the applicant named on the above application number in the premises of I i AZ!fiAiRr PcnMf,, NNINC Illi. , (}F`F,i'r yJ.fC R1),IN'.4'kf FTICN, S'J13TtiFaLa3, 14.Y. in thefoliaminR location; ❑ Basement El /st Fl. ❑ 2nd Fl. Sertion Block Lot uae examined on SUMVER I:',, and found to be its compliance with the National Electrical Code. NKTURE ECEPTACLES RXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS iW1TtHlS INCANDESCENTI PIUMESCENT OTHER AMT, K.W. AMT. K.W. AMT. K.W. j AMT K,W. AMT. H,P, F i DRYERS FURNACE MOTORS PUTUR! APHIANCE TEEOlRS SFECIALRECPT TIMECLOCKS BELL UNITWATERS MULTI-OUTLET DIMMERS AMT. K.W, Olt H.P. OAs N.P. AMT. Hb. A.w.G. AMT. NAP. AMT. AMPS. TRANS. ANT N.D. SYSTEMS AMT, WATTS NO,OF FEET I SERVICE DISCONNECT NO.10 S E R V I C E AAW. TYPE MITE! 1/IW 1 X]W X tW P X NW NO.Oi C[CyND. A.W.G. NO.OF NFLEO w.W.G NO.OF NEUIRAIS A. EOLRP, PER a OF tY.COND. OF HI LEO OP NEUn1AL I OTHER APMRATUS: G.F.f'.I.--1 'rhe' CK LIGHTING- -16 It L C 5t :9 CONTRWIUR LIC.#57P E L R,aX 21 11IIf1 SOTTTHTX,,, NY, 1154 7 1 GL%IV AI MANAGER i 112� Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, nC.r. : rte: ,r•++. �. rrc<:Y ; < rfii. f/ .7a+,` 7 �;•r�.` V'+ 6•_d3-7_ JAG IC l�r'' 4?D 2C'1EO 1 U : ,{ G r p �. . y. 41' s,� a r •• r t ' `a. A ��Uiw. f.fJ. hDrs :r0. J.5'Fc•` r.:Jh' ." . .{e: _ �/ r'. G:ecr,• ;;ev Land �Seir'ieu-^r•3 rvC dc rr sr Hc.;. ,r • ' i _ Gt' .?S,^r'� r=..' r, f' is rr S"fr•srC tlrc•r; ♦ti�. �h'6- «' a 1�f r' ,s a�p:�/ +cY rr,� a i r GeJ"1<' rrrt !�. �`. Ji;ef r:,^ � -• ,'ri fir- "T5 e. '/ ..Sus".G� ,';E . L,vMf.r :'fl'kor•f • 1 r j I nnnrn it ICA , I'll . . . . . OF Pi,AW: . . . . . . . FORM NO. 1 SURVEY . . . . . . . . . . TOWN OF SOUTHOLD CHECK . . . . . . . . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . : TOWN HALL NOTTFY SOUTHOLD, N.Y. 11971 L ��s' • (I TEL.; 765-1802 CAL MAIL T0 : Examined . . . . . . .° 7/�. . . ., 19 .96 R n {l7 Approved . . . . . . .�/�. . . ., 19!'P. Permit No.<?�3o?.� iK- Disapproved a/ce~ JAN I I P-6 dins Inspector) i APPLICATION FOR BUILDING PERMIT Date . . . .1I? . . . . . . . . . .. 19W INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink 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 buildings on premises, relationship to adjoining premises or public street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl cation. 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 issued a Building Permit to the applicant. Such perm 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 Occupant 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describer The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary �inspections. . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) . QoK. . . . . . . . . . S . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde . . . . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . .�vSJn4�rT . w . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is�fa torpor ion, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SU OLKCOUNTY LICENSED Builder's License No. . . . . . . .t. .. . . . . . . . .11''. T . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6SS . . . . . -1 tiv.` S . . ( - . . . . . . . . . . . . . . . . . . . . . . . . . . Soy. riwl . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . Sy. . . . . . . . . . . Block . . . . . . . . . . . . . . . . . Lot . . . 1.3. . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .Olh�. .fAll e . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy "��5. . . , . , . . • . os �. . . . . :. . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Descriplion) 4. Estimated Cost . . . . . 6SoO. . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . j. . . . . . . . . . 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 existing structures, if any: Front . . .$5. . . . . . . . . Rear . . . . . . . . . Depth . . yf . . . . . . . . . . ± Height -.c? . . . . . . . . . Number of Stories . . . . • . . 1.i. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�r . . . . . . . Dimensions of same structure with alterations or additions: Front . . .7 S", , , , , , . , , , . Rear . y.?. .v. . . . . . . . . . Depth . . . . .YR. . . . . . . . . . . . . . Height . . . Z rl . . . . . . . . . . . . . Number of,,Stories . . . . ( . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . Rear . . . . . . . . Depth . . . . . . . . . . . i Height . . .,/y . . . . . . . . . Number of Stories . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . 1.Y Z . . . . . . . . . . . . Rear . . . . t . . . . . . . . . . . . . Depth . . {Y.7. . . . . . . . . . . . . . . . 10. Date of Purchase . . � . . . . . .!9�. . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . NA . . . . . . . . . . . . . . . . . . . . . P . .�-�- 13. Will lot be regraded . . . . . . JYPP . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes C Zn 14. Name of Owner of premisfs 1�! ? .lzev.c?-? . . . . . Address aotc.Te . ,Sewfl (t , Phone No. '74f. . Name of Architect . . .ryy9 . . . . . —. . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . .I`cl�9? . u•l&Fws. . )-.r-. . Address .�.ax 1./8- -. ?�-4 . Phone No. 74 f.-A�7.f. . . . . 15. Is this property located within 300 feet of a nidal wetland? *Yes . . . . . No .-r . . *If yes, Southold Town Trustees PermitPLOmay be required.ed. 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 whethe, interior or corner lot. i 14, _ _ m 4� Pool 5 +ar,k ari . .i 3KN Tr'V p 4i.: x ho. L t: t •i . q1 , i tom, �1 x � •,, 1 well !i til � Z STATE O*F NEW YORK, S.S COUNT OF . . . . . . . . . . . . . . . . _ rrII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that lie is the applican (Name of individual signing contract) above named p Heis the . . .l vyi...r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) _)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th application; that all statements contained in this application are true to the best of his knowledge and belief;and that th work will be performed in the manner set forth in the application filed therewith. Sworn to before me this nf . . . . . . . . /(%4� . . . . . . . . . .day of. .'J.c 'X41_44 . . . . . ., 19 'Votary Public, . . . . . �� //. . . . . a . . . . . . . . County LIND'/RY'C P R . . . . . . . . !. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Notary public,State of New York (Signature of applican No.4822563,Suffolk Coun"Yg16 Term Fires December 31,1f3_ II;pC;7VIfITE{iSL'ERTIFICA1k r g dC} 4t ft uQuIRED rD J• t? +� I � � � � 111 .r� r r �� I .. OCCUPANCY OR F - IS UNLAWFUL WITHOUT,CERTIFICATE I OF OCCUPANCY k Ti i1t{t t ({p APPROVED AS NOTED DATE: / o.P.N ARTj13L2- - - iZ b y !F rld _ __ r { a —t . FEE: -•--_RY: " OEPART TENT AT 765,18 2 9 AM TO 4PM FOR THE - - FOL,4OWING INSPECTIONS' FOUNQATION. TWO 'REQUIRED FOR POURER CONCRETE FRAMING & PLUMBING INSULATIONr L = y f k z k { CONSTRUCTION MUST- 6 I �° i ) ii q .} 1 RE CON PLETE FOR ALL.CONyT,RUCTIQN SHALL MEET ThiE REGUIREMENYS OF THE N.Y t I`d 91WR CONSTRUCTION & ENERGY r e q'- { 1 COUESy: NOY flESPONSI3LFz FOR ` 6 - r I — F ,1 r 'OESIGN OR CONSTRUCTION ERRORS r f { ` 1 � F 'I _ _ � SCAI) 1 •PAF er{L i { "DMAWN pV " ovF r PALEPEV SFp S J{ lAAWWG HUMEFA , , S ) " I r I I ; 1 l I 1 1 i I , 0 I _ I V L 1 U 4 II 7-6 1 I { I AvvPOAD BY: DRAWN BY 1- ------- i 1_` - -. _. ._ I .:. y .. OPAWING NUMBEi