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Home My WebLink About22276-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23293 Date OCTOBER 19, 1994 THIS CERTIFIES that the buildin~ ALTEP2%TION Location of Propert~ 620 PARADISE SHORE ROAD House No. Street County Tax Map No. 1000 Section 79 Block 5 Subdivision Filed Map No. SOUTHOLD · N.Y. Hamlet Lot 3 Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 1994 pursuant to which Building Permit No. 22276-z dated AUGUST 23, 1994 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & KATHLEEN DITTA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-042848 SEPTEMBER 30, 1994 PLUMBERS CERTIFICATION DATED Rev. 1/81 tWA FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ................. ...~.~..~.. ............................. 19...~.~ .~... 22276 Z CountyZax Map No. 1000 Section ...... ~ ............. Block ......... ..~?~ ....... Lot No ........... ~,~,. ........... pursuant to application dated .........~'"~'~'": "~""7 ....................... 19....~..../~......, and.approved by the Building Inspector. Fee $.,.,.~ ................. Rev, 6/80/80 Form No. 6 ncr I 7 1994 TOI~N OF SOUTHOLD , BUILDING DEPARTblENT TOWN IlALL 765-1802 ~ .,~ ~6L ~ 0.. ........... ~ .............. ~PLICATION 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 lihes, 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. Commereial 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 "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-existin~ Buildinm - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5,T~mporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date I01 ~ . New Construction ........... Old Or Pre-existing Building..V~. .......... Location of Property...~.~ ......... ~. ~ ....... .~.. ...... t%~.~.¥.\.~ ............ . House No. Street Hamlet ..... Onwer or Owners of Pro err ~.~ County T~ Map No 1000, Section..~ ........ Block.. .............. Lot. . Subdivision .... . ...... Filed Map ......... Lot ...................... ........................ · .................... ............... 'lanning Board Approval <equest fo~: Temporary Certificate ........... Final Certicate 'ee Submitted: $ ............................. ~PLICANT~ Town Hall, 53095 Main Road P, O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 13, 1994 Mr. Robert Ditta 11 Cambridge Drive Smithtown, NY 11787 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22276-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 8049289 BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT ROBERT DITTA, PARADISE SHORE ROAD, SOUTHOI~), N.Y. in th. fottowi..~ t,,~.~io.; [] Ba~,.me.t [] t~ rt. [] ~nd Ft. OUT S.~t~o. IHock Lo~ · SEPT~ER 26,1994 J~&T, K.W. OIL H.P. GAS H.P. A~T. NO. A, W. G SERVIC~ DISCONNECT I'"O. OE I S A~. . METER RANGES K W PECIAL REC'P COOKING DECKS OVENS DISH WASHERS c7 ::' C .o. EXHAUST FAN! DIMMERS AMT. WATTS A W G. NO OF HI,LEG A-W G NO OF NEUTRALS A.W G. OF CC. COND OF HI.LEG OF NEUTRAL 11 CAMBRIDGE DRIVE SHITHTOT'~, NY', 11787 GENERAL MANAGER 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. BU~LD~N~ INSPECTION [ ]FRAMING ~INAL DATE, I N S P Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 13, 1994 Mr. Robert Ditta 11 Cambridge Drive Smithtown, NY 11787 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22276-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. OUNDAT!OU (2nd) ~OUGH FRAME .FLUMBING Z~SULATION PER N. Y. STATE E~ERGY CODE Fi;;AL ADDITIONA'L COMMENTS: · '. -. ..... , 19 . Approved . 19?yPermit No~')-~ Disapproved a/c ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTtIOLD. N.Y. 11971 TEL.: 765-1802 3 SETS OF SURV£¥ CIICCK .... CALL HAIL TO: ~ 'APPROVEDAS FmC' 7~'-- .... w: ~'?;4/ . NOTI~ .UILDING DEPART~ENT'AT 755-1802 9 A~ TQ 4 PM FOR FOLLOWING INS~ONS: 1. FOUNDATION -,~O REQUIRED FOR ~URED ~NCR~E · .. ~ - ~ - , : 2. ROUGH - FRAMING & PLUMBING Electrician's License No ...... ~ ...... . ....... 3. INSULATION . . '' : 4. FINAL - CONSTRUCTION MUST' Other Trade's License No...... ' .......... BE COMPLETE FOR C.O. ' ALL CONSTRUCTION SHALL MEET I. Location of land on which proposed work will be done .................... ~t ~I~O.I~.EMENTS .O.F THE N.Y. .d.2.°...' .... ~ :~?... ,~ ,~ . ~.~.o~ .~sPO.S,.L~ FO. House Number -- Street ' ~ '' '1~'~ 'Ol~ 'CONSIRUL'I'IOI~ ~' Coonty Tax Map No. I000 Section: * · · ' .................. Block ............. Lot ............... Subdivision ........ . ............................ '. Filed Map No. (Name) .............. Lot ...... : ........ 2: State existiag use and occupancy of preniises and in tended use and occupancy of proposed construction: a. Existing use and occupancy .. : ............................... , ............. ~W~J~ .J -3FCA J3 ' ' i,~.h, lnten~ed,,se and occupancy .' : · ~" ........ ' .................... ~ .~et~5 .t3~ .................. ~,~,'~ ~, k:i~ ;t ..... , , . ~::r,~jo3 *"o~u8 tg ~'iltf~;O - Plumber's License No ............... . .......... If applicant is a corporation, signature of duly authorized officer.' · ' (Name and title of co~porate officer) Builder's License No ,', '_ '., ' , . (,g'udlding Inspector) ., ,,'-' "~ > h APPLICATION FOR BUILDING'PERMIT " ' , ' ' ' L *, , Date ....... , 19.. :' INSTRUCTIONS ? a. This apl~lication 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 sti'eet or areas, and giving a detailed description of layout of property muir be drawn on the diagram which is part of this appL cation. ~ . ' The work covered by tkis application may not be commenced before issuance of Building Permit. ". '~di c. :.. _- d. Upon approval of this application, the Building Inspector will i~sued a Building Permit to the applicant. Such permi 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 Occupanc- shall have been granted by the Building Inspector. /"':"APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to th~ Building Zone Ordinance of the Town of South01d, 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 described The applicant agrees to comply with all applicable laws, ordinances, build,ag code, ho~e, and regulations, and tc admit authorized inspectors on premises and in building for necessary insp~tiojls.../~/~ . _ - ' · .. ...... ' ............ (Signature of applicanrtx or name, if a corporation) .. , ..... .......................... · f-~ 7°°)'' · · · v/ .... - .("Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, genera~ 'contractor, electrician, plumber or builder. .........¥....., ....... ' ............... c,,. ' Name of owner of premises .. (as On the tax roll or latest deed) ~ . rtepair .............. Removal .. :: .... :.u,~ltlOll .......... /uterat on . .L' ..... " ' x~ .............. uemohhon .... : ......... Other Work .... ' ..... -4. Estimated'Cost .. ~ .5..0..0 I . - · ' · . (Description) / (to be pa d on fil~mi~gthi,t,appli~.htion) $ Ifd 11' ,, robe old ll'Ogunit ' Ifgarag mb ofcars i .~. ' ~'. gunit chh . . we mo, nu r we : s ............ Number ofdwcllin s on ea ocr ......... 7' Di nensio ~,' ...... ' ...... .,~eu o. ccupancy, specify nature and eX/eh/of.ceeb type of use . . · ' ns ~" ~:a'snng structures, ,f any: Front ............. Rear .......... l~;~t'h':: Height ......... - ...... ~t b fStoi : ' ' ' · Dime sion fshm ith It tic ' ' ' dditio F ' ' ' ''~ ............................ Depth .... ' ... ~ .... , ................. Rear ........~ ..... . ' ........... ~... nc,gm .......... · . 8. D,mensions of entire new con tmcti · ~5~ ~ ..... .' · · Number of Stories ......... ' '. '~ .... sHi. S on. Front ............. ~ Rear.~.~. ....... Depth .~.~.' ' ' '. mght ...... : · · .:..:_. · · Number of Stories ' ,9. izeoflot:Front ...~?..,..~ ..... . '" .... ':" ' ' ...... 10. Date o r r hase .... 'I ...... Rear.. .. ......... -- o, o · ....... ~eptn . t~ . . . /. .... ....... Name of Former C~w,~ ~,,m~z ~/(~.,zo ~ ...... 11. Zone or Ute district '- ............. - .............. in which p~emises are situated ..... : ...... .12. ' Does proposed construction vicqate an,, z~-:-- , ...... ' - - 13., Will lot be reeraded ~ · gulahon..~. ................... · 1.4.: Name of Owner of premises . .lg.&6.(..~."-..~. ,,T(~ , ./)~g, ll exces, s fill be removed from prem,ses: Yes N ~-~,~? Name of Architect . ? .... ~ .... :.. · ·. ~a. ress .................... Phone No ............ . ~ ~'~ame o/contractor .... : ..~ ' ~ - ............ . ........~. 15., ,Is this property wit"in q~'n' 'g~'/~' '_'~' ' ' 'C ',' oaores~s . .,.~ ......... i ......Phone No ...... '. '~' 'i,:'' Y"" ,,Az yes,'Southold !Town Trustees Permit may be'r~.~$1~ ...... ao ......... ,',:* Locate dearly and distinctly al~ buildings, ~heth~r existing or proposed, and. indicate all set-back dimensions fron property_lines. Give street and blocl~ number or description according to deed, and show street names and indicate whethe interior or corner lot. ,,: ,:., .: ;. being duly Sworn, depose~ and says that he is the applicani · "'~ %'' "': .... ' ""' (Contracto'r ................................. g. ta~ ~ ~' t: agent porate officer etc ) .......... f'said ~Wper or 'owners, ~d is dtdy ' " · ~?horized to perform or have perfonned thc said work and to m~e and file this ~P icat'{o~ that all statements contain,ed M this application apg truo to the best of his knowledgg and belief; and that ~e ork will be perfo~ed in the manner s~t Torth in the application filed therewith. .yom to before me this ~ ' FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 17971 TEL.; 765-7802 APPLICATION FOR BUILDING PERMIT B~)ARD 02' IIEALT}t ........ .1 SETS OF ?LANS SURVEY ................. ClIsCK . . - . CALL . . · . flAIL TO: INSTRUCTIONS ALL CONSTRUCTION SHALL MEET 1. Location ofland on which proposed work w il be done ....... 'jl'lt~ ~JE~U, IREMENTS OF THE NY.. . ~'. ~ ............. ~{~. ~ ~.~ ....... ~~RESPONSlBLE FOR * Itouse Number : Street . ....~'~ '~ '~US~U~On '~- Conmy Tax ~ap No. 1000 Section :...: .............. Block ........ ' Lot ............... Subdivision ........ . ............................ ~. Fikd Map No ............... ~ol ............... (Name) S~a[c cxJsdn~ uso and occupancy el premises and m~cndcd use ~nd occupancy el proposed construction: a. Existing use and occupancy . .~: .~2 . ...........~ . ' . en c Use an occupancy .............. . ....' ........ ,~.'*~ '~, ,z' - ¢,,,.,, ~ ~,,~,4~ AIq OVED AS NOTI O DAm ~B.P, ~ NOTIFY IIUILDING OEPARTM"NT AT 765-1802 9 AM TO 4 PM FOR THE FOLL~NG INS~ONS: 1. FOUNDATION -.~0 REQUIRED FOR ~URED C~CRETE 2. RO~H - FRAMING ~ PL~BING 3. INSU~ON 4, FINAL, - CONSTR~CTION MUST BE COMPL~ ~R C,O. If applicant is a corporation, signature of duly authorized officer. ; (Name and title of corporate officer) Builder's License No ................. ' ......... Plumber's License No ' Electrician's License No ....................... Other T adc s Lmense No... .................... 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 sti'eet or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli 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 penni: 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 Occupancx shall have been granted l?y the Building Inspector. . APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or 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, bu//d~ag code, ho~e, and regulations, and to admit authorized inspectors on premises and in b~ilding for necessar~ in,~)~.j~'ff/~.~'. -~'"".'~ ~ L.~.-:~'- · ·: · ·' (Signatu,re of applicanct~ or name. if a corporation) '(Mailing address of applicant) ..... State whether applicant is owner, lessee, agent, architect, engineer, generaJ contractor, electrician, plumber or builder. Name of owner of premises . . ~ / '-,':," (as on the tax roll or latest deed) · 3. Nature of work (check which iapplicable): New Building .... Addition .......... Alteration ~.i.,. Repa/r .............. Removal .............. Demolition .... ; ......... Other Work... 4. Estimated Cost .... ~,.; ........ , ........ (Description) 5. If dxve ng, number of dwellinI, / (to be paid on.fil~mi~Jth~i:aPpli~htion) If garage, number of cars . . ? uni.~. ............... Number of Swelling units on each floTr / 6. If business, commercial or mix'er occupancy, specify nature and extent of.each type of use .................... 7. Dimensions ofexisting structures if--- ~ · ~ , ,.y: ,ron~ ......... R pth _H.e ght N ~.b es ..... '. · ..... ear .............. De : ............... n er of Stori ......... ' .............. f h ! itl ti dditi .............................. Dllrlensious 0 S me structure v t alters OhS or a OhS: Front ..... Depth ' ' ~ .... He'" · ................ Rear ....... ,, ,. ....... - ,-,~-~[rUcuon front..qq/T.~,c rt._ ,- q.~.~., ...... c-. · · · · rlelg ~t . ..... Num .... ' .......... itear . . ..~c~.. ,,.~. ..... Depth . ~...~. ......... , ocr m :>tones ........... .. . . ., 9. Size of lot' Front ~ ~ , -~r-~,, ......... ~ ...... ._.._. ..... ........ ~ ............. ~',ear../..'-f. 10. DateofPurchase ~/.~.. , ,. ................. Depth ./~...~.. . ....... ~ ......... ' ......... l~ame of Former Owuer . ?. ?q~. iT../.~.q .~d~o.] .... 11. Zone or use district in which premises are situated ............ ................. ~ .... .12. Does proposed construction vi~late any zoning law, ordinan'ce o~' reg~l'ati'o~l ' ~.'O.' ~" ~ ' ' ' '" 13. Will lbt be regraded t~. . '.~ . , ...... · ....................... ' --,',' ................ wm excess fill be removed from premises. Ye 14. Name of Owner of premises . .~.*?.*-~-~ ~D 7~ ~ ' s No Name ,',*' ^ ~h~+~,+ ~-- i ........... t ' · · · ~,uaress ................. Phone No .......... ;... · ~, ~.r,,.~,~,~, . ~ ...... ~ .................Address ...... Phone No ............. 2.. Name of Contractor ..... i ...... Address . " ' ....... ' ..... 'e's'.'.'.'.'.'.'.'.' ' Phone No ............... 15.' Is this property within ~00' feet of a tidal wetland? ',y No ......... · If yes,~Southold %own Trustees Permit may be required.. , !' PLOT DIAGRAM Locate clearly and distinctl,, afl ~---',-~' '- --' .. ~ , uu,umgs, wnemer existing or pro used and, in ' . property lines. Give street and blocklnumber o.'ae~o~,~*;,-- -- . ,P , , , d~cate all set back dimensions from interior or corner lot ~ ...... v ..... accorumg ro acco, aha snow street names and indicate whether ... ......... ,'/'t~ . , ! ..... ' ,, : ' '. .... ~' -,',.~.' .,.-' ................ being duly sworn, deposes ~d says that he is the applicant I'"' ~ (Name*ori~ividual'~t~h~ing'contract) .aura named, i , ~:.,., ;~ ,~ 1. f~,,,'}.~ :j~ .,~ :L~a~'~?4 .'~ ~0'~, .[?tk'X* , (Contractor, agent, cor'porate officer, etc.) f s~i~:i93:~glr,'~rirox~ne/~F~d~ ~t?l~.~tllorized to perform or have perfumed the sa d w ~c~ti,l?~: thay~all st,?yments contained m th~s application are true to the best of his kno?//d::danh°~xk~. an~ file this 'o~ to fff~;;'O=~s ,n the manner set ~orth m the application files tmrew th . = ,,e,, ano that ~he " me tins ........... '...day o(. .. 19 'ta~ Public~"~~~. County / ~ . ................. ~ ~bl~ State ~ N~ York' . No,~79506 i ~ (Signature ofapplic~t) Q~I~ In Surfak Co~n~