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Home My WebLink About22341-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~i~TNENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24205 Date MAII~H 13~ 1996 THIS CERTIFIES that the building NEW DWELLING Location of Propert~ 1405 Aui~RLY POND LANE SOU'~'~OLD NY House No. Street Hamlet County Tax Map No. 1000 Section 69 Block 5 Lot 7.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 31, 1994 .pursuant to which Building Permit No. 22341-Z dated SEPTEMBER 21, 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 A ONE FAMILY DWELLING WITH ATTAu~u~D TWO C~%RGARAGE AS ~PLIED FOR. The certificate is issued to of the aforesaid building. EDWIN WARD (owner) Rev. 1/81 SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0081 MAR~H 7, 1996 UNDERWRITERS CERTIFICATE NO. N365773 OCTOBER 6~ 1995 PLUMBERS CERTIFICATION DATED MARCH 11, 1996 D & C PLUMBINC & ~%TIN~ FORM NO.3 TOWN OF $ou'rHOLD BUILDING DEPARTMENT TO~ tlALL · .i'~$OUTI, IOI. D, N.Y. BUll. DING PERMIT t~'Hl$ p?.:RM_M~.[~MUST BE KEPT ON THE PREMISES UNTIL FULL · '~.~~'flON OF THE w~RK AUTH/~ZED) · Date ....... .~.,' ............................. 22341 Z Permission Is hereby granted to: . ~.,..~, ~ ..7., /z ~ ~ ~ ....... . . ..................... 7~ .......... : ........................ to ,.~..~../~..~....~....~....(~..~,..'.....'~" ............... "'/~' ' ' ' '~'~f~ ' ' ' '~' '"~ .................................. '~' ~;.'.~ ~..,r/..,..~ ~..,.. ~ ..¢. ~ ~,~.Z~. ~ .............. ........ ~..¢~../,...~..'.~......~..~..~..: ........................................................................................... ~;' ~'r~'Ii~'~i'~;~i;~' ~'t'.'.'.'.'.'.'.'~'~ ~.'~.'.'.'.'.'.'~.' ~.'.'~'.~'.~.'.'.'.'.'.'.'.'.~'~'"~'"'"'~"~" ;'"'"'"'"'""'"'""'"'"""" ..................................................... ...~....o.~...f.~ ....... ~..:.~...-. .................................... Coun~yTaxMapNo. 1000 Section ...... ~.....~.. ......... Block ........ ,~ ..........Lot No. ... .'7.,...~.. ............ pursuant to application dated ............... ~...~..~./,,,~,.~.~....~.(., 19,....?....(/~...., and approved bythe Building Inspector, Fee S..~?...O.. ........... Rev. 6/30/80 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. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Conmlercial 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 "~re-existing" land uses: 1~ Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. %. 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. Co 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. Co~y of Certificate of Occupancy - $20~OO 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction Old Or Pre-existing Bu~di]g Location of Property ...........................· .............................. House No. Street Hamlet Onwer or Owners of Property .... ~..~....~.~.~...o~.~..~ County Tax Map No 1000, Section .... ~..% ..... Block .... C~ .......... Lot...~.~..'.~. ............. Subdivision Filed Map Lot ..... . ...... Permit No.~..~.3..~./...Date Of Permit.~.~J..:. ..... /...Applzcant .... ~ ........ .~. ...... Health Dept Approval ..... Underwriters Approval .. Planning Board Approval .................... .... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1145069 BUREAU OF ECECTRIClTY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date OCTOBER 06,1995 ~pplieati.. Mo. o.fi~. 88933195/95 N 365773 THIS CERTIFIES THAT ~DWIN WARD, 1405 ACKERLY POND I~NE, SOUTHOLD, N,Y. in thefotlowlng location; ~ Basement [] Ist FI. ~ 2nd Ft. G]~/OUT Section Block Lot ~es examined on SEPT~,~IBER 29,1995 and found to be in compliance with the National Electrical Code. FIXTURE I I / FIXTURES RANGES c,sr OVENS ~ISH WASHERS EXHAUST FANS -- DRYERS ] FURNACE MOTORS [ FUTURE APPLIANCE FEEDERS ECIALREC'PT TIMECLOCKS [ EELL [UN~THEATERS MULTI-OUTLET DIMMERS SERVICE DISCONNECT [ NO. OF ~ MEFE~CG, )THER APPARATUS: WELL PUMP- 1 FIRS PLACE BLOWMRo2 WHIRLPOOL BATH- 1 MOTORS:I~I H.P,,2-F H.P,,1-F H,P. G.F,C,I:-4 SMOK~ DETECTOR ~ -2 RICHARD NAPOLIT/LMO 111ROSFJ4ARY IJLNM CENTEREACH, NY, 11720 LIC.#3922-E GENEI~AI~ MANAGER Per ] 1 ' ' rhis 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. 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 CERTIFICATION Building Permit No. 2~2-~1 Owner: CA Lk3%~3 ~f-~ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of County HOPE HI[LYER NOTARY PUBliC, State of New York No. 0IHI5022674, Suffolk County Term Exp{res January 18, 1998 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 October 16, 1995 Senate Homes, Inc. 1098 william Floyd Parkway Shirley, NY 11967 Re: Prem: Pamela Hunt (Edward Ward) SCTM~1000-69-5-7.2 1405 Ackerly Pond Lane, 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) xx No Underwriters Certificate on file.~/ xx The check is not on file. $25.00 xx No Health Department Approval on file./ xx No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22341-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ULATIO~! ?ER'~. y. STATE E}!EHGy CODE FI;;A INSPECT[ON REPORT DATE FOUNDAT tON ( IST) COMMENTS FOUNDATION (2ND) ROUGH FRAMIz- & PLUMBING II INSULATION PER N. Y. STATE ENERGY CODE FINAL BUILDING DEPT~. ,-- . ,~_.~. v INSPECTION FOUNDATION 1ST [, ] ~U~ PLBG. F~DATION 2ND [/.~j"INSULATION [.~J'~_..~ING ~-~ - [ ] F, NAL FIREPLACE & CHIMNEY ,,,j,KS-. [ ] 76S-t802 BUILDING DEPT. _~--~~.--~-~ INSPECTION FOUNDATION 1ST [ ~ROUGH PLBG. [ ] FOUNDATION 2ND [ [ ~'~F~MING [ [ ~FIREPLACE & CHIMNEY INSULATION FINAL 765-1802 BUILDING DEPT. INSPECTIO I [ ] FOUNDATION 1ST [//]'ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION ~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FOUN~k~N 1ST [ ] ROUGH PLBG. ~,,J/I~OUNDATION 2ND [ ] INSULATION BUILDING DEPT. INSPECTION [ ] FRAMING FINAL DAT INSPECTOR 765-~802 BUILDING DEPT. / NSPECTION PLBG.//~ ,~ou~D^~,o. ~.~ ~ ~ ,NSU~,O,,~ FRAMING [ ] FINAL 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]/~ULATION [/.~j~ FINAL [ ] FIREPLACE & CHIMNEY DATE Sep. 1D ~DD 11: OD SENATE CONSTxPREMIER SER FAX 5164755154 P. I PICONE BUILDING PRODUCTS DIV. OF PICONE ENERGY SYSTEMS INC. August 30. 1995 Senate Homes Co~structiO~ JOB: AckerlY Lane ~outhold,11971 Building Code Added bracing done at the top of Flue wa~ Properly I~sta[led in accordance to New YOrk State and Local Building Codes. Thank YOu, Diane Cooper 'cc: D0 D~a~ ~ ~ 80 LONG ISLAND AVENUE · HOLTSVILLE. NEW YORK t 1742 · PHONE; ($ t 6) 289-5490 . I~AX: (516) 289-5416 March 27~ 1995 Southold Building Department Town Hall 53095 Main Road Southold, N.Y. 11971 RE; Building Permit 22341 Z Ackerl¥ Pond Lane Sec 69 Block 5 Lot P/O 07 Request for seal of stability of footings for garage. Upon my review, the stability of footings at the garage area are acceptable. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 7G5-1802 ~3 SETS OF PL,INS ........ SURVEY .... ~ ........... CtlgCK .................. ~cEPTI C FOR:t ............ BLDG. I ,i ..... ....... Examined . .. ., l Approved 19/.TPermit No · ~ ~IAIL TO: . INSTRUCTIONS a. This application must be completely filled in by typewr/ter 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 st~'eet or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appii 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 permi, ~hall 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 Occupanc5 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 taws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in~ectionst. -- (Signature of applicant, or name, if a corporation) c,/ ,(Mailing acklre.qs,of applicant) S~pplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bu'ilder. Name of owner of premises (as on the tax roil or latest deed) If ap f duly authorized officer. · "' .' - (Name and title of corporate officer) Builder's License No. . .¥. .............. Other Tra e s Ltcense No... J~,. .... I.~.Location~~oofland on which~proposed work will be done..:.... ............ ~ .............................. ~ \~ ' . House Nmnber ' . t Street Hamlet Cou'nty*a× No. 000 See,on :... :G ............ ",ock ¥ Lot ..... (Name) 2: State existing use and occupancy o£ premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .3. Nature of work (check which lappbcable): New Building ..... Addition . Alteration ........ Repair .............. Removal ............. Demolition qst~' [ .... ; ......... Other Work ............. 4. Est mated C 0OtOO~! (Description) ~ ...................... Fee . . . .... ' ; (to be paid o. ' i itid .... o. ~owelhng, numberofdwel n!gunts [ ..... PP~ ) · ~ ,, ............... ~utnucr o~ uwelling units on each floor. I l~ garag,e,, number of cars . . . [ .~. ................................ '. ..... 2 ................. 6. If business, commercial or mixled occupancy, spec fy nature arid exte~ . ' ' ' 7..D,n.nens~ons ut ex,sting structm'es, if any: Front ..... ' ~ r~ ~t of each type of us~ 'Z .................. ~.e~ght .. .............. Number of Stories .... ~. '~J~i~, .' ~"ear ''" ........... Depth .............. L,qmenslollsn~.~hme stru,,,..,, i_.,u . ' .... * ........ 2~ ................. · ~, - ~:3~ ..... ?qta mteratmns or additions. Front ~' ~' ,., ,,-o- ......... ~eptn. ~o .. _~ t · ~ · · .--. ~qear . .~.o. height Oto(. . . ,, · . · · ................. ' ..... . ....Numbe of Stones . .( .FO. ...... : ......... 8. D~menmons of entire new conslruction: Front ....~..~ ...... ; Re ..5~. . . . ,, .~H. eight ..x~.O~, ........ ..NumberofStories...,J.!~'~ . ,, ar · ~. · .. Depth .q~.?7 ........ v aize of lot' Front . ~, ,~..O * - . ,, '"~%,V";~ ..... ~ .................... ,,, ~, ' ?q · --.. ~ ............ ~ear ,~..t.¥~ It,~ ' ~, ......... .-~u. ~ateofPurchase .."-~'rx~. .~.~r ", ................ ~epth ............ .. ' · · . '.' ' I .......... ' ......... c~ame of Former Owner ..k'~l~.it4 ~t.,:~. ' ' ' ,-11. Zone or use d~stmct ~n wluch premises are situated ...... ' 1~.. ~'. . .: ....... 12 Does proposed construction viglate an" zonin ........ ' ' · , ,~ v ~, g ~aw, ormnance or regulation. ./-~..Q .' 13. Will lot be regraded ...V'.t~,~'.[.~t ..... , ..... · · ', ........................... 14. Name of Owm, r ofmemises i t'/],,~?'~ ')/~.5~ ' ' ./fJm excess fill be removed from premises: Yes Name of Architect '~ .~...g~..0~° ~ ~ '~'l'{~'S '~'' "' ' ' ' ?uuress '/H .... ,~- .......... Phone No ............ ...... ~L '.r~-~, ............... ,~ddress .tpt.~ rt. ....m' .... ~,~ ~6,'~-Fo5'[! ' ' mameolconrracror ..o.O~,.~.X-~_ i,~ec, ._,~ ,~,~d';.'',i/','''>J ~/,t,;~':2'~''. -.,,.,,. ..... '. ..... 15.' Is thzs propertv w~thin nan ~ .... ~ ....... ',' ....... -~...~..~o~e'No ~/~./. ?..~-?..(~. ,,ir yes, ~outnold ~o,.,- ~r,,~e~ ~--'~ ~ .~.% ...... no ......... PLOT DIAGRAM Locate clearly and distinctly all, building- --'-'--~'-' · - g~, wnemer existing or proposed, and. indicate all set ba ' property lines. Give street and block,number o' '~-'~*-' ........... ' ck dtmensions from interior or corner lot - u~,~,~puun according rD aeea, ann snow street names and indicate whether iTATE OF NE~ Y(~,-K, , ~ , ]DUSTY OF :.. 's.!s ........ .... ' ......... being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) . bovenamed. . I teisthe ' . .0 (c fn ) ................... I ontractor, agent, corporate o cot, etc. ' f said owner or owners, and is duly authorized to perform or have per£ormed the said work and to make and file this *plication; that all statements contained in this application are true to tile best of his knowledge and belief; and that the ork will be performed in the manner s~t forth in the application fii-~d tlierewith. ' .vorn to before/ne this ........... .... '...dayof. ' . . /7 . DANA TRIPOD! 'i ' ' · ........ . ...... ' Commission Expires Au~ 2, '' -.~ Z '. '", i ~,~ . ,~ ~ ' - ' . - .'.'~ ' . -';. ..I, 'E' ..,~J,~I'~' I~ ~.~,', - ,- .,,.,... 't~r,L~ ., ~1~ ~ .. ' I~ '[~ ' ~11~'i, 1:~1~ ~I~ .~ // ' m ~'l.~: ~ ' ~- ~11 ,~--~,-- , /l m~-~q~~,~.~ -r I ~,~' ,, , . . ~I .~ ~ . 1~ ~" ~' '*'~" ~ld ~, '~ ~ ,I~ '~1 ~-~-.~ :", ~I "//, / ~ .~~.~ II I~'· ~' ,1~ ~,k; ~/c /W ~ ~J~Z]ll**~ ~ -¢I// I ~1 ~1 I ~' ~ '..-. ,, ,, · ' "- , · ' '*, - , .,, ,, , .,, . ~ ~ ~ ......... , ~ ~'~, :,,' . ~,'_/z~ ,, .GENERAL NOTES N~I~ BUILDING DEPOT AT ~b~ ~ ~ ~ ~ ~ ~ ~ ,~ j~ ,._ ~: . ~.~,., , ,,~,o,~ ,.,.,s~ ~flT~l ~ ~,~,~._ i __~ ~ ,,~.~. I~' z.~.. · ;47 l/ '~-I ~.~,,.o,. ~o.~,~ ,,~ ........ t ~'~ ~IF~ ~* ~ ~ Em - ~ ~ ..... / ' ~ P.C. BOLTS SHALL BE 8'0" O.C. ~X.. l'O" FR~ EACH END OR CORNER REQUIRED .~ r~;[,~'~'g~c~',,~'~L~m ~ v~ ~;~ m?~ j [ ~~ ?,~ 10. CONC. SLABS TO ~EST ON MXN. 6' FINE~AVELORSANDWITHHIN.~M[L J - ~,.I. [ ~/~.- / I ~~ Ii [ [ , ~ .... . .... POLYETHELENE VAPOR BARRIER ~HDE* OCCUPIED ~ ,. UNTIL 2nd SURVEY 0F ~. - ~ ~ · ,' CERT/FICATE OF OCCUPANCY F ~- ~ , ~~ ~ - TYP, EXTERIOR WALL ~ PlCAL FLAT RC i~ A~ PLUMBING ~ &~RUN~' J j~ I~ ~ ~- I / ~ ~ ~ Ii f~ ~t~ diatnbuti~ I~. ~: ~E~?g~R~[~E~.CODE' DATE .'! X I I I ~ 0 I I 3G~;o .JUN $1995 3 (~E, o , ]