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Home My WebLink About21823-zFORM NO. 4 TOW~N OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23282 Date OCTOBER 12, 1994 THIS CERTIFIES that the building ADDITIONS & ALTERATION Location of Property 705 SMITH DRIVE SOUTH SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 76 Block 2 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 22, 1993 pursuant to which Building Permit No. 21823-Z dated DECEMBER 7, 1993 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 FOR ADDITIONS AND ALTERATION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD & VINCENZA INSULL of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N322739 PLUMBERS CERTIFICATION DATED Rev. 1/81 (owner's) AUGUST 5, 1994 N/A Building Inspector N_0 FORM NO.3 TOWN OF $OUTHOLD ~U~t.D~NG DEPARTMENT TOWN ~ $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNIIL FULL COMPLETION OF THE WORK AUTHORIZED) t /'Z~/'7 . Da e ................... ....... .~'.... ............................ :PJ. 823 Z / Permission Is hereby granted to: ........................................ , ? ....... ~,.~.~.~ ....... ~.....//.~....y.. ............ to...~_,~,.~.~..-:.. ........... .~...>~.,.>.z~?...'..~.~......~-~.... .......... ~ ................. ........ ~.~...x.. ......... ~.;:.../7.. ........ ~..//...~..~ .......... ~..:.......~,c.~¥.x..~ ............... at premises located at ............ .~.~..~ .............................................. CountyTax Map No. 1000 Section ........... Z~.. ......Block..., ,~,,,,~. ............. LotNo....~ ................ pursuant ,o application dated .............. '"/~.~...'. ................... 19....~... and approved by~e Building inmeotor. F~ S.2~m .......... /(,,,/ Building Inspector Rev. 6/80/80 Form No. 6 8LDO FF¢,~/,, O! !-':OUT[!O[ P .... APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. 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, build~ng 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 Buildinm - $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 ........................... Location of Property ..... .~.~.~ ..... ~.... ~ ........ House No. Street ' Hamlet ~ Onwer or Owners of Property..9~.~w~..~~ .............................. . . k 0v County Tax Map No 1000, Section....~.~ ...... Bloc ................ Lot ................. Subdivision ............................ Permit No. ~j.~..~.~..~...Date Of Permit Health Dept. Approval .................. ...... , .Filed Map ............ Lot ...................... ...... Applicant .... Underwriters Approval . Planning Board Approval ........................ Request for: .Temporary Certificate ....... Fee Submitted. $ ......................... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1~OO121 BUREAU OF ELECTRICITY ~' 88 JOHN STREET. NEW YORK, NEW YORK 10038 O.~e AUGUST O5,1994 Appllc.~io. No.../ile 84248294/94 N 322739 THIS CERT, IFIES THAT ordy the ele~/~rtcal equipment as described below and introduced by th~ applicant named on ~he abo~ application n~mber in ~he premises o~ DONALD INSULL~ 705 SMITH DRIV~ in thefoilowlng location; [] B~,ement [] /st FI. [] 2nd FL OUT/CP~NWL/G/~/ATTseetio, Block Lot 22 it, s examined on AUGUST O1,1994 and found to be in compliance ~ith the Na~onal Electrical Code. fiXTURE L p [ [ , FIXTURES RANGES. ICOOKING DECKS [ OVENS I DISH WASHERS EXHAUST FANS 16 / 17 18 12 4 , [ 8.6 1 1.4 DRYERS I FURNACE MOTORS I FUTURE APPLIANCE ~EDBR~ ;RECIALREC'PT TIMECLOCKS I BELL IUNITHEAIEES MULTI.OUTLET,~,~,,, DIMMERS A~T, K.W. OIL1 FH'P' GAS H.P. A~T. NO. A,W.G A~T.130AMP, A,~T. AMPS. TRANE. ~'~- .HR- N;: ~)'Fr ~T i AA~T. WATTS I 150 CB 1 X 1 1/0 1 1/0 ~RS ~ 4-F H.B. G.F.C.I:-6 PAUL R. BURNS LIC,#282-~ P.O. BOX 1061 SOUTHOLD~ NY, 1197~-O932 / OENERAt MANAGER 'his certificate must flat be altered in any manner; return to the office of the ~6rd if incorrect, inspectors may be identified by their credonfiaJs, COPY FOR BUILD, NG___D?P_.~ARTMEN T/THIS 765-~M2 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [_] IN~.~ATION~ FRAMING [~FINAL RE:M KS~~ ,, ~ ~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN~J~.ATION FRAMING [~fi~NAL DATE INSPECTO~ 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [,] RO~H/ PLBG. [ J FOUNDATION 2ND [/,~ INSULATION FRAMING FINAL 765-1802 BUILDING DEPT. .~. SPECTION [ ] FINAL, [ ] FRAMING ?~ INSPECT~ 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 26, 1994 Winds Way Building Corp. 1020 Glen Road Southold, NY 11971 Re: Donald & Elsie Insull Premises: 705 Smith Drive South 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) 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 # 21823-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL Ye ADDITIONA'L COMMENTS: /?-/,,, SURVEY ...... TOWN SOUTROLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 Approved .... /fir./. 7 .... 197~.. Permit No ...... ~..~.. Disapproved a/c ' /Bff/1 diffg Inspector) APPLICATION FOR BUILDING PERMIT CALC . 2~ .... ~5.~. ........ HAIL TO: k) ~,~4~ INSTRUCTIONS a. This apPlication must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of btiildings on premises, relationship to adjoining premises or public streets or'areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The'work covered by tkis 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 permit 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 Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departmeht 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins~ec~ons. / .,, . ,~ · . · .... , ....... (Sign' ature~.~fi~.~name, ifa corp~ation! (Mailing address of ap~~,.~q ~ ~, State whether applicant, rj~ o,w:;~, zedii owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder· Name of owner of premises .. ~. O~. ~. (..1~.....-~. ~4..q<...~. ' (as on the tax roll or latest deed) If applicant is a c.m~rr]ti°-n, sil~nat.ure ojgd]uly authorized 9fficer. Builder s License No ........................... Plumber's License No. /~7.. ~ -~ floe iNo. . ~..* .................. Other Trade's License No ...................... ' 1. Location of land on which proposed work will be done .... ./~/~.... qt~.'.~.~. ~ ~ ............ llouse Number Street Hamlet cotmty Tax Map No. 1000 Section ... ;(9..~. '~ ......... Block . ~ ' Lot...~..g ............. Snbdivision.../~. ~)...~.. ~'(Name) ~..~.,O,r~.' ...... Filed Map No.../fi.~. ?. ..... :. Lot. ])c'.~.fl.),.~.. Stat~ existing use an~l occupancy of premises and intended use and occupancy of proposed construction: use and occupancy ...__~.. .......................................... ,"".,.," ,. , , ~ a, Existing b. Intended use and occupancy ..................... · ............... ,,,..,,.. ~:... ,...., ,.. ;. ............. k ( h appli Additi . .1:-~... ' · 3.Nature of wor check whic cable): New Building .......... on ..... Alteration .... Repair .............. Removal .............. Demolition .... ; ......... Other Work ............... // : '"" ' (Description) 4. Estimated Cost ...... t ...................... .. Fee ........... ...... .......... .... . ... . (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... /. ........ Number of dwelling units on each floor ............... · If garage, number of cars .... i./. .................. ' .......................... ..................... 6. If business, commercial or mixed occupancy, specify nat~ure ~nd extent of,each ty, pe of use ............ 7. Dimensions of existing struct~ies if any' Front ~r.~, c/ ~ ~ ....... . -' .................... /~ ~. ........ Depth .~. ~.. eight .... I.~ ......... Number of Stories .... ] ................... Dimensions of s~rne structure with alterations or adc[itions: Front ~.,1' ~ ~' ..... l~r''' ~tr¥ ~' Depth ~>J7. Height ~' .' "~u'n~l~ '~' ~: ........ '" ' 8. Dimensions of entire new cons!ruction: Front ...... . ........ ; Rear ............... Depth ...... Height ............... Number of Stories .......... ' ........ 9. Size of lot: ~ront [_h~,~ t . ' ................ 1.~9 ! ........ ' .... Rear. .. " ~ · · · ~ ;9 ............ Depth ...... 10. Date of Purchase .... I.§.~.C, ..................... Name of Former Owner .............................. 11. Zone or use district in which p(emises are situated .............. ' ............................... 2 ....... J2. Does proposed construction violate any zoning law, ordina~ce or regulation: ..~.9 ........................... 13. Will lot be regraded ... ~...; ,. ................... Will excess fill be removed from..~romises:. ~ No Name of Archit¢ct. ~V, ./~r~. id.Pf~ ~,.~,.... ..... Address .. ~, JO~.~..~. ....... Phone No. ).Jt~.,)~,~'..v. ...... · N, am ,of Contractor.. ddre .s aa : hon No. 15. ~s, ~nis property within ,~uu feet or attiaa~ wet±andg. *Yes ........ No .~. ...... ' ' ' · If yes, Southold ~own Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions fr6m property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, . S.S COUNTY OF ~_~ ............ , ................ :. ~ ......... · ......... being duly sworn, deposes and says that he is the applicant (Name of individual signigg contract) ' above named. He is the : (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyI authorized to perform or have performed the said work and to'make and file this application; that all statements contaihed in this'application are true to the best of his knowledge and belief; and that the work will be performed in the manner iset forth in the application filed therewith. Sworn to before me this Nota~ Publlo, State. 0! New _l.O. _rtl z/ ..... .' ..................... N_O. 49_S2246,.Su~O~,K~.~.?~un~..~- . , . . ' ' (Signature of applicant) · SUFF. CO. HEALTH DEPT. APPRGVAL OWNER: ~ u.'M ,~L~., ¢ E L. $1 E .IN ~UL b SUFFOLK COUNTY DEPARTMENT OF HEALTHoNLY SERVICES ........................ SINGLE FAMILY DWELLING ~hief of Bureau of Wastewazer ~lan g ,, JAN 14 t987 ; TIM ,, I CKRTIF, , I I~¢n~ ~AP OF LOT5 t21,122¢ t23 ~.~ ~-o ~ '-'~"'~"~""'"~fl'~~_, HAP QF~5[:i NE~ ¢~;~'r .A~.~cm~ AT AS SURVEYED , SUFFOLK CO, TAX MAP DESIGNATION: P ~T,I~,SECT. O76, BL,Z, LOT -- ~. ~, .o. ,,,...ovAL o. co.,.~u~,o, o.L. ~ ~/g~ ~l~ t.~z~ +: ~ ~ ~L ~ Z' TH E WAT[R S U PP~Y ~'..~*[~ STAND~DS OF SUFFOLK CO. DEPT. REQUIRED FEE: /~' BY:...~ NOTIFY BUILDING OEPAi~'IVIENT AT 765-1802 fl AM 10 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMSING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS PLUMBING AU. PLUMBING WASTE & WATER UNES NEED TESTING BEFORE COVERING PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED. IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/I0 of ,1% ZEALS. If OOPlOer tublr~g le um~d ~ fo~ wate~ distributing lyatem~ piping ~hall bt of type. K or L only OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY F (~b~