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Home My WebLink About20425-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22230 Date MARCH 30~ 1993. THIS CERTIFIES that the,buildin~ ADDITION Location of Property 530 SMITH DRIVE NORTH SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 76 Block 2 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 20, 1992 pursuant to which Building Permit No. 20425-Z dated FEBRUARY 12, 1992 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. MATTHEW & ANNE OLT.V.N The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEkLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ifding. Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT ('THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20425 Z Permission is hereby gra~ ~.~...~..~ ...... ~..~ ........ ...~~' ~ d~?~.~...~..-.~ ......... ./x~..~..~- ~?~.......~ ~ q~~ ....... ~..~~~~..~...'~ -~ ............. ,, ~,~,~ ~=~,~ ~, ........~.....~..~ ...... :~~.~~ ......................... ...................................................... .................................................................... C~ Tax Map No, I000 S~ctio~ .......... ~;~ ..... Bilk ......... ~ ........ bt No .......d~ ........... Building In~tor, 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 fypewriter 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 6f 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 '¥re-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buiiding 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 Bui%ding Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. C~rtificate 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ...... Location of Property... House No. Street Hamlet County Tax Map No 1000, Section ...... .~..y. MBlock ....... ...... Lot..~.,.-./......... subdivision ................................... ~. Filed Map ............ Lot ................... .. . Permit No.~P.~..~.-..~....Date Of Permit...//.~ ........ Applicant. ~/~...~... ~ .~...~.. ......... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ / Request for: Temporary Certificate ....... Final Certicate. ~/ Fee Submitted: $ ............................. .~ ~ ........... · ..................... INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Impector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 HARClt 12, 1993 MATTHEW & ANNE OLLEN 161-06 JEWELL AVENUE, APT 6J FLUSHING, NY 11365 PREHISES @ 530 SMITH DRIVE NORltl, SOUTHOLD, NY To Whom This May Concern: We ars unable to complete your Certificate of Occupancy because of the following reasons: x~x An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No PlumJaer Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT $ 20425-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~OUNDATIO~ (2nd) IOUGH FRAME & -PLUMBINU iNSUSATION PER N. Y. STATE ENERGY CODE FI;;AL ADDITIONA'L COMMENTS: 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] ~ULATION FRAMING [/] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION ['~FOU/N~DATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~] FINAL T~ ,a,~oce-~ s INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senio~ BuiMing I~spector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 28, 1992 SCOTT L. HARRIS, Supe~vis~ SouthoM Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Matthew Ollen 161-06 Jewel Avenue-Apt. Flushing, N.Y. 11365 45 Re: Premises at 530 Smith Drive North, Southold, N.Y. Suff. Co. Tax Map 91000-76-2-16 Dear Mr. Ollen: In order to process your building permit for a deck addition we will need more structural information. We will need sizes and spacing of any girders, joist sleepers, decking and etc. If you have any questions, please contact me at 516-765-1802. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher, Building Inspector TJF:gar ~ J n,~hnflze.,I ~ el ~e~ion 7209 C-n~n~ o~ this su~y m.p ~ ~erlng ~ 18~ 9u~evor'c I~.~ ~onl valid 3URVEY FOR LOUIS J. PROFERA ~ SAL 8 MIL£1E R,~ND~ZZO ,It r 8~YVIEW TOWN OF SOUTHOLD ~UFFOLK COUNTY~ N.Y. SCALE: I"= $0' DEC. l$, 1985 gUARANTEED TO FORM NO. 1 '~ TOWN OF SOUTHOLD BUILDING DEPARTMENT J/~ 2 7 F39~ TOWN HALL ~../~.,O-.-- SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined , 197.? Approved i ~.~.'i : ::, 19f.~.eermit No.~...~..~.~...~ Disapproved a/c ..................................... APP,,~OVF, D AS NOTED 765-1802 9 AM TO 4 PM FOR THE ' FOLLOWING INSPE,CTIONS: APPLICATION FOR BUILDING PERMIT 1. FOUNDATION , TWO REQUIRED FOR POURED CONCRETE 2. ROUGH. FRAMING & PLUMBING 3. INSULATION INSTRUCTIONS 4. FINAL CONSTRUCTION MUST BOARD OF HEALTIt ......... 3 SETS OF PLANS .......... *~.-SURVEY /CIIECK .................... SEPTIC FORH .............. NO?I FY: CALL ................... HAIL TO: Date t / g'O 19~..~- , a. ~BiSieG/atlfl~ttR)~O31qltt~.e completely filled in by typewriter or in ink and submitted to the Bulldog Inspector, with 3 sets ~t~la~g~T~ ~t~ s~a~TFee according to schedule. bT~l~~l~gti~f~ and of bulldogs on premises, relationship to adjoining premises or pubSc streets oi> ar}~ ~~~ of layout of property must be drawn on the diagram which is pa~ of this appH- cat~o~?p~$. NOT ~S~N~SlBL~ FOR cP~~f~l~i'on may not be cbmmenced before issu~ce of Building Permit. d.~ ~o9-ao~o~al-o~:Ihi~ap~cati~the Building Inspector will issued a Bufld~g Pemit to the a ~cant Such emit sh~l Be ~ep~, o?~[e'p~{~es ~ffJ~tB los ~nspect~on throughout the work e. ~ ~ ~"~?b~2~u~{~ ~ [used in whole or in p~t for any purpose whatever until a Ce~ificate o f Occup ~cy shall ~t~:[B3?4~i~h~'t~%e~rtQ~,'~uildin Ins ector ~, F~ *i~Nf~7~C)N . '~AtO RF. OLJ~¢ED p ' APPE~A~IO~SC~R~ MADE to the Build~g Dep~ment for the issuance of a B~lding Petit pursuant to the ~uildi~ ~b'~lO~&'ff~y ~h~'~l~ Southold, Suffolk County, New York, ~d other app~cable ~ws, Ord~ces or ~egul~ti~ ff~'l~ construction of bufld~gs, additions or alterations, or for removal or demolition, as here~ described. The ~pfl¢~fi~ a~e~ .l~I¢~Tapp~cable laws, ordinances, buQding code, housing code, and regulations, and to admitau"¢~~O.pr,mis~san~buila~gfornecessa, inspecti~;~ALL CONS/,U=ON 8HALL M5"T ~ THE REQUIREMENTS OF THE N.Y. ' ' .................................... STA$~ CONSTRUCTION & ENERGY ~ (Signatur~ of applicant, or name, if a corporation) co~$. ,OT .EsPO.S,.LE m, /0 I-Ob ~ hVF ~S~f~O, ~ .~fCq ~ DESIGN OR CONSTRUCTION ERRORS ...................................... (Mailing address of applicant) //3 ~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ~fekt(ow.%..., ...o. ~.o. ¢~... ~ d.. ~8.0ec~ c~ ....... - ........................ owner... .......................... (as on the t~ roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~. ' v: ~' .,~ OCC:,PANCY OR (Name and title ofcoworateofficer) USE UNCWFUL Builder's License No .......................... . CERTF]CATE -' ......................... W THOUT Other Trade's License No ...................... '1. Location of land on which proposed work will be done...5..~.0...5..~..I..~..{.~..~.( ~..~-....A?.~..t~....T~.. ......... ................................. 5 0 C:~, T"r',L oc' ,,0 cl ~ l~ ~ .......................... th., .... O.-~.. ..................... House Number Street Hamlet County Tax Map No, 1000 Section , .-.~.~....-, ......... Block .%~. ............... Lot..l b .............. Subdivimon..' .~O0..%~d-.t' txJ~6k .................... Filed Map No..I.O.~..~ ....... Lot . .~.%~. .......... (Name) .. (~t - ~,l ~ - q ~) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~)~SF./.~.~ ~'~q.~77.~...~. ~S/573 .~. V/~C,~-TTDA./ /.l~.t~f. ~r- d~tn//~JeT~ b. Intended use and occupancy ~..O..~0~. 5 .F~t,((_¥-~)~.'~.../5 ~-/X/ ~7.) .~...~./) ... ...................... ...... )5 i/c 3. Nature of work (cheek which appilieable): New Building .......... Addition...~.~-. K~... Alteration . ..... ,. Repair ......... . ..... Removal .............. Demolition .............. Other Work ...... ~. ........ ~ ~-~ OO ' ' "~ ~.0 (Description) 4. Estimated Cost ' Fee , O ~ '~ ~ [~/~[, , (to be paid on filing this application) 5 Ifdwelli umb fd elling hits '~ Number fdw lling nitso eachfl . ng, n er o w u ............... o e u n oor ~ If garage number of cars i ~' 6. If business, commercial or mixed bccupancy, specify nature and extent of each type of use ..... ~.-: ............. 7. Dimensions of. existing structures if any Front 'q'.~. ~ . Rear .~ De,,*h a 7 ' :,.elg:,L ............... mumber of Stories ........ / ................................. . .............. ~Dane. nsions of sa,[n^efitructure wit~ alterations or addition, s: Front ..... .,~. z/ ......... Rear....~'.~ ............ ~.epth .. .... ],..'tN ........... i' Height ........ /.~.~ ............ Number of Stories .... l'. ............ utmensmns ot entire new construction Front ~ 0.' ..... Rear .. t'~{/ ......... Depth ../..of ...... i.. Height .... .8.". ........ Numb~er of Stories ....... ~; .... .. 9. Sizeoflot Front 7.~'''~. m~,- '7~~ .............. ,:,":,:"')d-),'~ ................ .... u', ..... l ..................................... ~epru ./.~. ¥ ................. 10. Date of Purchase .... .'J./.q.O....! ........ . ......... Name of Former Owner . .~-O.od.~.. ~.o~ ........ 11. Zone or ase district in which premises are situated ...... ~.~¢; .......................... d t g la di I ti A/. o ............... 12. Does propose construction viola e any zonin w, or nance or regu a on' 13. Willlot be regraded NO! ............................... ............................ Will excess fill be removed from premises: Yes 14. Nmne of Owner of premises .U~..TF~&'-~..OI,-I.~7~J. Address /.6/706. (/'~' ¢~.j/'g~ PhoneNo lg -q Name of Architect ; ^.~ .... ~at/~/~,'~c( ..... ,.. ...7 .~., l ......... Name of Contractor ~ ~ Address " Phone No - 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No...~...~ *If yes, Southold T~wn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all uildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block n ~mber or descriptioh according to deed, and show street names and indicate whether interior or corner lot. + STXrE OF cou 7 OF, ........ S.S ' 'i .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) (bore named. te is the ................ I .................................................................. ! (Contractor, agent, corporate officer, etC.) ~f said owner or owners, ~d is duly ~uthofized to perform or have perfo~ed the said work and to m~e and file this tpplication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the york will be perfomed in the m~ner s~t forth in the application filed therewith. ;worn to before me this I ANNE E. SPICER ................... day Of.. No, 41-4870818 ' · Ouallfied in Oueons Oounty , Oommission ~xplres Sept. 8, 19.J~ ota~ Public ..... ~,~ .... ...... County (Signature of applicant)