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Home My WebLink About32442-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31986 Date: 11/06/06 THIS CERTIFIES that the building ACCESSORY Location of Property: 175 SMITH (HOUSE NO.) County Tax Map No. 473889 Section 76 DR S (STREET) Block L- SOUTHOLD (HAMLET) Lot 23 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 16, 2006 pursuant to which Building Permit No. 32442-Z dated OCTOBER 19, 2006 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 "AS BUILT" ACCESSORY ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to TERRY & MAUREEN DEROSA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEIIT OF HEALTH APPROVAL N/A ELECTHICAL CERTIFICATE NO. 3001359 08/04/06 PLUMBERS CERTIFICATION DATED N/A ~~ Rev. 1/81 . Form No.6 TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to th,,:Building Department with the following: A. For new building or new use: . I. 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 2/1 0 of ] % lead. 5. Conunercial 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: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and co.nsent 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporaf)VCeiti.ficate of Occupancy - Residential $15.00, Commercial $]5.00 ~~ ~ ~11t ~ 1'(\ "-..IL.- New Construction: ~ Old or Pre-existing Building: Location ofproperty: v\ 6 ,,~""~ "!)",ae ~ . House No. ., Street Owner or Owners of Property: M '" W"....LtN-.. ~ \Lo \:) I:lI. Date. \~\ \,,\O~ \ (check one) ~~~ Hamlet Suffolk County Tax Map No 1000, Section "\ '" Subdivision JV\" ~ ,).... <dOOO:lt- }...\-t JL... Permit No. ~~ ~ ';r-~ Date of Permit. Health Dept. Approval: Block"\...- Lot "')..- ~ Filed Map. \\t~~ Lot \'1JL...r \~ Applicant: MIA.v..VI.U-\A. ~ r1.o~ \o~ . ~"'" V-\"'~~ t>\..~~}....) ~r\Yt~ Underwnters Approval: j. . '\, ~ .~ '\ .~ \\f\ "'PI" Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~ Final Certificate: ~ A I ~., '0' ",-","" ~ ,^A. 00 2:.. 3>1 <=1 ~ ~c;..'1\.2P\ OLSEN & OLSEN LLP 32495 MAIN ROAD PO BOX 706 CUTCHOGUE,NY 11935 -?,!) Ib, - c2 - a. ,,? l!I~.:!ImI4t'.l!I I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ MAUREEN DE ROSA MAUREEN DE ROSA ~ ~ 175 SMITH DRIVE S. 175 SMITH DRIVE S. ~ ~ SOUTH OLD, NY 11971 SOUTHOLD, NY 11971 ~ ~ Located at 175 SMITH DRIVE S. SOUTHOLD, NY 11971 ~ ~ ~ ~ Application Number: 3001359 Certificate Number: 3001359 ~ I Section: Block: Lot: Building Permit: BDC: n511 I ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ First Floor, Detached Garage, Outside, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted In accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcem~f1t and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 4tll Day of August, 2006. ~ ii!l Name OTY Rate Ratin. Circuit ~ I ii!l ~ Miscellaneous ~ ~ as built 1956 ~ ~ Alarm and Emergency Equipment ~ ~ Sensor 2 0 Smoke ~ ~ Appliances and Accessories ~ rn! Range 1 0 40 Amps @1 ~ Furnace 1 0 Oil ~ ~~~~ ~ ~ Outlet 6 0 Fixture ~ ~ Fixture 6 0 Incandescent ~ ~ Outlet 38 0 General Purpose ~ ~ Receptacle 31 0 General Purpose ~ ~ Switch 13 0 General Purpose ~ ~ Receptacle 2 0 GFCl ~ ~ Paddle Fan 3 0 ~ ~ Receptacle 1 0 30 amp Dryer ~ ~~ ~ ~ ~ 1 Phase 2 W Service Rating 100 Amperes ~ ~ Continued on Next Page 1 of 2 ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I 1il.il!ffi!ffi!1ii!lG!ffi!1il ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ Described as a occupancy, wherein the premises electrical system consisting of i electrical devices and wiring, described below, located inion the premises at: ~ First Floor, Detached Garage, Outside, ~ ~ ~ ~ ~ ~ Meters: 1 ~ An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to ~ be in comfonnance with the applicable reference standard for the estimated period of construction of the premises wiring system. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 1iI~ liIil!fiIDt..~JilIIiI ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 40 BUREAU OF ELECTRICITY FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by MAUREEN DE ROSA 175 SMITH DRIVE S. SOUTHOLD, NY 11971 MAUREEN DE ROSA 175 SMITH DRIVE S. SOUTHOLD, NY 11971 175 SMITH DRIVE S. SOUTHOLD, NY 11971 3001359 Certificate Number: 3001359 Block: ns11 Building Permit: BDC: Lot: A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcemejlt and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 4t1l Day of August, 2006. Name QTY Rate Rating Circuit ~ I Service Disconnect: 1 100 cb seal 2 of 2 . iii 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 COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32442 Z Date OCTOBER 19, 2006 permission is hereby granted to: M DEROSA 2280 MIDWOOD AVE BELLMORE,NY 11710 for "AS BUILT" ACCESSORY GARAGE AS APPLIED FOR 175 SMITH DR S SOUTHOLD at premises located at County Tax Map No. 473889 Section 076 Block 0002 Lot No. 023 pursuant to application dated OCTOBER 16, 2006 and approved by the Building Inspector to expire on APRIL 19, 2008. Fee $ 150.00 fiL:;-' (J4~ ( ~~uthorized Signature ORIGINAL Rev. 5/8/02 3 ~1f if ?-- Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING ~ FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: F~~ ~ o-k . / #- ,,~~ Q r...c~~f't?ry ~ ' /I~~J -- 0' DATE INSPECTOR ~. ~ FIELD INSPECTION REPORT DATE , COMMENTS W "'d - V l"l ----------------- ---------- -- ...c.: ~ FOUNDATION (1ST) -- -C.. G .., - 'It ------------------------------------ ---------- ~ ( ~t:~ f FOUNDATION (2ND) -- u__ 1-- ------------ ~'" \? "" - -.(l"l ;.. - - ------ - - -\- 2 - P ...j ------------- V'\ '" -- ______n_.._ VI ~ ROUGH FRAMING & ----....----- ~ l"l .., PLUMBING -- -- - - - - ----- __--00______-- ------- ----- --- ~ - ----- t/ --- ---- ------------------------- --------- ~ --------- ------ V1 == ~ ---..--..---- -------- l"l INSULATION PERN. Y. ------ - .., STATE ENERGY CODE - -. --- ------- G 1!J-:1~ . 0(" F~ JJ~ll1t u .. () L - ~ r ~ \~ U YJ-I-' . f6..-c~#7 -iY A _4A ~/JA -- -. V - '('\. -- -- -- -- ~ FINAL - --- ----- ---- ----..--------- -- - ------------------ ----- - ---- -------------- ----------- ~- ADDITIONAL COMMENTS - -------- ---______00- ------ ~ -- ------- -- --- ---- ----- J) ~ ------- -- - -- ____u_______n ----..- ------------ Z - ----- ~ m ----- --- ------ ------------ ------- ------ ;;U ----- --- ----.-- ----..----------..- ---___00- - ----- --- ---------- - ----------- ------- - -------- ----- -- -- - _____ n -- ------ ------------ ------ n________ ------- - _n ------ ------------ -K.l"l ------- --------- \ ~ ~~ - ---------- - -- -- Q. .., .... --------- 0 2 t---- -- - - ------- -- - ----- ---- ---- == I l"l _n_______________ -- ~f .---- - -- -- :1>~ --- ------ ------- ----- n -------- - ---- ------ .-- ------- -------- - ~ BUILDING PERMIT APPLICATION CHECK.LJJ Do you have or Deod tho fol1owiDg, bofmc applyir Board ofHoalth 3 setB ofBI1iIdlng Plans Survey, ~ Septio Form N.Y.8D.B.C. TnIsteea Contaetl , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL SOUTHOLD, NY 11971 TEL: 765-1802 PERMIT NO. . ~d'lf'f)b 10[.1.. 20 O~ I n~ 20...1'&.. ~~. J'ly"",;,.,"'li Approved Disapproved ale Mall to: Phone: /7~~ r-. \ !\, 0, , '1 ", ,\.~-\ \ 6 2'J06 .' \ I \ U\J " \ ~---,,\,,'.,_LJ .--1~..:......'-..:}..~':~'~:::'~-- a. This application MUST be COIl1Plete1y filled in by typewriter or in ink and submitted to the Builtl~g Inspector with : sets of plans, lICCUllIte plot plan to scale. Fee according.to schedule. b. Plot plan showing location onot and of buildings on premises, relationship to adjoiuing premises or public streets OJ areas, and waterwa)'ll. , c. The work covered by this application may not be Commenced before isSUllIlCCl ofBuiltling Pecnit. d. Upon approval of this application, the Buildhig ~ector wlll issue a BulJding Pemdt to the applicant. Such a pc:rmiJ shall be kept on the premlsesavailablo for inspection throlJghout the work. . e. No building shall be occupied or used in whole or in part for any pwpose what-so-cvcr until a Certificate of OCCllplU is issued by the Building Inspector. .' APPLICATION FOR BUILDING PERMIT. Date, \<l\\II\.ot.. .20_ INSTRUCTIONS APPUCATION IS HEREBY MADE to the Building Department,for the issuimce of a Builmngi'ecnit pursuant to the Bn;ltling Zone 0rdiDance of the Town of Southold, Suffblk CoUllty, New York, and licable Laws, Ormnomccs or Regu1ations, for the construction of buildings, ~tions, or alterations or for mnoval lition as herein described. The app1icaut agrees to comply with all applicable laws. ortlm.nccs, buildiJJa.code, ho . . , and reauh!tlons. and to admit authorized inspectors ~n picmises and in building for nccCssary'inspections. & ( of appllcaDt orDlllllO, if a Cotporation) 1'0 ~~ 717~ ~J.1;z: /V:~ , (MIiIiDg Iddres8 of ) ) J(k-' State whether applicant is owner,lessee, agent, architect, engineer, general contractor, electrician, plumber or builder , ./4tt{IflJ1""l' ~ PM7h '. ' Name of owner ofprernises (rIIJ11. n:tf..h 6- ;:63"- , . (as on the tax roll orlatest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location ofland 911 wflic)l p~posed wOJk will. be done: 1/<' :PI!:!!:!. 1l::J./I/t!.. tL, House Number Street , County Tax MajJNo. I ~ ~ection 1 !, Subdivision ('I ~mdf> tf'..py. Utd<. ~k:t~ )J Y Block V Filed Map No. J t,(, 3 Lot 7/3 Lot /37-. V- 133 State existing use and occupancy of premises and intended use and occupancy of PJ.'OPOsed eonstmction: 0< a. Existing use and occupancy &.:C\"l\'~ t!.~~"~ 1\ ~ \:3~ I' '. . t\ --"-- '\. [', \\ \ - ..~, b. .mtendeduseandoccnpancy lU.\..~' o...~o\'L,.~ ~ ~\'\..\\\ Nature ofwotk (check which applicable): New Building -f.... l.\.'~"''$. Addition Repair Removal Demolition " OTher Work: . .. ./'& Estimated Cost "\ \ ".::l~.4 . Fee , Alteration' -. (Description) If dwelling, number of dwelling units If garage, number of cars . €Y\"L (to be paid on filing this application) Nmnber of dwelling units on each floor . Ifbusiness, cOmmercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if ~ Front I ~ . "'\-. Rear Height \ ~"t- Number of stories ~. Dimensions of Same structure ~ alterations or additions: Front Depth "\.. .... . -s- Rear Depth Height Number of Stories. Dimensions of entire new construction: Front Height Number of Stories Rear . Depth Size oflot Front Rear Depth I>' Date of Purchase' Name of Former Owner 1. Zone or use district in which premises are sitUated 2. Does proposed construction violate any zoning lilw, ordinance or regulation: Vl '" 3. Will lot be ~graded Y') " Will exc;ess fill be removed from premises: YEs NO 4.NamesofOwnerofpremises.ft\~" ~~~~ \"11; ~~~.~. Phone No. 1L? (,.:n-.s. Name of Architect Address Phone No Name of Contractor Address Phone No. 5. Is tbis-propertywitbin IpO feet ofa tidal wetland? *YES NO . IF YES, SOUTHOID TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS' :OUNTY OJ.:>~4\\L4 . . . . . , \ . . \r""-~~,^"",,, D\~ t.~ being duly swoDi; deposes and says that (s)he is the applicant (Name ()fin dual signing contract) allo ed, . .. . . . S)He is the Nfl. n \-\-k..-.. (Contractor, Agent, COIporat~cer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; 1lIt all statemrmt. cont8ined in this application are true to the best ofhis knowledge ~elief; and that the work will be crfurmed in the manner set forth in the application ':filed therewith.. . wom'~:~~:ttn. 20K o/~~~~~J . Nctary. . LORRAINE KLOPFER Notary Public. State of NewVortr: No. 4828373 Quallfl.,Nn Suffolk County Comm...ion ExpIres Nov. 30. d2.~ ... LOT 82 LOT 85 LOT 86 LOT 87 I PIP REMNANCE: or WIRe FENCE: GEN'LY ON UNE: N 39'00'OO"E 100.00' ~ LOT 81 I 2 ~I c..nl -: ;:(I 0< o~ g" I :fE" 1.7' ROOf' OVERHANG AROUND GARAGE .S'TO PROP, LINE (J) c..n ~ ci o 0" o M 1.4' 3.1 ' 9.6' FRAME PJCKIT fENCE ~I cCiN'c'--' STOOP 3.3' fl.!)' CONCRETE . LOT 80 " ~ -. 0 -< ~ ONE STORY RESIDENCE . ~ N ~ '" " )> 10.1' U1 15.7' .. ' 'U J: CONe PAM )> ~ ~ W/RAlUNG ... 0 c;~ ~ ~ 2 CONe 0 S",P 0 ~ 9 c..n 0 ~ 00 9 ~ LOT 79 0 m "'~ !" !" <,:m 0 ~ ()) '" :-.J i 0 <0 -< A) ~ 0 ~ CONe ~ LOT 133 LO 132 MON PIP< T1E= 150,0' I S 39'00 00 W 100.00 ENO FENCE"""-- 7:6' O'v(R UNE ;l SMITH DRIVE SOUTH SURVEY Of LOTS 132 AND 133 IN MAP OF GOOSE NECK SIWA TE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. fM# 1663 DATE fiLED NOVEMBER 22, 1948 SURVEYED FOR: TERRY J. DeROSA MAUREEN DeROSA TM# 1000-076-02-023 SURVEYED: 1 7 MARCH 2006 GUARANTEED TO: TERRY M. DeROSA MAUREEN DeROSA COMMONWEALTH LAND TITLE INS. CO. SCALE 1 "= 30' AREA = 15,00D S.f, OR 0.344 ACRES GUNfAHTEES INDICATED HERE ON SHALL RUN OM YTO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF m THE nTLE COMPANY. GOVERNMENTAL AGENCY, LENDING fNSnnmoN, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENOJNG fNSnTU77ON. GUARANTEES ARE NOT TRANSFERA.BLE TO ADOITIONAJ..1NSnTVnONS OR SUBSEOUENTOWNERS. SURVEYED BY STANLEY J, ISAKSEN, JR, P.O. BOX 294 NEW SU OLK. N. Y. 631-73 ~58 5 UNAUTHORIZED AL~RATfON OR ADD/noN TO rnls SURVEY ISA VlOLAnoN OF SECTION 1209 OF THE NEW YORK STATE' EDUCAnON ~w. COPIES OF THIS SURVEY MAP NOT BEARING THE WID SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.