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Home My WebLink About13708-ZFORM NO. 4 TOWI~ OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33937 Date: 09/03/09 THIS CERTIFIES that the building ADDITIONS/ALTERATION Location of Property: 335 HILL RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 70 Block 4 subdivision Filed Map No. __ Lot No. __ SOUTHOLD LOt 31 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 25, 1985 pursuant to which Building Permit No. 13708-Z dated FEBRUARY 26, 1985 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 AND KITCHEN ADDITION/ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROSE SANM of the aforesaid building. ( OWNER ) SUFFOLK COUNTY DEPARTMENT OF HEALTH A~PROVAL ELRt-rKICAL c~TIFICATE NO. PLD]~ER~ CERTIFICATION DATED N/A 3961-H O7/3O/O9 07/31/09 HENRY SMITR ~~u~gnature Rev. 1/81 IOB,~ NO. B 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) No 13708 Z Permission is hereby granted to: ............ ::::::::::::::::::::::::::::::::::::::::::: at premises I°cated ~/t ": ........ "~' '"'~" '~" '" ~' ' ~'"~'""~ ................................. 7: ........ ~., Tox Mo, No. lO00 ~c,,on ~7"~ ........... B,~k ...~.~ ...... ~,o...~..;/... ......... pursuant to application dated ...J.~..... ....... dE ............... , 19 ..~....Tand approved by the Building Inspector. BuiEJlng' Insl:~ctor Rev. 6/30/80 TOWN OF SOUTHOLD Building Department Town Hall ,~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted-!c~+~l~to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing ail property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant ~and C.O. .$. 5.00 Date ..... ....... New Building ............. Old or Pre-existing Building ~' Vacant Land Location of Property ........ ~-" r~ o -/'P¢o ,~ -- Owner or Owners of Property .......... ~ (.-~- i-J ~ County Tax Map No. 1000 Section .... ~ .~J..~. ..... Bl~ck.. ~L Lot (~'~1 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.[ ,~.~..O..~..~... Date of Permit¥..'~..l?.~..Applicant .... ~1~:,. ~ ~ ~. .............. Health Dept. Approval ........................ Labor De. pt Approval ........................ Underwriters Approval -- Planning Board Approval Request for Temporary Certificate ...... :~...'. ........... Final Certificate ....................... Fee Submitted $ ............................. on above described building and permit mee~ a,]~plicable codes and regulations. Construction Apphcant ...#.... ..... kJ ~ ................................ ..,. ,e-,o,a 'b'7 Town Hall 53095 Main Road P. O. Box~179 Sou~hold, New Yo,~ i 197! Fax (516) 765-1 Te~'eohoce 5i6) 765-~802 OFF~CE OF THE BUILDING TOWN OF SOUTHOLD CERTIFICATION (~Zease ~rint) i certify that %he solder use~ in ghe wa%er supply sysuem contains less than 2/10 of 1% lead. Sworn to before me this ~[$1" d~y of ~ , ~a~r Notary Public~ _ ~~ County ~~ ~~ LINDAJCOOPER NOTARY PUBLIC, State of New York NO. 01 CO4822563, Suifolk Cou~ Term Expires Becember 31, 20~ Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York 4. 11931 Tel: 631-591-3097 Fax: 631-591-3098 Application: 3961-H Date: 7/30/09 Issued to: Sahm Address: 335 N.Hill Rd Introduced By: Village: Southold Licenss~: N/A H/O Residential [] Commercial The following wan examined and approved up to the above date end bund to bo In compliance with the NEC: Attic 1st Floor [] 2"d Floor 3r~ Floor Garage Conversion Basement Hot Tub Addition [] Detached Garage Pool Switches Recepteolc Fixtures G.F.I. Microwave Hood Smoke ~ 6 3 3 2 Fans Dishwasher Washer/Amps DE.r/Amps Oven Rang~/Amps C~oen Monoxi~ I Furnace Oil G~ Heat Zones Whirlpool Exit Signs Limited lnsp. Final Insp. Meter Amps Phase Motors 7/29/09 7/30/09 Kitchen Addition & Renovation PermitO: 13702-2 Section: Block: Lot: This certificate must not be altered in any manner FIELD INSPECTION ' FOUNDATION (~ FOUNDATION (2nd) ROUGH FRAME & PLUMBING II~SULATION PER N. STATE ENERGY C,ODE 4. FINAL ADDITI NAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN/SULATION [ ] FRAMING [ ~FINAL [ ] FIREPLACE &CHIMNEY MARKS: DATE /~//'~.~ 765-1S0,/ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION2ND [ ] INSULATION ~ ,RJ...o ~;~J~ C~) [ ] FIREPLACE & CHIMNEY REMARKS: ~~ '~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ].~OUNDATION 2ND [ l,,"] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ~FINAL [ ] FIREPLACE & CHIMNEY RrMA~RKS: ~ 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. DATE INSPE / '~ ~ FORM NO. I _)~ TOWN OF SOUTHOLD r-~ BUILDING DEPARTMENT TOWN HALL ~. SOUTHOLD, N,Y, 11971 TEL,: 765-1803 Approved ..... I92 Permit No.,/. ¥ Disapproved a/c ~ r) Date ... 19. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buiidi Inspector, with 3 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl: cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc'.'al of this application, the Building Inspector will issne a Building Permit to the applicant. Such peru shall be kept on the premises avadable 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 Occupan shall have been granted by the BuLtding Inspector. APPLICATION IS ttEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demol~,en3 as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing cffde, a)~d regulations and admit authorized inspectors on premises and in buildings for necessary inspections. ........... .... .......... (Signature of ~,pplicant, or name, if a corporation) '...~. ~..t).U.-...-~...°.7,..4:,,,.~. 9...~.'.~ ............. (Mailing address of applicant) State whether applicant is oxvner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, ................................ ...................................................... Name of owner of premises ........................................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nmne and title of corporate officer) Builder's License No ....... [.I..~. .............. Plumber's License No... "'~ (~' Electrician's License No. ~..'4,-'l. [~. Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..................... House Number Street Hamlet County Tax Map No. 1000 Section ....... .'Z. 0 ........ Block .... .~. ............ Lot .... .'~../. ......... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy t ~ . ~r-5 b. Intended use and occupancy .... t ~L)~,~,, t~.,,'3 ~ ~*0°~ ............................. ~,!~3, ~. ~ ............. 3. Nature of xvork (c2qeckwhiel~a~plicable): New Building .......... Addition ....yr. ..... Alteration .......... Repair . '~ 3' .~4.. l~emoval .............. Demolition .............. Other Work ............... .. ,i, ~ ~.~'~3 ~--~ (Description> Estimated Cost e....~ ~ ° Fee (to be paid on filing this application) ;. If dwelling, nmnber of dwelling units ....... I ........ Number of dwelling units on each floor.. If garage, number of cars ........................................................................ ;. If business, commercial or mixed occupancy, specify hature and extent of each type of use .... .---.....:_ ........... ;. Dimensions of existing structures, if any: Front .... ~..'~'..'7?.. ~... Rear ...~.~..-.o..~._ .... Depth ...~.q :? .~, ..... Height . . .~.~...-?..% ..... Number of Stories t Dimensions of same structure with alterations or additions: Front ~'%"~ *" Rear ~,.'~, --o * Depth ..... .~'~. 9.??. ~ ......... lteight .... [ .~. 5~..*.- .......... Number of Stories ..... ! ................ ~. Dimensions of entire new construction: Front .... lt..'~..'-?. ~-.... Rear ......~..'~.."?..*.-.. Depth . .%~.9.~?..~, ..... Height .. ?.~...'Tq...m-. .... Number of Stories ...... .~ ................................................. 1. Size of lot: Front ....... .~ .I.o. :.9 ........ Rear ...... I.~.o.: ?. .......... Depth ...~..~--. ?.?. ~ .......... ). Date 6f Purchase ............................. Name of Former Owner ............................. 1. Zone or use district in which premises are situated .................................. ) .................. !. Does proposed construction violate any zoning law, ordinance or regulation: ..... Y~ ~.- ...................... t. Will lot be regraded ...... ,~..s~.~ '3,'. .............. Will ex,,ess fill ~.¢ removed from premises: .. Yes._ ~t.Name of Owner of premises ~..~.~.~..~. ?..~..'~ ........ Address . .1~o?.~..l .~'.9 ......... Phone No."l.~'. 5.': .~..~.~. ..... Name of Architect ......... ~..-p .'-5. .............Address ...... ' .... ' ......... Phone No .... .2 ...... ~ ' Name of Contractor .... ..dO.:..I.c:-. ?..~9..%-'9 ........ Address"~.~.~! t..~.~?, y.q~.¥->.. Phone No.-1 .~h .-..-z...............-~..~ .~ .... PLOT DIAG R/~M Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back d~anensions from roperty hnes. Give street and block number or description accerding to deed, and show street names and indicate whether terior or corner lot. rATE OF NEW YORK, OUNTY OF ~ ...... S.S ..... /79 ! ¢./i'//.F--~....t~.O..rUt...~.~? .................... being duly sworn, deposes and says that he is the applicant (Name of indMdual signing contract) ~ove named. is the ......................................................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application a~e true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed t!~erewith. worn to before me this ~ O~Pfi'a ...day of .~.~ .~ 19 ff,5-- o t ary m u blic ,(~.~i.~ r ..... ~uuty (Signature of applicant) /'-....4/ I I APPI~G~'F..D AS NOTED / ~ NOTI~ BUILDING DEPARTMENT AT 765-1802 9 A~A TO a P~ FOR THE FOLLO~4/~'G i~PECTIONS: 1. FOUN~ATION - ~O REQUIRED FOR P?UR~D CONCRETE 2. ROUGH - F~ING & PLUMBING 3. INgU~T~2~ 4. FINAL - C'?'FTRUCTION ~UST BE CO,~?P~ ~T~ FOR C. O. ALL CONSTRL]CTION SHALL ~E~ THE REQUIREMENTS OF THE N.Y, ~ATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CON'RUCTION ERRORS,