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Home My WebLink About22276-z d FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23293 _ Date OCTOBER 19, 1994 THIS CERTIFIES that the building ALTERATION Location of Property 620 PARADISE SHORE ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 5 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 1994 pursuant to which Building Permit No. 22276-Z dated AUGUST 23, 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & KATHLEEN DITTA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-042848 SEPTEMBER 30, 1994 PLUMBERS CERTIFICATION DATED N/A Building In pector // Rev. 1/81 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) Date ................. J.. �.......................... 19.. ... N2 22276 Z Permission Is hereby g anted to; !........�......................... r �.r............ .?n►. .!e1.1�.Gam........ .��fir/,......................... S %`'�f ,o%J..,c. ........1/ .................... C ..........l�N....l.`!YiJ� 03' / /;;"11L. ............ �'�,,� ��?t toes........ � ........................................ ............ ................................�.. ...... c...............................................................................I.................. .................................................................................................................................................................. .................................................................................................................................................................. ................................................................ 1`�•� ...................................................I............................. ,pA at premises located at................... ........... .......v.....i,/'......`. ....";...................... County Tax Map No. 1000 Section ......e0l�............. Block........ Lot No. ............................ pursuant to application dated ......... f%I�y .. ..... ...................... 19...f../......., and.approved by the f. Building Inspector. Fee$.....7 ` ....... '. Building Inspector Rev. 6/30/80 Form No. 6 N U E -;,; TOIM OF SOUTHOLD BUILDING DEPARTMENT OCT 6 7 1994 TO«v MALL 4 __ 765-1802 EiNd DEFT. j TOVVN OF SOSOUTHOLD u -�- APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. B. - For existing buildings (prior to April 9, 1.957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building 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, Accessor buildin Additions to accessory building $25.00. Businesses $50.00. y g $25.00, 2. Certificate of Occupancy on Pre-existing Building - $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 New Construction.. . . . . . . . . . Old Or Pre-existing Building. . :, • . . . . . . . . . . . • . . • . . . . . . . • . . . . . . . Location of Property. . . °��. ; . . . . . . . : �rt . -� . TAG, . . . . . .1v4. ;9-kA House No. Street _ Hamlet Onwer or Owners of Property. .�olo�l. . . . `:. . . . . N. ..... I�lt]. . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .7.i. . , . , . . . .Block. . . .5 . . . . . . . . . . . .Lot. . . . . . . . . . . . Subdivision. . . . .''. . . . . . . . . . . . . .. . . . . . . . . . . . . .Filed Map. . . . . . ... . . . .Lot . . . . . . . . . . . . . . . . . . . . . . ?ermit No. ."? Sj:1.�?'. . . . . .Date Of Permit. .�'�, ��* 1 . . . . . 0C2rl i . NC.R .Applicant. , , , , . . . :1eaith Dept. Approval. . . . . . . . . . . . . . . . . . . .Underwriters Approval i!&As?54,!) . . . . . . . . . . . . . . . Tanning Board Approval. .�A. . . . . . . . . . . . . . . . . tequest for: Temporary Certificate. . . . . . . Final Certicate. . 'ee Submitted: $. �. . . . . . . . . . . . . . . . . . . . , ' . � .._ . '.. . . . . . . . . . . . . . .. . . . .. . . . . . . . . APPLICANT-;- A� J 5 o��g�fFO(��oG y� Town Hall,53095 Main Road y = Fax(516)765-1823 P. 0. Box 1179 & • Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 13, 1994 Mr. Robert Ditta 11 Cambridge Drive ; Smithtown, NY 11787 -y' OCT 1 71994 r t !VVN of SQIJTF,r _` 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 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 # 22276-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8049289 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date SEPT EMBER 30,1994 Application No.on file 85330594/94 H 042848 THIS CERTIFIES THAT 'only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ROBER.T DITTA, PARADISE SHORE ROAD, S,OUTHOLD, N.Y. in thefollowinglocation; ❑ Basement 1 Ist Ft. ❑ 2nd Fl. OUT Section Block Lot was examined on SEPTEIMER 26,1'994 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 2 2 2 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL I H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1.0 YW 10 3W 3 6 3W 3,B'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER AY OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: ROBERT DITTA 11 CAMBRIDGE DRIVE SMITHTOWN, MY, 11787 GENERAL MANAGER 11 Per r This 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 CRUST NOT BE ALTERED IN ANY MANNER. ,65.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ J ROUGH PIBG. [ j FOUNDATION 2ND [ ] INSU ION [ ] FRAMING INAL REMARKS: DATE / IN8PECT0 FOL��O Gy< Town Hall,53095 Main Road y = Fax(516)765-1823 P. 0. Box 1179 W Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 13, 1994 Mr. Robert Ditta 11 Cambridge Drive Smithtown, NY 11787 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 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 # 22276-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. m 0UZIDATIO*1 ( 1st ) • I cCn � '0U14DATI011 (2nd ) ;OUCH FRAIME & •PLUMBING -3 ccl n ' _iISULRTI0"It PER N. Y. I - • '� STATE ENERGY CODE FILIAL • o ADDITIONAL COMMENTS : s - X ON ^o y BOARD OF HEALTH . . . . . . . . {S 'F FORM NO. 1 3 SETS OF PLANS . . . . CI1(; 51994 ' TOWN OF SOUTHOLD SURVEY . . . . _ _ _ . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . _ _ _ _ . . . , OF TOWN HALL SEPTIC FORK _ . . . . . . _ . . , _ B DEFT. SOUTHOLD, N.Y. 11971 TOWN OF SOUTHOL�D / TEL.: 765-1802 t:oT Z F'f :CALL `t�•/(o,��7-I �`G) j f Examined . . . . . /. . . . . . ., 19 .�� t1A I L TO : • . . . . . . . . . 11 Cfhn64;G1�^e Approved . . . . . .��3 . . . . ., 19�//Permit No � ', ,iG�,v _Sm Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T . . . . . . _ . . �. . . :J. . . ing Inspector) APPLICATION FOR BUILDING PERMIT ,p l l Date . o:r.�l:qy. . . . . . . :, 19 . . . I INSTRUCTIONS a. This application must be completely filled in by typewriter 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 stieet. 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 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 permii 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 Occupanc'.. shall have been granted by 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 laws, ordinances, build' g code, hou g e, and regulations, and to admit authorized inspectors on premises and in building for necessary insp do s. (Signature of applican or name, if a corporation). . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . ✓... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . ... . . . . : . . . . :. . . . . . . Name of owner of premises . . . ° `1?eil/ fl . �j' . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. A" A$N ® DATE: ' . (Name and title of corporate officer) • - NOTIFY BUILDING DEPARTMENT AT Builder's License No. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: Plumber's License No. 1. FOUNDATION TWO REQUIRED • " ' " " " " ' FOR POURED CONCRETE Electrician's License No. 2. ROUGH - FRAMING & PLUMBING . 3. INSULATION 4. FINAL - CONSTRUCTION MUST Other Trade's License No. _ • • • • • • • - • • • • BE COMPLETE FOR C:O: ALL CONSTRUCTION SHALL MEET ]. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . THE. jiPQUIREMENTS .OF THE N.Y. . 6 TIO ) � oca' &' UrN > r 2 . . . . . . . . . RESPONSIBLE FOR� s5 y ier. . . ? . . . . . �. . . . . . . . . . House Number Street 0STRUCT®N 'ERRORS p County Tax Map No. 1000 Section . . . :� �. . . . . . . . . . . Block . . . . 0.66 . . . . , , Lot . .9Z . . . . . . . . , . , , • 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 . . . . . .we , , , • , . . . . . • . . . . . . . • . . . . . b. Intended use and occupancy 5A.'.`.L.��` . . . . . . . . . . . . . . : �..... . .,1 ::.: : . . . . . . . . . . . ------ �\ 3. Nature of work (check which a `•`.�: " pplicable): New Building Repair . . . . . Re ' ' ' • - :addition . . . . . . . . . . Alteration Removal . • , • . , _ .. _ .. .. Demolition Other Work . . . . . . . . . . . . . . 4. Estimated Cost . . l fda• (Description) . . . . . . . . . . . . . . . . . . . . . . . . Fee (to be paid on:fili' If garage, number of cars ris`-this:.application) 5. If dwelling, number of dwelling units . . • . . Number of dwelliit. . . . . . dwelling units on each floor . - • • • • . . . . . . . . . 6. If business, commercial or mixed occupancy, s ecif . . • • ' ' ' ' ' ' ' ' ' ' • • ' . • • ' 7. Dimensions of existing structures i specify nature and extent of.each type of use . . . . . . . . . . . . . . . . . . . . f any: Front . Rear Height . . . . . . . . . . . . . . . Number of Stories . . . .... . . . . . . . . . . Depth . . . . . . . . . . . . . Dimensions of same structure with alterations or a.ld' . . . . . . . . ' ' ' ' . ' ' ' ' ' . ' ' ' ' ' ' ' ' •' itions: Front Depth . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: g�,.yt ' ' ' ' ' • • • Number of Stories . . . . . . . ruction: Front Rear; Depth , . • • - 9. Size ht . :Number of Stories . . . . . . . . . . . . . . . of lot: Front . . Rear. . . �' ' p : ' ' ' 10. Date of Purchase . . . Depth � , q�. . . . • . . . . . . . . . . . . . Name of Former Owner ?,k7 t>• � • . . . . . . .11. Zone or use district in which premises are situated - .12. Does proposed construction violate any zoning law, ordinance or regulation: N. .� - • • • • • .13. Will lot be regraded R/t?, , . . . Will excess fill be removed from premises: • . • • .14. Name of Owner of premises . .�,��-c' �t.7tr Yes No Name of Architect .1 . . . . . ' • • •Address . . . . . . . . . . . . . . . . . Phone No. . . . . , , , • • Name of Contractor , • • • • ' ' ' ' ' ' ' ' • • • Address . . . . . . . .. . . . . . . . . . . Phone No. . . . . . . . . . . . 15. Is this property within . . . . • • • ' • Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . P P Y 300 feet of a tidal wetland?• 9cye8• , No„*If yes, Southold Town Trustees Permit may be required. PLOT � - PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. set- ack dim ensions fro property lines. Give street and block number or description according to deed, and howlst stcate reet namesand indicate whetherm interior or corner lot. s.m+. er.•.ev..ro... �r„1•.�Yy-..n._.•...rn..cra....+.u. •vffiL'r.� j.35 t...A.r �rti •s, d c � •' . y�� 'J'i�'.:E:.j'.i^i�st,At 4,`'riitP�'f..t.i."„k•i° ' F'1VEW_ STATE b yp " a; • . . . . . . . . being duly sworn, deposes and says that(Name of rn'i vid:ugP igning contract) Y he is the applicant -hove named. fe is •(Contractor, agent, corporate officer, etc.) • • • - • • • - • - ' ' ' ' ' ' ' f saidlo�yp ror;;o:wneis;�andris dilly='au.thorized to perform or have performed the said work and to make and file this 'plication; that all statements contained in this application are 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 therewith. :=orn to before me this ' • . . . .day of. S ' 1 A� Mary Public, . . . . . County CLAIRE L GLEV Notary Public.State of New York . . . . . . . . . . . . . . . . . . . . . . . . . .. No.4879605 Qualified in Suffolk County (Signature of applicant) Commission Expires December 13,19 ;....Lr_J ., i.. r I I n „!• I I it t '! TI',TOWN;OFSOUTHOL'Dtrr — • AN •I I :I � ') ' i .. ..._._ � ,—I�- rl� ,i .I.� r `•'.1 'lii!I•'i1"_•i, �I. • .I V7 • ��a�•�_' mob'-^ I I ,� 1—=-��-- � �•� I I I•' I I ICI ;_;.•' I ram+_ r_` -t C __M, c� r'_l A_�ti.C..- - _:Mf 4 �.� � i .i. i !� �. f � k`xlS'S11•t G K Y �'I� —; kJ I' U ,• , �i l ,I,'i_�.•''�� ; ''1 ' ' ,jjic�• •L3L•�• �(�c:V�� • ', � ` '',dCl T`!N ��__ � _._..___- _- I I ' 1 ' •li'eii��'I,I i� n i«- .. i� i ., .. .�! —1� .,�f ,•'i I''