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Home My WebLink About22331-z I, FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23625 Date MAY 11, 1995 THIS CERTIFIES that the building ADDITION Location of Property 65 LAKE DR. & 3405 KENNYS RD. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 5 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 25, 1994 pursuant to which Building Permit No. 22331-Z dated SEPTEMBER 15, 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 SECOND STORY ADDITION TO EXISTING ONE FAMILY DWELLING AS , APPLIED FOR. The certificate is issued to MARIO DiSANTO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-344973 - MARCH 8, 1995 PLUMBERS CERTIFICATION DATED APRIL 13, 1995-FRANK,GIANCONTIERI Building TAspvocsinorll 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 AUTH RIZED) Date....... ...... ........................................... 19 . N° 22331 Z Permission is hereby granted to: � .o.:.. ... .�................................. ?.. ......��9....... ...... I.. 1.a .....1.�`?...... i " ....;.... ... ?c/, ............�. ......�!�v.. .1 ..... . ... Sir..... . ........................... /4-s ............. .. .//G.. .. ....W...f ./z. ............................................................................. .................................................................................................................................................................. ''..`�.P..�... ..................................................................... at premises located at........ .. .... ... .. /�.j . . t ..... ............................................................ ........................................... .� s ........ .`. ................................................ County Tax Map No. 1000 Section ....-5..�........... Block..... ............ Lot No. Z ............... pursuant to application dated ��- Z ............. 19..d...f�.�...., and approved by the ............................. ............. Building Inspector. Fee$... ................ Building Inspec r Rev. 6/30/80 Form No. 6 - ---- 'F— C TOWN OF SOUTIIOLD -�_�__,,, BUILDING DEPARTMENT TOWN HAIL APR 18 1995 765-1802 � 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 electricasl installation from Board of Fire Underwriters. 4: Sworn statement fromfplumber certifying that the solder used in system contains I ess 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. 1B. For existing buildings (prior to April 9,'.'pre-existing" land uses: 1957) non-conforming uses, or buildings and 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, 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial $15.00 ^z Date . . . t. . . . .15 New Construction-V. . . .5� :�„ Old Or Pre-existing Building. . . . . . . .......... . . . . . . . . . . .. . . . . . . . . Location of Property. . . . .('. .5. . . . . . . . . . . . . . . . . .�.. . .IL�. . . . . . . . . . . . . ,1 crv. Ald. House No. Street (� Hamlet Onwer or Owners u f Property. .mr. .t,m r5. . . , f 1 1 kr►`b. . . . ,u J \SC,n . . . . . • . . . . . . .. - . . • . . . County Tax Map No 1000, Section. . . .s . . . . . . . .Block. . . . . .. . . . . . . .Lot. . .`. .I • . • . . . . . . • . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fil.ed Map. . . . . . . . . . . .Lot . . . . . . . . . Permit No.�2 3 �, ;, ,Z, , ,Date Of Permit. . S M C��` . . . • . . . . . �. . �. . . ��.1. . . .Applicant. '! `� . . . °r:Y. . . . . . . Ilealth Dept, Approval. . . . . . . . . . . . . . . . . . . . . . . . . . Approval. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval.. . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . Fee Submitted: .)-5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � ' Y9 � gj . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . AT)nr T-.•r•.. Town Hall, 53095 Main Road ; ? Fax (516)765 1823 Telephone (516)765-1802 P. O. Box 1179 Southold,New York 11971 MAY - 31995 OFFICE OF THE BUILDING INSPECTOR L TOWN OF SOUTHOLD T01,f;ik1 OF SOUTH OLD C E R T I F I C A T I O N DATE: Building Permit No.. _2- ,Owner (p-lea"se print) Plumber: TAA111A �1 '00Al,l ic1` (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead.. (Plumbers Signature) Sworn to before me this ._...__day_.o.f... � 1 � Notary Public, County PAIA I,13RACKEN i�b^ary Public,State of New Yor}t No.� -5412890 Qualified in Suffolk County s0OMimission Expires Mar.30, 1996 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000954 BUREAU OF ELECTRICITY r- 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date MARCH 08,1995 Application No.on file 86400894/94 N 344793 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 MARIO DeSANTO, 65 LAKE DRIVE, SOUTHOLD, N.Y. in thefollowing location; ❑ Basement ❑ lst FL ® 2nd Ft. OUT Section Block1000 Lot 59-F 24 was examined on MARCH 06,1995 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 9 15 9 9 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL 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 1,U 3W 3 0 3W 3 X 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A•W G. EQUIP• PER 0 OF CC.COND. OF HI-LEG Of NEUTRAL OTHER APPARATUS: ELEC. ROOM HEATERS:3-2.0 K.W. ,1-1.0 K.W. ,1-.75 K.W. G.F'.C.I:-2 SMOKE DETECTOR:-1 B EACONLECTRIC CO. LTC.#865 ORD AVENUE UA, NY, 11758 GENERAL MANAGER— 11 Per tered 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 MUST NOT RE ALTERED IN ANY MANNER. o�O�VFfO(��OG Town Hall,53095 Main Road y x Fax(516)765-1823 P. 0. Box 1179 �O • Telephone (516)765-1802 Southold, New York 11971 ifi O� OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 5, 1995 Michael Dedona P.O. Box 512 Easthampton, N.Y. 11937 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. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22331-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765.a802 BUILDING DEFT. INSPECTION ( ] FOUNDATION 15T [ ] ROUGH PLB . [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING INAL REMARKS: DATE rINSPECT 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REM S: DATE 9 9 INSPECTOR � T65-1802 BUILDING DEFT. INSPECTION' [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING FINAL REMARKS: DATE � IN8PECT0 ass-isoz BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND INSULATION [ l FRAMING [ ] FINAL REMARKS: Zn DATE /G/ /7L�INSPECTOR ✓i 3 M•iaoi BUILDING DE". INSPECTION [ ] FOUNDATION 1ST [ ] ROU LBG. [ ] FOUNDATION 2ND NSULATION [ ] FRAMING [ ] FINAL REMARKS: . , DATE / INSPECTO � 3 3 /.o. 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION �IFRAMIND [ ] FINAL . REMARKS: (emu 'L [2o- DATE INSPECTOR M.1802 BUILDING DEPT. INSPECTION 'e""" [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION FRAMING [ ] FINAL- REMARKS: fivte` ,/Idpo 9'� DATE IN8PECTOR • 1 �.e /♦ � �i / /.ram.�_ / � /1.i/L , MA r i!��./ 4, _ i�r PF �. , BOARD OF HEALTH D . . . • . - FORM NO. 1 3 SETS OF PLANS E p`�r,. 2 51994 ��' TOWN OF SOUTHOLD SURVEY • - E' 1 BUILDING DEPARTMENT CHECK . . . . . _ _ - - . . . . - BLDG•®EPT' TOWN HALL SEPTIC FOR.I _ - - . . . . • . - - . - TO�►�pF S0U` ViOLD '"" SOUTHOLD, N.Y. 11971 • TEL.. 765 1802 t:OT I FY ; �-q - . . . . . CALL 11 (J_ Examined . ,�, , ,/• • , .� 19 J� '? / .. t1A I L TO Approved . . . .� �J c✓t . . . . . . - . . . . . . . . . . . . . . . . . . . ., 19 Permit No . . Disapproved a/c . . . . . . . . . . . . . . : . . . . . . i . . . . . . - - • . . . . . . . . . . . . . . . . . ... . . (Building•Inspector) - P (CATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .119 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter Orin 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 buildings 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 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 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 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspAcfi t s . ,• . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) (Mailing address of applicant). State whether applicant is owner, lessee Cage:J;1architec' t, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . :. . . . . . . Nance of owner of premises G •�, . • , �- o S e,.� 1 �i-� : 0 S�^ �v (as on the tax roll or latest deed) • • - If applicant is a corporation, signature of duly authorized officer.' - • . • • . (Name and title of corporate officer) Builder's License No.. . . .{.a� , ' N • , Plumber's License No. . I oC ,� • fL • •(�(`Qb1 C0►�Llr Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . . . . . . J'e , 0 . . . . . :. . . . . . . . . � . . . . . . : ... . : . . . . liouse Number • • • • Street Hamlet Count Tax P � ..� . . . . . . . .. . . . . . .� : 0 Y Ma No. ]000 Section Block . . . . . . . . . . . Lot . . : k . . . . . . . . . . . . Subdivision . . . . . . . ... . . . . . . . . Filed h1ap No. . . . . . . . . . . . . . . Lot (Name) . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy . . . �.�J!�J. . . S�k. . . . . . . . . . . . . . . . . . b. Intended use and occupancy ��e. •3. Nature of work (check which applicable): New Building Repair . . . . . . . . . . . . Re . . . . . . . . . . Addition ... . �?�. . . Alteration: �. . . . . . .Removal • , , - , , , , , , Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . 4. Estimated Cost . . I . U (Description) . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . Pn_.f1. , , , , , , Number of dwclling,units.oii each floor If garage, number of cars . . , • , 6. If business, commercial.or mixed occu anc s ecif • . ' ' ' ' ' ' • • • . 7. Dim � P y, P. y nature and extent of type of Lisa.. '.ensio of existing structures;if any: Front-.'. Y�;}; at ' ' . C� ! Rear «+ .p •g . • o�-. . Height . . . . . :«�;• , . Number of Stories . C?,r De. th, .:2. . , , , , , • . . • • Dimensions of same structure with alterations or additions: Front j", , �}- • • • � ' . ' ' ' ' Depth .�.�. ..�ct . . . . Rehr . - �• f`. .. . . . . • . . . Height . .�:�. �—"��; . Number of Stories • 8. Dimensions of entire new construction: Front .2,1,E 6.1) G J, Height .a. J:5�:�: . . . . . . . . . . . . . . Rear . . . . . . . . . . . . Depth .� . .�:`.�. Number of Stories one, 9. Size of lot: Front Rear: . • " " " " " .;, . Depth • . . . 10• Date of Purchase . . . . . . : . . . : . : . . : . . . . . I • • . . . . . . .� ,�. . .�. . .�. : . . . . . . . . . . Name of Former Owner. . Sc; Oes ,oSl ,• • . . . . . . . .11. Zone or use district in which premises are situated . . . . . _ ' ' .12. Does proposed construction violate any zoning law, ordinance or regulation: .l.V`q . • • � • • • • � • � • • • • • • • • ' ' 13. 'Will lot be regraded . . �!'D . • . 14. Name of Owner of premises )?1rs '-�b\Sh . ' ' ' Will excess fill be removed frppm premises: Yes •`� . . . Address d-5. h: - P!- S°��'+�;�?. Phone No. 7G 5 l0PA o Name of Architect . Address '^�0�� 1:.� Z C��s� � • • � • • � ' ' - • • • • • • • • Phone No. , , , • - . Address weo i_ k A� Phone No.�. �sli� 15. Name of Contractor Is this property within 300 feet of a tidal wetland? *Y es. . . . No. . . . . . . . . • *If yes,- Southold Town Trustees Permit may. be required. - ' PLOT DIAGRAM Locate clearly- and distinctly all buildings, whether existing or proposed, and-indicate all set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate whethm er interior or corner lot. STATE OF NE�R �:OUNTY OF . . . . .GC k_S•S • • • / �-' - C6f. . • • • • e.(j 0A- C . . . . . . . . being duly sworn, deposes and says (Name of individual signing contract) p ys that he is the applicant rove named. - le is the (Contracto agent, corporate officer, etc.) ' • ' ' ' ' ' f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this PPlication; 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. worn to before me this . . . day of . . �G . . . . . . . otary Public • .\. . . . . County CLAIRE L GLEW Notary Public,State of New York. ' ' ' ' • ' ' ' ' • . • • - • • • • • . . . . . . . . . Noin Suffolk (Signature•of applicant) Quaiified,in Suffolk County Commission Expires Decembfrr 8,19, TITLE No. o � 9 9- D SS• _ 1• b�l .. � v' .30 ..• S , 9 10 o"019v CM 1E e V <� CP 04 l Tie_<�.re_ e t1 iA10 _ — r/ h0 1�Prro D MAP OF PROPERTY AT %o faro/,C' Co✓"y�P 7° �s E.WIc4 �9 GUXANTEEE0O � q; r ^' t T67e %if/C ivJsov.0„�Ff Co:ao��.y'y �i �i V• 1y.� O� 1=0R IANO SJ� 1/1 1z4c—:i NEW YORK STATE LICENSED :te PROFESSIONAL LAND SURVEYOR 189 SEARS ROAD VEST ISLIP. L. I.. N. Y. 11795 BOX 291 o No. 2 TEL 669•4952 — ni1AOGNTF9: NnT Ton Necevnal' ExI bT I K4 6 EKtST G LOS. ~ EY--l J-rlu(n LVI -Kn. Misr 13r r1M_. ~1 I S T - L - - - EkiS'r LLOS, - T P T E REMOVC.'Cj U~ NEiW 5t-V) PLUMBER CERTIFICATION TgHZS N ON LEAD CONTENT 43EFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER 7D SUPPLYSYSTEM CANNOT 5-TT r s r: c 7 M. EXCEED 2110 of I% LEAD. ~bATH c r ~ ~I OT //J - ~ C LOS. _ F I R5T F Low - L,&, f-! SGAL>= - - + CF~IS-rItJ.U) PLUMBING I't -cicl5-rl uCs _ _ 2 I'_ Co~ N E~ ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING N copper tubing is used Z for water distributing system; piping shall be I - of types K or L only S z+oTZ- 2 V V6 C Jun nr.. NH v, moan n 57K ~ mfr Ca A~7 1~ l 71 O ~ URQJRWRITERS CERTIFICATE ~I - REQUIRED NDTED '`I-V K.NI 'ROOF cis ,~1~1 ('t DATE: B.P. N / FEE. BY. L ~ OCCUPANCY OR N OTIFY BUILDING DEPA ENT AT LAOS LLJ S. + 785.1802 9 AM TO b P FOR THE ~~~iL~os. uu. LLOS -o`wiu I 30' FIiIJ USE IS UNLAWFUL FOLLOWING INSPECTIONS: FOR POURED CONC CERTIFICATE 1. FOUNDATION - TWO REQUIRED OUGH - FRAMINGR&TPLUMBING WITHOUT 2. R 4. FINAL - CONSTRUCTION MUST ~ ®~~U~~_7~pv~ ,lt~ 3. BE COMPLETE BE COMPLETE FOR C O ALL CONSTRUCTION SHALL MEET bT. .0 N v l THE RFOUIREMENT9 OF THE N.Y. 7h ? ~ Doi u i r, STATE CONSTRUCTION & ENERGY U,00ES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS it vL 9'-o 401"- 5.O' '~i~ g id vL 91 S~GOt1~ 7LDOT rLP til SLAL~ I' 0" N 7t 1710 fJ~ ~ I nn r Y C PI b?\Q-FO A 'ITI Oki M. bET->D~JP. I ~I L, I i2 Y~\O .T~ 5~+ I NsuL 2'c-~U' Yic6 ALL LLGS. 'riltt I-1 A.L -b• ,J a.LL~• I III ~~I W/~-191NbUL 1911) blJL III I II it III I III ~ III I I NSW SECa~r FL. wNS'f RUf~71CU 2`x1.0' FLu5Hl HFAt"'FS~ I- I + GAFJTI LE4 EF'.E~ 4 _ a'i~1 O" @ I[a" OL~ uE,N I FL, C=~.AMINv 9Tf.l DD i Ex IST, FouI.1T ~T10 1 ~ fr SEC-T10Q 6 kj 0T<,-f H ~F, F-~V K-f 10 U - - 11 I J; ~I µ I ~ LL~ I ~ ~ III II III I i I I 7TI I nl UJI II ~ Ex~s?I~~ LNIMNE-Y I i I _ DI6ANY0 ATfiI~'IOIJ E- L Tl::A6PL 2. I -rfLN 4 h'It~?GN F~IS"T ~'I"TGF1 I I I „ra\I ~T. GEPAfZ KJ CA ~,II t~ Mki:7, PEA IN _J µEW nEC~ N E.IJ IKNt~£S - S£~CP,~I cam. I LH I FI NEY' I I I li I ! 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