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Home My WebLink About29208-ZFORM NO. 4 TOW~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29623 Date: 08/05/03 T~IS CERTIFIES that the building ADDITION Location of Property: 1100 OAKWOOD DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 12 I~t 28 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 12, 2003 pursuant to which Building Pemit No. 29208-Z dated MARCH 12, 2003 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 OUTSIDE SHOWER & DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ~e ce~tlficate is issued to THOMAS & MADELINE TIERNEY (OWNER) of the aforesaid building. SUFFOLK COUNtrY DEPARTMENT OF ~F~%LT~ APPRO~-~J~ ELEt-~'~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~U Rev. 1/81 N/A ~/A CARMINE CACCOLIUO FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29208 Z Date MARCH 12, 2003 Permission is hereby granted to: for : THOMAS TIERNEY 81 PINE ST GARDEN CITY,NY 11530 CONSTRUCTION OF A DECK ADDITION WITH SHOWER TO AN EXISTING ONE FA/~ILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#26592. at premises located at 1100 OAKWOOD DR County Tax Map No. 473889 Section 070 Block pursuant to application dated MARCH 12, 2003 Building SOUTHOLD 0012 Lot No. 028 and approved by the Inspector to expire on SEPTEMBER 12, 2004. Fee $ 150.00 Authorized Signature Rev. 5/8/02 COPY 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 A~OMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26592 Z Date JUNE 19f 2000 Permission is hereby granted to: for : THOMAS TIERNEY 81 PINE ST GARDEN CITYINY 11530 ADDITION OF DECK AND SHOWER ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 1100 County Tax Map No. 473889 Section 070 pursuant to application dated APRIL Building Inspector. OAKWOOD DR SOUTHOLD Block 0012 Lot No. 028 5, 2000 and approved by the Fee $ 75.00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department 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 Plamfing Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property sho0ving all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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, Swimnfing 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. Temporary Certificate of Occupancy - Residemial $15.00, Commercial $15.00 Date. New Construction: Location of Property: _ House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~v~ ~fl-- o ~ 2:. Health Dept. Approval: Street -"- ,q / Block Old or Pre-existing Buildiug: (check one) Hamlet Lot Filed Map. Lot: of Pennit.~/t&/0 ,~ Applicant:__ []q o ~ ~, ,r~ ~7~'F/~./ ~l~_ Date Underwriters Approval: Plamfing Board Approval: Request for: Temporary Certificate Fee Submitted: $ c.37x3,~ / Final Certificate: 0o 3 0 3 l/ (check one) TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BO;:; 28 TOWN IL'.LL SOUTHOLD, N.Y. 11971 C E RTI F IC,AT I ON Owner ~-~,0~,/....~ff~,l (please print) (please print) % certify that ._h- zo/der used contains less than 2/10 of 1% lead. ' SworQ to beforc me this ~.~of ~q~ .,. ~,o~,:,:.: ~,~,~:ic, ~u~LK .co~ in the water supply system (plu~r' $ ~'S ig KE~Y MILLIGA~ '~ · * ~aW Public, State ~ N~ No. 01 MI4959576 BUILDJ NG PERMIT CHEC IST Applicant/ ' Date Owners Name: ~"I'¢*,~ e4-f, '~ /t~, Reviewed: Architect/ ,,/0//~. Date Engineer: Submitted: SCTM #: DisC-ct:J,000 Section: -~_ Block: /~ _ Lot: 02~ Single & separate Required certification: (Ye~ / N.~N~ Zolling District ~ ~'~ Req IFront Yard . ~ Proposed: -~." e Project Description: ~~ SubdivisiOnName: Actual: .~O/2~0-~['a~ [Lot coverage AGENCY PERMITS_ REQUIRED FOR REVIEW Suffolk County Health Dept. New York State D. E;. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flbod Zone: NoA. Pcrmi_! NO YES Number Notes: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. [ ] FIREPLACE & CHIMNEY DATE F//~/ INSKC'iql 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] ~JLATION [ ] FRAMING ~ [~/]/FINAL [ ] FIREPLACE & CHIMNEY REMARKS.' DATE~/~~~-~INSPE~ FIELD INSPECTION REPORT DATE FOU~m^TION FOUNDATION (2ND) ROUOn El~a~ & JJ PLUMBING JJ INSULATION PER ~. Y. STA~ E~R~ II CODE (~ FORH NO. TOi~N OF SOUTItOLD BUILDING DEPARTHENT TO~I HALL SOUTHOLD~ hl.Y. 1197 T~L: 765-1802 Disapproved a/c .................................. BOARD OF H~AL'I'H ............... 3 SETS OF PLANS ............... SURVEY ........................ CNECZ .... ~.~.~ ................ SEPTIC FORH ................... NOTIFY: CALL .. HAIL TO: ................... (Building Inspector) APPLICATION FOR BUILDING PERHIT INSTRUCTIONS 20.0. a. This application mint be c~pletely filled in by tyoe~iter or in ink and s~nitted to the I~filding Inspector 3 sets of plans, accurate plot plan to acale. Fee according to schedule. b. Plot plan shc~ing location of lot and of Imildings oa pr~nises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property ~st be dr~an on the dingran ~hich is part o this application. c. The ~ork covered by ~his application may not be ccr~enced before issuance og Building Permit. d. Upon approval of this application, the Building Inspector ~ill issue a Building Permit to the applicant. Sud permit shall be kept on Oae pr~aises available for inspection throughout the ~rk. e. No building shall be occupied or used in ~ahole or in part for any parpose ~/~atever until a Certificate of Occopancy shall have been granted by the Building Inspector. APPLIGATI(~I IS EI~EBY ~ to the Building Deparlamnt for the issuance of a Building Permit I~r~t to the Building Zone Ordinance of the Tm of Saurhold. Suffolk County, New York, and other al3plicable Laus, Ordinances or P. egulatitms, ~or the construction of buildings, additions or alterations, or for renoval or d~nolitian, as herein described. The applicant agrees to c~ply ~rith all applicable la~s, ordlanaces,_~ding code, housing code, and regulatior~, and to ~mit anthorized inspectors on premises and in buildin~ ~s~nspectior,s. (l~ailing ~ress of applicant) / ~ lessee, agent, architect, engineer, general contractor, elec£rician, ptu~er or State M~her of of t ses ................................. (as on the tax roll or latest deed) If applicant is a corporation~ slg~ature of duly authorized officer. (Narc and title of corporate officer) Builders License No .......................... Plunbers License No .......................... Electricians License No ...................... Or_her Trede's License No ..................... l. I~3cation of land on ~hlch proposed ~a~rk will be done ............................................................. ttotme Number Street H~alet Coonry Tax l, fap No: ~ Section .... ..~..~. ...... Block .... /~.. ....... I~t (~) 2. State existing use and neont~ney of premises and intended use and oecupaeey of proposed cnestruetiee: Existing b. Inteaxied use and aconpancy .3 ~"~ ~' Nzit,re of ~rk (cbeck ~dch applicable): New l~Jilding .......... t~dition ...'~[ ...... Alteration ......... Repair ............ Removal ............. l~.=molition ............ Other Work ..~.O.~..~.~.'..~..~..~..'.~ ...... ~.... ~Deseription) ~. Estimated Cost ........................ fee .............................................. (to be paid on filing this application) ~. 1[ dwelling, mjnber of d~elling ~mits ............ Ncraber of d~n~lling units on ead~ floor ................ If garage, r~mt~er of cars ...................................... ,. If business, o~r,,~rcial or mi~d occupancy, specify nature and extent of each type of use ...................... '. Dimensions of existing structures, if any: Front ................ Rear ............... Depth ................. Deighr ......................... N~ber of Stories ...................... Dimensions o£ sam structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... N~ber of Stories ............... I. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. l~eight ......................... Number of Stories ..................... ,.s~ of ,et: ~ ... ,.__..' .... Rest .......... .......... Dept,, .~---:..... ......... ,,,. ,~te of ~,,rO,ase ...... q./.S/. ?.'?.... ,~ of ~o~r O~r ........................................ !1. Zone or use district in ~hich pr~nises are situated .............................................................. 12. Dces propos~ construction violate amy zonirg la~, ordinm~ce or regulation: ........................ ~3. Will lot be regreded .................... Will excess fill be reminded ~ premises: YES .;..c.. c ...~... II~se No. ~':~e of ^rchitect '. ................................... /~klress .................................... ~-me ol- Contractor ................................... t~ldres8 ............................... l[tm~ne Ixto ............. 15. ls this property within ~0 feet of a tidal ~etland? ~ ~S .......... NO .......... PLOT DIAGRAH f~cate clearly ~rnd distinctly all buildings, ~aether existing or proposed, and indicate all set-back dimensions fram property lines. Give street and block r~r~er or description according to deed, and show street naves and indicate ~t~tber interior or corner lot. (~ .................. belr~ duly ~or~, deposes and .,~ay$ tlmt he Js tt~ (Cm~tractor, n~nt, cof~rate officer, etc.) -~f ~id ~r or ~rs, ~r~ is ~fly ~thor~ to ~rfo~ or h~ ~rfo~ ~ ~id ~ m~ to ~ ~ tile this a~licatlun; thot all stat~nts c~tai~l in this applicati~ are t~ to the ~st of his ~l~ ~nd ~lief~ ~ that the ~rk wlll I~ ~rfo~] in tl~ ~n~r ~t forth in the a~lle~ti~ fil~ t~th. ~ml~on ~lrm November 6, ~ [ ,O0' 9L ,/O7 AZN~Oo X~OJJD$ ~O ~3]O ]H~ JO 301JJO 3H~ NJ ~3~14 OOO~N~OS ~0 d¥~ 01 3 ,,Ol,c3g./0 N ~ ~o7