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Home My WebLink About27090-zFORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27721 Date: 0'5/29/01 THIS CERTIFIES that the building ALTERATION Location of Property: 170 ORC~LARD ST ORIENT (MOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block 3 Lot 3.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 14, 2001 pursuant to which Building Permit No. 27090-Z dated FEBRUARY 26, 2001 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 BATHROOM ALTERATION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued toGINA M MAXWELL of the aforesaid building. (OWNER) SUFFOLK COUN~TY DEPARTMENT OF ~ALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~D Rev. 1/81 N/A N-556439 04/23/01 03/13/01 ED. KING pLUMBING Authorized S~ature 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. 27090 Z Date FEBRUARY 26, 2001 Permission is hereby granted to: GINA M MAXWELL BOX 553 ORIENT,NY 11957 for : CONSTRUCTION OF A BATHROOM ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED PMTo 23968Z. at premises located at County Ta3~ Map No. 473889 Section 025 pursuant to application dated FEBRUARY Building Inspector. 170 ORCHARD ST Block 14, 2001 ORIENT 0003 Lot No. 003.001 and approved by the Fee $ 75.00 /Authlgnature Rev, 2/19/98 ORIGINAL FORM NO. ~ TOSVN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N°./~ z at premises located at ..................... /Z~.......~/~'~.~.J~.: ........................................... Ca.nV Tax Mop ~o. ,ooo s.~t,o~ ...... ~.~ ...... ~o~k .......... .~. ...... Lo, No. ~' / pursuant to application dated ............. ...x~.~........~....~.. ........ , 19..~.~ and approved by the Building Inspector. Fee ..................... Rev. 6/30/80 THE NEW yORK BOARD OF F!REr UNDERWRITERS i185i52 BUREAU OF ELECTRIdlI:¥ ' ~ %' <, 40 FULTON STREET NEW YORK, NY 10~38 .~:~.: .~,v ~PRIL 23,2~1 /:~;.~,'U~I ,'0'~. ~ 556439 THIS CERTIFIES THAT only the elect~cal equipment as desc~bed be~w and in~oduced by t~ app~ant named on the above ~plica~on number ~ in the premises of in the following location: [] Basement APRIL 18,2001 was examined on FIXTURE OUTLETS r~lst FI, [] 2nd FI. '* Section Block and found to be in compliance with the National Electrical Code. F~TURES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS E R V I C NO. O~ CC COND. A.W. G, NO OF HI-LEG A, W.G. A, W. GL OTHER A~PARATUS: ~CK HATPI~JC, K, NY, 11952 GENERAL MANAGER .Pet' This cefliflcote must not be olfered I~ ony monner; return fo the office of the ~o;d if Incorrect. InspecTors racy be ~denflfied by their crededtiois, COPY FOR BUILDING DEPARTMENT THiS COPY OF CERT~FICATE MUST NOT- BE ALTERED IN ANY MANNER. 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 i~spector 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 i% 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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. 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 9n Pre-existing Buildinz - $100.00 3. Copy of Certificate of Oc~6pancy - i '25~D 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Cormmercial $15.00 New Construction.....~/. ..... Old Or Pre-existinK Building ................. Location of Property .... /.?.~ ................ ~..C~ ,~, ,~, ~.~.,.. ,~..'~,, ........ (~,.~...~',F~ ...... House No. Street Hamlet Onwer or Owners of Property .... ~ .~.....~.~v~..6~...~.!! .................................. d B1 Tax Map No 1000, Section ............. oc ........................ Subdivision .................................... Filed Map ............ Lot ...................... ~.~. ~.~.~ Date Of Permit .~.~.~...~..TQ~Applicant Permit No .......................... ~ ........ Health Dept Approval Underwriters Approval Planning Board Approval Request for: Temporary Certificate ........... Final Certicate .... .i Town Hall, 53095 Main Road P. O. Box 1179 Southoid, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF,THE BUILDING INSPECTOR .- ' TOWNOF SOUTHOLD C E R,'T I F I C A T I 0 N Owner: p~l/eaAJs e~ ( print) P lumber: (please print)' '~ I certify that the solder used tn the water' supply sYSt~~ , , -~ '(~lamb-e~ S~gnat~e) ~'::~, ~,"~"~ CLAIRE L GLEW Notary Public, State of 'Now York No, 01 GL4879505 Qualified in Suffolk Commission Expires Dsc. 765.t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]~/SULATION [ ] FRAMING [ ~]' FINAL [ ] FIREPLACE & CHIMNEY DATE [ ! INSPECTOR ~'~ ~~ / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/] IN~TION./ [ ] FRAMING [~] FINAL [ ] FIREPLA~'~C~I~NE~ .~Y ~~~_~ R£MARKS :,~~~--~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765~1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTI4OLD Office of the Building Inspector January 12, 2001 Ms. Maxwell PO Box 553 Orient, NY 11957 Dear Ms. Maxwell, Please take notice that in review of your permit application dated January 24, 2001 for a Addition to a Single Family Dwelling with Town ZBA to the property located at 170 Orchard Street, Orient, N.Y. County Tax Map Number 1000 - Section 25 Block 3 Lot 3.1 Please submit payment made payable to the Town Of Southold for the following open permits: Permit Number 22129Z New deck $75.00 23846Z Wood stove $75.00 239~9Z Bathroom $75.00 Total--) $225.00 The application for the permit will not be processed until the following is submitted: 1) For permit number 26777Z for the Sliding door and new amended plans submitted 1/29/01 for front of building alteration see note below: 2) With new permit application for the deck addition see note below: Note: Contact Southold Town Historical Department at (631) 765-9267 and have the alteration's approved. Please submit the approval letter to the Building Department. If there are any questions you can contact us at (631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. urs., Building Inspector CC:file 765-1802 BUILDING DEPT. INSPECTiO/N FOUNDATION 'IST [~"] ROUGH PLBG. [ ]//~)UNDATION 2ND [ ] INSULATION [~ FFLAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~ l"{llillli~'[' I {HI ( [ !iT ) I;LlU LIII~'{' ~.{)H ( ~,rlll ) I'~ I IIAI, --- : Al)l) LTl ()HAl. (;OIlHI~,II'I'II: BLDG. DEPT. : TOWN OF $OUTt'hql_D ~i~ ale ........................... lld~ ln~ctor) ~ ' AP~'FI(~ ~R BUILI)I~G PERHIT FORH It(). I 'I'O;4N OF SOUTIlOLD BUll,DIIIO I)EPARTHEHT TOt~N I1Abb SOUTllOLD, 1N.Y. 1197 I TEl.: 765- 1802 1 IISTRIICTIONS BOAI{I) 01~ I1F~AI.TII .v ............. SETS OF PLANS~ ............... SI;PT I.C FORIt ................... ROTIFY: . _ ' CALL..~XT~;~.~.~ .............. HAIL TO.' .................... Date ................ , 19 .... a. 'llds application trust be c~letely £illed in by ty~.~riter or in ink m~l ml~ittal to O~o ~dlding Ins~ctor ~ith 3 r~ts oE plans, acoxrate plot plan to ~cale. I%o according to nch~lule. b. Plot plan fl~i~ [~ati~ of lot aM of I~dldlngs ~ praises, relati~sldp to ~jolnlng ~ises or lasbllc struts or areas, ~1 8ivi~ a &tail~ ~scripti~ of l~t of p~t-ty mst I~ dr~m ~ the dlagr~ ~dd~ is ~rt o~ c. 'Ibc ~tk c~l by fids a~li~atitm ~ny ~)t t~ c~ne~l before ismm~e o[ Mildi~ d. U[~ a~al of Ods al~tlcati~, the l~ildi~ lns~ctor will Js~ a ~lil~i~ ~mit to the a~licank. ~it ramll I~ kept ~ tim ~i~s ~ailable rot ins~cti~ th~t O~e e. ~ beilai~ tirol1 be ~i~ or u~ in ~mle ~ in ~ark ~or a~ ~tr~ ~mC~r ~tll a ~rti[icate ~m~ ~mlt h~ l~n ~m*t~l I~ tbe ~ll¢lh~ Ins~etor. ~;I~'fI~ IS I~loit~ }~ to the ~ilding ~r~,t for O~e isa~a~e of a ~ildi~ Pemit ~r~ant to the adldi~ Zae O~i~e of tie l~ of ~tl~lO, afffotk C~tT, ~ York, a~ other a~llcable l~s, ~i~es or ~lati~s, ~or tl~ ~st~ti~ of l~ildings, ~iti~s or alterables, or for ~al~r ~lition, as betels ¢~scril~. lbe a~lic~t a~s to ~ly with all aH,tlcoble 1~, ordt,~,eea,)~lO~ ~e, I~si~ re~lat~gm, a~ to ~tt mtfl~rir~ m.,~ctora m p~ims atfl in I~ild' 'n ' ~hll. i~ ~resa o~li~ant) State ~t~tber apptlcaat is t~er, lee.~e, age,t, arOdtect, engineer, ge~eral cimtractor, eleetrlcisn, plunt~_r or l~dlder. .............................. N,'~ae of c~n~r of prem|~ee ......................................................... &(as dn tbe tax roi/1 or latest deed) If al¢llcaat ia a corlrrcatlt~, slgnatm,e of doiy altl~orizxM officer. (lq,me mxl title of corporate officer) ltuilde, rs License No .......................... Plunl>ere License Ifa ....... .. ................. '. Etectriclans Licen~ No ...................... ...................... , I. ~ati~ of latfl ~ illcJl ~S~I ~rk will ~ d~ .................. / ............... ' .... I~m ~r Str~t~_ ~ I~et ~,ty T~p ~. I~ ktlm ...~ ...... ... Bl~ ...~ .......... lot ~,..] ......... ~ldlvlslm ................................. . ..... Fil~ ~.p ~ ................ l~t ............... (~) 2.State ~iatiug u~ m~ ~m~Da~ o[ l~mi~s m~l iuteM~ use mxl ~oqm~y of ~ml cmst~tlm: ........................... ., ................. '}. dh:ahle); Ht.~ lkHhlinR .......... t~klition .......... AlLeration ;. . ........... Ikan:~lit. lor, ... Other I,k)lk .~ ................... ~. ........... liimenaicnla o1~ a~ atn~t~re ~ith alt'era~i~xm or ~hliLiorm: Front ............... I~ar ............... { {. Y~n~ or u~ al{atrial in alid{[ pr~ui.e~ aie 8il.~tcM .............................................................. la Ihia p~lyrty within ~1 f~rr of a tidal xffil:lal~l? A YI~ .................... diarl~tly PI.OT I) 1 AGI{AH limare clearly m~l . all Indhlh~a, ~mtl~r existing or pro~)~l, a,~l halicate ell aet-l~k ahl bhmk ~d~r or t~acripritm according I:o {~1, a~l ~ atreec · lx:i.l[ (I. ly ~),',l. ilelx)ses luxJ tliiyli thaC lie it; the applicanL Ihl, Jn fire ...... ., ............ i ............................................. ((4 I i,I'{IC[OF a alii' I I::¢}rjxirill:e oJ'J'Jl:t!{-, el C, ) ............................ iii lilillJ i~vll~!l' (if' cxvl~rfl, otkl ltl ({ul~ tailhol izlt(I Io jxH',J'olill oF Ji{ivl~ ixtl'J'oniJ~d Ihci eilJlJ ~)rk mkl Io ll~iJ{ll ili~J [JJe IhJti appJ ic, aLion; IIuH. till uLutoI~IIL8 COlilUJl~d itl Iliitl ilppl it:at'loll life I, II~ Lo IJl~ I~mt; Of hia kf~Jcnl{to af~l Ix~liefj iu~l Ihtll, Ihe ~{l'k ~ill 1~ I~r[onl~l {il IJR! II~ll{l~r 8~ {'orlh ill IJie ilJlplJc{ll:iOll filed tier[villi. lhJrn I¢i Imf~r~ II~ lids ~ , j CLAIRE L. GI. EW Notaly Pul)lie State of N~w York No. 4879505, I Qualified Ill Suifolk Lolunt¥ Commission Expires I')ecolni!pr 8, 1 UNDERWRITERS CERTIFICATE REQUIRED PLUM~NG ~l-[* PLUM~NG WAST~ ~L UM,~TR C~RT/F/OAT/ON C~,~/ LEAD CONTENT BEFOR~ CfYf F7:':~5~l ~¥ OF OCCUPANCY SOLDER USED IN WATER