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Home My WebLink About26411-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27324 Date: 09/27/00 THIS CERTIFIES that the building ADDITION Location of Property: 25760 MAIN RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) county Tax Nap No. 473889 Section 18 Block 6 Lot 12 Subdivision Filed Nap No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 28, 2000 pursuant to which Building Permit No. 26411-Z dated MARCH 21, 2000 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DARLINE B MCGINNESS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Si ature 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) PERMIT NO. 26411 Z Date MARCH 21, 2000 Permission is hereby granted to: DARLINE B MCGINNESS 25760 MAIN ROAD ORIENT NY 11957 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. t at premises located at 25760 MAIN RD ORIENT County Tax Map No. 473889 Section 018 Block 0006 Lot No. 012 pursuant to application dated FEBRUARY 28, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authoriz Signat e ORIGINAL Rev. 2/19/98 OU1LllLMb ULFAK1MtN1 TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the bo inspector with the following: for new building or new use: 1 . Final survey of property with accurate location of all buildings , property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system cont, less than 2/10 of 12 lead. 5. Commercial building, industrial building, multiple residences and similar b( and installations, a certificate of Code Compliance from architect or engin( responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildic '.'pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building at unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the app] If a Certificate of Occupancy is denied, the Building Inspector shall state 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 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25�t 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . �:2{. DC7. . . . . . . . . . . . . . . . . . . . New Construction. ��. . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . 02j7Cov /�AI& 04�ivT '-J." Location of Property. . . . . . . . . . . . . . . r House No. Street Hamlet -67 Onwer or Owners of Property.. •• • • . . • • • • • . . . . . . • • • . . . `P� 3P69 . . County Tax Map No 1000, Section. . . . . . . .Block. .n�.Op. . . . . . . . . .Lot. . b.k . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Kap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . RR // re Permit NO PV'. z YtY . . . . .Date Of Permit. . 2•�. .��. . . . . .Applicant.��G�� •Y` �� Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Llcarrr 6Z.e� co _�,_ a�) 3ay �a X630 -4D v ^ r 0 � IQ i•YFo I V ti Iv � 0 ` r h �GYPiYIE.r°L?' Gt�4.e�' L. EOs+�.9.el� �.re,�.-Y.�,��.�,9,8L/N�' �/Y1c Giv�� ,OM.��v✓W�LEis�.4NDorvO.ri'. D?GlBYEYO.� IK oev 11111 Goc9Tio�✓•Q,e/�/� Towy4f'�vv>,s�o�o,NY, P.o,�,rtY,yr� "-;u "1 j M/acb-/B ^Od'- /i('ONQ/o�,�aUNO 6fi°arriN O 4 / IlOd� ta t - - � f - t / kxr` CS3 }` APPROVED AS NOTED @ 9/ -E( M DATE:5-- I-00 B P # ( a FEE: BY N NOTIFY BUILDING_DEPA E - AT___ _ 765-1802 9 AM TO 4 PM FO THE 2 FOLLOWING INSPECTIONS: — F U DTI a FOR POURED CONCRETE e 2. ROUGH-- FRAMING & PLUMBING -3. OCCUPANCY'UNLAWFUL gO R g g 4. INSULATION CONSTRUCTION MUST - USEIS UNLAY FUL L CONSTRUCTILETE ON �� ALL CONSTRUCTION SHALL MEET d THE REQUIREMENTS OF THE N.Y. V I T HOUT CERTIFICATE �sg �s�® STATE CONSTRUCTION & ENERGY OF OCCUPANCY `lg�� -DESIGN OROCONSTRUCCTION ERRORS - M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH LBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY pmTEMARKS: DATE �IllrleV INSPECTO FSB 2820 BOARD OF HEALTH . . . . . . . . . . . . . . . Btu • '-`tf'T• FORM NO. 1 3 SETS OF PLANS i)vvi�i '✓ SOlJ'i't'0!.0 . . . . . . . . . . . . . . . --^--'^-'--^^�n•"^"-^• •�'^-• TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: '!pp�qt� �� , CALL . . .7�s�� O.l. . . . Examined. �.[9 MAIL TO: . . . . . . . . . . . . . . . . . . . . ,�� Apprwed.jy22;w!'T!4.A9,p1�41?. Permit No. ............. .................................... Disapproved a/c .................................. ................................... ...................................................... (Building Inspector) APPLICATION FOR BUILDING PERM Date. .?: 7:-I�. . . . . . . . .Z$)':�Q.O. tINSTRUCTIONS Y - a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 application.' c. The work covered by this application may not be comienced before issuance of Building Permit. ,d. Upon approval of this application, the Building Inspector will issue 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 arty purpose whatever until a Certificate of Occnipancy shall have been granted by the Building Inspector. APPLICATI(N IS BERM 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 reaoval 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 ins tions. (Sigrn/ature of appl rant, or nape, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................. .. . .. .. . .................... CP Name of owner of premises ..... A?L!/U ....., .. CT//divS ...... ....................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) a Builders License No. ......................... Plumbers License No. .......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. .......a5�1 .o........... 14Y./V....�.............................. .... .......... Rause Number Street Hamlet County Tax Map No. 1000 Section .....�.p ....... Block ....Q. ........ Lot ....1.1!......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) s 2. State existing use and occupancy of premises and intended use and occupanof pr sed construction: b1Z lt3lt.h9 At:.^ ° a. Existing use and occupancy ............................. lY_ faltYb�................ b. Intended use and occupancy �' gable): New IkAlding .......... Addition .......... Alteration ,r.p,..,, .... 3. Mature .. work (check 11 applicable): Demolition Other Work ..... eK-...... Estimated (Description) 50a' � 4. Estited Cost ...dy.. ��....... fee .............................................. (to be paid on filing this application) 5. If rkaelling, nudner of dwelling; units ............ Nuu er of dwelling units on each floor ................ Ifgarage, runner of cars ......:�,.............:................. 6. If business, comaercial or mixedioccupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structuress, if any: Front................ Rear ............... Depth ................. height ......................... � Number of Stories ...................... Dimensions of same structure wltt' alterations or additions: Front ............... Rear................ Depth .................... lleigh4 .................... Number of Stories ............... 8. Dhmnsions of entire new construGtiar Front ................ Rear ............... Depth .............. Height ......................... Nminer of Stories ..................... 9. Size of lot: Front ............:....... Rear .................... Depth .................... 10. Date of Purchase ............... ..... Name of Former Owner ........................................ II. Zone or use district in wlnidi premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be rernrel fTom premises: YES No 14. Nares of Owner of premises ..................... Address .............................. Ptx)w No. ............. Namof Architect ..............'...................... Address .............................. Moon No. ............. Namof Contractor .............j...................... Address ...............................Mmone No. ............. 15. Is this property within 300 feet; of a tidal wetland? * YES .......... NO .......... *IF Y , 9UUnD IUM 'IMS 1SrxITES PERMrF MY RE W UIREII. , PLOT DIAGRAM Incate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dirmnsions from property lines. Give street and block naber or description according to deed, and straw street nares and indicate nAnetber interior or comer lot. SrNir Or N, xtK L ss ODIY OF .. ........ UN r�RR.4�et! ..... /..?'jcrr•,lr!e!/C.i✓...............being duly sworn, deposes and says Lhat be is the applicant (Nam of individual signing contract)', above named, lieis Lhe ...........Q(<4/! ....................................................................... (contractor, agent, corporate officer., etc.) of said owner or owners, and is duly authorized to perform or have performed Lhe said work and to make and file this application; that all staLemnts contained in Obis application are true to the best of bis knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn Lo bpfpre me this Notary Public .... . . ....... ...... .. .... .. LYN AM.BONN (Signature of Applicant) NOTARY PUB�10,State of NgWyQ t No.01806020932 Terri BxPlres Match 8 20� FIELD INSPECTION REPORT DATE COMMENTS � II II FOUNDATION ( IST) jrr IIS �R 111 FOUNDATION (2ND) II II II II ROUGH FRAME 6 I� it —� PLUMBING li�- it it It ° O II II INSULATION PER N. Y. N R STATE ENERGY CODE ul I u u ii n r R II ry Il it II N I FINAL 11 N p N � ADDITIONAL COMMENTS: -C t� _LT rl G C' 7 rZ H BUILDING PERMIT REVIEW CHECK LIST Applicant/ pp�� Date Owners Name: A c Cn n n 2.5S Lk Reviewed: �/,"70/Oo Architect/ Date . Engineer: Submitted: D'D SCTM #: District: 1.000 Section: J-I Block: (O Lot: Z Project �1 nn pp Subdivision Location: as- .;La o✓ie•. Name: Single&separate Required . 1 certification: (Yes/No) N O, Req Req Y Zoning District: �� [Lot sizer Actual: 74� ] [Lot coverage Proposed: a Req. � Req SLO / 7,� [Front Yard Proposed:its]Y [Side Yard Proposed [Rear Yard 757 Proposed f ,`a(.rx.a►) ,�� nn nn Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes: