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Home My WebLink About25814-zFORM ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~iiTIFIC~ OF OCCUPANCY No Z-26519 Date JUNE 28, 2000 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1045 ORCHARD STREET ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 2 Lot 20.22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAy 10~ 1999 pursuant to which Building Permit No. 25814-Z dated JUNE 22~ 1999 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 NON-~BITABLE A~CESBORY GARAGE "~ BUILT" AS APSI~D FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /Budding I~spector Rev. 1/81 FORM N0. 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. 25814 Z Date JUNE 22~ 1999 Permission is hereby granted to: WILLIAM RICHt III 1045 ORCHARD ST ORIENT~NY 11957 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ACCESSORY BUILDING "AS BUILT" AS APPLIED FOR. at premises located at 1045 County Tax Map No. 473889 Section 025 pursuant to application dated MAY Building Inspector. ORCHARD ST ORIENT Block 0002 Lot No. 019.001 10 1999 and approved by the Fee $ 35.00 A~i'~~nature ORIGINAL Rev. 2/19/98 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Th£s application must be filled in by typewriter OR ink and submitted to the buildi inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property line 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 build 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 Ppre-existing" la~d 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 applicm If a Certificate of Occupancy is denied, the Building Inspector shall state th~ 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, Sw~ing pool $25.00, Accessory building $25.0{ Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildium - $100.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ate ~. ~:~ ............ New Construction ........... Old Or Pre-existing Building...~ ............. ~..~.~ ~oeation of Frope=y ...... ~q~. ........... ~.t~..~t House No. Street Hamlet Onwer or of -- ... ............................. ... · County Tax Map No I000, Section ......... Block ................. o ................. Subdivision .................................... Filed "--ma~ ............ Lot ................ Permit No.. I Date Of Pe .................... Applicant. Health Dept. Approval .......................... Underwriters Approval ................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $...~. · .~..'..~- -~- ............... OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY t t OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY '4 ,31~,D · ~01~1 NO. I TOI~I OF SOUTttOLI) TOI~ ggr.t SOUTi~OLD, N.Y. 11971 'TEL: 765-1802 l~atr ............ I~---,~1 .......... ,.. Demolittc~ ............ (}thor ~ ...o .............................. (.1)escriptt~) ~stimted Cost .?..~,.O.~.... ............ fee .............................................. (to be paid w filing this ~pltcatto~) ,. If d~ellt~, ~c~bar of d~llt~ wits .......... '.. lix~ber of ~11tnl~ {mits w each floor ................ If I~,e, ~u~ber of c~s ...................................... If business, ~.,.,~-cial or mt~l occurS, sp~i~y nature ~xl extent of e~:h ~ of use ...................... Dir~-tstoas of existt~ at~ctu~.a, if any: l~o~t ................ Rear ............... Depth ................. t~et~ ......................... lit=bet of Stories ...................... Dt~eestcr~ of sa~ stmctu~ vtltt altarati~s or ~Idittoas~ 1~'ont ............... Rear ............... Repth .................... Betg,~ .................... lt~er of Stories ......... .~. .... st,~ of ~ot: ~t ...... I...~P.. ........ Rear .................... ~pm ............... ..... ~t~ of ~ .... .~.~..~S ........ ~ of ~o~ o~ .... .~..~...a..a..-~.. ....................... Z~e or use district in ~ttich e~laes are ................................ Does ~o~ed cmstmcttc~ violate any zwi~g 1~, ot~ltr~ce or t~-&ulartom ..... ~ ............... IJtll lot be vegraded ....... ~O .......... Iii 1 e~ess 1 fill be ~=~ed fnmm premises: ~ of O~ar of p,~Isea ........................... ~ress .............................. Phwe DIo ............ ~ o[ /~-chttect .................................... Atdress .............................. l~aoae I~o ............ ~ of Coetractor ................................... /~:lress ............................... ~ Ro ............ ~5. Is this p,overty vlthtn ~00 feet o~ a tidal ~ecla~d? * I~ .......... NO Lo:ate clearly ax[ dta~flx:tly all lx~ldl~ ~eitter e~ds~ivg or proposed, a~(l. ti~llcate all ae~oi~:k di~sio~s £,,,, pio~rty liras. Ci~ street ~d block r,m~er or descrip'tiw acco~dt~ to (teed, s~d sh~ street ~res s~d irdic~te ~hether i,ce~ior or corr~ lot. I0. H. 12. 13. M. APPROVED AS IlOm) 7SS-lO02 S ~ TO 4 P~I'FO~ ~ FO~NG INSPC-CI1ON~ 1. ~A~N - ~ IIL~UIRED FOR FOURED CONCRE/E 2. ROUGH., R1AUIN$ & ~ 3. INSULATION ,4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR CO. ALL CONSTRUCTION 8HALL MEET THE REQUIREMENTS OF ~E N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSISLE FOR 9ESIGN OR CONSTRUCTION ERRORS .......................................................... belt~ duly s~rn, deposes ~d says that he is r~e (rl~e o][ ir~ivid~l siSntt~ ccctract) ~ppl. ic~nt tie is ~l~e ................................................................................................... (~ontmctor, ~, corporate officer, etc.) of said ~mer ~ ~rs, ~ ~ ~y ~r~ to ~rf~m or ~ ~rfv[u~ fl~ ~td ~ ~ to m~ ~ file this ~at ~ ~ rill ~ ~r~ ~ ~ ~ ~t ~v,~ ~ ~e ~lt~tt~ f~ ~. / ~ ~/~ ? ................... ............ 191.74 ...... ~ie'~ ' .47 :~ ~