HomeMy WebLinkAbout25636-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27105
Date: 05/26/00
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 470 ORIOLE DR SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 55 Block 6 Lot 15.10
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 8, 1999 pursuant to which
Building Permit No. 25636-Z dated MARCH 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 18'X 20' ONE STORY ADDITION TO EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to TIMOTHY E & JULIAN C. DOHERTY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N-518396 03/16/00
N/A
uthorized S~nature
FORM NO. 3
TOWN OF 8OUTHOLD
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. 25636 Z Date MARCH 22 99
Permission is hereby granted to:
TIMOTHY E DOHERTY
470 ORIOLE DRIVE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN 18' X 20' ONE STORY ADDITION FOR AN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 470
County Tax Map No. 473889 Section 055
pursuant to application dated MARCH
Building Inspector.
ORIOLE DR SOUTHOLD
Block 0006 Lot No. 015.010
8 99 and approved by the
Fee $ 75.00
A~A~L~gnature
ORIGINAL
Rev. 2/19/98
Form
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-i802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to thc building
inspector with the following: for new bnilding or new use:
]. Final survey of p£operty with accurate location of all bui].dings, property ]ines,
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 sys.tem 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 Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-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.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to d~ul.~_n~ $25.00~$wi~%ng p9o!'~25~00~ Accessory building $25.00,
Additions to accessory building $25~00. Businesses $50.00.
2. Certificate of qccupancy on Pre-exis~ing Buildinz - $100.00
3. Copy of Certificate of Occupancy - . .25~¢
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .~.q'/[ ~X .~- <~0~ ~ ...........................
/
New Construetion....~/....,.. Old Or Pre-existing Building ..............
ocationof Property..i iii
House No. Street Hamlet
Onwer or Owners of Property ............... f. ......
County Tax Map No 1000, Section ......... Block ................ Lot ...... 5 ~.~.[:~.~ ........
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit. ............... Applicant .............................
Health Dept. Approval............ ..... . ........ Underwriters Approval .........................
Planning Board Approval ........................ /
Request for: Temporary Certificate ........... Final Certicate...~ .......
Fee Submitted:
C0 105
7GS-'1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[/~I'NSULATION
[ ] FRAMING .............. [.. ] FINAL
[ ~NEY
REMARKS:/,P~'/~:~ ~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FO~I~ATION2ND [ ]INSULATION
[/-~ FRAMING
[ ] FINAL
FIREPLACE & CHIMNEY '""-
[
]
REMARKS: ~/~~
765-1802
BUILDING DEPT.
[ ]FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
.. INSPECTION
NDATION 15T [ ] ROUGH PLBG.
NDATION 2ND [ ] INSULATION
76s.~so:~
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN~ILATION
~NAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ . ~R/OUGH PLBG,
[ ] FOUNDATION2ND [~] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPlAn& CHIMNEY
DATE II
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 12, 1999
Mr. & Mrs. Timothy Doherty '
Southold, NY 11971
RE: 470 Oriole Drive, Southold.
To Whom This May Concern:
We are unable to complete your Certificate of
because of the following reasons:
~" XX
XX
Occupancy
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25636-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
~NDAT~ON (IST)
UNDATION (2ND)
PLUI. iBING }1
CODE CA r'CULATIO-N--S
SUnS¥STEM
Ex terlu,: Wails
Glazing g. 0
celli W/Ruof (Opaque)
Skylights %
Floor
Founda tiou Wails
Slab Insulation
Desigu Criteria 6,000 Degree'Beys
O.A- IOOF I.A. 7U°F
AREA
2. o
33~
TOTAL
REMARKS
Nu tes:
Iluildlng Envelope Systems to meet requirements of 7~15.2
IIVAC Equipement to' meet requirements of 7U15.11
HVAC Systems to meet requirements of 7815.r2
Duct Syst~lUS to meet requirements of 7815.13
Ventilations Systems to meet requireme~Lts of 7815.14
Insulation of Piping Systems to meet requirements of 7U15.15
s
Service Water ]~eating Systems & Equlptenk to meet require~ ent of 7815.21
~lectrlcal & Lighting Systems & Equipment to meet require ent of 7815.31
To the best of my knowledge,
belief, & professional
judgement, these plans are
compliance witi
tile code.
,
FORHNO. !
TOWN OF SOUTHOLD
BUILDI~C DEPARTMENT
TOI~ltALL
SOUTitOLD, N.Y. 11971
TEL: 765-]802
FOR BUILBI~IC PERHIT
INSTRUCTIONS
C[i~CK .........................
SEPTIC FOI~I ...................
NOTIFY:
CALL ........
MAIL TO: ...............
a. 'mis applieatioa east be c~mpletely filled in by tTpe~iter or ia
~ ~ts of pl~, ~a~ plot pl~
b. Plot pla ~ l~ti~ of lot ~ of ~ildi~ m ~s, ~lati~ip m ~joini~ pr~s or ~lie
st~ts or ~, ~ 8i~ a &~il~ ~i~i~ of l~t of ~ ~t ~ ~ m ~ diem ~i~ is ~ of
~is ~li~ti~.
e. ~ ~ ~ ~ ~is a~liati~
t. ~ ~g of ~is ~lia:i~,
~t ~1 ~ ~ ~ ~ ~s ~il~le ~r i~ti~ ~t
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le ~ in ~ for ~ ~ ~t~r ~til a ~ifica~e of
~ ~11 ~ ~ ~ ~ ~ ~ldi~ ~or.
~I~ IS ~[ ~
~ati~, for ~ ~ti~ of ~ildi~, ~i~ or altera~i~, ~ ~r ~al ~ ~li~i~, ~ ~rein
~ri~. ~ ~li~ ~s
~la~i~, ~ ~o ~ ~ri~ i~tors ~ ~s ~ in ~ildi~ [o~s~ i~i~
State ~r ~limt i~ mr~
....................... ..................................................................................
(~ ~ ~ t~ mi1 or latest ~) . /
Ii ~li~ is a ~ati~ si~ of ~ly m~ri~ offi~r.
(Na~e and title of corporate officer)
l~uilders License No ..........................
Pltmbers Lice~e No ..........................
Electriciaas License No ......................
Other Trade's Licease NO .....................
L I~ca£ion of lamt on ~ahic~ prolXlSed ~ork l~ill be dcm~ ..............................................................
House Iisaber Street
2. State existin~ use and oCCUlmaCy of premises and intended use and occupan~ of proposed construction:
b. Intended use and occupancy ........ ., .j~9,~ A~i~,,~,l~l ~2 .....
3. I~at.te of ~ork (check ~id~ applicable): Ne~ Buildin~ .......... ~iti~ ..... ~1 ......
~ o~ ~or ......................... ~eaa ............................... ~ ~ ............. ..
PLOT DIAGILAH
I~cate clearly and dlstiuctly all ibuildiu~s, ~h~er exis£ir~ or proposed, and iudicaCe all s~C-back diu~nsious
f.'o. property llnes. Oiv~ strut aud bl~:k uud~r or d~scription accorfling to de~d, aud sho~ street u~u~s ~nd iudicat~e
~nether iu~erior or corner lot.
.............................
............... ~ ........................
(~ of i~ivi~ sipit~ cmtr~t)
a~ ~, ,
I~'
o~ ~id ~r or ~rs, ~ is ~ly ~c~ri~ to ~rfom or h~ ~[o~ g~ ~id ~ ~ co m~ ~ file this
a~licatio~; ~t all stat~nts
that ~ ~ will ~ ~rfo~ in
_._ I ,l~A~aml
Subdivision- "Map/of Yennecoft Park"
Suffolk Cou~ty~File No.5187
Lot 53 Lot 52
N.88o57'30"E.
· ~--L~?.
1,59.63'
Lot ?
Area = 31777 s.f.
SUFFOLK COUNTY D_PART~£NT OF H£~LTN SERVICES
._~t,GLE FAMILY DWELUN~
DATE~ ~ 0 L~S REF. NO, S0 1/7
T~ sewage dmsposa) arid w~tor s~p)y f~ci)~(ies for this
ot~9~ a~e~cieA and ~oo~'~ to be satisfactory,
Chef of-BU~a~ o~ W~s~e~e~ ~ement
SURVEY FOR
TIMOTHY DOHERTY 6 JULIE DOHERTY
LOT NO. 7, "H IGHPOINT MEADOWS ¢SECTION TWO"
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON MAR. 19, 1990 AS FILE NO. 8911.
DATE: APR. t6, 1992
SCALE: I"= 50'
NO. 92- O~
CERTIFIED TO:"
TIMOTHY DO~
JULIE DOH
TIC, OR TITI...~ GU/t~t~.~I:FEI~. ~. ~J,,e~
SOUT~
NOTE: /~= STAKE
ALDEN W. YOUNG, PROFESSIONAL ENGIN[~:R
AND LAND SURVEYOR N Y_S UCENSE NO f2845