HomeMy WebLinkAbout25431-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTFf~NT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26461
Date: p5/09/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 330 ORIOLE DR
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 55 Block 6
SOUTHOLD
(m~LET)
Lot 15.12
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 30, 1998 pursuant to which
Building Permit No. 25431-Z dated DECEMBER 22, 1998
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 ACCESSORY STORAGE SHED IN REAR yARD AS APPLIED FOR.
The certificate is issued to JOSEPH F MCILVAIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
Building Insp/or~
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. 25431 Z Date DECEMBER 22~ 1998
Permission is hereby granted to:
JOSEPH F MCILVAIN
330 ORIOLE DRIVE
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF AN ACCESSORY SHED IN THE REAR YARD AS APPLIED FOR.
at premises located at 330 ORIOLE DR
County Tax Map No. 473889 Section 055
pursuant to application dated OCTOBER
Building Inspector.
SOUTHOLD
Block 0006 Lot No. 015.012
30 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
ThiM 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.
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
Upre-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 applicar
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
Alterations to dwelling $25.00, Sw~m~tng pool $25.00, ~_cces_sor~ b~
Additions to accessory building $25.00. Businesses $~0.~0.-- ~ '~'
2. Certificate 'of Occupancy on Pre-existinR Buildin~ - $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
Date ..........................
~ocation of Froperty.i..~..q...O. ~).~?.e... ~;~.¢ ........ i i..~..' .....................
House No. Street ~ Hamlet
Onwer or Owners of Property...-~; ....................................................
county Ta~ ~p'~o~ ~ooo. ~,ction...~ .... S .... ,~loc~...O00~ ..... ~ot .... E ............
/u.~,,~/ 6,~v-'J/1~,,~ ~ · ot ? .........
App ~. ~..~ App . ,/~/0 .,~- · ....
Health Dept. royal .................... Underwriters roval .........
Planning Board Approval..~.~.~ ...............
/
Request for: Temporary Certificate .......... . Final Certtcate..~... . .... . . .
Fee Submitted:
V ' APPLICANT
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING '
[ ] IN/SI~LATION
/[~INAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
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. 25431 Z Date DECEMBER 22~ 1998
Permission is hereby granted to:
JOSEPH F MCILVAIN
330 ORIOLE DRIVE
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF AN ACCESSORY SHED IN THE REAR YARD AS APPLIED FOR.
at premises located at 330
County Tax Map No. 473889 Section 055
pursuant to application dated OCTOBER
Building Inspector.
ORIOLE DR SOUTHOLD
Block 0006 Lot No. 015.012
30 98 and approved by the
Fee $ 35.00
Authorize~ Slgnature
COPY
Rev. 2/19/98
)UNDA~ION (1st)
~UNDATION (2nd)
OUGH FRAME &
.PLUMBING'
'MSULATION PER N.
STATE ENEROY
CODE
·FINAL
ADDITIONAL COMMENTS:
¥ORMRO. I
TOWN OF SOUTHOLD
BUILDING ~EPARTMgNT
TOWN HALL
SOBTBOLD· ~.~. 11971
TILL: 765-1802
Disapproved a/c ...........
BOARD OF HRALTIt ...............
5 SliTS OF PLAIIS ...............
SURVgY ..........
CI~gCK .........................
SEPTIC FORH ...................
'Date ....... ·
a. 'mis applicacia~ mst be ca~pletel~ filled in by type~icer or in i~ ~
3 ~Cs of pl~, ~a~e plo~ pl~ to ~le. F~ ~o~i~ to ~le.
b. Plo~ pla ~ l~Ci~ of lo~ ~ of ~ildi~ ~ pr~s, mlati~ip m ~joini~ pr~s or ~lic
s~r~s or aec, ~ givi~ a ~ail~ ~rip~i~ of lay~ of pm~ ~ ~ ~ ~ ~ diem ~i& is ~ of
~is a~li~i~.
c. '~e ~ ~r~ ~ ~is a~li~ti~ ~y ~C ~ ~ ~fore is~ of ~ildi~ Pe~t.
d. U~ a~al of ~is a~li~ti~, ~ ~ildi~ ~ctor ~11 is~ a ~ildi~
~t ~11 ~ ~pt ~ ~ ~s avail~le for i~ti~ ar~t ~
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~ for ~ ~ ~C~r ~il a ~ifica~e of
~ aI~ I$ ~ ~ ~o t~ ~ildi~ ~t for ~ is~ of a ~ildi~ ~t
~ldi~ ~ ~i~ of ~ T~ of ~ld, ~lk ~, ~ Yo~, ~ ~r ~li~le
~a~i~, ~r ~ ~cim of ~ildi~, ai~i~ or al~eraci~, or for ~ or
&~ri~. ~ a~li~c ~s to ~ly ~ ~1 a~ti~le t~s, o~i~os, ~ild~
~la~i~, ~ m ~iC ~ri~ i~tors m ~as ~ in ~ildi~ for ~s~ i~ti~.
...:.~.~....~ ................
(Sx~of ~li~t, or
~ili~ ~ of
State ~t~ether applicant is owner, lessee, agent, architect, engirmer,'general contractor, electrici~m, plugger or lmilde~
~/e£ ..............
~ ~_~ ~ M.. ~T&~.*.~ ........................................................
~ of a~aer of ~rem~sea .... ~.~.~ ....................
(as en the tax roll or latest deed)
If applicant is a corporatiou, signature of duly ~thorized officer.
(Nam~ and title of corporate officer)
Builders Licerme No ..........................
Pl~nbers License No ..........................
~l~ct~icians License No ......................
Other Trad~'s Lic~ase No .....................
1. l~catlo~ of land om ~ahich pro~ work will be do~ ..............................................................
..... .~3 ..... .0...~ ........ ~.t~: ......... .~.~ .......... .iv.. ...................................................
~ ~her Street -H~l et
c~ T~,~r,,. O~ s~t~ ..... ~5 ...... B~o~ ..... .~. ........ I,,t .... l.~....l ....
../!'l..~J.~.~j'... F~.',.,~
aivision
2. State exisciu8 use a~d ecct?~cy~ of ~s
-. · -- q~e~ S ~_d,, ' .........................
a. ~stt~ ~ ~ ~ ....... .~ ...........................................
,. ~ ~ ~ ~ ....... ~ *'~.¢c~m~z~x'~..~z~t~;. ....................................
L l~atur, e of ~onk (cl~ck ~ddt applicable)i ~ ~ildt~ .......... ~lti~ .......... ~ters~t~ ...l ......
~lr ............ ~1 ............. ~liti~ ............ 0t~r ~ .... i'~..~.~ i ..........
~rtpti~)
~. ,sti~t~ ~st ...... ~. .......... ~ ..............................................
(to ~ ~td ~ filt~ this a~li~ti~)
5. If ~11{~, ~r o~ ~11t~ ~mits ............ ~r of &~lltu8 ~tts ~ ea~ ~r ................
If ~r~, ~r oi ~rs ......................................
~. If ~t~ss~ ~tal ~ ~ ~, ~i~ ~ ~ ~tent of ea~ ~ of u~ ......................
7, Bi~ust~s of ~sti~ st~s, ti ~ ~t ................ ~ar ............... ~p~l~ .................
}~t~ ...................... . . . ~r of Stories ................ .. . . ..
D~nsi~ of ~ st~ ~th alte~ti~ or ~iti~s: ~t ............... ~ar ........ , .......
~pth .................... ~i~t .................... ~r of 8tortes ...............
8, Di~nsi~ of ~ti~ ~ ~st~ti~: ~t ................ ~ar ............... ~p~ ..............
t~t~t ....................... . . ~r of ~tories .................... .
~.si~ o~ ~o,, ~, ....... ~ ......... ~ ....... ~./. ........ ~, ..... ~.~. .........
,~. ~,, o~ ~,,~ ..... ~/~.~ ..... ~ o~ ~o~ ~ ....a~..~.~. .............
II. ~ or ~ district in it~ ~,i~s a~ si~ ...... ..,..~, ,, I. ..,_ ..........................
O
13. ~ill lot ~ ~ ...~ ............. ~ill ~ss fill ~ ~ ~ ~s: , , ~ ~
~ o~ ~tt~t .................................... ~ress .............................. ~ ~ ...............
~ o~ ~Er~t~ ............................... ~.., ~ress .............. ,-/ ............ ~ ~ ...............
15. Is fids ~ ~in ~ f~t oi a till ~1~ * ~ .......... ~ .......... ~/
PLOT BI AGI1AH
I~cate clearly a~d dlsti~ctly all b~ildir~s, ~i~ether existi~ or proposed, a~d i~dicate all set-back dimensions
~ ~o~erty li~es. Give st'ree~ ~d block r~l~ber or descripti~ ecco~ding to deed, a~d ~ street ua~s ~l i~dicate
~aether interior or comer lot.
Zo7 ~?
(~ of i~ivi~ si~i~ ~tr~ct)
~ i, u,~ ...... Ja ~!. ~ ...........................................................................
(~tr~t~, ~nt, co~rate officer, etc.)
of ~id ~r ~ ~rs, ~ is ~ty ~t~ri~ to ~rfo~ or h~ ~rfo~ a~ ~M ~ ~ to m~ a~ file
~li~ti~; ~t ~1~ stat~i~Cs ~tai~ in ~is ~lie~ti~ ae t~ to ~e ~st of his ~t~ ~ ~lie~i
that ~ ~ viii ~ ~r~l in tim ~r ~t i~rth ~ ~e a~lleati~ fil~ ~a.
.... ....
~U~LIC 8~ofN~