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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~