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Home My WebLink About25322-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26654 Date: 08/27/99 THIS CERTIFIES that the building ADDITION Location of Property: 240 ORIOLE DR (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 55 Biock'6 SOUTBOLD (HAMLET) Lot 15.13 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1998 pursuant to which Building Permit No. 25322-Z dated NOVEMEER 12, ~998 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 SINGLE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to RIOHARD & BETSY PERKINS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Buil/ing Ihspector Rev. 1/81 FORM NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25322 Z Date NOVEMBER 12, 1998 Permission is hereby granted to: RICHARD A PERKINS PO BOX 1894 SOUTHOLD~NY 11971 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR "AS BUILT." at premises located at 240 ORIOLE DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015.013 pursuant to application dated SEPTEMBER 24 1998 and approved by the Building Inspector. Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of ,property with accurate location of all buildings, property lines, 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 buildings and installations, a certificate of Cede Compliance from architect or engineer 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 buildings and i '~pre-existing" land uses: 1. Accurate survey of property showing ail 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. 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 $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing 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 New Construction ........... Old Or Pre-existing Building.'.~'~~..~. Location of Property.. ~..~..~.....O...~. ~.O..~.~ .... ~.. ~ House No. Street Ha~et .................... County Tax ~p No i000, Section..~.5 ........ Block...~ ........... Lot ..... t~.~ ......... ...... ...... : .... ' ......... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ..... Fee Submitted.' . $ .... ~.7J ............ . . [[[ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] IN/SULATION [j/~INAL ~ INSPECTOR Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 BUILDING DEPAK!PMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 November 20, 1998 Mr. & Mrs. Richard Perkins P.O. Box 1894 Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX 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 # 25322-Z (DECK) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for mew building or new use: 1. Final survey of property with accurate location of ali buildings, property lines, 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/i0 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 Vpre-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 dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions ~o accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-e~isting Buildin~ - $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 ~ew Construction ........... Old Or Pre-existing Building ................. Location of Property ......................................................................... House No. Street Hamlet )nwer or Owners of Property · · ]ounty Tax Map No I000, Section Block .. Lot ...... {ubdivision Filed Map Lot .... 'ermit No Date Of Permit Applicant .... {ealth Dept. Approval..........................Underwriters Approval...............-- ....... · 'lanning Board Approval ... {equest for: Temporary Certificate ........... Final Certicate ........... ~ee Submitted: $ ............................. ..% · '1: I~-~lllil'l~l I~,111 IIl~.l'l liT II1~'1'1( ...... !.;I,l~ II~ll'l'~ ~ ' APPROVEr NOTIFY BL)II 7615-180:2 FOLLOW~: 1 FOtlr' FOr 2 ~IED "~ ' "' .ETE FOR C.O. , FRUCTION REQUIREMENTS OF T: ~ATE RESPO IS OR UNLAWFUL CERTIFICA~ OCCUPANCY C FORM NO. ' I .3,. SETS: OF PLANS . ........ ' ...... TOWN OF SOUTIIOLD SURVEY '".,~. ~.. ............. u .... BUILDING DEPAR'II~IENT CIIECE ' · · ~ ...................... TOWN HALL SEPTIC FORM ............. ~ ..... SOUTIIOLD, N.Y. } 1971 ," TEl,: 765- 1802 NOTIFY: Examined ., ~IL TO: .................... ~1.,...; ..... . ......, Ig'~V Pemlt, ...... ';-'. ............. ~ ................... Oi~ a/c .... 19 BLDG.'DEP~ TOWN OF SOUTHOLD INSTRUCTIONS 3 ~Cs oB pl~, ~ra[e ploC pl~ Co ~ale. F~ ac~i~ [o b. PloC pl~ ~ l~Li~ of loc ~ of ~ildi~s ~ ~s, relacion~dp rD ~joini~ pr~i~ or ~lic scr~rs or areas, ~ givi~ a ~cail~ ~ripCi~ of lay~C oB ~r~ ~C ~ dr~ ~ tim dla~ ~ic]~ is lmr[ o~ Ods a~li~ti~. .' ~ d. U~ a~al o~ ~is a~llcaci~, c~ ~ildi~ Tas~ccor wil~ is~ a ~ildi~ Pemi~ rD the ~pllcanC. ~mit droll ~ ~pt ~ ~ ~s ~ail~le for in~ti~ theft ~e ~rk, ' . e. ~ ~iidi~ ~11 ~ ~i~ or ~ in ~le or in ~rt for a~ ~ ~at~er mtil a ~rtificate o[ ~I~ IS ~ml~ ~ to t~ ~ildi~ ~nt for tim isle o[ a ~ild[~ Pe~t ~r~t.to the ~ildi~ ~ ~i~ of ~ ~ of ~ld, ~f~lk ~, ~.Yo~, ~ o~er~ a~l~le ~, ~n~e~ or ~lati~s, for t~ ~t~ti~ of ~ld~, ~t~s or alteratx~s, or f~ ~.~r.~ht~T, as ~rem ~scri~. ~ a~li~t ~s to ~ly wi~ all a~li~ble l~s, o~i~es, ~lldl~.~, ~ c~e, ~ ~lati~s, ~ to ~t m~ri~ i~tors ~ ~s ~ in ~ildi~ fo~es~ ln~i~. (Si~tee of ~li=t, or m, if a co~ration) ...~...~.z~x ..... ~..~..~. ..... ~ ...... State ~m~r a~lic~t i~ mr, les~, ~nt, ~chlt~t, angler, '~mral c~tractor, el~trtc~, pl~r or ~il~r. ...0~0.~ ............................................................................................ ........... , ~ APP~ED A~ N~E~ ~o ~ ~ .' ~"~ ~.'.' " . · (~ m ~ t~ ~ll or late*t d~) _~k. ~~ ~: ~~ . If a~licm~t is a ~rati~, 'siam of &ly mtlori~ officer. N~ BUILDING DEPA~MEN~AT 76E-1~ 9 AM TO 4 ~ FOR THE Z n~. ~ & P~MBING 4. FINAL- CONSTRUCTION MUST Pl~rn L~ ~ ........................... ' BE'COMmiE FOR C,O. AL~"~NSTRUCTION SHALL MEET E~r~c~ ~ce~ ~ ............" '" " " ' THE ~EOUIREMENTS OF THE O~r ~'~ L~ce~ ~ ..................... ~TATE CONSTRUCTION & ENERGY ~CODES,. NOT RESPONSIBLE FOR .. ~ o~ 1~ ~ ~ ~ ~[k .111 ~ ~ ........................ ~S~ O~'C~ST~UCTfO~ ~ VD .o~(o~ ~c .............. , ................ ~..2. ................... t~ ~r St~t. 2. ~ . ~-2. ~ ~,~¢~ ...:. ,.':/:..' .... ... .......... State ~sti~ ~ m~ ~ of ~t~ ~ lnte~ ~ ~ ~ of~ p~ C~t~t~m. a. F~stl~ ~ ~ ~ ............ ~ ........ y- ......... ~' ..... , ~, .... ..'..A .... 3. F~ ire of ~ork (ct~ck which appliicahle): 'Ne~ lk.nldin~ ... ....... ~iti~ .......... Alteration .......... l~ir ......... ~'.'. ~al .... [ ......... l~hti~ ............ Other ~ ..' .... .~.~./~ ..................... 4. Estimted C~sr '....' '~0 .0~/ . ........ ............................... . ............... ~ [~ (to tm ~id ~ filing this a~li~tl~) 8. ~ o[ ~ddt~t ...... ~..: .... , ...................... ~ro88 .............................. ~m ~ ............... ~ o[ ~tr~tor . ............. , . ...... ~ .......................... ~ress ............................... p~r~ ~thin. ~ f~ti'of a ti&l ~tl~? * ~3 .......... ~ .... ~.. this ~ ~ ~ tPLOT DIAGRAH ~ate clearly ~ d~st~tly al1 ~tldt~s, ~mflmr ex~st~ng or pro~, a~ i~icate ail at-I~ di~nsions . ~, p~rt~ ltma. ~tm at~g[~ ~l~k ~r or ~scnpt~m acco~m8 to .... ;-I.,¢J5'.{-~-'~ ,~';~l~C-~tvL~.,~C~7~'~/,O.~O;l'.~b-! ............... Imlng dul,y ~n~, delx~s mxl ~ys that he is the al~l.i~nt I~ :~he ............................. I ..... (C~traetor, agent, cqr~rate o[ficdr, etc.) o~ s~id ~mr or ~ra, a~ is' &fly ~tl]orlz~ to ~rfom or h~ ~rfo[~ the ~i(I ~'rk at.I to m~ a~ ~ile this that the ~rk wtH Im ~rfon~l 'Ju7 'the ~mn~mr ~t forth m ~e al~l. lcat~ filed