HomeMy WebLinkAbout25354-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26216
Date: 01/14/99
THIS CERTIFIES that the building ADDITION
Location of Property: 9915 OREGON RD CUTCHOGUE
(ROUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 83 Block 2 Lot 20.1
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 5, 1998 pursuant to which
Building Permit No. 25354-Z dated NOVEMBER 24, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MAUREEN P BYRNE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
//Budding Inspector
Rev. 1/81
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.
25354 Z Date NOVEMBER 24, 1998
Permission iS
hereby granted to:
MAUREEN P BYRNE
9915 OREGON ROAD
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN ATTACHED DECK TO A SINGLE FAMILY DWELLING AS
APPLIED FOR.
at premises located at 9915
County Tax Map No. 473889 Section 083
pursuant to application dated OCTOBER
Building Inspector.
OREGON RD CUTCHOGUE
Block 0002 Lot No. 020.001
5 1998 and approved by the
Fee $ 75.00
Building Inspec or
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
This a lication must be filled in by typewriter OR ink and
inspector with the following: for new building or new use.
1. Final survey of .property with accurate location of all buildings, property~TT~t~s
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 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 showins 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.
· 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.
Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - ~ .~5~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00
Date ...................................
o~ Construction ........... Old Or Prg-e~isting Bu~ilding ............
...............
of Property..? ...... O. .................. 0..'.¥?.! .......... .J,. '"
House 1,1o. Street H~.ml et
~er or Owners of Property ..................................................................
m.~ty Tax Map No 1000, Saction.~: ......... Block ................ Lot
Filed Map Lot -... .... ·
'\~bdivision .............................................................
'~ -'(/f(.¥7= D Of - - U~ ~/~ f Appli ....
~it Ho .............. ate ~ermit.. ~: ............ cant .........................
Underwriters Approval.........- ........... · .. ·
.~lth Dept. Approval ..........................
arming Board Approval --
tifi al · -
~quest for: Temporary Cer cate ........... Fin Certicate .........
~e Submitted: $ .............................
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
BUILDING DEPAKTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
January 8, 1999
Maureen Byrne
9915 Oregon Road
Cutchogue, New York
11935
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)
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 ~ 25354-Z DECK
Thank you for
Please contact our office on this matter.
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
REMARKS:,L
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] I~ATION
[ ] FRAMING [/,/]FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR
-~OUNDATION
(1st)
FOUNDATION
(2nd)
ROUGH FRAME &
.PLUMBING'
INSULATION PER N.
STATE ENERGY
CODE
'FINAL
ADDITION COMMENTS:
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOV~-N OF SOUTHOLD
January 8, 1999
Maureen Byrne
9915 Oregon Road
Cutchogue, New York
11935
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)
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 # 25354-Z DECK
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
ROUGH PLBG.
] I~ATION
FINAL
[ ] FIREPLACE & CHIMNEY
[\
"'Ti
FORH NO. I
TONN OF SOUTItOLD
BUILDING DEPARrI~fENT
TOWN HALL
SOUTItOLD, N.Y. 1197 I
TEL: 765- 1802
t__~,~OARD OF HEALTH ...............
~ SETS OF PLANS '
SURVEY ........................
kk_~kgCK .........................
SEPTIC FORlt ·
NOTIFY:
I~IL TO: ....................
. Date.~ ......
a. 'Ibis applicatian mast be caupletely filled in by typt~riter or in ink and suhnitted to the l~filding Inspector v
.3 sets o£ plans, accurate plot plan to scale. Fee aceontiag to schedule.
b. Plot plan al~rlng location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed deacriptian of layout of property mast be dra~ on the diagram ~hich is port of
this application.
c. 'll~e ~ork covered by this application may not be cameaced before issuance of l~uilding Pemit.
d. Upon approval of this application, the Building Inspector will issue a Building Pemlt to the applicant. Such
pemit shall be kapt tm the premises available for inspection threnghtmt the work.
e. NO building shall be occupied or used in ~hole or in port for any ptn~se ~/aatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
~&PPLICATI(Iq IS ~ 14a~E to the Building Deport~nt for the issuance of a Building Pennlt pursuant to the
Building Ztme Ordinance of tim To~ of Santhold, Suffolk County, ~ York, and other applicable La~s, Ordinances or
lk~gul~tioas, for the canstroc£ian of buildings, additions or alterations, or for removal or aamliticn, as herein
deacri%ed. Tns applicant agrees to canply with all applicable lams, ordinances, building cede, housing code, and
regulations, m/l to at, alt authorized inspectors an prcmlsas and in building for necessary inspections.
(SiKna~ture of .applicant, or name, if a corporation)
~. (Nailing aadress of apphcmlt) ~' .
State ~hetl~er applicant is ~a~er, lessee, agent, architect, engineer, general contractor, electrician, plmber or build¢
.................... ..~...~...~.. ~&..: ...................................................................................
Name of owner of premises . .~ .........................................................................................
(an on ~ tax roll or latest deed)
If applicant is a corporation, sigDature of daly anfl~orized officer.
(Nam and title of corporate officer)
Builders License No ..........
Plumbers License No ..........................
Elactricia~ License NO ......................
Other Trade'e License NO .....................
I. Location of land on ~hich proposed ~rk will be done~ ..............................................................
q?/f OgeVo; C r-c( f ..........
.... ~'~; ...................... ~4~r' ...................... ~q .......... ~,ed' ...............
~ ~No. ,a~ ~,ian .~.~. ........ BI~ ...... ~.. ~t ...~..~.:.:. ....
Subdivision ...................................... Filed Map NO ................ lot ...............
2. State existing use and occupancy of premises and ingended use and.o~cupoacy of proposed constmctitm:
L ~l'~,,v //~ ~.~'1/,..-.~'. ......
a. Existing use and occupancy ..................... ~. ................. ~ ..............................
~. ~,~,~ ~ o=,~p~.. ...~.'F.'...q/~' ' . .................... ...
Nature of ~ork.~(chack ~hieh applilcable): ~ l~*ilding .......... addition .... Alteration ..........
llepalr .... II~ao~al j Ileal it ion Other T~ork
.(lleacrlption)
Esti~nated Cost ......................... fee ...........................
(to be paid on filing this application)
If dr*ailing, rssnber of riling mits ............ llanber of ~llfng units on' e~ch floor ..... : ..........
If garage, nea/aer of cara
,[ ~i. eess. ~ia, or ~: nc~.., *cio net~re ~ ~teet o~ eaO, ~ of ~ ......................
Dimensions .o~same structuro with alteratilms o~ additiogs: ~ront
~pth ....~......~'. ~.. ~,~,~ ..... t~.... ....... ~ o~ s~o~i~... Z~ .......
I0.
16.
15.
PLOT DIAGRAI~I
locate clearly and distinctly ali Imlldmgs, t~netlmr existing or proposed, and indicate all sst-back dimensions
fram properL~ lines. Gi~e street mad block n~ber or description according to deed, and sho~ street ms and indfcate
~/nether interior or corner lot.
,gFA'IE air I~ Ygl~,
gyJIgl'/OF .......................
(~ O[ l~tVl~l Sl~hl~tract) I
(Contractor, agent,
of m~id r~mer or ma~r~, and is duly
applicatine; that ail statements enet
that the ~rk will be ~r[o~ in th~
orporate oil:leer, etc.)
uU~orJ~l to perform or have Ix~rJ~otn~J tlie neld ~-o~k m~ to rake a~ file thi~
[~ in this a~lieatim~ are t~ to fl~e ~st o~ his k~t~ m~ beliefl a~
mmmr ~t forO~ in fl~e a~l icatim fil~ t~.
/ / uao¥¢~u.W{~KlNs
Term Expires J~Jne 12. Jify
(Sigeat.'ure ol~ ^ppllcm~)
9?.9'
75. I '
75. $ '
N 49°44'40'E
S 49°44'40"w
168.11'
20,2'
$$. 5 '
$6.8 '