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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 '