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HomeMy WebLinkAbout25161-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26548 Date: 07/06/99 THIS CERTIFIES that the building ADDITION Location of Property: 975 ORIOLE DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 55 Block 6 SOUTHOLD (HAMLET) Lot 15.35 subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1998 pursuant to which Building Permit No. 25161-Z dated SEPTEMBER 4, 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & IRENE DOERING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL OERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building In~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. 25161 Z Date SEPTEMBER 4, 1998 Permission is hereby granted to: ROBERT & IRENE DOERING 975 ORIOLE DRIVE SOUTHOLD~NY 11971 for : CONSTRUCT A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 975 County Tax Map No. 473889 Section 055 pursuant to application dated JULY Building Inspector. ORIOLE DR SOUTHOLD Block 0006 Lot No. 015.035 21 1998 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 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 buildi~ inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property linea 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 i~ system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildi 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 a ?pre-existing" land uses: of property showing ali property lines, streets, building and or topographic features, leted application and a consent to inspect signed by the appiicar e of Occupancy is denied, the Building Inspector shall state the in writing.to the applicant. ~ ee~'LD~. ~~ ~: ccupancy - New dwelling $25.00, Additions to dwelling $25.00, ~terations to dwelling $25.00, Sw~g pool $25.00, Accessory building $25.00~ Additions to accesso~ building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-~ist~ Buildinz - $100.00 3. Copy of Certificate of Occupancy - = -25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00 Date ...... .~ ..... ~- ..................... / New Const~ction .... ~.. .... Old Or Pre-~isting Building ................. Location of Property ..... House No. Street Ha~et of Property ~ ............. Onwer 0~ers ' ' ' County T~ ~p No 1000, Section..~i~ s~ua~o~.. ~.~.~.....................~e~ ~ .~d ~p.X~.~ ..... ~o~..TZ ........ e~ uo. ~ {~. L....2. . ~ o~ ~ ..*-~' ....... ~7...... .~pp~ ..................... / Health Dept. Approval ....... .... .. ........ ..... Underwriters Approval .................... Planning Board Approval ........................ // Request for: Temporary Certificate ........... Final Certicate .... ./~... -- . Fee Submitted: $ ......................... '~ Lc A p:rcA r Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765q1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 2, 1999 Robert & Irene Doering 975 Oriole Dr. Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: 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 # 25161-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~OUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING' INSULATION PER N. STATE ENEROY CODE FINAL ADDITIONAL COMMENTS: JOIST X 6 JOISTS DECK FRAMING PLAN J~/ / DECKING / wi p~T~ Ties ,' /2 X6JOISTS / ~X~RE^D / ~X~G~RDER .... :"' ' ~ ~ 2 X ~ GIRDER W/ ~_ ~ L 2 x b FAClA ~ ~g~T~ ~O~T/bEA~' ~ -~' ~l ~x~O~T ' I ' I ~i~' ELEVATION PECK FLAN DECKIN~ W/DDT1 TIES 4X4 PO~T~ 10" I~OUNO FOUNDATION PIER sion by , usually ti of the required 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN/St~LATION [ ] FRAMING [~/J~INAL [ ] FIREPrL'A~ & CHIMNEY DATE' '~//~ I NSPECTO~ .~~ FORH NO. TOWN OF SOUTI{Olol) BUll. DING DR PAR'I}IEitT TO~IN HALL · qOUTIIOLD, N.Y. { 197 I TEl.: 765-1802 Di s~pproved ale .................................. (liJj'l dlng lnsl~ctor) BOARD OF HEAltH ......... : ..... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORI{ ................... HOTIFY: ~AII. 10: .................... APPLICATION FOR BUILDING PERHIT INSTRUCTIONS a. 'Ibis applie.~tton mast be conpletely filled in I)y L~oriter or tn i~ ned minltt~ to tim ~flhling Trisector 3 ~ts o~ pl~, acetate plot plan to ~ale. F~ accordl~ to b. Plot pl~ ~i~ l~tt~ of lot ~ og ~ildi~s ~ ~mi~s, ~lati~ddp to ~joinl~ pr~i~s or ~l)lic struts or areas, a~ givi~ a ~tail~ ~ripti~ of ]aym~t o[ pro~rty ~)st Im dr~ ~ the die.an ~lch this a~)l icati~. e. '~e ~ c~r~ 1~ ~is n~lieati~ my ~t be cm~ t~fore is~e of ~dldt~ Pemlt. d. U~ a~al o[ ~is a~licaci~, tbe l~ildi% lns~etor ~ili is~ a ~ildlng Pemtt to the applic~t. ~mit ~mll ~ ~pt ~ Om ~8 ~ail~le Jar ins~tt~ th~t tim ~rk. e. ~ ~iidi~ Imll ~ ~pied or ~ in ~le or in ~rt for a~ ~ ~mt~r mttla ~rtlftcate of ~y ~mll h~e l~a ~t~ by tim ~ildi~ Ins~tor. ~,I~'H~ IS 1~ ~ to tim Ihlildi~ ~rtn~nt for the issue ag a ~tldl~ ~mlt ~r~t to tim ~lati~s, for..tl~ =st=ti~ of hflldi~s, ~itl~s or ilterati~s, or for r~al or ~liti~, as Imreln ' . (8t8~ture oi a~ll~t, or ~, ti a co~ratmnl (~ili~ ~ss o[ a~ltcant) State dreamt a~llcant Is ~r, les~, ~ent, archit~(, engi~r,"geteral ,5~tractor, electrician, plier or Ixiihle~ ............ ,.g.= ......... ..............g .... ................ (ns ~ tim t~x mil or latest d~) 1[ a~fltcant is a eo~rnti~, si~mre.o[ duly ~tberi~l l~ildere l.ice~se I~ .......................... Plumbera License Igo .......................... Electricians License NO ...................... Other Tr~le'e License No ..................... Ilouse limber Street . ilmtlet 2. State existing use and 'occulmney of Irrenises and inter, led use anti occupancy of proposal constn~ct~om a. F~xist use and oecuimncy .. ~ ............................................ froa pro[warLy linen. G[~na n£x~eet: n*YI block ~a~tlmr h*LerJor or co~r lOC. 3. I~am'e of ~ork (dN~ck ~4~ich npplJcable)~ ~ Building ' "' ~'~'~ .......I ......... f~ .............................................. If garage, t~alt~r o~ earn , IHneaal~m nE acm aCne.re ~l]th alterations or ~tttonaa Front ............... ~ar ............... ~]e o~ Ard~lt~c ! 15. la thin p~rty ~lthln ~ f~t.o~ a tit~ ~mClaM? a W3 .......... ~ .~ ...... PI,OT I)TAGllA~- l~ate clearly a~ dlatJ~tly ~11 ~tldl~8, Mm~mr ~iartng or pro~, ~ t~lieate all ~t-I~ diana*one ~8crlpti~ aeco~lng to ~, a~ M~ atree~ ~ma a~l i~liea~e ,~I'A'IE Olz NI~ Y(X~ (XIJNI'Y (I~ , ..................... % .............. ~-2 .................. I~hq~ duly ~)rn, delx)~8 alxl ~y8 Lilac he ia the applJ(~nt. (~n~u o~ i,xlivi&ml gig. tag c~tract)l ,. .... ........... ......................... (C~*tractor, 8ge.t~or~rate o~icer, eec.) tirol tl~e ~)rk viii I~ ~r~on~l In th~ t'i~mt~r ~C forth ia the application fll~l tl~r~. ~)rn to I~fore .e this i UNDA J. COOPER I Notary Pubflo, State of New ~rk No. 4022563, Suffolk, County Term Expires December 31, 1~ lAM 4~Ni FOUNDATION- ,,FOR ROUGH - ~, INSULATION FIN~,L , CONST~I~ BE COMP~ETE FOR C.O. CONSTRUCTION ~EQUIREMENTS OF THE )DES. RESPONSIBLE oR I 1