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