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Home My WebLink About24492-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25878 Date: 08/11/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 975 ORIOLE DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.35 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 6, 1997 pursuant to which Building Permit No. 24492-Z dated NOVEMBER 17, 1997 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 ACCESSORY SHED ADDITION IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to ROBERT & IRENE DOERING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building I pector Rev. 1/81 i FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TQVYN HALL SOUTHOLD,N.Y. PUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NOVEMBER 17 97 24492 Z Date.............................................................. 19........... Permission is hereby granted to: ROBERT & IRENE DOERING .........................................................................I.......... ...... 335 LEON RD SOUTHOLD,NY 11971 ........................................................................................... to CONSTRUCT AN ACCESSORY BUILDING IN THE REAR YARD AS APPLIED FOR .................................................................................................................................................................. ........................................................................................................................................................... .......................... .......................I..................... .......................................................................I........... ............. ...... ............................................................................. ............................................................... at premises located at................ 975 ORIOLE DR SOUTHOLD . ............................................................................................................. ..................................................r................ ................................................. .,........................................ County Tax Map No .......................... Section ........................ Block ........................473889 055 0006 015.035 Lot No. ........................ pursuant to application dated OCTOBER 6 97 PPP .......................................................... 19................ and approved by the Building Inspector. 35.00 Fee$......................... .... .... ........ ..... ..... .................................... Building Inspector Rev. 6/30/80 Form No. 6 U TOWN OF SOUTHOLD 3391 E: 1998 BUILDING DEPARTMENT TOWN HALL BLDG.DEPT. 765-1802 T WN F S UTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 Code 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 '.'pre-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. 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. Certificate of Occupancy on Pre-existing Buildins - $100.00 ,3. Copy of Certificate of Occupancy - .25e,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1/5..00, Commercial $15.00 ��ff Date . . . ?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction...2..<. . . . .. Old Or Pre-existing Building. . ./. . . . . . . . . . . . Location of Property.. . .1.� . . . . . . . ... . .. . .P/e/ DLE. . �P_i uC. . . . . . .. . . . 4�4�u. uQ . . . . . . . House No. Strrre-e�t, Hamlet Onwer or Owners of Property..e ?. . . : . .�!:��. . —tf.4':`�C. . :. �! �4 . . . . . . . . . . . . . . . . County Tax Map 11 No 1000, Section.��.�:��. ..Block. ��`�� . . . . . .Lot. ��s�a�.�. . . . . . . . . . �t Subdivision. l<AffPRlrj►. . .N96.bvo,-.-j.S . . . . . . . .Filed Map.ER I. . . . .Lot. . . . `.-�.:�. . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . .. . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . HealthDept. Approval. . . .. . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . PlanningBoard Approval. . . . . . . . . ... . . . .. .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. ./<. . . . . . . Fee Submitted: $. . .V.5: . . . . . . . . . . . . . . . . . . . . . . x.58 -7$ �'{ q4t7 ns-zeox suauINc oar. INSPECTION [ ] FOUNDATION iST [ ] ROUGH G. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING FINAL [ ] FIREPLACE 8 CHIMNEY REMAR DATE A//4��?/-INSPECTO1� suaniNa oma. INSPECTION [ ] FOUNDATION IST /] FINAL H PLBG. [ ] FOUNDATION 2ND LATION [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: DATE 7/c) INSPECTO��11145W 1 QLD FOUNDATION ( 1st ) FOUNDATION ( 2nd ) — � 2 . o ROUGH FRAME & PLUMBING Q co4 H 3 . c� INSULATION PER N . Y. y STATE ENERGY CODE a r FINAL z ADDITIONAL COMMENTS : H 9 z x r H - d. BOARD OF HEALTH . . . . . . . . . . . . . . . _-. FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY 1 BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD,' N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . 7. .5.-.. .� . �'Ex mined.....!�.<.�..., MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....� ... ....., 19/ , 9/ Permit No. ..�[. 1. .- .................................... Disapproveda/c .................................. .................................... ................................................. ............. r ..�.(.. (Buildi •or) APPLICATION FOR UILDING PERMIT Date. �c . . �. . . . . . . . I9.� INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streees or areas, and giving a detailed description of layout'af property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be camrnced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HERM MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit.authorized inspectors on premisies and in building for io wtions. (Signature of appli ration) 97S 1/ a r o �e Oo O (Mailineaddress of a� ',cant) �� 4 State whether applicant is owner, lessee, agent, architect, engineer, general c Lilder ............. ...............................................�� 3..... � YQi t None of owner of premises O v. .f......... . ... ...s..K:..., a_ .n am ... (as on die tax "roll or latest deed) .` �• gyp•.'. NdMIJmol .K: If applicant is a corporation, signature,of duly authorized officer. TOM N0115if"140o.OZ MR MJIW' T33M JJAN8 W01T,W F T;?0, •(Nam•and.title.of.corporate.officer).••..•• ......... Y,M 3NT 40 ZTV1W-IPR7 `' Y003143 Al Builders License ND. Plumbers License No. ......................... Electricians License No. ..................... Oilier Trade's License ND. .................... 1. location of land on which proposed work workwill be done.............................................................. ....�?S w. . e .f` o loe ..... ... . . . . .............................. .......................... hose Number t Hamlet Canty Tax Map No. 1000 Section �:�/.5.•,O�.... Block .d�R:00...... Lot Subdivision "�� v i•� �G et et e w J ..... Filed Map No. .. .1 �. ...... Lot ... . .... .. ......................... ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....✓4C.0?1.�............................................................... b. Intended use and occupancy ...........• �_. d e d........................................................ 3. Kiture of work (Check whid► applicable): New Building ... ., Addition .......... Alteration .......... ~ Repair ............ Remwal ............. Demolition ............ Other Work .................................. ,y (Description) 4. Estihmnted Cost ..?�./................... fee .............................................. (to be paid on filing this application) 5. If d►aelling, number of dwelling units ............ Nnber of dwelling units on each floor ................ Ifgarage, number of care ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. sleight ......................... Nudger of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... lleight .................... Number of Stories ............... 4F 8. Dimensions of entire new construction: Front ..�4............ Rear ................ Depth ..14.......... ppi r lleight .......l............... Number of Stories 9. Size of lot: Front ...��`:.5........ Rear .................... Depth .....�......l 8 3. 3 10. late of Purchase .A.I.l3jg7.......... Name of Former Owner II. Zone or use district in which premises are situated ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...�Q................ 13. Will lot be regraded ....l °DD II ......... Will excess fill be remmed from premises: YES ND y 14. Names of Owner of premises l4�B►: *'L ~•..vm?"!r't. Address �7:f. ', rfr._Dr:rs.��a ff�!li�Phone No. timeof Architect .................................... Address .............................. Phone No. .............. Nine of Contractor ................................... Address ................. ...........Phone No. .............. 15. is this property within 300 feet of a tidal wetland? * YES .......... ND .. ... *IF YES, SOLM]" IUWN MMMS PERMIT MAY 1E MQMRM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from*pr"4t block nuiber or de ion ion according to deed, and show street naves and indicate whet! 66 TT pa © ; y Cr L a 1 NIIN � 31 2. a 011 . 1 .; A. <<r'� 3. INSUL14M 4. FINAL - CONSTRUCTION MUTT ALB ONS PON ON`'O�N�►u. MW OCCUPAI` 0R THE REQUIREMENTS OF THE N•Y• USE IS UNLA STATE CONSTRUCTION & ENERGY ;r1VQEE'. NOT RESPONSIBLE FOR$ WITHOUT CERTIFIC E. cx>tNIY ar �. -ep .......... OF OCCUPANCY �Q .. ...��.................being duly sworn, deposes and says that- he is the applicant (Nave of individual signing contract) above named, Ileis the ................................................................................................... (Contractor, agent, corporate officer, etc.) of: said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statemethts contained in this application are tame to the Best of his knowledge and belief; arxl that the work will be performed in the manner set forth in the application filed, therewit- Sworn/to before me this __ q .....4 l'.. .. o .................19. <,.�.. Notary Public ... . . ............................ ....... ......................... . M.WILKINS (Signature of Applicant) Notary Pu lie,State of New York No. 4952246,Suffolk Cou Term Expires June 12,1 .SES s LA IVo v. LEW o� haw r oN 1�oF�;',,. '/tib .civ aue�v� e 'ear. 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