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HomeMy WebLinkAbout24152-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25087 Date JUNE 16, 1997 THIS CERTIFIES that the building. Location of Property 1390 ORIOLE DR. House No. County Tax Map No. 1000 Section 55 ADDITION SOUTHOLD, N.Y. Street Hamlet Block 6 Lot 15.40 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 6, 1987 pursuant to which Building Permit No. 24152-Z dated MAY 28, 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 DECK ADDITION TO EXISTING OWE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. ~UFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 WAYNE & DEBORAH LANGER N/A N/A N/A Buildi~fg Inspec~ IrOEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERJvUT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 34153 z Permission is hereby gronted/t~: / (.~ ~o ~...~..:.m..~.~.~..'~~~ ...... FeeBuilding $..~~lnspect°~'~ ~. ..~~ ..........  ~ Building I~to~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD .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 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/i0 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: i. Accurate survey of property shQying 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. 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. 2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....~. ~../.~. ~.~..~. .......................... New Construction...~..~..~.. Old Or Pre-existing Building..~. ............. Location of Property..,.~.~.r./~[) ...... ~..Z.O. 7.~ ............................... House No. Street Hamlet Onwer Owners of Property !".~..~[{ .~ ~ ~ .-lt. ~.~.~..~7~% .~ County Tax Map No 1000, Sectlon...~.~..~. ...... Block ..... ~ ......... Lot..JP/~./.3.~:.~ ........... Subdivision. ~.'.~ ~ .~P, ~7.~ J~. fd.~.o..c~.b...~. .......... Filed Map .... ~. f././ .... Lot...~ .~7 ................ Permit No...~.~. ~ .?.~...~...Date Of Permit...?/~. ~/*?....Applicant..~.9.~.~...~7~.~.~.~. -~- · · · .~. · ~-~°~- Health Dept Approval . Underwriters Approval . . Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $..~..~..~ .~. ................... ........................... C 0 :f_ 5 o 8 7 I~ I I1^1, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I 1 F,R, PLAC, & C,'"",Y REMARKS'- ~/'~ ~, O~ [ ] ROUGH PLBG. [ ] I~U~ATION [ ~/~INAL DATE INSPECTOR BLDG. DEPT. FORH NO. I TONN OF SOUTHOLD BUILDING DEPARTHENT TOl~lq DALL SOUTUOLD, N.Y. I 197 I TEL: 765- 1802 APP~fifCATION FOR BUILDING PERHIT iNSTRUCTIONS a. 'Ibis aFplication must be completely filled in by typewriter or in ink and sel~aitted to tile P~dlding Inspector wlti~ 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shc~ing location o1~ lot and of hfildings on premises, relationship to adjoining premises or public streets or areas, ami giving a detailed description of layont of proparty mst be drawn on the diagram ~hlch is part of this application. c. 'Ibc work covered by tids application may not he cameseed before issuance of }luildlng Pemit. d. Upon approval of this application, the Building Inspector will isaac a Building Permit to the applicant. Sud~ permit shall be kept on tie premises available for inspection througt~0ut the work. e. NO beilding ~lmll be occupied or used in ~i~ole or in part for any purpose Mmtever until a Certificate Of Occupancy shall have hsen granted Iry tim Building Inspector. APFIAC~IlClt IS I~ffigBY [~51~ to the lhdlding Department for tile ismmnce of a Btdlding Penn'tt pursuant to the Building Z~e Ontinasee of the Toon off 8outhold, ~ffolk C¢xmty, taw York, end other applicable La,m, Ordlnanees or Regulations, for the construction of buildings, exlditi~ns or alterations~ or for removal or demolition, as herein described, abe applicant agcses to comply with all applicable la~s, ordinances, building code, l~using code, and regulations, aed to admit authorized inspsetors on premises and in L~lilding for uecessery inspsctions. (S t, or name, if a corporation) (14ailing address of applicant) State Mmther applicant is~, lessee, agent, arddtect, engineer, general contractor, electrlclan, plunber or hnilder. 765-1902 9 AM TO 4 PM FOR THE FOLLOWING ~NSPECTIONS: 1, FOUNDATION 'PV40 REQUIRED FOR POURED CONCRETE 2. ROUGH - F~AM~NG ~ PLUMBING 3 4,, FINAL CONST'RUCTION ~IlUST BE COMPL,ET¢' FOR C.O. ALL CONSTRUCTION SHALL MEET TNE REQUIREMENTS OF TH~ N.Y. I. Irxmtion of land on ~hich proposed work will be dose ....................... STi~T,~. CL~[LO~TRilCT[©N. &..~[BF~GZ... t~ ~r SL~L ~let 2. State ~ati~ ,. ................................................. b. Inte~ u~ aM ~ ....~Q~ .............................................. ~,.~ ..... (~:ri pl. l~) If garage, ~dmr of eara ~ [ 7. ~i¢,,.....%~.f ............... ~,,i~ ,,~ a,:ori~ ~-'~ . ......... ]0. l~Ue , Il. ?~e or u~ djatrjel: hl ~lldl pmni~a are aittmL~l., ........................ ] .................................... 15. la this pmpert.¥ within 300 feet' of a £idal x~etlaml? ~ YILq .......... lx~ .~'~ *IF YE.q, ~JIllll]~l) PI,OT I)IAGllAH l,ocat:e clearly aMI distinctly ail I;~til{li~llS~ ~tmtlmr exJ:al, ing or propotmd, frot~ i)roperry lleea. Give st~t a~l I)l~k ~u]ter or {hacripLi{m according to xdmther interior or eort~r~t. ~ ~ ........ / ~l OC~ IllJNl'/ Gl,' ....................... all ~etq~:k dimensions at~l ~lcm, slreel: iknu~tt al~lI~llca 'a *mid (x~oer or (~l(n'o,. nlKl ill duly aulherizcM I'o i~rJ'onu or have [~r fotnL~l Ihe haiti ~t.k /n~l Lo tmlm afxl file this application; Ihlll: all aratex,ants contai~l in tide appIlcation are t. rt~ to lite ImM. ?f lua kfxml~lge al~l Imlief[ al~l IlmL Ihe ~)tk ~ill I~ IX~rl:oi~ed lit the ll~lllla][ t~l. forth ill lite appl itml:ien [ileal tl~rc~ilh. ...... .... ,lay ....... HELENE D. HORNE Noto~ Publi~, State of Now York ' "O~alifled '(Slgna~ . ant) BR\x/E I . sO9 07 ' ' I~ =809.0 ' L=105'9i ~L=t Z ~ ~ I ' 11 ~'~' , I : I ~ , Lot 37 - - ~ N. 89°54'IO"W. 129.82' now or formerly C~rl ~ Anthony Cod~n ~ Anoth~ SU~Y FOR WAYNE LAN~ER ~ DEBORAH LANGER SUFFOLK COUN~ ~PARTMEN~ ~ ~H LOT NO, 37~ "HIGHPOINT MEADOWS, SECTION 2" AUG. 20H990 AT SOUTHOLD D~[: dULY 6,1990 FOE APPEOV~ OF C~S~U~N ONLY ~N ~ SOUTHOLD )ATE ~ REF. NO.__ SUFFOLK COUNTY, NEW ~RK NO. 90-0505 ~URVEY ~a VI~AT~O. ~CT~O. ~zog ~ ~N~ , ~NE LAN~ H[~ DEPARTMENT-OAT& F~ APPRO~ TO C~STRUCT ./ ~.o ~ NfS ~LF m THE TITLE C~"~Y, ~OV~N- "" YOUNG S YOUNGRIVER~AO, NEW NOTE ~ B = MONUMENT ~ = STAKE ALDEN W. YOUNG~ PROFE~IONAL ENGINEER SUBDIVISION MAP FILEO IN THE OFFICE OF ~HE CLERK OF SUFFOLK COUNTY ON M~R. 19~ 1990 AS FILE NO. 89fi. AND LAND SURVEYOR N Y.S UCENS[ NO. . HOWARD W. YOUNG~ LAND SURVEYOR '~ ~ L~ ~ ~L(W) ~lC TA~(~I CE~I~} ~N ~E~ N.Y S. LICENSE NO. 4589 ~ ~ FIE~ ~T ~1 ~ OR DATA OIT~O F~ OTNER I SRANDIS & SONS lNG,