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Home My WebLink About23248-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCUumAN~Y No Z-24175 Date FEBRUARY 22~ 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 1395 ORIOLE DRI~FE SOUTHOLE NY House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 15.31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 9, 1996 pursuant to which Building Permit No.. 23248-Z dated FEBRUARY 15~ 1996 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 AR "AS BUILT" ACCESSORY GAZEBO IN '£~ ~ YArD A~ APPLIED FOR. The certificate is issued to of the aforesaid building. JEAN KOENIG (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/a FORM NG.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUiLDiNG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23248 Z CounlyTaxMap No. 1000 Section,,~..'~... .......... Block....., ,~, ................ Lot No..~.,..~..¢...5 ,~,, ..... pursuant to application dated ............. ~~......~.. ............. 19...~..~;::~..., and approved by the Building Inspector. Tee S..~...J.... ~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 APPLICATION FOR CERTIFICATE OF OCCUPANCY As 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: i. 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 Cods Compliance from architect or engineer responsibls 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 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 10 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~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. .Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date.......~../~.IR.~.. ...................... ... New Construction ........... Old Or Pre-existing Building ................. Location of Property..l~.%.~.......,..................~p~O~ .~.([~.. ............................... . . House No. Street Hamlet Onwer or Owners of Property ................. ~D ~n~dl~ ....... ~OC~I~% ................................ .... County 000, Section... . . ....... ........ Subdivision .~.[.~ ~'~ ~C~u~-- ...... Filed Map ... Lot Permit No .......... Date Of Permit.. .Applicant. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval .. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: ItOIJ(;ll Fl~^i'tlr, & PI,UHB 1 N(; IN.qlll.^*l'lOtl PI~I{ N. ¥. Ir. tilt. l{ f;y (:{)1)1~. 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION IST [ ] ROUGH PLBG. J FOUNDATION ZND [.] I.~II~TION/. ] FRAMING ~J"FI NAL DATE~~~__;~ INSPECT~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 ~S86e4 .UREAU OF ELECTalCITY ~ 815 JOHN STREET. NEW YORK, NEW YORK 10038 Dst. FEBRU~Y 15,1996 ~pplicetion ~o. onJile 11129296/96 , ~ ~48728 THIS CE~IFIES THAT JEAN KO~NIG KNOBLOCH, 1395 ORIOL~ DRIVe, SO~HO~ N.Y. in thelotlowlng toc, tlo,; ~ B,sement ~ Ist Ft. ~ 2nd ~. Section Bt~k Lot ~s examined on ~ 1 ~ ~ ~ and found to be in compl~nce ~ith the Na~onal Elect~c~l Code. SWITCHES FIXTURES RANGES OVENS EXHAUST FANS E R C I~O OF CC, COND PER ~' OF HI-LEG A. WG NEUTRAL OTHER APPARATUS: SMOKE D~TECTOR,-1 *NO VISUAL DEFECTS~ "An electrical survey has been made of ~e exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. ~TEANKOENIG KEOBLACH 1395 ORIOLE DR. P. O. BOX 1819 SOUTHOLD, NY, 11971 GENr~AL MANAGER This certificate must not be altered in any manner; return to'the office of the Board if incorrect. Inspectors may be identified by their credentials. ~m~m~rr ~rr~m-~r ,r ~Fr ~r~m~ , , COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE I~uST-NoT BE ALTERED IN ANY MANNER. FORH NO. I TOW~ OF SOUTHOLD BUILDING DEPARTHENT TOl~q llALL SOUTHOLD, N.Y. 1197 I TEL: 765- 1802 BOARD OF HEALTll ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... gEPTIC FOPd~ NOTIFY: CALL ..... mil TO:.YO.&.Z I? ......... .. ................. INSTRUCTIONS a. ~de appllcati~a ~mst be ce~pletely filled in by ~i~er or in ink ~ ~i~C~ to ~ ~ildi~ In~ctor ~t] '~ ~s of plus, ~ra~e plo~ pl~ to ~ale. F~ ~ing to s~le. b. Plo~ pl~ ~ 1~i~ of lo~ ~ of ~dldi~s ~ ~s, mlati~shlp to ~jolni~ ~i~s or ~lic struts or areas, ~ filvi~ a ~tail~ ~riptim of l~t of ~r~ mst ~ dr~ ~ t~ dla~ ~i~ is ~rt of fids ~ll~ti~. c. ~m ~rk ~ I~ fids a~licati~ ~ ~t ~ ~ ~fore isle of ~ildi~ Pe~t. ~t ~M1 ~ kept ~ tim ~s ~il~le for in~ti~ that ~e ~rk. e. ~ ~ildi~ ~M1 ~ ~i~ or ~ in ~le ~ in ~rt for ~ ~ ~at~ ~tll a ~rtlflcate of ~ ~all h~ ~ ~t~ ~ ~ ~ildi~ In~t~. ~I~ IS [~t~l~ ~ to tim ~ildi~ ~r~nt for ~e is~e of a ~ildi~ Pe~it ~t to the ~ildi~ ~ ~i~e of ~ T~ of ~mld, ~ffolk ~, ~ York, ~ o~er ~li~le I~, ~i~es or ~lati~s, fm ~ ~st~ti~ of Mildi~s, ~itims ~ Mterati~s, or fm ~ or ~liti~, as ~reiu ~ri~. ~ ~llc~t ~a to ~l.y with all ~li~ble 1~, o~i~es, ~ildi~ ~, [~i~ e~, ~ ~lati~s, ~ to ~it ~i~ in~tors ~ ~s ~ in ~ildi~ for ~es~ in~ti~s. ........ .............................. ... (Si~ of ~lle~t, or ~, if a c~ratx~) ...... , (~{li~ ~ss of aBlic~C) SCaCe ~C~r a~li~C is ~r, les~, a~C, ~ic~C, e~i~r, ~ral c~CracC~, eleccrici~, pl~r ~ ~ilder, ..... .~.~.~. ..................................... .... ,L..i ................. : ...................................... If a~lic~t is a ~rati~, si~t~ of ~ly ~tl~ri~ officer. (~ a~d title of corporat~ officer) Buildera License 1~ ..................... ~r ~'s Li~n~ ~ ................ · .. . · 1~ ~r fitr~t I~et (~) 2. State ~sti~ (tol~ ~id ~m filing thin a~lieati~) If garage, ~d~r of tara 6. 1~ I~mi~mss, ~mnrcial or mi~l ~oqm~my, s~cify ~~nt nf each ty~ of u~ ...................... ~. Dinunai~s of ~iating ntrt~t~res if any: Fret .... ~;~?.:~l~ar ............... I~pth .............. Dinnnai~m o~ sam atnm~re with alterati~m or ~icions: Front ............... I~ar ............... ~pth .................... l~iO~t ................... K~d~r of Stories ............... 8. Dinensi~m of entire [~ ~stnmli~: IR~E ............... l~ar ............... ~pLh .............. I~i[~lt ..~ ..................... t~dmr of glories ..................... 9. Si~ of lot: l~t ............. 1 ...... ~ar .................... ~pth .................... I I. ~ or u~ district in ~tidt prmu~a a~ si~t~ .............................................................. 12. ~s propel ~aCnmt[~ violato any ~ing I~, o~im~me or regularly: ..0.~ .................. · ~ of Arddtect ............... ; .................... Nklresa .............................. 1~ ~ ............... ~ of C~traceor .............. ~ .................... Nklresa .............................. [1~o[m ~ ............... i PI.OT I)IAORAH I~ate clearly m~ disti~tly alii I~dl{li~a, ~m~mr exiating or pro~, msl hxlieata all ~t-I~k dlmnsiona rrm prolerty li~a. Oi~ st~t ami bl~k ~dMr or {~fleripti~ according I:o {M~I, a~ ~1~ atreet ~a a~J ig~licare Idmtl~r inferior or corer lot. ' "~ .............. ' ........ 765-1802 9 AM ~ 4 PM FOR THE 3. INSU~ON 4. FINAL CONSTRUCTION MUST BE COMPL~E ~R C.O, ~ / ~ THE,REQUIREMENTS OF ~E N.~ STATE CONSTRU~ION & ENERGY CODES, RESPONSIBLE FOR DESIGN OR (x~IEI~ (R~ ....... ~.~,.[~~ .................................... Imiug duly ~rn, tlelx~ms taxi ~ays that he ia the (Nm~ of i~xlivithm[ ~JgnJng contract) ~ i the ((kmtractor, fiscaL, cc reface officer, etc.) application; that nH 8tatomnta contal, r~l in this n[q)lication are t.~s~ to the ImsE off hln k~x~l~ll~e a[~ I~lief~ atgl that the ~)rk will I~ l~rfon~l in the meter ~ forth in the appl ica :ton t'il~ tlmr~ith. .%x)rn to before i.e this /~ i ......... .~:..~.. .... day ofK...~.~..~.', }/,0. 19...~ ~.. N~ARY PUBLIC St6te of N.Y. No. 4725089, SUffo~ Cou~ Term E~irea May 31, 19~ (SignSl't~ OI: AppI Jcaist) ~°O t~v