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Home My WebLink About22903-zFOP/~ NO. 4 TOWN OF SOUTHOLD EUILDING DEPARTMENT office of the Building Inspector Town Mall Southold, N.Y. No Z-24504 ~RTIFICATE OF OCCUPANCY Date JULY 17, 1996 THIS CERTIFIES that the building Location of Property 40 ORIOLE DR. House No. County Tax Map No. 1000 Section 55 Subdivision ~CC~SSORY SOUTHOLD, N · Y. Street Hamlet Block 6 Lot 15.15 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULy 7, 1995 ~ursuant to which Building Permit No. 22903-Z dated JULY 21, 1995 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 INGHOUND SWII~MING POOL WITH ATTACHED DECK AS APPLIED FOR. The oertificate is issued to of the aforesaid building. JOHN & MAUREEN ROSLAK SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-361968 - AUGUST 28, 1995 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Building Inspector / FORM NO.3 TOWN OF BOUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 22903 Z ........................ ~ .................................................. ~:~.~..~j ............... ~ ....................................... CounlyTaxMap No. 1000 Sectlon........~,..,O~... ......... Block ........ ~..~.. ......... Lot NO...~..'~...'....'~.~ pursuant to application doted ..................... .~Z.../f. ....................... ,1 9.~.~¢......., Bulldlng Inspector. and approved by the //,~ui~d~,~g I~pector Rev, 6/30/80 TOWN HALL 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)' ~on-conforming uses, or buildings and , '!pre-existing" land uses: i. 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. t. 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 - $20~O0 4. Updated Certificate of Occupancy - $50.00 5. ,Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ......... Old Or Pre-existing Building ............. ocation of Property .... ....... ........................................... House No. Street Hamlet nwer or 0 ers of Froperty .... ..... County T~ ~p No i000, Section ........ Block .............. Lot .... ~'.~ ........ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ lequest for: Temporary Certificate ........... Final Carticate~---'''~ . cO ~%-~0~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 2 1185077 BUREAU OF ELECTRICITY ~- ~. 85 JOHN STREET. NEW YORK. NEW YORK 10038 ~(.te AUGUST 28,1995 /Jpplication No. onfile 10010995/95 N 361968 THIS <~ERTIFIES THAT only t~ electrtcal equipment as d~scrlb~d below and introduced by the applicant named on the above application nu tuber in the premises of JOt{N ROSLAK, 40 ORIOLP, DRIVI~, SOUTHOLD ~ N. ¥, in the followln8 location; [] Basement [] Ist Fl. [] 2nd FL OW ,Section Block Lot ~s examlned on AUG[JST 25,1995 and found to be in compliance with the Natlonal Electrical Code. FIXTURE SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS OTHER APPARATUS= E R V I C NO. O~E~,CONV. OF CC. COND NO, OF HI.LEG A, W G, OF HI-LEG OF NEUTRAL ROSLAK ELECTRIC P. O. BOX 164 CUTCHOGUR, NY, 11935 LIC. #3677-g GENEI~AL MANAGER ~. Per This ¢~rfifi¢~at~ taus! no~' b~ a{*~r~d in ~n¥ mc.:nn~r~ r~urn~o th~ offi¢~ o( *h~ Board i~ incorrect. Inspectors COPY FOR BUILDING DEPARTMENT THi~0PY OF CERTIFICATE MOST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS P. Gs 1 1185077 BUREAU OF ELECTRICITY ~-- ~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 '~)ate AUGUST 28 ~ 1995 /Ipplicatlon Mo. on file 1L~I0995/95 N 361968 THIS ICERTIFIES THAT only the electrical equipment as d~scrlbmt below and introduced by the applicant named on the above application number in the premises of JOHN ROSLAK, 40 ORIOLE DRIVE, SOUTHOLD, N.Y. in the folloWing location; [] Basement [] Ist Fl. [] 2nd ~'1, OUT Section Block Lot ~s examined on AUGUST 25, ~.995 and found to be in ¢ompliance with the NaHonal Electrical Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET OTHER APPAR~US: SWIP~IINGPOOL-1 TIME CLOCKS 4OAMP-! G.F.C.I.-i *(SWI]~4ING POOL) This certificate covers compliance at the date of inspection only. Because of unusual ~nvironments it is advisable to have frequent test/and or repairs made by a qualified person. E R V I C E OF CC. COND, <<< Continued on Page 2 >>> GENERAL MANAGER This certificate must not be altered {n any manner; return to the of(ice of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] I~JSULATION [/~] FINAL ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [/~]~FINAL [ ] FIREPLACE & CHIMNEY/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROUGHPLBG. [ ] FOUNDATION 2ND [.~] IN~ION~ [ ] FRAMING [r.~j'- FINAL [ ] FIREPLACE & CHIMNEY // DATE INSPECTOI FIELD INSPECTION REPORT DATE COMMIgNTS FOUNDATION FOUNDATION (2ND) ROUGI1 FRAM~ & PLUMBING INSULATION PER N. ¥. STATE ENERGY CODE FINAL FORM NO. 1 TOWN OF SOUTIIOLD BUILDING DEPAlllMENT TOWN IIALL SOUTHOLD, N.Y. 1197J TEl..: 765-1803 F~xamined ............... , 19, Disapproved' a/c ................................ ~ .... · (B.l, ffiding Inspeclor) APPLICATION FOR BUILDING PERMIT BOARD OF IIEALI'II 3 SETS OF PLANS S UI[ V E'I' CIIE£K ......... : ......... SEPTIC FOil. ti IIOTIFY CALL HAIl. INSTRUCTIONS This applicatioo must be complelely filled in by lypewri/er or in ink and submitted to lhe Building Inspector, ~vilh: Slale whether applicant is owner, lessee, agent, a]cbilect, engineer, general contractor, elechician, plumber or builder ............................. (as on Ihe IJlx ~olI or latest doed.) ' I1' al~co,poudion, s)g,~ure or duly aulho, ized officer. . ~PP~O~ .~~. DAm ~,,., ' NOTIFY BUILDING DEPARTMENT ' ' .~ ........ ,~-~.o2 -FOLLO~NG INSPE~ONS: Iqmnber's l.,icense ~1o. '1. FOUNDATION -,~0 REQUm~D ........................ FOR ~URED . ~ .,. , 4. FINAL - CONSTRUCT ON MUST ' ()(her, I raae s l,lcen~e No ...................... BE CO~*~.O, ,' , , L ONST ~~fi~ '1~ [~ ~--~ ' ' ~ ~, STATE CONBT~gCT~ON'& EN~,GY ' I IoIIsO Ntlnlber SIi'ooI DESI~n~;'eO~STRUCTON ERRORS Courtly Tax Mai, No. ,'00(, Seclion ~ ...... Block ..... ~ ' Lot ...... (~/~ .... S,d,di,i~io, ..... ~/t. ~'~ ....~.~..'. ~m~d Map ~o...S~. ~.~. Lo~ ............... (Name) Siale exisling ilSe and occul)~ncy o[premises and intended use and occupnncy of proposed collslruclion: ,,. ExisliuB usc ami occupancy . ~b~[O~~a~ ....................... y,~ ,~'~':~u~q ~a~l~ ....................... t,. ,,,d ................. . .~'t'.te ~ ~i~a-~ ..................... (Signahue of appl'c nt, or name, if a corpoudion) · .F.. (Maili,~ address of applicant) sols of plans, accuraleplolplan toscale. Fee according lo schedule. b. Plot plan showing 19cation of Iol and of buildings on piemises, relalionship Io ad]oioing premises or public slleel or areas, and giving a detailed descriplion of layout o[ property must be (hawn on Ihe diagram which is pall of this apl)Ii calion. c. The work covered by this application may not be commenced before issuance of Boilding Permit, d. lJpon approval of Ihis applicalion, the Building Inspector will issued a Building Permit Io the applicanL Such permi shall be kept o i II eprem ses available for inspection lhroughoul the work. e, No Imihling shall be occupied or used in whole or iD prat for any purpose whatever until a Certificale of Occupanc,. shall have been granted gy Ihe Building Inspector. APIq. ICATION IS IIEREIIY MAI)E to Ihe lhdlding Deparhnent for lhe issuance of a Building Permit pulsuanl lo Ih~ Building Zone O~dinanCe of lhe Town of Soulh~ld, Suffolk County, New York, and olher applicable Laws, Ordinances o Regulations, fo~ Ihe construclion of buildiogs, addilions or alle~alions, or for iemoval q'demolilion as herein describe( The nl)l)licant agrees Io compy with al app cable laws, orr nances, building code, housing code, and ~egulations, ami h admit aullloriz~d:il~)~O-~i~fi;iSi:b;?h]g~S ralld ill building for necessary insl~clions. ,l. 1 5. Locate clearly and distinctly all pfopelly lines, ~' , (sire street,111( ) ock interior o~ cornel lot. l(el~ah . ............. J(enl~v[ ............. DelnO el., .; ....... ()literWo k ......... ' ' / J ' '" ' ' ' ' . (I)csc~iption) ........ * .... ' ....................... Fee . . J (lo be paid on filing IhJs appJJcalJon) It dwelling, lllllllber et dwelling ~mlls ............ ' ' ,. N~nlber o[dwellJng units oll each floor ....... . J[ garage, iI[llJJJ)ef et ears ......... It btlSJlleSs co e 'clal or IllXe(I o8ctlJ)allCy speci[y llahllB ami exlellt ()[each type et Use ..................... I)Jnlellsiolls o J' ex JsJJllg s Irtlcttlre~, il' lilly: [;[Ollt ....... ~ ....... Rear ............ Depth ......... [ ..... l leight ............... Ntlnl~)er of S{ories . . . ' '] . Dimensions of shine stmc[u(e wtlHl lterit o s or adchtmns: lrronl ; . [ .................. {ear .................. l)eplh ..................... ~.. Ileight ........... . ......... ..: Number of Stories .......... .2 .......... Dimensions of entire new co sh'pclkm: Front .............. : Rear . .............. Depth ............... Height ............... Num ~er of Stories ' Size of lot: Fm It ........... ' Rear ,' ................................ Depth ...................... l)ale of Purchase ' ' Name of Fornler Owner ........................ Zone o[' use district in which prehdses are situated ............. Name of ~chilect ... ~ ,, Name of Cent.actor .. .,~?.6~9. . Address .. ~,~~C.. Phone No. Is LhJ.s propert:y wJthln 3'00 ~eel; o[ a tidal. ~etl. and2 *Yes ........ ~o ......... I *if yes, Southold own 'l'ruateas Parlalk may Jm reqoired. PLOT DIAG RAM i buildings, whether existing or proposed, and. imlicale all set-back dimensions fro[m mmber or description according Io deed, and show street names and indicate whether STATh OF N:E\V 'YOJ~II(~. ',.,, ' , COUNTY OF .'..".':~.¢/{.~'~."~.../.~. I.S (Nam'e;o£ individual signing conh'acl) above IlalBe(I. ,,_ f ,, J bring duly sworn, deposes and says (hat lie is ti e altphcal t lie is tile , .,. , .. ............................... /,, .'T.*.%. ....... ' ~ ",'*~ ColltrllCtOl'j Jlgell(~ COl poi'Ate o~'JlCler~ Bio.) el said mv,,er or owners, andes dr,?., a),lhorlzed 1o ,.error n or have pe,'for,ned the sa,d wo,'k a,.id to ri]eke and file th appliealion; Ihnt all slaleme~l~ contained ill this aPl)hearten are Irue to Ihe best of his knowledge and belief; and that wmk ~yill be pe] Rm~]ed in lhe mam~erjsei (orlh in lhe ap )licalion filed lherewilh. ' Swolnto before lite tills ~ ] ...................... X/Xn~ O~ .;~. . . l .~. . ~.~. . . '..' .... 1 9 ~ i ' Notary lublic ...... ~~: Coullty ~ .~ ,' ~A ~O~a , '~ ', ,' ~' ~.4~' S ', ..... ' ......... 1995 ,:., .,,: :.~ Subdivision of Yenn( - · · ?:;', Suffolk County :File No. 51S~'I ' ~ , ' Area ~.[__. ~, 0 DEC. '"'" .x. ;:: .,., ?, " ' LOT NO;12,"HI HPOI EAOOWSrSECTION TWO" OCT. ,,1990 DATE: LJULY r 1990 0,~8 HE~ OEPARTMENT,-D~TE F~ A~RO~ TO C~S~R~ , . ~ ~ m~ ~F m THE tm~E c~Y. aOV~N- ' II --' ' ' yOUNG ~ , ' ' ~ ~R A~E INOTE~ I= MONUMENT~= ~AKE . '' . H -- ~ I ' J ~ SUFBLK 60U~Y ON M&~. Ig, lggo AS FILE NO. 8911. =1 II i !1 <,,,o ,. ,ou,o. ~,,o~u,vt,o, I