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Home My WebLink About22507-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25931 Date: 09/02/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 1290 ORIOLE DRIVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 55 Block 6 SOUTHOLD (HAMLET) Lot 15.39 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 21, 1994 pursuant to which Euilding Permit No. 22507-Z dated DECEMBER 2, 1994 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 STORAGE SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to KEVIN & SUSAN METZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A //i/ng Inspector Rev. 1/81 FORM NO.$ TO~I~I OF $OUTHOLD BUILDING DEPARTMENT 1~O1/~1 gALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE K~PT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 22507 Z Permission Is hereby granted ~/ ....... ~~~~ ....... ., .... ~ . ....... ../..~.~ ....... .~..~......~...~..,... . . ........ ~~,.~......~...~, ....... to ....... . .~..4~J~'JfL ~:,~. ,~.~-~'~. :...~...., ~...~...~...'~.. ,~...~.. ~....~' ' "~' ~J ~'~ ~A.~....~..~.....~ ...... ~.~.~..-.~..~....~.... ~.~.~.....~ ....... ,z~......~...~.~../.~ ...... .~-~,..~.¥ ............. ~..~,e~...~.~.'?.....~._~ ........................... .... .................................................................................... ........................................ ~.c~.~../..~..../...~,..~., ............................................ CountyTax Map No. 1000 Section ........ ~.'~,... .... Block ........ ~ ............ LotNo...Z.~.'..~?......~......~.... pursuant to apptlcaflon dated .................................. 19 .... and approved by the Building Inspector. ~ee*..3~.... Rev. 6/30/80 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. F%nal 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. For existing buildings (pri6r to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unumual 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. I. Certificate of Occupancy - New dwelling $25.00, Additions t~ 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ........... ...................... ew Construction..../.'. .... Old Or Pre-existing Building ................. ocation of ~roperty ....................... o. .. ~- .......... House l{o. Street Hamlet Owners of Property [ · .. - ' '''''' ounty Tax Map No 1000, Section .............. Block .............. Lot ................... -- .~. Lot ebdivision ........................... .... .. ... Filed Map ............................... - . ermit mo ............. Date Of Permit ................ Applicant ............ ealth Dept. Approval .......................... Underwriters Approval ......................... lanning Board Approval....~ ....... '..~-- ..... equest for.- Temporary Certificate.. .'i'.i Final Certicate.'...--~--. 'et Submitted: $ ..... ~c):~.; ..................... LATTOrl PER '~. STATE ENERGy . uO~relEit/T~ . · .. ' ' · -" ADDITIO~IAL CO!¥IEIITS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]~ON [ ] FRAMING [~ FINAL [ ] FIREPlACE&CHIMNEY DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1802 Disapproved. a/c .................... i . . .;..~. _ . . :~ .... " ' ' ~LICATION FOR. BUILDING'PERMIT B~),\RD OF HEALTH 3 SE'I;S OF PLANS SURVEY ClIECK · .............., SEPTIC . ............. ~ ~[A'I L TO: . ? .... i .... '. INSTRUCTIONS ' a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 sti'eets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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 u~.,e.d in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone. Ordinance of the Town of South01d, 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 describbd. The applicant agrees to comply with all applicable laws, ordinances, building code, housin, g code, and regulations, and to admit authorized inspectors on premises and ih building f°r necessatrY/nspe'cti°rt¢Th,4~0AJ ~. [~c¢7'Jl~'~'~~t/I . --' (Signature of ap{>~orname, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, 'ageqt, architect, engineer, gerierai contractor, electrician, plumber or builder, Name of owner of premises I',,~V/ T ~ e...I ~ (as on the tax roll or ~aCe~s-!~l~ ~.~. --, If applicant isa corpo;atlon, signature o'f duly authori*ed officer.' (Name and title of corporat8 officer) Builder's License No .......................... 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ~, FOUNDAIqON .. TWO REQUIRED FOR POURED CONCgETE 2. ROUGH ~ FRAMING & PLUMBING 3. INSUL. ATtON Plumber's ~icense No ......................... 4. FINAL CO~fD'IROCTION MUS~ : .SE COMPLETE FOR ~]ectricJan's ~Jce~se ~o ............ : ........... ALL CONSTRUCTION SHALL ~ ~ THE REQUIREMENTS OF 'THE Other ~rade's License ~o ........ :...~ .......... STAT~ CONSTRUCTION & ENERGY . ~ . ~DE~OT RESPONSIBLE ~FOR ' or o, ,ro,o,ea ..... House Number Street Hamlet Cou'nty Tax Map No. I000 Section ....O~[{°..° ........ Block .. ,0.~. ~.O..O. ........ Lot .O.I ~ .~ 9.3.9. ......... Subdivision..; ..... . ............................. Flied Map No ............... Lot ............... (Name) ,~ State existing use and occupancy of premises and intended use and occupa,~¢ ~. ~.,opu~.c~, '..,'uction: a. Existing use and occupancy ~ ........... cu ~-I [/ / ' ' b. Intended use and cc pancy':~ct/ .... . .......... . ................................................. .3. Nature of work (check whlcl3 applicable): New B~11ding . on .... Alteration ' Repair .............. Removal .. ' ..... .. ·.; .... I ·,., ........ . Demolition ...... ; .......... Other Work .............. Estimated Cost~,¢ '~.,c~. j .... ' (Description) · ' ............ Fee Iii (to be paid on filing this application) 5. If dwelling, number of dwel g units ............... Number of dwelling units on each floor ........ · Ifgarage, numberofcars ..., ............ 6 fbus' i lorm*. doc ...... ao 'ty;e'of' s'e .................. '" · mess, commerc a e cupancy, specify natt~re and tent of 7 Dimens'ons ofe istingst ctu if any: Front ex R Hight N~ bet ofSto i .. ~ .......... ear .......... ... Depth Dim sions fsh t 'with Iteratio additio F ...... en o me struc urei a ns or ns: rent .................. ' .............. Depth ' I Height Rear ........... Number of Stories 8 Dimensions of entire new construction: Front ............... : ' ' ' ' ' Rear Depth 9 Size ofl0t: Front ! ......................................... · · ............... ' Rear ............ 10 Date of Purchase ,' ...................... Depth ' Name of Former Owner .................. 1 1. Zone or use dmmct m wh~c rem~ses are situated ..... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................ 13. Wit110t be re, reded dc, i ,, ,, .... ~ ..... L; .... ,-: ....:.' ......... wm excess fill be rems×ed from premises: Yes l~ame ot Architect ........ ~ ................ Address ............ Phone No ............ :. Name of Contractor ...... ~ .................. Address .................. Pho~n,~ No.... ........ ' 15. Is this property withinI 300 feet of a tidal 'wetland? *Yes ...... ''' i *If yes, Southoldl Town Trustees Permit may be requir~. ' No...r~. ....! PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines, we street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW Y. ORK~ above named. He is the ', ' (Co tractor at orporate offi~ .... ] ......... "" ............ ~ n ,age ,c er, etc. )f said owner or owners, ~d is dul~ authorized to perfom~ or have perfomed the said work and to'm~e and file this ~pplication; that all statements contained ~ this'application are true to the best of his knowledge and belief; and that the .york will be perfomed in the m~ner set forth ~ the application filed therewith. ~wom to before me this Notary Pu?a, State of L~w York . . . ature of applicant) . No, 52-8125850; 'Suffolk Cou~y~ ' ]~rm Excres O~ober ORIOLE DRIVE ., ~ Are~ = 20887s.f. I ~ DA~F? ) 5 1991 HS. ~EF, NO. ~1~ AT SOUTHOLO