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Home My WebLink About21486-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22552 Date AUGUST 26, 1993 THIS CERTIFIES that the buildin% ACCESSORY Location of Property 3630 ORCHARD STREET ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 27 Block 3 Lot 3.4 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~3NE 7, 1993 pursuant to which Building Permit No. 21486-Z dated JUNE 16, 1993 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 INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AS APPLIED FOR The certificate is issued to THOMAS D. & ELIZABETH S. STEPHENS (owners) of the aforesaid.building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-283596 - JULY 21, 1993 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ui~ding Inspector FORM NO.$ TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 21486 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permls.,slon Is hereby granted Jo: -- -" ~:2,/~ -' .... ~..~..._=,_~ .......... ~ ............................... ...... ....... ~..~~.~Z.~.~.....~..,..~ ................ co~wo~uop~o. ~000 so~o~ ........ ~.2 ...... ~o~ ....... ~ .............. to~o ..... ~.~ ........ pursuon~ ~o o~llcoflon dotod ..~...~...~ ................................. 19..~.~. Building Inspector. ~ 'gl p t Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 thmi 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 requirement..s. For existing buildings (prior to April 9, 1957) non-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 appli.cant. If a Certificate of Occupancy is denied, the Building Inspect'or 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. ' 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. ·Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of 0c~cupancy - Residential $15.00, Commercial $15.00 , New' Construction. o, ........ Old Or Pre-existing Building ........... ......... , . -ocation of roperty.3. .T . House No. Street. . 'Hamlet 0nwer or Owners of Property~.g~..U~...~..~% ~.~..~.[.Ti./~f~q~ .~¥~.. County Tax Map No 1000, Section .............. Block ................ Lot ...................... Subdivision ' Filed Map Lot Permit No. ~%'~.~. ~ .... Date Of Permit. ~.l/.~/~.~ ...... Applicant ~....~.~...~..~.~ .~...u~/~..~... Health Dept Approval Underwriters Approval Planning Board. Approval... ...... . ... % ...... .... Request for: Temporary Certificate ........... Final Certicate.. ubmitted: * 2 INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 18, 1993 Thomas & Elizabeth Stephens 3630 Orchard Street Orient, New York 11957 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21486-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUND~TION FOUNDATION ROUGH FRAME & 1st) 2nd ) .FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING THE NEW YORK BOARD OF FIRE UNDERWRITERS ~, ][ 3 ~ ~. 7 ~ BUREAU 'OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK. NEW YORK 10038 ' Date ~L~ 2~,t.~9~ APVlicationNo. onfile 0~75~9~/93 THIS CERTIFIES THAT o~y the el~ tricaJ ~uipment ~ ~scrib~ be~w a~ int~uced by t~ applicant ~m~ on the a~e application nu tuber in the prem~es of ~R, & ~RS, ~'~H~N~, 3630 OR~}IA~D, 0~'~, ~,~, in ,he fottowlng tocatlon; ~ Base--hr ~ Ist FI. ~ 2nd FI. 0~'~ Section Bilk ~s examlned on JUL~ ~8~993 and found to be in compliance ~ith the NaMonal Electdc~ Code. RANGES SPECIAL REC'P COOKING DECKS OVENS DISH WASHERS SERVIOE DISCONNECT J NO, OF I S METER No. O$~CeC~.CONO, A,W O. OTHER APPARATUS: C. EXHAUST FANS DIMMERS AMT. WATTS NO OF HI-LEG A.W.G- NO.OF NEUTRALS A,W. G* OF Hb[EG OF NEUTRAL made by a qualified person, This ce~ificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be idenfifie~ by their credentials. COPY FOR BUILDING, DEPARTMENT. THIS COPY OF CERTIFICATE MUS~NOT BE ALTERED N ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS P~ :l 1 1. ,3 ~ [ 7 6 BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the electrical ~uipmen~ ~ ~scrib~ be~w a~ int~uc~ by t~ applicant ~med on the a~ appl~ation number in the prem~s of ~[R. & HRS. ~;T~P~I~]~S, 3630 ORCHARD, 0~[~, ~,~, in the following location; ~ Basement ~ Ist FI. ~ 2nd FI. OUT Section Bl~k Lot u~s examined on ~ ~ L ~ ~ ~ ~ ~ ~ ~ ~ and found to be in compli~ce with the Na~onal Electdc~ Code. FIX.fURS I S I FIXTURES RANGES fCOORINGDECKSI OVENS IDISH WASHERS EXHAUS,r FANS ERV"RS '1 .,R.A¢" MOTOES I FU.URE A~UA.,:E, ...,,.RS .E,=,ALRR¢..r 'r,,,.',',.OCKS I =' ~ ,,,Ug,;O~U,~.r ,,,M~ERS SiRVIC~ DISCONNECT [ NO. OF [ S E R V I C E / O'rHER APPARA'rUS: FEEDERS:l-3 ~ 2 BASEMENT TO BASEMEN'I' *(SWIMEING POOL) This certificate covers complia:lce at the date of ~spection Drily. Because of e~iro~ments it J,s advisable to have freq~lent tes%/and or repair~ <<< Coetinued on Page 2 >>~ GENERAL MANAGER Per 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIRCATE MUST NOTSE ALTERED N ANY MANNER , ,.:' ... FORMNO. 1 ~ SETS: OF PLANS TOWN OF SOUTHOLD ~URVEY JUN - BUILDING DEPARTMENT CllECK ..................... TOWN HALL ,SE~ ~ORH , ,,~,]., SOUTHOLD, N.Y. 1197] Examined ~ ' '~ ' ' ..... ............ ....... . APPLICATION FOR BUILDING'PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter ~r 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 sffeets or greas, and giving a detailed description of layout of property must 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 used in whole orin 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 o( the Town of. Southald, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the constr~'ction' of' bi/tidings, additions or alterations, or for removal or demolition, as herein described. The appLicant agrees, t,0 qo.m..ply:with all appLicable lhws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. -- (Signature of applicant, or name, if a corporation) . .4~...t,..o~z..~... :.~. :..~. ~..~. ~..~.~. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generaJ 'contractor, electrician, plumber or builder. N~me of owner of premises, 0 . l , (as on the tax roll or latest deed) If applicant is a corporation,,,signature of dul/, h~thori~ed officer. ('Name and title of corporate officer~ ~'~ ~-. ~t '~ · Builder's License No.. ~[~,...u'~.~..'k.~..!..'lrtO.~a..~..~N' Plumber's License No ............... , ........... Electrician's License No ....................... Other Trade's License No ................... Location of land on which proposed work will be done ................................................... · °. .... .................. · ..... LI ............. ltouse Number Street Hamlet Comlty Tax Map No. 1000Section ...f..~.Z ......... Block ''~ ' Lot.~' ~ Subdivision ........ . .............. ' .............. '. Filed Map No ............... Lot ............... (Name) , Stat~ existing use and occupancy of premises'ar/d intended use and occupancy of proposed construction: a. ~xistin~ use and occupancy ....... ~ ........ ~..,¢ .L : .3. Nature of work (check which applicable): New Building .... .~ddition ·. Alteration · ' Repair .... o~'" ~ .... RemOval ......... i Demolition ..... :. Other Work~.~.~3.,,6.. . ' ', "" . (Description) 4. Estimated C · ' ~ · '~ .................. Fee ............ (to be paid on filing this application) 5 Ifdw Ill mb ofdwellingi nits ' Numb ofd 11' ' · eng, nu er u ' ' · · · · ,. er we lng units on each floor... · If garage, number of cars .... i ........ ' ............ If business co.mmercial or mixed occupancy specify nature and extent of each type of use 7 Dimension's of existing structur6s if any: FrOnt ............... ' ..... · ; Rear Depth Height Nurfil~er of Stories ......................................... Dimensions of shme structure with alterations or additions: Front Rear Depth ' ' Height .................................... ................... ~ ' · ' Number of Stories ' 8 Dimensions of entire new construction: Front ...................... · Rear Depth Hight Nu ~e n~ber of Stories ........... ............. ~ ....................... 9 Si flor F nt ......... ...,' ........; Re Depth ......... 10 Dar fP h e ........... ' ......... . ........ Name of Former Ow .......... · e o urc as net .................... : ....... 11. Zone or use district in which pr~mises are situated ....... . ........................ 12. Does proposed construction rio ate any zonin aw, ordinance or regulation: ... 13. Will 16t be regraded .... · I ........................... 14 ..... ~ ................... Will excess fill be removed from premises: Yes No · · Name of Owner of premises ...i ................. Address ................... Phone No ............ ; .... Name of Architect .......... j ................. Address ................... Phone No ................. Name of Contractor ......... i ...... ; .......... Address ................... Phone No ................ 15.' I.s this property within 500 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Town Trustees Permit maM be required. ... , PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fi'om property lines. Give street and block number or description according to deed, and show street names and indicate whe{her interior or corner lot. DATE: ..... _ B.R # Fm . NOTIFY 13UILDIN(~' MENT AT __ 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION ~ TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3.. INSULATION ~[. FINAL CONSTRUCTION MUST t~E COMPLETE FOR C,O. ALL CONSTRUCTION. 8HALL MEET THE REQUIREMENTS OF THE N.Y. s~IrATE CONSTRUCTION & ENERGY . · (lODES. NOT RESPONSIBLE FOR DESIGN OR CONS?RUCTK)N ERRORS STATE OF NE~_~y~g~'_ C.OUNT¥ 1 "S . ...... ~.q Cf. I...~.... ~)~) ~:.~,~.t,~. '(~..... being duly sworn, deposes and says that he is the applicant (Name of individual signi~ ~g contract) above named... ': He is the .., ............ ' .... ~ ' ' ' ' i ( ((~ontract~J, agent, cor'porate officer, etc.) ' ' ......... ' ~f s. ad owner or ,o, wners, and is dulyi auth, o ...~ ?rform or have performed the said work and to make and file this :~ppfication; that aa statements contained m this application are true to. the best of his n ' and that the work will be performed in the manner'set forth in t .. . . k .owledge and behef, I he apphcahon filed therewith. Sworn to before n~e.th?L' '/o'tary Public, .',~. ~L.-'~. ~'..¢'~Z~.. ~.. County . L ' ' ' ~ Publlo, State of NeW yot NO. 4879505 [ ,~ .r". · ....... Qualified in Suffolk CounW _~//-.~ ............. Cemmlalon E~lres De~em~r 5 19~1. (Signature of applicant) t I I