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HomeMy WebLinkAbout21756-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-23104 Date J~3L¥ 19, 1994 THIS CERTIFIES that the building Location of Property 325 ORIOLE DRIVE House No. County Tax Map No. 1000 Section 55. Subdivision ALTERATION SOUTHOLD, NY Street Block 6 Filed Map No. Lot No. Hamlet Lot 15.27 conforms substantially to the Application for Building Permit heretofore filed in this office dated O~TOBER 19, 1993 ~ursuant to which Building Permit No. 21756-Z dated NOVEMBER 3, 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 CONVERT AND ALTER AN EXISTING ATTIC SPACE TO A HABITABLE AREA AS APPLIED FOR. The certificate is issued to of the aforesaid building. MARK & JOANNE SOLO (owner's) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N306204 MARCH 4, 1994 PLUMBERS CERTIFICATION DATED K & K PLUMBING & HEATING DECEMBER 6, 1993 Rev. 1/81 FOBM TOWN OF SOUTHOLD BUILDING DEPARTMEN~ TOWN HAU. GOUTHOLD, N.Y. No BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Do,e ............. .................................... 2:~756 Z Permission Is hereby granted to: ~.~.~.....~.~.~.~,~......~.~ ........................ ....... ....... ~.~.~.a .......... ~.:f.: ........... ././..~z¢......:.. to ....... ~.,~.~ ....... ~.~. ........ ~..C.~...~ ....... ~......~.~c~.~ ...... ~ .......... .... ~£...,~...~ ........ ~......~ ...... ~.~.....~.~ ....... ~........~..~...~c..~ ........ ..~.~ ....... ~.~.~ ......... ~ ........ ~.~,........~./ .......... ~~ ............. ...... /~. ...... ~..q...~ ........ ~: ...................................................................................................... at premises located at .................. ~.~.'....~... .......................................................... ............................................................. ~.~......~.:.~..:'~' ........ ,./../,,~Z~ ............................... / County Tax Map No. 1000 Sectlon,......~..~.~, ............Block ......... ..~,.~ .......... LotNo ......~..~,,,~,,.~.. ..... pursuant to application dated ......... ..~.....('~./.'~..: ........ /..~.. ..................... ,9....~....~.. ..... and approved by the Building Inspector. ~ee 0.....¢.~.~-¢~ ....... ...... /J ...................................... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTttOLD BUILDING DEPARTMENT TOWN HALL ~65-1B02 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink an~ 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. Final Approval from Health Dept. of water supply and sewerame-disnosalfR_a Approval of electrical installation from Board of Fire Underwriters. 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 (prior to April 9, 1957) non-conforming uses, or buildings and "pre- ' ' uses: exmstzng" land 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 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 Occupancy - Residential $15.00, Commercial $15.00 Date ~ew~Construction ........... Old Or Pre-existing Building .................. / Zocation of Property....3.~.?. ...... ~2/~/~g~ 2P~"P~-~ . House No. Street Hamlet )nwer Owners of Property /77/~/~/~' /~/~ ~"-~/~;//%/~ .~'~ g 0 .~ounty Tax Map No 1000, Section .... ~..~. ..... Block. ~ ...... - - /2~, ~ f iubdivision Filed~ Map Lot ~/~' ~ ~ 'e . Z ' a .Date Of Permit ............... ........... .Appimc nt ............................. !ealth Dept. Approval .......................... Underwriters Approval ......................... lanning Board Approval ................. equest for: Temporary Certificate ........... Final Certicate .... ..~..... ee~_~Submitted:~$ ...... ~.../.~ ~ , . .... . .......................... // TOWN OF' $OUTIIOLD P.O. BOX 728 ' TOWN llALL ~OUTIIOLD, N.~. 11971 TEL. 765-11102 g E RTI F I CAT I O N {please Prin~ j (~ioase'prin~l ~ -- ! cattily that the so[der u~-.d in the water supply system ~S [eSB than 2/10 o~ 1% lead. / / (plumber's signatur~! JOYCE M. W1LKINS Notary Public, State ot New Yo~ No. 4952246, Suffolk Cougar. · Term Expires June 12, 19.~'~ y Public ,-2_->3-- : Lo~ 30 TOWN, OF SOUT~OLD suF~ ~TY, NEW ~* ~:':'~y~ YOUNG 765-].802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [//]~SULATION [ ] FRAMING [ *] FINAL INSPECTOR UGH FRAME &' ~"., 2 :<,'" -PLUMBING ~S'ULATIO,7 PE~ ~ Y. STAT~ ENERGY CODE FI:;AL ADDITIONAL COMMENTS: / ! I / ALLthatcertain pl°t'piece°rparcel°fland, withthebuildingsandimprovementsthereonerected, situate, lyingandbeinginthe Town of Southold, County of Suffolk and State of New York, known and designated as Lot 24 on a certain map entitled "Map of Highpoint Meadows Section Two" and filed in the Office of the Clerk of the County of Suffolk on 3/19/90 as Map No. 8911 said lot bounded and described as follows: BEGINNING at a point on the southerly side of Oriole Drive said point being South 82 degrees, 34 minutes, 20 seconds West measured along the southerly side of Oriole Drive a distance of 307.17 feet from the extreme westerly end of an arc of a curve connecting the westerly side of Tuthill Road Extension; RUNNING THENCE South 07 degrees, 25 minutes, 40 seconds East 277.40 feet to a point; THENCE South 78 degrees, 16 minutes, 40 seconds West 18 21 feet to a point; ' THENCE North 80 degrees, 35 minutes, 41 seconds West 64.02 feet to a point; THENCE North 13 degrees, 25 minutes, 40 seconds West 260.00 feet to a point on the southerly side of Oriole Drive; THENCE in an easterly direction along the southerly side of Oriole Drive along an arc of a curve to the right said curve having a radius of 300.00 feet and a length of 31.42 feet to a point; THENCE North 82 degrees, 34 minutes, 20 seconds East still alohg said Drive 75.25 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE a portion of the premises conveyed by Deed dated 4/24/90 and recorded 5/9/90 in the Suffolk County Clerk's Office in Liber 11064 Cp 193. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:2 Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT gOAgD OF HI:iAI. TH ..~ SURVEY .~ ........ lO. KO ....... HAIL TO: Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 setsof 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 st?eets or &teas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. e. 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 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 Southbld, 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 described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i~ctions. .~ignature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, generai contractor, electrician, plumber or builder. ' APPBOVI IIAP D NOTED Name of owner of premises ........................ t't;e't'a'x' ;o'li / ' If applicant is a corporation, signature of duly authori:;ed officer. NOTIFY BUILDINg' DEPARTMENT AT 765-1802 S AM TO 4 PM FOR THE (Name and title of corporate officer) Builder's License No .... 4.~f.A~..~.~-. .............. Plumber's License No..../?e.~).d( .~q. ............ Electrician's License No..~.e..~?!'.A(t/q ............. Other Trade s Lmense No ...................... FOLLOWING INSPECTIONS: ' I. FOUNDATI6N - Tt,'VOREOUiRED FOR POURED CONCRETE, 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. IqNAL .- CONSTRUCTION MUST ~E COMPLE~rE FOR C,O,~ ALL CONSTRUCTION $1~,~LL 'MEET THE REQUIREMENTS'OF TNE N.Y. STATE CONSTFIUCTION & ENERGY CODES.. NOT RESPONSIBLE FOR I. Location of land on which proposed work will be done. DESIGN OR CONSTRUCTION ERRORS 3; f' Og,'m- < 5 ,eT'/gOL . ltouse Number Street Hamlet cotmty Tax Map No. 1000 Section '5'3'> Block ' d ' Lot Subdivislon ........ . .................... ........ '. Filed Map No ............... Lot .... g ..~. ...... (Name) 2: Stat~ existing use and occupancy of premises and intended use and occupancy of proposed constructiom a. Existing use and occupancy /] 7'7'1~ - 5/'-P )q/q ~ ~' - ' .......... ~;~ ........4~3 ............ '. b. Intended use nd occupancy ...............g' J"''; '''' '''-.-- 'd~,,'*':~'..'..'.',~.,.H,.?~ .......... .3. Nature of work (check whzch ~pPlicable): New Building .......... Addition ..... Alteration ~.. Repair .............. Removal Demolition . Other Work ~.~. ~#/J ~'0 ' (Description) 4 Estimated Cost / ' (tob p id n fill gthi ppli ti n) ' #A/£ ~//~//-V - e a o n sa ca o 5. If dwelling, numberofdwellingunits ,p.tg£tt.;~¢(,;/ N mb 0rd · · . u er welling units on each floor If ga mb oft ~ ................ · rage, nu er ars .... ~ ............... 6 If busi i 1 mi bd specify e and ..................................... · ness, commerc a or x occupancy, natur extent of.each type of use 7 Di ions ofexisti st cth~ ifa F ............... ~ ..... · mens ng ru es, ny: ront Rear .. ............. Depth ............... Hight N mbe of Sro ie ............... Dimensio of hm tm t vCith alteration additions: F ......................... ns s es cure sor ront .............. Rear D pth ' Hight ' ' ' Nub of St ri 8 Dime ions of ntirenew ' t! ~tion F 'nt' ' ..... m er o es ........ · ns e cons ru : ro ......... Rear D pth ............. .Height ............... Number of Stories ...................................................... 9. Size of lot: Front .......... .......... ~.. Rear .................. i ~)epth ...... ' 11. Zone or use d~strict in wifich pr~mises are situated ~. ,' .~.,'.,g.r~,.',~i/. .... 12. Does proposed construction vioi .......... . .~.0., . ' ..... ate any zoning law, ordinance or regulation: ........................... 13. Will lot be regraded ....A<'.O...: Will excess fill be removed from premises: Yes No Name of Architect :__., i . . . ' · · · ....... ne r~o ..... . ..................... Address ................... Phone No. '. Name of Contractor .... ..'CC'... ................. Address ................... Phone No .......... ' I~ this property within ~00 feet of a tidal wetland? *Yes ........ No...~.... ' .... · If yes, Southold Town Trustees Permit may be required. · PLOT DIAGRAIVI Locate clearly and dmt~nctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 15. ' STATE OF NEW_~R~ ! I / : (Name of individual signing contract) above named· . bein§ duly sworn, dcpose~ and says that he is the applicant te is the ; (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are {rue to the best of his knowledge and belief; and that the work will be performed in the manner s~t forth in the application filed therewith. Sworn to before me th~s . No.~tu~uo i ..,/~ '~ ' ~.' (Signature of applicant) Qualified in Suffolk County] (-~/q~'., , ' .................... , Commission Expires Oeoember