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