HomeMy WebLinkAbout21297-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~ERTIFICATE OF O~CUPANCY
No Z-24303 Date APRIL 24, 1996
THIS CERTIFIES that the buildin~ ADDITION
Location of Property 260 OR~{ARD STREET
House No. Street
County Tax Map NO. 1000 Section 25 Block 3
Subdivision Filed Map No.
ORIENT, NEW YORK
Hamlet
Lot 4.1
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 29, 1993 ~ursuant to which
Building Permit No. 21297-Z dated APRIL 1, 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 2 STORY DECK ADDITION (WITH ~AILINGS TO CODE) TO EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOHN & JERILI~N WCODHOUBE (owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
Building Inspect/
lrOK~ NO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALl.
SOUTHOLD, No Y,
BUILDING PERMIT
(THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL. FULL.
COMPLETION OF THE WORI(^UTHORIZED)
N-°N.° 21.297 Z
Date
Permission is hereby granted to:
.......................
County Tox AAap No. 1000 Section ..... .C~..~. ....... Block ..... .~...~ ......Lot No.....~..:..! ............
pursuant to application doted ....... * '..~,..o~...~j......~....~. .................... , 19.~.~a., and approved by the
Building Inspector.
Built]lng InsDector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMEI~f
TOWN HALL
765-i802
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
lass than 2/10 of i% lead.
5. Commercial build'lng, 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 sig~ed 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 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 Pra-existinE Buildinm - $100.00
3. Copy of Certificate of Occupancy - $20200
4. Updated Certificate of Occupancy - $50.00
5. :Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..........................................
New Construction ........... 01d Or Pre-existing(~.~.O/~.~a.~Building.,~..~-~. .................
Location of Property..~.~.O. ...............................................................
Rouse ~o. Street RanD. et
~.-o /¢/./ .~ =~ ~-,~,k y.v (.,t;o~ ~// oc,~C'' .
Onwer or Owners of Property ..........................................
County Tax ~p ~o 1000, Section ...... ~.W .... ~lon~ .... ~ .......... Lot..~.~ ......... ' .......
Subdivision ....................................Filed Map ............ Lot ......................
Permit o.41 ..... Applina=.
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................ /
Request for: Temporary Certificate ........... Final Certicate ...........
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Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 10, 1996
Mr. John woodhouse
P.O. Box 360
260 Orchard Street
Orient, NY 11957
To Whom This May concern:
We are unable to complete your Certificate of OccupanCy
because of the followinq reasons:
xx_ An application for Certificate of OccupanCy is
not on file. (Enclosed)
No underwriters Certificate on file.
xX__ The check is not on file.
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).
21297-Z
BUILDING PERMIT % __
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-~,802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
REMARKS:
FOUNDATION 2ND [ ] INS~TION
FRAMING [~]~'FI NAL
DATE
INSPECTOR
765-'~802
BUILDING DEPT.
INSPECTION
[ F~OUNDATION ~5T ~ ~ ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ]- ROUGN'PLBG.
'~, [ ].~JJJ'ATION
[,~" FINAL
[ ] FIREPLACE & CHIMNEY
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
ROUGH PLBG.
FINAL
[ ] FIREPLACE & CHIMNEY
....... C)A? ~ ~
DATE
/
INSPE~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INS/UL~TION
[ ] FRAMING [/_..~4=INAL
[ ] FIREPLACE & CHIMNEY
DATE
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
September 27, 1995
Mr. & Mrs. John Woodhouse
P.O. Box 360
260 Orchard Street
Orient, NY 11957
Re: Building Permit #21297-Z
Premises: 260 Orchard Street, Orient
Suff. Co. Tax Map #1000-25-3-4.1
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher
Senior Building Inspector
5738SS1 V2R3M0 931217
Town Hall. 53095 Main Road
Displ%~. ~di~ga .
U~s~hold, Ne, w Y, ork, 11,971,
473889 SOUTHOLD
25.-3-4.1
260 ORCHARD ST
Print KeY~Di
09/26/95
Fax (516) 765-1823
Telephone (516) 765-1802
NYSRPS ASSESSMENT INQUIRY
SCHOOL OYSTER PONDS SCH
PRCLS 1 FAMILY RES
OFFICE OF THE BUILDING INSPECTOR TOTAL COM SITE
TOWN OF SOUTHOLD ACCT NO
Page 1
15:29:39
01
WOODHOUSE JERILYN B &
JOHN H
PO BOX 360
260 ORCHARD ST
ORIENT NY 11957
= OWNER & MAILING INFO ===!=MISC ! .............. ASSESSMENT DATA ...........
!RS-SS ! **CURRENT** RES PERCENT
! 1 !LAND 800 **TAXABLE**
! BANK !TOTAL 5,900 COUNTY 5,118
0180600 **PRIOR** TOWN 5,118
! !LAND 800 SCHOOL 5,900
! !TOTAL 5,900
==DIMENSIONS ===I .... === SALES INFORMATION ............... = .............. ====
ACRES .50 !BOOK 11386 SALE DATE 12/06/91 SALE PRICE 221,500
!PAGE 447 PR OWNER FORMICA MICHAEL
....... TOTAL EXEMPTIONS 1 ............. !== TOTAL SPECIAL DISTRICTS 5 .....
CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE
41131 782 .25 92 !FD025
!PK065
!OM060
!WW020
Fl=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC
75.10- 03-011 F6=GO TO INVENTORY Fg=GO TO XREF F10=GO TO MENU
DATE : 9/26/95
ROLL SEC TAXABLE
TOTAL RES SITE
i! ~,.! :~ ~,~ 2 9 1993
OW;~' O:, ~';
[xamined .~...I .... ,19~ '
Approved~... I , 19q.~. Permit No..~../.&...c].7..'~.
isapproved a/c...( ..........................
.... ......... i ........... . ....
APPLICATION FOR BUILDING PERMIT
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
BOXRD OF HEALTH .........
~ 3 SETS OF PLANS ..........
'SURVEY ...................
CIIE~K. ...................
SEPTIC FORH ..............
HAIL TO.'
Date ................... 19...
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Bhilding Inspector, with 3
se{s of plans, accurate plot plan to scale· Fee according to schedule.
· b. Plot plan showing location of tot and of buildings on premises, relationship to adjoining premises or public streets
or, areas, 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 tkis 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 w6rk.
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 Southold, 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 ali applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary~insDev;tions. - ~~
-- ~_.// (~,gnatur'e'~/~lic'a~; ~; 44~'J~ it; ~ ~;~gia~io'n') ....
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner.of premises . .~.O.//~/./~,...~...~.L-'.7~.. t.Z. ?t./~...~...~. ~...<~.CJ .t~...//e.O. ~.~( .........
(as on the tax roll or latest deed)
If applicant is a ~orporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No....O..C'~...~(gT.'~.. ............
Plumber's License No .........................
Electriqian's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be'done.
~...~4..o. ..... ~~
House Number c~ C, t9 Street 0.~c~{~-4-~d~ ~'~J-~ '' 'I~I~l~ ~:~;~'~;~"'- .............
couut~ Tax Ma, ~o. 1000 Se~,o~...e~W. Block..~ ........ Lo~. ~/..
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .......................
~.~i~l.+~'~- ./~..~.~ ................... ~'~,'~..~., .~ ~,.~'.. .............
b. Intended use and occupancy ................................
.3. Nature of work (check which applicable): New Building ........... Addition ......... AJteration ..........
Repair .............. Remlova1 .............. Demolition .... ..'. . Otb W
~ O'a.i}--~,~, ~ ........ er or .................
, · (Description)
4 Estimated Cost ~.. ..... i ~ .
(to be paid on filing thi~ application)
5. If dwelling number of dwelling]units ............... Number of dwelling units on each floor ................
· If garage, number of cars .... I .................................... ....... , .... . . .
6. If business, commercial or mi~ed occupancy, specify nature and extent of each type of use ....
7. Dimensions of existing structures, lfany: Front'· .............. Rear ............... Depth .............. .
Height ............... Nuntber of Stories ...... '.... ...................................
Dimensions of s~ime structure with alterations or additions: Front Rear ............
Depth Height ..................................
.................... ~ .............. ' ......... '.. Number of Stories..................' ~ .....
8o D' ' · ~ ·
~menmons of entire new construction: Front ............... '. Rear ............... . Depth ...............
Height Nuntber of Stories
9. Size of lot: Front ....... ~ ' Rear ...................... Depth ...................
10. Date of Purchase ./.a.?.~. ~.~//. .................. Name of Former Owner~lc/~d~-~-../7.n?er0! .g?. .........
11 Zone or use ...... situated
· d~stnct m which pr~mmes are
12 Do p ed co tionvi l'a i glaw din ' 1 ti
· es pro os nstruc o te any zon n , or ante or regu a on: .................................
13. Will lot be regraded ' J
......... ~ ................... W/II excess fill be removed from premises: Yes No
14 Name of Owner of premises ' Address
· ' ' '~ ................. Phone No '
Name of Archit¢ct
...........~ ................. Address ................... Phone No ............ ;...
Name of Contractor ......... ~ ................. Address .................... Phone No... ............ .
15. Is this property within ~00 feet of a tidal Wetland? *Yes ........ No..~ ......
· If yes, Southold ~own Trustees Permit may be required.
i' PLOT DIAGRAM
Locate clearly and distinctly all ibuildings, whether existing, or proposed, and, indicate all Jet-back dimensions from
property lines. Give street and block 9umber or description'according to deed, and show street names and indicate whether
interior or corner lot. '
STATE OF NF~-~v~Y'ORI~' []/' e
COUNTY OF 'r 'L3- t
......
(Name of individual signin
~bove named.
S
.~.~. (.4.....~ · · · ...... being duly sworn, deposes and says that he is the applicant
contract)
is the .., ..............
,:J (Contractor , agent , corporate officer , etc . )
said owner or owners, and is duly huthorized to perform or have performed the said work and to make and file this
pplication; that all statements contain!ed in tiffs application are true to the best of his knowledge and belief; and that the
york will be performed,in the manner s~t forth in the application filed tberewith·
~worn to before me't'his
:
.... &,~, da
......... ~., ...... y o~.../~ .C':/~,;,;:,..~'~----X. ...... , 19.t:.
lotary Public, ~ '~ County /,'}
·CUU~Et. GtL=W ~. [ L,,..//'Z~--,~J/./- _/./~
.o..,,,..:,o,.,_-_.__o:.-'".' _ ........
NO,
.......... /. / (Signature of applicant)
Qualified In'Suffolk ~ounty ,~/--,~