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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 ........... NEW WOOD I)ECK E~._...T ELEVAT I ON .'_',C_O.[e' 1, 4 - 1 El,. I :_,. T I N b de--to e'x' i'~, ~ nEJ. F'r-or,~ ]or-ch 'SOUTH ELE'v'A-F ~.DN cc, F,F,o. rc, k:, I.e ~ I. i cji n,_L] pot io ct,z, ors ',V/"P'iL..I [ I. i ,z,n~ ~. .....'"' / \',,,, "--... L S I'1 - LD hq ..I ~H 8 O! E (t., H,~ ,Z,, OI OJ OJ HC IZ,'¥',, ED Z LI CO ~ '6 o IJJ LF) Cd ,_, 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 ,~/--,~