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Home My WebLink About20674-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY No Z-20856 Date JULY 13~ 1992 THIS CERTIFIES that the building. Location of Property 470 ORIOLE DRIVE House No. County Tax Map No. 1000 Section 55 Subdivision ADDITION SOUTHOI/)~ NEW YORK Street Hamlet Block 6 Lot 15.10 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28~ 1992 pursuant to which Building Permit No. 20674-Z dated JUNE 1, 1992 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF2tLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A TIMOTHY & JULIANN DOHERTY ~ ~/ Bui~ng Inspect-St-- ~ Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_.N.° 2057JZ Permission is hereby granted to: ....... .... ....... at premises located at ......................... ~..2.~. ............. Q,~......~ ................................. County Tax Map No. 1000 Section ......~......'~'.. ........... Block ..... ..~...~. ......... Lot No ...... ./...'~..:./.~..... pursuant to application dated .......... "~.......~....?... ................... , 19...~...'~.,-- and approved by the (/ Building Inspector. Fee $ ........................ / ~ldin g/I nsl:~ecto r Re~ 6/30/80 ~ 'i '" ............ J" TOWN OF SOUTIIOLD [[~ · /HI _.~ IOQ~ i',' ~, BUILDING DEPARTNENT J~ , 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: £or new building or new use: 1o Final survey of property with accurate location of all buildings, property lines, streets, and unusual natura~ or topographic features. 2. F£Qal Approval ~rom Health Dept. of water supply and sewerage-disposal(S_9 form). 3. Approval of electrical installation from Board o£ Fire Underwriters. S~orn statement from plumber certifying that the solder used in system contains less than 2/10 of iZ lead. 5. Commercial building, industrial building, mult±ple residences and similar buildinss 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. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~pre-exzstzng" land uses: i. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. ~. 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. Fees Certific3te 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. Cop7 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.O0, Commercial $15.00 .... :. ~u ur rre-~x~stzng Building ................. ~catioa of Property .. .................... ~muse ~o. Street JJlnlet .wet or Owners of Property .... ~.~.~r~o'~W ~a ~/t~ ': ............ Block . bdivision ................................... Filed Map ................................. · Lot rmit No.. · ....... Date Of'Permit .......... Applicant. . '~ ............... alth Dept. Approval .............. ............ Underwriters Approval. .. mning BOard Approval .................... ~uest for: Temporary Certificate ........... Final Ccrticate ........... Submitted: $ ............................ INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Buildi~g Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher ' Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 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 29, 1992 ~ll40THY E. DOHRR'JU~ 670 ORIOLE DRIVE SOUI'HOLD, ~ 11971 To Whom This May Concern: We are unable to complete your Certificate because of the following reasons: of Occupancy 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 20674-z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. '~OBNDATION [ 1st) -~OUNDATION (2nd) ~,OUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL Examined ..... ~/ ...... , 19 Approved .... ~.Z ...... 19 ~*Pe~it No. ~.¢~ Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ~,SURVEY ...~-o~ ....... ..c.zc~.~ ........... /~ SEPTIC FORH ......... NOTIPY~ NAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or 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 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 coverdd 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 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 all applicable laws, ordinances, building code, housing code, ancl. re ul~, and to admit authorized inspectors on premises and in buildh~g for necessary in~ -- ''' i~i~t~'' ~<'~;j[: ~~f ~r p' ~;a't!o'n', .... ........... i~;ili,ll ~3~;e'~} g}'ai, i, ii~;~/~'W;i '/2 'dO' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. O ~,~_ e r'" . A. PP~RqVED AS NOTED ......................... ~: ................... :' '~'' ';; 'S:~ · ' · i~×~J · ~_/z,/~ i~'~z ~ ~' / (as on the tax roll or lateN~llJ~) BUll. DING DEIBiU~"I~IENT AT It' applicant is a corporation, signature of duly auth~orized officer. 765-1S02 9 AM 'ro 4 RM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION * T~ REOUIRED .............................................. FO~ POURED CONCRETE (Name and title of corporate officer) 2. ROUGH - FRAMING & PLUMBING Builder's License No. C)~'Z2..~..-~.. OCCUPAflCY OR 3. INSUUa~ON ...... ~JS£ iS UNLAWFUL ~. F, HAL CONS~UenO, Muir BE COMPLETE FOR C.O. Pl.mber's License No ................... WITHOUT CERTIFICATE Au.CONSTRUCTION SHALL MEET Electrician's License No. .OF OCCUPANCY THE REQUIREMENT8 OF THE N.Y. , ' .................. STATE CONSTRUCIION & ENERGY CODES. NOT RESPONSIBLE FOR Other Trade's License No ...................... DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which proposed work will be'done ............................................. ...... .... i ........... .......................................... Hamlet /~-'~ ~ o County Tax Map No. lO00 Scction ... ~ >,.. .......... Block .. ~;,,. ............. Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use an) occupancy of proposed construction: a. Existing use and occupancy ~./ b. Intended use and occupancy . ~ ~; * "" ...... ~ ,'.',~ ............................. .t~. ,,,.~,& ~.~.~.~ .,¢ ................. 3. Natthre of work (check which a~plicable): New Building .......... Addition .......... Alteration .......... Repair ............... Remgval .............. Demolition ....... Other Work ~e_~;/q~ ..... ' , t~//-p., ~_ I ' ' ~ '' (~);scription) ' ' 4. Estimated Cost~'/ / b c2 ~.~ 1=~ (to be paid on filing this application) 5. If dwelling, number of dwelling hnits ............... Number of dwelling units on each floor ................ · If garage, number Of cars ..... i ................................................................... 6. If business, co.mmercial or mixe~ occupancy, specify nat}~re an,d e~>~tent of each~ type 9f use ........ 7. Dimensions of existing structure's ifan,,' Front ~(,, ;~ 9~/ o ~. ~ ~ 9~ ~tt ~. .. ' ............ ne~gnt . ~..*.~.q ./. ...... Number of Stones..,M ............................. Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... ].. Height ........ ~. ;, ........... Number of Stories . ~ 8. Dimensions of entire new construction: Front . .5 ~...q..~ .~.ql. Rear ............... Depth ............. Height ............... Num!ber of Stories ............................................. ~ .......... 9. Sizeoflot: Front ........... I ........... Rear ...................... Depth ...................... 10. Date of Purchase ...... ! ..... - ..... ......... Name of Former Owner . .,~.-o.O.e~; ................... 1 I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded · l ............. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises /. t.O..,c?..'~.~. ,.'~ ~e r~.~ Address .q 9 q.°..~ to.l.~.. ~ .~ .... Phone No..~..~ ~-: ~.q.~3 .... Nme of Architect .......... i ...../... i.. i i i i/.'.' Address ................... Phone No ................ Name of Contractor ........ I ....... Address . Phone No. '3bb ......................................... 15. this property within feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly all property lines. Give street and block interior or corner lot. buildings, whether existing or proposed, and, indicate all set-back dimensions from ;umber or description according to deed, and show street names and indicate whetlier STATE OF NEW YOoRI~ S iS - . cou ¥ OF .... ....... ~~.~.~.~~~. ....... being duly sworn, deposes and says that he is the applicant (Name o~dividual signing co, act) above named. ] . He is the ....................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly tuthohzed to perform or have perfo~ed the said work and to m~e and file this application; that all statements contain ed M this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m=ner s ~t forth in the application filed therewith. Sworn to before me this .......... Nora. Public, Subd~vision-'Map/of Yennecott Park Suffolk County/File No. 5187 Lot 53 Lot 52 N.88057'50"E. 159.65' Lot 7 Area=3t777s.f. SURVEY FOR ..... -,-v E~ JULIE DOHERT¥ ,, TIMOTHY DU~mn--- LOT NO.?, "HIGHPOiNT MEADOWS,SECTION TWO AT souTHOLD ~N ~ souTHOLD suFFOLK CouNTY, NE~ ~RK TO a~lT~AL t~s t U - 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL / '* REMARKS: ~'~',~ /~ ,~/,~*~'/~ ~ '