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HomeMy WebLinkAbout20481-z 41 FORM No. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21059 Date SEPTEMBER 30, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 1190 ORIOLE DRIVE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 15.38 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 17, 1992 pursuant to which Building Permit No. 20481-Z dated MARCH 17, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE DECK AND PORCH AS APPLIED FOR. The certificate is issued to MARK SORENSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-40- SEPT. 29, 1992 UNDERWRITERS CERTIFICATE NO. N-250437 - SEPTEMBER 15, 1992 PLUMBERS CERTIFICATION DATED SEPT. 10, 1992 - LARRY LISO PLUMB.&HEAT. y C-~L 'L - Bui ding Inspector Rev. 1/81 I FORM NO. S 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 °111 ° Z Date .I....... 1 20481 Permission is hereby granted to: L !d/1A .......Q-~4ce!? S~QS! ! C k..b. . ....fir -•.y....... ' . 11..9.1... . .IJ J . at premises located at ~.~.9.Q.....~ ..............s--)-r......... ?4~........................... County Tax Map No. 1000 Section OS Block 0.6 Lot No...1 3B pursuant to application dated ...4Sd'1. ~..Z 19R and approved by the Building Inspector. 4 Fee . g.............. iCO.ts Building Inspector Rev. 6/30/80 Fgrm No, 6 T'Go CEP22i w OWN OF SOUTHOLb , pI~~~ Bu1LUTOW UblynfflMENf TOWN ties i h G~-rX 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: fat 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 1leAlth Dept. of water supply And sewerage-disposal(S-9 fottn). 3. Approval of electrical installation from Board of Fite Underwriters. 4. Sworn statement from plumber certifying that the solder used In system contains less than 2/10 of 1% lead. 5. Commercial buildings industrial buildings multiple residenees 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. 1. For existing buildings (prior to April 91 1957) non-conforming uses, or buildings and "pre-existing" land uses! 1. Acciltate survey of property showing all property lines, streets building and unusual natural or topographic features, 2. A ptopetly 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 1. Certificate of Occupancy - New dwelling $25,00, Additions to dwelling $25.00, Alterations to dwelling $25.001 Swimming pool. $25,001 Accessory building $25.00, Additions to accessory building $25.00, Businesses $50,00, 2. Certificate of Occupancy a'n Pee-existing Building - $100.00 3. copy of Certificate of occupancy - $5.00 ovet 5 ysdrs - $0.00 A. Updated Certificate of occupancy - $50.00 5. Temporary Certificate of occupancy - Residential $15.00011 Commercial $15.00 Date „+1 ,I1,1.A••'.< :ew Construction.. old-or Pre-eeTx`Jisting Boiiding,,.,..... .0cation cf Property. .~c 1 ..Y....IT. ...+a.•..•........:+.....i .......1....... House No. ~Street I Hamlet )maer or owners of Property ...5:.: 6.++1,..+.,..+~.j..'......... ;ounty Tax Nap No 1000, Sectiony~.....,.Block..•.,.k+ +i1:.+tat. ubdivision~.?y71a ~Q(P]fll7e~d Hap . . CF':.~+ ~ .~Lot.,FJ ...fig °l Q !5 Applicant4 T. Pfl-l/lCC~c ermit No... (.~bat~e of permit. + + . lealth Dept. Approval. ...:1 'lanning Board Approval request for: Temporary Certificate ...Fin 1 etticate.. s,... 'ee Submitted: F C ICANT TEL. 765-1802 TOWN Or, SOUTHOLD f ~ti!r < OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 -c TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date. 0 Building Permit No. Owner (please print) Plumber / (please print) #,t~,Gf/lg> I certify that the solder used in the water supply system contains less than 2/10 of l% lead. A, t~ (plumber's ignature) Sworn to beforo me this day of 19~. Notary Public Notary Public; SitF 4k County DOLORES L USO Notay PAk, Stot• of Now York Suffdlc County - No. 1$41022 C,OMM M E)Otoo Od.31,,,,42 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001093 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date SEPTEMBER 15,1992 Application No. on file 77189492192 N 250437 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MARK SORENSON, OREO DR.(HIGHPOINT MEADOWS), SOUTHOLD, N.Y. in thefollowinq location; ® Basement ® Ist Fl. ® 2nd Fl. OUT Section Block Lot 35 wasexaminedon SEPTEMBER 09,1992 andfound to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. K.W AMT. K.W. AMT. K.W AMT. H P. 27 40 25 1 1.2 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS SELL UNITHEATERS MULTI-OUTLET DIMMERS AMi. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. NAP. AMT, AMPS TRANS. AMT H P SYSTEMS AMT WATTS NO. Of FEET 2 F 2 20 SERVICE DISCONNECT NO.OP S E R V i C E AMT. AMP. TYPE METER I,6' 3W I -e 3W 30 13 .1 OW NO. OF CC COND. A W. G. NO. OF HbLEG A W G NO OF NEUTRALS A, W 0. EQUIP. PER .B' OF CC. COND. OF HI LEG OF NEUTRAL 1 200 CB 1 ~1 1 2/0 1 2/0 OTHER APPARATUS: MOTORSs2-F H,P, G. F.C.I:-4 SMOKE DETECTOR:-2 GARY DOROSKI LIC.#2941-E 425 MONSELL LANE CUTCHOGUE, NY, 11935 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their c edentials. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. FOUNDATION 2ND [ ] INSU TION [ ] FRAMING INAL REMARKS: DATE ~ INSPECTOR llwesl 765-1802 --------BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ I FINAL wc REMARKS: DATE INSPECTOR t M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: Z DATE 2--' INSPECTOR 1 1 M-1802 BUILDING DEPT. INSPECTION [ } FOUNDATION 1ST [ ] ROUGH PLBG. ( ) FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL f~ G~L'?SRr REMARK : 95- ~ 4 y z- ~-`7JC G y ' a DATE 60' /V- a INSPECTOR olf '04 -r-z M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION .0-FRAMING [ ] FINAL REMARKS: Bttv DATE INSPECTOR 1 `~a T 7r~rsv G o9-~,~ An, 4Aeel-&~ M-iso2 ~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG.u [ ] FOUNDATION 2ND [ ] INSULATION [/-]-'-F'ItAMING [ ] FINALE j REMARKS: DATE 2 INSPECTOR i 765-1802 BUILDING DEPT. INSPECTION t [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: DATE Mo INSPECTOR F I 765-1802 BUILDING DEPT. INSPECTION [ F aU DATION T [ ) TROUGH PLBG. FOUNDATION 2ND [ ) INSULATION [ ) FRAMING [ ) FINAL REMARKS:.__ ,t t 'FATE J / L INSPECTOR c.IELD. I::S:`2C T '_u:J Dn:E COtNLNTB c ~t FOUNDATION 1st) yy FOUNDATION (2nd) m 2. o ROUGH FRAME $ o PLUMBING ti 3. L y J m to INSULATION PER N. Y. y STATE ENERGY <,1 CODE j a 4. FINAL 4 o F ADDITIONAL COMMENTS: m` x ~ 2 r JA0 115 rt- Awe cl l aQ Jul 1. ~ a • +1 H a U1 i m -,O vi 1 (516) INSPECTORS o~pSJJFFOJ/( VICTOR LESSARD, Principal Gyp SCOTT L. HARRIS, Supervisor CURTIS HORTON, Senior r°n Southold Town Hall VINCENT R. WIECZOREK, Ordinance p P.O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire Southold, New York 11971 Building Inspectors Fax (516) 765-1823 THOMAS FISHER Telephone (516) 765-1800 GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 8, 1992 Mr. Stephen J. Perricone Twin Fork Siding P.O. Box 41 Mattituck, N.Y. 11952 Re: Building Permit #20481-Z (SORENSEN, MARK) Premises: 1190 Oriole Drive, Southold, N.Y. Suff. Co. Tax Map #1000-55-6-15.38 Dear Mr. Perricone: Please be advised that the fee due to amend the above building permit to include the attached garage and deck is $115.80. $70.80 for the garage and $45.00 for the deck. As soon as we receive your check in the amount of $115.80 the building permit will be amended. If you have any questions, please do not hesitate to call this office. Very truly yours SO OLD TOWN LDING DEPT. . 1-1~-C, WUL Victor Les ard, Principal Building Inspector VL:gar 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Ct.5.1.O00 Fee . ` (to be paid on filing this application) 5. If dwelling, number of ca dwelling units ,1, .1.. . . .Number of dwelling units on each floor,..:............ . If garaSe... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front Rear t Depth ...~).f.~ Height Number ofStories Dimensions of same structure with alterations or additions: Front Rear Depth Height...................... Number of Stories................,..... 8. Dimensions of entire new construction: Front (0. I?........ Rear ....(AP Depth ...Q.13 Neieht . ...Q.) Number of Stories . Q 9. Size of lot: Front C ~ ~ Rear ) D %-.5b.......... De th u7(5 t 1; .l~~i ~(o. . 10. Date of Purchase fl~ G... Name of Former owner . . 11. Zone or use district in which premises are situated ...k E`>.t. ft N_Y j 1 L- 12. Does proposed construction violate any zoning law> ordinance or regulation: 3 . . regraded i Will excess fill be removed from premises: Yes No 14. Name of Owner of premises I~flRY~.~ARk (xi§P.f~' . Address 73.oJ6 kt ;P. Phone No. !d77:'.( A( r Name of Architect [-A RRU TN O it Address C+tY?P4f~Ti Y.... Phone No Name of ContractorTW.IN. : PpiLK~.51Q! N. 15. Is this property located within 300 .feet b Address .1 O."Jll. T1 K VT 0-vfthone No. h IS,.''~(1. J, , , , of a tidal wetland? *Yes No *If yes, Southold Town Trustees PermitPmay be required. DIAGRAM Locate clearly and distinctly 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. DNS (~~T C' STATE OF NEW YORK, S.S COUNTY OF t.'Cepv?_D' e being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. lie is the ...~ontr0.C7~r..........Contractor,,ag . ent, corporate officer, etc.) of said owner, or owners, and is duly authorized to perform or have performed the said work and to make and file -this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..........day of J~eh 19 *eA Notary Pub lic, County NDA J. COOPER ....Nota Public, State of New York ture of No. 4822563, Suffolk Coun Y applicant) Term Expires December 31, 191 BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SU Y . M 17 I~~ TOWN OF SOUTHOLD HECK BUILDING DEPARTMENT S IC FORM ?TV.; TOWN HALL NOTIFY EOUTHOLD; N.Y. 11971 TOWN ww f001HC5t,93„ .v. TEL.:; 765.1802 CALL ~j MAIL TO: Examined. .4 1 , , 19 ? j- Approved. . } 1 199?. Permit No.O 4 Disapproved a/c (Bui ding Inspector) APPLICATION FOR BUILDING PERMIT Date ....,3/1.7........, 19y~- INSTRUCTIONS a. This application must be completely tilled in by typewriter or in ink and submitted to the Building Inspector, witl sets of plans, accurate plot plan to'Iscale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl cation. c. 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 pert 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 Occupar 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 I Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the. construction lof buildings, additions or alterations, or for removal or demolition, as herein describ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on prOises and in building for necessary inspections. T.tNi . . (Signature of applicant, or name, if a corporation) ...PQ.6 ©x.. Tr`rc~&41../t/ y.... . (Mailing address of applicant) State whether applicant is.ownen', lessee, agent, architect, engineer, general contractor, electrician, plumber or build, Name of owner of remises `S la on the tax tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST1BE SUFFOLK COUNTY LICENSED Builder's License No. . , .7.?hp. .Lt.T....... , . Plumber's License NoTPjjG Q[2QvlDt~1a pyQ.k4tRJWG Electrician's License No. . 7„9 41, . E Other Trade's License No. , J . . . 1. Location of land on which proposed work will be done. . . ll.~p............l.... o R.~.o?) ti)w ~.....gout~tc~~D House Number Street Hamlet County Tax Map No. 1000 Section , .....§.5..... Block (a......... Lot. Subdivision . u? kl '1 o tNT Yl1 E >Jpw, Filed Map No. Lot J. , Wame) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a• Existing use and occupancy b. 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I , hiR -mf"- tc So2cN5etc SCAIf AVPIIOVfO RY DRAWN IY y~ WE Q~T 9 REVISED Zz L7 C_ ry 1 ti\ DRAWING NDMKR 1 11 1 1 } 1 1 1 I I- I I I I Z.~ Imo' y 1 } 1t 1 I ~I PsW SL ttlft~ I - QOJL ! PSW4L i ~ a I 4 4 ~ ~ - ~ rm 3arn {nyy-~ ~ i SheL_V8x'` r ~I~ J Y'-. In~A lY1W ON q (A E I i r i a J •}Je.fi~$ ~'/~`rl~"_ \ v N~21i~SI_{ h ~ ~ k: LYi fA1 l}".^1~ 1 ~ \ AinPici> tl.n''1 ~ llibboIs forwOwdlao-mwmtmed o ? I ^I n 1 systm pwm smN be dtMu aLon _ n FT_I*s1'r-SLrn "I gs-'a___ _ ,"ICR.. n...- i •I t 4 ~ I --t---?-F1~-----+f-i q s'II,~, y to PLUMBING ~ I - - - - '~.-F - r ALL PLUMBING WASTE _ & WATER LINES NEED _ TESTING BEFORE COVERING APPR IIfD A$NOTED 1 I A~l 1. DATE: 3 I , B.P. N 3QZ.o15 p / i a 6~ FEE:M.~g , s --{A- o OCCUPANCY OR NOTIFY BUILDING BY BY RTMA ENT AT 1 11 ~ 6 USE IS UNLAWFUL 765-1802 9 AM TO 4 PM FOR THE FOLLOWING V I^3,(~ t li TIC Tll _ ~ , WITHOUT CERTIFICATE 1 . FONDATiON PEC TWO REQUIRED V, • c I OF OCCUPANCY FOR POURED CONCRETE r 2. ROUGH - FRAMING & PLUMBING 3 INSULATION U` PLUMBERC£RI F/CAT/ON 4. FINAL - CONSTRUCTION MUST 3844 i_,_ 26 YG-4"I a)~.,,~7-- -2sta ~ ONLMCWENTBEFORE BE COMPLETE FOR C,O I CERT/f/CATEOFOCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. _ SOLDER USED IN WATER STATE CONSTRUCTION & ENERGY SUPP&SYSTEMCANNOT CODES. NOT RESPONSIBLE FOR I' T~._. ~~f- ~ - - p~~_ ~ _C.G~/CC ~a PoKS~~ 3~Z~-L1 D,i___ _ `i ' I f+_ _l EXCEED2110OF 1% LEAD. DESIGN OR CONSTRUCTION ERRORS 3 Zt, HVO_ n ~ 2 xy cam.. ~ ~m8cn-c m-8cn-c _ _ , ---~'1----- a. 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