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Home My WebLink About20513-zFoRM NO. 4 TOWN OF SOUTHOLD BUILDIHG DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24269 Date APRIL 8, 1996 THIS CERTIFIES that the buildin~ Location of Propert~ 705 ORCHARD ROAD House No. County Tax Map No. 1000 Section 66 Subdivision ADDITION SOu'rHOLD, NEW YORK Street Block 2 Lot Filed Map No. Lot NO. Hamlet 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCE 30, 1992 pursuant to which Building Permit No. 20513-Z dated MA~H 30, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 MAUREEN C. OSTEI~MAI~N N/& APRIL 29, 1992 Building I nspect/r ~OBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No-No. 20~1~Z Permission is hereby granted to: ~-~ ~..~~.....f~/~~. .... .~...~....~ ....... to. ~~4~.'.... ~~.....~.....,~., ~..~.~.i;. ,.,, ~._~, .............................................................. ....................... ........................................................................... County Tax Map No. I000 Section ........ .~....~. ...... Block ......... ~ ........Lot No ....... ~ ............ pursuant to application d~. ...... m/~m~. ..................................... , 19.~..,~.., and approved by the Building Inspector. Fee $......~..?.~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 AP?LICATION FOR CERTITICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to ~he building inspector with the following: for new building or mew 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 less than 2/10 of 1% 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. ~%r existing buildings (prior to April 9, i957)' {on-conforming uses, or buildings and '!pre-existing" land uses: ~. Accurate survey of property showing all proper~y 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 - ~ns to dwe~ 1. Certificate of Occupancy - New dwelling $25.00 Alterations to dwelling $25.00, Swinm~ing pool $25.00, cc~ilding $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3,Copy of Certificate of Occupancy - $20:00 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 Building ................. House No. Street Hanul e t nwer or O ers of Proparty ......................... County Tax Map No 1000, Section....~..~. ....... Block...~W. ............ Lot..? ................... ~ubdivision ............... Filed Map ............ Lot .......... Permit No..=~.~.~'./?.7~ .... Date Of Permit.?~f.J. ......... Applicant~.~...~......~.,. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ ~equest for: Temporary Certificate ........... Final Certicate.¥ ......... rea Submitted: $~"~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FRAMING REMARKS: FOUNDATION ;ZND [r--]-ll~SULATION [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST F ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FINAL [ ] FRAMING REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~'~MING [ ] FINAL DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS~JJ.ATION [ ] FRAMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY DATE 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 March 28, 1996 Ms. Maureen Ostermann P.O. Box 1199 575 Orchard Road Southold, NY 11971 Re: Building Permit #20513-Z - (add) Premises: 705 Orchard Road, Southold Suff. Co. Tax Map #1000-66-2-9 During a review of our building permit has expired, never been issued. files it was noted that the above and a Certificate of Occupancy has 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. FOUNDATION (1st) FOUNDATIO~'~ (2nd) ROUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE FIX;AL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS [[8~0'~? BUREAU OF ELECTRICITY ~- SS JOHN STREET, NEW YORK, NEW YORK 10038 Dat~ ~.~[].t 29~1~)~ ~pplicationNo. o. fil~ ~2~32~9~/~2 ~ ~33837 THIS CERTIFIES THAT FIXTURE FIXTURES RANGES OVENS SYSTEMS NO. OF FEET E APPARATUS: E R V I C NO. OF CC, COND NO OF Hi. LEG OF HI-LEG qO OF NEUTRALS~ AWG. OF NEUTRAL !his certificate must not be altered in any manner; return to the office o5 the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOTBE ALTERED IN ANY MANNER. New York State Department Of Env,ronmental nserv t Building 40--S~NY, Stony Brook, New YOrk 11790-2356 i , Dar( Thomas C. Jorli~ .~-~--Cot~ .missioner A review has been ~ade!of y~ur d-~Y')~i ~-'~L Based on ~he information you have submitted the New York state Department of Environmental Conservation has determined that the parce'l, ~'~project is: Greater than 300' from inventoried tidal. Wetlands. Landward~of a substantial man-mad~ structur~ greater than 100'~in length which.:was constructed prior to 9/20/77. ~,~ ~Ir Landward Of the 10' above mean sea level elevation contour on a gradual, natural slope. ~.-"Landward of the topographic crestilof a bluff, cliff or dune which is greater than 10' in elevation above_mean sea ~vel.t Therefore, n~ permit is r~6ired under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction; sedimentation or disturbance of any kind may take place seaward of [he 10'. contour or topographic crest without a permit. It is your responsibility to ensure that all necessary' precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may inc. lude providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated.. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy RegiOnal Permit A..~inistratgr - BLDG, DEPT. TOWN OF SOUTHOLD TEL.: 7G5-1802 Disapproved a/c ..................................... FOR~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTNOLD, N.Y. 11971 BOARD OF HEALTH ............ 3 SETS OF PLANS ........ SURVEY ........ ~. ..... CHECK ...................... SEPTIC FORH ................ NOTIFY: CALL ................... MAIL TO APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Ihspector, with 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 l~yout of property must be drawn on the diagram which is part of this appLi- cation. C. Thc 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 shMl 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 S6hthold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for ~:emoval 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 ha building foYnecessary inspections. - . (S:gnature66f applicant, or name, if a corporano'n') ' ' ' -_ .......... 'i"!'" ) ........... · " (Ma lin address f i ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... tg. %meofownerof~rem~ /V} ~ctYV~v~ /-~ (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. ............ titie' ;f go~or'ale .................. Builder's License No .... ?..~? ~. ;7 -/--1- ~.~- Plumber's License No .......... Electrician's License No. .. Other Trade's License No ...................... Location of land on which proposed work will be done: . '. . · . . ............ 1 louse Num bet Street Hamlet " g Co ty Tax M N I000 S ti un ap o. ec on .............. BlOck .... · ............... Lot .... s i io .......... ""' u v n .... p ............... Eilcd Map No. ........ Lot (Name) .................. Sl~te existing use and occupancy of premises and intended use and Occupancy of proposed construction: a. Existing use and oceupaney...~YZ~,.~5rz.2-~g~%..: ............... ,.,.~ ........ ,,~,. ...... B. ~n~ended use an~ occupancy ........ ~P.' ' · Nature'ofxvork (check which applicable): New Building .......... Addition . Repair .............. RbmovalI .............. Demolition .......... Tann£s Court ......... AcCessory Building .......... Fence .. · Estimated Cost ...... .. ee ........ i (to be ii) [Swii31~ng pool. ............ ~al o_q.~'J~ll~g, lh!~ appl canon) If dwelling, numberofdwellinguni!s ............... Numberofdwellingun 's'B~ff~e.4~h fl0o~:.' .............. If garner number of cars ' '. If business, commerci.al~3,r mixe~cupancy, specify nature and extent of each ty.pe of use ........... . Dmensionsof, g,XJii~mcture~eSf,~lll3t Front . .'gV. l][.. . Rear ~.4/.t'. . Depth ./.~. / .... Num ,'qr o'YStorios .... (] ............................................ Dim~nsmns of same sttructure w th ~lterations or additions: Front ... ;'.~.q..t ......... Rear· .5~ ~?. f. Depth ....... ./.~ ............ Height ...................... Numbqr 9f Stories ..... ?.'~ ........ ;. Dimensions of en~r_l~alew construction: Front ..... ~ .14/ ...... Rear .. ~ ./4. t. ........ Depth .. Height ....... .*~ ..... ,Num berl of Stories ...... /. ....... ; ..................................... i. Size of lot: Front ......... ~. ~. ~,,~,. I. Date of Purchase ......... I ~ .... c~ .... ~ · Zone or use dxstrict in which premi{es are situated·· . ~?.~.Z~.e~'~T.~./, .................. ' D.o. es proposed eonstructton wolatelan¥ zoning law, ordinance or regulation: .... ~'x/.~.: ...................... ,. Will lot be regraded ...... - .....i~.Xl'..O.~. ...........Will excess fill be removed from premises: t.~,. Y-~es .... No .'~. .. Name of Owner of premmes .... i ............ Address .. ~.o..u~.h 9.2..d. ...... Phone No. i{(-~3 ..~.": .~.~. O~.~. · Name of Architect ........... i ............. Address ................... Phone No ................ Name of Contractor .~..~. ?¥.~.'%...'~..q~ ~.~.q ...... Address...... Phone .. 5.Is this property locqtte~ within 300 feet of a tiflal wetland? ~ES.~..NO .... ~If yes, Southold Town T~rustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly,all ba · operty lines. Give street and block nut terior or corner lot. FATE OF NEW YORK, OUNTY OF ................. Idings, whether existing or proposed, and, indicate all set-back dknensions from ' ~ber or description according to deed, and show street na~nes and indicate whether, !,. S.S · (Name of individuals gn ~g Contract) ~ove named. being duly sworn, deposes and says that he is the applicant · is the I ~ (Contractor, agent, corporate officer, etc.) said owner or owners, and m duly atithorized ~o pe,rform or have performed the said work and to make and file this 'plication; that all statement~ contalnm in this application are }rne to the best of his knowledge and belief; and that the ')rk will be perlbm~ed in the m~ner set forth in the application filed therewith. yom to before me this ~ ~ ~ta~ Pubhc. . : ........ rt ;~ounty ' ~ ~b~lo. ~te ~ N~ V~, (Signature of applic~ t) .2¸ ACPIf, OVED AS NOTED 765-1802 9 AM TO 4 PM FOR ~E FOLLOWING INSPE~IONS: 1. FOUNDATION . ~0 REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 4. FINAL - CONSTRUCTION MUST BE COMPL~E FOR C.O. 'ALL CONSTRUCTION SHALL ME~ STATE CONSTRU~ON & ENERGY DESIGN OR CONSTRU~ON ERRORS