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HomeMy WebLinkAbout20220-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. C~RTIFICATE OF OCCUPANCY No Z-24174 Date FEBRUARy 22~ 1996 THIS CERTIFIES that the building Location of Property 1395 ORIOLE DRIVE Nouse Noo County Tax Map NO. 1000 Section 55 Subdivision ALTERATION SOU'£mOLD NY Street Hamlet Block 6 Lot 15.31 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 15, 1991 pursuant to which Building Permit No. 20220-Z dated OCTOBER 21, 1991 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 FINISH SECOND FLOOR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. JEAN KOENIG (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PENDING PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A FEBRUARY 17, 1996 FEBRUARY 12~ 1996 PECONIC PLUMB & HEATING Building ~ 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) Ne 20220 Z Permission is hereby granted to: et premises Iocate(~' d at ......~..O~........./' ~...,/~'~f..C/'-'~' ~c ......................................................... ................................................ ............................................................................. Coun~ Tax Mop No. lO00 Sec.on ...... ~...~ .... mo~k ...... .~. ....... Lot No ...... pursuant to application dated ...~~~ .......................... , 19.-.~/-..,c::~/ and Building Inspector. Fee $..~.....~.~ approved by the Rev. 6130/80 BLDG, DEPT~ Form No. 6 TOWN OF SOUT}IOLD BUILDING DEPARTMENT TOWN HALL 765-[802 APPLICATION FOIl CERTIFICATE OF OCCUPANCY 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 less than 2/10 of I% lead. 5. Commercial building, 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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 signed by the applicant. If a Certificate of Occupaucy is denied, tbe Building Inspector shall state the reasons therefor in writing to the applicant. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, ~to~ Swimming pool $25.00, Accessory building $25.00, ~dditions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existin~ Buildins - $100.00 Copy of Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00., Commercial $i5.00 Date ....................................... New Construction ........... Old Or Pre-existing Building ................. Location of Property [~ ~w~o/~ ~ ~o~& House No. Street Hamlet Onwer or O .ers Property.. -O-..¢aO.. .¥b.. ...................................... County Tax Map No 1000, Section....~.~. ........ Block....~. ........... Lot I~'~/ ...... obd visio . .............. F , Inp ............ ...................... ?ermZt ~o.~>~q:.*4-. ..... Date O~ Permit .... '? J~l ........ AppU~,nt. . .~.¢~ . ~d~. .............. Uealtb Dept. Approval .......................... Underwriters Approval ......................... / 'lanning Board Approw~l ........................ !~equest for: Temporary Certificate ........... Fim~l Certicate. · Submitted: $. 2 ................. Town I-tall, 53095 Ivlain Road P. O. Box $179 Soulhold, New ¥o~k '~ 1971 Fax (51~) 765-1823 'l-elephone (516) 765-t802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. (please print) (please print) I certify contains less than !/10 of that the solder used in the water supply system 1% lead. Sworn to before me this .otary P,,biio. - taF FOoL Notary Public, Slate of New Ycrk No. 01 ST4844752 Oca~ilied in Suffolk Cour/ly /,_ Commission Expires Sept, 30, 19_~'~/ / 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 February 6, 1996 Ms. Jean Koenig P.O. Box 1819 Southold, NY 11971 Re: Building Permit %20220-Z & 21052-Z Premises: 1395 Oriole Drive, Southold Suff. Co. Tax Map %1000-55-6-15.31 Previously under Jean Guild. 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. FOUNDATION (1st) FOU:;DATIOH (2nd) ROUGH FRAME & .PLUMBING 3. IZ;SULATION PER N. STATE ENERGY CODE Fi;;AL II ADDIT 'AL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [..~.~UL~TION [ ] FRAMING [~'] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ? Examined /. .......... 19. Approved..d.~.~. 2~..~ ......... 19 f/Permit FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c/,~ ................................... ..~ Buildi~/Ius~'ector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... ~ SETS OF PLANS .......... SURVEY ......... t ......... CIIECK .................... SEPTIC FORH ............... HOTIFY} CALL ................... HAIL TO: OCT I 6199! INSTRUCTIONS a. This application must be completely filled in by typewriter erin ink and submitted to the Building Inspector, with 3 ,dts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship tb adjoining premises or public streets )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit .ball 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 ,hall 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 guilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or legulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Ehe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary lnspections. (Mailing address of applicant) State whether applicant is o.~,. lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. ............ ..... .......................................................... Nanm of owner of premises .......................................................................... (as on the t~(x roll or latest deed) [f applicant is a corporation, signature of duly authorized officer. (Name and tide of corporate officer) .... ...... Plumber s Licens~ No ...... ~. ............. Electrician's License No ....... ~. .......... Other Trade's License No ............ ~ ....... ~. tocation ofland on which proposed work will be done. L~ ~{-. P.~ . {~. ~.. .... o ..... ............. 8o .................... llouse Number Street Hamlet County Tax Map No. 1000 Section %~ Block Lot. Subdivision ......... ~ ~ f-~S Filed Map No ¢ ~ Lot (Name) '. State ex/sting use and occupancy of premises and intended use and occupancy of proposed construction: ....................... ~4i ~ ~',~ ~ ..... b. Intended 3. Nature of work (check which applicable): New Bui/ding .......... Addition .......... Alteration~., Repair .............. Removal .............. Demolition .............. Other Work ......... .,.,~ p. 4. Estimated Cost . . . ~-~.~ ~ (Description) ' d ............... Fee ," ~,'! ,-,~'C (to be paid on filing this application) 5. If dwelling, number of dwellingI units ............... Number of dwelling units on each floor... · If garage, number of cars .... ~.: .................. · ............ 6, If business, commercial or mixeld occupancy, specify nature and extent of each t e of use ............. , ..... 7. D~mens,ons et existing structures, if any: Front ......... Rear ....... Depth ~Height ............... Nm~ber of Stories .... ~. ......... ' ...... ith ................................... Dimensions of same structure w alterations or additions: Front ..... Depth ..................... Height ................. Rear .................. ~ ....................... Number of Stories ..... 8. Dimensions of entire new construction. Front ................ igt , ' ....... Rear .... pth He tt ............... Number of Stories ...... ' .......... De ............... 9. Size of lot: Front ..... ' ........... Rear ..... De ............... 10. Date of Purchase ........... i .................. Name of Former Owner . 1 I. Zone or use district in which ' ' situated ........... ' ........................ prqm~ses are ·. · 12. Does proposed construction viol~ate any zoning law, ordinance or regulation: ....... ,~¢.~'~ 13. Will lot be regraded ........ i! ................... W~ll excess fill be removed from premises: Yes No 14. Name of Owner of premises ................... Address ................ Phone No. Name of Architect ....... · · · .............. .................... Address ................... Phone No ................ Name of Contractor ......... ~ ........... Address ...~ ................ Phone No ......... .. .. 15. Is this property within 3,00 feet of a tidal wetland. *Yes ........ No ......... '''' · If yes, Southold Town Trustees Permit may be required· .... PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, end. indicate all set-back dimensions from property lines. Give street and block/lumber or description according to deed, and show street names and indicate whether interior or coruer lot. FEi:: ~ BY; NOTIFY BUILOING OEPART~AT 7(35-1802 9 AM ~ 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION ~O REQIJIRED FOR POU~/D CONCRETE Z ROUGH - FRAMING & PLUMBING 3. ~NSULATION FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. At& CONSTRUCTION SHALL ME~ THE REQUIREMEN~ OF THE N.~ STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRU~ION ERRORS TATE OF NEW YORK, 'ou v oF ..... ......... i ....... i ..... (Name of individual signin contract) ]ore named. being duly sworn, deposes and says that he is the applicant' e is the ......................... . ~ (Contractor agent corporate officer ) ........................... · said owner or owners, and is duly ahthorized to perform or have performed the said work and to make and file this 'plication; that all statements containdd in this application are true to the best of his knowledge and belief; and that.thc ~rk will be performed in the anner se,t forth in the application flied therewith. voru to before me this No,.40}1106 ......................................... (Signature of applicant) SURVEY FOR D.B.M. COMPANY LOT NO. 28, "HIGHPOINT ME ADOWS, SECTION TWO" Ju L AT SOUTHOLD DATE: AUG. 1:~,1990 TOWN OF SOUTHOLD SCALE. f'= ~,0' SUFFOLK COUNTY, NEW YORK HO. 90-06!9 HEALTH DEPARTMENT-DATA FOR APPROVAL TO CORSTRUC T A#O C~ .~S ~.^L~ rO ~.[ ~T~ ¢O~Y, GOVt.- I SUEIDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ANO LAND SURVEYOR N Y.$.UCENS£ NO 12845 SUFFOLK COUNTY ON MAR. 19~I990 AS FILE N0.8911. HOWARO W YOUNG, LAND SURVEYOR ~BR&NDIS & SONS INC.