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Home My WebLink About27835-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28134 Date: 12/24/01 THIS CERTIFIES that the building ADDITION Location of Property: 330 ORIOLE DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 12, 2001 pursuant to which Building Permit No. 27835-Z dated OCTOBER 26, 2001 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 SECOND STORY DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH F MCILVAIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Sig ture Rev. 1/81 FORM NO. 3 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) PERMIT NO. 27835 Z Date OCTOBER 26, 2001 Permission is hereby granted to: JOSEPH F MCILVAIN 330 ORIOLE DRIVE SOUTHOLD,NY 11971 for CONSTRUCTION OF A REAR DECK ADDITION AS APPLIED FOR at premises located at 330 ORIOLE DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015 . 012 pursuant to application dated JULY 12 , 2001 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD { BUILDING DEPARTMENT TOWN HALLi,"3 765-1802 - APPLICATION FOR CERTIFICATE OF OCC This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. B. 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 Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy Residential$15.00,Commercial$15.00 Dat . —X) New Construction: 1 rPre-existingBuilding: l� O d o (check one) Location of Property: 0 House No. (� f,� Street Hamlet Owner or Owners of Property: �J�S�'J°� 1 1 I Suffolk County Tax Map No 1000, Section i- 7,3 9 / Block <0(DO Lot ` Subdivision l Filed Map. r Lot: Permit No. �� DateofPermit. ��`�� Applicant: J �,6ePk � m T VA Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ �Q,_ �0�J Ap licant Signature T �V BUILDING PERMIT EX4MWM CLICK LIST %o� DATE REVIEWED: 8 kid/01 l I .DATE SUBMITTED: 7 1 APPLICANT NAME:_`�_ u�c_l Lug il.� SCTM# DISTRICT: 1.000 SECTION: 55 BLOCK:_ LOT: STREET: S36 SUBDIV.NAME: Ir R PROJECT DESCRIPTION: ARCHITECT/ENGINEER: Nl-4 NL17- Ciz-er- FAST TRACK? N SINGLE&SEPARATE CERTIFICATION-REQUIRED? ® NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: R-Hcy CONFORMING? REQ.LOT SIZE: 4o,00o ACT. LOT SIZES 1' 63 REQ. LOT COV. ACT.LOT COV. <° REQ.FRONT yp PROP.FRONT_'SX E REQ SIDE ACT. SIDE �3 REQ.REAR PROP.REAR s/3 d WATER FRONT? ° DESCRIPTION: PANEL M / Sf FLOOD ZONE: X* AGENCY PERMITS.REQUIRED FOR REVIEW APPRO ALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES o O ED#): DTE: / / PERMIT#:R10- NEW YORK STATE DEC: PRF-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES or( O� NYS ENERGY: YES OR NO EGRESS (18 H min.?4 sq total) VENT(SQ. FT. x 4%) ZO2-6-o-? - LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EA D: BPo'?b�-Z/C/0 - , N 9 14 1 — HAVE PRE CO'S : Y OR N BP -Z/.0/0 Z- NOTE A &54 - FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : SF SECOND FLR : SF INIT OTHER TOTAL TOTAL: 0.�2 D SF FEE FEE FEE DT 0( 2b SF)-(--SF)_ — SF X$ BU ING DEPT. SPECTION [ ;FOUNDATION DATION IST [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & C IMNEY REMARKS: �7/-,0 DAT _INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ IN ON [ ] FRAMIN INAL [ ] FIRE LACE � NIMNEY REMARKS:cool `lam DATE �`� D IN8P -� IrISLD •INSPECTI(V -REPORT -- DATE s�eaa=—.+=sem== _�_'os=s— —_--_}•'��—_ — -- 'i== —_—"—__— . 0O FbMATION ( 18 16 OATION WD) 1 O� ROUGH FRAME & C� PLUMBING 0 INSULMON PER N. T.- STATE .STATE ENERGY + CODE. g y� fi VDIAL =AyDDITIONAL COIWNTS: r O TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802t� Survey PERMIT NO. ) Check Septic Form N.Y.S.D.E.C. Trustees Examined /o '2001 Contact: Approved �` ,20 s Mail to: Toe m a VA)A Disapproved a/c 3 30 01e)Oe U-SawN)d N y! ))77/ Phone: I F j f! ' ud j JUL 12 2nni ; ;� APPLICATION FOR BUILDING PERMI Dat 2 (7� 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupancy is issued 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, and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. �7 oWok ( ignature of applicant or name,if a corporation) 33c� ��)ale QP. Soufi1-��d �f � 15'7J (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises �0$�p y1 MSL V p)!y (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land onhich proposed work will be done: 3o a () \ oLfih61� , House Number Street Ham et r CountyTax Ma No. 100 Sectio ' "' J' a P JI' � Block C76 � " "' Lot � Subdivision ) �1> e'n0 ws Filed Map No. Lot ' (D (Nam ) L 0 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 11 n me oww e' t4se (� Intended use and occupancy tArS TAI le S Dce-t STA y's 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (A PSTWkS bee-k 17'97)6' (Description) 4. Estimated Cost Fee /go. (to be paid on filing this applicat,! n) 5. If dwelling,number of dwelling units Number of dwelling units on each floor I If garage, number of cars 1 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. AT I► � 1� 7. Dimensions of existing structures, if any: Front Rear Depth Height I D' Number of Stories Dimensions of,,Ome.structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 3G Rear 31 Depth a q Height �Ik aN` Number of Stories a: 9. Size of lot: Front 9 a.10 Rear l O L 3 9 Depth a 163S 10. Date of Purchase `1-a y-90 Name of Former Owner /krkJ 'ae l (A gm Co 11. Zone or use district in which premises are situated res I d eWr/ L 12. Does proposed construction violate any zoning law, ordinance or regulation: Al D 13. Will lot be te-graded IV0 Will excess fill be removed from premises: YES 14. Names of Owner of premises lam Yhfj_V,A)►4 Address 330 Ci,Ae hie Sa lk Phone No. 76 541�� Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES IV() • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY O Sas�-pA F, Yh CLVA I N being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the O W lC K (Contractor,Agent, 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. Swo fore me thi y of 206E otary Public Signature of Applicant LYNDA M.BOHN NOTARY PUBLIC,State o1 NOW YWk No.01 806020692 Wm IiExpiresSWch II" F APT QV ED AS NOTED DATiE• 6 a B.P.#? �,� 1so NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLILOWING INSPECTIONS: 1. FO-'NDATION - TWO REQUIRED _.__ . ......-.__. ,....--_.._....._.,._...._....._.._ F,0�'1 'I!1RE^CONCR€TE , 2. 11101UGW - FRAMING & PLUMBING 3. 1hgSULATION i 4. FIINAL - CONSTRUCTION MUST { BE COMPLETE FOR C.O. I THE REQUIREMENTS OF THE. NX N Y. STATE CONSTRUCTION & ENERGY I CODES. NOT RESPONSIBLE FOR ►� � uA DESIIGN OR CONSTRUCTION ERRORS • Wr W" hmtr WAC RIO r ZLTel 1 .TE Y OIL �'.woi. in.vrM+ _ �i .J '\•+' �. /l}1 1 o � ivd //11 (yy�pvn VLA T1,Ifl.r O� Vl.. i � e �1 bet I t t -- LJ SCR "' ` yt m � 4�" xx)SL X3 t - -- - - �X� J 1. ? 1 i ► �� * :� i ► s ' 1�-► �� Thztr5 ICA SP1 ' I� , . rwa rim -Tw cr " po;;f-w� Noy .� �i, S I rE IATA Lot' � ct �X QST►N& FcOO� A ;- �Pe? fr &046f A� LOT K K-Ar TOTAL Ak'5 D LA NO��h �.; , e•LLIIV Or' �� 124 0 NO 5 KLV pEcor�iC. Sud v�`�C�,� P.�. � � ' - o'�` P - `' -74 513 5.7 ,