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HomeMy WebLinkAbout29915-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29974 Date: 01/23./04 THIS.CERTIFIES that the building ADDITION & ALTERATIONS Location of Property: 470 ORIOLE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No 473889 Section 55 Block 6 Lot 15.10 Subdivision Filed Map No_ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 24, 2003 pursuant to which Building Permit No. 29915-Z dated DECEMBER 8, 2003 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 "AS BUILT" DECK ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. CONSTRUCTION CERTIFIED BY NIGEL ROBERT WILLIAMSON ARCHITECT. The certificate is issued to TIMOTHY E & JULIANNC DOHERTY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, N/A ELECTRICAL CERTIFICATE NO. 1183862. 12/04/03 PLUMBERS CERTIFICATION DATED 11/21/03 K & K PLUMBING & HEATING 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_ 29915 Z Date DECEMBER 8, 2003' Permission is hereby granted to: TIMOTHY E DOHERTY 470 ORIOLE DRIVE SOUTHOLD,NY 11971 for AS BUILT ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ADDITIONAL CERTIFICATIONS WILL BE REQUIRED. at premises located at 470 ORIOLE DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015 . 010 pursuant to application dated NOVEMBER 24, 2003 and approved by the Building Inspector to expire on JUNE 8, 2005 . Fee $ 631 . 80 LZAut oiz d Signature COPY Rev. 5/8/02 �C U C c 10 TOWN OF SOUTHOLD PROPERTY RECORD CARD I OWNER STREET / _ VILLAGE DIST.. SU8 LOT jlE © V riu�F D��V �1I _ � l. w �Arl �7C> � I ` �rr� � .�°el� t'cz ACR. REMARKS y TYPE OF BLD. PROP. CLASS k e_c6cd Vxrick Cknc� LAND IMP. TOTAL DATE 7/RW t /7l&'%c irc 416,k31 tijj a7co p � Z s I FRONTAGE 8WVVATER TILLABLE FRONTAGE ON ROAD WOODLAND .<DEPTH MEADOWLAND BULKHEAD.. HOUSE/LOT `. TOTAL s Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 1%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! b. Submit Planning Board Approvalof 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 properlycompleted application and 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$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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15100 Date New Construction: Old or Pre-existing /Building: (check one) ©elCK Location of Property: �'7 0 e, i House No. �� 7 Street L Hamlet Owner or Owners of Property: // d '/�Y k ��/ �/ yAr✓/ Suffolk County Tax Map No 1000, Section Block 'u Lot i9 Subdivision /g� �0, � �f^°°� Filed Map. Lot: �f Permit No. DI 9 l 5 Date of Permit. Applicant: p pY Y Health Dept.Approval: Underwriters Approval: Planning Board Approval: µ Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Z.e Gl-1 ApIplica Signature Nigel Robert Williamson JAS 1 S 2MArchitect P.O. Box 1758 Southold,NY 11971 631765-4156 Mr. John Boufis, Building Inspector Town of Southold Building:Department 53095 Main Road Southold,NY 11971 Re: Doherty Residence, 470 Oriole Drive, Southold Dear Mr:Boufiis: The existing 2 x 8 ceiling joists over Bedroom#3 are adequate to support the existing ceiling which has no storage over. Mr. Doherty is adding insulation to the existing R-19 to achieve a R factor of R30 or better. This together with the R-19 wall insulation complies with the NYS energy code in affect at the time of the building work on the second floor. Thank you for your attention to this.matter. U\$,� �ED AROh`T;_ Ago NIGEL ROBERT �t a VtlICLIAM N 3 Ypurs faithfully, „J( � i Nigel R. Williamson Nigel Robert Williamson Architect P.O.Box 1758 Southold,NY 11971 631.765.4156 sN 2 3 2 January 22,2004 M John Bouft Building hispector Town of Southold Building Department 53095 Main Road Southold NY 11971 Re:DoherwResidence,470 Oriole Drive,Southold Dear Mr. Boufis: Please-be-advised-that the deck at grade at the above mentioned residence is adequate and complies with code. `S�EpED ARCy,T Thank you for your attention to this matter. Q�6 NIGEL ROBERT wl 6 Yours Faithfully, f t Nigel Robert Williamson sry 02M3'1- Q� Architect TE BF NE`N PFO(k��� o� y� Town Hall,53095 Main Road N Fax(631)765-9502 P.O.Box 1179 Oy O� Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: / 1!7— Building Permit No. 9 9 l5- Owner: f%40 1� �f/fi AP �d sir V ""// (Please print) PPlumber: KAk PkeWi ff" /��e�fifn� �'��j� J—/7 (Please iAt) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 6F� � (Plumbers Signature) Sworn to before me this 4/ day of 7?w , 20_0,.3__ Notary Public, -_Oounty LINDG� j'-'" Is �-csW lot r filtr7lr7G]rr117r�'�f 7�C.17 C.I�CPLI�CPC.IE7rr]rI717L7171rr�1r7r3.IN 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 Ij 40 FULTON STREET — NEW YORK, NY 1003$ 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 TIMOTHY DOHERTY TIMOTHY DOHERTY 470 ORIOLE VE SOU HOLD, NR1ORIOLE.IVE 470 l 11971 SOUTHOLD, NY1 971 c� Located at 470 ORIOLE DRIVE SOUTHOLD. NY 11971 r5+ SApplication Number: 1183862 Certificate Number 11a3862 SSection: Block: Lot: Building Permit: BDC: ns11 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 Second Floor, 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was found to be in compliance therewith on the 4th Day of December,2003. 5 5 Name (OTY Rate Rating Circuit Tie 5 5 Alarm and Emergency Equipment 55 Sensor 1 0 Carbon Monoxide [� Sensor 5 0 Smoke Wiring and Devices 5 Receptacle 3 0 General Purpose Switch 3 0 General Purpose 5 5 Fixture 2 0 Incandescent Paddle Fan 2 0 5 A visual inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to be 5 in comformance with the applicable reference standard for the estimated period of construct on of he premises wiring system 5 5 Lcertificate seal1 of 1may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. [J�[J�[n[P[f[1cJ@J�[J�[J�[P[1�Lfr�Cfc FrPr�rJ�r?J[P[P[P[P CJ�[J�[P[P[FEP[f[lc n[n[J o[n[J@1@�[�rJ@n[1�[J[J�[J�[f[n[fCfflj'r Pr PC PE M-1802 BUILDING DEPT. INSPECTION I FOUNDATION IST { ] ROU PLBG. [ ] FOUNDATION 2ND` [ ] 1 LATION [ ] FRAMING [ FINAL [ j FIREPLACE & CHIMNEY REMARKS: Jv;,�704100 ,�j DATE l INSPECTO •� -eta M-1802 BUILDING DEPT. INSPECTION i [ ] FOUNDATION IST [ ) ROUGH PLB [ } FOUNDATION 2ND [ j IN TION [ ] FRAMING [ FINAL j } FIREPLA HIMNEY RE : , G i DATE INSF, s� e s e • � ; i , w • ,o s:� •. I'il _ •" IIIZ 11111111E ilillllllrteWIN , PAP iwt TOWN OF SOUTHOLD BUILDING PERMIT AFPLICkTION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN IIAi 'L Board of Health SOUTHOLD,'M 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Soitthold/ PERMIT NO. check Septic Form N:Y.S.D.E.C. Trustees Examined 20 3 Contactll Approved �Z $ 20 3 Imail to: Disapproved a/c p Phone: - S- 2� I �S Expiration ,20 Building spector I . � APPLICATION FOR BUILDING PERMI7� Date 2003 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 s ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced wi 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amen encs or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writin the extension of the permit for an addition six months.Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE fo the Building Department for the issuance f a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Count ,New York, and otherplicable Laws,Ordinances or applicant agrees to comply with all applicable laws, ordiRegulations, for the construction of buildings, additions, or alteration r for removal or d olition as herein described. The nances,building code;housing code, and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of plicant or name,i corporation) •'7 d- o 01 IC J� (Mailing address of applicant) State whether applicant is owner,lessee,agent, architect, eng i:eer, general contractoz, electrician, plumber or builder �fi✓ /1 e (` 1 Name of owner of premises �r s �� F -S V 4 �n o 0�4e it e (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer i (Name and title of corporate officer) Builders License No. --J Plumbers License No. .3 3 5 Electricians License No: 3(p�Gj5 Other Trade's License No. 1. Location of land on which proposed work will be done: -�,(17cs ar (o1e- L e House Number Street Hamlet County Tax Map No: 1000 Section D ° © 6 Block 0 a Lot Subdivision e g4 Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and int ded use and occupancy of oosed cons try Win: , a. Existing use and occupancy E/ sews / tos- a 1, f- b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal. Demolition Other Work Ge�7`a?"IT � 415 d d Oe G J<{Description) 4. Estimated Cost Fee (To be p d on filing this application) 5. If dwelling, number of dwelling units Ll Number of dwelling units on ach floor---T-- If oorQIf garage,number of cars 6. If business, commercial or mixed occupancy,specify nature and extent of each e of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories $e e NJM- ' e do Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of stories _ wz / p 8. Dimensions of entire new construction: Front Rear � Depth Height Number of Stories Q 9. Size of lot: Front s a Rear / Sq ' G 3 Depth L 3 `7'Z{ *7 10. Date of Purchasef °1 Name of Former Owner 11.Zone or use district in which premises are situated 12.Does proposed construction violate any zo ' g law; ordinance or regulation?YES NO / ed from premises?YES NO✓ 13. Will lot be re-graded. YES NO . Will excess fill be removed p _ 14.Names of Owner of premises 1Y��'�iO"address 7 �a �� Phone No.���I�-76 S'­2FY� Name of Architect/V/be 1 ui//4++s 50 4 AddressK 6' dOW Phone No -763 Name of Contractor Address Phone No. / 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *Y S NO ✓ * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE' Q D. b. Is this property within 300 feet of a tidal wetland? *YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale, with accurate foundation plan and distances to propert 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) f SS: COUNTY -7 °' dQC74rT being duly sworn deposes and says that(s)he is the applicant r (Name of individual signing contract) above natfied, (S)He is the (Contractor,Agent, Corporate Officer, etc.) of said owner or ownefs, and is duly authorized to perform or have performed the said woj k and to make and file this application; that all statements contained in this application are true to the best of his knowledge and b lief; and that She work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of 20 Notary Public Vsignature of licant Subdivision- "Map of Yennecott Park" Suffolk Oounfy File No. 5187 Lot 53 Lot 52 — — N.88057130"'E. Inez` I"LA YT N Q g ' I 1ax1a 1 SE� I rJ'a 00 Lot 7 Area=31777s.f. 1 cp I . _1 a I <o� +a i 's xSI �lN D�ta .0�' VO. \ -/EAS i Q= Di C. ISq =a9° Q o RlV L ,Ao° E R SURVEY FOR TIMOTHY DOHERTY & JULIE DOHERTY LOT NO:7; "HIGHPOINT MEADOW ,SECTION TWO" AT SOUTHOLD - DATE: APR. 16, 1992 . TOWN OF SOUTHOLD SCALE C=50' SUFFOLK COUNTY, NEW YORK NO. 92- 0305 r uwuTNORtz[p ALTERAnoN'Dn ADDITION THIS CERTIFIED TO: erYEORIbc sT+iic'oi VIOLATION olsiE avioH 7209 OF THE TIMOTHY DOHERTY _ N,COPIES OF THISSURVEYNOT BEARING THE AMC r JULIE DOHERTY SURVE row's INKED SEAL OR EMBOSSED SEAL�SNAiL TICOR TITLE GUARANTEE NOT.BE COMSIDEAEDTO K A�VALID TRU{ CO Y . SOUTHOLD SAVINGS.BANK MGURRAMTEES INDICATED HEREON SHALL RUN ONLY TO HEALTH DEPARTMENT-DATA FOR APPROMBL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS RAE►A EO ANO OV HIS BEHAIf TO THE TITLE COMPAMY�G YEMM- N MFJFEST WATER INAtN—M1.S M SOURCE Of WATER:.PRIMTE�FtwIC�. MENTAL AGENCY AMC LE*OM4 IKSTITUTtOM L STED, ^ /NWF.CO FAK YAP MT 1000 SECTION...M MACK-9, LL2T.,tS.K1. "MARCO.1HE ASStGMEEG OF THE LENDING *TMARE IB ARE ND OWEALLMS WITHIN 100 FEET OF TNIS.P"PERTY INSTITU-tON GUARAMTEES ARE NOT TRANSFERABLE - OTNER TMAN THOSE SMOWN NEREOM 'TO-MUDFTI$NAL IMSTITUTIOMS OR SUBSEOVEN N TME WATER SU O TRSND"DAR DIV OF TH L SYSTEM FOR THIS EPAJt ENCE f,/ WILL CONFORM TO THE STANOAROS Of THE SUFFOLK COUMFY DEPARTMENT A"OI STANCES'SNOWW HEREON FROM PROPERT uNES. /h�Y6'�"- "'7- OFNEALTN fERViCES. TO EKdSTING 3TRp CTURES- AREFOA A SPECI�IC APPLICANT OUR*03E ANO ARE NOT TO BE USE OTO'(STA ppLISH PROPERTY LINES ORI FOR THE ERECTION OF FISPICES ADDRESS TEL. YOUNG A'{�T.Y �K,V 400 OSTRANDER AVENUE lJ'V V ,Y RIVERHEAD NEW YORK NOTE d=SITAKE SUBDIVISION MAP FILED IN.THE OFFICE OF THE CLERK OF ALDEN.W.YOUNG, L ENGINEER SUFFOLK COUNTY ON MAR.19,1990 AS FILE NO.891t. AND LAND SURVENSE NO,12845 Tm L�TNOMOF uWy SEPTICumocmna HOWARD W.YOUNG, EYOR m 9IEL eEawDLaFRO 01fo iti N.Y.S.LICENSE N0.45e�93 '< ARE F11pE:FTELO OgERWNT10Ni MMI OR DATA ORTi11NED FROM�OTNER S enANDis a sons inc. z.p. OTTICE * ' .App f(IoW JYL C�Ql�tC�CIOw`J LL+�u -3e r�o4]L(L�'4 Exrr 2, EV CL4 STS of 2-SO, IU5UL.89rW',J UNDERWRITERS CERTIFICATE PLUMBER CERTIFICATION REQUIRED O L AD CONTENT ON occuPORE pppR VED AS N07ED NG SOLDER USED IN WATER goa DATE: B.P. < ISI c, 4 NN is SUPPLY SYSTEM CANNOT BY, FE 7 " , EJEpNG EXCEED 2110 OF 1%LEAD. NOTI BUILDING DEPARvNT AT 0- 765-1802 6AM TO 41iM FuR THE 09I, / ,TEgC��" FOLLOWING INSPFCTIONS: To Bri 1. FOUNDATION . TNn REQUIRED N }y _� P.Cpr_ D To Con.pay � 4. FINALATIONR ^roIJCTIOrLUMBING N M U A1L EGREuS C'o'b�- S7 8 P AC F- f 4- 20' -u. N MUST 2. ROUGH H . F c n� n �� cmc-q4_ �r c�-,i.J¢ SECTION A-Q' w orN w� 3c �o" f BE COMPLETE -QR C.O. 22 T-p ImHEk_ TTS. _ __ _ ALL CONSTRUCTION SHALL MEET THE ' - -- REOUIRFMFNTS OF THE f' 7E BLE NEW 4'K4'C.Cv POSTS, /4 4 C YORK STATE NOT P�" ' �NSl R ORS. FOR Col.. beSFs w B'�i Co'1c. - 'vl DESIGN OR GONSTRUUiION R Flees l�zt- ,9 k OCCUPANCY OR DECK USE IS UNLAWFUL IITHOUT cF:RTIFICATE lb� in B aft E%Tr. J- E Y M REPucr.D To CoNp�ti n'( r— — o WrNDor"1,',: Be ftPL",%bm 3ENSY, S GPE55 cap¢ Bdroo2 I -7p T' � o E SB7 _ OL1D 6 .�, ��1 _-rri -- I rFI I ' uM cab M,j n)kf s 11 ! 2v' - 3 — APS hlrstl S'..P ------ WlhiOo� TP R[ i �(o GGb 7T4 K � Ln O �cf+:. W)upo�l iv AM nfaw Sn. � Y v � To ar Ps¢rLnrt-a ' EXI�vtlfiC�}' FgpF ly . 'h0Uf1"l u -� _ Ln uRy�s cr MCisfpr Bedroom v Bedroom 4 —� _ �� � .� -- Ex Tr-1 105DL sem'j ----------�.*--_ o -�Exrg Wluno� Yn 6e �! QEPD.4c Tn (;,I.,pL-f S� u� ti,y S F�s✓rJ:.Ss w�t 5. Mld IdG LaFsY Ol �.iidt. ,JIrm4 - _ ---- _._. 20 . 11--_ _ _ _ -- -_—_- - SECTION A-A lam) - 2n� rerMl-IEf� ns. ��- Ir I 4 4 rco I Q i c.4",,4 GGe pOb'r'S Oa ,� i CoL �aS _. onl B '� Car4. L1 u V-`_ 1)L( K G Ertre NEa n I I'll ❑ S Imo' I I > c os' ADD NFw Sty Bothl 2 z - - JY 1 nh� 76 BE tX U/IU00� ! , — �- N 15 L1JI'PL'j 'wl O m To To Be REp,-Ccep B2Cjf V0111 2 � FSt'C'fOt1171 �t.�/ �b��ID�. LODE To <t,w,D u r I AGM _ r � L1DU F1E0.1 SL' y.-/LP Fi,.) n16f o W'D1H i To TH-s ARid i9 13TLa P,�, 84: . 8%4— JlDb F10J SLI � . ,— w c� 13 / �xrG Wl.lec -1 Ti Lc i - EYTi. WIUry�-) oa AAD NEv.1 SD To .en ---•- __j_ I .� TO Ee 1?Ep�c D u ,f S��6aecas I`'I .I� �'f �'IE'(jl X10111 ,J Existing � ffY hOUIl -D CION II O'I I �I - - C c7r Q Oj AS BUILT ` FCUfli FL JOF- PLAN AS BUILT UL1, I,; 0 I � O' • -H ./) iii L I; O X � � ol CT � - of AS BUILT SECOND FLOOR INTERIOR PLAN AND DECK FOR - � MR. & MRS. T DOHERTY o 11x1 >Z Ho / '-)6 r, =9 sP 470 OE I J LURI VL , QUI 1-1 IO "A 11 1 S C Ft i MOO - 055 - Ot)(1 1 - 01 1 I �