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29099-Z
FOP. M NO_ 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N_Y. CERTIFICATE OF OCCUPANCY Date; 06/28/04 · ~{IS u~TIFIES ~h~t the building ACCESSORIES Location of Property: 550 ORIOLE DR (HOUSE NO.) (STREET) County Ta~Map No. 473889 Section 55 Block 6 S~division Filed Map No. Lot SOUTHOLD (m~LET) Lot 15.9 conforms substantially to the Application for Building Permit heretofore filed in th~ office dated JAAUJARY 13, 2003 pUrS~LR~t tO wl~ch Building perm/t No_ 29099-Z dated J~NU~¥ 1~, 2003 was issued, and conforms to all of the requirements of the applicable provisions of ~he law. The occupancy for which this certificate is issued is ACCESSORY INGROUND SWIMMI~IG POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to KEVIN & CATHERINE REILLY (OWNER) of the aforesaid building. ELEt-r~IC~3~ c~TIFICATE NO_ 74291C 05/09/03 PLDMBERS C~EIFICATION DATED N/A 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 ~TIL ~ULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29099 Z Date JANUARY 14, 2003 Permission is hereby granted to: KEVIN & CATHERINE REILLY 550 ORIOLE DR SOUTHOLD,NY 11971 fO~ : CONSTRUCTION OF AN INGROI/NI) SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 055 pursuant to application dated JANU,ARY Building Inspector to expire on JULY 550 OHIOLE DR SOUTHOLD Block 0006 Lot No_ 015_009 13, 2003 and approved by the 14, 2004. Fee $ 150.00 Authorized Signature ORIGINAL Rev_ S/8/02 Form No. 6 TO~VN OF SOLVI~HOLD 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 Deparirnent with For new building or new use: 1. Final smwcy of property with accurate location of all braidings, property lines, streets, and unusual natural or topographic fcatm cs. 2_ Final Approval from Health Dept. of waler supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi-om Board of F/re Undenx~tcrs. 4. S worn statement from plv. mber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, mtdtiple residences and similar buildings and installations, a certificatc of Code Compliancc fi-om arckitect or engineer xespousiblc for the building. 6. Submit planmng Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or braidings and "pre-existing" land uses: 1. A¢~ttrate stwvey of property showing all properS, lines, streets, building and unusual natural or topographic features. 2. A properly completed 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. !- CertifiCate of Occupancy - New dwelling $25.00, Additior~s to dwelling $25.00, Alterations to dwelling $25.00, Swimmijng pool $25.00, AccessoW building $25_00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occa~pancy on Pre-existing Building - $100.00 3_ Copy of Certificate of Occupancy - $_25 4. Updatei2 Certificate of Occupancy - $50.00 5. Temporary Certificate o£Occnpancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: .~0 ~ House No. Owner or Owners of Property: ~z~.~i c~ o_ Suffolk Count. tax Map No 1000, Section ~ 7~ ~15 ~ Subdivision Permit No. Health Dept. A~ '0qq proval: Approval: Temporary Certificate O tc. t?/ol Pl~nnlng Board Old or Pre-existing Building: ¢/ (check one) Street Request for: Fee Submitted: DateofPmmit. ,!}M { O~ Block O'r,O ¢ Filed Map. Lot: Applicant: t~q>-~ c~ (~/~F/x~h~[r~ Underwhters Approval: ~ Hr~mlet Final Certificate: Lot ©l ~'. O~ q J (check one) Issue Date 05/09/2003 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 74291 C East Patchogue, New York 11772 (631) 286-6642 Issued To: Kevin Reilly Street: 550 Oriole Drive Village: Southold Section: 55 Block: 6 Contractor: Hank*s Electric Inc. (L) Zip: 11971 Lot: 15.9 Town: Southold Lic. # 2675-E Was examined and found to be in compliance with the NaUona[ Electdcal Code. [] Commercial ~ NVDefects ~J Pool [] lstFIoor [] Indoor [] Basement [] HotTub [] Residential [] Det. Garage ~ Attic I, 2nd Floor [] Outdoor [] Addition [] Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 3 1 2 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: Other Equipment -Pool Panel 1-Time Clock -Heater Hugo S. Surdi President Rough Inspec~on: 05/06/2003 Inspector: Ed Scavelli Finar InspecUon: 05/06/2003 Inspecb3r: Ed Scavelli This certh~cste must not be altered in any manner. Inspectors may be identified by their credentials. o Owners Architect/ _./.- ~,. SCTM ~: District: l,O00 ~actiml: / Dale Reviewed: Submitted: .%role & separate Required eenTfication: (Yes/Nol ] [S/dc Ya[d Project Description: Subdivisio9. . Proposed: J [RearYar~/ Proposed'___] AGENC~ERMITS REQUIRED FOR REVIEW Permit YES Number Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: FLood Plane Elevation 777 Flood Zone: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ]FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: FOUND_~TION FOUN'DATION (2ND) YLLr~]i~G ' . tOWN OF SOUTItOLD BUr[ .DING DEPARTMENT TOWN ItALL SOUTItOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the followb, g, before applyk, g? Board of Health 3 sets of Building Plans Pinning Board approval Sm'roy Check Septic Form N.Y.S.D.E.C. Contact: 'B~g~mr APPLICATION FOR BUILDING PER~L1T Date INSTRUCTIONS _,~._ ,200~ a. This application MUST be completely filled in by type~ter .or in ink ~md submitted to thc DuildLng Impecior with 3 sets of plans, stomate plot plan to scale. Fee according to schedule_ b. Plot plan showing location of lot and of buildings on'premises, relationship to adjoining premlses or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance 6fBuildtng Perm/t. d. Upon approval of this appl/ca~on, the Bu/JcFng Izk~pector will issue a Bu//ding Permit to thc applicant. Such a permit shah be kept on tho premises a~Mlable for im~ecfio~ throughout the work. e. No build/ns shall be occtrpied or used in whole or in part for may purpose what so ever tmtiI the Building I=spector issues a Certificate of Occupancy. ~ Every building pmmit shall ¢~ir¢ if the work amhorizcd ~ not comm~.~llced w/thin 12 months after the date of issuance or has not been completed w/*hi~ lg months from such date. If no zoning nme~d~ents or other ~eguladons affecting the property have been ~rmcted in the i~eadm, the Build'nE ?n.~ector may authorize, in writing, the extension of the permit for an addition six mont~. 'Thereaf[er, a new permit shMJ be required. APPLICATION IS I-I~REBY MADE to ~e Bu/lrl/ng Department for the issuaac~ ora BLdJdlng Permit pursuant to the Buildirtg Zone Orelln~ce of the Town of South. old, Suffolk County, New York., and other appl/cable Laxvs, Ordinances or Regulations, for the construction of bn.ildi~, additions, or alterations or for removal or demolition as hereto described. The applica~t agrees to comply w/~ all applicable laws, ordinanc,-.z, Imild[ng icode, housing code, and re,re, clarions, mad *.o admit authorized inspectors on premi~os told in ImgrFn$ for necessary iz~ections. State whether applieam is omc'r, lessee, agent, architect, enghle~r, general ~ontractor, eleclr/ciun, plumber or builder %meofownerofpremises ~-EO/AD- GA'THy ~/Zty (As on the trax roil'or latest deedSL'%' f applicant is a corporation, signmtm-e of duly authorized officer FOLkOWf~I~ CName and title of corporate ofhcor) {uilders License No. _~ / q/flr_,~/._.~ :'ltm~bors License No. ~Iec~s Lic~se No. ~ ~ Q,~ )~ T~ade's Liege No. Location ofla~d on which proposed work Mil be done: House Nmnber Slreet - Cotmty Tax Map No. 1000 Section Subdivision ~. POUNDA%tuo . : FO~ POURED CO¢: ::~, -~ INSg~TION " · FINAL . ~ONST8U~T~ON ~!UST ALL CON~TR~CTIOH SHALL MEET THE REQUIREMENTS OF THE ~TATE CONSTRUCTION & ENERGY '5'~j5'- Blo& 0 Lot /'~ ? ~99F~qbD~3 ~ Filed Map No, Lot {~ a. Existing use and occupancy ~./'~f~/_-~ F/~tRILS/ b. Intended use and occupancy Nature of work (check which applicable): New Build/rig. Demolition Repair Removal Es'~m ated Cos: ~/~ 0dX% 0 o If dwelling, number of dwelling *re{ts If garage, number of cars Addition Altera~tion Other Work/a )- F~£D~x3D '/9~/0~ c~ 9'/~ q q (Description) (TO be paid on filing Lb_is application) N-tuber of dwelling nnit~ on each floor 6. If business, corem ercial or mixed occupancy, specify nature and ex"t=u£ of each type of use. 7. D/mensions of existing structures, if any: Front Neight_ Number of Stories Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 9. 1 0. Date of Purchase Dimensions of entire new construction: Front Rear Height Number of Stories -FO T~ L Size oflot: Front /7/3 ~/qc~ 6 ~ Rear Depth Name of Former Owner 1 1. Zone or use dis~-ict in which premises are situated 1 2. Does proposed construction violate any zoning law, ordinance or regulation? YES.__ NOJ 1 6 Provide mrr'vey, to scale, with aeanrate fotmdation plan and distances to property lines. l 7. If elevation at an3' point on prop=~ ty is at 1 0 feet or belosv, must provide topog~'aphical data on survey. STATE OF NEW YORK) SS: COUNTY OF-.~54~'all( ) (f/~y~A)b')'" /'-'~. ,f'~OD~'~f-.o~7~ being duly swo_,~ deposes ~md say~ ~aat (~)h~_e is the applicant (Name of ind/~qdual s~ing contract) above named, (Con'a~actor, Agent, Coiporate Officer, ~..) of sa/d ow-ncr or o~xmers, and is duly~uthorized to perform or have performed the said work mud to make and file tbJs applica~ior that ali statements contained in this ai~plieatlon are true to the be~t ofki~ knowledge and bolief~ and that the·work will be performed [u the muarzer set forth in-the application fried therewifl:l_ 0 ~ 0 r,-. [~ O e- 0 '~ o ,,.~9'OB ] .OZ,g~.EO '..'" .'":' .' -4'// o ,~i. 'I~.-// tE ~ o o ..~ ~.~ '.. 'Z