HomeMy WebLinkAbout33146-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33043
Filed Map No. Lot No.
THIS CSRTIFIHS that the building ALTERATION
Location of Property: 1490 ORIOLE DR SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 55 Block 6 Lot 15.41
Subdivision
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 19, 2007 pursuant to which
Building Permit No. 33146-Z dated JUNE 19, 2007
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 BREEZEWAY ALTERED TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to THERESA FLYNN
(OWNER)
of the aforesaid building.
SUFFOL% COUNTY DEPARTMBNT OF BEALTB APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 3066029 05/08/08
PLDlBSRS CB<tTIFICATION DATED
Date: 05/23/08
N/A
on d S' ature
Rev. 1/81
Fonn 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 fonn).
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 sitnilar 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:
I . Accurate survey of property showing all property lines, streets, building and unusual natura] 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 [he applicant.
C. Fees
I . 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 ofCertificate ofOccupancy - $.25
4. Updated Certificate ofOccupancy - $50.00
5. Temporary Certificate of Occupancy -Residential $15.00, Cormnercial $15.00 /~
Date. ~ ~/ ' O
New Constmction: ey Old or Pre-existing Building: / (check one)
Location of Property: ~ / r~ aj~~b/e /~.!°/l/~= (~ %~¢OL p
House No. Street r` Hamlet
Owner or Owners of Property: 1 ~ ~~S /- / 1/f7i~
Suffolk County Tax Map No 1000, Section ~ l3CJ~ nJ Block
Door
Lot b/<S~ D'~/
Subdivision //,, // // q Filed Map. _ Lot: _
Permit No. 33 ~ `T(p Date of Permit. !O ~ / r~ Applicant:___T~~~~sjg / / hh
Health Dept. Approval Underwriters Approval: ~ ,3~ ~ G ~a
Plamiing Board Approval
Request for: Temporary Certificate
Fee Submitted: $ _ „~SDO
Co-~ 3303
Final Certificate: (/ (check one)
Applicant Si afar
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
TRACY FLYNN & KEN MEKLENBURG TRACY FLYNN
1490 ORIOLE DR. 1490 ORIOLE DR.
SOUTHOLD, NY 11971 SOUTHOLD, NY 11971
Located at 1490 ORIOLE DR. SOUTHOLD, NY 11971
Application Number: 3066029 Certificate Number: 3066029
Section: Block: Lot: Building Permit: BDC: ns11
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable .code and/or standard
promulgated by the State of New York, Depar tmen t of State Code Enforcement and Administration, or other
authority having jurisdiction, a nd found to be in comp liance therewith on the 8th Day of MaY>2008.
Name QTY to Ratine Circuit Tvoe
Miscellaneous
as built 1994-convert breezway
to living space
Wiring and Devices
Outlet 1 0 Fixture
Fixture I 0 Incandescent
Outlet 7 0 General Purpose
Receptacle 6 0 General Purpose
Switch 2 0 General Purpose
Dimmers 2 0
Paddle Fan 1 0
Lighting track 6 0 ft
An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to
be in comfortnance with the applicable reference standazd for the estimated period of construction of [he premises wiring system.
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
FoQEE No.a
TOWN OF SOUTNOLD
BUILDING DEPAFTN~M
TOWN NALL
SOUTNOLD, N.Y.
BUILDING PERMIT
(THIS PERMR MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~e f. 33 (~ ~
Date .................~~~„~1.............................., 19..~
N °- ~~6~ Z
Permission is hereby granted To:
..~~....
..~y.`~~7.......o. ~ra.~ ....~,e .:.............................
..................................................................................................................................................................
...................................................................... ~1.~.~,rl%................................................................
aT premises located aT ................ ~ ~/...d.........~~~~........ ~!e.............................................
......................................................................,~.u..~~....,~...:..../.~97~...........................
CounlyTax Map No. 1000 Secflon .... Ss........, Block .........~....... Lot No. .....~~...~.~....
pursuanTTo appllcaHon dated ........~~.a.Z.1 ......:......................... 19.~~.., and approved byThe
Building Inspector.
g ao
Fee $.../ ......:.......
...~.....~~...j ...............~....,~-~~.........
Bu Idll ng Inspector
Rev. 6/30/80
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. 33146 Z Date JUNE 19, 2007
Permission is hereby granted to:
THERESA FLYNN
1490 ORIOLE DR
SOUTHOLD,NY 11971
for
ALTER AN EXISTING BREEZWAY TO HABITABLE SPACE AS APPLIED FOR. THIS
PERMIT REPLACES BP 21969.
at premises located at 1490 ORIOLE DR SOUTHOLD
County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015.041
pursuant to application dated JUNE 19, 2007 and approved by the
Building Inspector to expire on DECEMBER 19, 2008.
Fee $ 75.00
0
ORIGINAL
Rev. 5/8/02
FORM NU. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
4 ~ TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Exam~ed :..r.
_~/~9...., 199 :l~J~
APProved ........~/~..., 19 ..~ermit No..?~
Disapproved a/c .............
BO,1R0 OF HEALTtt .........
3 SETS OF PL.\:1S .........
SURVEY ..................
CIICC); ...... _ ........... .
SEPTIC i'OR:f _ ... ,
;:oTIFY; .~G~ ~I66y•
ALL ._. .......
MAIL T0:
r:
~:
(Bui ing Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ...3.:...2.'......., 19~.`~:
a. Tlus application must be completely Titled ;., by h.pean;te: or it ink and submittad to trig 3vildifs Inspector, vri:ii 3
sAts 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
ar areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 azt for an t
shall have been granted by the Building Inspector. P Y Purpose whatever until a Certificate of Occupancy
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 fo moval or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, buil g co e, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary ins ctio
..... . . . ... .. _
(Sign to of applic , or ~ e, if a corporation)
4 SID vtL 9 2-• Sc~,xT,~~-tilP ~t°1'-1 i
- (Mailing address of applicant)
State whether applicant is owner,~lessee, agent, architect, engineer, general contractor, electrician, piumber or builder.
................................ ~ ~,! !~ .E-a~t-
.....................................................
Name of owner of premises ...... ~L. , ^(N ,~~//~/ 9 `,-~f~-~ S f}
y ..,... ~ ................~....:..................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
...................tN ~.~...........
. (Name and title f co orate offic r)
Builder's License No. ........ .
..!~ i4.....
Plumbcr's'License No . ............ .
Electrician's License No .. ...................... .
Other Trade's License No. ..... .
1. Loca~ti(on otland'on which proposed work will be done. ..~........ .
....
... ..
FlouseNumber ~ Strect ~ """""""""'••••••
Hamle[
County Tax bfap No. 1000 Section ......~r..~~, , , , , , , , , Block .... '
/, o~............Lot..lS.:..o~./.......
Subdivision . ~~(.~i/fPa(NT- ~~-~ WS.. , ... , , Filcd Map No. , ,
......... Lot ...~~.
(Name) ....... .........
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy n~S(bENC~
b. Intended use and occupancy ........ ,/l, slJ~ ~/vC.b...........' ..................................
- -~•
3. Nature of work (check which applicable): New Building .......
Repair • • • Addition .......... Alteration ........ .
• • • • • • • • • • • • • . Removal .............. Demolition
..........:... Other\Vork..............
4. Estimated Cost ..... (Description)
...... ~ ...................... Fee ..... ..............
5. IC dwelling, number of dwelling units ...... , ~, (to be paid on tiling this application)
If garage, number of cars .... • , • , , • • • • • • Number of dwelling units on each floor :... ! • , , , , , , ,
. ..4~ ........................................... ..
............
6. If business, commercial or mixed occupancy, specify nature and extent of each ty a of use ... ~ f}.... , , • • • • •
7. Dimensions of e~tisting stmctures, if any: Front .... .for,. , ... Rear
Height .v.2. . f~~. ~.... Depth ....3~ ~::::• .
F• • • • • • .... Number of Stories ...
.......................:..........................
Dimensions of same structure with alterations or additions: Front
Depth ..:........ , . `.-~}• 11~.~....:. Rear ........1•.........
...........Height ...................... Number of Stories ............... .
8. Dimensions of entire new construction: Front ............. ~ "' ' ' •
Height ... .. Rear ..... •....... Depth ..r :... .
9. Size of lot: Front , Number of Stories ...... • • •
1
f0. Date of Purchase '/ Rear ..~3 ~; • ~ , , , .. _ . • , , , Depth l~. ;S.. ~ .,'~•-
6 • -• • :.. Na a of Former Owner ~ • !~ ~• •
l 1. Zone or use district in whit
premises are situated ..... ~~ ; • , • • • • _ :.
12. Does proposed construction violate any zoning law, ordinance or regulation: ........ , , • , , ,
13. Will lot be regraded ......... V • • • • • • • •.
'~ • • • • • • • • • • • Will excess fill be removed from premises: Y s
14. Name of Owner of premises F~.~/~/N // ~ p
Name of Architect ..: • • • , : ,,~ ~/ : _ ~ _ .~~1:: ' ' • Address ,~S~~O, p~tdp4~p 2 . • phone No. 71~:Y~9::: •
Name of Contractor . ~"V /T • • Address .... .... ..phone No.......
• • ' • • • • • • • ..Address .... ...Phone o....... .
15. Is this property within 3 feet of a tidal wetland? ~v„~ •~
y-_, Southcld Tuwn Trustees Permit may be required.
PLOT DIAGRAM
'' Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
.i.,
... ~,~54 ++rr.'~~,~*~ ,fib _ . _,' '" .., i.~~
.:..,.:.'j, f~~~:
Y
STATE OF NEW YORK,
COUNTY OF ..... ~i~.FCPL./.~ S.S
~~~' ' ' ' ' ' ' ' • • • • • • • • • • • • • • • ... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract).
above named. r., _
He is the .... •FJ• LeJ~.fLf~ ............. ......... ..........
• (Contractor, agent, corporate officer, ctcJ ~ • • • • ~ ~ ~ ' ' ' • ' •
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.
Swom to before me this
......~~. ~: 4 :..........day of . ~ C~!ve_.~~-........, 19 .9~
\'ota ublic, .........:S[JF~~D~j~r County
C~ ..\ .
..
c>~ ~ LINRAJ. t)PEI`t ..... ... ~;~'
• Notary PubGC, State of N ~~ ' '
' No 4$22583 SuffWk (Signature of applicant) ~,
M Term Expires De<benbet3l 7 '
ti
m . ,., c _ ...iAwveMtii..-'.~~+..~, a+~ • .a.«Y..Wtixo..,yz±-:ie..._...... ~, .. ;.r...<, m ,~..d:~!+_ ,,.,,iiK:~z:v_.,.,v,:,iw~tb~(s +:~M',;
331 ~~ ~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING [ INAL
[ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
DATE ~ / 5/J oo INSPECTOR
33~~~-~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST
( ]FOUNDATION 2ND
[ )FRAMING /STRAPPING
[ ] FIREPLACE A CHIMNEY
[ ]ROUGH PLBG.
[ ]INS ATION
[ INAL
[ ]FIRE SAFETY INSPECTION
[ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
REMARKS:
DATE 6 ~ ~ INSPECTOR
~,~,~, . .- q ~, ~..
3~-~{~
765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION iST [ ] R GM PLBG.
[ ]FOUNDATION 2ND INSULATION
[ ]FRAMING (]FINAL
REMARKS: ~L-~1-
a~~
3~~~.~
~~->~
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
] F DATION 2ND [ ]INSULATION
[ FRAMING [ ]FINAL
REMARKS: ~~JVrj`C ~~ r
1,
FOUt7DATI0N (tst)• I -
FOUJJDgTIOtd (pnd)
2,'
.ROUGH FRAI•fE ~
PLUMBING
3.
IIJSULATIOfJ PER N. Y.
STATE ENERGY
CODE
4,
FI;7AL
1
COMMENTS
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ADDITIOfIAL COMf1ENTS:
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~6~`p _ -jt~j-(o-lCj,.¢.~ T OF SOUTHOLD PROPERTY RECORD CARD
~~
OWNER ST (,. C ? VILLAGE DIST. SUB. _ LOT ~~
~dl~ ~ lfiPfFS2 / n - ~o e ~~rtiv` ~c~~"~~ c ~ 5 Ali doYvsSF 2
ACR.
5 ~ REMARKS
-L
I
~7 1Vla
h~r l~`f}ho 1 n Fl unn ~~ ae~
TYPE OF BLD.
3~~ 9/ - ~
9~ ,'IG,~/,~
O- ~'D~~'v~
, he- nail; d ,}PI ,r~~ ~135ocx
~~11 --
T~~{'r~~Y.
.` Gil
1 Q /1
~QI~(] PROP. LASS `
Z-~V ~ ~
2~o x^ .'l-~^;'~ ~
~2 - `f, l~/1 f /~//y~
,f. ~ , ~Gl aJG~C(IZ '~ /7Wn
LAND IMP. TOTAL DATE
O ~ Z3 U _
DU ~ BOO -~ 2 qU
v' 0
00 I vno 00 ~- Z q i
~oc~ oo g2a
- io ~i
-
e __.
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD ~ .~ly~~-~p - 5Z X O v
DEPTH Iv{~9 ~ /d D
BULKHEAD HOUSE/LOT yJ ~
" TOTAL r+
~ I
l~
TRIM ~u,L~
ZM. Idg~ 35 xl ~ _ X030 5, 5O 37(75 Foundation ~ Ce Bath Dinette
Extension
II ~ X 2 ~ 3 36 62~
J7 50
21 g
Basement FULL
canwL
SLAB
Floors
Kit.
Ex ensign 13Z 3 ~~' q5 Ext. Walls Interior Finish L.R. I
I I X 12 = •
oHa oor.
Extension
2 X 6 - 12 D
2.S
.30 Fire Place ~ Heat'~R' ~`~'
~Nr~ D.R.
Patio Woodstove BR. I 2
Porch x - ~ ~I 3
7 , 50 2~ 7 Dormer
Fin. B.
I I2
I
5
5x35= I
Deck I'r x I ~ a~
y
g 6 88 ~ 25' ~ rf 2 Attic
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I z
Breezeway Rooms 1st Floor
Garage
2~ X 24 -57( i
I
2
>
20 Drivewa
y Rooms 2nd Floor
, ~
_
I O.B..
Pool
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THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1185077 BUREAU OF ELECTRICITY
SS JOHN STREET. NEW YORK. NEW YORK 10038
peLP JUNE 09,1994 Applicotion No. on file 84282094!94 N 316748
THIS GRi1tTIFIES THAT
only the sk*etrbal equipment a described f»bro and introduced 6y tke oppficent named on tke a6ooe application number in eke promisee of
KEVIN FLYNN, 1450 ORIOLE DRIVE, HIGH POINT MEADOW ESTATES, SOUTHOLD, N.Y.
in tMfolbreint{ locution; ^ 8osement ® /st F1. ^ Ynd F1. Srrtion Block Lot
uw exomined on `~' 06 ,1994 and found to be to compliance atith the National ElecMcal Code.
NXTUR! RXTURES RANGES COOKING DECKS OVENS dSN WASNlRS EXNAUST FANS
~yMTS AGVS SWITCNES INGNDESCENT flUOI1ESCEM OTNER AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. N. r.
3 2 3
DRYERS RIRNAGE MOTORS tU71M! ArlIIANLY REDERS SMOM RN'-T TIME ttOCKS Yll Uta7 HEATERS MESA ~TEET dMMERS
AMT. N. W. ql N. r. GAS N. r. AMT. NO. A W. G. AMT. AIM. AMT. AMr$, TRANS. AMT. M. r. ~• ~ flET NAT. WAITS
2 600
SERVKI dSCONNEGT NO.Or 5 E R V I C E
AMT. AAV. iM METER
EttYN. 1 / t\Y 1 / TV ~ / SW S / AW NO.OF CC COND. A. W. G: NO. OF N4lEG A. W. G. NO. p NEUTRALS A. W. G.
NR a Of CC. COND. OF NI~IEG Ot NEUIMI
OTHER AMMRATGk
TRACK LIGFFPINGt-8
.FrO~
ROSLAK ELPICTRIC LIC.1{3677-E
P.O.BOX 164
CUTCHOGUE, NY, 11935 OY1NAlMANAGER
11
Psr
This esrNficoN mutt not be akerod in any manner; return to the office of the Boord if incorrect. Inapedors may ba idanfified by tMir cnldsntials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.