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HomeMy WebLinkAbout32050-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~/qCY No: Z-33404 Date: 11/21/08 THIS CERTIFIES that the building ACCESSORY Location of Property: 605 ORIOLE DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 55 Block 6 SOUTHOLD (HAMLET) Lot 15.29 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 26, 2006 pursKhant to which Building Permit No. 32050-Z dated MAY 26, 2006 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 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to ROBERT W & JILL A JOHNSON (OWNER) of the aforesaid building. S~FOLK COL~%~I~f DEPART~NT OF HEALTH APPRO~L~L ELECTRICAL CERTIFICATE NO. PLOUghERS C~U(TIFICATION DA-i-~ N/A N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDENG DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANcy This application must be filled in by typewriter or ink and suNnitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accm-ate location of all buildnigs, 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 nistallation 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. Co~mnercial building, industrial building, multiple residences and similar buildings and installations, a cenificate of Code Compliance from architect or engnieer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) nou-couforming uses, or buildiugs aud "pre-existing" land uses: l. Accurate survey ofpropmly showiug all prope~%, lines, streets, building aod uuusual natural or topographic features. 2. A properly completed application aud consent to iuspec¢ signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspecto~ shall state the reasons Iherefor m wdting to the applicant. C. Fees Certificate of Occupancy - New dwe ling $25 00, Additious to dwelling $25.00, Alterations to dwelling $25.00, Switmning pool $25.00, Accessory building $25.00, Additions to accesso~3~ building $25.00, Businesses $50.00 2CetXificate of Occupancy on Pre-existing Building - $100.00 3.Copy of CertificateofOccupancy_ $25 4.Updated Cmlificate of Occupancy- $5000 5.Temporary Cmqficate ofOccupaucy - ResideutiaI $15 00, Connnercial $15.00 New Construction: Locatiou of Property: bOF House No. Old or Pre-existiug Building: Date. ~7//?/6 ~¥" (check one) Streei Handler Owoer or Owners of Property: ~* ,~ ~ ,'*-4'- Suffolk Caunty Tax Map No 1000, Section Subdivisiou Peru-dr No 320 Health Dept. Approval: Plain'ting Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ O O Slook Filed M[ap. --~___ Lot: __Applicant: ~ Uode~vriters Approval: Final Certificate: ~~ (check one) h tpp' 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. 32050 Z Date MAY 26, 2006 Permission is hereby granted to: ROBERT WILLIAM JOHNSON 605 ORIOLE DR SOUTHOLD,NY 11971 for : CONSTRUCTION OF ACCESSORY SHED IN REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES BP 29223. at pre~Lises located at 605 ORIOLE DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 pursuant to application dated MAY 26, 2006 and approved by the Building Inspector to expire on NOVEMBER 26, 2007. Fee S 75.00 ~a/tur~ Lot No. 015.029 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~IC'ATION [ ] FRAMING / STRAPPING [//,~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR FI~;LD INSPECTION REPORT DATE COI~ENTS FOUNDATION (IST) II FOUNDATION (2ND) ROUCH FRAHE & PLUMBING Ii INSDI~ATION PER N.Y. ii ii STATE ENERGY II II CODE II ii It FINAL II ADDITIONAL COI~{ENTS: 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. 29223 Z Date MARCH 18, 2003 Permission is hereby granted to: ROBERT WILLIAM JOHNSON 605 ORIOLE DR SOUTHOLD,NY 11971 for : CONSTRUCTION OF ACCESSORY SHED IN REAR YARD AS APPLIED FOR. REPLACES PERMIT 26537. at premises located at County Tax Map No. 473889 Section 055 pursuant to application dated MARCH Building Inspector to expire on SEPTEMBER 18, 605 ORIOLE DR SOUTHOLD Block 0006 Lot No. 015.029 18, 2003 and approved by the 2004. Fee $ 75.00 Authorized Signature Rev. 5/8/02 ORIGINAL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS PERMIT NO. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 26537 Z Date MAY 31t 2000 Permission is hereby granted to: ROBERT WILLIAM JOHNSON 605 ORIOLE DR SOUTHOLD~NY 11971 for : CONSTRUCTION OF AN ACCESSORY SHED IN THE REAR YARD AREA AS APPLIED FOR. at premises located at 605 ORIOLE DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015.029 pursuant to application dated APRIL 4~ 2000 and approved by the Building Inspector, Fee $ 35.00 ~~ure Rev. 2/19/98 ORIGINAL FORI4 NO. I TOI~N OF SOUTBOLD BUILDING DEPAETHENT TOW~ HALL SOUTHOLD, N.Y. 1197 I TEL: 765- 1802 Appro~ed.~..~4 .< ...... , f,~-r;- ................. Disapproved $/c .................................. BOARD OF HEALTH ............... ] SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORI4 ................... NOTIFY: HAlL TO: .................... .... i~ilding ~'n~tor{' ' ~ APPLICATION FOR BUILDING PEP, NIT INSTRUCTIONS a. 'mis application amt be r~,letely filled in by tyl~iter or in ink and anhnitted to ~e I~filding Inspector wii 3 sets of pimps, accurate plot plan to scale. Fee according to sd~e~le. b. Plot plan abo~ing locatiou of lot and of buildings on premises, relatioaship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mast be drmm on the diagram ~hich is part of this application. c. The turk covered by this application tomy not be c~resced before issuance of II~ilding Permit. d. ~ aplao~al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pemit droll be kept on the p,u~ises available for inspection througlx~at the ~ork. e. No building shall be occupied or used in ~anle or in part for any pm-pose ~&atevdr tmtil a Certificate o[ Occol~ascy shall have been granted by the Building Inspector. APPLICATI~I~ IS I~l~g ~1~ to the ~uilding Uelmrt~mt for the iaauance of a Building Permit paratmnt to the Building Zane Ordinance of the To~ of Sonthold, Suffolk County, ~ York, and other applicable La~s, Ordinances or llegulations, for the construction of baildings, a~litions or alteratians, or for removal or de~lition, as herein described. The applicator agrees to coaply with all applicable Imps, ordinances, hei~dir~ code, housing code, and rngulatio~s, and to mtmlt authorized inspectors on prentlses and in heil~ ~or ,nec~~ ) ..... Olailing ~4aress of applicant) }/et 7} State ~d~ether al~licant is ~mer, lessee, agent, architect, engineer, general contractor, electrician, pltmher or heilde~ .............................................. ............................................................. (as on the tax roll or latest deed) If applicmt is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builders License No .......................... Ph~bers License Eo . Electricians License No ...................... Other Trade's License No ..................... L Iatation of ,aed oni~,ihich proposed ~,{ork will he done.....~J~..~.~. Z~..a....~...°.4:W.....~.~.~.~..~......~?..~. ~ .......... B0tme ~r ' street ltamlet Subdivision ...................................... Filed ~ No ................ Lot ............... 2. State existing u~e and oecupan~ of pr~tises and intanded u~e aed occupancy of proposed construction: a. sting .................................... 3. P. ature of t~rk (dmck d~id~ applicable): ~ Bt~ildiag .......... Mditica .......... Alteration .......... Repair ............ Renx~al ............. Demol itlca ............ Other 14ork ~/ 3 ~ o o .................. '" .............. (Descrip"~' 4. Estimated Cost (to be paid ca filing this application) 5. If &*elliag, r~Jt~er of d~elling ~}nits .~kJ~..~. ..... ~r of d~elling onits ca each floor If garage, number of cars . ..~.. ~?. .... ' ............... 7. Dimensions of existing structures, if any: Front ~.'~. 5" Rear ~/Y' a/ / De ti, lieight ..~.?..~...~t//~,,.~.~.~ ........ lx~u~ber of Stories ..... .Z:....~.t..~.~....'~. ~.~,~-'"7- Dimensions of sate structure ~ith alterations or additions: Front .~.,~ ........ Rear ............... Depth .................... Deight .................... lSimber of Stories ............... 8. Dimensions of entire ne~ ccastrection: Frcat . ]~/' Rear ..... ]..~. ...... Depth ..... ~..O..[ .... / ,ieio,t ....... ~.. ............... ~r of Stories ..... ! ............... / 9. Siz~ of lot: Mt ,...I.~.~...?.z.. . Rear ~V f De~th Zt'/.&7 / ~7.?? ! I. Zcae or use district in ~d~ich premises are situated .............................................................. 12. Does propased construction~violate any zoning la~, ordinance or regulation: ~.P. ................... 13. ~/ill lot be regraded . .~..~. .............. t/ill e:~cess fill be removed from preadses: 'lES ...... ..o~.d~ d os-- o~;oz~ '~ ~ o~,,r~li~ ........ .~..,.kL ~ f.d ~'~' ' ~r~s, ~. ........................... .~ ~o... ~.~. PLOT DIAGRAH I~cate clearly and distinctly all buildings, t/aether existing or proposed, and indicate all set-back dinens?.ons from property lines. Give street and block r~ber or description according to deed, and ~ street names and indicate wbether interior or con~r lot. ............ r~ ............................. ng y s~otn, eepases and says that he is tie applicant (Naae of iedividual signing Eontract) above naned, lie is tile ..... (C*-ntractor, ngent, corporate officer, etc.) of said o, mer or os~ers, and is ~uly a~thorizx~,l to perform or have performed the ~ald *a~rk and to make and file this applicatica; that all statements contained in this sppllcatica are tree to the best of his knowledge and beliefl and that tile ~rk ;*ill I~ perforraed in the macaer ~t forth in the application filed thertndth. · ~ .day of hl~a~/Public. Siam of I~aw Yo~ bio. 4951364 Oualifi~d in Suffolk Count,/_ Commission ~xpima Mai 22, ~2~' / 8feet 14 f~t Shed ~ill be vinyl sided with the same style (4" dutch lap) and color as the primary stuctnre / residence, a so the roof ~s:ill be of the same style (architectural) and color of the roof of the primary stncture/ residence. Note: Company's spec sheet attached. Kaufold's Sheds & G;~ebos Rte 25 Ridge, N.Y. 11961 (631) 924-1265 3PPROVED AS NOT£D~ DATE:'~' ;~1-*~) B.R~ NO~I~ BUILDING DEPA~EH~T ?65 1802 9 AM TO 4 PU FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRET~ ~ ROUGH - FRAUtNG & ~ I~SU~TION · FINAL - CONSTRUCTIO~ UU~T BE COUPLETE FOR C.O. ALL CONSTRUCTION SHALL THE R~QUIREUENTS O~ ?ri~ STATE CONSTRUCTIO~ .~ CODES. HOT RESFO~',~: E DES[GH OR COHSTRUCTIO~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 2x4 16" 0 C treaCed skid .]ie=~l~ Cottage 2x4 16" OC 6" black OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET ~ **;,~:?' VILLAGE ACR. TYPE OF BLD. PROP. ~ ~'- / C% REMARKS , BULKHEAD LAND IMP. TOTAL '700 DATE FRONTAGE ON WATER[ ........ FRONTAGE ON ROAD DEPTH TILLABLE WOODLAND MEADOWLAND HOUSE/LOT TOTAL E~xt~'l'~ion~ Extension Ex~e.~ion Patio Deck Breezeway Garage Pool COLOR Foundation Basement Ext. Walls Fire Place Bath Floors Interior Finish Heat Woodstove Dinette Kit. L.R. Dormer F~/ Attic Rooms 1st Floor Driveway Rooms 2nd Floor SCA~.E: 'r+