The URL can be used to link to this page

Home My WebLink About34205-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33471 ~te: 01/02/09 THIS CERTIFIES that the building ACCESSORY Location of Property: 650 ORCHARD ST (HOUSE NO.) (STREET) County Tax ~4ap No. 473889 Section 25 Block 4 Subdivision Filed Map No. Lot No. ORIENT Lot 8 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 7, 2008 pursuant to which Building Permit NO. 34205-Z dated OCTOBER 7, 2008 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 ABOVE GROUND SWIMMING POOL IN REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to SUSAN J & EUGENE MOISA (OWNER) of the aforesaid building. SDFFOLK COI~YDEPART~4ENT OF }{~J~THAPPRO%La_L N/A EI~CTRICAL CERTIFICA~ NO. 4016695 11/03/08 PL~ C~LRTIFIC_ATION DATED N/A ~/d~ignat ute Rev. 1/81 BUILDING DEPART1VIIENT TOWN T ~DG. D~PT APPLICATION FOR CERTIFICATE OF OCCUP~Cy Tbs appli~tion must be fill~ in by t~ewriter or i~ and suh~tted to the Building Depa~ment wi~ the following: A. For new building or new use: 1. Final su~ey ofprope~y with accurate location of all buildings, prope~ lin~, streets, and unusual natur~ or topo~aphic feamr~. 2. Fi~l Approval from Health Dept. of water supply and sewerage~isposal (S-9 fo~). · 3. ~proval of electrical imtallation from Board of Fire Unde~dters. 4. Sworn statement from plumber ce~if~ng that the solder us~ in syst~ contai~ less than ~I 0 of 1% 5. Co~ercial building, indnstfial buildiug, multiple residences and si~lar buildings and installations, a ce~ifi~te of Code Co~liance from archit~t or engineer r~ponsible for ~he building. 6. Submit Planing Board Approval of completed si~e plan requirements. ~or existiug buildings (prior to April 9, 19S7) nou-couformiag ases, or buildiugs aud ' - ple-ex~s(mg landuses: Accurate su~ey of prope~y showiug all propeay lines, streets, building and unusual harm-al or topographic features. 2. A properly completed application and consenl ~o iuspect si~md by the applicant. If a Certificate of Occupmcy is denied, the Building Inspector shall state fl~e reasons fl~erefor m writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swi~ing pood $25.00, Accessory buildiog $25.00, Additious to accesso~ building $25.00, BUsinesses $50.00 2. Certificate of Occupancy on Pre-existing ~uildmg - $100.00 3. Copy ofCe~ificateofOccupancy - $25 4 Updated Ce~ificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residemial $15 00~ Conunercial $15.00 Date. New Constru~tiou: /"' Location of ProperS. y: _ ~ 5fi' House No. Owner or Owners of Property: Old or Pre-existing Building: . (check one) OI C NHP xT Street Hamlet Suffolk C6unty Tax Map No 1000, Section ~ O.~Block Subdivision Pen'nit No. ~ Z-~ '~ C ~ Date of Pemfit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ 5C ~.~ __ Lot __ Filed Map. Lot: Underwriters Approval: ~' C~7 ~/~ Final Cel~ificate: (check one Applicant S~-~a~'u r e FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34205 Z Date OCTOBER 7, 2008 Permission is hereby granted to: SUSAN J & EUGENE MOISA 650 ORCHARD STREET ORIENT,NY 11957 for : CONSTRUCT 16 X 24 ABOVE GROUND SWIMMING POOL IN REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. THIS PERMIT REPLACES 29375. at premises located at 650 ORCHARD ST ORIENT County Tax Map No. 473889 Section 025 Block 0004 Lot No. 008 pursuant to application dated OCTOBER 7, 2008 and approved by the Building Inspector to expire on APRIL ,j~,~~' ~ Fee $ 15O.OO /~ L~~ ORIGINAL Rev. 5/8/02 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. ~ Z Date MAY 14, 2003 Permission is hereby granted to: SUSAN J MOISA 32305 MAIN ROAD ORIENT,NY 11957 for : CONSTRUCTION OF A 16 X 24 ABOVE GROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR at premises located at 650 County Tax Map No. 473889 Section 025 pursuant to application dated MAY ORCHARD ST ORIENT Block 0004 Lot No. 008 13, 2003 and approved by the Authorized Signature Building Inspector to expire on NOVEMBER 14, 2004. Fee $ 150.00 ~~.~ ,,. _....... ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDINCi, DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Expiration ,20 ~7 ,120 ~ ,204_ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health PERMIT NO. ~ 3 sets of Building Plans Plmming Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: .~'"~3 - c~ q ~:~C~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ]/'}'Q/~x/ 13 ,20 o~> 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, Suffblk 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. ( 'g atu e 0f al~pli~ant or nam~ ifa corporation) (Mailing address of applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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. Lo,cation of land orj,-v~,hich 12roposed work will b- o Cdc. House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet Block St Lot Filed Map No. LOt State existing use and occupancy of premises and intended use, and occupancy~ of proposed b. Intended use and occupancy Repair Removal &stimated Cost~3[ 5. If dwelling, number of dwelling units If garage, number of cars Nature of work (check which applicable): New Building Demolition Fee Addition Alteration Other Work fq [C-~ ~C) o~ (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Depth. Height_ Number of Stories 8. Dimensions of entire new construction: Front ! ~ ~ ~ q Rear Height Number of Stories 9. Size of lot: Front /05-/ Rear //~' 5- j _Depth /5~> r .Depth Rear 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES__ NO__Will excess fill be removed from premises? YES__ NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. 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 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 OF ~-~[ ~ ~9~,v,f '7~ f~ O [ .~-Jrh being duly sworn, deposes and says that (s)he is the applicant (N~me Of'individual signing contracti above named, (S)He is the (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. Sworn to before ~ this V'% ~.,_ da~ 9f ~'~t~ .V,'-,., k. 0- / Nota~ Public . ./'~ ROBERT I. SCOTT, JR. ~Ot~ Public, State of New York Qualifi~ in Suffolk Coun~ No. 01SC4725~9 Term ~pires May 31, Signatt~e of Ap~icant TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ] IN~A~[(~ FRAMING/STRAPPING [/~FI N~ FIREPLACE & CHIMNEY [ ] FIRE SAFEI~"INSPE~ION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:~ ~-~ ~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ]FOUNDATION 1ST [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ] I/N,StJLATION ] FRAMING/STRAPPING [~ FINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARk(S: ._/~4~/~- (~O,W_~ DATE INSPECTOR DATE FOUNDATION (1ST) FOITNDATION (2_ND) ~'~ ~ INSULATION P~R. iN. Y. ~ STATE EI",TIi~GY CODE 0 ~ ......... ~ 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 ARTHUR A. RUROEDE 23865 MAIN ROAD ORIENT, NY 11957, EUGENE MOISA 650 ORCHARD ST. ORIENT, NY 11957 Located at 650 ORCHARD ST. ORIENT, NY 11957 Application Number: Certificate Number: 4016695 4016695 Section: Block: Lot: Building Permit:"~' q ¢~-F~_~ '--'-..2 BDC: ns11 Described as a Swimmiog Pool occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, 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, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the3~ Day of November, 2008. Name OTY Rat_.~e Rating Circuits Tyro Appliances and Accessories Pool / Spa Bonding I 0 Wiring And Devices Receptacle I 0 GFCI Receptacle 1 0 20a-pool Special / twist lock Switch I 0 pool Gert, Purpose (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person, 1 of 1 seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. OWNER FORMER OWNER /'3 TOWN OF SOUTHOLD STREET PROPERTY RECORD CARD VILLAGE RES. ~L/6 LAND AGE NEW FARM Tillable 1 Tillable 2 Tillable 3 Woodland Swampland SEAS. IMP. NORMAL Acre VL. TOTAL Brushland House Plot FARM DATE BUILDING CONDITION Total ~ ABOVE Value MISC. Mkt. Value D~S~ SUB. ACR. //~ J /~1 LoT TYPE OF BUILDING FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK BELOW Value Per Acre COMM. CB. REMARKS COLOR I -" TRIM 3 -~ 7/ Foundation Extension /& X ~/ z ~ ~ ~.~ ~Bosement ~? Floors ~/N~ K. Extension ~ ~ K ~ = ~ ~ /~ ~ FirePlace ~0 Heat Type Roof Rooms 1st Floor BR. Porch ~Z ~ ~ /~ ~ Recreation Roo~ Rooms 2nd Floo FiN. B. Porch ~ ~ 'Y ~ Y~ ~ ~ /~7 Dormer Breezeway Driveway Garage .2~ .k/ ~ J/ ~ 7 ~' ~ ' ~ ~ ~ ~ O.B. ALL CON3TRUCTiON 5'H'At.t " MEET THE REQUIREMENTS OF TI-I~/-/',,A,2*"' $/'~'~'~ f- CODES OF NEW YORK STATE. = WITH ALL ; NO'I'~D''~g4-°'~-- ~'"'- NEW YO STATE & DATE: B.P. #~ '// AS :.D NOTIFY AT 7~-1~1~ I TO 4PM FOR THE 1. ,~ N.Y.S. DEC Fo. c.o. USE ALL OONST~TION ~ ~ I~ '" / U [REQUIREMEI~ ~ ~E ~ ~ ' ' ' STATE. NOT ' 'E ,,YqRK,RESPONSIBLE m" .~' WIT ~N OR ~4DNb'~i'FIUCI'ION ERROR~,. ,~ :~, 3 '~ / /' UTHOL.~ TOWN UPON~ BEFO .iERTIFICATE DIATEL POOL TO C( )OMPLETIOI~ ~E ~/ATE~