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Home My WebLink About33251-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 1/19/2012 CERTIFICATE OF OCCUPANCY No: 35400 Date: 1/19/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: SINGLE FAMILY DWELLING 21505 MA1N RD ORIENT, Sec/Block/Lot: 17.-4-16 Filed Map No. conforms substantially to the Application for Building Permit heretofore 7/7/2007 pursuant to which Building Permit No. 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: CARRIAGE HOUSE CONVERTED TO A SEASONAL ONE FAMILY DWELLING AS APPLIED FOR. Lot No. ~ed in this officed dated 33251 dated 7/18/2007 The certificate is issued to North Dyer LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 9/14/09 RI0-10-0041 1/10/12 064828 8/2/02 /~ Ed King 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. 33251 Z Date JULY 18, 2007 Permission is hereby granted to: LYLE B & RUTH P TUTHILL PO BOX 86 ORIENT,NY 11957 for : CONVERT A CARRIAGE HOUSE TO A SEASONAKL ONE FAMILY DWELLING AS APPLIED FOR.THIS PERMIT REPLACES BP # 21845 at premises located at 21505 County Tax Map No. 473889 Section 017 pursuant to application dated JULY Building Inspector to expire on JAlqUARY 18, 2009. Fee $ 249.40 Authc MAIN RD ORIENT Block 0004 Lot No. 016 7, 2007 and approved by the Rev. 5/8/02 ORIGINAL FO~M NO.$ TOWN OF $OUTHOLO BUILDING DEPARTMENt TOWN HALL SOUTHOLD, N.Y. No 21845 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..../...~....?Z/. Z .......................................... 197....'~... .... Permission Is hereby.granted to.~_. ~,, ................. .................... ~ ....... ...,f~..~ .................................. ~r,,, ~.~ ....... ....... ....... .................. at premises Iooated at ........ ~../..~...~...~...........~..~..... ~.-.. ........................................................ ......................................................... ~_..~....~...~ ........................................................ CountyTax Map No. 1000 Section ......... ./~'...~.. ........ Block .......... ~ ........... Lot No ..... ../...~'.. ................ pursuant to application dated ....... ./.. ~.../~. .................................. 1 9.....~..,~ .... Building Insp,ect~,_ E~ ~.~.~....Z~.. and approved by the Rev. 6/30/80 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. 6. Submit Planning Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: l. Accurate survey of prope~y showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by thc applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 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 CertificateofOccupancy- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ n~ ~' ~ Old or Pre-existing Building: Date. Street lq- Date of Permit. (check one) Hamlet Block 4 Lot Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: L~ (check one) Applicant Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 40 FULTON STREET ~ NEW YORK, NY 10038 Located at Application Number: 1064828 Section: Block: Described as a Residential CERTIFIES THAT Upon the application of Q.C. ELECTRIC INC. P.O. BOX 518 LAUREL, NY 11948-0518, 21505 ROUTE 25 ORIENT, NY 11957 Lot: upon premises owned by LYLE TUTH LL 21505 ROUTE 25 ORIENT, NY 11957 Certificate Number: Building Permit: electrical devices and wiring, described below, located in/on the premises at: Basement. First Floor. Second Floor. Outside, Attic, 1064828 BDC: NS11 occupancy, wherein the premises electrical system consisting of 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 2nd Day of August, 2002. Name OTY Rate Ratiu~ Circuit Type Additional Charges survey entire buildi-ng No visual defects: an elctrical survey has been made of the exposed electrical equpmant in the premises indicated. No obvious unsatisfactory condition was found. seal 1 of ! This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971 ~0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: I .T (Please print) Plumber: ~c~ ~-~i f~(, (PI~ print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ] ~ day of ~~x , 20 C) ~3 (Plumber2¢ Signature) CONNIE 0. BUNCH NotaPy Public, Slale of N~ York No 01BU6185050 n~- qua!~ in S~k ~u. mmlsslon Expires April 14, ~0~ Notary Public, ~ ~' (~ County 7rd-1802 BUILDING DEPT. INSPECTION [ ] FOUNDA'IION 1ST [/ROUGH PI. BG. [ ] FOUNDATION :)ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE//~~/~ ~NSP~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ]FIREPLACE & CHIMNEY [ ] RO~.BG. [ ]/~'ULATION [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [. ]~LATION [/~ FINAL ] FIREPLACE & CHIMNEY DATE ~/~//~Z. ~rA~ I NSPECTO" ~~.~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~.~J~TION [ ] FRAMING / STRAPPING [~'~] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT COtISTRUCTION[ ] FIRE RESISTANT PENETRATION REMARKS: ~~~--~--~?_ ~ DATE INSPECTOR FOUNDATI0,~ (lst) FOUNDATION (2nd) 2. ROUGH FRAME & -PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL FORM NO. 1 I C 6 IB TOWN or SOUTHOLD BUILDING DEPARTMENT TOWN HALL [~,,*~'~ , SOUTHOLD, N.Y. 11971 ~ - ' OTHOLt'~ ,~ TEL.: 765-1803 Examined Z ./Z ?.' ....... , Approved.../'~./.7. ....... 19~.pcrmit No. ~/Ot¢~'O'~ ~'' ' Disapproved. a/c ................................ ~..;. _ . . . ( ino/p~pector) APPLICATION FOR BUILDING PERMIT Bb^RO Or .EaLTa .'.~'.,... 3 SETS or Praas ...... ... SURVEY SEPTIC FORH C^LL ....... H^IL TO: Date ................ , 19 ~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s~ts 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 sfi-eets or 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 o£ 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 part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 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 inspection,~. ~ ,, .0/]. :.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general 'contractor, electrician, plumber or builder. Name of owne 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) ~/ Builder's License No.......~.~.~/ ~ j ........... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. llouse Number Street Hamlet County Tax Map No. I000 Section ... :../...-7 ......... Block .... C.-.J.. ' Lot..../.~. ............. Subdivision .................................... '. Filed Map No ......... Lot (Name) ..................... State existing use and occupancy of premises and intended use and occupancy of proposed ~onstruction: a. Existing use and occupancy ~f/~?.,~-4.~.. ~ ' b. Intended use and occupancy ~-~-Z/~o al:? J.~..'~ · 3. Nature of work (check which applicable): New Buildin~ . 2 ........ ' ' Repair .............. Removal .............. Demolition . Addition .......... Altera~on .... ;..[.. ~ .... ~ (Description) 4. Estimated Cost ....... ,{ .~..0.~..~ ' · ...... Fee - (to be paid on filing this application ) 5. If dwelling, number of dwelling units .... ./ .......... Number of dwelling units on each floor ........ ' . 6. ' If garage, number of cars . .. ...................... ' ............................................... If business, commercial or mixed occupancy, specify nature and extent of.each typ~e of use ....... ,~ ~3 ~ ..... 7. Dimensions of existing structures, if any: Front...J~.4C ...... Rear ...)2-.,. ....... Depth ............... Height ............... ~umber of Stories .... ~ .................. .............. D~menmons of same structur,~ w~th alterations or additions: Front ...... Depth ~..a~... 5~ .q427.C · · Rear ..... ight ......... · ' ' · ............. ,.. Number of Stories ........... · ......... 8. Dimensions of entire new construction: Front ........ ; Rear ............... Depth ..... Height ............... Num her of Stories ...... ' ......... 9. Size of lot: Front ......... , ....... Rear ........... Depth 10. Date of Purchase .... · ..................... .................... ' ......... Name of Former Owner 1 1. Zone or use district in which premises are situated ........... ' ............................ 12. D°es pr°p°sed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded ............................... ...... · ,; 'v ....~ · - · .. .........Will excess fill be removed from premises Ye 14. ,N, ameofOwnerofpremises ~7/~../3.. / Id~.JJ{l/.. Address ,~ ~name of Architect ' Add ................... rhone v4o..~.~.>.-.~ >-.h q.; .. - ........................... ress ................... Phone No ............ :..;. Name of Contractor .............. .. Address ................... Phone No .......... . .'. 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No...Z~... · If yes, Southold Town 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. STATE OF NE:~LYOR-IC~ ~ ~ (Name of individual signing contract) ~bove named. te is the ..... .': ...... .a...,~...~. .......................... xO ~ , agent, corporate officer, etc.) '" ' ............ .f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this'application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. ' worn to before me this · .......... f ~' 19...~. (Signature of applicant) · OWNER TOWN :; OF' :~ SOUTHOLD FORMER OWNER RES, LAND IMP. ~ I ~-~)~- 'ILLAGE '~:r ~'' - - DISTRICT =ARD TYPE OF BUILDING TOTAL DATE REMARKS LOT Est. Mkt. ~ AGE NEW NORMAL Farm Acre Tillable i Tillable 2 Woodland Brushlond BUILDING CONDITIO BELOW ~ 14-- Value Per Acre House Plot Total M. Bldg. , Foundahon ' Bath Extension Ext. Walls nter or Finish ' Extensio. F re Place Heat - Porch Roof T~e ~', · , ., ~ ,, J ' Porch ~, Roo~ 1st Flor / Breezeway J Patio Rooms 2nd Floor Garage . ~ J~ Driveway ' ' - ~rmer - · ! Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 9, 1996 Ms. Ruth Tuthill P.O. Box 86 Main Road Orient, NY 11957 Re: Building Permit #21845-Z Premises: 21505 Main Road, Orient Suff. Co. Tax Map #1000-17-4-16 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Town Hall. 53095 Main Road P.O~ Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 25th, 2007 Lyle Tuthill P.O. Box 86 Orient, N.Y. 11957 RE: 21505 Rt. 25 (alteration of carriage house) SCTM: 174 16 Dear Mr. Tuthill, Please be advised that your Building Permit #21845 issued December 17th, 1993 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of 249.40; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDiNG DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York I 1971-0959 Telephone(631)765-1802 Fax(631)765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 21, 2009 North Dyer LLC PO Box 86 Orient, NY 11957 RE: 21505 Main Road, Odent TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00 Final Health Department approval. Plumbers solder certificate (all permits involving plumbing after 4/1/84.) Trustees Certificate of Compliance. Final Planning Board Approval. Final Fire Inspection from Fire Marshal. Final inspection from the Building Department. Final Landmark Preservation approval. Building Permit: 33251-Z alter to seasonal dwelling Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 November 28, 2011 BUILDING DEPARTMENT TOWN OF SOUTHOLD North Dyer, LLC PO Box 86 Orient, NY 11957 Re: 21505 Main Rd., Orient TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. /3/A fee of $25.00. v'/2'Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 33251 - Alteration to Season Dwelling f ''t & WATER ~ NEEI) TESTING REFORE COVERIN~ PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. U#DF. RWRIIERS C[..t~l~t'l~i~T ~ REQUIRED If copper tubing is used for water distributing system; piping shall be of tyi)esK or L APPROVED BY: DRAWN J/,~ PO Box 310 I5t° APPROVED BY: DRAWN BY NY 11gS7 ~D iiXCAVATION INSPECTIOIt RDU]RD AI/O/F ~ ANN p,, CALLAHAN \ NIOIF E6E.9,2* S "ri77'50' E ' ,~$8.84' ALMA O. BURKE & JOHB V. DUELL