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Home My WebLink About37786-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 2/11/2013 CERTIFICATE OF OCCUPANCY No: 36138 THIS CERTIFIES that the building Location of Property: AS BUILT ALTERATION 415 EDWARDS LA ORIENT, Date: 2/11/2013 SCTM #: 473889 Sec/Block/Lot: 18.-3-10 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 11/1/2010 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: "AS BUILT" HALF BATH ALTERATION TO AN EXIST1NG GARAGE AS APPLIED FOR Lot No. filed in this offlced dated 37786 dated 2/4/2013 The certificate is issued to SEEORIENT, LLC (OWNER) of thc aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED R10990030 01/25/2000 37786 11/05/1999 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37786 Permission is hereby granted to: SEEORIENT, LLC Date: 2/4/2013 P.O. BOX 352 ORIENT, NY 11957 Toz "AS BUILT" HALF BATH ALTERATION TO AN EXISTING GARAGE. REPLACES EXPIRED B.P. # 36024 At premises located at: 415 EDWARDS LA ORIENT SCTM # 473889 Sec/Block/Lot # 18.-3-10 Pursuant to application dated To expire on 8/4/2014. Fees: 11/1/2010 and approved by the Building Inspector. PERMIT RENEWAL CO - ALTERATION TO DWELLiNG Total: $100.00 $50.00 $150.00 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. 36024 Z Date NOVEMBER 15, 2010 Permission is hereby granted to: SEEORIENT LLC 415 EDWARDS LA ORIENT,NY 11957 for : "AS BUILT" HALF BATH ALTERATION TO AN EXISTING GARAGE at premises located at County Tax Map No. 473889 Section 018 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 415 EDWARDS LA ORIENT Block 0003 Lot No. 010 1, 2010 and approved by the 15, 2012. Fee $ 200.00 ized Signature ORIGINAL Rev. 5/8/02 TOVVN 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 ali buildings, p~-operty 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 fi.om architect or engineer responsible for the building. 6. Submit PI.arming 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: 1. Accurate survey Of property showing all property 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. C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additmns to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00. Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New CCnstmction: V/ Location of Property: ~Jt [ S House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: Street SubdiviSion Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate DateofPermit. I1 - t5 - tO (check one) Hamlet Block ~_ Lot ID Filed Map. Lot: Applicant: ~h~o Underwriters Approval: Final Certificate: V~ (check one) 'THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001071 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW yoRK, NY 10038 m~e NOVEMBER 05,1999 A~pH~,M, nNo. onAte I93~1999/99 N 5~5986 THIS CERTIFIES THAT only the electrical equipment a~ described be~w and in~uc~ by the ~plic~t n~ed on the ~ove applica~n n~ber ~ ~ ~ pr~m~es of NO~ ~N~, EDW~S ~, ORIE~, ~ in the ;ol~Wlng ~c~n; ~ B~ement ~ 1st FL ~ ~ FA G~ Sec~. ~k ~t was ex~in~d on ~0~ 01,1999 a~ fo~ to be tn co~nc~ wi~ ~e N~ E~c~ C~. ,' FIXTURE IRECEFTACLESi WIT H r FIXTURES OUTII:TS I S C ES iNCANi~SCBfll FLUORESCENT OTHER R C MOTORS E ES SERVICE DISCONNECT OTHER APPA~ARJS: RANGES AMT. AMP, R COOKZNG DI~CKS OVENS [ nwa. K,W. AMT. K,W. TIME CLOCKS BELL ~ C iSH WA~SHERS EXHAUST FANS MULTkOUTLET DIMMERS SYSTEMS NO, OF FEET AMT. wAm E PANRT~OARDS:i-5 CIR. 60 ELEC. WATER HEATERS: :1-2 K.W. G.F.C.I:-3 G & S CONTRACTOR BOX 215 SOUTHOLD, NY, 11971 LIC.#578-E ANN This celtlfl¢=ate must not be ollorecl In any manner; return ~o the office of the Board it Incorrect. In~pe~ be!~l~by thel~ cmdentlais. Hall, 53095 Main Road BUILDING'DEPARTMENT TOWN OF' $OUTHOLD Fax (631) 765 ~;~L; CERTIFICATION Date: , , Buildin§ ?¢rmil No. ~'~g~ - 4°. P]untber: (Please ,print) (Please print) J lead ] certify that the solder 'used in the water supply system contains less than 2/10 of l% S,.,om lo b~rore me this Nolary Public;~.~ County (Plumbers Signature) DENISE KING Notary Public, State of New York Registration #01 Kl6041757 Qualified in Suffolk County My Commission Expires May 15, 2 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ]/~SULATION [//] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~/~///~/~ /<~ /~cr~£~ DATE ~/~ INSPECTOR ROBERT O'BRIEN RE. CONSULTING ENGINEERING SERVICES 2074 MAIN ROAD. P.O. BOX 456. LAUREL, NY 11948 631-298-5252 October 19, 2010 Town of Southold Building Department As-built Bath/Shower Addition to Pool House 415 Edwards Lane Orient, NY To Whom It May Concern: I hereby certify that the above-captioned addition is in full compliance with the New York State Building Code requirements that existed in the year 2000 when it was built. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SouthoidTown. NorthFork.net Examined Approved Disapproved a/c Il D, 20 lO Expiration NOV 1 2010 BLDG. OEPI. TOWN OF SOUIHOLD This application MUST be cmr PERMIT NO...~ b,O.~t~L BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, betbre applying'? Board of Health ~'4 sets of Building Plans "~--~ Planning Board approval -~43urvey x_/~--~ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector ?PLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS ,letely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 pan 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 ora 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 inspections. (Signature of applk~ant or name, if a corporation) (Mailing address ofapplicknt) 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 iorporatio~, signature of d~ly authorized oil~cer (Namq find title or. corporate officer) Builders License 'No. Plumbers License No. Electricians License No. Other Trade's License No. Location ot~land_on which proposed.work will be done: ~ House Number Street County Tax Map No. 1000 Section I ~ Block Subdivision Hamlet Lot I ~ Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy intended use and occupancy 3. Nature of work (check which applicable): New Buildin& Repair Removal Demolition 4. Estimated Cost 5. lfdwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (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 Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear .Depth 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. 18. Are there any covenants and restrictions with respect to this property? * YES __ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ,,,_, ~NI~D. ~_lJ~ (S)He is the (Contractor, Agent, Co,orate Officer, etc.) ~Omml~ of said owner or owners, and is duly authorized to perfo~ or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his ~owledge and belief; and that the work will be perfbnned in the manner set forth in the application filed therewith. Sworn to before me this "l~ ~ day of ~{.}lD~-v".,~x[2:l-g~x 20 I D Nothry Public · x Signature o~App t~cant · . ToWn of Southold r°s~°n, Sed'mentati°n & S~orm-Water Run.Off ASSESSMENT FOR:j; PRO~I:K ~ {' LOCATION: S.C.T.M, ~ * ?HE FOLLOWING ACTIONS MAY REQUIRE THE SUBM,~==,DN OF; I% "~ ~ STOR--~. -W-~TER, 6RADING~ DRAINAGE AND E~_O~."O.M ~-~)-~1. I~L~I Dlsblci ~Cl]Qn '"BlOCk ' LM CEKT!FIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YOlk. $OOPEOFWORK - PROPOSED CX)NSTRUC1/ON a. What I~ ihe Total Area of ms'p;*-,,~4 i~. ~? (In~Jde Total Ama ot' all Pamels 10catsd within b. What b the Total Area of Land Qeadng STATEOFNEWYORIC <: /~::o ~ CO~ 0 .~.....~...I:L.~.....~....,'~.......; ......... S~ Notary Public, ~tate of New Yonk No. 01BU6185050 .]..hat ], ....~..C,~_.. _..~.. V~ ,..~. [Xk...~..' ' Qualified in Suffotk County D,' · m I I ril d, 2 ~ And that he/she is the ................. ~.~ ............................. · Owner md/or representaavc of the Owner or Owners, and ~s duly authonzed 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 beli~ and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; FORM - 06/10 URYF¥ OF= PROPERTY SITUATE: ORIFNT TOHN OF: 50UTI-tOLD SI)FFOLK COUNTY, NY N ~l SUFFOLK COUNTY TAX I000- 18- B- I0 W E ~ C. ERTIFIE~ TO: ~ '"'I"' '-"' COMHON~ALTH LANP TITLE S INSU~NOE OONPAN% TITLE ~ JOqqOOD Oe¢~. Amended N~rch 25,1~q~ ~ubhol¢ T¢~n Bulldln9 Permlb 25~O6 Z \ · MONUMENT FOUNO . O PIPE FOUND AREA = ~6,-Iqo ZONE = GRAPH3'C SCALE ,1"= 60 GARAGE POOL ROQH ,LUMBING IMBING WASTE UNES NEED COVERING APPROVED AS NOTED DATE:/~Pj//C~ B.P., 2P~0~- F NOr;~Y 8U~[DING D~ART~P%~ AT 765~1802 S A~ TO 4 PM FOR THE T/ON ~OLLO~NG INSPECTIONS: FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ROUGH. FRAMING PLUMBING, IN WATER ~ STRAPPING, ELECTRICAL & CAULKING ~ INSU~TION ,FINAL - CONSTRUCTION & ELECTRICAL 1~ 4. MUST BE COMPLETE FOR C ~ ALL CONSmUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW NOT RESPONSIBLE FOR ERRORS TO THE BEST OF MY KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGMENT. THESE PLANS ARE IN COMPLIANCE WITH THE NEW YORK STATE BUILOING CODE. ~M ~