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Home My WebLink About28995-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29213 Date: 01/23/03 THIS CERTIFIES that the building ADDITION Location of Property: 1075 OLD ORCHARD LA EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 7 Lot 16 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10, 2002 pursuant to which Building Permit No. 28995~Z dated DECEMBER 10, 2002 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 DECK ADDITION TO A/q EXISTING ONE FAMILY DWELLING AS APPIED FOR. ·"ne certificate is issued to ROBERT L & CAROL D MILLS II (OWNER) of the aforesaid building. SUFFOLK CO~ DEPARTMENT OF ~RALTH APPROVAL ELEC-£~ICAL CERTIFICA~ NO. PLU~4BERS CERTIFICATION DA'rED Rev. 1/81 N/A N/A N/A AuthOriZed S~nature 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) PEPd~IT NO. 28995 Z Date DECEMBER 10, 2002 Permission is hereby granted to: ROBERT L II & CAROL MILLS PO BOX 532 EAST MARION,NY 11939 for : CONSTRUCT A DECK ADDITION ON THE REAR OF A SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES PERMIT # 24728 at premises located at County Tax Map No. 473889 Section 031 pursuant to application dated DECEMBER Building Inspector to expire on JUNE 1075 OLD ORCHARD LA EAST MARION Block 0007 Lot No. 016 10, 2002 and approved by the 10, 2004. Fee $ 150.00 ~ A~t~o[~J[z~d S:af-ure Rev. 518/02 ORIGINAL 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. 24728 Z Date FEBRUARY 27, 1998 Permission is hereby granted to: ROBERT L II & CAROL MILLS PO BOX 532 EAST MARIONtNY 11939 for : CONSTRUCT A DECK ADDITION ON THE REAR OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1075 County Tax Map No. 473889 Section 031 pursuant to application dated FEBRUARY Building Inspector. OLD ORCHARD LA EAST MARION Block 0007 Lot No. 016 17 1998 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOV~N HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANOY .... i' This application must be filled in by typewriter or ink and submitted to the Building Department with the following: Ao Bo 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. Commemial 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. 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 $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 Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: [ O ?,~" House No. Street Owner or Owners of Property: '-~[~ 6J~r /--. ~'{ dis 'we' Suffolk County Tax Map No 1000, Section ~ [ Subdivision Old or Pre-existing Building: PennitNo. 2~gC~ ~ DateofPermit. (check one) Hamlet Block '7 Lot Filed Map. Lot: Applicant: ,C~ q'- {__,,. ~4~t Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: SP 2 Underwriters Approval: Final Certificate: ~ (check one) Applicant Signature TOWN OF $OUTHOLD PROPERTY RECORD CARD FORMER OWNER N E RES. S~S. VL. ~]7{ FARM COMM. CB. MICS. Mkt. Value . ,,,, ~~ .,_, A6E ~UIL~IN6 CONDITION NEW NORMAL BELOW ABOVE FARM ACr~ Acre Tillable ~ ~ ~ FRONTAGE ON WATER Wo~a_ _ _ F~ONTA~E ~eodowlend DEPTH House Plot BULKHEAD Totol DOCK COLOR TRIM Extension Extension Porch Breezeway Patio ~ 73- Foundation Basement Ext. Walls Fire Place Type Roof Bath Floors Interior Finish Heat Rooms ]st Floor Recreation Room Rooms 2nd Floor O.B. Dormer Driveway Total Dinette 765-1802 BUILDING DEPT. [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [[]] ~OR~UNMiDNA~ION 2ND [[]~TION [ ]FIREPLACE &.~CHIMNEY REMARKS: ~-- INSPECTION 765-~,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~I. BG. [ ] FOUNDATION 2ND [ ] I~g[.ATION [ ] FRAMING [~J=INAL [ ] FIREPLACe. & CHIMNEY DATE ~~//,~'2'~ INSPE~ I NSTRUCTI ONS 3 m;'rs or, ,j .s .< ~"SURVEY .~. ....................... ..- CIIECK . . .' .;.;.;.;.;.;.;.;~.. .................... Sl[P'rlc FORH ................... NOT 1 FY: c u. .... HAIL TO: .................... a. 'fids application ntmt be conpletely filled in by typewriter or in ink and mJhnitted to tim Pidlding hmpector ~ill 3 sets of plans, accurate plot plan to scale. Fee according to sdmdule. b. Plot plan sl~sdng location of lot and of buildings on premises, relationship to adjoining prmises or public streets or areas, and giving a detailed description of layout of property mist be drawn on tie dlagran ~hich is pert of this application. c. 'llm ~ork co,red by this application my unt he commenced before issuance of l~filding Permit. d. Upon approval of this application, tim Building Inspector will issue a Building Permit to tie applicant. Such pemit stroll be kept on tie premises available for inspection throughout tie work. e. No building shall be occopied or used in ~i~ole or in part for any purpose ~natever until a Certificate of Occupancy shall Imve been granted by tim Buildit~g Inspector. APPLICKrlt~I IS l~lll!2rf ~ to the Building Department for tie issuance of a Building Permit pursuant to tie Suilding Zone Ordinance of the To~n of 8outhold, Suffolk Coanty, 1~ York, and other applicable l,a~s, Ordit~ees or Regulations, for tie construction of buildings, additions or alterations, or for r~,~tal or demolition, ss Imreln described. ~lm applicant agrees to cu,,ffly with all applicahle la~s, ordi~es, l~ilding code, t~uslng cnde, ar~l regulations, m~l to ~it authorized inspectors on premises and in !mtl~ing~Po< r!~eessary inspections. ..... .................... (SigJmture of applicant, or i~e, if a COrlX~ration) (Haili)~ address of applicant) State ~mtimr applicant is o~er, lessee, agent, architect, engineer, ge[rural contractor, electricisn, l)hnt~er or Ixdhler. ....... ................................................................................................... (as ~ tim t~ mil or latest If applicant is a cx)rpuration, signature of duly anthorized officer. and title of corporate officer) l~dlders l,icense No ........................... Plumbers License No .......................... Electricians License No ...................... Other Tr~'s License No ..................... 1. I~cation of laed on stdch proposed ~,~rk viii be done .............................................................. · ).o. 7fi... .............. : ................. Ilouse Nt~ber Street llanlet C~ty T~ ~p No. ~000 S~ion ..... --.a. ) ........moc~ ..... .~ ......... ~ ...... .~. ~ ...... Sulxlivision .(O.fi~-.Pl.M..~-~..'l..~.~.'~..~.~.W~T.~.~. ......... Filed 14ap No ................ Ix)t ............... (t~,~) 2. State existing use and occupancy of lna~aises and intended use taxi occupat~zy of proposed coustructicm: a. Kxisting use and occupancy ............................................................................ b. Inte~led use and occupancy .../~..~.'.~...~. ~.c..~...~.o.~...Q.c~.r.O.~.o..t~.......~..o.a..~../~/...~. ................... 9o I(I. II. 12. 13. 14. 15. I~Ltffe of ~o~k (dreck ~hici~ ,l~Hicahle): Neu I~dhli~q~ ~ ......... ' -~ ~' ' ' ........... ~kli t ic~ . ~,~. ~. I~q~dr ............ I~mal Ik~mlitio~ ' ~' ~ · ' ' ' ......................... Oiler l~rk:..~r;... .-..,~.,c;-~-;~,~. ~..:~[ .... ~ ~l~ripti~) '~" ~ Estimt~l C~sl: ......................... ~0 . Oo f~ ....................... ...i; .... ............... ~: I f ~11 i~, m~d~r of &Il i~ units 11~dmr of ~1 1 mg ~n~ ts {~ ea~ ~r;~.~'L,x,~..~.., I)i,enai~m of ~isti~ atnmturea, if m~y: Fr~mt ................ ~ar ..~.. I~pth ...~ ......... I~i~lt ......................... Ksd~r of Stories ...................... Ilinenai~ of ~m stnmt~lre with nlteratimm or ~iti~s: Fret ' I~nr ............... ~pth .................... I~i~t .................... Ks~tmr of Stories ............... ,i,,.,,~i.,. o~ ~,,~i~. ~ ~.~=~ion: t,~t ..~ .... ,~.~ .... ~.&~ ?Z~,~, .... L~ ...... I~il~,t ......................... Ksd~r of Stories ..................... Si~ of lot: Ft~t .................... ~nr .................... ~pth .................... Ikite of ~lrdm~ ..................... ~ of For,er ~mr ........................................ ~ or u~ district in ~lid~ pr~i~s n~ si~t~ .............................................................. ~s i~ro~l ~t~ti~ vlolnte nny ~ing 1~, o~i~e or regularly: ........................ Will lot ~ r~r~ .................... gill ~ess fill ~ ~e of Arddt~t .................................... ~lresn .............................. H~ ~ .............. · ~ of C~tr~tor ................................... ~lress ............................... I~ ~ .............. Is this p~rty within ~ f~t of a ti~l ~tl~ ~ ~ .......... ~ .......... PI,OT DIAGRfiH ~, lo, cate clearly and distinctly all buildings, ~mtlmr existing or proposed, ami indicate ali aet-lmck dimensions f-r~m property lines. Give street and block nudmr or description according to deed, and aho~ street hanes ami imlieate xehetber interior or corner lot. S'I'^'IE ()!r NI'.M YORK, ~l~ ~x~ .~.~E(~ .......... ...... ............................. (~a~e of individ~t signing contract) ~ ~ o,~ ..... ~.~'~ .......................... ................................. (Cz~ltrnetor, agent ~ cor~rate offficer, etc.) of anld (~r or ~rs, nmi in duly ~thori~ Lo i~rfotm or h~e I~rf'o~ tim ~id ~rk m~l to rake ami file thin ,l~Hicati~; that all atat~mnta c~mtai~ in this nl~H. iemti~ are tn~ to the I~$t of hin k~l.~ m~ Imlief~ nmi that the ~rk will I~ ~rfon~l in tl~ Imnner mt forth in l~rn to I~fore ,e thin ....... ...... .......... . ...... / ~ NAN~ T. FUSCO (SlR~nl:ure of Alii iennt) ~TARY PUBLI~, ~at$ ~ ~ 488247'5 C~mi,sl~ EX~e, j~ 20, 19~ ,/ (D Z~ U L SUFFOLK CO. HEALTH~DE~_T: ~. L i H.S. NO. '~~ - -~,, OL .... ,, .... , .... . . -~. .- '~-: o~rrU.K COUN~ HEALTH ~' ~-~ ' SINGLE FAMILY DWELLING ONLY ': :~;~' ~ ~' - ~'VEYED FC'C~ -d~ ~ ~ 52 ~'~ ' --~ DATE" ~' ~ ~ ~ '~ , SY~E~ FOR~: THI~"R~DENCE:~'.WIEE THE S~AGE m~SAL AND WATER SUPPLY FACILITIES FOR THIS .~[ cO~R-M~ T6 THE. STAND~~ ~~:~ATION HAVE BEEN.INSPECTED BY THIS DEPARTMENT AND ~ '-~ '" .. SuffOLK co, D[P~. FOUND TO B~~GTOR~'~ ~ '~'~'--' '_~_ '~ .. . IS}" " : ~ . ~,.. , '[ t ~I~ A~LICANT · . . . of Wastewater Ma~:"~ment Section . '"~"L~ ~ ' ~- Chief / SU,FFOLK COUNTY D/PT;.~' OF~< LTH · cONSTRU¢ION O~Y' : .~:; '~ :: *g,g,: .... [ ':? ' ' Z, ' ..... "' ..... ":" ¢' SUFFOLK CO 'TAX MAP B i ' /"" - DI~. ~. BL~-~.!~ <~. .__:~ ~._ ~ --~ . ,, ~, I ~( ,' / ~.CAL~:40:~¢, · ........ .::.--:..-.~- .~:,:..~ - .; ~.. ~--= ..~.~, ~-:: ~. ~ . . .. .,_ ~'.~'~. ' . . -_HAP ~E[~-,~Lt~', ..... ,~- ' ':: ~ * ~.. , 2.EE~[ON~' ~P~ ~ ~EA~ ~ ~EL. d L~S~ LAND SU~ -- ' ' ' ' ~ ' LA~O '~, ' :-. -