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HomeMy WebLinkAbout22994-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE 'OF OCCUPANCY No: Z-26652 Date: 08/25/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 240 ORIOLE DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 25, 1995 pursuant to which Building Permit No. 22994-Z dated SEPTEMBER 6, 1995 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to RICHARD A & BETSY A PERKINS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 047056 09/20/95 PLUMBERS CERTIFICATION DATED N/A r Bui641ng inspgoor Rev. 1/81 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) Date........................ ! .... ........................, 19...f.r Nf 22994 Z Permission Is hereby granted to; o........ r .G?s.. ..................................... to ............................................................................................... o ................. !� ..........4. /osy. ............��'............ ......................... .................................................................................................................................................................. .................................................................................................................................................................. ...................................................................... ... ................................................... at premises located at............r,.,.?.,s .........�.� i0. ..... �. ............................................ ......................................................................Q,. i .................................................................. County Tax Map No. 1000 Section .....5�........ Block........ (4.1........... Lot No. .... S. ...... pursuant to application dated .....e'-sl 6 .....�Sj�...`........ 19...,1. ...., and approved by the ...... ...... Building Inspector. Fee$... .:. .... ... . . ............................... uilding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ^� TOWN HALL 765-1802 ,'�; 1O'v^l^i PF S 'l THOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the .building inspector with the following: 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, mul-tipl:e 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. 11, roir existing buildings (prior to . April 9, 1957) non-conforming uses, or buildings and. "pre-existing" land uses: t 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. • 2. A properly completed application and a 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25,c, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . n ApI. . . . . . . . . . . . . . . . . . . . . . . . New Const-ruct-ion. . . . .�. . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . .��. . . . . . . . . . . . . . . . . . .O�s;�/� . . . . . . . . . . . . . . . 445: . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . .. x. . . �jj�!�J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , County Tax Map No 1000, Section. . . . . . . . . . .Block. . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Subdivision. . . . ..Hirt . . �c�.� . . . . . . . . . . . . .Filed Map. . . g�l. . . . .Lot. . . . . . .I.Q. . . . . . . . . . . . . Permit No. . �.�.��,�. , . . ,Date Of Permit. . ItEf.�/f6�4 . . . . . .Applicant.!��:f',T arc Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. �. . . . . Fe��aenn Submitted: $. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . �! . . . . . . . . . . . APPLICANT S%SFFOt��O Town Hall,53095 Main Road ,' CODFax(516)765-1823 P.O.Box 1179 �?, Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 2, 1998 Mr. & Mrs . Perkins P.O. Box 1894 Southold, New York 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22994-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8056275 BUREAU OF ELECTRICITY F B5 JOHN STREET, NEW YORK, NEW YORK 10038 Date SEPTEa JBER 20,1995 Application No.on file 10148095/95 I-I 047056 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of RICHARD & BETSY PERKINS, 240 ORIOLE, DRIVE, SOUTHOLDF N.Y. in thefollowing location: Basement ElIst Ft. ❑ 2nd Ft. OUT .Section Block Lot teas examined on SLP r`TI,4BER. 12,1995 and found to be in comp liance pliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. I K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT.. WATTS a. 20 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER I.,4W 1,9 3W 3,0'3W 3,0'4W NO.OF CC.COND. A.W.G. � NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP• PER A, OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: SWIMING POOL-1 TI11'1Z CLOCKS-IU4P.40-1 G.F.C.I--1 `Y(SWIM4ING POOL) This certificate covers compliance at the date of inspection only. Because of unusual -environments it is advisable to have f.reczuent test/axed or repairs made by a qualified person. Continued on Page 2 >>> GENERAL MANAGER Per This certificate must not,be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILMNG DEPARTMEMT. TMS COPY OF CER T 9V iCAYE MUST NOT BE ALTERED VN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PRGE 2 8056275 BUREAU OF ELECTRICITY F_ 85 JOHN STREET, NEW YORK. NEW YORK 10038 Date SEPTEMBER 20,1995 Application No.on file 1.0148095/95 H 047056 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of RIBZARD & BE`PSY PERKINS, 240 ORIOLE DRIVE SOUTHOLD, N.Y. in the following location; ® Basement ❑ I st Fl. ❑ 2nd Fl. OT_T`.I' .Section Block Lot was examined on SEPTEMBER 12,1995 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SW FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ITCHES OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER EQUIP. 7W I U 3W 3 0 3W 3,W 4W NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER Ar OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: RICI—LUD PERKINS 240 ORIOLE DRI ViE SOU`1HOL_D, NY, 11971. GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR(BUILDING DEPARTMENT. PSOS COPY OF CERTIFICATE MUST NOT BE ALTERED DES ANY MANNER. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 73T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING FINAL [ ] FIREPLACE & CRIMNEY REMA DATE C INSPECTOR 4 1, F IG1,D INSPECTION REPORT DATE COMMENTS 1 (7U1dOAT ION ( I ST) II II y I'OUNDATION (214D) ROUGII FRAME -- PLUMRINC IIQS ' -------- -------------------------------------------------------- Irk INSULATION PER N. T . M H STATE ENERGY CODE II- I ZY II A _ ADDITIONAL. COHMENTS: a . ----------------------------- ------------------------------------------------------------ __ VJ SUMVkWW_ MAP OF YE11MCOTT PARK Sala x COLWY lW Na 5W ewe//i•7' dwe//,.iy (pub/.c wa,fc r1 lC.F I lP„b/,c walerlsp/t� /as.,/ N. 88- 57' 30- E. ,.o' 105.66' � 3229 51A P'AQ 33.7 ter. Jet "'N MEDIATE ENCLOSE POOL TO CC�E � UPON COMPLETION BEFORE "vifATER" v 11 ? � N LOT N LOr 10 o � 6 Q LOT refit'- f�Ke aD Y AREA ; 2 G P _ '?001. Y ' OCCUPANCY O 40' x USE IS UNLAWFUL x WITHOUT CERTIFICATE, x n x r QQX, OF OCCUPANCY �v. V_ 56 + _ m vm.DERwRITERS CERTIFICAl' Prep 2 s�y REQUIRED - 4c✓ - t .fir f��e � 4:' m I 0 r^ 3l C O vJ �b O <Sao �9 'O r_v S. 82.34'20& W. tv i 185.00 Q1 sl Cn � yekt (1 3V aler �aiw 105.00 S. 82- 34' 20: W. Guru Corsi 30•� DRIVE ORIOLEThe wafer supply and sewac ` n systems for this residence G � to the standards of The S1.1, Deparlmenl of Health Servic ELEVATIONS ARE REFERENCED TO AN ASSUMED DA TUM. SL)MVkSKW- AMp OF YEM E'CO T T PARK SaTax Cotavrr tE hia arm e CLwC//,n (Pub/lcwaterlsp/i r rex. t �cnce N. 880 57' JO' E. ,.o' 105 66' 32 5 s�.t -------------- P'Aa y, let . cn '` 11 ? 1 N LOT LOT 00 o 9 LOT m OA p o AREA < A = ?00 x x n x � C propMi z* a o cab o spa S. 82'�ZO' W. ry i 185. N A 3=�0 Ater ' Nate/ amain 105.00' S. 8 34" — 2• cur• 30•� ORIVE 29•1. ORIOLE The water supply and sew,?( systems for this residence v to the standards of The Sv, • Department of Health Servic ELEVATIONS ARE REFERENCED TO AN ASSUMED DA TUM. • g^;g';t6'CCNC.BLOCK PILISTER _• A a "IMMEDIATELY" PRE CAST CCNCRETE ENCLOSE POOL TO CODE /COPING UPON COMPLETION © BEFORE 'VVIATER- A 1 1 2.. B it ••• Y r0! E O sK.mES ETUR1 ?LATE s`.•�,CREO TO BLOCK mR . O \ I' .-- C D E F I ;. THICK C'.-LEG FBEaGLAS5 CEMENT © I'1 TROWELED ON EACH FACE CCUPANCY OR VlRLFILTER OLLEDFOA II CF CONCRETE BLOCK WALL -aO'ASKILM . FILTER AND A USE IS UNLAWFUL ; PUMP FRCNFILTER - - PLAN To RETURN CERTIFICATE.; TO•NASTE OF OCCUPANCY VINYL LINER—aj PIPING ARRANGEMENT WALL SECTION 11 l = z-salvo z-SAND 30 aw FOOTING CONCRETE �F�t2'� FOOTING SECTION B-B GRADE TYPICAL WALL SECTION UNDERWRITERS CERTIFICATE AUG Z 5 19 REQUIRED -- _ G H G SECTION A-A H CAP. Swimming P001s AREA size A B G D E F G PURCHASER FEcT FT. FT. FT FT. FT. FT. FT. FT. SO.FT. GAL by Arthur Wwards AGGRESS 16'a]Y t6• 3Z I6' t� 6' 46' s'6" T' 512 tT.230 STATE ,� s'6' ST6 19,440 929 Route 25A• Iv'Iiller Place, N.Y. 11764 CITY (516) 744-7185 • TELEFAX (516) 744-0174 PHOtiE ZIPCCCE 46' 467 V 648 21.300 Suffolk License No. 10-074-HI 20'•40' 20r 4(r 130- 156^ 56- S' 51 IO' 300 27fA Nassau License No. H1744550000 I BOARD OF HEALTH . . . . . . . . FORM NO. 1 . . . . . . . SETS OF PL,INS , ,s TOWN OF SOUTHOLD 'SURVEY _ _ . . . . . . . . . BUILDING DEPARTMENT 11ECK . . . . . . . . . . . . .• . . . TOWN HALL SEPTIC FORN _ _ . . . . . . . . . . SOUTHOLD, N.Y. 11971 . C� TEL.: 765-1802 NDT I FY Examined . . . . . 9J�. . . . . 19q JAI ro 5— . C L . : _ _ . . . . . . . . . . •, tt - Approved . . . . ��1�1. . . . ., 19�rpermit No. . ... . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . : . . '' . . . . . . . . /.�. . . AUG •2 5 1995 (Building Inspector) APPLICATION FOR' BUILDING PERMIT Date . L: 5 . . . ., 19 . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with , 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 stree, or areas, and giving a detailed description of layout of property. must.,be drawn on the diagram which is part of this appl cation. c. The work covered by this application may not._be,commericed'b'efore issuance of Building Permit. d. Upon approval of this application, the'.Buildin'g Inspector will;issued,;wBuilding Permit to the applicant. Such perm.- shall be kept on the premises available for inspection,throughout the work': e. No building,shall be occupied or used iri whole or in part for any purpose whatever until a Certificate of Occupanc 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 th building Zone Ordinance of the Town of Southold.:,, Suffolle P.pun.ty,,New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additii,ps;or,;alterations,-Ota•for removal or demolition, as herein describes; ,The applicant agrees to comply with all applicable,laws,,ordinances,:building code, housing code, and regulations, and ta. admit authorized:inspectors on premises and'in-building for,,,.necessary Ins'peection „(Sign ature,.o applicant, or name, if a corporation) . . . . . . . . . . . . . . . (Mailing address of applicant) 1176 State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .�� t crt a L4 . 4 . $ . . 1Z .1K 1 �.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. . . .�r. .�•.�• • • , •, , • , • • Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. • . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . :. . . .�S . . . . . Block :. . . . . . . . . . . : . . . Lot . .�. S. ° 1.-a. . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . I . . . . . . . Filed Map No. . . . Lot . . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy / .P!a. �'. . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . t ' -3. Nature of work (check which applicable): New Building . : Addition . Repair . . . . . . . . . . . . . . . . Alteration . . Demolition p 1 94 9-L aos"I-L $-Lr��onoi�� �����. �`i=�2 L�r >`v �. . . . . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost . . . � (Description) . .U� . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. If dwelling, number of dwelling If garage, number of cars units (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 . Rear . ' . Height . . . . . . . . . . . . . . . Number of Stories . . . : . Depth . . . . . . . . . . . . . . . Dimensions of.same structure with alterations or additions: Front Depth . . . . . Rear . . . . . . . . . . . . . . . . Height . . . . . . . .. . . Number of Stories . 8. Dimensions of entire.new construction: Front . .. . . Rear .Height . . . . . . . . Number of Stories . . 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: • . ' ' 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes 14. Name of Owner of premises . . . . . . . . . . . . . . . No Will . Phone No. Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . Phone No. Name of Contractor Address .Phone No.15. Is this property within 300 feet of a tidal wetland? *Yes.. . `. " " " " *If yes, Southold Town Trustees Permit may-be required. � � " No. . . . . . . . . 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 ordescription according to deed, and show street names and indicate whether interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL ����nvEDas�orEo DATE: WITHOUT CERTIFICATE, FEE, iSd.eey - NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY 765-1802.9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS:-. 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE . 2. ROUGH - FRAMING & 'PLUMBING "`IMMEDIATELY" 3.. INSULATION 4.. FINAL - CONSTRUCTION MUST ENCLOSE POOL TO CODE .UPON COMPLETIONBE COMPLETE FOR C.O. BEFORE "WATER" ALL CONSTRUCTION SHALL MEET THE .REQUIREMENTS OF THE. N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS UNDERWRITERS CERTIFICATE REQUIRED STATE OF NEW,YO�W\V­ COUNTY OF . . . . . . .S.S • • . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. :ie is the . ... . . . . . . . . . . . . . rP U'�%. . . . . . � (Contractor, agent, corporate officer o � . ' p etc.). )f 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 .vork will be performed in the manner set forth in the application filed therewith. iworn to before me this . . . . . . . . . . . . . ' . y of. . S Jotary Public, . . .. County ROBERT 1.SCOT'r,-JR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OTARY PUBLIC,State of N (Signature of applicant) No.4725089,Suffolk Cou Term Expires May 31, 192b