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Home My WebLink About5302-z 1lrl= �Q�gUfrFOt,��oGy, Town of Southold 8/9/2018 P.O.Box 1179 a co 53095 Main Rd 101 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39833 Date: 8/9/2018 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 545 Birch Road, Southold SCTM#: 473889 Sec/Block/Lot: 59.-2-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/17/1971 pursuant to which Building Permit No. 5302 dated 5/17/1971 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: one family dwelling with attached garage as applied for. This Certificate of Occupancy has been updated to include the attached garage and replaces COZ-4458, dated 11/15/1971. The certificate is issued to Thomas&Carol-Ann Shea of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 11/15/1971 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 6 ' ed ignature Form No.6 D TOWN OF SOUTHOLD ' BUILDING DEPARTMENT J U L 2 0 2018 11/ TOWN HALL 765-1802 EUMDING DEM APPLICATION FOR CERTIFICATE OF OCCUPAN4fbrr0LD 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 I%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. 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,Additions 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 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 515 `�'�)f W) ,73cjs I(Yl pl CT House No. Street Hamlet Owner or Owners of Property: S �tSuffolk County Tax Map No 1000, Section ��' Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature # TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION- [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: OI�'� r�Vpl�/VVl Pj✓2i 1�! l h Wlo\�vvt�& �fttj reol A— DATE �� INSPECTOR 141s v r of sou # TOWN OF SOUTHOLD BUILDING DEPT. `ycaurm��' 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: o Kv 04Aii Cole 4,e000u DATE G INSPECTOR LOCATION: S4'61%k (number & street) (municipality) SUBDIVISION: -MAPNO.: LOT(S): .. NAME OF OWNER(S)': OCCUPANCY: SFP16VV V*Kt!�f (type) (owner-tenant)- ADMITTED BY: „ µ ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: go N STORIES: _# EXITS: FOUNDATION: ��U� BASVME'NT; CRAWL SPACE: -4 OF BEDROOMS,: IST FLR: �^ 2ND FLR: 3RD FLA: B THRO'O (S): 'TOILET ROOM(S): � UTILITY ROOM: . P RCH.TYPEl�`1v 4� DECK, TYPE: VL4 p /W.. J� BREEZEWAY:' FIREPLACE: VD GARAGE: DOMESTIC HOTWATER: TYPE HEATER: /hbi(99'AIRCONDITIONING: A/`D TYPE HEAT: �i L WARM AIR: HOTWATER: 4X0Mv9.-- # OF KITCHENS: �1•Q�. FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES . GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.:Sa CDlsm, SWIMMING P`O-OL: GUEST,'TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y, STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. Al.iAMMA i wa• o ® REMARKS; INSPECTED BY,A /000FIli DATE OF INSPECTION:�Pg ' TIME START: END: i� LOT COVERAGE N >' EXISTING HOUSE - 2036 SOFT 2036/12528 = 16.2 WITH PROP. DECK -2529 SO.FT SURVEY OF a' ;-e- 2329112528 = 18.5% f�/ry��y FND �R 00 LE7R T Y _\ MON A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. - � 'P�`� S,o��• . .. PSQ�,,.t m,'� � 1000 - 59 � 02 � 09 Scale 1" = 30 5i Jan. 23, 1991 110, JUNE 17, 2015 (ADDITIONS), o .•m •oo_ FND aa�� I I I MON Ap 2. \�01 L�I JUN 18 2 0� I J' Ao_ ''p1 ��,5 CERTIFIED TO: O° S010I101 D ,P0_ 9 GP PECONIC NC. ALFREDGESZCZYNSK�I C 5 a9 5 i SNE FND 01 F ��/,`:.i• •�O� `�� ' MON Prepared in accordance with the minimum 1 standards for title surveys as established ' N.-Y.S. L/C. NO. 49615 coQ' � by the L.I.A.L.S. and approved and adopted • ,�,�y; PPD`�P for such use by The New York State Land N%C S 17 �YORS, PC. \ Title Association. )�E2� ¢�7Z/ / O \`��O� r 3� EkER STREET �� p�`"0P SOUTHOLD, !e>.'Y 11971 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 344.58 . . . . . Date . . . . . . . . .November. . . .15 . . ., 19.71 . THIS CERTIFIES that the building located at birch .Road . . . . . . . . . . . . . . . Street Map No. . . xx . . . . . . . Block No. . .xg . . . . .Lot No. . .xx. . . . .Southold •N.Y. • . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . M.gy. . . .17. . . ., 19.71. pursuant to which Building Permit No. . .5302Z dated . . . . . . . . . F.ay. . . . .1!J. . ., 19. 71., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . private one •family- dwelling• The certificate is issued to _ •dames Kiernez . . . Owner . . . . . . . . . . • • • . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval NOW*. . .15 - '1971. .by 'R: T111a' House #E 545 i Building Inspe for FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT: TOWN CLERK'S OFFICE ' SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N" 5302 Z Date .......................... ........11........... 19...71. Permission is hereby granted to: ...;E.,,..A-bftA-AhIItw..ft4.... ......math .................................................. ................................................................................ to ...... t#2e7• p1��,.. e...F �1�y vll .............................................................................. ................................................................................................................................................................ at premises located at .........W'd..... ".WI-flew'd............(weir1> )............................................. .......................................aeut1w1dr.........t)rjb�.......................................................................... ............................................................................................................................................................. pursuant to application dated ...........................Ray.........47.....;...... 19...r�x#, and approved by the Building Inspector. Fee $..1.0,jM.......... ............ . i.: ....... ::..::::: Bwlding Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date `OV 15 i9li Bldg . Permit No . TO WHOM IT MAY CONCERN : The sewage disposal facilities for a structure located at - Ail !if il (Give d d locatio ) ' have been inspected by this department and found to be satisfactory . Cktiioi a.t Genoal Lngineering Ser.vicee NOV 1 fpi sewer era i � iS�J/ �� !— ¢/-wv�u 4 ny. TOWN OF SOUTHOLDj WILDING DEPARTMENT 7 z TOWN CLERKS OFFICE SOUTHOLD, N. Y. Examined ........ ..........j. .......7...., 19. .. Application No. . O Approved ......................................... 19........ Permit No. .J�.3.........�:.. Disapproved a/c ........................................ ........................... ..................... ........�.. . ;. .�.... . ..... .......�inspZto APPLICATION FOR BUILDING PERMIT Irk Date ..........................M Y...........1.7.........., 19...7 ..... INSTRUCTIONS A C� a. This application must be completely filled in by typewriter or in Ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoin) remises or public streets or areas,and giving a detailed description of layout of property must be drown on the diagram whh is part of this application. 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 permit shall be kept on the promises available for inspection throughout the progress of 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. Edw. Abitz Con.F$q:�Pr:..IA,F........................................ ............................. (Signature of applicant, or name, if a corporation) ..... ....... ............ ............................................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................Q.9mIx .ctfx..................................................,..................,......,............,......,................................... Nameof owner of promises ..W.iiw§ ICS.t:rn&u................................................................................................................... If applicant is a corporate, signature of duly authorized officer. S ................................................................................................ (Name and title of corporate officer) 1. Location of land on which_proposed work will be done. Map No.: ....WIPA ................... Lot No.: ........................ Street ar+ki Number y.�� .......vuwa..$_ wa..............ART,l'1t171a ll............:....::........................................................ Municipally 2. State existing use and occupancy of promises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......Ucant..,and................................................................................................. b. Intended use and occupon. ...............aDl ,. ...,.................................. ....................... v 3. Nature of work (check which applicable): New Building ,... ...... Addition .................. Alteration .... .......... Repair .................. Removal .................. Demolition.................. Other Work (Describe) ................ .........,.......... .. 4. Estimated Cost ............2,6,500..................................Fee ...1a,00.......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...QP*..................Number of dwelling units on each floor ............................ Ifgarage, number of cars ..........PO........................................................................................................................... b. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ................................ 8. Dimensions of entire new construction: Front ........`1........................ Rear......... ................ Depth ........2f........... Height .................... Number of Stories .........6MA..................................................................................................... . 9. Size of lot: Front ...101.................. Rear .................................... Depth .........130................ 10. Date of Purchase ........................................................Name of Former Owner ... ;.....�r LY A Nk S .......................................... 11. Zone or use district in which premises are situated .......!A ....7,115t........................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ............$e........................................... 13. Name of Owner of premises ..JAXO.S.M.9=9F1,......Address .........Baysids.................. Phone No. .................... Nameof Architect ......................................................Address ............................................ Phone No. .................... Nome of Contractor ....$.-Ab.;tz............................Address ..............M&ttltittlk........ Phone 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 or description according to deed, and show street names and indicate whether interior or corner lot. r7 3 r 07M K7 I. I v -�r STATE OF NEW YORK, 1SS COUNTY OF ....SAftelk...........J ............................................EdaraarAs.......WA...............being duly,sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ...............XOAtirActei~.......................................................ent,..........rate......ice`r. etc................. (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. Swam to before ms this 01 ....................17 of .........................k!&y........... 19.1.1 C .......r......... ........................... Notary Public, County (Signature of applies �LfZABETC AN V New NOTARY PUBLIC. St of New York No. 524125850, SUIM Coun Term Fxpir Mareh 30, 19 ,/-71 d stin=t nes >< -25 TT low 4W= � ��53V z 7-- y Toviiiiiii awn am= �c sown ia, i T. Examined ......` ��1�.. ....... 19......� Application . Approved ............................. ........ 19... .... Permit No.\ � � .......... Disapproved a/c ............... .. ............... ........... r ........................................................... &Q CQ .................. ... ......... ( ......ng.. ........................... A"LICATION FOR BU16pMlti Date ...... .................... INSTRUCTIONS IWO ` o This application must be completely filled in by typewriter or in ink and submitted in duplicateNi to the Buii�rtg Inspector. W b. Plot plan showing location of lot and of buiktinpt at premises, relationship to a ►tg peenti�esee psibbc streets a areas,and giving a detailed dncriloon of kayout al;rapaety must be drawn at tin d1 gum riblet ie poet of dtir applksgiM c. The work covered;by this appikation stay net fie damn+ d befans issumtee of BuadhV parsait d. Upon approval of this application, the Building inspector will IwN'a Bu"ft Permit to tits appIto Such perm Shall be kept on the premises available for inspection throughout the progress of the wok. j e. No building shall be occupied or used in whole or in part for any purpose whatever until o C*Mftaso of Occuparcy,)o shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the Issuance of a BuNdit Parait to the . Build=renpp�Zots Ordinance of the Town of Southold, Su County, Now York, and other applieabb Laatrr Oludbssstcee es Regulatkxp, for the construction of buildings, addition or alterations, a for rinvsrat er d1NneBlim. as Mioedts fiacribod- The applicant agrees to comply with all aWicabie Tawe, ene=ma es, buildingcoode, ng code"and �awris, .......................... IS re of , or nam,`, if a corporation) G t � .................... State whether applicant is owner. lesser, agent, architect, engineer, general contractor, electrician, pfumbo► or buildor. / 'L(........:............................................................................................................ ..... Noma of owner of premises . . .. ... �!YK ............................... If applicant is a corporate, ppm ' of:dkry sed (Nome and title-of corporate officer) 1. Location of land on wZ'e posed work will be done. Map No,;NY .... ...... LotNe. ......... ......... Street and, Number /i . ............................ .. .. .?»�.. —sys� � .................... 2. State existing w► and occupancy of/promises and Intended use and occupancy of p Rpm M1 eoneleur:tion: a. Eelsting,use and occupancy .....I! .............................................................................................. b. Intended use and occupon.. ...... .. . ........ . .... ........ ........................................................................................ 3: Nature of work (check which applicable): New Building ..4/..... Addition .................. Alteration Repair .................. Removal .................. Demolition.................. Other Work (Describe) .........,...... ..'....... .......... .. m ' / 00 4. Estimated Cost .. . :.Zj !?.Q.................................Fee .. .l�e...�............................... .................. ..,. ............. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...................Number of dwelling units on each floor ............................ Ifgarage, number of cars .............. ..�' r(flt ........................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....i........................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories .......................................,..,...................................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ............... Height ...........................Number of Stories ................................ 8. Dimensions of entire new construction: Front ..._S"2. ..................... Rear ...17A. ............... Depth .. �'.............. Height ...Ile.!........ Number of Stories ...J?. .. ................................................................................................... 9. Size of lot: Front ...AP 0............. Rear ....... Depth ................. 14. Date of Purchase ........................................................Name of Former Owner ............................... ...................... . 11. Zone or use district in which premises are situated ......A4.....................................,.....l..................... ............... 12. Does proposed construction Mo an tonin law, ordinance or r ulation? ...N0.................. P aP 9 o. .................... 13. Name of Owner of remiss al1F�iFfol:......Address t.... Phone N Name of Architect ..................if............ . . . .. .Address .... ...................................... Phone No. .................... Name of Controcto.4.,� . . OF49V}---:....Addres .. ........& ...?.. ofiG.rir.3410 . PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate oil 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 comer lot. G {t STATE OF NEW YORK, 1 S S COUNTY OF ................................f . . ......................I......................:.............................being duly sworn, depos and says that he is the applicant (Name of individual signing application) . abovenamed. He is the ............................................................................................... ........................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to 'make and file this application; that oil statements contained in this application are,true to the best of his knowledge and belief; and than the work will be performed in the manner set forth in the application filed therewith. Swom to before me this ........ ........... day of ......... ..................I 19.7T.P..Q'�''��'"/ --g................................................... �lotory Public, .. .. Q..l�.�.tM... County (Signature of applicant) MARION A. RE M NOTARY PUBLIC, State of New York No. 52-3233120 Suffolk County Term yapirea March 30, 192