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Home My WebLink About29391-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29472 Date: 05/28/03 THIS CERTIFIES that the building ADDITION Location of Property: 4265 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 3 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 19, 2003 pursuant to which Building Permit No. 29391-Z dated MAY 19, 2003 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. i The certificate is issued to ALFRED T YOUNG JR & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Au riz d Signature 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) PERMIT NO. 29391 Z Date MAY 19, 2003 Permission is hereby granted to: ALFRED T JR & WF YOUNG PO BOX 745 SOUTHOLD,NY 11971 for RENEWAL OF PERMIT #8328Z FOR ADDITIONS TO AN EXISTING SINGLE FAMILY AS APPLIED FOR at premises located at 4265 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0003 Lot No. 013 pursuant to application dated MAY 19, 2003 and approved by the Building Inspector to expire on NOVEMBER 19, 2004 . Fee $ 150 . 00 217 Auth r ' ed na COPY Rev. 5/8/02 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. N- r �--" BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NU 8328 Z Date .,fir....... .................... .. . Permission is hereby granted to: ..............'C . . ..... ........... 4. ..... to ... er r` r. .,r.w ........... .................................. .................................................. at premises located ..........Z'°jas.+w2....l.::ii.o::. sd ...... ...................... ................................................... . . .,�... . ................................................... . ....... .............................. ........... ..... W#AAftf- pursuant..to.application,.dated..../ ..... ........... ............,.. . 15ondapproved. • by the Building Inspector. Fee $. , ..... r guilding Inspector .. ~.. Form No.6 -- r_, TOWN OF SOUTHOLD '' BUILDING DEPARTMENT TOWN HALL „1Y 2 8 200J 765-1802 APPLICATION FOR CERTIFICATE OF OCCI. AN 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. 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$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. May 27 , 2n01 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 4265 North Bayview Road Southold NY 11971 House No. Street Hamlet Owner or Owners of Property: Alfred 'r . Young , J r . Suffolk County Tax Map No 1000, Section 0 7 9 Block 0 p 3 Lot 0 1 3 Subdivision Filed Map. Lot: Permit No. 2 9'39 1 Z* Date of Permit. 5/ 1 9/0 3 Applicant: Alfred r . You--rig , J r & w *Renewal of Permit#83282 12/75 Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 2 5 . 0 0 �� /� A plica Signatur FIELD INSPECTION REPORT DATE COMMENTS �1 b FOUNDATION(1ST) l� y -------------------------------------- FOUNDATION -----------------------------------FOUNDATION(2ND) C � O QJ ' 6' ROUGH FRAMING& y PLUMBING �J c n r INSULATION PER N.Y. �] STATE ENERGY CODE cor FINAL ADDITIONAL COMMENTS zq3�/ - Z tv r n � z -- H FORK NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT gnN l� mp v5) TOWN CLERK'S OFFICE SOUTHOLD, N. Y. r Examined ...4I4f ....T.........., 19��. � � J (e a'�ti1 Application No. ff•••............. Approved ..44...... ........... 19/�.. Permit No. .. ... � 1 Disapproveda/c ............................................................................................ U ............................................................. .................... .......................... 10 ��EBe. uilding Inspec or�.. APPLICATION FOR BUILDING PERMIT V Date .... .......4..... .. 10 i INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 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 v areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. C 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 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. HERE Y MADE to the Building Department for the issuance of a Building Pernft pursuant to the Building Zone Ordinance the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the constru ion of buildings, additions or alterations, or for removal or demolition, ill 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 buildings for necessary inspections. A-f-�............ . ............... ........ .......... . ... .....R ....................(Si a applico tor e, if d corporation) NY ' (Address of applicant) State whether applicant0owner, essee, agent, architect, engineer, general contractor, electrician, plumber or builder. i Nameof owner of premises .. ......................................... .,,... .............................................................................. If applicant is a corporate, signature of duly authorized officer. .................................................................... (Name and title of co rporate officer) Builder's License No. �� Plumber's License No...... . ................................... Electrician's License No. ............................................ 1 Other Trade's License No. .............................................. 1. Location of land on which�roposedw/ork II be done�#ap No� .... �`� ......................... Lot No. . ...................... Street and Number ....?`:��, ............ !eV� :'... z'' ... UI�041 ./.� ......... ., A,. ...... ............. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... �Li/I✓�.... ...... f1402 L), ....................................................... T '✓ b. Intended use and occupancy ................................................................................................................................ N, J/Zteration 3" Nature of work (check which a licable): New Buildin . � � Repair .................. Removal .................. Demolitior,.................... Ot er ork ...................... .............. ...... // (Description) 4. Estimated Cost ..�00q...........................................Fee ...1.��........................................ ............................ (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 ............................................................................................................................................. 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 ................................ Depth .................... Height ........................ Number of Stories ........ ��,........................................... .................................. Dimensions of same structure with alterations o additions: ront .... ..3J.................. Rear ............:............... Depth ................................ Height ....................... ie of Stories ......i7N ............... 8. Dimensions of entire new construction: Front ...................I................ Rear .....................:...... Depth ........................ Height .................... Number of Stories ................................................................................................... ........ 9. Size of lot: Front ..................... t .............................. Rear ...........f'?�....................... Depth .....19.. .....:�.......... 10. Date of Purchase ........................................................Na of Former Ow er ........................................................ 11. Zone or use district in which premises ore situated ....... Y ��Lcn!7�R ........ ............................................. l2.. Does proposed construction violate any zoning law, ordinance or regulation: .... ............................................. Q. Will lot be re rodedN�.......................ti�S Wi ill excess fill be removed from premises: ( ) Yes (J() No 14. Name of Owner of premises .................................................... Address ................................ Phone No. ...... ........... Name of Architect .............................................................. Address ................................ Phoney No. ...................... Notreof Contractor .......................;7�......................... Address ................................ Phone No. ...................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Gi a street and block number or description according to deed, and show street names and indicate whether in erior o corner lot. �Ps LA�� 0 R T ,a 7!; 31 V s `v W s lo3, . a 1-& -PwC +v STATE OF NEW YOS.5 J t COUNTY uKF...........f ............... IIL. rG.d.......Ta.......Y.Q.W.4 ..............being duly_ sworn, deposes and says that he is the applicant (Name of individual signing contras# above named. Ow'/vi- Heis the ................................................................................................................................................................................. (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. Sworn to before me this a..r ....... day of .................. 10-5. NotaryPublic. ............................... 6.71.1.K... County ....... ... ........... .......................... . . .. . . ...... . .. ..... ... . . Aof Ica NN NE EU p Bl C. State of Nevi ntyrk NOT"", OT" .8125850, Suffolk C 141. 52 Term E%Pirts March 30: 0 r CMC DESIGN GROUP GARY LENHART,RA. ONE EAST SUNRISE HIGHWAY 2003 FREEPORT,NEW YORK 11520 516-623-5000 718-723-8100 May 23, 2003 Town of Southold Building Department Town Clerk's Office Southold,NY 11971 Re: CMC Job# 180303 Permit# 8328 4265 North Bayview Road Southold,NY 11971 Sec. 07900 Block 0300 Lot 0600 Alfred T. & Cynthia E. Young To Whom It May Concern: Please be advised that the construction work associated with the above referenced Building Permit No. 8328 have been completed. The submitted plans represent the actual construction as best as could be determined during our on-site inspection. The completed construction complies with the requirements of the NYS Uniform Fire Prevention and Building Code. Respectfully, r - 4C:i x 7enhart,R.A. r CMC DESIGN GROUP/GARY LENHART,R.A. 180303 05/23/03 roan an 10 REVISIONS I NO. DATE OF T tl Z tl ° vo : ' blY �l � NAhFt Ghb �1OxUA��uWV'ra W m $ o G. l.�.�15 r d•.�.µGyVj +'IW N�''r'►/s J[rY�'. '�z 16�0.G � I- v- m i W. o �, S /p_'ff'P Lam° ..�� rj_of 'IF 4, cmc DESIGN lk, inaan, VORI� GROUP r '�vsa.lrl'r,4, L ° OF '8q'Or �' 6Md, 'Mt a"111h 4 �a!AeV DRAWN &Y .N:Gp pn, 1 \X v M. 5?G, pf.ID W 10 ' p�pMll'A,; lRMIIAAI! ME1' N. # 44" s E� vo' Jr P 6r I, CHECKED 4, llJ9r'c' w/v, ' 4iW.q�, v .TY; :u,:' . ` ... _ — A DATE �qTS. 7W .' , Idr 5-b- ✓ 'b�7iJDf *Av kifcFh _ I SCALE 64 NdT'!,'O u 'MGTA bIW� hp11 CIIgA'11'R b'fM �h�K f g S 4 H OF F e ddCtl Fat Ar T}'ejjRt jot, K chi A4Lx •�y9�yM•�,�1yyyMPM! 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DATE N. 4 \YD ryedl>r4. 4 z a y A\Vv W N Z 00 jOA V O LL N OV CMC 17706okREVE 6.01M `3s i 10 xc.•*oy+ .ud - DESIGN GROUP ' ORAWN BY Y1:G• r. -l�py(-hRl�a(y,{Ipy,dyy CHECKED -- DATE s-&-00 — SCALE 747* 1-0 14 cz E= Dt�i'( L�bDr'(ION aF G�XI�Y( YIkMILY4 �IIOR�zc tiG12MF1 A{7I�1'�ION z :z ilk -- u t MAY 16 W MEE OF �L