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HomeMy WebLinkAbout24467-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25458 Date: 12/30/97 THIS CERTIFIES that the building REPAIR & RENOVATION Location of Property: 325 BAY AVE EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 25, 1997 pursuant to which Building Permit No. 24467-Z dated NOVEMBER 6, 1997 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 REPAIR & RENOVATE EXISTING ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to GEORGE F BAKER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Buildin Inspector 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.......NOVEMBER 6 , 19....97.. 24467 Z ......„................................. Permission is hereby granted to: .......-GEORGE...F...BAKER.............................................. ....PO..BOX..22.......................................................... EAST„MARION,NY...11939............................... to.......MRATR AND RENOVATE AN EXISTING ACCESSORY BVIU 9..A.6„,�?,PLjEP .............................................................................. FOR .................................................................................................................................................................. ................................................................................................I. ............................................................... ... . ........ ................................. ................................................................................................................ 325 BAY AVE EAST 4t premises located at............................................................ ........................................... .. ................................................................................................................................................................ County Tax Map No. ......473889,.. Section ....031........... Block ......0010,,,,,, Lot No. ..Q;U............. pursuant to applicaflon dated .....SEPTEMBER„25 „ 19 9? and approved by the Building Inspector. Fee$.........35..00... Building Inspector Rev. 6/30/80 Svli��O7 3 I_LJ=_iC V T OWiv . apz__c�._oa pat be f _ed in by -yDe• __er OP. epic anc s bmi_=ed �o :.IE �u_lc�_�g -=spector v__.- the flow g: -or new bui'_d:g or new use: __,al survey C: .pro-Der-:9 Wet:, ac Curate _ocat=on of all e streets, and unusual natural Or tODOgraDhiC =eat;;res. _. final ADDroval from Realty Dept. of water supply and sewerage-dis osa_(S =Orm) 3. ADDroval- of electrical nsta-latior from board of __re Underwriters. Sworn statement from plumber certifying that the solder used in system conta_2 less t:an '7of 1» lead. 5. Commercial bu_lding, �=dustri- 1 building, IMIIltiple residences and similar buildings and ins taiiations, a cercificare of Code Compliance from architect or engineer responsible for the bu;'ding. o. Submit Planning Board ADDroval of completed site Dian requirements. B. Por existing buildings (prior to Apra' 9, 1957) non-conforming uses, or buildings and "pre-eYist=�g" land uses _ . Accurate survey of property sh074^-g all proDert7 lfnes, streets, building and unusual natural or CODOgrapaic features. _. A DroDer'-V Completed application and a consent to LZsDect siped 7v the aDDI_cant. _= a Certificate of Occupancy is denied, :he building _nsDector sca'-= State tie reasons therefor - w__ting to the applicant. : . Cert___cate of Ocz--,Danc? - New dwel__ng 525.00, Additions to dwe___ng :_5.00, lterat=Ons to dwelling 525.00, Swimm+ .ng 000! 525.00, Accessory budding S" 00 Addie=ors to aCCessory OL'ilding 525.00. Businesses S50.0. _. Cert___Cate of OccuDancy on Pre-eYisti_-:g 3u"Id�- - S100-00 3 . Copv o= Car____c__e of Occupancy - .25c. Updated Cert___.._te of Occ-:Danco - $50.00 O. iemporar'v Certificate Of OCc panc7 - Resident=al 51.5.00, Commercial S15.00 Date //C-./h.�. . . . . . . . . . . . . . . . . . . . . . . . . . . . \ . . . . . . . . . . Old Or ?re- istiII; Building. . E. . . . . . . . . . . . . . ew Construction. Location of P_oper:v. . . . . . ...`. . . . . . . ... .Y . . . .`.`. . .`. .. . . . . . . . . . . .c. . . . .f.� . .�.. . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . . . .. ... . .... . . . . .11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax MarlNo 1000, Section. . - . . -3J. . . . . .Block. . .� . . . . . . . .Lot. . . C �1. . . . . . . . . . . . . . . Subdivisior.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .r4'ed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . .G 4' - ? t. .! !1.�./ � . .ADD1=Cant. <t C''--C ? rm_t No. . . . . . . . . . . . . .Date Of ermi . . . . . . . . . . . . . . . . . . . . . . . HealDebt. Approve... . . . . . . .. . . . . . . . . . . . . . . . . .Under-writers Approv ai. . . . . . . . . . . . . . . . . . . . . . . . . ?' = -:n_:s 3oard Approval. . . . . . . . . . . . . . . . . . . . . . . . Rec"est =.:.r: . . . . . . . . . . . '_nai 'Ca=t_Cat_. . . . . . . . . . . - . . S,C . . . . . . . . . . . . . . . . . . . . . . 2- BUILDING DE". INSPECTION [ ] FOUNDATION IST [ >] ROUGHTIOBG. FOUNDATION2ND [ N FRAMING [ AL [ ] FIREPLACE & CFIIMNEY REMARKS: az4tel O/Z le4 DATE INSP iELD S." T—. (JllA;L n 1 . H OU14DATION ( 1st ) _ t . � FOUNDATION ( 2nd ) 2 . EEJ! z O w N-- ROUGH FRAME & PLUMBING H 3 . c� r� INSULATION PER N . Y. 1 STATE ENERGY 1 CODE x 4 . t FINAL O z ADDITIONAL COMMENTS : x ' rn v H a ' Q O y' z a r • - x BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . 2 BUILDING DEPARTMENT CHECK -P •TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTTIbLD, N.Y. 11971 TEL: 765-1802 NOTIFY: 1 CALL . . . .� . ,! •C/� Examined..... ...., 19./. MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved./e/.. 19 ,7 PL No. �.7 .................................... l ., Disapproveda/c .................................. .................................... ...................................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work cowered 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 HEEM MALE to the Building Department for the issuance of a Building Permit pursuant to the 1041ding 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 bu' ding for ssa nspections. F .. ...: ................................ -(Signature of applicant, or name, if a corporation) �© B),:!X 22 lvy J193� .............................................. .. . (Mailing State whether applicant owner lessee, agent, architect, engineer, general eleclrici�n, plt"*r or builder •.......................................... .................................... Al ................ Name of owner of premises ..4`�...o R G E . ........... R.................1, .......... ..M ...... .... (as on the tax roll or latest deed) � � . If applicant is a corporation, signature of duly authorized officer. POUANM .(Nano-and. title. of. corporate. officer)- OCCU 1 "M OR USE IS, � S UNLAWFUL LAWFU L 2-3. NUMIL, M Builders License No. .............WITHOUT CERTIFICATE 4. BE COMPLETE FOR C.O.ON MUST Plumbers License No. .............Of.-OC-ICU PANCY ALL CONSTRUCTION SHALL MEET Electricians License No. ..................... n THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENFRCY Other Trade's License No. .................... ( r' r. NOT 4 E S P O N S I B I f= TK)N 1. Location of land on which proposed work will be done............................................................... '. ........t........ t,.............. .....3 2 S ....-RA y �1 vew u e7 FAST- 10,41?16nl .................. ..................................................................................... louse Number Street Hamlet County Tax Map No. 1000 Section ... 1......... Block ...1C-1......... Lot ..../I.......... Subdivision ...................................... Filed Map No. ............... Int ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupant' ......UA.VT�U/C I�/IVG ,/DO L..SNED ................... .... .................. ........ .. b. Intended use and occupancy ........ ..... ..................................................... 3. Niture of wor�((check %Lich applicable): New Building........... Addition .......... .......... k/ Alteration Repair ... ... Removal ............. Demolition .. Other Work ................................. 0 (Description) 7 d 4. Estimated Cost ...............:........ fee .............................................. (to be paid on filing this application) 5. if (knelling, number of dwelling units ............ Umber of dwelling units on each floor ................ Ifgarage, rnnber 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.:j. T.:` .!N.. Rear 5'.F7 :Y .�N.. Depth height ... . ....... Umber of Stories ...�........... Dimensions of same structure with alterations or additions: Front .��.FT:.y.!N. Rear Depth ..,lr..F.r. .!�... Heigint Number of Stories ../......... .. . 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. lleig)it ......................... Number of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth 10. Date of Purchase ..................... time of Former Owner ........................................ If. Zone or use district- in which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...N,d................. 13. Will lot be regraded ......M0........... Will excess fill be removed from premises: YES 14. Names of Owner of premises .�� Q�2G f..F.. �KFC.. Address.'80 2✓. .��Rl�(IJpI No. Name of Architect .................................... Address .............................. Ptnore No. .............. Nate of Contractor ................................. Address ...............................Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ..!�..... *IF YES, MIMI" MM 715 MS PERMIT MAY W- RFpRF.D. PLOT DIAGRAM r Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block ember or description according to deed, and show street names and indicate whetiher interior or corner lot. ` Zoo Fr N � p FEoUS� ` .3o Fr ICK/5 TWO ~ 2 CR °o DU-rB0/L61&JG !IR MAlO�t�t GAR 5 'Fr-LI mi xy.,v iION&UOR 17 FT 61 TD SEMimi .2 RE P'A/SCD dA1�Ot!AOti S`rNI. or- NI;.W YM MOf1ti1 J1J2H1 8 .. .-� ''' .... .....................being duly sworn, deposes and says that he is the applicant (N.-me of individual•signing contract) above named, Ileis floe ... M.D W.. ... ............................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is (July authorized to perform.or have performed tike 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; aril that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...................day of .................19........ Notary Public ..................................... ...................................... (Signature of Applicant)