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HomeMy WebLinkAbout24359-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25894 Date: 08/17/98 THIS CERTIFIES that the building ADDITION Location of Property: 370 CLEARVIEW AVE W SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 8 Lot 50 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 1997 pursuant to which Building Permit No. 24359-Z dated SEPTEMBER 18, 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 DORMER ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM E BYRNES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H2868 05/06/98 PLUMBERS CERTIFICATION DATED N/A Building I pector Rev. 1/81 Foam Na f 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) N° 24359 Z Date ......... d�................... 19f.....� Permission is hereby granted to* G.// .............. o ......................... . to . .... ?. ............. e 17 ............... ..... .... .................................. ................ ..... ............. ...........................................��JJ ��.--.... QQ ... . ....... at premises located at...�?/...5 .... IC.K�I . .... ... .......... County Tax Map No. 1000 Section ...... ....... Block ........ Lot No. � ........... pursuant to application dated ......... &.................... 19.2.7and approved by the Building Inspector.. Fee S...7 ..I.�.1.. .. �.... ... ........... uiiding Inspector Rey. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. 4.1 Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1Z 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 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 - .25c, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15..00, Commercial $15.00 Date . . . . . . . .3. . . �Y . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . .. . . . .: . Old Or Pre-existing Building. . . .. . . _ Location of Property. . . ..1� .. . . . .Cl/� 1? Li4? . ... . . . . . . . . . . . . . . . . . . . . ... . . . .. .. . . . . . ,7,5 . . House No// Stre Hamlet Onwer or Owners of Property.. .41:/I' *'11- . . . ZJ. . . . . . . � c�cGu:S County Tax Map No 1000, Section...... ... . . . . .Block. . . .f. ... . . . . . . . . .Lot. . . . . . . . . . . . . ... . . . . . . . Subdivision. . . . . . . .cc... . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. �47� / . Date Of Permit. . . . . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . .. . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . .. . . . . . . . . Request for: Temporary Certificate. . . . . . .. . . . Final Certicate. . . v "X, Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLI. . . . ELECTRICAL INSPECTION SER VICE INC. 375 DUNTONA VENUE EAST PATCHOGUE,NEW YORK 11772 (516)286-6642 H2868 DATE: 5/6/9, APPLICATIONNo.ONFILE VILLAGE: Southold TOWN: Southold ADDRESS: 370 Clearview Avenue MUFDTO: William Byrnes 111TRODUCED BY: Above LICNO: wa.e esamined on 5/6,198 and found to be in compliance mth the National Electrical Code LOCATION: Base.. 1st 2nd xx 3rd Attic Det Garage Hot Tub Pool I SWITCHES RECEPTACLES FTffURES HEATERS FANS G.F.I. AIR.GOND. I 3 8 2 1 paddle DISHWASHER DRYER CLOTHES WASH I GAR.DISP. RANGE OVEN SMOKE DETECTOR 2 FURNACE OIL GAS CIR. MOTORS BELL TRAM. SERI]CE DISCONNECT METER AMPS PHASE OTHER EQUIPMENT AN IrLECTROt suRVet HAS KEN MADE Of THE EXPOSED ELECTRICAL EQUIF`I'AENT IN THE PREMMSES NO VISUAL DEFECTS Ef"o HUGO S. SURDI PRESIDENT BUILDING PERMIT No. ]LUs aatificate must n«be iltaedmeny manna Lsspeclmsmey beidm bfizd bythe av dentals BLUE ORIGINAL YELLOW COPYPINK COPY OFFICE ru:I-17 Im;�Ia:tlnn nr.rulrr unit: rultut;u'r:; ---------------------- Ill IS II II KrIWI ( IST} a vt Ia 1`Ulitllln'C tI7N ( -till) ol s _z II IIII1:11 Fr RAJ II: R r V1.1111111HO ,y _ ----------------------- f =� - - _..___ � -------- WI'ATR RIWI :Y COOK I ------------------------ - �-- ----------------------- ell --_-__----_--_---_- v P I IIAI. ------------------------- -------- -------------------------------------- ^nnu^r I U11nt.-San ltlhtrr ._-------------...-------_-- _- --_--.......---- __-----_-...._.....,...----. _ i 1 I II �I o 171— r `1— r" G Iq 22 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO H P ULLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ j FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 0/�-, G'k t Com. DATE r� =s �7 INSPECTOR � / G; M-i$®2 BUILDING DEPT. INSPECTION [ ] FOUNTION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLAC E & CHIMNEY REMARKS: e J DATE /b INSPECTOR 1 1 J 672.5-wer4;W j� /uE A(1(; ,99? T N O spEY7 k p bV D — ao °o N I� v 7"-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNE REMARKS DATE INSPECT M BOARD OF HEALTH . .. . . . . . . . . . . . . D U FORM N0. I 3 SETS OF PLANS u . . .. . . ... ..TpWN OF SOUTFOID SURVEY . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . Z TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 BLDG. DE1't TEL: 765-1802 NOTIFY:,6s_?s°8? TOWN OF S TH LDQv� CALL .1,6!:-.3 ;7. . . . . . . Examined.y. ...... ..., Is, MAIL TO: . . . . . . . . . . . . . . . . . . . Approved. ..� ., 19!x`/ Permit Noxi:l5 ��.. .................................. Disapproved a/c ............................ .... .................................. ......................................... .... ....... (Building Inspector) LICATION FOR BUILDING PERMIT J(('� p t INSTRUCTIONS i a. 'ibis application mast be completely filled in by typewriter or in ink and submitted to the Building Inspector 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 mist be drawn on the diagram which 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 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 MOW MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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 build' F es tions. ............. (Siggoature of applicant. r ,n�a/me, if aicorporation)! (Mailing address of applicant) State whether applicant is gainer, lessee, agent, architect, engineer, general contractor, electrician, pludher or builde 0 u.1Y.6.%.? .. ..................................................................................... r/ /�� I, Name of owner of premises ..... l&*nl....9....k:.1. w1x4.t.................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. location of land on which proposed work will be done.......................................�.....'.........../.j.!` ......3*70....................�!�.q1'�J.<'t�......A�s;!.... Y............... aZ.✓.!ly......f�!:�. House Number Street DD Hamlet County Tax Map No. 1000 Section .....ZO....... Block ....4 .......... Lot ........ Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of prem.sea and intended use and occ4pancy of proposed construction: d occupancy .........ti ' ; M •a. Existing use � / .................................. b. Intended use and occupancy ..........�/ �G'...f.9:?!' I„�...::•- .:.................................. ... / Aidy V, :r �- 3. NAdure of work (deck wihich applicable): New tkuilding .......... Addition Repair Flcahoval Demolition Otlier Work .. .A ... � plo 4. Estimated Cost .. .......... fee ........ I,--- ............ (to be paid on filing this applit91r1'on)— - - 5. If dwelling, mnber of dwelling emits ..../ ...... timber of dwelling units on each floor'- - - -- Ifgarage, ember of cars ...................................... 6. If business, comnercial or mixed occupancy, specify nature and extent of each type of use...................... I cl l 7. Uihhensians of existing structures, if any: Prunt....�4........ Rear ....�......... OepLh ....3.�........ Ileiglit ......................... Unber of Stories ....A..............+.. Dimensionpps of sane structure with alterations or additions: Front ...r.�i(�:y4! ..... Rear ...S Y.'.'..... Depth ..d&V............. Ueiglht .................... l4nber of Stories ............... 8. Dimensions of entire new construction. Front ................ Rear ............... Depth .......... FFei ht ....t2.Q................. Umber of Stories _...11Z............_. 9. Size of lot: Front .......� Rear ....L`.C`4L9.P...... Depth ..ocq .?A c0.?'....... 10. Date of Purdiase ..................... bane of Ferner Owner .... . ........................._...... 11_ Zone or use district in which prernises are situated ...........tZ.. ns ................./yr......._................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ......�ai4�............ `� 13. Will lot be regraded ......W.b.......... Will excess fill be rercrved from premises: YES IN 14. Names of Owner of pranises Well„yi"...L ..I RI!ucl.... Address �J.7` ..�h..IC '�yiu�-./ ✓�..l+e!k,'.S!.. flwne No. 7�.-. &me of Architect .................................... Address .............................. Phone No. .......... Name of Contractor ................................... Address ...............................Phone No. .......... 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ... . *IF YES, satmaD TOWN 3131S1LL.3 Pl mrr MAY BE 12!?pRmi . PLOT DIAGRAM Locate clearly and distinctly all buildings, wbetlier existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nimber or description according to Gleed, and show street names and indicate wlhetlier interior or corner lot. iy7J � 1 o SI'Alli (Hz NU Y(NK _.....tdillsq,.K „_, : ,.,(�e,,�t�NIL ... ............being duly sworn, deposes and says tliat be is the applicant. (&ane of iudivichml. signing contract) alxroe nrmed, lie is tine00tA�� Dr ................ ......................... .......................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perforin or have performed the said work and Lormke and file this application; that all statemnts contained in this alild icatioh are true to the Inert of his knowledge and (relief; aid that the work will lie perforated in the mintier seC forth in the appticaticnh Filed therewith. Swonh to lieeffo�lime this �j 7 /!........clay of . _ . . 9. Notary Public1"/i<Y22 (Sig alure of App ir H.GIB Notary Publliic.State o f NOW 1 No.524618265 Comm ss ohExpires April 30 IZ -d-[6 4'4 3- F.c`T,. d �51 TN1511Y KXp _:JRCpcSE-C CC - i 2(o t — �J -- I PROVIDE OPENINGS FOR T - --_- _ - EMERGENCY ESCAPE A5 tiL= tU R �o M " REQUIRED BYPART.714Oi N.Y. STATE BUILDING CODE MIK P (9 D$t PIPT� EX R I C;V Ck ""3"r? ( 1 1 a i __—___ � ^•. .- - – r .I. . , .- _. ©5,T �kdH,y'-- RMIREB i II � '��oY11N1 - 9 � L1V �, �� . _ _ �-� -- lii'a, nC, _ .IBJ rCi , '-:' D AP RO D AS NOT,Di' I ff N1 PXt$J rjl t) f: EF k'f 2 - AS TO L�1.1 . - /P oC dwT9dr1� Dtr. ?v r ca r ____.r„ ATHZ ' N.[S BIMtBINB� DATE• � B.P.M -� � -- - �� i r EyT�". I NOTIFY BUILD NI G DEP -- 1 765-1802 9 AM TO 4 F , i FOLLOWING INSPECTIONS: p -- - - - +-( ----,- F ---T� OCCUPANCY OR 1. FOUNDATION - TWOREQUIRED USE IS UNLAWFUL FOR POURED CONCRETE , ..�, __ _ _ r`J. °"ar_C y I i ,WITHOUT CERTIFICATE 2, ROUGH - FRAMING & PLUMBING - 1 OF OCCUPANCY FINAL PL TE FOR -0r;oN Musr GUPA RE. COMPLETE FOR C.O Tr s t THECONSTRUCTION ALL PINET 1 - M;y>'•"" ']"tt THE dF '.7EOUIRElVIENTS OF THE IJV I "-d;STC t:OPJSTRUCTION S, ENERGY NOT RESPONSIBLE FOR ."I 111 np, f;ONSTRUCTION ERRORS . 1LJ �+I tt+;t9Ttr�GjiA -J � - -- -- Ll Y _ EEr 4v1�"`i- tcit � 177 i - -- --- _ — _�._ - ��_Tl I (Zi C__- h 1. ,5 7 h F 1 Elf L EV� Tlf) DOR MEN rfT ;'k