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Home My WebLink About23313-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24706 Date OCTOBER 29, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 275 CLEARVIEW AVE. SOUTHOLD, N.Y. House No. street Hamlet County Tax Map No. 1000 Section 70 Block 8 Lot 39 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 15, 1996 ~ursuant to which Building Permit No. 23313-Z dated MARCH 18, 1996 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 ENCLOSE PORCH ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to LAUREN PRAHS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N-392355 - JULY 26, 1996 FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~ 23313 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ...~..~,~.~. ....... .~,r~ ......... -- to...~...~.~..~ ........ ~....'..../.~.~.~ ......... ~/, ......... ~ ........... ~./..~. .... at premises located at ....... . .~.....~.~ .......... : ................................................. CountyTax Map No. 1000 Section /~) Block ~' LotNo, pursuant to application dated ..... ¢~,, ,~...~.~. ......... ~ ................. 9...~.~,. ...... and approved by the Building Inspector. Fee $ ........ ~,,.,; .......... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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, 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. 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 Buildinz - $100.00 3. Copy of Certificate of Occupancy - ~ .255 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ......................... New Construction .... .~. .... Old Or Pre-existing Building ................. Location of Property...~.7.~.....~...~..~/..~.... ~..~........ .... . ..~.~.~..~.~.(~-~.. .... · · ............ House No. Street Hamlet Onwer or Owners of Property ..... '~. ........ ~.... ¢ ....... ~ ...................... County Tax Map No 1000, Section...~..7. O... .... . Block...~... .... . .. ..Lot .... ~..2 .......... ... Subdivision Filed Map ..... Lot .................. Permit No...~.~3.%.F....Date Of Permit ................ Applicant ...... ~ ......... ~ ........ Health Dept. Approval. ................ . ... . .... Underwriters Approval.....~... .... ....... ... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $~XT~j ~1~ ............................ i .. .~~,~~ ........... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1185077 BUREAU OF ELECTRICITY [~ 85 JOHN STREET, NEW YORK, NY 10038 9.,~ J[FLY 26,1996 Application Mo. o. fii$ i141479~/96 N 392355 THIS CERTIFIES THAT o~y the e~c~r~ ~ulpment ~ ~scri~ be~ a~ l~t~uc~ by ~ ap~icant ~d on the a~e application ~umber in the prem~es of ~UREN P~US, 275 C~VI~W A~, SOUTHO~, . ~Y 22,1996 and found to be in compl~nce with the NaHon~ Elect~cal Code. FIXTURE L. I I FIXTURES I RANGES tCOOKING DECKS I OVENS IDISH WASHERS EXHAUST FANE 7 { 5 4 7 r DRYERS { FURNACE MOTORS [ FUTURE APPLIANCE FEEDERS SPRCIALREC'PT TIMECLOCKSIBELL ~ MULTI.OUTLE DIMMERS SERVIC~ DISCONNECT NO. OF S E R V I C : PADDLE~ FAN-I MOTORS, 1 -F H.P. ROSLAK ELECTRIC P.O.BOX 164 CUTCHOGUE, NY, 11935 LIC.~3677 GENEllAL MANAGER Per 1,1 This certificate must not be altered in any manner; return to the office of the Board if incorrect. ~nspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF cERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. L}/','1' I:: C L)I'II-JI'~ Il i',~{ {:()IIIII)/XT 101! ( I ~;'1' ) Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 9, 1996 Mark K. Schwartz 275 Clearview Ave. Southold, N.Y. 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 # 23313-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Il ( '/^G^~' ,IT,) 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING [ ] FINAL [ ] FIREPLA/~~I ~M.N~Y REMARKS~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [~']~RAMING [ ] FINAL []FIREPLACE & CHIMNEY - m-, DATE INSPECTO -/~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [~ ] R~G~LBG. ~J/INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSP 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~ //~ [ ] RO~J~PLBG, [ ~INSULATION [ ] FINAL DATE ~//~ INSPECT~/~.~ 765-1802 BUILDIN( INSPECTIO N [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY ROUGH PLBG. INSULAT~/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] I~LATION INSPECTOr, _~ BLDG. DEPT FORH HO. ! TOWN OF 8OUTIIOLD IlO 1 I,I)1NG IIEPARTHENT TOWN IIALL SOIITIIOI,D, li.¥. 1197 I TEL: 765- 1802 .... .... ' ' APPLICATION FOR BUILDING PERHIT l NS'I'EUCTIONS BOARD OF IlEAL'HI ............... :3 SETS OF PLANS ............... SURVEY ........................ CI1ECK . ,-...,.: ..... · ............... SEPTIC FORH .'. ~ ................ NOTIFY: %9 - +57~" C^I.! ................... MAIl. TO: .................... Date. · :. ............. ,19 .... 'lhls application stJst be"c~mplete[y fillcal in Dy tYl>ewriter or in ink ~1 md~itt~ to O;e ~,ildi~ lns~ctor with ,3 ~ts of plans, acta;rate plot plan to ~ale. F~ according to sd~h, le. ' ~ ~ ~ o, ',. , ~-,/,,~' ~ti~ n[ lot a~ o~-I~ ildi~s ~i~si .~lati~m~xip to ~jolnlng praises or ~d~lic st'r~k~ or areas, a~ givlt~ a {~tail~ &~riptt~ of la~t of p~rty mstA¢ thts al~} lcatt~. e. 'lira ~[k c~r~l I~ this a~l icati~ ray ~x~t I~ coa~ I~fore is~re o[ ~dlding Pe~it. d. till a~al of thla al~llcat:i~, tl~ Ik;ilding lns~ctov will is~ a ~fildlng ~[mlt to the a~llcant. ~ch posit Mmil I~ kept ~; tim ~i~s ~ailable for ins~cti~ th~t the e. ~ I~ildin8 Mmll Im ~pi~l or u~l in ~ole nv in ~rt for m~ por~ ~t~y ~mH h~ I~n grant~l I~ dm Ikdldi~ ~HACA'H~ 18 I[D~I~ [~ to tl~ IMildlt~ l~lm[~at [o[ the is~a~e of a ~ildi~ Pe~it ~r~nr to the ~iltli~ ~ ~it~e of tim 1~ o[ ~ri~ld, ~[folk ~mty, ~¢ Yod% a~ oOmr a~licable l~s, ~it~es or ~lati~s, for tim ~st~ti~ of I~ildi~s, ~ktlti~s or altevaki~s, or for ~al or {~lltion, as Imreln {~vi~l. 'Bm applicant a~a to c~ly with all a~li~l)le l~s, o~i~es, I~ildi~ ~l~dati~s, aM to ~att ~tl~r] ~ i.s~cto[s a~ ~ia~ m~l in ..~ ~.~ ....... : ................. (Si~tllre of a~llcant, o~ ~, If a co~)rati~) .~.. .., ........ ~ ..... ~ ..... (~illng ~lress o[ a~licant) ..... ,~.~.;'=,,.~.-,.~.-~.-~,.~-- .................................. [, S,h~ =~., t]~ ~'.~.~.,~.~ .......................... the tax roll or ~atest d~/ . ,*~ ' (N<~ at~l title of corporate officer) i ltolhlers License No .......................... Plt~at)er~ License No .......................... I,.lectricltaas License No ...................... Othe Trade's Iicense No I. l~t~ of lm~l ~ ~fid~ I~PO~I ~rk will I~ ~ .............................................................. ..... Z~..'..~t~J:~:*.~..~ ~ ........................... ~o.~.~..t~ ..................... 1~ ~l~r St~t__~__ --~ ~l~ulet ,~,,,~ .,.~ ~, ~. ,~ ~¢~i~, ..~ ...... ~ ..mm ........ ,~ ...a:~ ....... (~) 2. State exlati~ u~ a[~ ~c~amy of prmi~s a~l int:et~ n~ a~l ~y of ~ c~stmct~ 'l. P;dme el: x~o~k (clieck ~Jdch appilicol}le): Nc~ Ikiihli~g .......... ' ' ' (l~:r i pt I. 1£ I~.rzJl;e, i.,d~er of cora ..... ! ............. ~'. ................... IH,,enM,~m o~,~ ~ln~ture ~t~h allerit~a~~ ,.till. ions: I,,ont ..~.3 ......... I~m' .,7~ ........ ~,,h ...... .~ ......... ~ui~,,t ..... ~3.(~ ......m,lm or S,,~iea ..~ ...... ~itO,~' .... ~ ............. .l a,,~ ,,~ S~o~i,, . .~ ............ ! ...... ........ ~. ..~ ,,~ ,,~ ,::.:.m~ i., ~,:., ~.,,i~..~ .:.~m ..... g.~ ................................................. 13. J{ill Io1: I~ relJrt~[d .... ~t .........~ill excess Jill i~ rmm*l [:'m: pre. i.e.: ~I[S ~ , ~.,~ 0:: m::,:,m.. .......... ~ ................. ~u,~...~C .................... ::~,~ m ..... ~.~ ..... ~ue of rx~ll racl'~}r ..... : ............................. ~[Ire~ ............................... lllOl~ ~ ............... lis Ihi8 pml~Jl:y ~Jthin ~) [~1 o[ a tidal iai'Iraqi? ~ ~l[q .......... ~ .......... 15. PI.ET I) I ^C, IJAH ltx:~lle clearly taxi d|stioctly all IxHhlings~ xJsetlmr exisring or proFmed~ taxi i~llcnre ell set-I~:k dJn~nsions INDERWRITER$ CERTIFICAIE OCCUPANCY OR USE IS UNLAWFUL,, ' WITHOUT CE'RTIFICATE, OF OCCUPANCY .:;('A'II'; (F hllR,l Y(}tlK, (lXlNI¥ OF .,~ .... APPROVED AS NOTED ~^,.~: ///,o/~,,~ s.,.# , ~ ~ :~/.," '~ NOTIFY RUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH ~' FRAMING '&. pLUMBING ih 3, I~ISULATION~ 4., FINAL~- CONSTRUCTION MUST BE COMPLETE FOR C,O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ........... -~ ...................... t~:inlt dilly (,'~}rn, delxmea m,I ony~ that he ia Ihs nl}plicmd (N;.I.~ or ilxllvid:ml, llJJ]liJlll] (:()liJ.r~e~) ia the ((x} I. rnc r, olJeiit, e rl~Jt~lte officer, el(:.) mild ¢~mr or ~imrt:,. m~l' itl duly /:~/lhorlr~d l'o ix~rf'erm or Imwt '" ' lX]l Ii)fill!il ,lhe onJd mr[ cml lo ll[iJl/l m"l Jill: lhJll appliclillon; Ihal: lil l atoJ[tlEli[a (:onta[ix~l in I.hJ, iq:ill il:lit'loll lire tll~ Lo tile I~tol: oF Ilia klx~lt~ll[a taxi IxH iefj elKJ IlmL Jh(~ ~)[J[ ,ill I~ I~r[Olll~l ill: I(l[ll[illl~r IlOI] I~/[Ih. Jn tile ODlillcnl. lon t'[lcd Ihelt~JlJl. .................. day o[ ......... ~' ' t .... 19 ....... {Or) d