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Home My WebLink About22347-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25614 Date: 03/27/98 THIS CERTIFIES that the building ADDITION Location of Property: 840 CLEARVIEW AVE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 9 Lot 60 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 1, 1994 pursuant to which Building Permit No. 22347-Z dated SEPTEMBER 23, 1994 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 DECK ADDITION & NON HEATED SUN ROOM OVER AN EXISTING PATIO OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DARRIN SKREZEC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 03/27/98 PLUMBERS CERTIFICATION DATED N/A Bu' ing ins ctor 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 AUTHORISED) 9 Date 0 .r ? 19.. l.~l~~ Nn 22347 Z Permission Is hereby grant d to: 0.... Cl F. >vl0.......... to Ji f . ..........;Z x"7.,..... ~f........ f~'?......~~fr.~~? ?..A . at premises located at ................(/..1`.~1........ a?1 , ......:......~.9......... ..a.......................... County Tax Map No. 1000 Section .....T Block .....4! Lot No. k............ pursuant to application dated ............5Q/ f 19...4.~.... and approved by the Building Inspector., ~S'.. Fee $ Bui ing inspector Rev. 6/30/80 1 t Form No. 6 p- TOWN OF SOUTHOLD ~dddttt~~~~"` BUILDING DEPARTMENT pf TOWN HALL 765-1802 705 r k, APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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. 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 Buildina - $100.00 ~3. Copy of Certificate of Occupancy - - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..111114 New Construction........... Old Or Pre-existing Building...... Location of Property... . 6~yQ.......Cr f~tu~;EW...*V,0............... 6 eSTISF?Lp............. House No. Street Hamlet Onwer or Owners of Property... ~~~gtS`!. 5?YILk`Zl°G County Tax Map No 1000, Section. el?-3.rsa . 7. Blo~ . b®.............Lot Subdivision.. FAD f-Vrt5&V J2,009A ...............Filed Map. .argc .....Lot..., 0 Permit No. )-.N7Z....Date Of Permit. .(7_?.',///qy-e Applicant... D111c/tt"ro.9... 5 /ZL rC~ Health Dept. Approval ...........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: aT.4?Q APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 8050838 BUREAU OF ELECTRICITY F_ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date SEPTEMiiER 15, 1995 Application No. onfile 86196894/94 H 047008 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of DARRIN SKREZEC, 840 CLEARVIEW AVENUE, SOUTHOLD, N.Y. in thefo/lowing locations ? Basement I lst Fl. ? 2nd Fl. OUT Section Block Lot was examined or, SF;PTEMBER 1.1,1995 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. K W AMT K.W PMT K.W AMT. Hp 1 F. 3 1. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS $PECIALRECPT TIMECLOCKS BELL UNITHEATER$ MULTI-OUTLET DIMMERS AMT. K. W Olt H. P. GAS H. P AMT. NO. A. W. G AMT AMP. PMT. AMPS TRANS. AMT. H. P. SYSTEMS AMT WATTS NO. OF FEET SERVICE DISCONNECT NO. Of S E R V I C E MIT AMP TYPE METER 1 A FW 1 0 3W 3 9 3W 3 q 4W NO OF CC. COND. A W G. NO OF Hl LEG A W G NO. Of NEUTRALS A NW G EQUIP. PER 9 Of CC. COND OF HIAEG Of NEUTRAL OTHER APPARATUS: PADDIIE FAN-1 MOTORS i 1--P Ii, F. DARRIN E SKREZEC 840 CLEARVTEW AVENUE SOUTHOLD, PIS.', 11971 GENERAL MANAGER 1.1. Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT THIS COPY OF CERifIPICA"CE MIDST NOT BE ALTERED IN ANY MANNER. Q)Q aa3 ? 7 Go a~~p~ f THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE' 1001381 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date APRIL 03,1998 Application No. on file 15735998/98 N 449741 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DARRIN SKRE7,EL, 840 CLEARVIEWAVE., SOUTHOLD, NY in the following location; El Basement ER Tst Fl. ? 2nd F[. OUT Section Block Lot was examined on MARCH 27 ,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 2 6 3 2 =AMP.1 MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SY GAS H.P. AMTNO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AM T. N.P. NOSOF FEET AMT. WAii3 O. OF S E R V I C E ETER NO. OF CC COroDA. W. G. A W. GA. W. G. GIUIP. 1 0 2W11 0 SW 3 0 3W 3 0 4W PER 0 OF CC. COND. NO. OF HILEG OF HI-lEG NO. OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PADDLE FAN-1 G.F.C.IE-1 TRACK .LIGHTING:-16 MODERN ELECTRIC EAST, INC LIC.#2300 Ldw. L L 10470 ROUTE 25 DY PUMILLO PAT LANE GENERAL MANAGER MATTITUCK, NY, 11952 11 Eper This certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i I MAR 2 44Z- a-A-3'V-2 a""-e-- ~+~,-+tic.~ sC/~c..~ -GCS-a-~ - ~c...~.~? ~~.2,3/4'/ .,-eta , M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ } ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ } FRAMING [ FINAL [ } FIREPLACES CHIMNEY REMARKS: Qze~ Cr ~a ?L " L I DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ v]/FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE Z11 Llgrg INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [FOUNDATION 2ND [ INSULATION [,e,,oyrRAMING [ ] FINAL 17 REMARKS: 1 DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATION ~MINQ [ ] FINAL S R RKS; Oke DATE 1#41114V INS I BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARKS: '60 4-0~s5- DATE INSP Page 4 INSTALLATION (U.S.) MATERIALS NEEDED FOR YOUR SAFETY CHIMNEY CONNECTOR: (also known as flue pipe or stove pipe) The chimney connector joins the stove to the chimney. It should be 6 inch diameter 24 MSG black or blued steel 24 gauge minimum. THIMBLE: A manufactured or site-constructed device installed in combustible walls through which the chimney connector passes to the chimney. It is intended to keep walls from igniting. CHIMNEY: APPROVED MASONRY [see specifications on page 3 with at least 5/8" fire clay lining joined with refractory cement or other listed system suitable for use with wood stoves or PREFABRICATED 6 inch listed high temperature or residential type and building heating appliance chimney. Components required by manufacturers for installation such as the chimney support base, firestop [as appropriate], attic insulation shield, insulated tee, etc., are necessary to assure a safe chimney installation. Use only components manufactured for the chimney. CLEARANCE TO COMBUSTIBLES n Adjacent Wall a , Floor protector must be c , F n - e 3/8" min. thickness non- A Q combustible material or " o',e a e equivalent, extending y '6; c stove beneath heater and to e sloe the front/sides/rear as U` =Ao w' FRONT indicated. Minimum Clearances to Combustible Materials (in inches) for Quadra-Fire 2100 Dimensions Installation Clearance Chimnek& Connector A B C D E F Residential Standard Note: 1 14 24 16 12 17 9 Residential/Mobile Home Reduced Note: 2 10 22 14 8 15 7 Alcove Standard Note: 2 & 3 10 22 N/A 8 15 7 Minimum Clearances to Combustible Materials (in inches) (With Top Shield) Dimensions Installation Clearance Chimney & Connector A B C D E F Residential Standard Note: 1 12 24 14 10 17 7 Residential/Mobile Home Reduced Note: 2 8 22 12 6 15 5 Alcove Reduced Note: 2 & 3 8 22 N/A 8 15 5 Minimum Clearances to Combustible Materials (in inches) for Quadra-Fire 3100 & 4100 Dimensions Installation Clearance Chimney & Connector A B C D E F Residential Standard Note: 1 14 26 18 12 18 10 Residential/Mobile Home Reduced Note: 2 12 26 16 10 18 8 Alcove Standard Note: 2 & 3 12 26 N/A 10 18 8 Minimum Clearance to Combustible Materials (in inches) ",'(With Top,Shield) Dimensions Inst tion Clearance Chimney & Connector A B C D E F Residential Standardx Note: 1 12 24 X16 x 10 16 Residential/Mobile Home Reduced Note: 2 10 24 14 8 16 6 Alcove Reduced Note: 2 & 3 10 24 N/A 8 16 6 LD I Y~._Ua IID .E II COhtMENT° _ -•~r a II m 3 LUDATION' _ ~(tst) 1dDATI0I1 (2nd) y 01 o . °n 'GH FRAME - 7rcvG' ` i ~:;-'.PLUFIBING ,L~-v_GC Lef~" f H r LATIOII PER N. YSTATE ENERGY CODE C pill U f lza? - \ - Je • I FINAL 3 to Q C_. C? ' r ADDITIONAL COMMENTS: m 77 1 • x l!S H H O s . m 7 0 m til%li~'_.t^~Y3ah.~+wrr-. v. c•...f l:$:SW.r .i.l r i . BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS W !J TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK I NJ4 ~ TOWN HALL SErTIC FORM . SOUTHOLD, N.Y. 11971 BLDG. DEPT. ! TEL.: 765-1802 t10T I FY 70WNOFSOU7HOL.D Qf/ (CALL y3q.... Examined 19~jr.7/MAIL TO: Approved I 19! 1"Permit No. ~d23 ~ . . Disapproved a/c (B d g 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, 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 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, and to admit authorized inspectors on premises and in building for necessary inspections. - - - - - . - (Signature of applicant, or name, if a corporation) &U-44.6 1J_ (Mailing address of applicant) State whether applicant i owne lessee, agent, architect, engineer general contracto , electrician, plumber or builder. Name of owner of premises ~A ~..L. 6ZZ...~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of pcorporate officer) Builder's License No. l.o _ . /17 Plumber's License No . Electrician's License No . Other Trade's License No . . 1. Location of land on which proposed work will be done . 0 e,& E 1(z 1 L~nl... { ® House Number Street Hamlet ~l County Tax Map No. 1000 Section .d........ Block Q l Lot Subdivision . Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: r a. Existing use and occupancy QNM~ . ....t° . . b. Intended use and occupancy ,~OOAJ ..h"T~....P~'~'f j . 12 a® F~ 3. Nature of work (check which applicable): New Building Addition A1telation Repair Removal • Demolition Other Work (Description) 4. Estimated Cost . 64%C ? II Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling units I Number of dwelling units on each floor If garage, number of cars . . 6. If business commercial or mixed Dimensions of existing occupancy, specify nature and extent of each type of use , . • 7. Di g structures, if any: Front c_, b........ Rear Depth .:/I/ , , . Height Number ofStories Dimensions of same structure with alterations or additions: Front o~ A.:......... Rear Depth Height . Number of Stories 8. Dmensionso f . entire new construction: Front cAP ! . , , Rear Depth . At/. ( Height Number of Stories . 9. Size of lot: Front 1/.7.- A.Y~ , Rear d . Depth .1467.6:Z0........... . 10. Date of Purchase i Name of Former Owner 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: 9.0 . 1314.. Will remises ...(3 • ' • ' . • • • • Will excess fill be removed from premises: Yes No Name of of be Owner of regraded P. . •ses-D q (A/.~ AddressS#0.CI2p,!'VlkwAPR-.... Phone No. Name of Architect Address Phone No............... . Name of Contractor : Address , . P ne No. 1~c within . 3' 15. Is this * 00 feet of a tidal wetland? *Yes........ No...... If yes, Southold Town Trustees Permit may be required. 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. I t I II II I~ I STATE OF NEy YO S; S COUNTY OF .....IIL.. . • • • • • • • SK?r z~ • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ot- He isthe..~?:.....~' ~CMG (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 pet forth in the application filed therewith. Sworn to before me this day of .I!... 7 F 19 l~`l Notary Public, County Notary No. 4951~64 gnatur . fappli ant Publlic, State of No o Qualified in Suffolk County (Signature of applicant) Commission Expires May 22,19 Y / 06 n . IY71 ! TO THIS ALTERATION OR ADJIryON I e.(I - 5 SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE j EDUCATION LAW. Q COPIES OF THIS SURVEY MAP NOT SEARING ' ~.THE.LAND SU.VEYOR'S IN-ED SZA' OR i 10 y EMNS5ED SEAL SHALL NOT CE C-r D., C9 TO BE A VALID TEIY COTE- / { t~.h I ~=C YA1 - \ ! I GUARANTEES A C T20 HEREON SHALL WN A l Bf ONLY TO ' L THE , AC' SOY FOR %,,,m THE SURVEY 20 ~ R% 1 i ~-y. IS CREPARfQ, J O v HIS His CEHALf 70 THE S 4 t r O TITLE COMPANY GOViRWAENfAL AGENCY ANC { Ol~m G.IAS?ITt7H:1N UStED HEREON. AND ' - 3 i•~~ A4 ASSEGNEES OF THE LENDING INSTI• I q TUTION. GUARAMCES ARE NOT TRANSFERAOU ` n2 ary-. -a a v py OT AD ITIONAL INSTITUTIONS OR SUBSEQUENT ~T w y u ~I ' F"N J. ° S n Y 7 NC rI .Tt_~I. U JE HIV F ^f +tTtJL uFi- vk , C U/J V)+ vF f l c t jr, 338. _ N- 72' 33 o il` God 120.3 `I i ; LSE INSUke"ONf7E r.?D, I O T4by/N 0 1 II o 1aL4 TO 144'r t' Fd~.L 1 t, l _ LA*!K q lu,Nl.p f Nf7 L.fYE'1 cec tea SCALE-LO i Q'MONt iM rUCET`iSEC LANI'i xE 1 1 1 ~aDE RJ r %k: i t f 0 YIQOMF-11 VF"_ Y " - S7SM j i I T. W-C 24 ' b aU ~SKCL~LNT i t ~T 11 fl ~lJl ~t~,~~[i (1~="j~~l~'f'tll~tliF„^41~t~- """!II~ i' .a 1 Rte s abet '-v r-eyv s~ y ti~ 1 .M!'"'CK N4 1{ _ J r Ric K i - ~ ~(--~xro FLoart'p4a.•. C+,~i oL-, ~ ' g. ' G J 1-~r[9 k~a~ . Ea pYiNkl . - (MRWRITERS CERTIFICATE i p OCCUPANCY OR )UNORD USE IS UNLAWFUL axy ciniw.k w cs - - APPROVED ~w, AS NOTED 4 ,e.,o 1Y1>iK Ce.,o .2W-7e INITUMITPCDTICIPm {EAIE Mal, ~,w °F^ nIIn1vpv4 U1611 111 lung 16 L. m _.PL.9.h_t.Ey!? NOTIFY BUILDING DEPARTMENT DEPARTMENT AT OF OCCUPANCY TO 4 PM FOR THE - " .S Ff j + 786-1802 S AM TO 4 PM FOR FOLLOWING INSPECTIONS: :CTIONS: L,EFTI.. r . HO/ 7gFp /loum t 1. FOUNDATION s TWQ,AEGUI s TWQ,AEQUIRED lox Vwml., FOR POURED CONCQELE:; ONCQRW 'PLUMBING . MIN •J'{~_ - + 2. ROUGH - FRAMING,4B, PLUME is. 3. INSULATION MIND 4. FINAL - CONSTRUCTION M UCTION MUST f MR . + ~lA IK ,KRE'z£E BE COMPLETE FOR C.O. FOR C.O. ALL CONSTRUCTION, SHALL N TION SHALL MEET - THE-REQUIREMENTS., OF THE - - STATE CONSTRUCTION & ENE 'N7.,, OF THE N Y. ACTION & ENERGY CODES. NOT -RESPONSIBLE RESPONSIBLE FOR DES IGN O CONSTRUCTION ERE } _fl STRUCTION ERRORS - T7 477 M