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Home My WebLink About20977-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22139 Date FEBRUARY 8, 1993 THIS CERTIFIES that the building Location of Property 275 CLEARVIEW AVE. House No. County Tax Map No. 1000 Section 70 Subdivision ACCESSORY SOUTHOLD, N.Y. Street Hamlet B~ock 8 Lot 39 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1992 pursuant to which Building Permit No. 20977-Z dated SEPTEMBER 24, 1992 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 ACCESSORY STORAGE B~ILDING AS APPLIED FOR. The certificate is issued to LAUREN J. PRAUS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 /f ~uilding Inspector FOB, M NO. 11 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N~T? 2097TZ Permission is hereby granted to: /~ ............... ..... a.z~:....~u..~.....~..~ ........... ...~..~~.....~.~.,.....~.~.~...~..I ........ ......... OT ........ T" ............ at premises located at ....~..~..~.......~L[/~.......k,~.~ ........ County Tox Mop No. 1000 Section ....... ,.'7...~.. ......... Block ...... ..(~)...~. ........ Lot No ......~...~ ............. pursuant to application dated .~~.......~..~ .............. , 19 ........ cj~__~, and opproved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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.. 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 - $5.00 over 5 years - $t0.00 4. Updated Certificate of Occupancy - $50.00 5." Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .. New Construction ........... Old O~r Pre-existing Building. Location of Property ............................ House N6o Street Hamlet Onwer or Owners of Property ....... ~ ..................................... .. County Tax Map No I000, Section .... .~.~ ...... Block..~ .......... Lot....~.~. ............... Subdivision .................................... Filed Map ............ Lot ..................... . ~.~.~..~.lf:~. ~?.~l.~..~. A licant ~;o¢~ ~-, .~.?~).~.~ Permit No ...... Date Of Permit ........ pp ..... ~...,~...~ ....... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ , Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD JANI/ARY 8, 1993 LALrREN PRAUS 275 CLEARVIE~ AVENUg SOUTftOLD, ~ I 1971 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. 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 ~ 20977-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 JANUARY 8, 1993 LAUP, EN PRAUS 275 CLI~RVIE~I AVENUS SOUTHOLD, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~ An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is~k~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 $ 20977-Z Please contact our office on this matter. cooperation. Thank you'for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION ;ZND L ] I~JLATION ] FRAMING [//~ FINAL OUIIDA'TION (1st) 'OUNDATIO|I (2nd) tOUGH FRAME & ·PLUMBING iNSULATIOn! PER N. Y. STATE E~IERGY CODE ADDITIO~[~L COMME~;TS: FORM NO. 1 21992 ' TOWN OFSOUTHOLD ' '5'CL'~~ 2 '~ ,': ! BUILDING DEPARTMENT ' ~ TOWN HALL ' SOUTHOLD, N.Y. 11971 ...... !?,[ ¢~ , TEL.: 765-18013 '~ .............. ~=~..' re.it No.~3~ 3.%. )isapproved a/c ............ -- .- (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH SURVEY SEPTIC POR~I Date ......... i ........ , 19... INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ts of plans, accurate plot plan to scale~ Fee according to schedule. 'b, Plot plan showing location of 10t and of buildings on premises, relationship to adjoining premises or public streets · areas, and giving a detailed descripti9n of layout of property must be drawn on the diagram which is part of this appli- tion. c. The work covered by this appli~ition may noi be commenced before issuance ~f Building Permit. d. Upon approval of this applicatioh, the Building Inspector will issued a Building Permit to the applicant. Such permit all be'kept on the premises available for inspection throughout the w6rk. e. No building shall be occupied or, used in whole or in part for any purpose whatever until a Certificate of Occupancy all have been gr~anted by the Building ~nspector.. APPLICATION IS HEREBY MADE; to the Building Department for the issuance of a Buildlng Permit pursuant to the ~ilding Zone Ordinance of the Town df Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 'gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. .e applicant .a. grees to comply with al/ applicable laws, ordinances, building code, housi co e, and regulations, and to (Signature of applicant, or nlame, if a corporation) .... ..... (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. , o eise .. .~¢gU...~.:..~..~.~.v.r ...... (as on the tax roll or iatelt ~ee'd') ................. *pplicant is a corporation, signature of duly autt?rii~d officer. (Name and title of corporate ;}ri~-'r')', "' Builder's License No ' Plumber's License No ............ : ............. Electrician's License Nb ....................... Oilier Trade's License No : Location of land on which proposed w6rk will be'done. ..... .... .c...ear. e_ .......... 0.1 ,... Ilouse Number Street ~'~i~ ' ~Hamlet ' ' ty T i000 s ' .3,. ?Oun ax Map No. ection ....... · ...... Block .............. Lot ............ ;,bdivision ' ..................................... Filed Map No ............... Lot ............... (Name). ;late existing use and occupancy of pre[nises and intended use and occupancy of proposed construction: ' Existing use and occupancy .. '. J~. ~_..~j ~. ~../q ~1~., .T..~..~..~.. ~.,~_. [x~ [.~..~' . · Intended use and occupancy 3. Nature of work (check which applicable): New Bui/ding .......... Addition ..... Alterat on ..... Repa/r .............. Removal .............. Demolition ......... i. 511 'Other Work . ~'.t:/i~,D. 4. Estimated Cost .~ ~. '~. .O..Q ..... ' ' 4? ~ (Description) ......... . ............ Fee .~.. ,,~ ~' ~,~. ~", (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwc~lling units on each floor..' .... · If garage, number of cars .......................................... .... , ............. ~ ......... 6. If business, commerc al or mixed occul3ancy, specify nature and extent of each type of use ............ ' ........ 7. Dimensions of exisring structures, if any: Front ............ '.;, Rear.. ..... ' ........ Depth ............... Height ............... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ......................... _Depth ...................... Height ............. ' ................. Rear .................. 8. Dimensionsofentirenewconstmctinn:Front .... io~_OIt ....... Number of Stories .......... I '5 ' .... .......... Rear ............... Depth ...~[~O.' Height ............... Number of Stories ... - ,. s,zeoflot: Front ........ :" 10. DateofPurchase ~ ..... ~.J ..: ......... N o'r~er'Owner . 11. Zone of use district in which premises are situated.. ..~ ' .4 ny zoning law, o~d ~'a~ 'or ~, [a~[d;"' ' ~ ¥ ......... i ............ 12. Does proposed construction violate ~i i ea 'r~ ti ..... ' 13. Will lot be re~raded tOO. ,,. · ................ . ............ x~.__ ~,-, ~ ~ ' ' '. .... ','; LL;;-L' :4' :: ....... Wm excess fill l~e removed from premises: Ye~3 ~(~ 14. ,,,u.~ o~ ~awner mpremmes . &,.~.yt~..?~..~a..l~.~.,fi.~f' Address ~'{1- ~.~v,~ .~. ~Ph No...7.. ....... 7. .... Name · · ...... one bi-- ' 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, Southold Town Trustees Permit may be required. .... PLOT DIAGRAM Locate clearly and distinctly ail' buildings, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether flntefior or comer lot. ou~v or ..... 5.~ 9<-. .... 's.s ~.4~. K~ S.~Hw~.~Ez- (Name of individual signing contract) ore named· being duly sworn, deboses and says that he is the applicant ',is the ......................... i~ontractor .............................................. · agent corporate officer etc:) said owner or owners, and is duly authorized to perform or have performed the said work hnd to make and file this 91ication; that all statements contained in this application are trne to the best of his knowledge and belief; and that the rk will be performed in the manner set forth in the application filed therewith. om to before me this //~ . . ........ a.z .¥ NOTIFY BU~LDIN~ OEP~RTMEN~ AT 765-1802 9 AM'TO ,4 PM E~¥)WiNG ~NSPECT~ON~ ~" FOR POURED ~:ONCRETE 2, ROUGH - FRAP~NG ~ PLUMG~G 3. ~NSULATION ' ~LL CONSTRUC~ION SHALL MEET ~"~UIREMENT~ OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES~ N~ RESPONSIBLE FOR ~SIGN OR CONSTRUCTION EB~OR~ SEc~l o~ 'to Pct. ~ q IOhO I , $ ~o'I- ~ ~CAcE / 5=E51 ~E el.lq