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HomeMy WebLinkAbout44923-Z �suffol/c�o TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "oy • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 44923 Date: 6/25/2020 Permission is hereby granted to: 475 Clark Road LLC 211 E 53rd St Apt 9D New York, NY 10022 To: *No Office file* Accessory storage building Replaces BP# 8696 At premises located at: 475 Clark Rd., Southold SCTM # 473889 Sec/Block/Lot# 51.-3-20 Pursuant to application dated 6/25/2020 and approved by the Building Inspector. To expire on 12/25/2021. Fees: PERMIT RENEWAL $55.00 Total: $55.00 Building Inspector 1bEffi.•NO. • TOWN OIF $OUT"GLD' POANG D90Ak1rMENT :. TOWN.4.lows 4FFICk' " . SOUTHOLD, K Y. RWLDING 'PERMIT (THIS PERMIT.MUST BE KEPT ON THE PREMISES.UNTIL FULL OMPLETION OF THE WORK AUTHOKIZED) ITT© 8.695 Z Date ............................................ ... . .., 19....6 Permission is hereby granted-to: .......................................... Clark Road Southold 1............................................................................... to A.U..'4d.a.9w..amo.apa 'sc..� ....................................................................................................................... .................................... 4 at premises located at..........lark.Road............................................................................................ • .........................................................i.i.•i ii� ..................................................................................... .......... .................................................................................. ............................................................ June 27 76 pursuant to application dated ........................................................ .19......... and approved'by the Building Inspector. Fee $190 UO............ • • •.iiiY i•..T,•...... 'i ... •.... ' Building In r Form No.6 ✓✓✓ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN"., �'% 1_� JUN 2 2 2020 This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final suave of property with accurate location of all buildings,property lines streets"arid unusual inntiral'bi=' Y P P Y g >P P Y > 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 Date. 34zo 2,0 New Construction: Old or Pre-existing Building: /0 (check one) Location of Property: 412 5 Ct ark � 60(A�N House No. 1 Street Hamlet Owner or Owners of Property: O G(kL vsm[� L(..�. ( N&a 5 M4Cce�1 Suffolk County Tax Map No 1000, Section s Block 3 Lot 010 Subdivision Filed Map. Lot: Permit No. Date of P, mit. Applicant: �'erN.�,n� IQ-e vnj Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: _ (check one) Fee Submitted: $' 7rpp,scant Signature IELD INSPECTION REPORT DATE COMMENTS .d FOUNDATION (IST) ------------------------------------ FOUNDATION 2ND C` rcn � z CT� 0 1 ROUGH FRAMING& PLUMBING y - 73 INSULATION PER N.Y. H STATE ENERGY CODE FINAL Ji— VV ...1✓ ADDITIO• MMENTS C.3�. ve �} r C CZ m 0 Mom NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEWS OFFICE SOUTiHOLD, N. Y. Examined ........ .. 19 Application No. ........ ...................7 . . .`..... `................. .�. ... �� ' fs . Approved .. .........«..........2:....... 19... ... Permit No. .. ........ ......... Disapproveda/c ..... :,... ................... .......... .................... ...................................................... � . ..............................<1KuilCdiin*,'g .. ......•...•.•ZERMIT .................. Inspector) APPLICATION FOR BUILDING Date. ... ..... .... ..................../..; INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 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 sholl'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 buildings for nec arya... 4 ... ......... .... .. .. .... ;......•......... ( ignOt 'or nam i�� ti�................... G (Address of applicant) State whether applicant is r, lessee,agent,architect, engineer, general contractor, electrician, plumber or builder. ............................. ..... ...`.:�..a'� ................................................................................ Name of owner of premises toduly ( '..f/'.. ....................................................................................... If applicant is a corporate, ;ig" tur authorized officer. •••••.•.•.•(Name and title of corporate officer) " Builder's License No. ........ ... . ............:•...... . IPlumber's License No. ................................................ Electrician's License No. .......................................... Other Trade's License No. .............................................. 1. Location of land on which propose work will tone. a No.*. ... L o. ::.... i Street and Number .... 1�.. •,. ° •• / t .... . ...... ..... Municipality 2. - State existing use and occupanry'of pre y»iges an4in, n d use and occupancy of proposed construction: a. Exisiting use and occupancy .................... ....'.:�:: ......................................................... ............ b. intended use and occupancy .............. ... .......: ................................................................................. 3. Nature of work (check which applicable): New Building•.................. Addition .................. Alteration .............. Repair .................. Removal .................. Demolition.................... Other Work .......... S .. .. . ... A� (Description) 4. Estimated Cost .......�.r-.-4 ............................Fee ......... ... .... ............... / (to be paid on filing this application) 5. If dwelling, number of dwelling units ........[...................Number of 4�elling units on each floor ............................ Ifgarage, number of cars..................................................................e........................................................................ G. If business, commercial or mixed occupancy, specify nature qhd extent of each type of use ............................ 7. Dimensions of existing structures,if any!Front. ..,..A.40.........14'tear ...4-30r.................. Depth .................... Height .. ........... Number of Stories...... ......................�i....... ...................................................................... Dimensions of some structure with alterations or additions: Rbnt .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ................................ 8. Dimensions of entire new construction: Front .........................s..........Rear............................Depth........................ Height .................... Number of �tories ..............................rl..............,..................................................................... 9. Size of plot: Front ......................y...................c........... Rear .........../........................... Depth ............................... 10. Date of Purchase .......................................-/............Name of Former Owner ................- M...................... 11. Zone or use district in which premises are situated ..................................................................................................... 12 Does proposed construction violate any zoning law, ordinance or regulation: ................&d.............................. 13. Will lot be regraded ......... .A. V......... Will excess[�Ell- be removed from premises: )//Yes ) No 14. Nome of Owner of premises. ... ......, ....fN.../?a ddress y2X.� .!ll: Phone No. ... ........ Lc Name of Architect .............................................................. Address ................................ Phone No. ...................... Name of Contractor ............................................................ Address ................................ Phone No. ...................... PLOT DIAGRAM Locate clearly and distinctly all buildin %hether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbs;or description according to deed, and show street names and indicate whether interior or corner lot. a C�� i •r S le'c STA-1 E OF NEW YORK, i COUNTY OF ..... luffo $.........f S.S s ................ .... .n./ .............H YA! u,,,,..........................C. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ........................ ............... .. ........ ........ ............................................................. ........... ..... ............. ...... (Contractor, agent, corporate officer, etc.) of sold 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 set forth in the application filed therewith. Sworn to before me this ...................2-day of ..............................``.` Notary Public .................. ... ou ............................................... ...... (Srgnoture, applicant) ELUABETH ANN NEVILLE NOTARY PUBLIC,State of Now Yprb No.52.811J4850.,3011 Ik Cou term Evpi os Mat2H 30. 19—7