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Home My WebLink About26555-ZFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: z-31474 Date: 03/03/06 THIS C~a(TIFIES that the building ADDITION Location of Property: 275 CLEARVIEW AVE SOL~I~OLD (HOUSE NO.) (STREET) (F~%MLET) County Tax Map No. 473889 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 MAy 18, 2000 pursuant to which Building Permit No. 26555-Z dated JLrNE 7, 2000 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 TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBIN C & KAREN MEREDITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL E~.~CT~ICAL ~TIFICAT~ NO. PLUMBERS CERTIFICATION D;~r~u N/A N/A N/A Signature Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 B. For APPLICATION FOR CERTIFICATE OF OCCUPANCY must be filled in by typewriter OR ink and submitted to the bui inspector with the following: for new building or new use: 1. Final survey of~property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system conta less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bu and installations, a certificate of Code Compliance from architect or engine, responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. existing buildings (prior to April 9, 1957) non-conforming us6s, or buildin~ Vpre-existing" land uses: 1. Accurate survey of property showing ail property lines, streets, building an< unusual natural or topographic features. 2. A properly completed application and a consent to inspect sig~ed by the applJ If a Certificate of Occupancy is denied, the Building Inspector shall state 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. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existing Buildine - $i00.00 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 ~ate .~..<..~. /~ ~ . .. New Construction .~.. - ....... Old Or Pre existing Building .............. ~oeation of Property.. ~2.5.~,<~..f~..~.~..5. e..O~..~.,..~').. ............. . .. . . . House No. Street Hamlet Onwer or Owners of Property ............................................ County ~ ~p No 1000, Section..~7.O ....... Hloek...aO~. ...... ~ot..O..~2 ....... Subdivision ...... ,A~.Z~ ...................... Filed Lot ............... ~ermit ~o..O.O.~755..~...~,te Of Permit~.~.?~.:Z.<..~....Applicant. Health Dept. Approval ........................ .. Underwriters Approval .................. Planning Board Approval ............... Request for: Temporary Certificate ........... Final Certicate..~ ........ Fee Submitted: ~>c~ ~ 19' 7 $ . .~. 5'- ............ APPLICANT 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 AUTHORIZED) PERMIT NO. 26555 Z Date JUNE 7, 2000 Permission is hereby granted to: ROBIN C MEREDITH 275 CLEARVIEW AVE SOUTHOLD,NY 11971 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 275 County Tax Map No. 473889 Section 070 pursuant to application dated MAY Building Inspector. CLEARVIEW AVE SOUTHOLD Block 0008 Lot No. 039 18, 2000 and approved by the Fee $ 75.00 Autho~-~'3~rize~ ORIGINAL Rev. 2/19/98 7G5-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ,, ] INS/IJI~TION~ FRAMING ['~J FINAL FIREPL~ CHIMNEY ( / REMARKS~ / / __ j, /~ ,~.., ,*-/-. FIELD INSPECTION REPORT FOUNDATION (IST) FOUNDATION (2ND) ROUGH FRAME & PLDI~BING INSULATION P~R N. Y. STATE ENERGY CODE DATE COMMENTS -[ I FINAL LUZ 'f~t uo~3nq~u0a ~q~ ~o ~uolt~puo~ qt~M tue~euo~ s! 'euogo3y~po~ ~o suo~ni~sqns Auo puo ~o~ elqllu~ae~ ale hex 'uOld aUlPllnq peqSlUY o lou s! u~!sep pe]se~ns sql 'smell ~osse~eu aqa USlUe3 ot Jelue3 .91 'SUJDeq JO doI uo sts!o[ 1eS :SI9IOP 'punod~ padols ~o uaAaun ~oj uo!touuJoju! ap!^oJcl uo~ ~oajedselO$ moa 'lSRel punodi eAoqo .9E'/-E eq ejojeJeq! II!M $~sod ]Joddns ~l~ep eq~ lo do~ etl1 · pune]a leAel oh lUpl3ep J0 do! eq~ u~oJ] .gE: jo iql~!sq o pelOeleS noA :IH~)I3H 15Od (]NV Hoddns ~sod punoJ§-~oleq .gE: eRoq s~sod 'pooI eA?l :lSd Gg o ~oddns II!~ ~loep moa :l~OddFIS (]NY C]¥O-I AN '/UOdN33UD gr. 058H 00/01/90 31¥L~ -- W31~Ol$110 /~A~]IA NYqd * ONIOYdS 1NNOO HL~_J, hi3~ ~13t~v~ 1SOd £SOd ~"~v Jd ~,~IV :1~1 ,8 AN '~OdN33~O 9~ 3~no~ OSSU ~:]~ O0/OI/GO 3L~Q FORH NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~N BALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... DEC ........................... TRUSTEES ...................... NOTIFY: ~ _ ,-/9~-/ /~1~/' CALL ... ~ HAIL TO: .................... APPLICATION FOR BUILDING PERI4IT INSTRUCTIONS Date ................ ,20 .... a. ~his application mast be e~mpletely filled in by tyl~ariter or in ink and anlnitted to the Building Inspector w 3 sets of plans, n~'~rrate plot plan ro scale. Fee ~ot'ding to schedule. b. Plot plan slx~ing l~-at_ion of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of la, mt of property mast be dr~n on the dingratn ~hich is part of this application. c. ~be york covered by this application my not be co~enced before issuance of Building Permit. d. Upon ~oeal of this application, the Building Inspector ~ill issue a Building Permit to the applicant. Such permit shall be kept on the prmtises available for inspection throughout the ~rk. e. No building shall be occupied or used in ~aole or in part for any purpose ~aatever ontil a Certificate of Occopan~ shall hav~ been granted by the Building Inspector. AITLICATICit IS t~l~mY ~ to the Building Deparm~t for the issuance of a Building Permit pursuant to the l~ilding Zone Ordinance of tt~ To~n of Santhold, Buffolk County, ~ York, and other applicable Laus, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for rermval or ~lition, as herein described. ~e applicator ngt~es to ,,tn?ly with all applicable lmm, ordinances, tmilding code, ho~sing code, and r~ulatians, and to ~4m, t mthorised inspectors on ~-~ses and in ~~ons.. (Sil~natore of~'icant, or na~e, if a corporation) (l'tailing address of applicant) State ~l~ether applicant.is o~n~er, lessee, agent, architect, engineer, general contractor, electrician, pl~ber or Builck ..................... ~:.~.,..z. .... f..o...,z~e.~ .............................................................. ~.~ o~ ~ o~ ~.~eea ....~.e.~.i~. ............... e!.~ ......................................... (an on Uae tax roll or latest deed) I~ applicm~t is a corlx~ration, signature of duly authorized of[icer. (Nare and title of corporate officer) Builders License No .......................... Plmi~ers License No .......................... Electricians License No ...................... Other Trade's Li~ase No ..................... I. rotation of land on ~&ich proptmed york will be dene ................................... _./ ....................... ............................. ........................ ........................ Bonse Nmber Street ltanlet ~,~, Tax,~ No. ,~ ~tion .... .7.0 ....... Elo~ .... 0..~. ....... ~t...~...~ ....... aivision ...................................... Filed ~ No ................ Lot ............... 2. State existing use and occupancy of pr~mises and intended use and occupancy o~,~Fstruction: a. ltxlating use ~,4 occupancy .......................... > ................... ..~ ...... ...:~..,+ ............... ,. ..... ..... ........... 3, ~;~ture of ~rk (clmck ~8~id~ applicable): ~ I~ilding .......... t~dltion ......... ~teration Repair ............ Rm]oval ............. Ik~uolition ............ Otherl~ork .~.,,-,., ......... iiiiiiiiii ..... !Oeseripti~n) 4. Estimated Cost . ...~..~ ............. fee .............................................. (to be paid on filing this application) 5. If ('kmlling, rajnl)er of d~elling ~mits ............ lxlumber of d~a~lling mits on each floor ................ If garage, nt~i~er of cars ...................................... 6. If besinens, cmmnercial or mixed occupancy, specify nature ~nd extent of each type of usa ...................... 7. Dimensions of existing structures, if any: Front ................ Rear ............... Depth ................. tleight ......................... NtMmr of Stories ...................... Dimensions of s3ae structure vith alterations or additions: Front ............... P~ar ............... Depth .................... Height .................... Ix~/aer of Stories ............... 8. Dimensions of entire ee~ construction: Front ................ Rear ............... Oepth .............. lieigl~t ......................... lxk~her of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... I0. l~te of h]rdmse ..................... Name of Former O, mer ........................................ I I. 7~ee or use district in t~hich premises am situated .............................................................. t2. Does proposed cormtroctina violate any zoning l~a, ordlmmce or regulation: ........................ 13. I/ill' lot be regraded .................... I/ill excesa fill be remmmd from pro~tisas: 14. liams of Omar of premises ........................... /~ldresa .............................. Phome No ............. ~ of ta-ddtect .................................... Address .............................. Pbem No ............. Same of Contractor ................................... /~klress ............................... Pt~e No ............. 15. Is this property vithin 300 feet of a tidal ~,~tland? * ~ .......... N) .......... ·IF ~IF~, ~ ~ TgO~ll~l~'~ ~ 140ar I~E PLOT DIAGRAI4 [~cate clearly ~nd distinctly all beildings, ~ther existing or proposed, and indicate all sat-I~ck d~m~nsions fr~u property lines. Give street and block nt~ber or deecription according to deed, and ~ street nares and 'indic. ate ~ethar interior or corner lot. .............................................. heing duly s~orn, deposes and says that be is tim applicant (Name of individua! signing contract) above rimed, the ....... ............................................................................... (Contractor, ngent, corporate officer, etc.) of said c~)er or (~m)ers, and is duly authoriv~,l to perform or have par£ormed tim said ~ork m~l to maim and file this application; that all stat~toents contained in this application are true to the best of his P. oo~ledg~ and Imliefi and that the ~urk ~i[l be performed in tha mm)er set forth in the applleation filed therevrlth. , ...... LYNDA M. ~OHN (Signature of Almpt'fe.~mt ) NOTAWY PUl{NO, $U~e M Mew ~1~ No. 01 BOB020032 1 svRvE¥ or LOT 17 / MAP OF FAIRVIEW PARK SECTION No. 1 $ITUA TED A T SOUTHOLD o' TOWN OF SOUTHOLD ..._ ~-,~,~ ,~,. SUFFOLK COUNTY, NEW YORK S.C. · ~~, TAX No. 1000-70-08-59 SCALE 1"=20' JANUARY 21, 1999 AREA = 20,200.00 sq. fl, 0,464 ac. N 7_8.22,$n. z~ ~.o~ w N 75'22 W ~0o000 2~n', CERTIFIED TO: AQUEgOGUE A~TRACT CORPORATION MARINE MIDLAND MORTGAGE CORPORATION ROBIN I~R[DITH KAREN I~REDITH AND/OI ~ O~ REC~D, iF ANY, NOT ~ AI~ NOT I~dAR~ED. N.Y.S. Uc. No. 4~66~ Joseph A. Ingegno Land Surveyor 7'~le Surveys -- Subdivisions.- Site P/ohs -- Construct~n Layout PHONE (516)727-2090 Fox (516)722-5093 O~ES LOCATED AT MA/LIN~ ~ 0~e Unio~ Sqtmre P.O. Box 1951 Aquebogue, New York 11951 Riverhe~d, Ne~ York 11901 99-113