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Home My WebLink About23313-z FORM 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 pursuant 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 PRAUS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-392355 - JULY 26, 1996 PLUMBERS CERTIFICATION DATED N/A Building 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 AUTHORIZED) Date .................. f ........................... 19... 4�. Nf 23313 Z Permission Is hereby granted to: 44� Ali- rY1 ?. .............................................. to ... !t/�-!�?✓.�`......... A c9�'.........�...f.......... ��...................................................................................................................................................... .................................................................................................................................................................. .................................... ..........................: ............................................................I................ at premises located at........ ...,7 ..... 1/.5-11. .......��................................................... ............. ................................... rus.................................................................... County Tax Map No. 1000 Section ......��.............. Block.......�e......... Lot No. ........ ................ _4 pursuant to application dated ..... � Y.........�'S.............. 19.. r(�......, and approved bythe Building Inspector. Fee$....................... ....... ". ry .. . ............................... Building Inspector Rev. 6/30/80 ^ _ Form No. 6 TOWN OF SOUTHOLD I t f i § f?__,`?_-` ��1 1�'�►5��r �,' BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. 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 Buildiniz - $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 . . � .- U.-5 60 . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . .. . . . Old Or Pre-existing Building. . . . . . . . . . . . .C. . . Location of Property. . .Z.7.l. . . . .0 ! ��r . . ! . . . . . . . . . . . :!�!off a . . . . . . . . . . . . House No. f� Str�eee]td Hamlet Onwer or Owners of Property. . . .� V !. . ` . .'. .`!�� . . �1:^: . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. ..7.o. . . . .Block... . . . . . . . . . . .Lot. . . .-1. .2 . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lott'. . . . . . . . . . . . . . . . . . . . . . Permit No. .?M/3.- .7. . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. a�'p4 .Sc�;wa� . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . v. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (1 . . . . . i . :. . . . . . . . . . . . . . . . . . . . . . . APPLICANT . P-.tr- 2. i 000 -- THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 11B5®77 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date JULY 26,1996 Application No.on file 11414796/96 N 392355 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 LA.UREN PRAUS, 275 CLEARVIEW AVENUE, SOUTHOLD, N.Y. in the following location; ❑ Basement Q 1st Ft. ❑ 2nd Fl. Section Block Lot uws examined on JULY 22,1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 7 5 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATiS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 3 0 3W 3,0'IW NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W G. EQUIP. PER AV OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: PADDLE FAN-1 MOTORSt1—F H.P. I ROSLAK ELECTRIC LIC.#3677 I L P.O.BOX 164 CUTCHOGUE, NY, 11935 GENERAL MANAGER 11 i5 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 CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROU LBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEFT. � INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4� �` % , .11 DATE INSPECTO 4 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] RO H PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE ZW -INSPECT 3313 76s-iao2 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] RO PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Vv? Ile —1A.1 q a,,ee� DATE INSPECT s6s-isoz BUILDIN INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULAT [ ] FRAMING L [ ] FIREPLACE & CRIMNEY REMARKS: oe DATE INSPECTOR 1 ,3 765_1802 .� BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ � FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY 0 REMARKS: ;�z 9 t/m DATE /O INSPECTO r•unrnlnrloll 1 FOUNDATI Off (2m)) ROUG-11 FlIAHE & I NC INSULATION N. Y . STATE --------- -------- ___ - -- --------------- ----- ---- ...............--- _ e- _ - ---- ce) --- -'___� F I If A 1. ...... -- ---- - --- ------- ADDITIOUAL COMI-1914-U5: ............ ....... .......... ri o��SfilFFO��-�O o cc Z Town Hall,53095 Main Road p • Fax (516)765-1823 P. 0. Box 1179 Telephone (516)765-1802 Southold, New York 11971 �oj �►a 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. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r ' Mosul MEN ME no I mom on n El S rim 1 ►e mom Non Al hZIC Mim TH � • ■ r l�Cei ��e�L` �• it � �r-= •I� '_ fit J�� IJIR- v�IrllFiYt1A;V1I1'lll/�►.71d!rtlJl1)Ilu�eTiGt6'�dflt�s>t�1J17lflllrll�ll�yi7/TSII_�l�iu?fLtJ �! ■ n s ■ ■ ® No om_�E - �1� • • lie • Mma _ - , .. '✓4,CAN7, '. .. I -CER5 POOLS _1 PAIL FLxtJCE 6"N. t. � � .8.7� �2:25 ` :� -WELL L ((�� nn BOARD OF iiEALI'll . . . . . . . . . . . . . . . Uf . ,ll. FORM NO. I 3 SINS OF PLANS . . . . . . . . . . . . . . . r .�--- . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF SOUTHOLD0. SURVEY � EEf �,_ I I°IHfI 1 51996 (f BUILDING DEPAR'ITiENT CHECK . . • r. •`. . . . . . . . . . . . . . . . . . C: TOWN HALL SEPTI.C.FORM I! SOUTHOLD, N.Y_ 11971 BLDG.DEPT- TEL: 765-1802 NOTIFY: TOV,UN OF SOUTHOLD � � (V — //- CALi. . . . . . . . . . . . . . . . . . . Examined..._3 1.�.. ., 19�<• MAIL TO: . . . . . . . . . . . . • . . . . . . . Approved..... .J � ._, 19 Permit No.4'✓J I .... ........i........................... Disapproved a/c .................................. ................................ ................................ ................ 5 S J ..... (ibuil g ins- , tor) APPLICATION FOR BUILDING PERMIT a Date, . . . . . . . . . . , 19. . . . INSTRUCTIONS a. 'Ibis application must bey cimplete.ly filled in by typet•7riter or in ink and submitted to the iS<uilding Inspector with 0 sets of plans, accurate plot plan to scale. Fee according to schedule. j; 11u.' Plot plan slxuwing':location qF lot 'and of,b uildings ohi'premises -relationsili_p to adjoining premises or public streets or.areas, and giving a detailed description of layout ofproperty must,lie4dr. oa the diagram which is part of this':ippl.i'cation_ ' e. 'lhe work covered by this application my not be cannenced before issuance of iuilding Permit. d. Upon approval. of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit sliall be kept on the premises available for inspection throughout the work. e. No building sliall be occupied or used in whole or in part for any Ixurpose whatever until a Certificate of: Occupancy shall have been granted try the Building Inspector. APPI.IC,ATION IS IERE-BY MAIE to the Building Department for the issuance of a Building Permit pursuant to die Building Zone Ordinance of tine 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 demlition, 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 Trnecesssa inspections. (Signature of: applicant, o •name, if a corporation) on A (Mailing address of applicant) State whether applicant is owner,. lessee, agent, ardiitect, eri�66ee, Cgener l,.ccintractor, electrician, pluniher or builder. Name of owner of premises TA VS ............................ . • k (as on the tax roll or latest If applicant is a corporation, signature of duly authorized of'fic' r ......................................................... (Name and title of corporate officer) Builders License No. ......................... Pttvi)ers License No. Electricians License No. ..................... Other Trade's License No. I. Location of land on which proposed work will be clone. .................................................. ..... .�� ...�I1��1/IEt!V e!o rL.............................��.1®°.'A..�4...................... (louse Number Street Hamlet Cxxinty Tax Map No. 100t) Section .. ...... Block ..0.8 ........ Lot ... ....... Sulxlivision lei!*lli�M4.PAY14..�e�1�!'1.9..... Filed Kip No. .33.P.9.... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupaix_y ...S;h. �.. N.t� y.. ?!S-74 t!!Ce........................ ........ l). intended use and occupancy ... ................................................................ 1. Ralure of hx)rk (caeeck aAhich al)l)licable): NL%j Ikrilding .......... Acklition ........... Alte atioh .. Itepair ............ Removal ............. Damlition ............ Other Work 1 grcfh ...t G4p wo�.. (Description) 4. Esthirilted (:ost: tro,000........... fee ............. ................................ (to lie paid on filing; this application) 5 If (kael l ing;, hx>tdeer of &ell ing; units . .._.D...... ]hrdrer of Aiel I ing units on each Floor ...`............. If garage, ixnlrer• of earn ..................................... 6. If Ixhsiness, ccinnercial or mixed oc:ccrpancy, specify nature ahxl extent of. each type of use......... ............. 7. Dineensiohs of exi s:i stnhcurres, if any: Front....7�....... hear ..7 3........ Depth ..30........... Ileiglht ...... J.I)........ Unber of Stories ....ON ..... Oinhensiohs of sane stnhctrrre with alter t' x axklgtions: Front .13......... Rear .. ........ Depth .._... 0......... !)eitlJeL .....� (XI.. ... Mnieer of Stories .ME....... 0. 1)iueensions of entire new ccxisLn.hctioh: Front _ hear ..�9�.0!.... DepLh ....I®... .............. Umber of Stories �............ 9- Size of lot: F�rrml ......(�5�.d......... Rear ....�.( �._!........ Depth _...�®�.I........ 10. Hate of Purchase ...w�.7.�......... Mane of Former (L,n)er .... ................. I. Zooe or use district in which premises are situated ... .9 -0.................................................. . 12. Ioes prolx)sed construction violate any zoning law, ordinance or regulation: ....140.............. 1"). Wi1I lot be regraded .... 6......... Will excess fill. lie removed from proidses: YES ( NO , I4. Naves of Om � Omer of l)ronises .��}�,�-• �l��ldclress ��ICCFA. AfrVP..AVf,. 1ho)e N... 1o. �F�em�7o- . Nixie of Ard g tecL ........_..3 ................ Acklress .44#VC.................._.. 1'I10rhle No. �qoi g..... Mahe of (',cxhtractor .... .... Acklress ...............................Illoee No. .............. 15. is this property within 300 feet of a tidal wetland? * YES ....... R) .......... *IF YES, SOUIIKXI) IVMN "II4)SIrTu3 11EINI.1- MAY IfE R(pimu). PLOT DIAGRAM Locate clearly and distinctly all Imildirgs, %,Ahedher existing or proposed, aril irxlicate all set-back dimensions frou property lines. Give street aril block nnber or description according to deed, and slhow street mires aril irxlicare hdhellher interior or corner lot. APPROVED AS DOTED d DATE: B.P.# UN;ERNRITERS CERTIFICATE REQi9$REC FE- Z BY: NOTIFY BUILDING DEPARTMENT AT 765-1602 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: OCCUPANCY OR ' FOR POURED CONCRETE REQUIRED USE IS UNLAWFUL, 3. NSUGLATioN, fh(LING;:`&•'PL'UMB)NG `< '`WITHOUT CERTIFICATE,.= ' 5 4 r Oti3PLE® FOR OTION MUST OF OCCUPANCY THE REQUIREMENTS OFALL THEMEET N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS :SI'A'IE, (W M;W Y(MIK, .np`_� (XX)NIY (A' ..� .......... k _ y ...main .` . G.�.tv.&.V 3 .................lx!ing duly sworn, delx)ses ahxl says that: be is the appl.icanl Maxi of ihxlividrkhl. signing contract) allx)ve naval, Ik: i, t.lhe Arr-4 /0.wo&.r................................................................ (Contractor, agent, corlx)raLe officer, el.c:.) of: ,aid cxnx--r or (Ymx!rs,i-imi" is duly-aitilhorizcxl to Iwf'onu or have -l:hc.'silid %X rte iuxl to nrhke ahxl fgle lhi�s application; Lhat al I. sL•atunents contaim-d in this application are Lnhe to the Ixicrl: of: his krxxrledg,e anxl Iml ief; ahxl Ihal. c.he work will Ix-- performefl .iiu'Lhe n4hniwr set ford.lr ill the application •fried therewith. :Iaorn to 44before nr this ......1. ...clay of .........1.........l)!:M ... Nu l a ry I'h hb l i *.J(-.. .... INN, 9�p,nn).n. 1910=�q1� ,` (Signal:ur:e of Applicant) 7i��,�api3UsfNA, t�01 tilioi'UM.. r r Q ��'�EEf �4l• 1 q r - -.,-., -:zr...—Tx-..-y,.-.• -- !'ti.,,. .e •T^_'*---e-- ;n••r?r?ram'.^,r`e.'�m-??'- t+�'i. raPr rzrrrc:"•c?.:r-'%-; a...*-�..-• -r--.r.. v. �.. .n.., R .f n; ! :M I �� t` `'\ ..... ... . • ter#,I��,.�� ; i�... ,,Y,•�P ,- „�.•�. ✓aCAt'IT',. ' E - L5 71 7 PAJL FefsCE_r N. e 1 f : w tiJ Y.9' of Alc i �CK V,qM l r. , t .-tpr W Via t.•w fork SlAt Iducatlon Law, �. C n trip? % dCopies of this�ttrvey map not besrtng �L iha land stirveror'> Inked seal o, PWt emha9.4 5991 shall not be consilorod to be a valid[raja copy. } Guarantees instigated hereon shalt ntrf. �+ S �Ja only to the person for what i the tx✓et TAM {{' is reoarod.and his behalf tut:o ' 4 f tl i?rem^any.governmental , r.:y cn i A 0 o I st t,/btl•�'� , . , :�.. t-�t� hn'�. i�-fitugoV u•9 hi -i.n f:� �^') !� [� rJ 1.2' .1�tw �i�.t tothe trynacs of the lo.�d,ny ft...:i- +�.I4EA*','- �.r.f Q4iicn.rc :orlcas are not trancwrBiNa ".r'�"-••"-•••'�"'`'r'^-�L-- {� to e_:ditio:tai institutions or.subseauenc ;^ Ur-I lT 1 MA t� i rM a :a✓r ,•` r y.� !`tQ .:IP f" A r�J 4 cL.V t f'N V _f �i,; }(yam.','+iy{ {{ C/�➢ 6�'f^y l t Imo.Ts. • �MI" MJ • f f jo V�0.' 5'. � `Tt•;3 l�S .Fla 52 ..► t: t�i.G v C�. ► >nEt r_.6 ; .� -fib ` tt g--+ v--=-- ,. - -. lE5t .148C4' .td� :1,/il� a �. 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