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HomeMy WebLinkAbout38367-Z o�g�FfO � Town of Southold Annex 10/9/2013 P.O.Box 1179 co x 54375 Main Road Southold,New York 11971 40 CERTIFICATE OF OCCUPANCY No: 36559 Date: 10/9/2013 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 20 SEAWOOD DRIVE SOUTHOLD, SCTM#: 473889 Sec/Block/Lot: 88.-2-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/31/2009 pursuant to which Building Permit No. 38367 dated 9/30/2013 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: addition(on existing foundation)to an existing one family dwelling as applied for. The certificate is issued to CARMEN BATTISTA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38367 10/7/2013 PLUMBERS CERTIFICATION DATED ne� A rite Signature �sUFFnc TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oy . SOUTHOLD, NY �01 � Sao 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#: 38367 Date: 9/30/2013 Permission is hereby granted to: CARMEN BATTISTA 20 SEAWOOD DRIVE SOUTHOLD, NY 11971 To: CONSTRUCTION OF AN ADDITION OF AN EXISTING FOUNDATION (BP#20014-Z) AS APPLIED FOR.REPLACES EXPIRED BP #34967 At premises located at: 20 SEAWOOD DRIVE SOUTHOLD SCTM # 473889 Sec/Block/Lot# 88.-2-10 Pursuant to application dated 8/31/2009 and approved by the Building Inspector. To expire on 3/30/2015. Fees: PERMIT RENEWAL $100.00 CO -ADDITION TO DWELLING $50.00 Total: $150.00 B ilding Inspector 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. 34967 Z Date AUGUST 31, 2009 Permission is hereby granted to: CARMEN BATTISTA 20 SEAWOOD DRIVE SOUTHOLD,NY 11971 for CONSTRUCTION OF AN ADDITION OF AN EXISTING FOUNDATION (BP#20014-Z) AS APPLIED FOR.REPLACES EXPIRED BP $# 26274 at premises located at 20 SEAWOOD DR SOUTHOLD County Tax Map No. 473889 Section 088 Block 0002 Lot No. 010 pursuant to application dated AUGUST 31, 2009 and approved by the Building Inspector to expire on FEBRUARY 31, 2011 . Fee $ 100 . 00 VW Authorized Signature ORIGINAL Rev. 5/8/02 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. 26274 Z Date JANUARY 14, 2000 Permission is hereby granted to: CARMEN BATTISTA 20 SEAWOOD DRIVE SOUTHOLD,NY 11971 for CONSTRUCTION OF AN ADDITION ON AN EXISTING FOUNDATION (BP#20014-Z) AS APPLIED FOR. at premises located at 20 SEAWOOD DR SOUTHOLD County Tax Map No. 473889 Section 088 Block 0002 Lot No. 010 pursuant to application dated DECEMBER 20, 1999 and approved by the Building Inspector. Fee $ 75 . 00 Author d Signature f ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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. Approva1'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 I%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. SubrnWPlanning Board Approval•ofcompleted-site plan requirements. 8. For eztsting 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 I. 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- $106.00 ' 3_ Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 .5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. New Construction: Old or Pre-existirig Building: (check one) Location of Property: CD9� (�__DQv 1j7 House No. Street _�, Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000,"Section M Cq ' '-.".Block o Lot �l0 Subdivision 'Tiled Map. Lot: Permit No. �J `J 6P. Date of Permit. % `30-/, Applicant. Health Dept.Apprdvil: Underwriters Approval: Planning Board-Approval: . Request for: Tempor4ry:C60jficate• Final Certificate: (check one) . Fee Submitted:$ 5� • � pplicant Signature *pF SOUlyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CA iQ roger.riche rt(a)-town.South old.nV.us Southold,NY 11971-0959 COUN1Y,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Carmen Battista Address: 20 Seawood Dr City: Southold St: NY Zip: 11971 Building Permit#: 38367 Section: 88 Block: 2 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 8 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches F5 Twist Lock Exit Fixtures TVSS Other Equipment: 2-paddle fans, GFCI protected disconnect for self contained hot tub Notes: Inspector Signature: Date: Oct 7 2013 81-Cert Electrical Compliance Form.xls 67 7,� 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO NDATION 2ND [ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS DATE INSPECTOR �o • e 7-1�- MUM, TOWN O DING DEPT. 1802 N ;; IO N [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 001, DATE, /.� INSPECTOR �j / OF SO(/l�o� l couH►v lam" ail TOWN OF SOUTHOLD BUILDING DEPT. ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE 6 l INSPECTOR i FIELD INSYCTION R=PORTDATE COMMENTS _____ ==_==____=====r==== " ro it II L�7 FOUNDATION ( 1ST) JI l Imo_II ' II Ij C / FOUNDATION (2ND) Irr � ------------------------- -------- ---- -- ------------------------------------- -------------------------IIr--------I -- r � II III ^J� r O ROUGH FRAME & PLUMBING tl _ I� II II II IfiJj (� rye INSULATION PER N. Y. _ l y STATE ENERGY CODE II CA ---------------------- II II H of I II ji a FINAL ---------=-------------- --------- ____ --- O ADDITIONAL COMMENTS: r ____—_—__________________________=_____________________________________________________ Cf-J u-- ��&Zzm&z) Z H �• H ro H - BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . • TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . 7-3 Examined.... 19.... MAIL T0: $SZ_ •�-Y� Approved. .... ,,7#0.. Permit No. .............6.-l.?-0...... ....... Disapproved /c .................................. .................................... ................................... .... ............. ................. Y - R; `y g �. ...(Buildi• .I tor) i'.. DEC. 2 'A PLICATION FOR BUILDING PERMIT Date.. .`: : . . . . . . . . , 19(. INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 i* 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 shall have been granted by the Building Inspector. APPLICATION IS HQIEBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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 td comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building inspections. .......... .(Signatur• applicant, or name, pif•a corporation). (Mailing address of applicant) State whether applicant•i owner lessee, agent, architect, engineer,•general contractor, electrician, plumber or builder .................. a.. . .......................... ...... Nacre of owner of premises .... /� ,G�C/„ ��!�1�„�/l /� ............................................ (as on the tax roll or latest deed)• If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. Other Trade's License No. .................... 1. Location of land on which proposed work will be done........................... ............... ................ ..... :....... ..... � ��:�.... ..................... ................ House Number Street Hamlet ©© ..,...... Canty Tax Map No. 1000 Section ...Q.8C�.... Block � �...... Lot .......�®... Subdivision © .Y.?`.-v................ Filed Map No. e!;a 34.-I. I.ot .......... (Name) 2. State existing use and occupancy emisessaand intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ............. N 6-1,..................... . �G� /{• Er- n� b. Intended use and occupancy .............................................................................. i Nature of work (check Whic► applicable): New Building ........... Addition ..... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. /f �T# (Description) Estimated Cost ..G.� Oo o:�............ fee ...............6............................. (to be paid on filing this application) I dweIIinng, nunber'of dwelling units ....)....... Number of dwel.ling units on each floor ................ Ifgarage, mxmber of cars ...................................... If business, 'cammercial or mixed occupancy, specify nature and extent of each type of use........... ... Dimensions of existing structures, if any: Front... ........ Rear ............. Depth ., lieiglht ......... .0........... Number of Stories ......<......... � Dimensions/of same structure with alterations or additions: Front ...... .. Rear Depth ....rJ/.r�"r..... Height ......... ..... Number of Stories .P.�.................//........ Dimensions of entire new construction: Front .. Rear ...412...... Depth '' �C?....... ..(41 .(. lleigint ...... .............. Number of Stories ...... ............ Size of lot: Front ......� .. Rear ...1.�0.�........ De th ec8Z:Z.0...... ). Date of Purchase ......I�.6�...... Name of Former Owner .. '� .................. I. Zone or use district in which premises are situated ..............................._..00............................... ?. Does proposed construction violate any zoning lea, ordinance or regulation: ....N.O............ 3. Will lot be regraded ..... C ...... Will excess fill be reu med from premises: YES i. Names of Owner of premises (. -r ..... Address :� ..... Phone qNok.�7-��$? Name of Architect ......... A e................. Address .............................. Phone No. ............. Name of.Contractor ...........5.�?9! ................ Address .............q..�................Phone No. ............. i. is this property within 300 feet of a tidal wetland? * YES .......... NO ..... *IF YES, SOLMUD TClidd T4dI M-3 PM11T MAY BE REQURED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ram property lines. Give street and block number or description according to deed, and show street names and indicate Nether interior or corner lot. r/1.1E OF ";1W Ss �i �!1�.. .`.`.f.J�l ........being duly sworn, deposes and says that he is the applicant Um of individual signing contract) xnve named, P isdie ................... .�... ..\................................................... ...... (Contractor, agent, corporate officer, etc.) E said owner or owners, and is duly authorized to perform or have per.fornned the said work and to make and file this pplicatio►n; that all statements contained in this application are true to the best of his knowledge.and b6l.ief; and hat the work will be performed in the manner set forth in the application filed therewith.' worn to before me this ........... V(.'day of :,/.I Q1� �.Lt.R.19 Q... Notary Public .. ... .. - CATNEAINE,L .WoeApplicant)••'. •..... &toY PdAr,State of Now ft No.01LA507M.suffolk Co►a v Cm*lk m Expires FebnA424,Z011 pf SO(/T�,ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road y (631)765- 502 P.O.Box 1179 . �Q roger.richert(a_fown.soutno d.nv.us Southold,NY 11971-0959 OUM`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: C _( 7 / ( c6 'r,4 *Address: Z<D .'SE.`W O O 15 *Cross Street: rq �'� (q,ip�j `� y *Phone No.: Permit No.: Tax Map District: 1000 Section: Block: Lot: /6 *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES / NO Rough In Final *Do you need a Temp Certificate: YES / NO Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION \I % 82-Request for Inspection Form oF so�ryol 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G Q Telephone(631)765-1802 Southold,New York 11971-0959 �O BUILDING DEPARTMENT TOWN OF SOUTHOLD June 20th 2006 Carmen Battista 20 Seawood Drive. Southold,N.Y. 11971 RE: 20 Seawood Dr. SCTM# 088 0002 010 Dear Ms. Battista, Please be advised that your Building Permit#26274 issued January 14th 2000 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of$150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. SO!/jyol 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G • Q Telephone(631)765-1802 Southold,New York 11971-0959 �0 �yIrou BUILDING DEPARTMENT TOWN OF SOUTHOLD September 19th, 2007 Carmen Battista 20 Seawood Drive Southold,N.Y. 11971 RE: 20 Seawood Dr. (Addition) FINAL NOTICE SCTM# 88 2 10 Dear Ms. Battista, Please be advised that your Building Permit#26274 issued January 14th, 2000 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of 75.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. o��OF SO(/r�,ol � o Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G • Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD FINAL NOTICE Y� April 21" 2008 Carmen �eresa Battista 20 Seawood Drive Southold, N.Y. 11971 ` IA4l�, RE: 20 Seawood Dr. (Addition) SCTM #88.-2-10 Dear Mr. & Mrs. Battista, Please be advised that your Building Permit # 26274 issued January 14t". 2000 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of 75.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectful ly, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department �o�g�1FF0l,rCOG_ P.O.Box 1179 Permit#: 34967 g y 54375 Main Road o • Southold,New York 11971 Permit Date: 8/31/2009' (631)765-1802 Expiration Date: 2/28/2011 Parcel ID: 88.2-10 BUILDING PERMIT RENEWAL LETTER Dated: 4/10/2012 Applicant: CARMEN BATTISTA Location: 20 SEAWOOD DRIVE SOUTHOLD Work Description: FOUNDATION CONSTRUCTION OF AN ADDITION OF AN EXISTING FOUNDATION(BP#20014-Z)AS APPLIED FOR.REPLACES EXPIRED BP#26274 A FEE OF $50.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: CARMEN BATTISTA Address: 20 SEAWOOD DRIVE SOUTHOLD,NY 11971 The permit listed above has expired. Please contact-our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department c P.O.Box 1179 0 54375 Main Road Permit#: 34967 W X, Southold,New York 11971 Permit Date: 8/31/2009 �4, • o� ,ti> (631)765-1802 �� j Parcel ID: 88.-2-10 Expiration Date: 2/28/2011 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 8/15/2012 Applicant: CARMEN BATTISTA Location: 20 SEAWOOD DRIVE SOUTHOLD Work Description: FOUNDATION CONSTRUCTION OF AN ADDITION OF AN EXISTING FOUNDATION (BP#20014-Z) AS APPLIED FOR.REPLACES EXPIRED BP # 26274 A FEE OF $50.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: CARMEN BATTISTA Address: 20 SEAWOOD DRIVE SOUTHOLD, NY 11971 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. 70ti� 157� DdCl1 8894 9296 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department �4�5�fFat,�eaG� P.O.Box 1179 Permit#: 34967 54375 Main Road co • Southold,New York 11971 Permit Date: 8/31/2009 'F,�j, (631) 765-1802 Expiration Date: 2/28/2011 Parcel ID: 88.2-10 Dated: 11/9/2012 Applicant: CARMEN BATTISTA Location: 20 SEAWOOD DRIVE SOUTHOLD Work Description: FOUNDATION CONSTRUCTION OF AN ADDITION OF AN EXISTING FOUNDATION(BP#20014-Z)AS APPLIED FOR.REPLACES EXPIRED BP #26274 Owner: CARMEN BATTISTA Address: 20 SEAWOOD DRIVE SOUTHOLD,NY 11971 Your BUILDING PERMIT#34967 has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." �- 0 (,, [-0 Therefore, you have ten day rom the receipt fo this letter to submit a'check made out to the Town of Southold in the amount of 00.00 to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, Michael Verity: Chief Building Inspector Southold Building Department cc: Damon Rallis Zoning Inspector SO(/l�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CA Southold,NY 11971-0959 �l� �Q COUNT`l,N BUILDING DEPARTMENT TOWN OF SOUTHOLD October 4, 2013 Carmen Battista 20 Seawood Dr Southold, NY 11971 TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) ✓ Electrical Underwriters Certificate. (Contact your electrician) ko I i A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 38367 - Addition BUILDING PERMIT REVILM CHECK LIST Applicant/ //�� Date Owners Name: &V-W� Reviewed Architect/ Date l Engineer: Submitted: -91 SCTM #: District: 1,000 Section: Block: Lot: Project (� 4 �a Subdivision Location: 010 ��l'y ���G� Dll -ls`)Lk ' `� Name: Single&separate Required certification: (Yes/No) w Zoning District:__ ya (Lot size: OC3 Actual: a2�e5 �7. �/ /Lot coverageProposed: 1070 Rcq. Req.' 45,/ Req. .SO (Front Yard Proposed: _] (Side Yard- Proposed: 1 (Rear Yard Proposed: J Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees v Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? / 7 Flood Zone: / / Notes: C, - #moo oil � ti /!5;1 '40 z- . 0 Building Permit/C. O. Checklist Procedure Approved by;Signature D to Application Received / Complete Plan Review / OK for Permit ( enclose worksheet ) Permit Issued Plan Amendment ( if applicable) Final Inspection Complete / OK for C.O. (enclose inspection report sheet) C.O. Issued Comments: Oros; it 1 4 yid F••���`` od�b e 00 A-INO 00. Icb 3) Bb �p bah, • ?F9• oo � a?.Ob � 3��dS � a : s p1+ co. �., 66 00 / bn��� a/ ho :. .c C<1 i f I j J1 � 1. 3 v 1 _ � !r - �. .L" Yv,+"1'�� ' t���jj���,S`' t �.�"�•N 1a �'S�j�� { 4 .+{Ps + ry•- `'. .� •�o ,�,•c .•la:-: ,g r M•.;�)t r*r�(t'�r ��'k`4 •-�'K:v1Z.• ,LNiy� 3,"yy.�� ,j��.k'! �,j}({„k �•t .I� < �� li 't�•',,�`Q.'L�k�¢,•• `•.rj�rrf'• .�tL �r� .r*� 1-,�.iLJS,��'.�R�,�,;. �, S'i�rt�4t`�c.. L. },'* +1 yit�1'-`f• `,'+ !�'S�•''C Ir7'7:. .; "3• i4"w- x'�°�r7�',,{ r%'4•ab� ,yr:�°�,t•#i' '�7� \. µ'' 1}.•9'r ftik'f �r 1 a �' tK.�`�,:a• l �.ry Ln. 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