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Home My WebLink About28500-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~LRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29256 Date: 02/06/03 THIS CERTIFIES that the building ALTERATION Location of Property: 430 GRIGONIS PATH SOUTHOLD (HOUSE NO. ) (STREET) (PLAMLET) CoulTty Tax Map No. 473889 Section 70 Block 3 Lot 8 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 25, 2002 pursuant to which Building Permit No. 28500-Z dated JUNE 25, 2002 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to CHRIS M & DENISE S HATTON (OWNER) of the aforesaid building. SUFFOLK CO~DEPARTMENTOFNRALTHi~PPROVAL ELECTRICAL CERTIFICA~7~ NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A 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. 28500 Z Date JUNE 25, 2002 Permission is hereby granted to: CHRIS M & DENISE S HATTON 430 GRIGONIS PATH SOUTHOLD,NY 11971 for : REMOVAL OF A GARAGE DOOR & INSTALLATION OF A DOOR & WINDOW IN THE EXISTING OPENING AS APPLIED FOR "AS BUILT." THIS PERMIT REPLACES BP#25443-Z at premises located at 430 GRIGONIS PATH SOUTHOLD County Tax Map No. 473889 Section 070 Block 0003 Lot No. 008 pursuant to application dated JUNE 25, 2002 and approved by the Building Inspector to expire on DECEMBER 25, 2003. Fee $ 150.00 Rev. 5/8/02 ORIGINAL 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. 25443 Z Date DECEMBER 28~ 1998 Permission is hereby granted to: CHRIS M & DENISE S HATTON 430 GRIGONIS PATH SOUTHOLD~NY 11971 for : REMOVAL OF A GARAGE DOOR & INSTALLATION OF A DOOR & WINDOW IN THE EXISTING OPENING AS APPLIED FOR "AS BUILT". at premises located at 430 County Tax Map No. 473889 Section 070 pursuant to application dated NOVEMBER Building Inspector. GRIGONIS PATH SOUTHOLD Block 0003 Lot No. 008 5 1998 and approved by the Fee $ 75.00 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 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. Co 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-existinR Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........ '9 .............................. New Construction Old Or Pre-existin~ Building ................... ~ - Location of Prop~[ [ [ [~3.~ ............... ~..~.F.~.~]~ .z~..-~."f/ .... 6.~. ~([~...!~./.?../.~.~. ~..~. ..... House No. Street Hamlet Onwer or Owners of Property....~...z~J./~.~..~... ................................................ Block oo O0 060 County Tax Map No i000, Section.'O~0'OO............. ................Lot .... ' ...... ; ........... Subdivision .................................... Filed Map ............ Lot ...................... ~~15~ Permit..~..~.~..~.~?. ?..~. Applicant ~/~_~c_~ //~ /z//~.~.~../~.. Permit No ..... ~ ........ Date Of ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. /y/~_/v ,"~ /~;/'~/r 2~'- .......... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ]/~N~SULATION [ r_~ FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING ] I LATION [ ]~l~L [ [ ] FIREPLACE & CHIMNEY DATE //'-~/~' INSPECT~ UNDATIoN ~UNDATION (2nd) )UGH FRAME & -PLUMBING' gSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COHHENTS: FORH lqO. I TOTdI/ OF SOUTHOLD BUILDIIqG DEPARTHEI/T TOglq HALL SOUTHOLD, N.Y. il97! TEL: 765-1802 ~ ~ ~'~'oo Df ~--~ppr~:~c=~i a/c .................................. APPLICATIOIq FOR BUILDIIqG PERHIT INSTRUCTIORS BOARD OF HE&LTB ............... 3 SETS OF PLAMS ....... ' .... SURVEY ........................ SEPTIC FORH ................... NOTIFY:~/~- , C~LL '-/6~ -~ ~ ~ HAlL TO: .................... · Date ................ ,19 .... a. 'Ibis applicaCiou ~,~t he ct~leCely filled in by type~i~er or in iuk ami 3 sets of plans, aco_,raCe ploC plaa ~o scale. Fee a~ordiu~ W schedule. b. Plot plan d~riug loc_-cio~ of loc a~d of buildings ~u premises, relaciouahip W adjoiniu8 pre~ises or public streets or areas, ~na giviug a de~ailed deacripCioa of layoul: of prope~y u~C be dra~ on the diagra~ ~hich is ~n~r~ of this applicatiom c. 'lie ~ork covered by this applicacio~ my aoC be cc,,~enced before issuance oF Buildiug Pemic. d. Uixm approval of this applicacioa, the l{uildiug ~n~ecCor ~ill issue a Buildiug Pemk to ~ applicaat. Such pemic shall be.kept ou the pmaises available for inspectioa throush~u~ the e. No buildiu~ d~all be c~,Tied or used in ~t{ole or in par~ for any ~ ~,hacever tmtil a Certificate of Occupancy shall have been granted by U~e m,{ldiu~ !r,~pecCor. APPLICATIUIq IS ~Y ~ ~o the Buildiu~ llepat-~-~-t for the is~'~ of a Buildiu~ Pemit pur~-~ to the lluildlu~ ?~v~ Ord{~nce of ~ To~u of -_qo__'thold, Suffolk County, ~ Yo~k, and o~her applicable La~a, Ordinmces or l~!ations, for Ul~ co~st-ructio~ of buildiu~a, ~icious or alterations, or for r~---_~val or ~liciou, as herein des~-~-ihed. The applicant a~rees to ~--.,ly ~rlCh all applicable l~a, ord{r~es, buildiu8 code, housiu8 code, and re~;21aciora, a~d Co ~-4~{t anthorized inspectors oa pr~m{ses and in building ~r uece_~_~--_~y insl~ctions. (Sigl~ature of applicant, or r-~e_, if a corporaciou) ............... .¢. ...... ............. </~ ~ ~-~ State v/~ether a~plicauc is ~o~er, lessee, a~euC, architect, e~i~r,'~ral ~t~Wr, el~trici~, pl~t~or ~il~ .............. ~.~.~ ................................................................... //~~' - c-~~ ;'"'" .......... ~"~=" If a~li~ is a ~ra~i~, si~ of ~ly m~ri~ offi~r. ~ ~ ~E~ AT ........................................... O~tJPA~CY OR ~ · USE IS UF~LAWFUL ~'-- .... - .... ~;"" (~ ~ title O~ ~te offi~r) ] ..... ---_ ~ ...... CERTIFICATE ~=--- ~=~' ~, ,~ ~. WITHOUT ~ ~. ................. .... Pl~rs ~e~n~ ~ ................... O~CUF~C~Y '-~' ~~ MU~T ~~~C.O. El~rici~ Lf~ ~ ...................... ALL ~~ON ~E AEO~E~NTS OF THE N.Y. O~r ~'s ~ ~ ..................... · ~ ~A~ ~NS~U~ION & ENEqGY I. ~ri~ o~ ]~ m ~i~ ~ ~ ~11 ~ ~..~ ...................... ~l~..~, L ~ture of ~ (ch~ck ddch applicable): ~L~ l~ildir~ .......... i~klicion ......... ~lteratloo ~, ...~.~ .....~ ............. ~.~ ............ ~~ ...: ...............:::::::::: ..... ~ipti~) I. ~timt~ ~t .....~.~.~ ........ f~ .............................................. (to ~ ~id ~ fili~ this aa,li~ti~) . 5. If ~11i~, ~ of ~11i~ ~its ...... l~r of &lli~ mits m en~ fl~r ........ ~ .... If ~r~, ~r of ~rs ............ ~ ........................ ~.~f ~i~,,, ..~,,,..,a,~ ~ ~ ~, ~i~ ~ ~ ~ o~ ,,~ ~ o~ ~....~/~ ............ ~.01~,i~ o~ ~,~i~ ,~,, i~ ~: ~,~.~ .... ~.~; ...... ~...............~' ~,h .... '~.~ ....... ~i~ ....... ~..~9.~ .... ~ o~ s~o~i,, .... ~ .............. , Dmi~ of m s~m ~ al~enti~ or ~itims: P,~,t ..... ~ ...... ~ar . .~ ........ ~pth ....... ~i ......... ~i~t ...... ~. .... ~r of 8t~ies .... ~ ........ 8. Di~easi~ of ~ti~ ~ ~t=tim: ~t ...... ~[~. .... ~ar ............... ~ .............. ~i~t ......................... ~r of States ..................... l ,,. · . '~.~--~,~ ~ or ~ district in ~i~ p,~.l~s a~, s,~t~ .... ~.~[ .... ~ ........................................... 12. ~s pr~ ~t~ti~ ~olate ~ ~,i~ 1~, ~i~ ~ ~latt~: ..... ~ .............. ,~. ~, o~ ~ o~ ,,.*..,~ ..~.~.gm~.k~a~,, ..... .~.~.~ ............ ~ of ~ditt~t .................................... ~ss .............................. ~ ~ ............... ~ of ~t~t~ ................................... ~ss ................ ~ ~ ............... 15. Is ~is p,~,ty~in ~ f~t ora ti~l,tl~7 '~ ...~[ ~ PLOT 1DIAGRAH Locate clearly and distinctly all buildings, vhether existing or V~otmd, and indicate all set-back dimension~ prol~rty lines. Cive street and block ranter or description accoiding to deed, and sho~ street r~res and indicate t,~aether interior or corner lot. '"~'~';~"~'~"~'J~~'~'~V .................... ~i~ ~ly ~m, ~s ~ ~s that ~ is t[~ ~i.i~t (~t~t~, ~at, coq~rate o[[icer, etc.) o[ ~d ~r ~ ~rs, ~ is ~ly mt~ri~ to ~rfom or h~ ~r[~ tim ~id w~ ~ to m~ ~ [ile this a~licati~; ~t ~1 state,s-ts ~tni~ in ~is ~li~ti~ ~ t~ to ~e ~st o[ his ~1~ ~ ~[ie/i ~ that ~ ~ viii ~ ~r~ in t[~ ~r ~t /~th ~ ~e al~li~ti~ fil~ ~. .......... -