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Home My WebLink AboutZ-17637FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY PRE CO No Z17637 Date DECEMBER 27~ 1988 THIS CERTIFIES that the buildin~ONE FAMILY DWELLING Location of Property 3120 GRATHWOHL ROAD House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 008 Lot 007 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family NEW SUFFOLK dwelling built prior to APRIL 09~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY Z17637dated DECEMBER 27~ 1988 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 ONE FAMILY DWRLLING AND ACCESSORY SHED. The certificate is issued to JEAN WEGIEL (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED SEE INSPECTION REPORT N/A N/A Building Inspector Rev. 1/81 Location BUILDIiIG DEP:LITi.~iiT TOW%I OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 3]20 GRATHWOHL ROAD NEW SUFFOLK Subdivision Map No. (i.iunlc lpa± i'~y ) Lot(s) Nmme of Owner(s) JEAN WEGIEL Occupancy A~itted by: A-! RESIDENTIAL ~ype) WILLIAM WICKHAM (owner-zenanz) Accompanied by: WILLIAM WICKHAM Key available Suffolk Co. Tax No. 110-08-07 Source of request WILLIAM WICKHAM Date )2/)4/88 D¥~LLING: Type of construction Foundation CEMEMT BLOCK Total rooms, 1st. F1 4 WOOD FRAME Cellar 2nd. F1 =stories ] story Crawl space x ~rd. FI Bathroom(s) one Porch, typ~ BreezewaL Type Heat OIL Fireplace(s) Domestic hotwater Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Toilet room(s) Deck, type Garage Warm Air xx No. Fz¢its ~ype heater Patio, type.___ Utility room Hotwater Airconditioning Storage, type const. SHED' (REAR YARD) Guest, type const. VIOLATIONS: Housing Code, Chapter 45 N.Y. Descriotion Location I OUTSIDE SLEEPING AREA { NO SMOKE DETECTOR CRAWL SPAC :~ SOME EXPOSED WIRING IN CRAWL SPACE State Uniform Fire & Buildin. Code SUBCIAPTER Prevention Art. I Sec. F124~.8 Remarks: ,HOUSE IN~/OOD REPAIR GARY Date of Insp. · Time startIo:oo 12/21/88 end 10:20 a.m. CONSENT TO INSPECTION JEAN WEGIEL , , ,, the. undersigned· Owner(Y) Name(~) do(es) hereby state: .the attorney for That the undersigned (is) {~ the owner(~) of the premises in the Town of Southold located at (No ~) Grathwohl Road, New Suffolk · which is shown and designated on the Suffolk County tax map as District 1000, Section 110.00, Block 08.00· Lot 00.7..000. That the undersigned (has) ~) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: _ Certificate of occupancy, on pre-existing dwelling That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon· to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The unde_.rsigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for regulations ~ the Town of Southold. lations of the laws, ordinances, rules or ~//./ Dated: December 14. 1988 '~ c/ ~(~g~u~ L/ g,/ ~ ~'/ william Wickham~ as attorney (print name) Wickham, Wickham & Bressler, P.C. 298-8353 (signature) (print name) FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ..... ~ Instructions December 1:4, 1988 A. This application must be filled in typewriter OR ink, and submitted mm to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre~existing' land uses: 1. Accurate survey of p:operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUS[NESS $50.00 ACCgSSORY $10.00 2. ~,ertificate of occupancy on pre-existing dwelling ~lc~f .x~r~ $100.00 3. Copy of certificate of occupancy $ _5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50 00 Date ............ NewCons truc tion ..... Old or Pre-existing Building ...X. ....... Vacant Land (NO # )'~(~ata2thwohl Road New Location of Property .......................... S.u.f f..o.lk ..... House No. Street Ham/et Owner or Owners of Property .... ~.ea.n....~e~.~.e.l.. . ..................................... . .. .. . County Tax Map No. 1000 Section .. ,~,];,0, ,..0,0. ..... Block . .98.:.°.q ....... Lot.. ,0.0,7, ,. ,0,0.0. ..... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ................................. . Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval .................. .. .. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .1.99.'.0.9 ..................... Construction on above described building an , , nd re§ulations, Applicant. ~7~' '~'/' ' '~'~' '~' ://: ' ' ....................... ew 101078 WIC]~%~[, WICK}{AM &~ BRESSLER, P.C. '~ ~/3 ~'~ 298-8353