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Home My WebLink About2205-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25488 Date: 01/16/98 THIS CERTIFIES that the building DWELLING Location of Property: 295 FANNING RD NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 4 Lot 10 Subdivision Filed Map NO. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 3, 1963 pursuant to which Building Permit No. 2205-Z dated OCTOBER 3r 1963 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ONE FAMILY DWELLING The certificate is issued to PETER & VALERIE LEONIAK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 2205, z Date .................... O~ t,,O~.. ....... .~ ........... 19..6.~. Permission is hereby granted to: Dou~].as ........... C~t. el~o~e ............................................... to ........ ~a,~.;:Ld.ne~..o~®...£~..'l.~...~d~l.'l.~,~ .............................................................................. at premises located at ......~g~..s~l'..~..F~ed...R~$1.~ ........................................................................... ................................................. l~..S.uf£~o;lk~....~I,.Z., .................................................................... pursuant to application dated ........................... O~t. Ol:~F.....3 ............. 19...6~, and approved by the Building Inspector Fee $.-t0~(~)0 .......... DUlla~ng ~nspecTor ~x FORM NO, 6 TOWN OF SOUTHOLD · Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY · Instructions A. This application must be filled in typewriter OR ink, and submitted i emma,ma to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all. build!ngs, 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 P.lanning Board approval of completed site plan requirements where applicable. B..For existing buildings (prior to April 19§7}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 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 -- BUSZNESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0. O0 3. Copy of certificate of occupancy $'5;'00, ovec 5 ·yeats $10.00 4.Vacant Land C.O. $.'20.00 5.Updated C.O. $"50.00 Date ~0/2/97 Update CO Z1861 NewC on~ t,ruc t'ion Old or Pre-existing Building · Vacant Land 295 Fannin~ Road New Suffolk New. Y.o.r~ Location of Property - , House No. Street Ham/at Gerard F. Grathwohl '., Owner or Owners of Prope~ ........ 0 '. .................................................. CountyTax Map No. 1000Section .11.7...0.0.. ....... . Block J3.4..~3J3 .......... Lot..0~0.O0(~ ....... 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 .......................................... 25 O0 ' '/ Fee Submitted $ .... · .....· ................... ConstrUction on above described building and permi3/me;96all a~Aellc~ab~~ codes and ragu lations. A hcant ...... .. ~ ......................... Bev. 10-10.78 / GARYFLANNER OLSEN. ESQ. p.o. Box 70e CUTCHOGUE. NY 11935 AFFIDAVIT Re: Grathwohl to Leoniak Title No. RH 971461 STATE OF NEW YORK) ss: COUNTY OF SUFFOLK) Gerard F. Grathwohl, states as That being duly sworn, deposes and follows: I am the son of Florence P. Grathwohl and Winfield J. Grathwohl. That my parents built a one story frame house on the northwest corner of Fisher Road and Fred Street in New Suffolk, now known as 295 Fanning Road, New Suffolk, pursuant to building permit No. 2205Z issued on October 3, 1963 by the Town of Southold Building Department, for which a temporary CO #Z1861 was issued the 6th day of June 1964 by the Southold Town Building Department. My parents retained the services of Doug and Sid Beebe who were experienced builders on the North Fork. To the best of my recollection, I believe, when the temporary CO was issued the painting and spackling still had not been completed, nor had the two front bedrooms been tiled. My parents completed the painting, spackling, and tiling themselves. They apparently did not realize they had to have the house reinspected in order to obtain a permanent and not temporary Certificate of Occupancy. There has been no change in the configuration of room layout since the house was originally built, nor change in the size of the windows since the house was originally built. layout and windows the any The house today is exactly the same as to as it was back on June 6, 1964 when Howard Terry, the Southold Town Building Inspector issued the temporary CO. I am making this affidavit in support of my application for a permanent Certificate of Occupancy knowing that the Southold Town Building Department is relying on the truthfulness of the representations made herein. v Sworn to be~re ~e this 15 th day o/l~a~ry, 1998. No t~ ~Fu~ fc Ous fled' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disopproved o/c ...?~ ............................................................................... ~ ~... Application No. (Buildin~spector) APPLICATION FOR BUILDING PERMIT Date .........~', .~.~.. ~ ................................... , 19~/..~. ......... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing Ioco¢ion 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 may 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 progress of 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 HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone 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 to comply with all applicable laws, ordinances and regulations. ..... ..... (Signfat,~re of applicant, or name, if a corporation) ( ddress o a~ol/cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,/-/ ULZZ o ;2; ............................................................................................... pp' ' p , 'g y ' ed officer. (Name and title of corporate officer) 1. Location of land on which proposed work?~JI be done. Map No: ............. ~ ................ ~ ............ Lot No: ................... Street and Number~.~..~.~....~"..~.~ ~c'/ ~c,'~ /~'~/'Z~ .~t/,, ...~..~ ...'~..'~..d;'/ ' ..................................... ....... ........ ' ................. 2. State existing use and occupancy of premises and intended use and occupancy of I:0/op~osed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ..... 3. Nature of work (check which applicable): New Building .......~.... ....... Addition .................. Alteration ................. Repair .................... Removal .................... Demolition ................... Other Work (Describe) ........................ 4. Estimated Cost ...,.. ~.,..-~...~..-¢.,..... ~..-.-.:. ........................... ....................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .............................. Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, speci fy nature and extent of each type of use ............................... 7. Dimensions of existing structures, if any: Front .......................... Rear ..........................Depth .............................. Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front ........ ~ ..................... Rear ........ ..~..~. .............. Depth Height ..... /.~..!. ............... Number of Stories ....... ~ ......................... 9. Size of lot: Front ........ /...-~..Q ................. Rear ....K'..c~... ................ Depth ...... ../....~.. ............................. 10. Date of Purchase of Former ] 7. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction~.~, ~ ~' ~Yi°l/~a-t?/)l:~,ny~ zoi~n~] ,~lw, ,,~rdinanc~,c)r reg~otigr)?~..~.,. ................................................ Name of Architect ............. ,¢1 .................................. Address ................. t,~ ........................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW ~I~O~,,~Z ) ~ ~ COUNTY OF .~...) ~'~' .............. ~...~' ~'~' ' .................................. being duly sworn, deposes and says that he is the applicant (Name~f individua I~,slg/i, ng~a p~l~on) above named. He is the ..~~.~ ................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained i~ ~i~a~ation are true to the best of his knowledge and belief; and that the work will be performed in th~ ~"~ef~r,~i~he a~plication filed therewith. Sworn to before me this "~'~%~'~, su~o~ ~o~n~ ~ .......... ........ ....... ~:...., .......................................................................... Nota~ Public,~. ...~~~C ty ~-~(Signoture o¢ opplicont) l ..... ~IIIIlllIIlIlIIIlll IIIIIIIII IIIIIIIlIlII IIIlillII Ill IIIlIIlII IllllIIIllllllllllllll I Ill l I Ill II Illll II