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Home My WebLink About9432-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall ? Southold, N.Y. Certificate Occupancy No....Z.~.3.5-$9 .... Date. June ~B. .... · ............................. ,19 .~5. Oa~.age THIS CERTIFIES that the building .............................................. Lo~tio,,~¢l~-,~,~,,,, 450 SHEPARD DRIVE SOUTHOLD House No. Street Hamlet County Tax Map No. I000 Section '/.8 ........ :..Block 2 .Lot 2 Subdivision ............................... Filed Map No ......... Lot No ........... conforms substantially to the Application for Building Permit heretOfore filed in this office dated .... .~.ep.t.,..1 ......... ,1977. pursuant to which Building Permit No.9.42~2 Z ................ datedS.ep.t.....1 ..................... 19T.. 7., was issued, and conforms to aU of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .... Ona .family. d~eI ling. w~-.t~h .gar. ago. Ad~ ~.t.~.Qo ........................ .... The certificate is issued to ROBERT B. & CHERYL GRATTAN f own~, ~XeXoX ~ X of the aforesaid building. Suffolk County Department of Health Approval ........... ~./g ...... UNDERWRITERS CERTIFICATE NO .................. ~4 ] 5.1.9.5 ....................... Rev. 1/81 Building Inspector SOUTH'OLD, N~. Y. BUILDING ?ERN~IT (THIS PERMIT MUST-BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9432 Z Dote ................................................. 19./.,;... Permission is hereby granted to: .... ~.;~,.~; ....... ~ ~ ~> ,_.-.. - ,., .~. · · ,~ ~ ,~ ,~.* ~'t;~ .................... .......................... ~,~.z~;~n*Z ~ .............................. ~' -+ , 19....{;'.~ and approved by the pursuant to application dated ............................... .,,.~-:,.~...:~. ........... Building Inspector. Fee $...~.:>.~ ....... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 , 1 7 Ig85 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: I. 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 s~milar 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" ~aod uses: 1. Accurate survey of p~-~operty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date New Building ............. Old or Pre-existing Building ,' Vacant Land Location of Property I.~.~¢) .... ~, . '.~t . ...3~a.~ ' ; !~ House No. Street Hamlet Owner or Owners of Property , .J?h ~)';',' !..('.2)...,,..,('~..~ ~L.F.~;1 ',...c?/.~ ~ !(:~.,~.]. ............... . .·. County Tax Map No. 1000 Section . .r].~ .......... Block ...(.~ ........... Lot...~ ............ Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. ~.~..~. Z_ Date of Permit .~.~/Z2 .Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate Final Certificate Fee Submitted $. ~);'.. (,~;'! ...................... Construction on above described building and permit meets all applicable codes and regulations. Applicant . Rev, 10~10-7a THE NEW YORK BOARD OF FIRE 'UNDERWRITERS - BURBAU OF ELECTRICITY ~-~" 85 JOHN STREET. NEW YORK, NEW'YORK 10038, THIS CE~IFIES THAT ~la~ uract~,Shepard ~.,Southold,L.I. Paul Bras Town Harbo~ ~ne This ce~f~a~ mud ~ ~ ah~ in any ~;. r~urn ~ ~ offi~ of t~ ~rd if i~or~. I~. may ~ THIS ~y OF *~ %,, '~% ~ MAPFI~EDI6!TH~OFFI~ ~" OFSUFFO~ K COUNTYON $.ASFI£EN~ Lo~ GO ItlLb. REVISIONS YOUNG & YOUNg MAR, 15,197:~ 400 OSTRANDER AVENUE. RJVERHEAD, NE APR25~I973 SEPT. 12,1973 ALDEN W. YOUNG SURVEY FOR: CHERYL J. GRATTAN ~ ROBERT B GRI LOT NO. 46,"WEST CREEK ESTATES" AT SOUTHOLD GUARANTEED T USA FARMERS HO TOWN Of SOUTHOLD AMERICAN TITLE SOUTROLD SUFFOLK CO., N.Y. SCALE: l" = 40' JDATE- MAR.9,1973 FO:~ NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved r, / -f ~ ~ ........................................ , 19... Permit No ....................... 7.7 ............ Disapproved a/c .................. ~. ~.~._. ;.~ ?. ............................................................. ........ ..... ............................................................................... .....:.. ........................................................ Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Dote Sept 1 ' 9.,~,?. ..... a. This application must be completely filled in by typewriter o¢ in ink and submitted in triplicate to the Building Inspector, with 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 o detailed description of layout ofproperty 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 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, building code, housing code, and regulations, and to ~ admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner- b~t±lder Name of owner of premises .....O..~..e...~.~....]: .&.; ~,o..~...e.?..¥...G..~..~..~.?I.~..~' ....................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ......... ..o..~.~.e.~ ............................... Plumber's License No ................................................. Electrician's License No .............. O,~..~..e..~ ................... Other Zrade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ..~.f~..~....q~.~..~.]fJ....~..~.tg..~..~.e~t No ...... .br...6. .............. Street and Number ........... ~..~..e.P. fk~..~.....g..~..~.Y..e. ........ .~.g..~.~..b,.o..~...~. .............................................................................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........ .~.~.~ .................................................................................................... b, Intended use and occupancy ............. ~.~.~...e....¥.~.~..~..,.J~..8:.~...~.~.O,...~,~..~.~.$o.o..~.. ...................................................... 3. NatUre of work (check which applicable): New Building'. ................. Addition ....... ~ .......Alteration ~i.'...;~.....;: Repair .................. Removal .................. Demolition .................... Other Work ................................................ (Description) 4. Estimated Cost .................... ~..0..0...0+ ............................ Fee ...1j.~.....O...0. ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ........... .O..~,..e. .......... Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify 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 ................ 21~ ............... Rear ........... .~.):1'. ........... Depth ...... 2~. ............. Height .................... Number of Stories ..... O~ft ........................................................................................................ 9. Size of lot: Front .... .1.'70 ............................................. Rear ...i[~.0. ................................ Depth ..... 1.20. .................... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises ore situated ...?~.?...d'l s~ .............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .... l&O ............................................... 13. Will lot be regraded . ....... .~.t~.lll ............ Will excess fill be removed from premises: ( ) Yes ( ~ No 14. Name of Owner of premises ...~..o...b..'lii.....~.....~..h...e.?.~.~.......~...r.l~.~..~ddrese ..... .8.9.1,],~..b,..c)~.~ ........ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor .......... ~..m..e. ......................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. see attached p,lans STATE OF NEW XOI~K, ~. ~ ~- ¢ COUN-FY OF ..... ~ .~...z~ .z.-..o...1:..~.. .......... f ........................ C~t~z'~.'l.....l~a.tJJ;t~'t ..................................... being duly sworn, deposes and soys that he is the applicant (Name of individual signing contract) above named. o~l'~qe 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 in this application are true to the best of his knowledge and belief; end that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .................. .1..... day of ...................... .~..e..l~..~. ............. , 19...~Z. .-',, . ~ ~l Notar,, Pul~ic ~.f::['ol~ . County ~.~'~L{ ~.g~d;iCkirl .................................... -'~,~77Z' ~ ',"~-~,"'"'J ) ............................. (Signature of applicant) 'NOT~ ARY E DAWSON i'IOT'~q~PuABRLYIc, 'State of ~ew York No. 52-4643721 Suffolk Cou