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Home My WebLink About9066-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-16074 THIS CERTIFIES that the building DORMER ADDITION L ..... 185 Hummel Ave. Southold, New York ocanon oi z-roperry ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section . .6.3. ........ Block ...2. ........... Lot .... [.3 ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 4, 1977 pursuant to which Building Permit No. 9066 z dated Ma r c h /4, 1977 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 ......... DORMER ADDITION ON EXISTING ONE FAMILY DWELLING The certificate is issued to PETE R J. GRATTAN, JR. ..................... j ~ ~n'o'r, ~ ~i~t~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ........... ~ ./.A ............................ UNDERWRITERS CERTIFICATE NO ................... ~ .3 .I.2.9. 8..~ ....................... PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPART/vlENT 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? 9066 Z Permission is hereby granted to: pursuant to application doted .........................~.~'......~. ................ , 19.~..~..., and approved by the Building Inspector. ................. ~x.'.~:~.~..~..M ...'..'.. ~-. ....... .~..,.v. ,~. ;,:...;/. ............... Building Inspector / "i,!,/ FORM NO. 6 ~~!"l~ TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765 - t802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ 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 natura[ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzoperty 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 -- BLTSINESS $50.00 ACCESSOR¥ $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years ~/1~.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date New Cons t puc t i on ...... Old or Pre*existing Building ,..~ ........ Vacant L~fl .......... ,... Location of Property/~o.~e-~No.~. ..... ~~~~ ........... .~<~./~,~..~.~.~/d.~-~... Gounty Tax Map No. 1000 Section ....... .~ ..../~.. Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No Permit No..~.Z .~/. ~.(~..~-Date of Permit .......... 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/cf~t~eetsi~ll ~YpTJicable codes and [Agulations. ¢o 7¥ THE NEW YORK BOARD OF FIRE UNDERWRITERS November 17~ 1976 ~.~t~o,~o.o.,~m, 869016 N Peter Grattan,'~ HUmmel Ave:, Youngs & Bolsseau Aves., Southold, L.I. 3 DRYERS OTHER APPARATUS: S E R V I C E NO'OFCCp'CONDoR A W G. OF CC COND 3 NO. OF HI LEG WG NO ~ NEUTRALS OFA NEUTRAL 5 J~eph ~ Frohnhoefer ,, Main R0ad',~' ,'~ Southold,' L.' 1.11971 12 ."30 Lic.' 962 E AMOUNT Per THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMPLIANCE, THIS BILL PAYABLE AT THE NEW YORK OFFICE, RS JOHN STREET, NEW YORK. N. Y. 10038 TOWN OF SOUTHOLD OF'I:ICE OF BUILDING INSPECI'OR P.O. BOX 728 TOWN HALL SOUTIlOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. /_-_'.~ An application for Certificate of Occupancy is not on file. /-'/ No Underwritei's (crtlficate on file. /~ Tile check is(outdated/n__ot on fi~e.)~2~- /~/ No Health Dept. Approval on file. /~/ No filial inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit t~ _C~ .~ .-.~- ~o_ ~_ z Building Dept. ***/~/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Occupancy or nse is unlawful without a Certificate of 0ccupancy. Please clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Examined ....................................... TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, Disapproved o/c ............................................................................................ (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date ...... .............................. I NSTl~l,l~rr,t~e a. This application must be completely filled in by Inspector, with 3 sets of plans, accurate plot plan to b. Plot plan showing location of lot and of buildings areas, and giving a detailed description of layout ofproper c. The work covered by this application may not be d. Upon approval of this application, the Building In shall be kept on the premises available for inspection e. No building shall be occupied or used in whole or shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Dej Building Zone Ordinance of the Town of Southold, Surf< Regulations, for the construction of buildings, additions c The applicant agrees to comply with oil applicable laws, admit authorized inspectors on premises and in buildings ate to the Building or public streets or of this applicotion. licant. Such permit cate of Occupancy ~i~ ~ursuant to the ~¥.;, Ordinances or ~ herein described. ~ · egulations, and to~ (Signature of applicant, or r~me, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...i...~,.~...%.S:........(~..~..~...~.~....i~. .................................................................................................. applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder% License No ....................... : ....... t ................... Plumber's License No ................................................. Electricion% License No ............................................. Trade's License No. X Other .............................................. /~' Location of land on which proposed work will be done. Mop No.: ............... ~ .... .~',~. .~.~,..-.L~t No ......................... Street and Number ............ ..~....L~.v~.~n~...,~./.....~.~.e_ .................... ~~. ........................................ Municipality State existing use and occupancy of premises and in.~ended:us& 6~cT occupancy of proposed construction: o E×'s,t,ng,sea,doccupancy ..... ............. b. Intended use and occupancy ................. .~ ~ ............................ ~ ............... ,. ............................... ~.~ ......... 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ............... Repair .................. Removal .................. Demolitior~ .................... Other Work ..................................................... (Description) 4. Estimated Cost .~..~...(~...~)...~:~}.;...([~...~.. ....................... Fee / (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ I ............... Number of dwelling units on each floor ............................ If garage, number of cars .............................................................................................................................................,, .,.~ 6. If business, commercial or mixed occupancy, specify nature and extent ofteach type of use ....~...~/...P~. ............... 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 ...~....~..I. ...................... Rear ....[.Z ................... Depth ....!.'..~../ Height .....~. ........... Number of Stories ..............~. ....................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises ore situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . ........................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .................................................... Address ................................ Phone No. ...................... Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ............................................................ Address ................................ 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 number or description according to deed, and show street names and ndicate whether interior or corner Iol. STATE OF NEW YORK, lc c COUNTY OF ...8. t~£.fo, lk ............. ~'~ ............................ ..G...~.l~'g.e..,~,....~r~C.~ ................................ being duly sworn, deposes and says that he is the applicom (Name of individual signing contracO above named. csntractor 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 know[edge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...... ~..~..h. ........... day of ......... ~.~.[a[ ...................... , 19-.~r.'/. (~ ~1 ~_ ('~ Natal,, Publ c, ...~..~.~..~oZ~... County '.~.~.....~,~ ..... [.~ .................................... '~ ........................ /- ~ (Sgnature of a~icant)