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Home My WebLink About10883-zFORM NO. ~* TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.l.3.1..0.4 .......... Date ........... J.a..n....3. ............... 198..4. THIS CERTIFIES that the building ...... .A.d.d.i..t.ig.n' ................................ Location of Property .1. 6. 9 ................. .S.u.n.n. y side Rd. $9~tho ld House No. Street Hamlet County Tax Map No. 1000 Section . . 0 ~ ~ ....... Block . .0..1 ........... Lot....0.0.7. .......... Subdivision... X ...Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...S.e.p.t.:...2.3. ........ 19.8.0. pursuant to which Building Permit No. 10883Z dated ....... S..e.p.t............23 ..... . 19 ...80 , 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 To Existing .O.n.e..F.a.m.i. 1..y pwell.ing The certificate is issued to MR. & .M. RS. KEVIN GRATTAN (owner,.-le~,e er-tenet~ of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N667556 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 Permission is hereby gro~nted to: TOWN OF ~sOUTI~O TOW~ HALL: SOUTH'OLD, BUILDING P,E~I~ (THIS PER~IT MUST BE KEPT ON THE PR~MI~ES UNTIL}FULL COMPLETION OF THE WORK AUTHORIZED)~ 0 8 8 ~ Z ~t~ .~~~,~...~...., at premises located ":i ....... Count~ Tax Map ~o. ~000 Sect,on .... ~. ............. ;... Bloek~,.,Ur., /.,,..o...;~lot No....~..~?. pursuant to applicatiort doted .~. .... , I ., ai~d approved by the Building Inspector. i ?~ ~ee $ ........................ Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG L; TOWN OF SO Instructions A. This application must be filled in typewriter OR ink, and submitte~pHcctc 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 F re 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 peoperty 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 1 2. Certificate of occupancy on pre*existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date ~;.~. 'v '~'~ ....... New Building ............. Old or Pre-existing Building .~.. ...... Vacant Land ............. Location of Property IL0. ,~X~,~. %..~,,~&,~-,, ..~ .~ ~?~ ~ou~ No: ...... Stree~ ........... Hamle~ Owner or Owners of Property., Y, ~ ~.~, ~.~ ....... ~ .............. County Tax Map No. 1000 Section ..... ~..~ ..... Block ....... ].. ,' ..... Lot ..... ~7 ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... uate CT Permit ,. pplicant .................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ~. J//,/~ '7~-..~.~. Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ......... -}~. ........... Fee Submitted $ ......... ~-~-'.~ -~, · .............. (~C~- ~'~~-C°nstructi°n~'{°n(~2ab°ve described bu ilding and permit,~~~r~eets al.I applicable codes and ragu. lations... __0 Applicant ........................... Rev, 10-10-78 'EL~ I~SPECTION FOU~DATION (1st) FOU~OATION (2nd) 2. COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF EL. ECTRICITY~ 85 JOHN STREET, NEW YORK, NEW ~ORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the aboee application number in the pretnlses of Kev.bi Oratta~ ~vmw~l.d~ ra, iv~, Ibrt, m.~ ~t~ l~t. on ~.L~ ~u~I.d~ iL~,, was exatnined on ~)~:C~[~)X' ~'~ .~9~(~ and found to be in cotnpliance with the require.tents of this Board. 2L FIXTURE FIXTURES RANGES COOKING DECKS OVENS EXHAUST OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT DRYERS SYSTEMS NO OF FEET E OTHER APPARATUS 1 -G,I'. i. E NO OF CC COND PER ~ R V I C ^WG OF CC COND 'l NO OF HI LEG AWG OF HI-LEG NO OF NEUTRALS AWG OF NEUTRAL Soutt~ld~ N.Y Lic. ~e282 Thrs cerhflcate must be altered return to the office of the Board if Inspectol cot may be identified by ) IN ANY MANNER. \41 I FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..... ~ .................. ('~7 ~ // .............. 177. .... ....... APPLICATION FOR BUILDING PERMIT Date ...~. Application No INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triphcate 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 a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 necessar,d inspections. ~.- (I~ailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, el6ctrician, plumber or builder. .... ........................................................................... Name of owner of premises...[.~..~ .Xd.I .~...~..~.¥ 5... ~ .~7. ~.~ .~_ .~. .............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... !. ! .q ............... Plumber's License No .... ~ ........ ~... Electrician's License No...[.c?... ~..~..~..~c~j.~ Other Trade's License No ...................... 1. Location of land on which proposed work will be doue .................................................. ..... House Number Street Hamlet County Tax Map No. 1000 Section .°.C.~.3. .: .Q.O. ........ Block .D..i.~..9..~. ........ Lot..CI~ .~., 9. q5.% ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises, jm~l in. tended.~use and occgpancy of proposed construction' a. Existing use and occupancy' '~[(Z'Zf' Z~'~'gt4'~,...~z_,, ........ ~;1=.' '~'~'~/i -~' b. lntended use and occupancy .~..t.Y. ) .v37~.. %..~. 't~ .C, .~r~_~ . ,__.~M(~,~ .~.ff~.~.' .' ......... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost. '"- . ....... Fee ................................. (to be paid on filing this application) 5. If dwelling, number of dwellingiunits I Number of dwelling units on each floor If garage, number of cars .... 1 ~ .............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .......... .". ~...,~ .... 7. Dlmensmns o~ ex~st~ng structures, ~f any: Front..~.G .~...q ...... Rear ~., .~..~. ..... Depth. ~...4[..~) ...... si ?a~e,~tmctu sns: Front .~ ~. '..~.'.' ...... 8. Dimensions of entire new construction: Front D D ~ Rear m ~ ~ ~ Depth ~q -- O : ..... w ................... c~' · ~ ........ ~ q .............. ~ ..... Height .~ .T.~ .... Number of Stones ... ~ .......... : ~ .................... ~ ...... i ~. 9. o~ze of lot: Front ... ~.~ .... ~ .......... Rear .. ~.~..~..~ ......... Depth .. ~..W. ~ ......... 10. ~)ateofPurchase ............. -~". ............ ~ame of Former Owner ..' ........................... 11. Zone or use district in which premises are situated.. ~.~-.G ............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ~. ~ ........................... 13. Will lot be regraded ........ i ................... Will excess fill be removed from premisesh, ~ Ye~ . ~ 14. Nme of Owner of premises ~ y; ,..~.~ ~ ~.~ ~ .... Address t.L O. ~.~ n.n.**.~c~e ~Phone ~}l.~ ~%~ ~... Nme of Architect ......... , ................. Address ... ~[ .............. Phone ~. ~ ........... Nme of Contractor . ~ ~o. ~r.~ ........... Address~Q0.. ~.~.~.~. ~. Phone No.~.r~.~ .. PLOT DIAGRAM Locate clearly and distinctly ail 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 indicate whether interior or corner lot. being duly sworn, deposes and says that he is the applicant He is the ..................... .~..: ....~ .................................................... f' ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly au~erform 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; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........ '~' ~7~ ...... ...... ..... No, 52L8125850, Suffolk Coun. ht~ Term Exp~es March 30, (Sig~ture of applicant)