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Home My WebLink About12972-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..g.l. 2..9.2.7, ......... Date ............. .O.c.t:.qb..~.r...2..4 ....... 198.4.. THIS CERTIFIES that the building ....... .O.n.e...~.a.m.~.l.y..D.w.e..1.~,J..n, cj .................. Location of Property ....6 .3.0.5. ............... .H. qr..~9.n' .I~. 9.n.e' ............. S. 9.u.~.h.o..J-.d' ... House No. Street Hamlet County Tax Map No. 1000 Section . .. 0..5 .4 ...... Block ...0. 7. .......... Lot .... 0..1.8.,.5. ....... Subdivision ....... .X. ...................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..~lg.r. qh' .... 2.1. ........ 19.871. pursuant to which Building Permit No...1..2.9.7.2. g. ............ dated ...... .~.p .r.J..1. .... .4. ......... 19 .8.4., 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 ......... · ...P~:.~,v~.e.e..0~e..Earai.l.7.. pw.e.1. ~ ~.n.~ ............................................. The certificate is issued to CHRISTOPHER GRg. TTAN ..................... ?o¥,'o), ¥1d~'~'~'t~;d~'O ...................... of the aforesaid building. Suffolk County Department of Health Approval .... ~. 4. .-~.O.-; 4...0 ............................. UNDERWRITERS CERTIFICATE NO...' ......... N. 6..69.6.7. 6. .............................. Rev. 1/81 Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS 10010~1 BUREAU OF ELECTRICITY ~ 8..5 JOHN STREET, NEW YORK, NEW YORK 1OO3~ ,.re ~*~r :~:~, ~ ~,~.,on~o...~,~ ~m~/~ N 660676 THI~ CERTIFIES THAT only the electrlcal eq~ipmeng as described below and introduced by the appllca~t named on the able application number i~ the premises of in the]ollowing Ioeation; ~ Basement ~: Is, FI. ~ 2nd Fl. Sec,ion Block Lot was examined on ~ ~8 ~ ~ and found to be in compliance with the requirements of this Board. FIXTURE SWITCHES OUTLETS DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO, OF FEET OTHER APPARATUS: S E R C OF HI-LEG NO O EUTRAL$ OF NEUTRAL · 4 G ,~ ~ ~l~ctric Lic#578 GENERAl. MANAGBR / Pen ' // This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credenti61s. COPY FOB BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE ~U~T ~OT B~E A~TERED IN ANY MANNER F I~E LD ~NSPECTION FOUNDATION (1st} COMMENTS FOUNDATIOn.! (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL F~hone (516) 734-7484 Night (516) 765-1128 GLENN F. HEIDTIvIANN & SON, INC. BUILDER COX LANE, CUTCHOGUE, NEW YORK 11935 MAIL ADDRESS P.O. BOX 932 CUTCHOGUE, N.Y. 11935 Match 12, 1984 Town of $ouLhold M~in ,~oad Southold, New York 11971 lie: Christophez Grattan Hortons Lane Southold~ New York Energy Code fLesis~ence Ali. All All A11 roof area to receive 6" insulation X 19 factor. exterior walls to receive 4" insulation il 11 factoz~ basement area to receive 4" insulation K 11 factor. exterior window openings to be Perma~shield windows manufactured by Anderson Corp. All exterior door openings to be hollow metal insulated manufactured by Benchmark Corp~ All exterior sliding door openings to be Perma-shield Manufactured by Anderson Corpo Glenn F. Heidtmann President FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~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 featu res. 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- tions0 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 peoperty showing ail 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: / Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling land use --?re-g×±st-±ng C.O. $15.00 3. Copy of certificate of occupancv $1.00 ~ Vacant land C.O. $ 5.00 Date.. (~-..\: ,~ ~ ~..(~ .~. ..... New Building ~' . Old or Pre-existing Building Vacant Land Location of Property ................................................. House No. Street Hamlet Owner or Owners of Property ............ .~ ................. County Tax Map No. 1000 Section . ...~. ~.--~..~. ..... Block .. ~.~1.. ........ Lot...i.~'...~-~. ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters ApprovaJ...~ .~.~.~,~.~ !~. ~ ......... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... ~ ............. Fee Submitted$...7~-~..~ ..................... Construction on above described building and p,e,rmit meets all applicable codes and regulations. CO:~- \:;~,q~_r~ Applicant ~.,,~..~...~..'~,~}~~~ ........... Rev. 10-10-78 765-~80Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ FOUNDATION 2ND [/~ FRAMING ROUGH PLBG. INSULATION FINAL REMARKS: ~// INSPECTOR ,. ..... BUILDING DEPT. IHSPE TIOH [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION AND [ ] INSULATION [ ] FRAMING [ ~/FINAL REMARKS: DATE ~'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved . .~f¢); .~..'J ..... , 19~.'! Permit No. ).[,2. ~..? :-~..~._. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date March 21, 19 84 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 [his application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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 building for necessary inspections. .... ?.· ................ (Signature of applicant, or name, if a corporation) · .v.., .q,.. ¥.,. (Mailing address of applicant) State Whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. - Gener~l Contractor Name of owner of premises . .C.b..r.J_.s.~..op.h. qV..G.r.~..~.~.~.t.1 ..................... (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. 10 Plumber's License No...~: . p.o.h?) .............. Electrician's License No.. G..u.r.q i..I .o ............. Other Trade's License No ...................... 1. Location ofland on which proposed work will be done. Horton's Lane, Southold, N.Y. House Number Street Horton' s L~ne Hamlet Southold County Tax Map No. 1000 Section 05/4 Block 07 Lot... 18o 5 Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .~..~.X.~ .~.~.~.~. ..................................................... b. Intended use and occupancy ..... ~ .x%.)... xc~... ................................... 3. Nature of work (check which applicable): New Building x, 'Addition Alteration Repair .............. RemoVal .............. Demolition .............. Other Work ............... ,! (Description) 4. EstimatedCost... ?.3.'..7.27.'.97 ........................ Fee ...................................... ~ ~" (to be paid on filing this application) 5. If dwelling, number of dwelling tlmts ., one 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 stmcture~, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories.. ....................................................... Dimensions of same structure wi~h alterations or additions: Front ................. Rear .................. Depth .................... !.. Height ...................... Number of Stories ...................... ' · 46 '. 28. '. 8. Dimensions of entire new construction: Front /*6 ' Rear .. Depth Height ..... 2.2. [ ....... NumBer of Stories ..... .t.w.o. ............................................... 9. Size of lot: Front .... ].- .5.6...3.7.I ........... Rear ..... .159., .1.2.' ......... Depth ...3.4.2. '. ............... 10. Date of Purchase ...... .1.9.8..3,. ................. Nam. e of Formor Owner ............................. 11. Zone or use district in which premises are situated....R.e..s .~.d.e.n..t.~.a.l. .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: no 13. Will Iot be regraded ......... ,y.e.s. ............... Will excess fill be removed from premises: Yes x No 14. Name of Owner of premises C,: Ora ttan . Address ... '2'0 l:~l ................... · ..~ ............... 80~C~fl~view .PhoneNo. 765.-5752 Name of Architect . ,l~ ~. 7.~n~lpi&c.h ............. Address ................... Phone No ................ Name of Contractor .H.e..if.t.t.m,@ .n..&...~..qn. ~, ,!n..c. Address Cutc. ho.gu.e .... Phone No..7.3.4.% .7.4.8.z.~ ..... 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 ~ mmber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ....... S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sig~ ~ng contract) 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 in this application are true to the best of his knowledge and belief; and that the work will be performed in the mann~¥ set forth in the application filed therewith. .Sxyorn to before me this i ........................ day of ...................... 19... Notary Public ................................. County (Signature of applicant) should be noted that smce~is op~rty is located in an agriculture. ~u, the possibility exists that the ~ter supply may contai~ tr~ce ~ounts of pesticides and/or nitrates. eciel analysis '~t ~ requked. / /- APPROVAL OF CONSTRUCTION ONLY I~R 05 1984 FAMILY DWEL.LJNG ( SURVEY FOR CttRISTOPHER GRATTAN & HEIDEMARiE ORATTAN AT ~OUTHOLD TOV/~ ~"% SOUTI-,tOLD ' $1JFFOLK COUNTY F ~HICAGO TITLE ~NSURAN 'TITLE NO. 8108- 02997 0F' / ~\ C) \ / ../ .,x +'x,, //' i · . : -~ ~. / %, . X : , _, ~, ',~:"'it Should be noted that smce~s ~ ~' / '~ ~ prop~y~is ~ocat~ in an agricuJtu:~. :~ area, the: possibility exists .that the ' -' water ~pply ?y contm~ trace ~ ' ~ ~ amounts ~0f pestic~es a~(or mtrates. ~ ~Specia~ analysis ~E~I ~ required, C~~ ~tL'~ ~,;---' I '~." ~ s: ~ ~'~ ' , ~ ...... ~ ~AM LY'DWELL NG ONL~ ' ; ' ~ : L'~ ~ 6~'~Eo CH SUFFOLK, COU~ITY DEPARTMENT OF HEALTH ~R~IC~ ;,;~x ~' FEB, 22,1984 ' , ,?; ~ . ~ " , AT,~'OUTHO~D ' ' DATE' SEPT. ~1, Ig81 ' ~dE APP"OVA[ OF CONSTRUCTION ONLY TITLE NO. 8108-02997 SURVEY FOR ,~ H.D. ~. ~~- CHRISTOPHER GRATTAN ~ HEIDEMARIE GRATTAN OCT.FEB. 22,19848'1984 O~T ~ .~ ~_ , AT SOUTHOLD DATE' SEPT. 21, 1981 ~he ae~a~e dtsposa[ and ~.'~v G~pp~y ~N OF SOUTHOLD SCALE: I'= 50' facilities for this locati ,,.~ have bee~ SUFFOLK COUNTY, NEW YORK NO. 81-550 Inspected b~ this dep~tment ~d ~ ~.. ~. ~ ~ N[~ YO~K ST~[ [OUC~m~ L~ CHICAGO TITLE INSURANC,~C~pANY HEALTH DEPARTMENT-DATA FOR APPROVAL TO C~STRUCT ANO ~ HIS BEHALF ~ THE ~ITLE ~S~FCO. TAXMAP ~s~O0 SECTIONg~4 BLOCK g7 LOT 18,~ HERE~,AND TO me ASSIGNEES OF THE LENOING ~TH[~ ARE ~ DW[LLI~' WITHIN lO0 FEET OF THIS PROPERTY INSTI~UTI~. GUARANTEES ARE ~T T~SFERABLE " YOUNG. 8 YOUNG RIVER AD, NEW YORK AN~ LAND SURVEYOR N Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR TELEDYNE FOST NOI/79