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HomeMy WebLinkAbout12871-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No. Z-15683 Date April 22, 1987 THIS CERTIFIES that the building DECK ADDITION Location of Property 185 Hummel Avenue Southold, N.Y. County Tax Map No. 1000 Section . .6.3. ........ Block 2 .Lot 13 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 29, 1983 . pursuant to which Building Permit No. 12871 Z dated...........February .... 15,......1984 ..... .. 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 ......... DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to PETER J. & PENELOPE J. GRATTAN ..................... /o¥,,'0;, ................. of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N / A PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12871 Z to: Permission is hereby granted.~. ~ ~_/~_.. _/___~ ~ ~_~.~.~ . ...... . _-~4-----.~,x- .. ~ ~,/~..~ ~ ....... ~o .... ~.....~c~.~...~ ............................................. County Tax Map No. 1000 Section ..~.....~. ........... ..Block .~....,~ .......Lot No...~/../. ...... .~ ....... pursuant ,o application dated ..~.......~.'.....~... ........... , 19~...~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO* 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ......................... c~ ~ 19 f~J /L~Ui ° ~T ,. .... File No ................................ PLEASE TAKE NOTICE that your application dated ....... ~.~t.~A~.~..~....~. ~.~ ....19.....0~--~ House glo. Street ( Hamlet County Tax Map No. 1000 Section .... ..O.d.-¢~., . . Block ..~57.j ....... Lot ...(~. ~...-~. ...... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds ./..~.~/...~..)~..&-~. ~..~.. · · ~. · ~.. ~...~.oZ ........... ~. .. ~~-.~.. ~~.. ~~...~o~ ~ ~.~..~~... ~ ~ fL.. o~'.. ~ z ~/~ ~. ~ ~/.~ Bulldog Inspector RV 1/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 January 11, 1984 TEL. 765-1802 Feter J. Grattan, Jr. 185 Hummel Avenue Southold, NY 11971 Re: Application for deck permit, dated 6/29/83. Dear Mr. Grattan: On August 5th, 1983, a "Notice of Disapproval was sent to you on the above application, a copy of which is herewith. To plan to date we proceed with this have not heard from you, please advise if you You~,//tru~ / Building & Housing Inspector EFH:ec Encl. FIELD I~gPECTION FOUNDATION ~st) FOUNDATION 2nd) ROUGH FRAME & PLUMBING 3. INSULATION PER N. Y. STATE ENERGY ODE FINAL COMMENTS ADDITIONAL COMMENTS: ( l~emorandum from.... BUILDING ]NSPEC'fORS OFFICE TOWN OF $OUTHOLD Tov~ HALL, SOUTHOLD, 1~1. Y. 11971 765-1802 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 unu~al natural or topographic features, 2. Final approval of Health Dept. of water supply and sewerage disposal-iS-9 form o¢ equal). 3. Approval of electrical installation from Board of Fire Underwriters, 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildinga and installa- tions, a certificate of Coda 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 property showing ell 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 JnspectJon of buildinga or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwe}.tJ. ng,$25.00, ^cce,.sory ;$10.00 ]Juo£ne,~:~ 550.Q0 2. Certificate of occupancy on pre-existing dwe. lling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 ye,re $10,00 4,Vacant Land C.O. $ 20.00 5,Uodated (;.O. $ .50.00 Date .......................... 6. Alteration $25.00 NewCons tt~uc t, ion ...... Old or Pre-existing Build.,ing ............ Vacant Land ............. Location of Property ...... 4 ...................................................... Owner or Owners of Property ... '..'~/'~'~3:. . County Tax Map No. 1000 Section .... ~. ~'~. ...... Block .... ~ ........ Lot .... ./. ~ ........ ~ ' ' ' Filed Map No Lot No oubdlvlsl0n ...... , ........ ,., ...... ,. ......... , .......... , ............ P~¢,'nit ~ln Date ............. Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval Planning Board Approval Request for Tempora.~y Certificate ......... · ........... Final Certificate ....................... · Fee Submitted $ ............................ Construction on abova described building and ~t.s ~l a~l=~..~.nd ~gul,~tions,. i{~v, $0-10.78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 119?l January 11, 1984 TEL 765-1802 Peter J. Grattan, Jr. ~85 Hummel Avenue Southold, NY 1~971 Re: Application for deck permit~ dated 6/29/83. Dear Mr. Grattan: On August 5th, 1983, a "Notice of Disapproval was sent to you on the above application, a copy of which is herewith. To date we have not heard from you, please advise if you plan to proceed with this construction. You(.~ truly, l/ Building & Housing Inspector EFH:ec Encl. TOWN OF SOUTHOLD OFfqCE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL SOUTIqOLD, N.Y, 11971 TEL. 765d 8O2 This is to advise you that the job under building permit no, 12871Z issued to Peter Grattan on 7/29/83 for Addition is completed a final inspection bas ( ) has not ( x ) been done. and fn order to complete this file, it is necessary that a Certificate of Occupaecy be issued. Please fill out the enclosed form, retnrn same to the above office with a check for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an i.speetion da~e Occupancy or use is unlawful without a Certificate of Occupancy. Please. help us to clear up this matter mo that legal aerie, does not have to be taken. Thank yeu for yo,r prompt attention. Very truly yo~', Victor Lessard Executive Administrator VL:gar encl. TOWN OF SOUTHOLO~-- BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:2 Disapproved a/c ................... _~ ...... i~ ..... ..................... (ffuilding Inspector) APPLICATION FOR BUILDING PERM IT Dat INSTRUCTIONS Application No.../(:I: .~'17 ~ ...... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 )r areas, and giving a detailed description of layout of property must be drawn on. the diagram which is part of this appli-. mtion. c. The work covered by this application may not be commenced before issuance of Building Peralit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit :hall 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 hntil a Certificate of Occupancy ~hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department fol' the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. .'he applicant agrees to comply with all applicable laws, ordinances, lm/lding co¢4~ housing code, and regulations, and to ~dmit authorized inspectols on premises and in building for necessary inspectio~./(, .. / ....... ; ......... 7' ..... '.~ ...... (Signature of a~a~'~l&me, ifa c~o;ation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 1(./ ( '~late:' ~ffrol 'atest' deed v If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~' Plumber's License No ......................... No nmcm~.tan s ....................... Other Trade's License No ...................... I. Location 9f land o,.n,~hich proposed work will be done .................................................. ...~..I ..E..~. ....... . .~...~ ~ .~.z....,&.< ............ ~.~Z.~...' ........... House NumberStreet Hamlet County Tax Map No. 1000 Section ......... & .~.... Block .......... .c~ .... Lot ..A.. (Name) 2. State existing nse and occupancy of premises and intended use and occupancy of proposed construction: a. Existing, use and occnpancy .......... ,,..~. & .'~'~*C~Q.. · . .~t-/....~...'~-~...~ ....................... · "" ..... ~.... .... ~...~5 ................................... b. Intended use and occupancy Nature of work (check which appllicable): Repair .' ............. Remoyal 4. Estimated Cost ....... . .................. Fee ...................................... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling uhits ............... Number of dwelling units on each floor ................ If garage, number of cars 6. If business, commercial ormixed!occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structuresI if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ....................................................... Dimensions of same structure with alterations or additions: Front Rea~ Depth ~ .i Height Number of Stories ' 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 are 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 ................ Name of Contractor ......... ~ ................ Address ................... Phone No ................ New Building ...~. ..... Addition .......... Alteration .~ ......... ......... Demolition ...... ~ ..... Other Work.."~...(.f..C[,~. ..... ~ b (Description) 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 ~ amber or description according to deed, mad show street names and indicate whether interior or corner lot-,., .,. , ................ .... ~ · · ..... being duly'sworn, deposes and says that he is the applicant , ~g contract) above namedf ~ He is the ................... g,~r-,~% ....................................... r ................ " (C ffi ) ~ ontractor, agent, corporate o cer, etc. of Said owner or ownem, ~d is duly authorized to perform or have perfo~ed the said work and to m~e ~d file this application; 'that all statements cont~ned ~ this application are true to the best of his knowledge and belief; ~d that the work will be perfo~ed in the m~net set forth in the application filed therewith. Sworn to before me this j ......... ........ .....