HomeMy WebLinkAbout16209-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hale
Southold, N.Y.
Certificate Of Occupancy
No...z.!8517 Date N0VEMER 1, 1989
THIS CERTIFIES that the building POOL AND FENCE
Location of Property 1800 GRATItW01tL ROAD NE}/ SDFFOLK
County Tax Map No. 1000 Section .... 1,1.7. ..... Block 04 .Lot 02
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·..J..ul ¥..2,..19.8.7. ..... pursuant to which Building Permit No. 16209Z
dated . .J.u.l.y., .1,6,: ! .9.8.7 ............. 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 .........
INGROUND PO'OL AND FENCE.
The certificate is issued to . WILLIAM & ROSEMARIE ELANCItARD
.................... ......................
of the aforesaid building.
Suffolk County Department of Health Approval ...
UNDERWRITERS CERTIFICATE NO. N830670 Sept. 4, 10B7
PLUMBERS CERTIFICATION DATED: N/A
Rev. 1/81
· 'D Building ~'r spe~tor ~- ~
FOII,M~ NO. 9
TO~'N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 16209 z
Permission is hereby granted to:
.......
.~..o....~....~-E...~.% ..........................................
...... ,.
,o ..~~....~..~:~....%..?...~......*..d~.~.....~...~
at premises located at ..... .'~.~...~......~.~...~,,C~...:.......~..~..~~ ........
County Tox Map No. 1000 Section ..... I.L.,~ .......... Block ......,.(~,..~ ....... Lot No. ~ ~
Building Inspector.
Fee $.!..~...)...~.
and approved by the
Rev. 6/30/80
TOWN OF $OUT~OLD
BUILDINC D~PARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APFLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
~o~o~ o~ ~o~,. l ~o.~... ~'--~.~. ~¥~..~..,...b~,~....~.~.\~
HOUSE NO. . STREET HAMLET
Owuer or Owners of Property. ~.
Subdivision .......................
Permit
Health
Filed Map ........ Lot ..........
No. .~.--.Date of Permit .......... Applicnn .
Planning Board Approval ................
Request for Temporary Certificate .......
Fee Submitted:
Final Certificate .. .
IO/~4/88
Ae
FORM NO. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN tlAL~
765 - 1802 "..
APPLICATION FOR ~ERTIFICATE OF OCCUPANCY INSTRUCTIONS
'T~is application must b~ filed in
Inspector with the full,wing; typewriter OR ink and submitted to the Building
for new buildings or new use:
]. Final survey of property with accurate location of all buildings, property lines,
streets, and unusualinaturaI or topographic features.
2. Final approval of Health DeBt o~ -- ~ - '
I . ~ - ~ water supply and ~ewerage-disposal(S-9 form).
3e Approval of electrlcll znstallatlon from Board of Fire Underwriters.
4. Sworn statement from Ipltunber certifying that solder used in system contains less
than 2/10 of 1Z lead.;'
5. Commercial buildings,I industrial buildings, multiple residences and similar.'
buildings and install!ations, a certificate of code compliance from the Architect
or Engineer responslblle for the building.
6. Submit Planning Boardi Approval of completed site pl~n requirements.
For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings
and "pre-existing" land ~ses:
I. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed ~pplicatlon, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company whlch shall '
show single and separate ownership of the entire lot prior to April 9, ]957.
· If a Certificate of O~cupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing c~de or safety inspection of buildings or premises, or other
pertinent znformat~on[required to prepare a certificate.
For Vacant ' ·
Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of{the entire 10t prior to April 9, ]957 shall also accompany
the application. If ~ Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
FEES:
1- CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to AccesSory
buildings, $25.00 -'Businesses $50.00.
Certificate of OcCupancy on pre-existing dwelling - $100.00.
3. Copy of Certiflaat.'e of Occupancy - $5.00 - over 5 years - $~0.00
Vacant Land Certificate of Occupancy - $20.00
$.Updated Certiflcat'e of Occupancy - $50.00
6.Temporary Certificlate of Occupancy - $25.00 Residential
$50.00 Commercial
ev. 10/14/88
THE NEW YORK BOARD OF FIRE UNDERWRITERS
i001~0~ BUREAU OF ELECTRICITY
~ 85 JOHN ~TREET, NEW YORK, NEW YoRK 1100$8
THIS CERTIFIES THAT
o~y the electrical ~aipment ~ ~scrib~ be~w and introduced by t~ applicant ~med o~ the a~e appllcatio~ n~ber i~ t~ pre~s of
Willi~u ~lanchard~ Gra~hwohl Road~ New Suffolk, Southold~
in thefoliowlng location~ ~ B~sement ~ Ist FI. ~ 2nd ~2. 0~[aide Section Bilk Lot
~sexaminedon ~ ~* ~ andfoundtobelncomplianceu'iththerequirements~fthisB~ard.
FIXTURE
OUTLETS
DRYERS
rECEPTACLES SWITCHES
1 2
FIX~TURE$ RANGES OVENS DISH WASHERS FANS
FLUORESCENT
SYSTEMS
E
OTHER APPARATUS:
E R V I C
NO OF HI,LEG
~S~W~M~___I.N__G_~p~4~ This , rtiftcate covers c,:>~plianee at the date o~ inspection only.
Because of unusual ~,, ~tronmen~e it is advisable to have frequen~ ~est/~d oT repairs
made by a qualified person.
A. WG
OF NEUTRAL
Anthomy J. Marris ~-- ~ ~
Towmey Avemue
Calverton, N.Y. 11933 L~C, ~ImE GENE~L MANAGER
This certificate must not be attered in eny manner; return to the office of the 8oard if incorrect. I~pect&rs may b~/'~e~fled ~by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE ~ ~ED IN AN~ ~NNER~
765.1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ~FINAL
REMARKS:
Ut~DATION ( 1 st)
UNDATION {2nd)
UGH FRAME &
PLUMBING
SULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
FOR~! NO. 5
TOWN OF 5OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
TO .~[g:...~.....l~..S....~..I..L, LIA~ BLANCHARD
(owner or authorized agent of owner)
...! ...s.v.
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance CIiAP. 100
Other Applicable Laws, Ordinances-'or Regulations ............................................
at premises hereinafter described in that A swimming pool is being used without a
(state character of violation)
Certificate of Occupancy and an expired building permit.
in violation of ARTICLE XXVIII-Chap. 100-281 & 284.
(State section or paragraph of appJlcable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
....].Y...~.0..~,A*~SRflSL ~,0.~).,....N..E..~...8.U..F..F..O.L..K..~ ............. County of Suffolk, New York.
SUFFOLK COUNTY TAX MAP tt 1000- 117- 04- 02
Failure to remedy the conditions aforesaid and to comply wilh the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
(Cert. Mail)
ORDINANCE IN~ECTOR .............
VINCENT R. WIECZOREK
TEL. 765-180,2
'Fo Whom This May Concern,
We are unable r.o complete your Certificate
of Occupancy because .of the following reasons.
/_--//An application for Certificate of Occupancy
is ~ot on file.~
/--/ No Underwriters Certificate on file.
/.~_-~/ 'l'~e ,:l,~c~ .~:;(,~,;,~o,~:!-not o,~ ~i~e.)~,~- 3 Cob ~
/~/ No Health Dept. Approval on file.
/~/ No final inspection has been made.
P]ea:;e contact our office on this matter.
Thank you for your cooperation.
lh~ilding Permit tt ~_ ~ ~_ _~ _~ Z
1 6 ~oq~
Building Dept. I ~ ~ ~ $ ~
**'~/~/ Ho Plumber solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined..~ ~ ./. '~'- ·.,19~. '~-
Approved ..... /..'~..., 19'~. 7. Permit No. J .4..~..O.~..~
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMI'I
INSTRUCTIONS
Received .......... ,19...
L_____2L¢
BLDG. DEPT.
TOWN OF SOUTHOt. D
Date ................... 19...
;l. Tkis 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 this 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 reguiatiop_s, and to
admit authorized inspectors on premises and in building for necessary inspections. ~
, $OUTHOLD POOLS li',lC. ....,,.,%~,~.7/4at.~.D~.~.~. lmm. ..............
i ~ P.0. [~0X 539 (Signature of applicant, or name, if a corporation)
'~ SOUTHOLD, NY 11971 .P...9.-.~.~..,,~...,~.~.~. ....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . .00...tT-r .-..~. [~..~.l[i'.~0O.....[~4~lC~J~ ...............................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title oTcorporate officer)
Builder's License No. .~'.{,~- ................
Plumber's License No ........................
Electrician's License No .......................
Other Trade's License No. -~-
Location of land on which proposed work will be done ..................................................
./.~.F.~.~. ................. .~.a.~a.~. ~. ~. ~.~..k.~ ....... .~. ~ .o., .~..~.a.,..~..~/ .........
House Number Street Hamlet
/
County Tax Map No. 1000 Section .....~',/.'~ ......... Block ...9. ............ Lot...r,~ .~,. ............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
, /-.. '~l i ,. ~,'~Jg. ~
a. Existing use and occupancy ..'../,,.~.--'tX'%. y./~,tI~.. '..['.y.. ~Yg~ .Lt~g.~,~ ~t~ ,~ ~ .............
b. lntended use and occupancy [.~.~. /~m~ ~i~'~:~9 ,.
3. Nature of work (check which a~plicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Rempval .............. Demolition .............. Other Wor ,.~',.. ..
(Description)
4. Estimated Cost . .'-~.~/.~.~,~.. ! .......................... Fee ......................................
! (to be paid on filing this application)
· mbe fd ell' ~ it N mb fdwelli it hflo
5. Ifdwelhng, nu ro w ~ng:un s ............... u ero ngun soneac or ................
If garage number of cars
fi. If business, commercial or mix0d occupancy, specify nature and extent of each type of us6
7 Dimensions of existing structures if any: Front Rear Depth '
Height Nurn her of Stories
Dimensions of same strncture with alterations or additions: Front ................. Rear ..................
Depth ~ Height Number of Stories .. ',..
Dimensions 0~,~l~re n~,~ constlruction: Front ......... . .... Rear ...... i ........ Depth .
Date of Purchase .......... , .................. ',(~me of Former Owner .............................
Zone or use distr/ct in which p~emises are situated .....................................................
Does proposed construction vidlate any zoning law, ordinance or regulation: ... J~,O ............... ~ ........
Willlot be re raded /'~ ' ' r ' ·
g .......................... Wall excess fill be removed from p em~ses. QY2,~ No
Name of Owner of premises . .'~¢..~(4..k...~tl~'Z~. .... Address J.7.ro.~..(ola,J~T'[J~4~. ~ Phone No ........... i .....
Name of Architect ......... ~ .................. Address ................... Phone No .................
Name of Contractor .~.'~. ?~. ~. · .R-.-o .t..:~c~:... Address P.-9: O-~...~'~o.e/.,~114... Phone No.~[ C~, .-. ~.l.~ke,..
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 indicate whether
interior or corner lot.
12.
13.
14.
.,,.. ?L"-
boo ~ ~
STATE OF NE
....... ~.~i ~. ................... being duly sworn, deposes and says that he is the applicant
(Name of individual sig~ing contract)
above named.
the ..... .C.*.e5 ....................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is d~tly authorized to perform or have performed the said work and to make and file this
application; that all statements conlained in this application are troe 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
.... ...--Z. 2./.k. .....
Notary Public, . County
· · .....
(all!ll~l _ I, ~: 9.~" ' ' "' (Signature of applicant)
~.,el~ffii~lOIl
GRA THWOHI ROAD
Al. 61° 41'50"E
lO0. O0 '
IOO. oo' ~
TITLE GUARA'N. TEE CO.
DIME ,.gAVINGS BANK
WILLIAM R. BLANCHARD
ROSEMARIE F. BLANCHARO
SURVEY OF PROPERTY
AT
NEW SUFFOLK
TOWN OF SOUTHOLD
SUFFOLK COUHTY, N. Y.
lO00 - II 7 ' 04
SCALE I" = 50'
NOV, 24, 1986
(5~
MAIN ROAD
SOUTHOLD , N.¥,
S
11971
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTiFiCATE
OCCUPANCY
L/C . NO. 49668
ENGINEERS , P.O.
Frepared in accordance with the mlnlmu,
otandards for title surveys as establk~hed ~
the L I. A. L $. and approved and a0o~ed,
for suda um by Ihe New Yo~k State Land
Title Association.
86 692