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Home My WebLink About16711-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate O[ Occupancy No.Z16965 Date June 7, 1988 THIS CERTIFIES that the building ...... A..l .t.e.r.a..t .~.o.n. .............................. Location of Pro erty 2570 Bray Avenue Mattituck P - h~J~h/o: .......................'s'&~i ....................... County Tax Map No. 1000 Section .126 ........ Block 10 .Lot 5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .....37.n. :..8.,.. [.9 .8.8 .... pursuant to whicb Building Permit No..I.6. 7. .l.I.Z .............. dated .. J..a .n.... ! .9., i. 1. 9. .8 .8 ........... was issued, and conforms to all o f the requirements of tile applicable provisions of the law. The occupancy for which this certificate is issued is ......... Replace windows. The certificate is issued to WILLIAM GRAF ..................... ioYn'~'c'~x'~'f~ ................... of the aforesaid building. Suffolk County Department of Health Approval ...... .N./.A. ................................ UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16674 Date Feb. 26, 1988 THIS CERTIFIES that the building Foundat ion Location of Property . .2. 5. .7.0..B..r .a.y..A.y.e.. .... .M.a.t.t. ~ .t.u.c.k. .............................. House No. Street Ham/et County Tax Map No. 1000 Section .. 1. 2. .6 ....... Block . .. l.O. .......... Lot . . .5. ............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · J..a .n.... 8.,..1.9. 8..8 ...... pursuant to which Building Permit No. 1 6 7 I 1 g dated J an. 1 9, 1 9 8 8 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 ......... for the foundation under the dwelling only, second C.O required for the alteration work. The certificate is issued to WILLIAM GRAF ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval t,l /A UNDERWRITERS CERTIFICATE NO .... N/A N/A PLUMBERS CERTIFICATION DATED: ' ' /~ Bu~.~/d~ng fnspector Rev. 1/81 TOWN 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) No- 16711 Z Permission is hereby gronted?o: · ~....~.~.....~..~ ...................... ;~.=~.~:~...../-....; ................... ./.~.~ ,o ...~...._..~ .~.~~~....~.....~....~..~ .... ~,~,,m,,e,,~t.d~, .......... ~.~Z ........ ~~.....~ .......................................... ....................................... ~._~ ...................... ~. ................................... ..,~......~~.Z~ .................................................................................................... co~ ~o~ ~ ,~. ~ooo ~.~,~. ........ Z~.~... ~k ....... Z.~ ....... ~o,.o ........ ~ ....... pursuont to opplicotion dot~ ................ ~..../~ ......................... , 19..~ ond opprov~ by the Building Inspector. Fee $. ~..~.~ Rev. 6/30/80 FORM NO. 6. -~11~ ~-" , TOWN OF SOUTHOLD #lJ_t mm I ~ ~--~'~mm~ Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCI 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: I. 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 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. 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 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of-occupancy on pre-existing dwelling $ 5 0.0 0, 3. Copy of certificate of occupancy $ 5,00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ...J~qa.3~..19{~ ......... New C on s t r u c t i on Old or Pre-existing Bu ilding Vacant Land 2~0 B~ay. Ave ' Mattituck Location of Property · House No. Street Ham/el Owner or Owners of Property County Tax Map No. 1000 Section ....... Bloc ........... Lot... S~bdivision F ileal Map-No Lot-~ Permit No. ].~.71]- .... Date of Permit 1/.].9/{~.~..Applicant .~.qy .f?.o..r~.e..n.t..~ .~.s.~.,.. ~.qo.....~.o.~ .0. wnez' Health Dept. Approval ..... ~/~ ................ Labor Dept. Approval .... ~.//.A ................. Underwriters Approval ...... N/A. .............. Planning Board Approval ...1~.~.~ ................. Request for Temporary Certificate ..................... Final Certificate ....... ~. ............... ee Subm e ............ Construction on above described building.'~it meets all a~oliee~c ccdes and regulations, Appli,~~~ ......... i~. ,l" .e .s.i. ~. ,e .O.t;, .... Rev, lO,lo-7e Environment East, Inc. R. R. No. 3 -- 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 £i'ebruary 10, ]_982 Southold Town Buildin~ Dep3. Tow~ Hall l~a~ n [{cad Southold, ;~Y 1197]. '£o Whom it May Concern; We h::qo recently i:amsh~d the work required on the fouu- d~ ~zon modification as anp.._zed for' u~der Permit ~/ 16712L, dated 1/19/88~ located at 2J70 Bray Ave, HattitUCko At which time the owner, ?~ro William Grsf, requested that we replace the badly deter~.orated windows on the side wall. W~' would like to ar~e~d the e×ist~.ag permit t:) cover 'bhis work As soon as the deter:' orated area has bee.a opened up, a~.d the inspection° Pre side~t extent of replacerscnt known, we wi!l eostso PRS:jm call for an FO U~A T I O'N ( 1 s t ) FOUNDATION { 2nd ) 2. ROUGH FR AME~& .FLUMBING INSULATION FERN. Y. STATE ENERGY CODE FINkL ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF SOUTHOLD Building Dapartmont Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPT. TOW. p,F, Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 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 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 New Building ............. Old Or Pre-existing Building ............ Vacant Land ............. Location of Property ..... ~.~0... ~y..A?. e: ..,. ................. ~.~..t;?.~.~.u..o ~.: ............. House No. Street Ham/er Owner or Owners of P~operty ~4j. 11 ia~.~..G., r .~? ................................... County Tax Map No. 1000 Section , .~.~ .......... Block ...~.0. .......... Lot .... -~ ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. Z.?.7.~;~ .... Date of Permit Z../.1.9/.~..~..Applicant ~..~?.~ .~.o;rv~.e. ~.~. ~.~..s Health Dept. Approval .... ~,,/.A. ................ Labor Dept. Approval ..... ~T./..A ................ Underwriters Approval ..... ~/.A. ............... Planning Board Approval .... .~./'.A ........' ....... Request for Temporary Certificate ..................... Final Certificate ,. ,~, ................... Fee Submitted $... ~.o. q0 .................... Construction on above described building a~~e cod~s and regulations. Applican/t'..,~, .~4--~¢.~'~,~(~.~:/~,~,/... ~.~ ~i~e. t3t ................ L~'Envir'ohm~nf~ ~as~, Inc, 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND [ ] ~LSULATION FRAMING ~r '3 FINAL DATE INSPECTOR 765.t802 BUILDING DEPT. INSPECTION ] FOUNDATION J. ST [ ] ROUGH PLBG. ]/FOUNDATION 2ND [ ] INsuLATIoN / [~,,/] FRAMING ,r. ] FINAL INSPECTOR ixamined ... ~./~/. ~. ...... , 19 .~..~ ' ~pproved .,~.. ~. ....... 194~. Permit ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~°OUTHOLD, N.Y. 11971 TEL.: 765-1803 ~ N o. :/Yr//. BLDG. DEPT. TOWN OF SOUTHOLD Received ........... ,19... )isapproved a/c ..................................... ..... (Buildiql~lnspector) APPLICATION FOR BUILDING PERMIT Date Janu2rb.~ 6 19 ~.8 INSTRUCTIONS a. This application must be Completely filled in by typewr}ter or in'ink and submitted to the Building Inspecto/,'-Wi~5 bts 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- ation. 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 aail be kept on the premises available for inspection throughout the work. e. No building shail be occupied or used in whole or in part for any purpose whatever until ~ Certificate of Occupancy hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance qf a Building Permit pursuant to the milding 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, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspecUons. .... .E. 9¥?.q .nq, ............... ( (Signature of applicant, or name, if a corporation) 307~ Im~ian ~eck Lg~ .... 2>.a c ohio ,. ~. 11.9.~8 ..................... (Mailing address of applicant) -;tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Qgpt r0.9 to~? ............ ...................................................................... ',lame of owner of premises ... )(~, !13.~r¢. (.-~F.a~ ........................................................ (as on the tax roll or latest deed) / ............ .... ~ ~~tit~6f co. orate officer) Builder's License No...~.I.I. ~J~.6 ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... l. Location of land on which proposed work will be done .................................................. ....2~.7.0. ..................... .l~P. aT. ~x~e ......................... ?{aggLe.uok .................. House Number Street Hamlet ~'< - County Tax Map No. 1000 Section .... .~-3. .......... Block ...J~O ............. Lot.. ~ ............... Subdivision .... ~. ................................ Filed Map No ............... Lot ............... (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f p~p~sed c~nstructi~n: a. Existing uso and occupancy . .0..?...f.. ¢r:qi.~7..dV~.%] .5.qg; ............................................ b. Intended use and oc~cupancy . O. 99..~ ~.~r.~.~.~.~..d V~. 1. ]_ .5.n.g. V~.~.h.. p.a?.g. ~..~.~..b. ~..s .e ?lq n..~ .............. . .... $. Nature of work (check which ~pplicable): New Building .......... Addition .......... Alteration ..... Repair ........... ~ .~,,~enloval ............. Demolition .... : ......... Other Work ............... 4. Estimated Cos ' --/ ~ , '" (to be paid on filing this application) 5. If dwelling, number of dwelling units .... ~- ........ 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 typo of use ........... ~ ...... ' 3.6. ! ~..6! Depth 31 7, Dimensions of existing structures, if any: Front ........... Rear ..................... Height Number of Stories Dimensions of same structure ~ith alterations or additions: Front qq 9~Rqgi~ Rear Depth ....................... Height ...................... Number of Stories ..................... 8. Dimensions of entire new conslrnction: Front ............... Rear ............... Depth ......... , .... Height Number of Stories 9 Size of lot: Front ' I Rear Depth 10. Date of Purchase ............................. Name of Former Owner ............................. 11 Zone or use district tn wh. ich p~emises are situated 12. Does proposed construCtmn vt61ate any zoning.law, ordinance or regulation: ................................. 13. Will 10t be regraded ........ !.~. ..... . .............. Will exc,~ss,.fill ke removed from promises: Yes 14, Name of Owner ofpremises~.m.! .u.~.a.I ............. Address .~?~.~._a.[..a,v,~,..,Phone No .2.~ .8 :-.8.9. 6. ? .... ~a~l~_e ~of~ C~'oCnht~:c~to_. ~'r~'~.~,:3'~ ~1'~' '?~ ~h'~',' 'I h'o',,Ad.?ess '.30~ 'T h[l'r g.h' '~T[~ .~ne ?,o..~j~.7.~l~ .... ' ~um~ m ~o,ua tm ........ ~ ................. aaaress '~0'c'Or~le'/'~' ~.'~:9~°ne rqo .......... ~r .... ,. PLOT DIAGRAM Locate clearly and distinctly a~l buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocl number or description according to deed, and show street names and indicate whether /ntorior or corner lot. ;TA'I]~ OF NEW YORK, ' S.S ~'OUNTY OF ................ . (Name of individual sig6ing contract) bore named. being duly sworn, deposes and says that h~ is tt3e applicant le is the ..................... (Contractor, agent corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have' performed the said work and to make and ill'this~ pplication; that ail statements conlained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in .the manner set forth in th8 application filed therewith. .worn to before me this lotary Public, .... ' H i£NICI)£VOE ' ' ..... : ................ NOTARY pUF~LIC, State of New York nature of applicant) ~ N0..4707878, Suffolk Cou~typ.¢-, ~ ' lerm Lxplres M~rch ~0,1~ ~Z , for water distributing system; piping shall I~ of types ~ OCCUPANCY OR USE IS UN~WFUL WITHOUT CERTFICATE OF OCCUPANCY If copper tubing is Used SOLDER USED//V WAI'EF( SUPPLy SYSI"EM CAN~VOl' E,~CEED 2/10 of 1% LE~D. Pl lJMSER CERTIFICA TIO/V ON ~EAD CONI'ENT' BEFORE CERTIFICAI'E OF OCCUPA.~.~Cy APPROVED BY