The URL can be used to link to this page

Home My WebLink About15685-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy No Z-15277 Date February 13, I987 DECK ADDITION THIS CERTIFIES that the buridlng ............................ 5]0 Greenfield Lane Southold, New York Location of Property ~t~us'e'lVo ' ' ' Street Hamlet 063 5 24 County Tax Map No 1000 Section ..... Block ....... Lot .............. Subdivision. M/o Greenfield ...Filed Map No 6313 .Lot No. 8 conforms substantmHy to the Application for Building Permit heretofore fried in tins office dated February 13, 1987 pursuant to winch Btulding Permit No 15685 Z dated . . F.e b.r .u .a.r.y. 1.3.,.. I .9 .8.7 .... was issued, and conforms to all of the reqmrements of the applicable provm~ons of the law. The occupancy for wtuch tins certfficate is issued is ....... DECK ADDITION TO EXISTING ONE FAMILY DWELLING. PHILIP & ROBIN GRATTAN The certificate ~s issued to .......... ~o~ner,'l~__l~d[t~X ............... 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 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) N9 15685 Z Permission is hereby granted to: .. ....... ~.__~... ...~,.~ ............ ~ ......... ~...~ ...... at premises located at _.~../....~..~.~.~~....~J3~.~.~.....~ County Tax Map No. ]000 Section .....C3. ga .~ Block ........ ,(~.,~.... Lot No .......,,~,, ,k~ ..... pursuant to application dated ..~.~~.....(....~ ..... , I0..~.~.,-- and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 76.5 - [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions This apphcat~on muSt be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor w~th the following; for new buildings or new use' 1. Final survey of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dmposal-(S-9 form or equal). 3. Approval of electmcal installation from Board of F~re Undervvmters. 4. Commercm[ buddings, Industmal buddings, Multiple Residences and similar buildings and installa- tions, a cert~fmate of Code complmnce from the Architect or Engineer responsible for the building. 5 Submit Planmng Board approval of completed rote plan requirements where applicable. For exmt~ng buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses. 1. Accurate survey of p=operty 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 cert~fmate. C. Fees: 1. Cert~ficate of occupancy New Dwellzng $25,00, Accessory ,$t0.00 Business $50.00 2. Certificate of occupancy on pre-ex[sting dwelling $ 50.00 3. Copy of cert~flcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ....................... NewConstruct~on.., x Old orPre-exlStmgBuildlng ........ Vacant Land 510 Greenfzeld Lane Southold, New York Location of Property House No. St~et Hafnlet Owner or Owners of Pro~erty Philip & Robin Orattan County Tax Map No 1000 Section 0 63 Block 5 Lot...2.4. Subd~vlmon H/o Gre~n£ields .FdedMapNo ....... LotNo. 8 Perm]tNo 15,685Z Date of Perm~t 2/.].3/.8/~pphcant Philip Crattan Health Dept Approval N/A .Labor Dept Approval N/A Underwmters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ................. Final Cert~fmate ] 0.00 Fee Submitted $. !0.00 Construction on above descmbed budding and permit meets all apphcable codes and regulations, Apphcant Phzlzp Crat t~.n OU~DATIO.U I 1st) OUNDATION ( 2nd ) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FI;~AL ADDITIONAL COMMENTS: 'IELD INSFECTION DATE COMMENTS 'OUN,DATION (2nd) /~ /"'--~ PLUMBING ~NSULATION PER N. Y. STATE ENERGY CODE / ADDITIONAL COMMENTS: Disapproved a/c 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.. 765-1803 BLDG DEPT TOWN OF SOUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a Tins application must be completely filled m by typewriter or in ink and submitted to the Building Inspector, with ets of plans, accurate plot plan tolscaie. Fee according to schedule b Plot plan showmg location of lot and of buildings on premises, relatmnslnp to adjoining premises or pubhc stree ~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of thru appl atlon. c The work covered by tins apphcahon may not be commenced before issuance of Budding Permit d. Upon approval of thru application, the Bmldmg Inspector will ~ssued a Braiding Permit to the apphcant. Such perm hall be kept on the premises available for inspection throughout the work. e. No budding shall be occupied or used m whole or in part for any purpose whatever untd a Certificate of Occupant ball have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Budding Depmtment for the issuance of a Bmldmg Permit pursuant to tt luflding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances t ~egulat~ons, for the construction of buddings, addiUons or alterations, oy~t'Or removal or demohUon, as herein describe, he apphcant agrees to comply w~tb all apphcable laws, ordinances, bl~d~a~g code,~usxng code, and regulatmns, and t dimt authorized inspectors on premises and m bmldmg for necesr~zalaq~t~ns. ]/~.x~' '~'r4//~ ~. .,4Signature for ap .~.~ff a corporation) (Marling address of apphcant) elate whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budde, qame of owner of premises''~]'/~./c .................. (as on the tax roll or latest deed) f apphcant is a corporation, signature of duly a,uthomzed officer (Name and title of corporate officer) Builder's License No .. Plumber's License No. Electrician's License No. Other Trade's License No ............... ~-~ r-, Location of land on which proposed work will be done. / House Number Street I[auxlet County Tax Map No. lOOOSectlon. ....O~..X .. Block x~ Lot.~ Subdivision . ~.~. / .~2<1).~ ..... Fded Map No Lot , (Name) State existing use and occupancy of prenlmes and intended use and occupancy of proposed construction a Exmhng use and occupancy V~ .~.'q~-' . L.~r. 0.~. .... b Intended use and occupancy .................. 3. Nature of work (check which apphcable) New Budding ~/.... .. Addition . . .. Alteration Repay . ~' Removal Demolition Other Work ~[ Estmaated Cost ............... Fee ............................... ~ (to be paid on fihng th~s apphcatmn) ~ If dwe~ng, number of dwe~mg umts.. ./ ........ Number of dwelhng umts on each floor .......... If garage, number of c~ ...................................................... ~ If business, commercml or m~xed occupancy, specify nature and extent of each type of use .............. ~ D~ensmns of ex~st~ng structures, ffany Front ........ Rear ..... Depth .. Height ............. Number of Stones .................................. D~enslons of same structure w~th alteratxons or add~tmns Front ......... Rear ........... Depth ................. Hel~t ........... Number of Stones Dimensions of entire new con~tmction. Front ....... Rear .... ~ .... Depth' ' ' ~ ~ t' ' ' Hel~t .. ~ ........ Number of Stones ... ~ ........ S~ze of lot Front ..... Z~O.' ..... Rear Date of Purchase .... ----.~/~/~ ......... Name of Foyer Owner . .~ O~.{. ~ ~ ~ ~ ........ Zone or use dtstnct ~n which premises are situated ............................. Does proposed construction violate any zomng law, ordinance or regulatmn' .~q ............ Will lot be regraded ....... ~ ............ , W~ll excess~ll be ~mo~ed from prem,ses N~e ofOwnerofpremises ~l~tl>~.~ddress ~t~.~..~o ... Phone No ~-.:~/~.T .. Nme of Architect ........................ Addre~ ' ... N~eofContractor.&~ 5 ............ Address3¥'t~' . }..]..PhoneNo ~m~g,~gi~'ff, Y, ' Phone No ...... P~T DIAG~M Locate clearly ~d d~stmctly fll buddings, whether ex~stmg or proposed, ~d tnd~cate ~1 set-back d~ens~ons from ope~y hnes G~ve street ~d block number or descnpt:on according to deed, and show street names and md~cate whether tenor or corner lot. ATE OF NEW YORK, S S )UNTY OF ..... .................... being duly sworn, deposes and says that he is the apphcant (Name of individual signing contract) ore named ~s the ................................. (Contractor, agent, corporate officer, etc ) sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and file tins ahcatlon, that all statements contained m this applicatton are true to the best of his knowledge and belief, and that the ,rk wall be performed tn the maniaer set forth m the application filed therewith. om to before me this ........ /.r. ......... d ygf .... ...... dX' //7 ,, t ary Public,. ~¢~r... ~.'.../~).~ ~/...~..... County ~.