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Home My WebLink About16396-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy N°...Z.-.[.6.87.8. ....... Date May 17, 1988 THIS CERTIFIES that the building ONE FAMILY DWELL ING Lo hr'ann t~n~rtw 255 Harper Road West Southold _C_lv.. ~f Prv~v.., , N. Y. House No. ' .......... ~/e[~ t' ................. h~r~hl County Tax Map No. 1000 Section 063 .Block 07 ..Lot 07 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated August 25, 1987 pursuant to which Building Pernfit No. 16396 z dated . . A..ug.u.s.t...310. ,...1.9.8.7. ........ was issued, and conforms to all of the requirements of the applicable provisions of tile law. The occupancy for which this certificate is issued is ......... ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to MONICA J. GRIGONIS (owner, '/~gtX~tX~ X .................... of the aforesaid building. Suffolk County Department of Health Approval 87-80-145 - May 5, 1988 UNDERWRITERS CERTIFICATE NO. . N007833 - March 25, 1988 March 18, 1988 - INNOVATIONS PLUMBING INC. PLUMBERS CERTIFICATION DATED: Rev. 1/81 I~OR~ NO. ~ 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 16396 z Permission is hereby gmnt?.~.d to: 'X ,, . R .~.~...~..~.~__.7..:. ............................ :_. ....~.~...~..:~.,...~.~..~ ........... ,o at premise, ,~ated o, ...~.~..~......~.~~....~......~ ............. County Tax Map No. lO06Secti~j,.O,..~...~,., Block ..... ..C~'...~. ......... Lot No ...... .~..~. .......... pursuant to application dat~ ..~.~.~. ....... , 19~.~., and approv~ by the Building Inspector. Fee $..~.....; .~.../..... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall Southold, N.Y. 11971 705- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Tl~is 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 unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--rs-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 p~operty showing all property lines, streets, buildings and unusual natural or topograph ic faa tu res. 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: Adcl~tions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory,.$10.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. O0 3. Copy of certificate of occupancy $ 5.00, over 5 years $ ]0.00 d.V~IcrH~t l,,'tl~([ C.O. ',q 20.00 5. Updated C.O. $ 50.00 Date . .May..lp/..1,9,8.8 ............. New (:~I~:; l.l'uc b i ou..~., . . Old or Pre-existing Building ............ Vacant Land ............. Location of Property 255 Harper Road West Southold House No. Street F/am/et Owner or Owners of Property Monica J. Grigonis CounW ]-,ix Map No. 1000 Section 063 .07 07 ............... Block .............. Lot,..- ............. Subdivision. Harvest Homes Estates 5.337 7 ................................ Filed Map No .......... Lot No .............. P~rmit No. 16396. . ~... Date of Permit..8/25/87.......Applicant Ro.n Mo.r. izzo Builder, Inc. HeaJth Dept. Approval ........................ Labor Dept. Approval .................... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate X ..................... Final Certificate ....................... FeeSubmittod $ 25,00 ~n above described building an~p~m' Corn;Ir.etlon It meets/al)~0plicable codes and regulations. .... .................... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. ! 1971 TEL. 765-1802 CERTIFICATION Building Permit NO. /~<~/-~ (please print) Plumber INi~,)V t~Ol~ ~v,~l,~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this 19 Notary Public, County ~--~ Notary' Public ' .FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) COFiMENTS ROUGH FRAME PLUMBIN~ INSULATION PER N. Y. STATE ENERGY FINAL NAL COMMENTS P.O. BOX 325, MATTITUCK, N.Y. 11952 / 734-7171 FRONT STREET, GREENPORT, N.Y. 11944 / 477-1858 November 24, 1987 Southold Building Dept. Main Road Southold, New York 11971 Re: Permit ~ 16396 We, at J.P. Hunter Co., Inc. installed R-Ii Kraft Faced Insulation with 8" Blown In type Fiberglass with Minimum Value to R-19 which exceeds New York State Building Code. Sincerely, J.~. Hunter JPH/jbt "I am familiar with the Standards for,Appr~oval and ConStruction of Subsurface Sewage disposal Systems for Single Family Residences and will abide b the ~nuLLlui~ ~ec zozcn ~h~rein ~a~%] dn't~e permit' kb cons%r c~.,, '' ' ' ~ ~i~le ~amily Residence Onl~ APPROVED ...... / ~PIRES ~ Y~R~ F~O~ DATE ~ APPROVAL Barbara MO~izzo '..., %, *de*, , I/./ 545 Columbia. Road "%~e- --..~ '~:/) , k**k _ '- Y 1 z~~~~,~ : ," ,, , ,~~ ~ ~,, ,, ' RON ~OR~ZZO SU~LDER, ~NC. ' ' Co,traotor - ~ome ImproVement~ , :~:' ' P.O. Box 789 ~'/'/~ ]: SOUTHOLD, NEW YORK 11971 , (516) 765-5772 ' ' ' ' ' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION [ ] FRAMING [ ] FINAL DATE INSPECTOR---/~ ~ INSPECTION [~ //F'OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL DATE//'~//~? INSPECTOR ~._~ /~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ J~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~/FRAMING [ ] FINAL DATE 7G5-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INflaTION FRAMING [,~FINAL DAT. ~//~/~/ INSPECTOR ~~ ,~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION ZND [ ~/NSULATION [ ] FRAMING D/] FINAL REMARKS: INSP£CTOR ~~ ~/~-~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000121 ~ ~ ~, < ~,~ I~UREAU OF ELECTRICITY ~ i~ 85 JOHN ~'~EET. NEW YORK. NEW YORK 10038 H~RCH 25,1988 51348987/8~ N 007833 THIS CB~FIBS PAGE 1 IIONICA GRIGONIS, 30 44 27 30 255 ltARPICR RD. WEST, SOUTItOLD, N.Y. a~ ~ou~ to ~ in ~na~ian~ ~ith the ~ui~ment* FUIINA~ MOTO~ $ ~ V I (; ii 1 L2.O PAUL R, BURNS 275 TOYN H~BOR hRNE SOUTROLD, NY, 11971 -, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMEN' TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 E×amine~z_,(~V-,.V..~..., 198 3. Approve~~W..~..., 19~..q. Permit No. 1 .~ .~.el."~ ..~. Disapproved a/c ..................................... ................................ .... (Building Inspector) BLDG, TOWN L)F SOU, HoLD APPLICATION FOR BUILDING PERMIT Received ........... ,19... 6~0~t db_ct, o713o-¢1 1~7, 70 INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 regulations, and to admit authorized inspectors on premises and in building f°r necesi~?.i~T~ti~s.'...~OY~ FY"~Olr I'~'ZO.'... ~[~)/.) I.~ .... l(~./. [ .~. l ............. -~-~C~ , : (Signature of applicant, or name, if a corporation) (box . . ............... ,.6out+mold, "-/. t I q'? I j' State whether applicant is owner, lessee, agent, architect, engineer' builder. general contractor, electrician, plumber or ..... .n. c. r. . . . . .q. p. .,o. .?. . p. . . ..................................................... Name or owner of premises ..... .~...0..~..I.C....C~....~.,.. .I..~. .................................. (as on th~-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.. ~2. ?. ?. .~. .% .d .~-.. ........ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................... · ................... M. ..... ". .... ..................... House Number ~ Street Hamlet County Tax Map No. 1000 Section ..... ~.~. ......... Block . .7. ............... Lot...7. ............... Subdivision .~!Ot..F.~..~.~. f. ?.~?...F~. ¢.~....~-..~...-~..'.~.~..~... Filed Map No. ~.~, .~.7 ..... Lot.. q ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy VC[~(~gD1~. ~O~¢-5{~ b. Intended use and occupancy ~.~)~..~..~ t .~_4. d [~(_~).~ ' 3. Nature of work (check w,.hich a:pplicable): New Building ...v... .... 'Addition .......... Alteratiom ..... , ...... Repair ...... .~ '; ~ ~. ~'oval ............ Demolition .............. Other Work ....... ~ ........ 4. Estimated Cost.. ' ........... Fee ......................... ;... i (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 type of use ..................... 7. Dimensions of exmtmg structures, ff any: Front ............... Rear.. ............. Depth ............... Height ... Number of Stories ............................. Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... !... Height ...................... Number of Stories ...................... 8. Dimensions of entire new constructmn: Front ............... Rear ............... Depth ............... Height ....... Nl~fnbor 9 Size of lot: Front ~ Rear Depth 10. Date of Purchase .......... . ................... Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction vi01ate any zoning law, ordinance or regulation: 13. Will lot be regraded ........ ~ .....~)~..'~" '~' it~ '[ ' ' Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .fDiOD I.~ .... . ~ .~..ri..$Address ................... Phone No. 2'7~. ~.'7 ~.~.~.~'~.. Name of Architect ......... ! .........~ .......... Address ................... Phone No. 15. Is this property located withinl200 feet of a tidal wetland? * Yes ..... No ..... · If yes, Southold Town T~ustees Permit may be required. i 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. STATE OF NEW YORK, COUNTY OF .......... : S.S (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is drily authorized to perform or have performed the said work and to make and file this application; that all statements cogtained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manfier set forth in the application filed therewith. Sworn to before me this ............~ .~O'- . ~,~a~0 ft, ~/~,,,..~.' . ........... 19/~.~....c~./'.{. Notary Public ........... .4.....i.../V.~ ...... .......... County ~/~ NOTA~ PUBLIC, State of New -rctrl No. 47oi'878, SuNO~k ~C~u~ nly~ Term Exld~ March 30, ~ I OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER ~ sUPPLY SYSTEM cANNOT EXCEED 2/I0 of I% LEAD. PLUMBER cERTIFICATION ON LEAD CONTENT BEFORE APPROVED A~NOTED FEi: '?~'"~° ~ BY~ ~/' ~ '~' NOTIFY BUILDING DEPARTM~T A~ ~,5-1~2 9 AM TO 4 ~ ~ THE FOL[ OWING INSPECTIONS: FOUNDATION ~O ~EQ~RED FOR ~UREO CONCRETE RO~GH FRAMING & ~UMBING 4 F~'.,, CONSTRUC~i~ MU~ RON MORIZZO BUILDER, INC. Contractor - Home improvements P.O. Box 789 SOUTHOLD, NEW YORK 1197! (5~.6) 765-5772 RON MORIZZO BUILDER, INC. Contractor - Home Irnprovem~nts P.O, Box 789 SOUTHOLD, NEW YORK 11971 (5]6) 765-5772 I t I RON MORIZZO BUILDER, INC. Contractor - Home I_m_~rovements P.O. Box (516) 765-5772 0 RON MORIZZO BUILDER, INC. P.O Box 789 SOUTHOLD, NEW YORK 1197! (516) 765-5772 J I r-] j RON MORIZZO BUILDER, INC. Contractor - Home Improvements RON MORIZZO BUILDER, INC. P.O. Box 789 SOUTHOLD, NEW YORK (516) 765-5772