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Home My WebLink About15946-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date November i, 1989 THIS CERTIFIES that the building . .AOOI.T.I.Q.N ............................. Location of Property 1800 GRATHWOHL ROAD NEW SUFFOLK County Tax Map No 1000 Section I 17 .Block . .04 Lot 02 Subdivis/on ................... Flied Map No ........ Lot No ........... conforms substant~ally to the Application for Budding Permit heretofore flied in this office dated · .N.A.RqI~.. 3.1.,. 1.9.8.7 . pursuant to which Building Permit No .1. 5. 9.~ 6.z. ........... dated .. AP.R. IL .28. :. ,19.8.7. . . was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is issued is ....... . .ADDIT..IO.N..T..~..AI~..E.X.I. ST.I.N.G .O.NE FAMILY. DWELLING..... . ................ (amended to include. .... deck) The certificate is issued to .WI.L.L.IAI'~ &. ROSE~IARIE BLANCHARD (o wrier, of the aforesaid building Suffolk County Department of Health Approval . . N./?. ....................... UNDERWRITERS CERTIFICATE NO .... H. 03.805..7. OCT:. 6, 1988 PLUMBERS CERTIFICATION DATED: Building Inspecto/° Rev 1181 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) 15948 Z Date ' ~ ~ 19~ ..... County Tax Map No. 1000 Section ....... ~./.~. .......... Block ....... ..~.....~. ...... Lot No ..... ..l~..~... ........ ................ , 19..~...7., and approved by the pursuant to apphcation dated . .~{.L.).~;~-~I....,~... Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPART~ENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 ll971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTKUCTION ."'~..~.~.~.......OLD OK PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET HAMLET con=es Ta. ~a~ No. I000 S~e=io~ Ii%.. RIo=~ ...~5I.. Lo= .~.~... Subdivision ....................... Filed Map ........ Lot .......... ~<%4W~<~¥', Health Dept. Approval .................. Underwriters Approval ............ Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate Fee Suhmi~ted: rev. 10/14/88 FORM NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ INSTRUCTIONS This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: ;. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Realth Dept. of water supply and sewerage-disposal(S-9 for~). 3. Approval of electrical iustallatlon from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used iD system contains less than 2/IO of IZ lead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writimg to the applicant. 3. Date of any housing code or safety imspection of buildings or premises, or other pertlnemt info~mation required to prepare a certificate. For Vacant Land Certificate of Occupancy: i. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued hy a title cc~rpany showing single and separate ownership of the entire lot prior tn April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~riting to the applicant. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swim, lng Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy om pre-existing dwelling - $I00.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $I0.00 4. Vacant Laud Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Co~erciaI rev. 10/14/88 OUNDATION (1st) OUFSDATIO~; (2nd) OUGH FRAME & PLUMBI~$G ~;SULATION PER N. STATE ENERGY CODE Fi::AL ADDITIO[IAL COMMENTS: Date Application No. on file THIS C, ERTIFIES THAT only the electricd equipment as Mcrib~d bdow and introduced by the ~ldlcant MM on ti~ ~bove .pldiC~titm number in the pr~rdises o~ examined o~ [] 2nd FI. ,~ectlon Block Lot and found to be in compliance with the requirements of this Board. DII~ I~)RNACE MOTORS [ PUTUlIE ~ANC! PIll)IRS I !~OHEY ~Vi!,N ,IR RAN(alS COGgCING NCKS OVENS D4SH WASflnS L',, """,'.-'? EXHAUST FANS C [] This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors ma~ be iden~j~md ~ their credentials COPYffOR BUImm DE__ P&RTMEHT. THIS COPY (IF CERTIFIC&TE ~J~S~ T HOT BE ALTER~ IH ~,~a. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST | ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] R.~.~'I' PLBG. FOUNDATION 2ND L.,.,-~NSU~TION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~SULATION FRAMING FINAL DATE, INSPECTOR~~ 765-1802 BUILDING DEPT. INSPECTION [ ]~1 OUNDATION 1ST [ ] ROUGH PLBG. [/~FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F_~IDATION 2ND [ ] INSULATION [/-/]"FRAMING [ ] FINAL REMARKS: DATE ~///~ / / I NSPECTOI~~~_ TOWN OF SOUTtlOLD OFF]CE OF BUILDING INSPECTOR ILO BOX I 179 TOWN HALL SOU1 IIOLD, N.Y. 1197I 30, TEL. 765.1 $02 To Whom This May Concern, We are unable r.o contpleto your Certificate of Occupancy because of the fo!lowing reasons. An application for Certificate of Occupancy is not on fi]e.~ /--/ ,X!o Underwriters Certificnte on file. /Cd' , z., (out ......... -not On /~/ NO }?r~]th Dept. Approval on file. /-~/ No fzna! znspect~on has been made, this matter. PJease contact our office on Thank you for your cooperation. Ihl~ldir,g Permit jt J__ ~ ~ .~ ~ Z Buildinq D~pt. I ~ ~ ~ $ ~ **~/~/ Ho Plumber Solder Certificate on file. ( all permit~ involving plumbing being issued aft-er April 1,1984 ) _O LOU-L:: FtOI-i5 ' -' O,A. = ~0° F ~ I.A,-- -IO°F' " SUBSYSTEM AP.E,& ~ OESIGM. ,kLL0\4¢b' BESIGlq ALLOWE. Pl ., u u ~,T'U H ~'TU~ . ~ .. ~,T£RIOI~ WALL (6?.055) 7~z- 0,~ .. ~,.75 ~ KTE~IOP- WALL (OPA~,UE)' ~,¢~- .~"~ O. OB /, 9,.¢5 ' 2O~S ~ 0.40 - ~ ~ ~GS/~OOF ,.(q/ .o ~ 0.0~ q. 7. o'q7a LOOP_ 6-~7~ 0. o~ z,-~ g ?z. 7~, o / ,'/ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY $OUTHOLD, N,Y. 11971 TEL.: 765-1803 CALL MAIL ~amined ..... ~-....~...~., pproved ~....~-.~.., 19~, .~. Permit No..J.~.~..~.~q."~. · mapproved a/c ................................... ......................... (Bufldtng Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH - 3 SETS OF PLANS .''~-'. SURVEY CHECK ' Z FORM ............. : .... TO: Date . ~/~arch. 25 ....... , 198.7. INSTRUCTIONS a. This apphcatlon must be completely filled in by typewriter or tn tnk and submttted to the Building Inspector, with 3 ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premmes, relattonship to adjotnmg premases or pubhc street~- areas, and giving a detailed descnptton of layout of property must be drawn on the dtagram whtch ts part of this apph t~on. c. The work covered by this apphcation may not be commenced before msuance of Budding Permit. d. Upon approval of thru apphcation, the Building Inspector will tssued a Budding Penmt to the apphcant. Such permi~ all be kept on the premises available for inspection throughout the work. e. No building shall be occupted or used in whole or tn part for any purpose whatever until a Certificate of Occupanc;~ all have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the msuance of a Building Permit pursuant to th; nldtng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o, egulatmns, for the construction of buddings, addttmns or alterations, or for removal or demohtion, as herren described te applicant agrees to comply w~th all apphcable laws, ordinances, budding code, housing code, and regulations, and tt 'mit authorized inspectors on premises and m building for necessary inspecttons. (Signature of apphcant, or name, ff a corporatton) (Mathng address of apphcant) ~ate whether apphcant ts owner, lessee, agent, archttect, engineer, general contractor, electrician, plumber or builder. OWNER ame ofownerofpremises W5 ~iam. R. & Rosemarie F. B[anchard (as on the tax roll or latest deed) apphcant ~s a corporahon, signature of duly authomzed officer (Name and tttle of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY Builder's License No ................... LICENSED Plumoer's Ltcense No ........................ Electrician's Ltcense No ...................... Other Trade's hcense No .................... Location of land on which proposed work will be done .... New .S. uf.f.o.l.k . ~Y ..... ~ Grathwoh[ Rd. New SuffoLk NY ttouse Number Street . , Hamlet County Tax Map No lO00Sectton . ..117 ..... Block .... ~"~-- Lot ...... Subd~vmmn ........................ Fried Map No ...... Lot ........... (Name) State exmtmg use and occupancy of premmes and intended use and occupancy of proposed construchon a Extstmg use and occupancy .. One fami.[.y dwel. Ling - .~ ............. b. Intended use and occupancy ....s.a.m.e.. ~,.1,.I-~.~..O.~ho~-~ ............................. Nature of work (check which applicable)' New Budding .......... Ad&tion .. Z. ... Alterahon ....... Repair .............. Removal ............. Demolition ............. Other Work .............. ~ (Description) Estimated Cost ....... $26,0.00. O0 Fee .'~..'~.; ~ · (to be prod on filtng th,s apphcatmn) If dwelling, number of dwelhng units ............ Number of dwelling units on each floor .............. If garage, number of cars ................................................................ If business, commercial or mixed occupancy, specify nature and extent of e~h. type of usc ................. Dunenmons of existing structures, if any' Front....~.~.: .2 ..... Rear ..... .a ....... Depth . 2.6.. 8 ....... Height .l.~...?. ......... Number of Stones ... p.rl~ ....................... Dunensmns of same structure with alterations oradditmns: Front . .5./)· .2. .......... Rear ¥8.. :~.. .. ........ .. ..... Depth ... '...5.8...8. ......... Height..[.~..7. ............ Number of Stones . qr~ ............ Dimensions of entire new construction: Front ...1.~'. .. Rear . .l,~} '. Depth . } .. Height ...1.~.: ? ........ Number of Stones .................................................... S~ze of lot Front .... .I..0.Q: ......... Rear .. J..O.Q' .............. Depth ..... [50: ......... Date of Purchase i ....... 5fT.L .............. Name of Former Owner . .A..ng.e.l.a...B.ta.n. eha.r.d. 9.h.r.u..se~ Zone or use district in which premises are situated ...... 1- )-? .................................... Does proposed construction violate any zoning law, ordinance or regulation ....... B.° .................... Will lot be regraded ......... .no ................ Will excess fill be removed fron~l~rerri, lr~' ~,,+'~k No Name of Owner of premises .~r0:..~, ~.].g,l~lg~,E.d. Address . .L."/.~. 0...G.r.a.~h..wph. [.. ~ffdndi~,i .~.~.~.7~7.3(>A... Name of Architect ..................... Address ................. Phone No .......... NameofContractor ... ~c~eowner' ...Address ................. PhoneNo. Is this property located within 300 feet of a tidal wetland° ~Yes ..... No ..... · If yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM Locate clearly and distmctly all buildings, whether existing or proposed, and indicate all set-back drmenmons from petty lines. Give street and block number or description accordmg to deed, and show street names and ~ndlcate whether ;nor or corner lot. ~ ~/h~/-/t,do ~/.. ~O ,, / f / U~YOF ................ ~l'~k'~*.~. ~. ~A~.¢~40... ....~-- .. · being duly sworn, deposes anO says that n~ is the applicant (Name of individual signing contract) ,ye named. ~s the ............................................. (Contractor, agent, corporate officer, etc.) said owner or owne~, ~d &cation; that all statements cont~ed ~ this application am tree to the best of his ~owledge and behef, and that the k wal be perfomed ~n the m~ner set for~ ~ the applicahon filed ~erew~th. vm to before m, this .......... Commmmon Expires ~2-31,88 6t ° 41 'SO"W /o/ ~' dOHN £ AND MARIE GRA THWOHL ROAD N 61°41'§0"E I00 00' I00 00' ZURAWSK~ d ZURAWSKi , % CERTIFIED TO' TITLE GUAR~3NTEE CO. DIME SAVINGS BANK WILLIAM R BLANCHARD ROSEMARIE F BLANCHARD SURVEY OF PROPERTY AT NEW SUFFOLK TOWN OF' SOUTHOLD SUFFOLK COUNTY, N.Y. I000 II 7 04 - 02 SCALE I" = 50' NOV 24, 1986 MAIN ROAD SOUTHOLD , NY II97l LIC NO. 49668 ENGINEERS ~ PC Prepared in accordance with the mlnimu standards for title surveys as established u~ the L I. A. L S. crud ~pproved end ~dopted ~er ~ u~ by ~ t, MW yo~k ~ Land Title A~socioflon · PLUMBER CERTIRCATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I% LEAD, If cop~r tubing ia u~<! for water distributlng system; piping shall be of types ~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY AP~OV~ AS NOTE~ ~-~,~ ~ ~.~,, ~TI~ ~JILDING ~F~rMmT AT 7E5-1802 ~ ~a~ rO ~ ~ ~R THE FOLLOWIN[~ ~UN~A'~O~ tWO ~FQU1RED ROoG~ ~A~fN~ ~ PLUMBING 3 INR' ~LA $~,° L__ n ~ r--i F -h ! U$~, 1 I L~'~,, L _J ~D