The URL can be used to link to this page

Home My WebLink About16435-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y Certificate Of Occupancy No z- 16224 Date September 29, 1987 THIS CERTIFIES that the budding CHIMNEY & FIREPLACE Locat~on of Property 2.200 G.ra. nd..A.v.e..nu.e ....... .M.a.t.t.~.t.u.c.k, New York House No Street Hem/et County Tax Map No. 1000 Sectzon . 10 7 .Block 0 2 . .Lot 10 Subd~vmion ............ · .Fried Map No ...... Lot No ............ conforms substantially to the Apphcahon for Braiding Permit heretofore fried in tins office dated .Se.ptem.ber. 3, 1987 pursuant to winch Bmldmg Permit No 16435 z dated .... September... .......7' 1987... ~ wasissued, and conforms to all of the reqmrements of the applicable provisions of the law The occupancy for winch tins certtficate is issued ~s .... CHIMNEY a FIREPLACE TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR RAYMOND & DEBORAH GURRIERE The certificate m msued to ...... of the aforesmd building Suffolk County Department of Health Approval N / A N/A UNDERWRITERS CERTIFICATE NO ................................. PLUMBERS CERTIFICATION DATED: N/A Rev 1/81 FOwl' 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) Ne_ ]6455 Permission is hereby granted to: ' .....~. _ .~.~...~.:~..:..u..~..(...~ ....... ,o -ff.~.~_~.~..~ .......... :=.~~~...: ......... :._.._:....__; ........................... ot premises Iocoted ot .....~t....'~......m~........~.~.. ~..'-...~~.~ ......................... County Tax Map No, 1000 Section ... ~..0..~..... Block ..... ..(~......'~'... ...... Lot No..J...0.. ...... pursuant to application doted .... ~~...~. ......... , 19...~.~, and approved by the Budding Inspector. Building Inspector Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Ha~l Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This apphcatlon must be filled ~n typewriter OR mk, and submitted m~ to the Building Inspec- tor with the followmg, for new buildings or new use: 1. Fmal survey of property w~th accurate location of ail buildmgs, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dlsposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercml buddings, Industrial buddmgs, Multtple Remdences and simdar bullrings and installa- tlons, a cemhcate of Code compliance from the Architect or Engineer responsible for the bufldmg. 5. Submit Planmng Board approval of completed rote plan requirements where apphcable. B. For existing buildings {prior to April 1957), Non-conforming uses, or buildmgs and "pre-existing" land uses: 1. Accurate survey of p~*operty showing all property lines, streets, buddmgs 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 housmg code or safety Inspection of buildings or premises, or other pertinent mforma- t~on required to prepare a certificate. C. Fees: Additions $25.00 1. Certlficateofoccupaocy New Dwelling $25.Q0, Accessory ,$]0.00 Buslness $50.00 2 Cemflcate of occupancy on pre-existmg dwelling $ 50.00 3. Copy of certffmate of occupancy $ 5 00, over 5 years $10.0,0 4.Woant o.o. 20.00 5.Updated C.O. $ 50 00 Date .................... NewConstructz°n ..... Old o~e-exlstln~ Building ~ ............ Vacant Land ............. House No, -- Strut , N~mlet Owner or Owners of Property . RO'~..¢¢1Q°¢' ~Z.~O.~.~. ~.~.CCI.~..~. ....... County Tax Map No. 1000 Section .... /0.7 ...... Block ............... Lot ............ Subdw~mon .......................... Fded Map No ......... Lot No .............. /~.q.~5~ D t 9/~/~7 Appl t ~9,~ ..~¢~, Permit No. ate of Perm~ ~can .... Health Dept Approval Labor Dept Approval ..... Underwriters Approval ........................ Plannmg Board Approval ...................... Request for Temporary Certificate ................ Fmal Certificate ....................... 25o. -o Fee Submitted $ ......................... 4 codes and regulations. Construction on above described buddmg and permtt meets Apphcant .................................... Rev. 10-10 78 cos FOUNDATION (1st) FOUNDATION ( 2nd ) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: '° ~ M,.EMQRANDUM DATE ¥/1'~/~ 7 RAY GURRIERE, JR ~ 2200 GRAND AVENUE Exammed ~4~.."~ Approved~OJ~. ~ Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y, 11971 TEL.. 7654802 , 19113 Permit No I.~[~':~' (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. NOTIFY CALL MAiL ;d:~'~~a-'' Date ...... 19~ a This application must be completely filled tn by typewnter or in ink and submitted to the Bulldmg Inspector, wi sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc sh or areas, and glvmg a detmled description of layout of properW must be drawn on the diagram which is part of this a cation. c. The work covered by flus application may not be commenced before ~ssuance of Budding Permit d. Upon approval of this application, the Building Inspector will issued a Budding Permit to the apphcant Such pe shall be kept on the premises available for mspection throughout the work. e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occup: shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Dep~rtment for the issuance of a Bmldmg Permit pursuant t, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordintmc Regulations, for the construction of buddings, additions or alterations, or for removal or demohtion, as.J~rem descv The applicant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and,r'~ulatlons, an admit authorized inspectors on premises and m budding for necessary inspections (Signature of app~ca)~t, or,namgr, ff a corporation) (Marling adc/ress of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bm Name of owner of premmes ,~[ Lq ............. ........ (as on the tax roll or latest deed) If apphcant ~s a co~orat~on, s~gnature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .... Plumber's License No .. Electrlclan's License No Other Trade's License No '~I~.,~1 1. Location of land on wMch proposed work will be done House Number '~f.)O ~ Stree; ~co.,~ '4~t Ham]et'/6&~,ff, A'cd., ~ County Tax Map No 1000Sect,on l~7 Block ~ ~.... Lot. LO .. Sub&vls]on (Nan~e) ' ' Filed Map No ...... Lot 2. State emst]ng use and occupancy of premises and mtendeA use a~n,d occupancy of proposed cons~trj3c~tlon b Intended use and occupancy ........................... 3. Nature of work (check which applicable). New Budding Addition . r"-:.... A/teratton . .. Reptur .... Removal ............. Demolition .......... Other Work .......... -= ' 30L-~~(Descnpllon) ~ Fee 4. Estimated Cost ............................................. · (to be paid on filing this application) 5. If dwelling, number of dwelling units .... [ . . Number of dwelhng units on each floor .......... If garage, number of cars ..... ~. ........................................ 6 If business, commercial.or mlxe.d occupancy, specify nature and extent of each type of use ............... 7. Dumensions.of.exlstingstru,dtures, lfany. Front ....... Rear .......... Depth ........ Height '. '".": .~'.~' ~: :'~ 'Nt~'qb~r of Stones ................. Dimensions o[.satrge ~t~llre sm.th alterations or additions Front ................ Rear ............ Depth ......... ,.,. ~, Height ............. Number of Stones ............ 8. Dlmensioa.s~of ,m3,t~r?.~..e~.ca~ction Front .......... Rear ............ Depth Height .... ~--,~ ;~ ,.~ hi~ :-~ ~umber of Stones ........................................ 9 Slzeofldt F~ont ~' ~ ' . .~ ....... Rear ............. Depth .......... 10 Date of Purchase ................ Name of Former Owner .................. 1 1 Zone or use d~stnct in which premises are situated ............................. 1 2 Does proposed construction vlolate any zoning law, ordinance or regulation .................. 13. Will lot be regraded .............. Will excess fill be removed from premises: Y~es ~ 14 Name of Owner of premises .............. Address .............. Phone No ........ ¢.. Name of Architect ..................... Address ............ Phone No ....... Name of Contractor ............. Address ............ Phone No ......... 15. Is thzs property located wzthzn 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM Locate clearly and distinctly all braidings, whether exlst~ng or proposed, and indicate all set-back dimensions fro, property hnes Give street and block number or description according to deed, and show street names and indicate wheth, interior or corner lot. STATE OF NE (Name above named ,,~'al'l: Ct'-,.~. :~,a.,'h'*4 ' t N~.*%r.,y He ~s the . ~.~ ............. (Contractor, agent, corporate officer, etc ) of said owner or owners, ~d m duly authorized to perform or have perfo~ed the sad work and to m~e and file thJ applicatmn, that all statements contmned m thru apphcatton are true to the best of ~ls ~owledge and behef, and that th work wil be perfo~ed m the m~ner set forfl~ m the apphcatmn filed theresmth. Sworn to before me th~s ~,~ ,,, ~ ......... ...... 5.. V Nota~ Pubhc, . . County ~''-- 4~ ( ~ ~n~e' o~ ~i~n' .... Qualified in Suffolk County