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Home My WebLink About15356-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date April 13, 1988 THIS CERTIFIES that the bulldog ONE FAMILY DWELL ING L ..... 180 Grathwohl Road New Suffolk, N.Y. eta[Ion oI t~roper£y ................................... House No. Street ....................... County Tax Map No. 1000 Section I I 7 .Block 0 6 .Lot 16. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 29, 1986 pnrsuant to which Building Permit No. 15356 z dated 0 c t o b e r 3, I 986 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 ......... ONE FAMILY DWELLING WITH ATTACHED GARAGE & ATTACHED SCREENED PORCH EDWARD R. & SHARON SCHMIDT The certificate is issued to ........................................................... (owner, of the aforesaid building. Suffolk County Department of Health Approval ...... 8..67.8.0. 7 J .7.4.. Z..D.e.c. :..3.1. ,...1.9.8. 7. ...... UNDERWRITERS CERTIFICATE NO. N846975 - December 2, 1987 June 30, 1987 Frank E. Giancontieri, PLUMBERS CERTIFICATION DATED: Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. ~UILDiNiG PE J~lT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15356 Z Permission is hereby granted to: ...~.~.....~.~....~4.:. .......... ...~..~.~,....o..:..,4.,.....u.~.~...'l .......... County Tax Map No. 1000 Section ..... -J.J...'J ........... Block ....... ..(~.....~. ...... Lot No....J.,.~..:...~ ....... pursuant to application doted ...c~.~.....~:'....c:J ............. , 19.?..(~, and approved by the Building Inspector. Building Inspector TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner~ ~ ~ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber ~signature) Sworn to before me this ~ day of ~ ,' Notary Public, .~ County Notary Public 1=/is/e? THE NEW YORK BOARD OF FIRE UNDERWRITERS 0059 BUREAU OF ELECTRICITY BB JOHN STREET, NEW YORK. NEW YORK 10038 D[~[~'~ OF' ~845~S THIS CERTIFIES THAT o~y the electrical equipment ~ ~scrlbed below and intr~uced by t~ appl~ant ~m~ on the a~ve application number in the premises of ~d~a~ ~ 6~aron ~c~i~t, XBO ~rathw0h~. Rd~, ~ew Suf~o~ ~Y. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 5i 53 57 51 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNH HEATERS MULTI-OUTLET DIMN~ER$ SYSTEMS NO. OF FEET SERVICIE OISCONNECT S E R I C E 411- 350 ~ke Ave. GENIERAL /~M3ER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, THE NEW YORK BOARD OF FIRE UNDERWRITERS ].000~59 BUREAU OF ELECTRICITY ~- k~ B5 JOHN STREET. HEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the el~trical ~uipmen~ ~ ~seribed be~ a~ introduc~ by t~ applicant ~med on the a~ve application number in the prem~es of ~'~rd ~ $h~on S~lmidt~ 180 Grachwohl Rd. in the foltowing location; ~ Btrsement ~ Ist FI. ~s examined on Nove~aber 16, 1987 FIXTURE OUTLETS SWITCHES FtUORESCENT 51 53 57 51 ~ 2nd FI. Section Block Lot attd found to be in cotnpl ante u' th the reqt iretnents o.f ti is Board. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTi-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: MOTORS: 1-1½hp. 1-10 a~rp. compactor 2-4.~ .F,C, I. SMOKE DETEC~% $~2 AW.G, OF Don Joly Electric Inc, P.O. Box 411, 350 Lake Ave. Nesconset, NoY. 11767 lic.#307-E GENERAL MANAGER Per- This certificate must not be altered Jn any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FORiBUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST.NOT BE ALTERED IN ANY MANNER. r'~ F1EhD INkSI'ECTION (2nd) ROUGH FRAME & PLUMBING COMMENTS INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] ~ISULATION FRAMING [,~ FINAL REMARKS: /*/ INSPECTOR~.~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] R/OUGH PLBG. FOUNDATION 2ND [~*]' INSULATION [ ] FRAMING REMARKS; [ ], FINAL INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [ ~/FOUNDATION 2ND [ ] INSULATION [~/] FRAMING [ ] FINAL DATE 7GS-t802 BUILDING DEPT. INSPECTION [~UNDATION 1ST FOUNDATION 2ND FRAMING REMARKS: ROUGH PLBG. INSULATION [ ] FINAL DATE ..... INSPECTOR /~',~ /'~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL f LICENSED LAND SURVEYORS GREEN~RT NEW YORK SUFFOLt SERV! DATE:__ H. S. RE: APPRO%'~ SUFF: DIST.' ':OOC( OWNEI~'~i DEED~JJ TEST ~ FORM NO. 1 ';.TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765-1802 Exmnined .O.~fi~.....~.. ..... 19 Approved .c?.%3~. · .~.....~ .... 19 ~.G. Permit No..l .~. ~.~.~. ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter 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 l~uildings 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 appl~,- 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 shail 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 for necessary i~spections. .., ~ fl ('"",_ ~ '~ig~nature o f applicant, ' n~am'~ ~~/o~/~' r.,. ,. (Mailing address of applicant) ( t -//~ O State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. ...................................................................... Nameofownerofpremises ~W~'~rd ~, ~ '<~k~'XrOlA'- '~c-~ktrv~'d~ (as on the 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 ..... ~ ............. Plumber's License No. . ~ ...... Electrician's License No...07.~ ............ Other Trade's License No ...................... .~.[? ..~..F.,~,.)'~.. ~ .~..:.l..,.O.O.' Iq'lO 1. Location of land on which proposed work will be done] .~(.O. .................. I f0 gd. (cW 5 ,ffoI.K. House Number Street Hamlet County Tax Map No. 1000 Section ... t .~..-7.... ' Block ..... .~. ........... Lot ..... ! .~..'..~. ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~..~..Cx..~..Y~..'[... ! .~..~. -.~. ........ , ...................... b. Intended use and occupancy . .O. J~C. ~ .~ t"Y~i .[~.. :..~. f'..~,~. ;[.d ¢'A~(~'( i.~. I... d..~..P-,~[ J. i'~ ..... 3. Nature o?/work (check which applicable): New Building .......... Addition .I ......... Alteration .i ......... Repair ..............Removal .............. Demolition ........! .... Other Work ............... .o9.9.: .o 9. Description) 4. Estimated Cost ................. Fee (to b~ paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling u~its on each floor ............. If garage, number of cars ...... ~. ................................... . ............................. 6. If business, commercial or mixed occupancy, specify r)ature and extent of each t¢oe of use 7. D~mensmnsofe~xistingstructures, ffany: Frqnt ear ~Depth ..1~.'. ......... Height . .~[~. ......... Number of Stories .... ~ ................. ! ........................ ' ..... Dimensions'of same structure with alterations or additions: Front ........... i ...... Rear .................. Dept ...................... Height ...... j ................ Numl~er of Stories ............ ~ .......... .... 8. Dimensions of e~atire new construction: Front ?.~. J~.~.' .0.~.r.a~. ~ Rear .~..2.. ~.~..c...fi~.~-etlq)enth ~O ., Height ...~ ........... Number of Stones .. ,2,..2:. ................ : ........... 9. Size oflot: Front l~'~. ... Rear. V..~C{.e-5 . n~nsh ~oro~ ' ll~ Zone or use district in which premises are situated ~.~'fViC.~ IO.O.O. , ' , 12. Does proposed constructiq~ violate any zoning law, ordinance or regulation: ...i [~rO ....................... 13. Will lot be regraded .... b[.O ..................... Will excess fill be removed from premises: Yes 14. Name of Owner oforemises .gdW. ~r6 ~.. $C}).m.'~d{.~rAddress~OO 5oOl-k~r~t F~V'~& ~u~ ~,T~ Name of Architect .................... Address g ~¢°vcg~'{'l~/n.:~:?Phone No . Name of Contractor ~?~d~ ~ fA?r~%~l~wetO~l~ ' .. Phone No..~..~..~. 15. Is this property lJc n 300 feet'o nd? *Yes ..... No .~... *If yes, Southold Town Trustees Permit maybe required. PLO*F DIAGRAM ! Locate clearly and distinctly all buildings, whether existing or proposed, and. ~ndicate 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 ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etq.) of said owner or owners, and is duly authorized to perform or have performed the' said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tha~t the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................. ~. ..... day of .... ~ .......... 19 .~. Notary Public ................. ; ................ County NUmRYPUBL NewY0 .... ............... _ No. 47078~1~ Suffolk ~¢~nty~., (Signature of applicant) , I'1 13 ~] ' 1'8 .tO 0 q"~.~ / 32'& qO'8 20 q FLAt,/ ~ o 0~ - :SrO- I~B qfC) 4 ZOo ~0 Kool~ y%~, -- Po~,c~ I S'~ 3Z'o ~c~.~&~-~ iq'2 t Z 5C. ,! ?o~ -- ZOt 0 *0 ~. ,.~ ro 20tO q~O ~oo~' 2,1 7'8 20 o ,I T (or~.) i 1 2.0 o / lO 'O qO'O :il _%o~,¢"tT "DF_.TAIL. I '--I