The URL can be used to link to this page

Home My WebLink About15402-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15182 Date January 8, 1987 THIS CERTIFIES that tbe building Addition to existing one family dwelling 1800 Grathwohl Road Location of Property .. .................................. New Suffolk, N.Y. t~ouse No. Street Hamlet County Tax Map No. 1000 Section 117 .Block 04 ..... Lot 02 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 15, 1986 pursuant to which Building Permit No. 15402z dated October 15, 1986 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 ......... ADDITION TO EXISTING ONE FAMILY DWELLING. WILLIAM R. BLANCHARD The certificate is issued to ........................................................... (owner, 1~Ttt~b~.K of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO .P.e.n.d i.ng PLUMBERS CERTIFICATION DATED: Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, ti. Y. BUILDiNiG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5402 Z Permission is hereby granted to: .... County Tax Map No. 1000 Section ...... ~..L.~.. ......... Block .... .~..~. .......... Lot No ..... .~.....)~.. .......... pursuant to application dated ,.~..9~.~.~.~...~.. ........................ , 19..~..~..., and approved by the Building Inspector. Fee $..,~,~,, · ;,.....'~., · .... Building Inspector Rev. 6/30/80 T BUILOING DEPARTMENT: TOWN CLERK'S OFFICE $OUTHOLD, iq,. Y.' BUILDING P'ERMIq' (THIS PERMIT MUST BE KEPT ON THE PP, iE;'AISE~ UNTIL ~OLL COMPLETION OF THE WORK :AUTHORIZED) ~ No. Z Permission ~s hereby granted tO~ . · pu suant tc Bu!,lding Im =error. application dated ' a~ ~ ~ ] k : ] 9' ~ ~ ~ ~ ~ ~p roved by the BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS:, , [ ] FINAL DATE / c~//~ ~ i NSPECTOR ,, ,~o/~/~/~ Memorandum from.... BUILDING INSPECTOR'S OFFICE TOWN O1' SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 1/9/87 Dear Mrs. Blanchard: Please notify us when the pool has been removed so that we may have an inspector come out and check the property. Thank You. Southold Town Building Dept. Georgia Rudder, Secretary TOWN OF SOUTHOLD OFFICE OF BUILDING iNSPECTOR P.O. BOX 728' TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 January 8, 1987 To Whom It May Concern: Permit number 9265Z for been voided and the pool is above ground pool has to be removed. Yours truly, victor Lessard Executive Administrator FORM NO, 6 TOWN OF $OUTHOLD Building Dep~rtment Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filted 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-(S-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 iprior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate ~rvey of p~Operty showing all property lines, streets, buildings and unusual natural or topographic featu 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date ...O.c.t..o.b.e.~...a.O.,.. ! .9.8.6 ..... NewConstruction......OldorPre.existingBuilding .. ...... . ... Vacant Land ........... .. 1800 Orathwohl Road New Suffolk Location of Property ................................................................... House No, Street Ham/et Blanchard Owner or Owners of Property ............................................. Willi.am R ........ County Tax Map No. 1000Section .. 1.17 Block ,0,4 Lot...O2 Subdivision ................................. Filed Map No ........... Lot No .............. 154.02Z 10/15/86 W±i[±am R. Bla~chard Permit No .......... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... ~ ............... . Fee Submitted $ ..... 5. D,0. ................... Construction on above described building and permit meets all applicable codes and regulations. Applicant .................................................... Rev. 10-10.78 Co~$1~. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 To Whom This May Concern, We are unable to complete your Certifica~ of Occupancy because.of the following reasons /5/ An application for Certificate of Occup~ is not on file. / file.~ /~ No Underwriters Certificate o7 /5/ The check is(outdated/not on file.) /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. Building Dept. Please contact our office on this matte] Thank you for your cooperation. Building Permit # _~ ~ ~/ ~ _~ Z[~/~ ***/~/ No Plumber Solder Certifica~ ( all permits involving plu! issued after April 1,1984 ~e on file;! ~ing being, TEL. 765-1802 e FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date , · '~''~'~' .... (owner or authorized agent of owOer) / _ pLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance /-~/'~'~ ............... Other Applicable Laws, Ordinances:or Regulations. ............................................ . at premises here naft~r described in tha~-/~,~-r~~..---~~"' lin ,io,~t~,~ ............. L~,~.....-~;~fw~;~{~'!i;i;;ai ...................... (State s~ction or paragrapB of appdcab , g YOU ARE THEREFORE DIRECTED AND ORDERED to comply ~itk tke~a~nd to remedy t~e conditions a ned fo~kwith on or b~fore the .......... ~..~..~ ............................. The,~premises to which thLs~ORDER TC~,REMEDY VIOLATION refers are situated at Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute on offense punishable by fine or imprisonment or both~ Budding Inspector ~IELD INSFECTION FOUNDATION (1st) COM:~, IS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS TOWN OF -~OUTHOLD rIFFIOE OF BUILDING INSPEEJTOR TOWN EJLERI<::G'= FIFFIP-E SOUTHGLD, N. Y. 11971 · :.~':rEL.: '765-266D Mr. William R~ Blanchard Grathwohl Road New Suffolk~ N.Y. Dear Sir~ on March 2~1976 a building permit ~ 8b~+lZ was taken out by Jacobs & Jurowski for an addition on your home. They have informed me that they are not doing the work and canceled the permit. Should you wish to have somone else do the work~ they will have to apply for and get a new building permit. Yours truly Sr Building Inspector FOR~ NO. :t ~ N OF SOUTHOLD ~'3 /~ ~ /'~/~/ ~ BUILDING DEPARTMENT ~ ~~ ~ ~ ~ TOWN CLERK'S OFFICE ~ , ~ ~ ~'UTHOLD, N.Y. ~ ........ Examined ~o. .................................. ....... Disapproved a/c~ ......................... I NSTEUCTIONS ; a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate 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 ofproperty must be drawn on the diagram which is part of this application. 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 issue 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 buildings for necessary inspections. ~,/gnature of applic.~;~t, or name, if a corporation) of app,cont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. f d I a th d fficer 'bU.,m~ If applicant is a corporate, signature o u y u orize o ' . ~-- __ ~ · I~ t~--~ /t~C.,~--~ ~ (Name and title of corporate officer) Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of [and on w~5./~oposed work will be done. Map Nq.: ~ ............. ~,....'~>.. ................ Lot,No_..~f .................... Street and Number ..~...~.~~~.. ,.~.....~- ................ ~'"~i~ii~ ........ 2. State existing use end occupancy of p,re~s' leLan~d ~/9~.~d~d use and occupancy of proposed construction: o. E×isiti.g use°nd occapo.cy ........ ............ '7/ .................................................. b. Intended use and occupancy .............................. .t..~ ............. .....~_.:.~...~..~ ............................................. ,I 3. Nature of work (check whichlapplicabJe): New Building'. ................. Addition .................. Alteration ............... Repair .................. Removali : .................. Demolitior ..................... Other Work .................................................... ~ ~) O O ~' ~ (Description) ..L...E...:.:::i ....................................................................... 4. Estimated Cost ..................... i'"+ ................................. Fee ! (to be paid on filing this application) 5. If dwelling, number of dwelli'ng 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 existing structu[res, if any: Front ....: ....................... Rear ................................ Depth .................... Height ........................ NumBer of Stories ................................................................................................................. Dimensions of same structur~ with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ B. Dimensiol~s of entire new co6struction: Front .......... 4...~.. ................... Rear ....... ./...~. ................ Depth4.~ ............... Height .................... Numbe~ of Stories ............~ ....................................................................................... / 9. Size of lot: Front i Rear Depth 10. Date of Purchase ...................................................... Name of Fqr, mer C~,ner .......................................... 11. Zone or use d~stnct m which :premises are s~tuated ......... ~ ....... ~'. .......................... ~-, ..................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .......... ..~....~. ................................... 13. Will lot be regroded . .............. W~exc~s fill be removed from p~m~s~: (,~ ~),~Yes ( ) No r ....................... ] 4. Nome of Owner of premises ...,, ............... ....... Add ess ...... .~.y77/...... one No. Name or Architect ............................................................ Address ................ ~.~.: .......... Phone No ....................... Name of Contractor ..... .~.....~..,~........~.~. ................ Address ....~.../(..~....~.....~ ............ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines, Give street and black number or description according to deed, and show street names and indicate whether interior or corner lot. j~ FI< ~ '~ [ STATE OF NEW ~RI~, /t]~ ~ coUNTY Oe .......... ................... ~ (N~me of individuql si~in~ contr~ce) above n~med. ~ duly sworn, deposes and says that he is the applicam He is the ...................... ...... .... ' . ....... ,~r,~_~-~_¢,,:-~... ................................................................................................... "~ '(Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this app cat on; that al statemenfs canto ned in th s application are true to the best of his knowledge and belief; and tha~ the wore w II be performed ~n the manner set forth ~n the apphcahon,filed therewith. Sworn to before me this ~__-,__,- . ....¢..~.........'~Z'...~ day' o~~ ........... ', ....... .............................. NOTARY PUBLIC, S}a~e of No 52-4522026 - $.f~o~k County Comm~ssmn Exp. os }~r~h 30, 19,,~ ...... (Building InspectOr) ...................... ,. ~APPLICATION FOR BUILDING PERMIT Date ..................... , 1 INSTRUCTIONS a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Buildl 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 areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicatic 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 issue a Building Permit to the applicant. Such pern 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 Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for....~%~~ 'necessary'"'x .... inspections. -e..,~ ..~.%,.~-~,~.,,./ "~,~ (Signature or appdcant, or name, ir a corporation)~. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build¢ ...... ......................... C% ( ................ ;: .............................................................................................................. applicant is a corporate, signature of duly authorized officer. ........................................................................................ (Name and title of corporate officer) Builder's License No ............ Plumber's License No ................................................. Electrician's License No. Other Trade's License No ............................................... ~ ot No, .,,...,~, .. 1. Location of land on which proposed worls~will be dope. Map no,: ........................................L ........ Street and Number .Z...~...~..~~~..~....S.-~--~......~.....~..~ .......... ed use and occupancy of proposed construction: 2. State existing use and occupancy of pretc~nises a~n~d intend . a. Exisiting use and occupancy ............... ~J' -~ Ok'L~'~._7...:~ ................................... i ............................................ : .......... b Intended use and occupancy .................... [3 ...................... ' ~ · ~ ....... Nature of work (check whi!ch applicable): "'~: ' N e-v~-4~,,¢,og .................. Adul b~:~n ..~ ............. ~,lle, ullun ................ Repair .................. Removal ................... Demolition .................... Other Work ................................................... 4. Estimated Cost~'~ ~ .~...;; ........ ; .... Fee ........................................................................................ · , - ' ' (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 6r mixed occ,upancy, specify nature and extent' of each type of use ......................... 7. Dimensions of existing stru~l:~res, if any:' Front ............................ Rear ................................ Depth .................... Dimensioas of same structpre with alterations or additions: Front .................................... Rear .......................... Depth ' Height ...: ........................ Number of Stories ................................ 8. Dimensions of entire new ~onstruction: Front .................................... Reo~ ..... ~ ...................... Depth ..................... Height...... ............. · Number of S~ories, .................................................. , 9. Size of lot: Front I 0 ~ ¢] ~ I"~.~O ~ ' ' Rear .......................................... Depth ............................. 10. Date of Purchase ............i ........................................... Nome of Former Owner ..................................................... 1 1. Zone or use district in which premises are situated .................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded ................. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises i .......................... '...: ..................... Address .................... ~; .......... Phone No .................... Name of Architect .......... ; ................................................... Address ................... ; ............ Phone No .................... Nome of Contractor ' ~ ' ............................................................ Address ................................ Phone No .................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions fro property lines. Give street and !block number or description according to deed, and show street names and indica whether interior c lot. STATE OF NEW YORK, ~ ~ ~TY OF...,.-~ ......... ~--..¢_%) ~'~.~~.~.;.'~.'~..c¥~..~,~ .......... ; ......... ' ......... bbing duly 'sw0r~, depe~es and 'say~ that he is the applica (Name of individubl isigning contract') above named. ,, ' ' He is the ........... ~ ....... i~i;~i~;~'~u-Z'Ze'Zt, corporate officer, of said owner or owners, and is: duly authorized to perform'or have performed the said work and to make 6nd f this application; that all statements contained in this application are true to the b~,st of his knowledge and belief; a thor the work will be performed in the manner set forth in the application filed tF{~rewith. - Sworn to before me this · ........ .............................. , ......................... ......................... j~ j tlOTAI~/PUBLIC, State of New York ' · Ne, 52-4643721, Sufl01k Co~ · Term ~pJres March 30, 19~