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Home My WebLink About14611-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15275 Date February 13, 1987 ONE FAMILY DWELLING THIS CERTIFIES that the building ................................................ 510 Greenfields Lane Southold, New York Location of Property ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section 0 6 3 .Block 5 ..... Lot 24 Subdivision M/o Greenfields .Filed Map No. .6.3. I. 3. . . .Lot No. 8 conforms substantially to the Application for Building Permit heretofore filed in this office dated February 18, 1986 pursuant to which Building Permit No. t461tZ dated March 5, 1986 . wasissued, and eonforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ONE FAMILY DWELLING PHILIP & ROBIN GRATTAN The certificate is issued to ........................................................... (owner, I'd. ii~ l~Xf~Ya~ifI X of the aforesaid building. Suffolk County Department of Health Approval 85 - S O- l 9 l UNDERWRITERS CERTIFICATE NO ................ N 788116 PLUMBERS CERTIFICATION DATED: Rev. 1/81 January 6, 1987 Building Inspector FOIL~ 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) 14611 z Permission is hereb/granted to: ~~...~.. ~......~.~ ..... ...~.-.:..~.....~.~.~.~.....d~ ..... ~.~.....~,.¥..,...u...~.~./. ......... at premises I~ted ~t ~ ~.~ ...................................... pursuant tO appJication doted ..~.~.....I..~. ........... , 19.~..~., and opprov~ by the BuiJdlng inspector. Building Inspector Rev. 6~30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY FEB 3 -1987 Instructions This application must be filled in typewriter OR ink, and submitted ... ~ 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 s~nilar 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. 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 topographic features. 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 %ccupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant- Land C.O. $5.00 ~.~-~ 5. updated C.O. $15.00 Date ................ / New Building .... .~/.. ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .O./~,/.~. .................. House No, Street Ham/et Owner or Owners of Proper~y . .~{/.~../~.. r~ 4- ~'~O~/./5(..A: ~...~...~'/.~}-~... t 2.¢ County Tax Map No. 1000 Section , . .~..~., , ...... Block ............... Lot ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit N o./.~.~/, t... Date of Permit '~ 7.~ .\~.~..Applicant. t'~.~... ,~..~'~ ~'~ & .~., Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations, Applicant .................................................... Rev. I0-10-7a TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1801 CERTIFICATION Building Permit No. /~ Owner~/~,! tp-ease print) Plumber" ~piease print) I certify that the solder used in the water supply system contaii{s less than 2/10 of 1% lead. to befo '~ Sworn re m~ this Notary Public ,~? _County (plumber' s signature) ~otary Public REGINA B. M~TTHE\¥$ NOTARY PUBI_IC, State of New York No. 52-4636665, Suffolk County Exp,res i~¢~::P~ .... THE THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY S5 ,JOHN STREET, NEW YORK, NEW YORK 10038 ~_3,.t~? ,,,,pli~.,,,..~..,,.~,i~ ,~oo3~t~ N 788116 o~.ly the electrlcal equipment as described beJow and introduced by the applicant ~aoted on the above application number in the premises of Philip Grate. an, 510 Greenf~..lds Lane, SoL~thold, Ne~ York. in the following location; ~ Basement ~ Ist FI. ~ 2nd Fl. Section Bilk Lot was examlned on,.~ ~ ~ ~¥ 5t19~7 and found to be in compl at ce u'ith the req.ire.*ents ~f this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS SWITCHES FLUC~ESCENT DRYERS FURNACE MOTORS EUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET SYSTEMS NO. OF FGET DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUS: 1 3/O NO OF HI-LEG A¥4G, OF HI-LEG NO OF NEUTRALS A,W G OF NEUTRAL 1 Philip Grattan 510 Green fields Lane Southold, N.Y., ~.971 GENERAL MANAGER This ced~kate must not be altered in any monfler; retur~ to the office of the ~oard if incerrect, inspectors mo), be identified by their COPY FOR BU)LDINO DEPARTMENT. THIS cOPY OF CERTIFICATE MUST.HO~ BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May C~ncern, We are unable~to complete your Certificate of Occupancy~'because,of the following reasons. /_~ An application for Certificate of Occupancy /~ No Underwriters Certificate on file. /~/The check is(outdated/not on file..) /-~ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # / ~ ~ / / Z ~~ Building Dept. ***/~No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted mm..--..--- 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 (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey 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 bu ildings. 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 $25.00 -- BUSLNESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 ,. 00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ............... NewC°nstz~uc f'i°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................................................... House No. Street /-/am/et Owner or Owners of Property ......................................................... ... County Tax Map No 1000 Section Block Lot Subdivision ................................. Filed Map No ........... Lot No .............. 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 $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant .................................................... Rev. 10-10-78 765-Z802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING ,_ [ ]FINAL DATE 765,.1802 /~// BUILDING DEPT. ~ ~~INSPECTION ~ FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ .~~AL DATE: ~INSPECTOR BUILDING DEPT, INSPECTION ~/~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR 2'65-1802 BUILDING DEPT. INSPECTION I* *] FOUNDATION 15T [ ] ROUGH PLBG. [/~ FOUNDATION 2ND [ ] INSULATION I' ] FRAMING [ ] FINAL DATE Examined..~ . .0,~,..c.~...<e.~7...., 19 .ff.(? Approved.~ ..~..~.'-.. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~-OUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19g. .(Y. Permit No..) Disapproved a/c ..................................... BLDG. DEPT. TOWN OF SOUTHOLD, ..... .... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tltis 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 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, o,r,,~r removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, b~djlfg code, j47ousing code, and regulations, and to admit authorized inspectors on premises and in building for nece ' ' " ,-4$~~,Jf a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (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 ....................... Other Trade's License No ...................... . : s. . . . 1. Location of land on which proposed work will be done .............. House Number Street Hamlet County Tax Map No. 1000 Section ........ .0..~..~. .... Block .... ~ .......... Lot .~..~.LJ ...... Subdivision...~../9..~..>./ff..~. [..&"~<..~d'. ................ Filed Map No ............... Lot...~ ............ (Name) State existing use and occupancy of premises and intended nsc and occupancy of proposed construction: a. Existing use and occupancy ...V.~..~../~..aJ.TT....L../~-..ti..~ b. Intended use and occupancy ~/At'~ .L'..~7. ~ ¢-~/1,.~/ . ~ .............................. 3. Nature of work (check which applicable): New Building .......... Addition .. i ....... Alteration Repair .............. Removal .............. Demolition .... ~ ......... Other Work ........... i. ..,¢. : (Desc,-,ptio,,) 4. Estimated Cost ................. Fee .......... ............................ (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 ............................................ i ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ............... 'Depth ............... Height ............... Number of Stories ............................ i ............................ Dimensions of same structure with alterations or additions: Front ............ i.: · · · Rear . .' ................ Depth ...................... Height ...................... Numberof, !Stories ...................... 8. Dimensions of entire new construction Front ~..~. ! .... Rear .... ~.fl..' ....... Depth ...~..?.~ ...... Height .... ~.l.' ....... Number of Stories ...... ¢~ ................... ~ ............................ Size of lot Front ./.9'7.0' Rear ¢. 7~1~.''1~ / . Del~th .~ ~.-~. / 9. Date of Purchase 10. 11. Zone or use district in which premises are situated ......................... i .................... ' ........ 12. Does proposed construction violate any zoning law, ordinance or regulation: .~¢ ........................... 13. Will lot be regraded ...... .~.~) ~'~J..... ............ , Will excess_fill be ~emo~e~ from premises' ~ No 14. Name of Owner of remises' Name of Architect ........................... Address ............. '.' · L.. · Phone No ................ Name of Contractor ./~. ¢.~.. 4~.. ............ Address ~PY./..~.¢~. ..... ,¢.. Phone No..~. ~¢.~.~. ~?..p.~... 'PLOT DIAGRAM Locate clearly and distiuctly all buildings, whether existing or proposed, and. im [icate all set-back dimensions from property lines. Give street and block number or descrlptinn according to~ deed, and sho~, street name~ and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, deposes (Name of individual signing contract) above named. and says that he is the applicant He is the ......................................................................................... (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 application; that all statements contained in this applicatio~q are true to the best of his iknowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ /'~'J'¢'~ ';~ - ' "~ ,¢f~.o ,//da! of ......... .'~..~..-"~.. ....... 19... 0 0 r~r · StJ~'~'O ,="0~ $.C, DEPT. OF ' ~ = i~ pi~ i // ,/ / ~ / c~c.~a~:~+~ed 4-0 RO~ERICK. VA~ TUyJ_, P.e. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APP~J:~0VA'L H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE \ SUFFOLK C~. DEP~-,,'\OF.., HE.,~I,~'I'H SERVICES. /[PPLiC~NT '" SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY APPR~rr.,~: ~ --- - ~ ~ o,J~: rA~ILY UWEL~NLY SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK '~WNERS ADDRESS: DEED: L, TEST HOLE STAMP SEAL .I ~...~-~ SUFFOLK ,CO. HEAL'~H DEPT· APPROVAL THE WATER ~LY AND ~WA~ DIS~AL CONFORM TO THE STANDAR~ OF THE SUFFOLK CO. DEPT. OF HEALTH SERVIEES. A~ICAflT SUFFOLK COUNTY DEPT. OF HEALTH m~. ~. ~ ,. ~CL, ' DEED: L ~[~% ~ ~ '~' ' ' """' '" ~"?'" : SEAL LAND SURV~ORS GREEN~.T NEW YORK OCCUPANCY,.,,,n° USE IS CERTIFICATE WITHOUT ~.-c OCCUPANCY ~ c~rtFt~ rto~ SED IN WATER ' 7E~5 1802 9 AM TO 4 PM FOR THE STAMP 07 .','~P~'OVAL 4 FINAl, CONSTRUCTION MUST BE COMPLETE FOR C.O. THE REQU flEMENTS OF THE N Y CODES, NOT ~NSIBLE FOR FACSIMILE EXCEL: i~tOMES'"? P.O, 'Box 69 Mtffllntown, PA 17059 ?17 436-8971 STATE AN NO= Mlfflfnt'ow~, PA 17059 717 4 ~6-B97l STATE DIVi~40N OF COMMUNITY R~ALi NEW YORK STATE DIVISION OF STAMP OF' APPROVAl., ~'ACSIMILE EXCEL HOMES'"~ P.O. Box 6~~ ' MFffilntown, PA 17059 717 456-8971 iI STAMP OF APPROVAL ~ACSIMILE" RANCH TWO STORY RAISED RANCH R,.4 NCH / DUPLEX .I%E~R El E.V._ REAR El EV. OPT. PORCH ROOF OPT. CARPORT OPT. E:E D~'OOM 3 o~ TYP. KITCHEN ELEVATION .~:. JL:..= :__~ ~_~ --...lli ~j~JJ : .Il / ---- -, -- ;., r IH.~!I,L ..... ~7_~J --__II[L_ Iii IilHI i ~ YORK STATE DIVISION OF HOUSJ, NG AND COMMUNITY REI~AL PLAN APPI~OVAL IS APPLICABLE ONLY TO THO~ COM,-O E~4JS OF THE FACTORY MANU* TYPP~AL BhTHROOM El FOR A MOD~,L 0}~ CO~:ZONrENT 00497 APR 1 ! 1985 T.xT ALL INT, C~_. T'¥F~,?~L FOOTING DE~AII_ 6 12 ,c"_s rD O;-L TYP. RANCH CROSS SF. CTtON_ BI-t_EVEL I .hYP]_ C/~N'[ I!_EVL~ NEW YORK STAT~ OF AND COMMUNJTY RENEWAL STALLED AND IN- ~OVAL ) M,'~ON~:NT TYP. 1-',~) STORY C~-~SS S~'. ION -[YP. SPUr LF_~/EL C~OSS S;CCI-tON TYP. tN LINE SPUT I_EYEL NOTES ' STAMP : i D. & C/d H. ff()OF t¢:<G, c,, M.c ~! S t !',:~. L;h t/,H S_ D L'i/- IL mdm DETAiL"T" BI-lEVEL ENTRY DETAIL () Bt-LEVEL ENTRY WAIL SPLIT ! EVEL OFFSET ! --- } ]YR FX'E W~LL [RAM!NG~DOOR$ AND n 'r ' ' YO' \"A ~,1'[ k'q CqT ~"t:f L Vi ( CAI OFt SET ROOF ,,,,~ t~. ~ ~--"'~~,.., ./[ ~'.IH~,:. JI '/ "~ ,- ~:~ "'"'~~ ~, .... ,~ . ~: 'X~ ~ :, "/.";~/.~ ;Z''~ h _. ~ ~ . ~. ~ : ~' '* ~, ' ~' " :-;*,* - M ~t,,, ~1I ~]~ .... J_ ._ z~._ .__ __ ::~':'~'""~:;' li :i' ~ ':- , f ~'~'"~'~ * ~ ~[ ~1! 'c ~' F,~c::<=cs~sr~ ~l _.. ._ ~: ~ .,,: ..... :..,'~ ~ ,i~L:~ '"'"' '""'"' , '- '"*""* 4. ~' ? -- = ~ .NO!~S2 ' ~: :t_ ' ..... : ~ WiDE 5/1~ RAFTER 24 ¥~'!;)E 5/12 T~JSS 1 m' o.c 27' WIDE 5/12 RAFTf".N ~,'r ,e.'o.c. WINt~ r~BLE DETAIL 27' IS APPLICABLE ONLy TO STAMP OF A.15PF FOE A MODEL Oi ~ r_o~- -(z7._¢,-,~oE~ I Ld 12 T'¢P EANCH 5~AIRS 3m · TWO S'tt~RY SPLIT LEVEL STrIFeS /4-0 ;n_L-~ DIFIE T ...... P-~_ J _ L/~L DRA~N a VUNT_.. _A~LE~NA_TE_ TUB SHOWE. R ·___,SUABLY___ _M/UN ,VENT TUB DRAtN& VENT,, WASHER DRAIN I~ VENT _A~ NOTES ~OR ~INGLE FJtMJLY ~ STORY,