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Home My WebLink About14628-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15741 Date May 11, 1987 THIS CERTIFIES that the building ..... .R.e.n.q y .a .t.i.q n...d.u.e...t .o..f.i..r .e.. ................ L ..... 25425 Main Rd. & 55 Alvahs Lane Cutchogue ocauon ot eroperty ............................................................... House No. Street Ham/of County Tax Map No. 1000 Section 109 .Block 01 .Lot 36 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Jan. 28, 1986 pursuant to which Building Permit No. 14628Z dated . Iq...a.r.c.h...8 ,,. , ! 9. .8.6 ............ 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 ......... ..... g. ?p.o.v.a..t .e..e.x..~ p.t. 5:.n.g..b.u.i..1 .d.i.n.g..b.e.q a..u.s.e..o..f..f.l.r..e..d.a.m..a.g.e.: ............... The certificate is issued to Mr s. Corwin Grathwohl ..................... /oh;.'o;, ...................... of the aforesaid building. Suffolk County Department of Health Approval .... .N./.A. .................................. UNDERWRITERS CERTIFICATE NO. N775011 Oct. 17, 1986 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FOB.~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEP. MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14628 Z Date ..... ,..~ .......................................... , Permission is hereby granted to: __ ...... ............. at premises located at ...~..~....~..~-~......~..~.....~......~......~.'..'-~.~....~...~.~....~.....CtCt~.... ....... ~...~.....a~ County Tax Map No. JO00 Section .... J....(~..~ .......... Block ....... ..~...I ........ Lot No.......~...~. ............ pursuant to appJicotion doted .....~..~......~...~. ............. , ,9.~...~, and approved by the BuiJdlng Inspector. Fee $~.....:...~ Building Inspector Rev. 6/30/60 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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'. 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusua~ natura~ 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 or land use $§.00 3. Copy of certificate of occupancy $1.00 Date ............... New Building ............. Old or Pre-existing Building ... y,_,. ..... Vacant Land ............. ! ' ' .... Ham/et Location of Property.. ~. ~.~....~.~. ~..~. ,~..t~....~../~L.. ~..~..~_. House No. Street . .(5 . A ........ Owner or Owners of Property .~/~..~.~.... # CountyTax Map No. 1000 Section . . ./.0..~. ...... Block ..... /. ......... Lot .... .~'. ~.. ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./.q~ ~...-~')a~ of Permit 3/~./~.Applicant....~/~..~Z/~.. ~..~.C~..~,~, ...... 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~icable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 0138[ 85 JOHN STREET, NEW YO~K, NEW YORK 10038 .aR~ O~ob~= 17, z~ee ~..,i~..o. No.o.~if~ ~e~z~/~ N 775011 THIS CERTIF{ES THAT only the eJectricaJ ~ipment ~ ~scrlbed belo~ a~ ~nt~duced by the appJ~cant ~med on the a~ve appllca~io~ n~ ~ber in the premises of Co.in Gra~wohl, Ma~ ~d, Cutchogue, in the following h,ca~io,~ ~ Basemen~ ~ Ist Fl. ~ 2,~d FL Section ~ Lot u~s exu~nined att OC~ J~ly 3~ ~ 1~6 and found to be in compliance ,'ith the requirements qf this Board. F XTURE ] ] J FIXTURES RANGES C~KING DECK5 OVENS - DISH WASHERS EXHAUST FANS OUTLETS ~EGEPTACLE$ SWITCHES iNCANDESCENT FLUORESCENT ~Y ~T K, W, AMT, K, W ~Z K W, ~ ~T K~ W, T, ~ p. D~YERS [ FURNACE ~OTORS [ mTUR$ A~tANCE FEEDERS $~ECIALREC'PI TIME CLOCKS ~ BELL ~UNIT HEATERS MULTI-OUTLET DIMMERS / ~lVl~ DI~ONNECT ~, O* S ~ R V t C OTHER APPARATUS: Jod¥ Pumillo Pat Lane Ma[tituok, N.Y 11952 Ltc#2300E GENERAL MANAGER 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. COPY FOR, B~i LDING DEPARTMENT. THIS COPY OF CERTIFICATE·MUST,~ NOT BE ALTERED,. IN ANY MANNER. ~ F;,[~E LD ~ N S [J E C T I ON FOUNDATION FOUNDATION 2. ROUGH FRAME & (1st) COM~4ENTS (2nd) PLUMBING INSULATION PER N. STATE ENERGY CODE FII~AL ADDITIONAL COMMENTS: CONTRACTOR & BUILDER NEW SUFFOLK LANE CUTCHOGUE, L.I., N,Y. 11935 p~N~ 516/734-6681 Curtis W. ]~orton Southold ~own l~uilding Dopt. Town of ~lonthold .~ou~held, I anticipate do~n~ the following items on building owned by Mrs. Ruth Gr~bhwohl, corner of Alvsh's Lane & Main Roads Cu~chogue~ N.Y. ~n~fa~s~urned & chafed beams & wood sheathing in the Repl~oe floo~ be~mss g~rders ~ flooring in area over heating unit in cellar Repl~ce > floor beams of second floor & flooring i~ second floor hallway Replace wood headers & posts at first floor ceiling with steel I beam & steel posts Replace north seation of sidewall studs & sheathin~ in kitchen area Replace north section of cornice & roofing at north side of kitchen area Items to do the following work & trades: Renew ell elecbrical wirRng in cellar, £irst & second floors Renew ell plumbing in cellar, .~irst & second floors Install new insuttation as to code Install all new sheetrock on ceilings & sidewalls Some rooms to ha~e wood ponelling on sidewalls Install underlayment flooring in all rooms Install new door jambs~ c~sings & stop Install some new doors Install new windows at second floor Install all new window casings IDstall storm windows on first floor existing windows Install new heating systems for both floors Ins'tall new tub in second floor bath InsOall storm & screen doors where needed Replace damaged asbes'Oos shingles on sidewalls Replace day, aged asphaIt roof shingles Renew ~spbalt roof shingles on front porch area Respectfully submitted~ 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1803 ~~' ,~N281966 ~ TOWN OF: SOUTlilOLD _. ./~..,~g~' (Building Inspector) APPLICATION FOR BUILDING PERMIT .... INSTRUCTIONS a. This application ~!~~g~le6~' ~Y typewrit~erorininkand submitted to the Building Inspector, with3 sets of plans, accurate pl~qiSqalYt~ gc_ale., ]~,e~cq~[c~'~o[s~hedhle. b. Plot plan showinl[ ~on~lc~ ~ o~t~[ir~ premises, relationship to adjoining premises or public streets or areas, and giving a deft~:~les~tio~f bf a~y_ou~t,~[~%q~ast be drawn on the diagram which is part of this appli- cation. ~, .~, ,ir,.p! lieu, ir p.j~ R j ii,,. IbhI r... d. Upon approval of ~hls'a'p~ic~t~¢,~tt~l[l~i$lfl~/lnspector will issued a Building Permit to the applicant. Such permit shall be kept on the premi~t~va~J[l~[f'~t~lOtl~roughout the work. ' e. No building shall 15oqibccffl~[~t"6r~s'ed in whole or in part for an5/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 inspections. ..... ~ ./..Z([~.~ ............... (Signature of applicant, or name, if a corporation) ' ''' ((MailiI;~ ;~res~(~rf'abplicant) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... .~' .7. .............. Plumber's License No. e. P'~-~ ~tt.[.[{..~.. ~1, .Q~.... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ............................................ :..: ...... Nameofownerofpremises ..~X...Cb~J.~...~}~A.~.~ ..... ' ....... TT..' ..... (as on the tax roll or la~d~~y: _~ NOTIFY ~UIL[~NG OEP~RTMENT AT 7654802 9 AM TO 4 FM ~R THE 1 FOUNDATION TWO FOR PC3tJeV. D Other Trade's License No ...................... ~ ~ s ~'~'~ 1. Locationofland onwhich proposed workwillbe done..q.~ .~ ~.O. .... O~,.,~.a.,..,.6R~.. .~ ....... z ~Jkv~k'.~..~.,-,~ ~ .... C~*.~ .7,, !/,..~,. ~, .............................................. House Number / Street Hamlet County Tax Map No, , 000 Section ....... /.Q. :~ ..... Block J Lot 3~ 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 ~Ow. ox.T¢./F.x..l:..*.nN4...T.o..(L~.q.4..~s;T.~7.e~,5..e.c.o. ~.~....k/q.~P..~..~.%'./.d?.~g b. Intended use and occupancy ............ ~5..,2~].. ~..~.. ...... -~....~ ....... ff~. b .ff .ff .4 ............. k ( ppli ) ' 3. Nature of wor check which a cable: New Building ..... ' ..... Addition .......... Alteration .......... Repair .... ~ ...... Removal .............. Demolition ........... i.. Other Work ............... (Description) ., 4. Estimated Cost ... ~....'-~L-~t. t..d~cl. .................. Fee ...................................... (to be paid on filing this application) ~5. If dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor If garage, number of cars ............................................ ~ ........................... 6. If business, commercial or mixed occupancy, specify n~ture and extent of each typ~ of use [~. ~lo.q ~.~ p~].~'~ 7. Dimensions of existing structures, if any: Front..~ ~ ~t ... Rear . .~.0.~ .... Depth..~.~rZ ~ . Height . .~ ~ ( ........ Number of Stories ..... ~ .................. ~ ............. ~2 ~... ~. Dimensions of same structure with alterations or additions: Front . .~ ~. ~ .... Rear ................ Depth ...................... Height ...... , .~ ............ Numbqr of ~to~es ...................... 8. Dimensions of entire new construction: Front ...~F~ ~ ~ ' Rear ........ ~ ...... Depth ............... Height ............... Number of Stories .... ~. ...................... : .................... 9. Size oflot: Front .~0~.~.~.., ............ Rear..7~.~ ............ Dep~ .~J.~.o... 1 o. Date of Purchase ~o.'ey.~d. ~, ff~. d.~ ...... Name of Fomer Owner . .: ¢.O.g~. q ~.O ....... ~ ....... 11 Zon di t i t i which p i it ated ' . eoruse 8rc n remsesare8 u ......................... ' ................. , . 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ........................... 13. Will lot be regraded ........... ~ .............. [~ Will excess fillbe removed~ fro¢ premises: Yes No 14. Nme of Owner of premises ~.~...(~p~i~. CGe*~dress ~.e ~ a.~./~.~Phone No.73.gv.6.~ 0.57.. N~e of Architect Address PLOT DIAGRAM Locate cle~ly ~d distinctly ~1 buildings, whether existing or proposed, and. indicate ~1 set-back d~ensions from prope~y Hnes. Give street and block number or desc~ption according to deed, ~d how~ street nmes and indicate whether inte~or or corner lot. ~ ~ ~ ~ . ' STATE OF NEW YORK, S.S COUNTY OF sworn, deposes and says that he is the applicant ................................................. being duly (Name of individual signing contract) above named. He is the ' (Contractor, agent, corporate officer, etc.): >f 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 that the ~vork will be performed in the manner set forth in the application filed therewith. gworn to before me this · ...~..~ ...... 19 .~.~. No. 470'/8~ Suffolk Countw~,~ Tm'm Expires March 30.19,,_~ County ,, '~ ~, ~ ~ , (S~ignature qt'apt~'c'ant )