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HomeMy WebLinkAbout25739-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26835 Date: 12/13/99 THIS CERTIFIES that the building ALTERATION Location of Property: 3205 WESTPHALIA RD MATTITUCK (~OUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 113 Block 13 Lot 22 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9~ 1999 pursuant to which Building Permit No. 25739-Z dated MAY 21~ 1999 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 RENOVATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAM~S F. GRATHWOHL & EMILY G. VICTOR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A 27033 05/05/99 08/23/99 J. ZEES PLUMBING & HEAT. //~ildi~g Inspector Rev. 1/81 FORM NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25739 Z Date MAY 21 99 Permission is hereby granted to: for : SARA-LORRAINE MARSHALL PO BOX 1156 BELLMAWR~NJ 08099 RENOVATE AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 113 pursuant to application dated APRIL Building Inspector. 3205 WESTPHALIA RD Block 9 99 MATTITUCK 0013 Lot No. 022 and approved by the Fee $ 75.00 ~t~r~ Sig~n~ture Rev. 2/19/98 ORIGINAL Town Halt, 53095 Main Road P, O, Box 1179 $outhold, New Yoik 11971 Fax (5'~6) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T,I F I C A T I O N Building Permit No. Owner: ~m~$ (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary Public, County ELECTRICAL INSPECTION SERVICE INC. 375 D USx~TON A ['~NUE EAST PA TCHOGUE, NEW YORK 11772 (516) 286-6642 VILL4GE: ,~(at~tuc. k ADDRESS: 320_[ West Phalia ISSUED TO: Gra,'hwohl 27033 APPLICATION No. ON FII~ INTRODUCED BY: Ggen's Electric 5/5/99 LIC No: 4770 - E ond found to be in compliance wJth the National E[ectricat Code LOCATION: Bose.. XX 1st ~¥ 2nd Srd Attic Deg Garage Hot Tub Pool ~ SI~qTCHES RECEPTACLES F1XTfffRES HEATERS FANS G.t~L I AIR. COND. 15 19 18 .5 DISHI~StIER DRI~R CLOTHES WASIL GAR. D1SP. RA-¥GE 0[75¥ ~40KE DETECTOR 30A 20A 2 1 t50 0It 1 -Attic light, t - 2Ct4 waterpump, PRESIDENT B LrlL D l NG PEP~'~ lIT No. w.~ ,~nf~ mm .o~ ~,~ o.t~o. ~ ~y ,~,m~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN' OF SOUTHOLD Fax (516) 765-1823 Telephone (5 [6) 765-1802 December 1, 1999 James Grathwohl & Emily Victoria 11690 Stockbridge Lane Reston, VA 22095 RE: 3205 Westphalia Rd., Mattituck. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25739-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buil inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property li streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contai less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bui and installations, a certificate of Code Compliance from architect or enginee responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, i957) non-conforming uses, or building Ppre-existing'~ land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the appli If a Certificate of Occupancy is denied, the Building Inspector shall state t reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,~ Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. ";~ '~'7 +4 ................... New Construction ........... ~--,.~Old ?r Pre-existing Building ................. House No. Street Ha~l et County Tax Map No 1000, Section../--,- .... ....... ........ Subdivision .................................... Filed Map ............ Lot ............... Permit No.v....~i~.z~.Date Of Permit..~ Health Dept Approval Underwriters Approval . . . Planning Board Approval .............. Request for: Temporary Certificate ........... Final Certicate....~.. .... · . ~~ z~z~' I 4' ~ Fee Submit~d. $.:.';..~ ...... "" ~ 5g~ ) : /' APPLECANT ' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY .'MA.KS'- //~/~,~'~ [ ] ROUGH PLBG. [ ] IN~TION [ ~FINAL~c~: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND ] FRAMII~G ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] I~ISULATION [ ~/FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~SULATION [ ] FRAMING [~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS:, :/'~--~ ~-/'~.~' ~/~-~ / DATE INSPECTOR OUNI)ATION (IST) OIII~DAT ION (2ND) @ 1999 ~i., APR_ B~DG, DEPT. _ TOWN OF $OUTHOLD PLUMBER ¢£RTt~tCmTOU ....... ON LEAD CONTENT BEFORE' Ohllat~(~l'.~:to~) CERTIFICAFL~ OF OCCUPANCY' APP],tCATIOI~ FOR BU][LI)IN~ PERIirF SOLDER IJ$£D IN WATER SUPPLY SYSTEM CANNOT PLUMBIN{3 TE~TING BEFORE COVERIN~ 'Date ................ ,19, . fXCEED 2/10 OF 1% 3 ~s o[ pl~,. ~te plot pl~ to ~le. ~ ~I~ to ~. b. Plot pl~ g~i~ l~ti~ o~ lot ~ o[ ~ildl~ ~ ~s, ~latl~dV W ~olu~ p~ br ~)lic ~tr~ts or ureas, ~ ~lvi~ a ~t~[l~ ~rlptt~ o~ l~y~:t ~a,I~'5~ IS ~ ch~rt~. ~m applt~ ............... ~'i:"~ ............................ ~ water d~{~ ~UMBING ~m; pipl~ shall ~NG BE~RE ~RING (~111~ ~ Og ~1t~)~,~ State ~d~r a~ll~n~ ~ ~/~. ~ ~ ...................... , ...... ~.~ ~ ........ .... ......... If ~fli~t ia a co~raCi~, si~e o~ ~ly FOL~NG I~PE~: ........................................... OCCUPANCY OR IS UNLAWFUL~o.~.~.~ (~ ~ m~. o~ ~,t, ~,,~. ,,,._ ~. . . ~ UT CERTIFICATE' ~' ,.~o. }~E ~ OCCUPANCY ~ ~o~.~.~ ~o, ~.o, Pl~rs Li~ ~.' · ,~,~- .... ~' t ,20NST~UC%ION SHALL ME~ , ~ ~' , v~,;~/miCTlON ~ ENERGY ~ivi=i~ ................................................ ~ ..... ~ ............... .,..~-- , ~-~-~ ......... ~ ............... : .... ~,F~.~:~ ................ PLOT DIAORAH, l~.ata clearly ~md dlaclr~l:ly all ~lldt~a, ~fl~r ~t~ctng or ~, ~ t~t~ca all ~t-~ dl~nat~s ~mtlmr Interior or ~r laC, I~ n the of ~id t~r or ~rs~ ~ t8 ~ly ~U~rl~ ~o ~ona or h*~ lar~or.~l the ~td ~rk ~t~ t~ ~k* ~1 file thi~ (St}~mt~J~ oF Apptt~nt) ' ~. 01~17~ fi~k ~ 5UtRVEY' OF: PiROP RTT' ~ITUATt5.. HAtTITU~K TOHN OF 5OUTHOL~ 5Ut=FOLK COUNT'F, NY ~AJ~.ME'r'ED OI-2[~-qq / 5UPFOLK C. OUNTT' TAX # IOOO - 113 - I~ 22 C, EP. TIFIE~2 TO: JAME~ F. ~P-ATHP4OHL EHIL'r' ~. VIE, TOP. IA ST® A55OC, IATE~, lNG. Fli2ELIT'r' NATIONAL TITLE C. OI'4PAN"r' OP NEPt "CORK. NOTES: · MONUMENT FOUNE) PIPE FOUNP APEA = 4.q~ AC, P-.E5 (2.~2 UPLANE)) ®P-.APHIC, 50ALE I"= ~OI JOH~C'~L 6 EAST '~AIN STREET 369-8288 Fax 359-8287 N.Y,S. LIC NO 50202 REFERENCE