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