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HomeMy WebLinkAbout25740-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26592 Date: 07/26/99 THIS CERTIFIES that the building RENOVATION Location of Property: 25325 MAIN RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 109 Block 1 Subdivision Lot 35 CUTCHOGUE Filed Map No. __ Lot No. -- (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12, 1999 pursuant to which Building Permit No. 25740-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 RENOVATE PORCH ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAM~S G~ATHWOHL & ORS. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 FORM NO. 3 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) PERMIT NO. 25740 Z Date MAY 21 99 Permission is hereby qranted to: RUTH G GRATHWOHL CUTCHOGUE~NY 11935 for : RENOVATE AN EXISTING PORCH AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 109 pursuant to application dated APRIL Building Inspector. 25325 MAIN RD Block 12 99 CUTCHOGUE 0001 Lot No. 035 and approved by the Fee $ 75.00 i~ed Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Heaith Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/I0 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: i. Accurate survey of property snowing all property lines, streets, building and unusual natural or topographic features. 2. -A properly completed application and a consent to inspect signed by the applicant. ? If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. I. Certificate of Occupa~elling $25.00, Additions to dwelling $25.00, Alterations to dwelli~$25.00_~Swimming pool $25.00, Accessory building $25.00, Additions to accessory buz~d'fI~ing $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildins - $i00.00 3. Copy of Certificate of Occupancy - = .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15/00, Commercial $15.00 Date ....~.~....~....~...~..~.._ ~-- ................... New Construction ........... Old Or Pre-existing Bu~l,ding.~'~'~ ...... ,.. House No. Street Hamlet County Tax Map No i000, Section .............. Block ................ Lot ...................... Subdivision Filed Map Lot .... Health Dept. Approval ....... /..~ .............. un~erwrl s pp o .../...' ............. Planning Board Approval.....~../~. ............. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $. ~..~. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax(516) 765-1823 Telephone(516) 765-1802 July 20, 1999 Ruth Grathwohl 25325 Main Rd. Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX 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 # 25740-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARK'~: ~/~ DATE INSPECTOR .. ~ ,j 7-0 ~- .,t,'.' :, '... ' .... , , '"' '""'" · ..,,..-,...,,.~-. .... ...',,. .-.- , ~...'~,~.~'T',~,,i~ :.., · ,.~.~ ..~';J'~' ~. ,,, .: .... ~ .~:~ , ~, , ~-~ ~" , · .,,, ~ ~"-,~ .,~--~~: . ~,..,,~:. :.~ ~. ~~~ ,~ ~_ . · _ .~ ~,,, ~ ~.,~ .. ., , , t · s . ~ ~,~_~%~:-, ~,~, ~.-~, .., --,_ ~:~,~. ,, - _ . .... ~,.~ ~-~.~-,~.~ -~ yt~,, · .~< .,-~.~., , 765-1802 BUILDING DEPT. PECTION [ 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND I ] INSULATION [ ] FIRAMING [ ] FINAL [ ] F[IREPLACE/&)CHIMNEY ~ INSPECT~ · ~ 7.0 £ELD INSPECT[ON REPORT DATE COHHEI~ffS ADDITIONAL COI, IHEI~S: FOIlll NO. TOt/N OF SOUTHOLD BUILDING DF. PARTMENT TOI~N HALL SOUTBOLD, N.¥. TEL: 765-1802 Dis~ppro~d a/e .................................. INSTRUCTIONS BOARD OF BEALTE ............... 3 SETS OF PLANS ............... SURVEY ....................... CI~CK ......................... SEPTIC FOR~ Date ................ , 19.. a. This application ~ust be. completely filled in by typewriter or in ink and submitted to ~ Building Inspecto~ 3 sets of plans, arum-ate plot plan to scale. Fee according to schedule. b. Plot ohm sbo~ring location of lot and of buildings on premises, relationship to adjoining preaises or public streets or areas, and giving a detailed description of layout of propert~ must be draun on the diagran ~aieh is parc this application. ¢. The ~ork eo~e~l by this applieatiofl ~ay not be eoaraeeeed before issuance of Building Permit. d. ~ apVroval of this application, the Building Inspector uill issue a Building Permit to the applicant. parmit'shall be lmpt on the premises available for inspection throughout the ~rk. e. No building shall be occupied or used in %~lo]e or in part for any pulq~se whatever t~til a Certificate of APPLICATI(li I$ k~t~ MADE zo the Building Departn=u~ for the issuance of a Building Permit pursuan[ to the Building Zone Ordinance of the Town of Southold, Suffolk County, Ne~ York, and other applicable Imam, Ordinances or Rm~ulatlons, for tile (xlDstrt~tion of beildings, additions or alteratio~ls, or for xlmloval or demolition, as herein described. The applicant agrees to oanply with all al~pllcable la~s, ordirm~ces, building code, housing code, and regulatiut~s, and to a~ait ~ttho~ized iuspectora un pcemlses ~ i~ building for t~..essary ,_ (S/gna~u~-e of ap~llcan£, or naue, if a corporation) ~-~ ~~ ~)- .: ............... /.. ........ ....,.., ............... //~ ~3~- (Mailing address of apgllcaat) State %faether apgllcant is o~er, lessee, a~ent, architect, engineer, Eesera! co~tractor, electrician, plL~ber or bell (as on the tax roll or latest deed) If applicator is a corporation, signatt~e of duly authorized officer. (Name and title of coxq~orate officer) OCCUPANCY OR USE IS UNLAWFUL Bui,de . Liee, .o ............... Y THOUT CERTIFICATE ................ OF'OCCUPANCY El~trici~ Li~ ~ ...................... ~r ~'s ~ ~ ..................... " APPROVED AS gOTEO ' DATe~B.R #~ FEJ' ~r'7'.~' ' BY: /'~ 7&S-I~ g AM ~ 4 PM F~ ~ ~L~NG INSPE~ONS: 1 FOUNDATION - ~0 REQUIRED 4. FINAL - ¢ONS~U~ON MUST BE COMP~ FOR ~0. Location of lam on daida proposed ~ork ~ill be ~ ....................... ALL ~ONSTRU~JON. SMALL. M~ · TH IRE E HE N,Y. ........ ..... COD~T RESPONSIBLE FOR ~ ~r St~t ~ESIG~ONS~UCTION ERRORS ~ivlsi~ ...................................... Fil~ ~ ~ ................ l~t ............... (~) a. ~,~ -- ~ ~ ........... '~....~d..~ .... ,,.,;,~..Z.%,W ............ b. ~ ~ ~ ~ ............................................................................. l~poir .... ~ .... l~,oval ............. II~olltlon ................... ~. ~ci~t~ ~ ... ~ .................... f~ .............................................. / (to ~ ~id ~ gil{~ this 5. I[ ~mlli~, ~r of ~lli~ ~mits ............ ~r o[ ~lling ~its ~ e~ ~r ................ I[ garde, ~r of ~rs ...................................... 6. If ~imss, ~mial or ~:~ ~, ~i~ ~a ~ ~t~r of e~ ~ of ~ ...................... 7. Di~nsi~ o[ ~stivg st~m~s, if ~: ~t ................ ~ar ............... ~pth ................. I~i~ ......................... ~r o[ Stories ...................... Di~i~ ot ~ s~ ~dth alterati~ or ~iti~s: ~ ............... ~ar ............... ~pth .................... ~i~t .................... ~r of S~ories ............... 8. Di~nsi~ of enti~ ~ ~t:~i~: ~t ................ ~ar ............... ~p~ .............. tMi~r ......................... ~r of Stories ..................... 9. Si~ of lot: ~t .................... ~ .................... ~pth .................... 10. ~e o[ ~d~ ..................... ~ of Four ~r ................................. ~ ..... 3 I I. ~ or ~ district in ~i~ ~i~s a~ si~t~ .............................................................. 12. ~s ~ ~ti~ violate ~ ~i~ 1~, o~i~ or r~la~i~: ........................ 13. gill lo~ ~ ~ .................... ~ill ~ss fill ~ ~ ~ ~s: I~. ~s of ~r o[ ~s ........................... ~ress ............................ ~ of ~tir~t .................................... ~ress ..................... , ......... ~ ~ ...... ~ of v ................................... ~ress ............................... 15. Is this ~r~ ~fliin ~ f~t of a till ~tl~ * ~ .......... ~ .......... PLOT DIAGItAN ' locate clearly and distinctly all buildings, ,daether existing or proposed, and indicate al! set-back di~nsioos pro~ert7 lines, gi~ street and block rs~ber or deseripti(~a according to deed, and sho~ street names and imitate ~/~etl~er interior or co133er lot. .... · ~IT.P~':3. ~!.L b..~:l.l ::,.:Z.~}.~.'*.~-:'.'''. .................. being duly s~m, deposes and says that he is U~e appl. icaa~t ]~ lg ~[[~ ~ ;'.~; ..... ...., .i.~ ..... ',, ............................... a. ,, (~9~, ~nL, cor~ra~e o[[mer, etc.) o[ ~id ~r o~?~S', ~ 'is ~ly ~[~ri~ ~o ~r~o~ or I~ ~r~o~ ~ ~id ~ ~ to ~ ~ file this a~l~ati~;~ ~"all star--ts e~tai~ in ~is a~llcati~ a~ t~ Co the ~st o[ his ~1~ ~ ~llefl a~ tha~ ~ ~ will ~ ~r[o~ in the~ ~r ~C ~orth in ~e a~li~ti~ fil~ ~. (Sigr~atxtre oE At~lic:a'nt)