HomeMy WebLinkAbout25114-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26167
Date: 12/11/98
THIS CERTIFIES that the building
ADDITION
Location of Property: 25425 MAIN RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 109 Block 1
Filed Map No. __ Lot No. --
subdivision
CUTCHOGUE
Lot 36
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 26, 1998 pursuant to which
Building Permit No. 25114-Z dated AUGUST 18, 1998
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 RECONSTRUCT FRONT PORCH ON COMMERCIAL DWELLING AS APPLIED FOR.
The certificate is issued to JAMES F GRATHWOHL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
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.
25114 Z Date AUGUST 18~ 1998
Permission is
hereby granted to:
JAMES F GRATHWOHL
25325 MAIN ROAD
CUTCHOGUE~NY 11935
for :
RECONSTRUCT A FRONT PORCH ON A COMMERCIAL DWELLING AS APPLIED FOR.
at premises located at 25425
County Tax Map No. 473889 Section 109
pursuant to application dated JUNE
Building Inspector.
MAIN RD
Block
26 1998
CUTCHOGUE
0001 Lot No. 036
and approved by the
Fee $ 150.00
ORIGINAL
Rev. 2/19/98
T~:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG, DEPT.
TOW'~4 QF $Odl'HOLD
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 Health 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 2/10 of I% 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
~pre-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 sig~ed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
~ reasons therefor in writing to the applicant.
1.' Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw~m~ug pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupaucy -.$50'00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..... ~. · · ~. .............................
Construction ........... Old Or Fre-existing~Buildiug~.
House No. / Street ~
~r or O~ers of Proper~y ..........................
/o .e / ..........
~y T~ No 1000, Section ............ Block .............. Lot ..............
Filed ~p Lot · ·
, , /, '
f.. {ff(.~ Date~f Pe~it ~f. Applicant .....~f · ''
l~it NO ..... ' .......... ~ .............
~e~2r~p~21~ ~~~}~ ~Unde~riters Approval~ .......... ... ... · ..
a~est for: T~porary Certificate ........... Final Certicate.~ .......
..... ;7; ~ ~' · · ''
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
i F MN,DNA '°N ND i', N UA:AT'ON
[ ] FIREPLACE ~MNEY
REMARKS:
765-J. II02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ~SULATION
[/.~ FINAL
[
REMARKS:
] FIREPLACE & CHIMNEY
DATE
INSPECTOR
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF sOUTHOLD [gx~
Gaxnes Construction ,~/ ~
25425 Main Rd. ~
Cutchogue, New Yor~
RE..--.-~..,.._%_~.~-~ames Grathwohl, 25425 Main Rd., Cutchogue
1000-109-1-36.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on fi~~/.
XX The check is (not on file.~.00/ ~'%
No Health Department Appr~.val on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25114-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
,7
:i~LD .1.,, S ..... 0,~
:OUNDATION (1st)
FOUNDATION
(2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
At~PI, ICATION FOR BUILI)INO
INSTRUCTIONS
~,~ BOARD OF UgALTll ......... ; .....
3 SBT$ OF PLAN8 ...............
~su~v~v .......... , ........... ~
~CIIECK .......................
ggPTTC FOP. lq. ................. .
a. 'fids epplicaCitm faust be co~letely filled in I)y Offt~rlter or in ink ar4 mdznttted to the I~dldtng Tnspector
3 sets off plans, accurate plo~ plan to ~cale. Fee according to sche(~fle.
b. Plot plan sl~ing locatio~ o[ lot and of l~lldlngs on pre~tses, relatio~hlp to adjoining preadses or
str~ts or. are. se, and Itlvlng a detailed descrlpcto~ oE layc~sC o[ property r~mt be dra~ o~ tie dlagran ddch.
th[s apphcat lo~.
' c. 'lhe ~ork covered by this appltcatto~ may s~t be con~en~ed before ts~nce o[ lluildlng Permit.
d. Upon approval of this appltcaCic~, the Building Inspector x~ill tss~ a Building Permit to the applicant. ,~h
¥
l~ermit ~hall be kept ee Cl~e pi~lses available for inspec:to~ th~ttbout t,~ x~rk.
e. ~o t~aiiding slmll be occupied or used t~ sd~ole or in part for any purpose dmtaver until a Certificate of
OcoJpancy shall I~ve been granted by Cie l~tlding Inspector.
APPLICA'FI(I1 I$ Ii$1tEBY ~IAIII to the Building Department for rise issuance oE a iiuilding Pe~m|t Parsuan~ to the
Auildi~g ~ Ordtnanc~ ol~ dee lb~ off ~lthold, ~uf£olk CounL3% ~ York, and otlser al~llcable l~s, Ordinances
Ref~ulatio~s, for tim co~structiee o~ buildings, additions or alterations, or for r~oval or demoltttee, as herein
descril~l. 'll~ applicant ~treea to com~ly with all applicable la~a~ ordtnm~:ea, b~tlding code, hcustng code, ertl
· regulattona,~m~l to ~Jrait ~thorized inspectors c~ premises and in beildtng for eecessa~y inspections. ·
/ ff .............. .... //f....r
SLate ~t~eCher apelicant is o~r~ lessee, age, t, arclsitect, engtseer,'geseral co~ractor~ electrician, plcrd~er or I~ihle
~ ~-c~c~*~..~ ..................................................................
.... ..... ................... . . _ - ' -'
~Z ,~ ~/a~, ~~ ~ ..............
~ of ~r of pr~i~s ...... L ............................. ; .......................................
(~ ~ CI~ tax mil or latest d~)
If a~)ticanC is a co~ra~t~, st~e of duly ~theri~l o[[ieer.
Ph~bers License Ro ................... · .- · ---
Electricians License No ......................
.....................
l~o~i~ of la~ ~ ~uth p~l ~rk will ~ ~ ............. /.~.j----~ ...... '_~ ....................
~, .~ ~.. -
~ ~.~C~.. ~ ..... ~ ....................~ ............................................
I~ ~r 8t~t~ i~et
~iv[s[~ ...................................... FI1~ ~p ~ ......... A ..... 1~: ...............
(~)
. ·'·
- i... ~ ~- ~ -...~f~./.!~..Z4.~c ..... ~: .... .a~..~e.~ .....
a, 1~8C1~ t~ ~ L~t~y · . / .
b. lnte~ ~ a~ ~ .............................................................................
I0,
1t.
12,
13,
16.
15.
I%tm'e oE ~r~ (deck ~liich applieable)t ~ ~lidin8 .......... ~ ci~ ,
I~l~lr ...~ .... ~al ......... ' .... I~lttl~ .......... Ocher 1~
~-~ ~ , __ . .... ~ ..... ~.~...~ .............
o, .... 7.. ................
If I~tsil~ss, ~r~lal or mi: ~ ~mflm~, s~ci~ ~t:ure m~ ~Cen~ o~ ea~j ty~ oE u~ ........... ~.~...
IH,,~nslam of ~{ating a~v.t~s, t~ aay~ ~ ................ ~ar ............... ~p~h .................
~ or u~ district in ~lidtJpr~l~a a~
9ill loc I~ r~r~..:,~.~...~....;.. ~ill ~ess ej)l I~[~ ~
~ ~ o~ ~ o~ ~..., ........................ ~,~e~.... ~.. g~..~.~. ,~ ~ ....... ~ ......
Ts this p~rty within ~ f~t. ofa ~it~l I~gla~? * ~ .......... ~'.~ ....
PLOT DIAORAH'
Ix)cate ctearly and distinctly all butldln~s, dmtlmr exla£1ng or pro~. ~ l~icace all ~-~ di~naioas
SI'A'IE OF I'1',~ Y(XLK. ra ·
............. beJn8 doly s~)rn, delx)aea atxl mays Lhat lie ia the sppl. J(mnl:
I1~ ts the ....
of said {~er or~, m~l ia dul.~ ~tl~tl~ ~o I~rfonn or h~e I~rforn~l the ~[d ~k taxi :o n~ke taxi file this
alqfi [taCt(m; LhaC all s~atemnts ~tai~ in [I;is alq~[[cat[~; are tn~ to U~e I~s: oE his k~l~ge a,M I~tlef~ s,xl
hal ille ~rk will I~ ~rRon~lm~r ~t forth in Lite nl~l, Jcation
.... ...........
h~tic. J
~La~
- .o. j01 ~725~ :
!1
O]]ION S'~ O*]AOaadq
OCCUPANCy OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPAncy
CHARLES M. THOMAS /H