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HomeMy WebLinkAbout24154-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25224 Date SEPTEMBER 3, 1997 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 385 GRISSON LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 1 Lot 29 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 6, 1997 pursuant to which Building Permit No. 24154-Z dated MAY 29, 1997 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 DECK ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH STADLER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bu' ding Inspe for Rev. 1/81 "am NO. f 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) N° 24154 Z Date 9 �r�.................... ....... . . ..... ......... Permission is hereby gr d to: ��� .. .....zvlh............................. toxon ....'7i.G.�t41..d4 .. .. ac..z, '..r. .. ... . . r.. .. .. .............................................. ......(............. . .......,................ . . ............... at premises located at........... Q. . ... ........ .��.77 '?7......... ... . ...... ... ............ County Tax Map No. 1000 Section ............../..opp.... Block ......./........... Lot No. ..&............. pursuant to application dated ....................... d 4.........., 19.!1.;?, and approved by the Building` Inspector. Fee $. ..• v......•• ............ . ........................................A.............................. Building Inspector Rev. 6/30/80 m rorm wo. o O u TQWN OF SOUTHOLD 0BUILDING DEPARTMENT QUG V TOWN HALL 765-1802 r BLDG. DETT. FS APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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: 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 applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the 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 $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25'C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . , j1 ?7 New Construction. . X �. . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . ,385, Grissom, Lane, . , , , ,Southoldi ,IVew York, , , , , , , , , , , , , , , , , , , , , , House No. Street Hamlet Onwer or Owners of Property.. . . . . . , , ,Joseph Stadler County Tax Map No 1000, Section. . . $. . . . . . . . .Block. . . . . .Q! . . . . . . . .Lot. . . . . . . . 29 . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . .. . . . . .. . . .. . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . , . . . . . . . . Permit No. . .241A4 ,Z. , , , ,Date Of Permit. JW. ,29,,, 1,997ApplicantGc�rrett A% .Strang. .7. -ATeAt Health Dept. Approval. . . . . . . NZA . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . W.4— . . , , , , Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .X . . . . . Fee Submitted: $. . . . . .i. ?5 ;00, , , , , , , , , , , , , , , &r.. 5?jCj3 j APPLICANT Garrett A. Strang co ��5229 i z) c)-Saa THE NE,W YORK BOARD OF FIRE UNDERWRITERS 'AGE 2 119,5099 OLIREAU OF ELECTRICITY - 85 JOHN STREET, NEW YORK, NY 10038 Date OCTOBER 24 i a.99'D Application No.on file 14468697/97 N 435725 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Not. STADLER, GRISSOM LANE,, SOUTHOLD, NY in thefollowing location; ❑ Basement ® Ise F1. F1 2nd Fl. OUT .Section Block Lot was examined on AUGUST 11,1997 and found to be in compliance with the National Electrical Code. FIXTURE - FIXTURES I RANGES ICOOKING DECKS I OVENS IDISH WASHERS EXHAUST FANS OUTLETS lItICEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT I K W AMT K W AML K.W. I AMT. K.W AMt. N P 2, 2 2 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALRECIPTI TIME CLOCKS I UNIT HEATERS I MULTIZUTLET DIMMERS Mr. K.W. OIL H.P. GAS H.P. AMT NO A.W G AMT. AMP AMT AMPS TRANS. pM} H p SYSTEMS NO.OF FEET AM} WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMi. AMP. TYPE METER 1,9'TO 1,e 3W ].B']W ],e'AW No OF CC.COND AWG. NO.OF HIAEG AWG NO Oi NEVTRAIS A.W.G EQUIP, PER% OF CC. OND. OF NbLEG OF NEUTRAL OTHER APPARATUS: DECK ADDITION-I G.F,C.I:_2 JIM SAGE ELEC. INC. LIC.#3635 Fsv. PO BOX ;38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11 Per 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 BUILDING DEPARTMENT. THIS COPY, OF' CERTIF1. it: MUST"NOT BE ALTERED IN ANY MANNER. THE •- NEW YORK BOARD OF FIRE UNDERWRITERS , a. $068878 BVREAU OF ELECTRICITY I 85 JOHN STREET; NEW YORK, NY 10038 Date NOMFtR 21 f 199/ Application No.on file 1496319'7/97 H 057860 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JOE & ROSEMARY STADLER, 385 GRISSOM LANE, SOUTHOLD, IN ; inthefollouinglocation; ® Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Sertion Block Lot was examined on OCT1'O$ER 30,1997 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLE5 SWITCHES FIXTURES' RANGES COOKING DECKS OVENS DISHWASHERS EXMAUST FANS OUTLETS INCANDESCENT FWORESCENT OTHER WT K W. AMT. K.W. PMT. KW. AMT K.W AMI. H P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'P! TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT NO. A.W.G. AMT. AMP. AMT AMPS TRANS. AMT H.P. SYSTEMS AMT. WAITS NO.ST FEET SERVICE DISCONNECT MO.OF _ S__, E R V I C E AMT. AMP. WRE METER I q 4W 1 F AW NO.OF CC GOND. A.W G NO OF NO A.W.G. NO.OF NEUTRALS AWG. EQUIP. PER.B' Of CCMOND. OF HbLEG OF NEULL OTHER APPARATUS: 3 TON Ck,'NTRAL A/C-2 MOTORS 42^E',. H.P: ,2-3 H.P.I PANELSOARDS;2--1 CIR. 60 KOLB IICHANICAL CORP. aw l_.. L 11500 SOUND AVE. P.O.Dox 106 GENERAL MANAGER MATTITUC:K, NY, 11952 11 Sir, Per 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 FORL,BUILDING DEPARTMENT., THIS COPY OF CERTIFICATE-MUST-NOT BE ALTERED IN ANY MANNER:' o�OgUFFO(,I-�D Town Hall, 53095 Main Road y 2 Fax(516)765-1823 P. O. Box 1179 $ • Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 29 , 1997 Joseph Stadler 385 Grisson Lane Southold, N.Y. 11971 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 # 24154-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 11'.LII IINiI'I;GI IUII II I;1'UII I' III C� lUlll ll'l11''i Uunhn'I'I IIII ( I:;'I'I � � �rl �IF,�•�lt uuliuA r gnu,....._( ltlil 1.,., .z 11111:11 IBAI II:�.A / - ,p7 -Alt p I'IL11{dYl,l III; - p� .........---------- ............... .......�............---- ..,-.............,.............i_.,.,_ C;III.A'I'IUII .':'IATK 1'.IIIAMY 1:11111! - j -011 I'111A I. _ ___�______ --------- -------- ...._._..-,-_-,.____m____.�_..__________________ MII11'I' ---- Cpllr❑!11'I-- xl \cl • NI L- ' I2 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEEYY REMARKS: z29 z� co, DATE114119 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ 1,, FRAMING 1el)QocA [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE lGk INSPECTOR `� M-1802 BUILDING DEPT. (/ NSPECTiON FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ j FINAL [ ] FIREPLACE & CHIMNEY REMARKS: v� DATE !� r INSPECTOR ZA/V yZ . N GRISSOM "" .p0 Cl£I •£2�5b� �° N. 2. 56' lO' E. 98.00' , 2g�'.23• o I � ► I A O �\ 2IN O [f.?•V 1 O O r BOARD OFHE %LTH FORM NO. 1 3 SETS OLANS °..!_, • , , , . • I+ TOWN OFSOUTHOLD SURVEY ?� Y"�Mpi"6 997 BUILDING DEPARTMENT CIIECK . . . . . . . . . . l" TOWN HALL SEPTIC FORM . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 BLDG.DEPT. TEL.: 765-1802 CL O T I F Y : TOWN OF S7rI0LD. D CALL Exainuicd . p �• • 19/ MAIL TO : Approved . . .o. . ., 19! Permit NoC7C 7 /. ��7 . _ . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . _ _ . . . . . . . . . . . (Building Inspecto LICATION FOR BUILDING PERMIT Date . .MAYS: . . . . . . . . . ., 19 .97 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets oriareas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. y c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. . e. No building shall be occupied or used in whole or in part for any 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 inspectio ( gnature of applicant, or name, if a corporation) .P0. .60X. 1A1, e. .S,OI)TNOI D .• NY• 119.71 (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •A•rchi-tto4 /A.gent. . . . . . . . . . . . . ... . . . . . . . . . . . . . . . .. . . . . . . Name of owner of premises . . . . . . . . . . . . . . . . . .J.aseph. .St ad.L.@C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . . . . .not, ,s.e,L g c t e,d ,yet• • Plumber's License No. . . . .qot„S�e4ected yet Electrician's License No. . .n c#: .s e L e c.t.e d. yAt . Other Trade's License No. .apt„ge,l'ec,ted yet 1, Location of land on which proposed work will be done. . . . . . . . . . . . . . . .485. Arissom Lane Southold House Number StreetH • . • • • • . . . . . . . •• amlet County Tax Map No. 1000 Section . . . :. , . 78, , , , , , ; , . Block . . . . 01. . . . . . . . .. . . . Lot . . . . . . . 2.9• • • , • • • • , , Subdivision . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . .'. Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . SJ.ngL.e,. .F.ami .L.y. .ReS,i,clepge. . .... . . . . b. Intended use and occupancy . • S.i•ngLe• •Fama•L.r •Res•i•demce• • . . . , , , , , • • ..: ... . : ... .. : ,`„ , „ • • • , • • 3. Nature of work (check which' applicable): vlable): New Building . Addition• • , • . . . . . . . . , . Re; al Demolition . . . . . . . . . ...D e•c•k • • • Alteration x . . . . Other Work . . . . . . . . . . . . . . 4. Estimated Cost . (Description) $1,5,OAQ . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) If If garage, number of cars dwelling units . , , , ,1, , , , , , , , , , Number of dwelling units on each floor . . . . . . . . . . . . . . . 6. If business,'commerciial ormi:number of i• , • . . . , . . • . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xed occupancy, specify nature and extent of•each type of use . . . , , , n,/,q , , , , 7. Dimensions of existing structures, if any: Front . .3 Z!, • . . . • . Rear. .,3 2.', . . , . . . , Depth , 46 ' Height . . . . . . .�Q : . . . . . Number of Stories . • 2, , ' ' ' ' , • • • . Dimensions of same structure With alterations or additions: Front 49, ,' , , , , , , , , Rear . 49 ' Depth . . . 4 6; , , , , , , , 1 . . . Height . . . . . ,3 Q?, , , , Number of Stories . . . . . ... . ... . . . . . . . . . . . 8. Dimensions of entire new construction: Front . Rear . Height Nu . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . ,tuber of Stories . . . . ... . . . . . . . . . . . . . . . . .9. Size oflof: Front . . . .1.45,2.3,', , , , , , , ,,; , , Rear. . • . . . . . . . . . . . . . • • . Depth N-42YX2I : " • " " 10. Date of Purchase Name of Former Owner 5=386:83 ' ' ' • • • • • • • 11. Zone or use district in which premises are situated . . . . . . R-G 0. . . . . ' ' 12. Does proposed construction vi 'late any zoning law, ordinance or regulation: IL0.. . . . . . . . . . . . . . . . . . . . . .. . • • 13, Will lot be regraded . . . . . . .�Q , , , , , , , Will excess fill be removed from premises: Yes 14. Name of Owner of premises,I.Osep,h. .Stad.t.er, . . . . Address 35 . G.r,i,ssOR .44 . . Phone No. 765.—,QQ37 No Name of Architect O., .Stf.dRp , , , , , , , , , , , , ;,, , , , Address 123.0. ,T.r,ayp,l,er, , , , , Phone No. ?65-5455 Name of Contractor . . . .Address . Phone No. 15. Is this property withinl300 feet of a tidal wetland? *yes. , , , , , , . . . " , *If yes, Southold ,Town Trustees Permit may be required. . . .•" No. .x .. . . . . PLOT DIAGRAM ' Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all setback dimensions atom property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. ! See Attached STATE OF NEW YORK, -0UNTY OF . g uR�0LK . . . . . . . (Name of G ar. g$t ra.ng . ,•, . . . • ' ' ' • being duly sworn, deposes and says that he is the applicant bove named. dual signing leis the . :,. , A•rchi5tect /Agent (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 ')plication; that all statements contained in this application are true to tire best of his knowledge and belief;and that the ork will be performed in the manner set`forth in the application filed therewith. '.vom to before me this . . . . . . . . .6th. . . . ... . .dayyoo`ff. . .'I. May 19 .97 Mary Public, . . . fid, �kA, S7rtdnlG ' � County NOT t2Y PUOLi '. Stote of New�cdc No 4730095 QuoNfied In Suffolk gty COMInIBflon'FJ_1 % 1 �i' • , • • • • • • • • , • , Y31. ""8 (Signature of applicant) LgNE >: 4 Prepared in accordance with the minknum A standards for tiNe surveys as estaMshed ' . by the LIA.L.S. and approved and adopted for such use by The New York Slate Land " Title Association. {ate: " 40 0. o � SURVEY OF 42202. PROPERTY "— - A T SOUTHOLD - - - ��. TOWN OF SOtJTt�IOLf� = - - - ¢s.�s�- _ �� SUFFOLK COUNTY, N Y' 38b g3. 1000 - 78- 01- 29 . ' SCALE 1" = 50' o : 600 AUG. 12,1991 -- QA NQYT ,*W. NG N.Y. . LIC. NO. 4961887 - rr0 r.!AW, S, P.C. " MW 00 AREA = 10096 ACLS.R SOUTHOLD, N.Y. 11971 91 . 228 wttw uxolNe (P�u�AFi�uEP) -- �14 y24,j Air- " NepzQ �•2x� Ae� �• 2�o rJAGI- t2' ((J L4,1 5 y " gti qt �I (t -4 0) ' � � St /� � ± •Z1 1 1 1 1 ` r.M.�. a,o PA•Ya+�� I � 'ra MA�CII �I°Iro? N>;+w 'MA�vt 7' Mkt" "two ✓^J MwIJI5--,;;I - kacaa )e.x w1*,1 V �NIr--JQ UNDERWRITERS CERTIFICATE ViLis FIo - 0015Umo ,y REQUIRED /ANO ",r,9'4 'rO A`IFillll...j OCCUPANCY OR USE IS IiNlA1,14FUL ��Jw FIR' OUT CERTIFICATE Na Ir-.: b�tR K u� 5 a0, n Fr, FSI -tile I X IYCAN�4hi1 OF OCCUPANCY r-n �� � �c�ltsr9,: ro r ,:, - G1n1cFREa�IdE,<Fi.o �r l REsflID(zhr is cre q " FieV H."IVMNG Y FIV_URPO PIC OpelGu,�•� A r7/Q. Xell ' 5Y w UIO� fA —_ J!, 21" . . --_— ' GAaINF Yo �lptul ra�iwY� c0ns41R!Jcror%s FOR C.O. HPP.I EO u pJ , .d;xdiSFo7lDl�TEC+Ff SOMA. PAEET y i I`,t 6Q REAAEIIITS OF THE MY �C: (,'(JNSTR:.rT10N & ENERGY F1 ';.V v' OH CONSTRUCTION IERRORS �rdC.�•I rJDI� f'7 41\1, -- _ � GIS• �a�;�J-a �,=�-m -- T --� AUL�nl HEAD dl= !z- rc. •✓ � � � o N � CM'II(tOIAM _ _ AST �h WiuO I 'lel °�TiuEO Fat: leo �E�+�II�' ICT N 1— '�a,I -- - ----------------�--- m r1�r faq — �O - GARRETT A . STRANG _, o � oNn architect t�MVDimJAV P.O. Box 1412 Southold N.Y. 11971 IrD a ��q�N 516 - 765 5455 Q� -oNe ¢ iwFily� N11NG�/�/ .."V f � 1 Q �•f jW TITLK + ` j ] �A eDY'Y�dTJIiD e41 e /1c I,~ Lacnnox ��y,��� 4wLj 14aL4p, }EiM1l t�AftiEi 1 /l/ SCALE loW M1`MN, '�I• ,',��{I �/ r /'� I �.EI/, gyp-` 7 /�� L ^( REVISED E O �1 JN,J. x'17 onewixc NO DATE Ile DID opewx.r � I yryu3 I'-©H R PROJECT N4 ; @ t ys C r / " / tial I .1��A•�o� r / r / r ■ rr / - r 1� No 4 � f .-