HomeMy WebLinkAbout23421-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24949 Date MARCH 20, 1997
THIS CERTIFIES that the building ADDITION
Location of Property 445 OSPREY NEST ROAD GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 35 Block 6 Lot •32
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 24, 1996 pursuant to which
Building Permit No. 23421-Z dated MAY 8, 1996
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 CONVERT EXISTING CARPORT INTO A GARAGE ADDITION TO EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to RALPH GRANDINETTI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-407355 - JANUARY 3, 1997
PLUMBERS CERTIFICATION DATED N/A
dzt� L
lyi76g Inspector
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)
�i�
NG 23421 Z
Date.................G% .............. 19.
Permission Is hereby granted-to:
A4.01 e
*..........................
.......... . ..... .. .. ...........' .� ,....1.1..r`'�K< ........
to ... .. .... .....
... .... ... ............. . . �. SGC-..Y.-...�a?�..4.��JJ�`�'. ..�..�..����..�.�.... ............. .......
✓.. ...............................
...........................................................................................................................................I......................
............................................r...I...........................................................................................................
at premises located at..............7.r4� .✓ � ..... % ...............................
.....
........................� ....... ... ..........................................
County Tax Map No. 1000 Section ..........3, Z... Block........4e........./.. Lot No. �J. ............
pursuant to application dated ............12s ! ... Z.. ........... 19..Fjke�p...... and approved by the
Building Inspector.
Fee$....(.. `............
.. .. . .................. ............ .... ...... .........
Building Inspecto�
Rev. 6/30/80
Form No. 6
L5 IS Q Ui� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
BLDG.DEPT.
TOWN OFSOUTHOLD IPPLICATION 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 17 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 c6mpleted 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 Building - $100.00
3. Copy of Certificate of Occupancy - .25C
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . ..✓. . . . . . . . Old Or Pre-ex istli�Ing Building. . . . . . .v. . . . . . .
Location of Property. . :2�� . . . . . .VSP.rf.Y. .4E"PL-44. . . . . . . . . VX(P �. . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . . . .(; ✓MVJ ,1 Af . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . . . . . . . . .Block. . . . . . . . . . . . . . .Lot. . . . . 3-�-- . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .�FFileedMap. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No.�33 W.Z, . . .Date Of Permitha.: . Cl . Jlq. .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . .
Request for: Tempprary Certificate. . . . . . . . . . . Final Certicate. �. . .
)� 0-0
Fee Submitted: $. .
�-zp] ?0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c V 9 V// APPLICANT
r
c 1001071 THE NEW YORK BOARD OF FIRE UNDERWRITERS' PAGE 1
BUREAU OF ELECTRICITY
F 85 JOHN STREET, NEW YORK, NY 10038
Date JANUARY 03,1997 Application No.on file 13123997/97 N 407355
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
RALPH GRANDINETTI, 445 OSPREY NEST ROAD, EAST MARION, ,N.Y.
in thefolloLcinq location; ❑ Basement 13 Ist Fl. ❑ 2nd Fl. GAR/OUT
DECEMBER 27 1996 .Section Block Lot
was examined un F and found to be in compliance with the National Electrical Code.
FIXTURE -FIXTURESECEPTACLES SWITCHES FIXTURES RANGES
OUTLETCOOKING DECKS OVENS DISH WASHERS EXHAUST FANS
INCANDESCENT-FLUORESCENT OTHER AMT. . K.W. AMT. K.W.
6 4 4 4 2
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS S►ECIAI REC'PT TIME CLOCKS UNIT HEATERS MULTI-OU1lET
AMT. K.W. OIL H.P. GAS H.P. AMT. .NO. A.W.G.. AMT. AMP. AML AMPS. TRANS. DIMMERS
AMr. H.P. SYSTEMS
NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF 5 E R
AMT. AMP. -METER V I C E
TYPE EQUIP. L-W 7W 3 X�w NO.OF CC.COND. A. .
PER O Of GC.w.GGOND• NO.OF HI-LEG A•w•G. - NO.OF NEUTRALS ANN.G. -
OF HI-126- OF EUTRAL
OTHER APPARATUS:
G.F.C.It-1
*+
G & S CONTRACTOR LIC.#578— L L
E w
BOX 215
ANN
SOUTHOLD, NY, 11971
GENERAL MANAGER
�+ 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.
1 na,(wii�,rr•,t'.11Uu �u�;l'(�III unlh:
ffll11111 A"1'1011
-----------------
m „ a
IIUUCII VIlnlll! d - --�- ----------- ...---�--- --... .. z
111.1111111110 IS
------------ -- v,-----..---------------
....__._.._._. Iq
11!i IILA 1'11111 I'Ii II 11. Y . _ ___-_._.____—___._..__..._...._.._ _.._._..
1 _
_..... .._ .._ ...._ _. i11
„fAlti F.IIIS IICY
.1)111:
-101
- -
------------
AIMI' OIIAI. Cplll11!11 G`i: 0.
-------------
... .......... ..------ -'---'----------------------
III
23'1
i
�--- 1211 10'2
i I
10'11-- =1 2'-v
i
1- I
KITCHEN
' SLAB o ! L`�'-" ! co,
e=D m o
i
i
LIVING PROVIDE % HR. FIRE
AREA RATED SEPARATION TO
PART. 717.3 (f)(1) OF _! APPRO ED AS NOTED
N.Y. STATE BUILDING CODE. DATE: B.P.# �3
FEE: - -=---SY:
GARAGE NOTIFY BUILDING DEP
765.1802 J AM TO 4 P FOR THE
FOLLOWING INS?ECTIONS:
1.' FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2-2x10 HEADER WITH 1/2" 2! ROUGH - FRAMING & PLUMBING
• PLYWOOD TYP.
_ I 3i INSULATION
41L FINAL - CONSTRUCTION MU
ST
------ ------, C01'+9PLETEFOR C.O.
---- B E
rI LL CONSTRUCTION SHALL MEET
TFE REOUiRE144ENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
F mCODES. NOT RESPONSIBLE FOR
DESIGNOR CONSTRUCTION ERRORS
L_H
UNDERWRITERS CERTIFICATE
REQUIRED
,�--6.4 70.5 84
— 23'1
9.10
No/b• 1:vF 11tMoroivi fhswf '� _ ?t'" �� S �. 6' i`:i, .s: ? '<�^{. ':v:, :.• '%r'r;fh`4,.:t
,y?•�t-a:}`''•Y..
yi, n neFa' Jn�' _ � .��„c � � ,. i,. _ -�i��~�' �•r,: ` ... •r -- ._ .. is
��'T �=��A4� r+f S � / '- y.�I.++ T� 'Vl z :.r`' :.��, ro Wdj_ 'e . `• ' -,. f
` �i�a �C•.,.+Rwc Ea..S�+•k'a � _ .. ,. �v5'L.a. _'.'+' . Qr�� ::;;. �� .E �.•�:'+`: _}::_ .[�"�.;`�' _ _ <y _ `:Ckf' '>j:"-F''% �'�^��'" ���{I` ",�.f
Olrti'on'Moo M..2T5Z.
•rr:T=, ,-J'_y}S� •' �:-w. `l ,+i' %l;'-','t:� i _'!"_ �a:_ T?�u 4"i ::� `.' y,
Atl?l .�< z'+,o.£:L: •:o '.:s.:;.,.'fy:,�,e s}� :. ;;'.<' e.Srl-5
�'':.Lp• .��.OWTION _PLAN i '.'�� ��">., �.ti.� �;.:`+.. �e .rr:' �}ti:;�:- _ :,'�~ :S6',c�,.� Y�ie�2
G`l�, `.�:. :;y. ` O'=-�;,.1,,=� `= ;c.�•,Y'
L ,< �.',4.. - r .. t ��� ^, A �r �� ' •�_", � '.�. S�.�a'.i; .P. i. - � �` 11.1.`-`, [V.,
vi t
tu
�f:�„ 1 - . . / .' t,� 4� 'e' {757}(..:�,e�s�•.•'`°
< " ... - 3,-•, J _,
C Y, s 1. 1 OX .. r o a QQ t TW4- 4n totkrtt s't crrxs
' . . V ... '' ryr<wir rerun.oe r►s.•
'•�4- 1 _: � �. arsrooms•.ws.x,as er. .
r Misi?p+m.ro-,
/J/ _ wwsuo sue=w.0 sx
Z. ,O \ _ TDGV.WOlIVf
� tl \\ +k.... ,I - �' �. ou.unrvs um¢ertc iu ^7"{r1.�':,
T-44
o Tw 1fuw.roa wxpv.m[iwW[
MAP
X/ x 3UiaV YBD f-02 rsoro smnwo,.osteo
QALPN .C _ ..� ..;
2ANDINETTI 1 -;Y.. b MGOO,w Ki1N9d6 s .
Q'1 . .-, - ffA@ a1' ":� . G4�+rh'ed�la.#!r
..G N(•� ° ArMsr'kdn.TTHe ti 1`•
TOWN OF N.Y. .. rldpr.lo tfn! ; ,het -r y
- _ •:1l .� SauHrPk,{,SgVtLa�' �.d' o r ..v.r
2!'yg7`(Y• _s4'�'•_a��"'
- '..
!. KtCK Vont TG
vt',
P. "-
- 5� ,•
x Ma
Sot .
Di3t, /000, cf.0�5,8}xr(n,/�h32.
c5/.sdrpor'h New York ' ' , .,;'c• :qL r; i
70-1802
BU WING DEPT.
I SPECTION
64-1 OUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE�j& CHIMNEY
REMARKS: C/
DATE INSPECTOR
Y
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ } FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: 46), y
Lifsi�✓.azG:rz,�az.� C���z -�
DATE INSPECTOR �%
i
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
j ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE/A CHIMNEY
REMARKS:
r
DATE INSPECTOR �"'�1
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
[Z41FRAMING [ ] FINAL
REMARKS:
O
DATE INSPECT ]
z69sz910, t
J s'
ap tl AhHga laeF n'arMvi/! eksvvn roue• +n`y � { �,. L c�.. ��°�� S-Gy � \ 6 9 �. t , : �Yr + �+� a
Fib r$� ._
'O r - C ,.#` t r- 7 ..` .P ao
• '�; \\ ` .>7 '.{� t i'r''x�� ;��� r; r ti. � ' ,,."`:"€.,y '° '.c .:1.vCt,-5�` �j -15a^��,"r=4
PLslay' Zr
"�57
vi
Scatr_a 10 (4tv
'°_>i
f r
$ fir.
d � - "- wwuwrtis umiu*m" :d avaraaw`;-
o,xr ro lru xasor.ws wxpN t.0 nav+C
MAP 0� P2OPE27Y mu'rcoM�..m nova evnni n "n:o
YED 1�•�aC IMK,MiRNpM 151®lGRp1.I.M
ormaory.vrslt,;"-
j' .: 2ANOWETTi
.,��- m mlOw1�611,Y0i16 Oa L61pIBM
bra
a �nr�rzT :., s►�. � 7r+ie; ape }
1r • yN`- r_='M' _ y/. - - - 75 Q� ,N.Y. 1 .-t'�:rte,+a !/a
� � .. .. - - .. .i-rte-.:.. as .�„J•147'7�: :, _�:?�.,y=
m-
LAGOON
-
__���
Swff"otk,to, xMo#
bnsesr — Jrksw York '
BOARD OF HEALTH . . . . . . . . .
FORM NO. 1 3 SETS OF PLAYS . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . : . . .
TOWN HALL SEPTIC FORK . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 NOTIFY
Examined . . 4 r. ,, 19/.(G' CALL 1 1 1 1 . _ . . . . . . . . . . . . .
` �je /f q/ � HAIL T0 :
Approved . . . 1 1 1 1 v Ij /j . ., 19kt? Permit No.04.11./• .�/
Disapproved_a/c . . . _ . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1111 1111 .
(Building Inspector)
LIGATION FOR BUILDING PERMIT
Date . . . . . . . . . . . . . . . . . .. 19 . . .
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
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
e. 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 ins ct'o S.
. . . . . . . . . . . . . . . .
(Signature of appy atC�r naorporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
eI ..weC.!.!. . . I . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . . . .>�-��, _
, . . ane
. . . .��. . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applicant
is a c000'rporat'ott tgnatu a of duly author'zed officer.
1111 . . . . . . . . . . . .�. ..�.� . . . . . . . . .�. . . .
(Name and title of oL' rporate officer)
Builder's License No. . . 2U� ��� . 171Z,
Plumber's License No. ;, APR 2 4 1996 i I
Electrician's License No. BLDG. DEPT
TOWN OF SOU' HG'J
x_w _ ..�.
Other Trade's License No. 1111 . . . . . . . . . . . . . . . . .
1. Location of land on whicchr proposed work will be done. . . . . . . . . . . .
. . . ':J:•"•. • •i� . �. . . . . . . . .� eY�. ..,. . . . . . . . . . . . . . . . . . . . .
1111 1111 . . . 1111 . ... . . . . . . . . . . . . . ..
House Number Street Hamlet
County Tax Map o000 _Section . . . .... �8... . . . Block . . . . S. . . . . . : . . . Lot . . . — 3
Subdivision . . . .� �-. Cl2��. . . . . . . . . . .'. Filed Map No. Lot . . . . .7 1 1 1 1 . . . .
(Name)
2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: l
a. Existing use and occupancy
b. Intended use and occupancy . . . . , , , , , , , , , Q%11
� , . . . ..' . I . . .... . .�. . .
3. Nature of work (check which applicable): New Building . . . . . . . . ✓, \
Repair Additibn . . . . . . . . . . Alteration . . . . . . . . . .
Removal . . . . . . . . . . . . . . Demolition . . . . . . .,. . . . . . . Other Work . . . . . . . . . . . . . . .
4. Estimated Cost . . . ,� .°�?_ (Description)
. . .... , , , , , , . Fee
(to be paid on filing this application)
5. If dwelling,number of dwelling u its . . . ,. Number of dwelling
If garage, number of cars . . , c.o— .� units on each floor . . . . . . . . . . . . . . . .
6. If business commercial or mixed occupancy, specify naturt, and extent of.each
Htype of use . . . . . .
7. Dimensions of existing structures,of an Front . . . . . :. ear ? .?-, , , ,
Height . . . . . . . . . . . . . . .
Number of Stories , , , , , Depth . . .
, , , , , , , , , , , •
Dimensions of shine structure with alterations or additions: Front :: ? . . . . ' • ' ' ' . ' ' ' . '
Depth . . . . . ...? . . . . . . . . . . Height . . . . . . . . . • . . . . . . . . . : . .
Number of Stories Rear . . .? .? . . . . . . . . .
8. Dimensions of entire new construction: Front . . . .
.Height Rear . . . . ... . . . . . . . . . Depth . . . . . . . . . . . . . . .
Number of Stories . . . . ... . . .
9. Size of lot: Front Rear . . . . . . . . . . . . . . , • . . . . . . . • • • . . . . . .
10. Date of Purchase 9 Dep4h
. ..pN,me of Fon' . . . . . GL . . ., . . . . .
1 1. Zone or use district in w rich premises are situated . . . �+ r Y� F'
12. Does Proposed construction violate y z�mg law, ordinance or regulation:er Owne
13, Will lot be regraded . . , , /7v. ' • yWill excess fill be rem
14. Name of Owner of premises , , �`r+`nvl 5�4s removed from premises: Yes No
Name of Architect ddress . . . . . , , , , , phone No. Y77-lQ�Y,
Name of Contractor . Address . Phone No. . . . . ,
• • • • • • • . . Address !°�• . .X 5?l ea z' phone No.
15. Is this property within 300 feet of a tidal wetland? *Yes.• • • � •
*If yes, Southold Town Trustees Permit may be requred.) No. '
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
6)
C+4� �' °� L'i�/.,c_t�'' '.•l�fd�G- ('u:+,4.K.�.Qc1�,c�.¢4Ge,.y .r-4`'
��a��z.�� .�a��,�� .�.�-yam .�• ..,��-,.,-�,(�,T`� �,r�/
STATE OF NEW YORK,
COUNTY OF . . . . S S
'
N ' 'A• • • • • • • • . . . , being duly sworn, deposes and says that he is thea heame individual ning contract) applicant
above named.
fle is the . . . . ��LL
. . . . . . &,Z' e,-
(Contractor, agent, corporate officer, etc.)'
rf said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
,vork will be performed in the manner set forth in the application filed therewith.
;worn to before me this
--. . . . . .day of. . . . . . . . . .. 19
Jotary Public; 4 QQ..,,,,, 4,
HELENE.B..HORNE ��
Notary Publlc,'5tate of Now York
No.4951384 ignature of applicant)
Qualified in,Suffoil<CoUnty
�
Commission Expires May 22, t9