HomeMy WebLinkAbout23055-zFOBM
TOWN OF SOU'/HOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N,Y.
N? 23055 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLEllON OF THE ',~ORK AUTHORIZED)
Permission is hereby granted to',
...~,,~.~.:..,.....~_¢,..../z.¢...m../.. .......
at premises located at ............................ ~ ...................... ~ ......................................................
Counb/Tax Map No. 1000 Section ...~.~, .,,~.. ........... Block .....~.,,,~ ........... Lot No ...... .~,..,~..~.. ...........
pursuant to application dated ........... .~...~?/.,d/.,~.. ............................... 19....~.~,., and approved by the
Building Inspector,
F~ ,..Z~ .......
Rev. 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCu~mANCY
No E-24206
Date MARCH 13r 1996
THIS CERTIFIES that the buildin~
Location of Propert~ 2300 DEPOT LANE
House No.
County Tax Map No. 1000 Section 102
Subdivision
AL'A'~ATION
uuTCHOGUE N~
Block 2
Filed Map No. Lot No.
Street Bamlet
Lot 2.2
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER llr 1995 pursuant to which
Building Permit No. 23055-E dated OCTOBER 12r 1995
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 ALTERATION TO AN EXISTING BUILDING TO CREATE A ONE FAMILY
D~ELLING.
The certificate is issued to
JOSEPH GRATTAN JR. & BARHARA GRATTAN
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. H048987
pLUMBERS CERTIFICATION DATED
(owner)
MARCH 7r 1996
2/9/95 EAST END PLUMBING & HEATING
Rev. 1/81
TOWN OF SOUTHOLD
~-~ ~ BUILDING DEPARTMENT
~ARiI ~,-
765-1802
This application must be filled in by ~ypewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
i. Final survey of property with accurate location of ail 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 e£ectricai installation from Board of Fire Underwriters.
&. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of ~% 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:
i. Accurate survey of property showing ali. 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
i Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, &ccessory building $25.00,
Additions to accessory building $25.00. Businesses $50°00.
2 Certificate of Occupancy on Pre-existin~ Buildine - $IOO.O0
3 Copy of Certificate of Occupancy - $20.00
4 Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00
Date .... .........
New Construction ........... Old OL_~Pre-existin~ Buiiding..~..
ocation of Property..Z-.. ..... ........ ...........
House No. Street Hamlet
Onwer or Owners of ~operty ..................................................................
cou, t, T~, ~ap No ,000,' section. ~a ..Z.. ....... gioo~..~. .......... ,or..~, ...-~.. ............
Subdivisiou .................................... Filed Map ............ Lo t ......................
~srmit .o..~~...~ate of ~e~it../.tP.:t..~:.t.ST...App~icant ..... .~.m..~. ...............
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate°.~ .....
...... ...............
~¢~ ,~"f; q ? ......... . .e~..
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CE~IFIES THAT
.70~PH G~ ~., DEPDT ~ CUTCH~UE, N.Y.
. ~CH ~4,1996 andfoundto be in compliance with the Naaonal Elect~cal Code.
~DtEYEE~w o1[ FURH".ACE Mo~G:OESN.~. FUTA~U~"E AI%~JNAONC! %EI;:,I:
RANGES
SERVICE DISCONNECT NO. OF S
R V I C
EXHAUST FANS
427 OSTR~NDER AVENUE
RIVE~RH'~.~D, NY, '.[19~31 ~t MANAGER
Pen -
This certificate most not be c~}tered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
DOPY FOR BUILDING DEPARTMENT.. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
EAST END PLUMBING & HEATING
Post Office Box 1052 · 1030 Osborne Avenue
Riverhead, New York 11901
516 - 369-4074
LEONARD T. REMPE, INC.
J. Grattan Sr.
Depot Lane
Southold N.Y.
To Whom it may concern:
Ail solder in renovation
2/9/95
is LEAD FREE as per N~. STATE code.
Respectful~,
Lezonard T. Re__mpe
Lic. #1617-P
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 1, 1996
Mr. Joseph Grattan
427 Ostrander Ave.
Riverhead, NY 11901
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx
~x
xx
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
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.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT
23055-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
PROVIDE OPt'RINGS
EMERGENCY ESCRPE AS
REQUIRED BY PART. 7]4 OF
N,Y. STATE BUILDING CODL
RE(~UIRED
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIRCATE
OF OCCUPANCY
PLUMBER CERTIFICATION
ON lEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOl. DER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2/10 of 1% LEAD.
PLUMBING
& M~IER LINES NEED
'r~!6TING BEPORE COVERING
AP~OV~ED AS NOTED
.x7~.'J~- .,~:
~E._ ,
765-1802 9 AM TO 4 PM FOR THE
FOLLO~NG INSPE~ONS:
1. FouNDATION - ~O REQU:gED
FOR ~URED ~CR~
2. ROUGH ' ~AMING &
3. INSU~ON
4. FINAL - CONSTRUCTION ~[JST
BE COMPL~E FOR C.O.
ALL CONSTRUCTION SHAL'
THE REQUIREMENTS OF T~ ~'Y.
STATE CONSTRUCTION '?- ~., GY
CODES. NOT RESPONSibLE FOR
DESIGN OR CONSTRUCTION E~RORS
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ '~NAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
INSPECTION
[ ] FOUNDATION 1ST [
[ ]/F/OUNDATION 2ND [
/
[ ,/] FRAMII~G [
[ ] FIREPLACE & CHIMNEY
REMARKS:
] ROUGH PLBG.
] INSULATION
] F,NAL
DATE
INSPECTOR
~OllM
TOWN OF
BUILDING D EP^'/~l M E N'T,.
1OWN IIALL
SOUTIIOLD, N.Y. 11,O71
TEL.:
F. xmnined ............... , 19
Disalq~roved. a/c ................................ ~..
flO,~RU OF IIEALTTI
3 SE~S OF PLANS
SURVEY
C^I,I ...................
IIA[L 're:
APPLICATION FOIl BUILDING PEF(MIT
INSTRUCI'ION~
n. This apl~licaNon must he complelely [illed ill by type~'vriler or in ink mid submitted to the Buikling Inspector, wilh.
scls oF plans, accmn[eplolplm~ IoscMe, ~ee~cco~din~loschedule,
b. Plot plmt showing loc~(ion of lot mid of building~ on premises, mhdionshlp lo ~djolnin~ prenllses o[ public
or a~eas, nnd ~i~ing a detailed description of layout oF pioperly inu~l be dt~wn on Lhe diagram which Js part of UHs ~lq)li
cation.
c. The wink termed by lhls application may nor be commenced before i~stmnce or Building Pemdt.
d. Upon approval el this application, Ihe Ihfilding Inspectm~ will igsued a Building Pmmlt to the ~pplicant. Such peunl
shall be kepi on Ihe p~emises available for in,per[ion fluoughout the wo~k.
e. No building shall be occupied or used in whole or in Imtt lot any propose whatever until a Certificate or Occupanc~
shall have been g~mded by Ihe Buildh~g Inspector.
Alq'LICATIOM IS tlERI~BY MADE to the Building Department lot the issuance el a Building Pemfit pursuant Io
Building Zone O~dinance el [he Town of Smdh0hl, Suffolk Crummy, New York, and olher applicable Laws. O[dhmnces o
Regulations, for the constmclion oF building% addiliml~ or nlte~ations~or For removal or demolition, as he~eln described
'l'h~ applicant agrees to comply with all apldlcahle laws, o~dhmnces, ~ull~g code, houslnj code, and zegulatk~, and
(Mailing addless or applicant)
Stale whelher apl licanl Js OWlle], lessee, agenl, mchilecl, engineer, genemal COlllmaclor, elecllician, l~lumbem or builder
Owner
~a.,e or ow.e,, or t,,e,,,is~s . 9',°.~. ~. Ph..q:. ~?.~.t.'~gP.,..q~':. P.. ~.aF.b.a.r. ~. A:. ?F.a.[~.n .....................
(as on the lax moll ~.)~ latest deed)
If apI)lic;mt is, cm'po~ation, slgnatum of duly mdhod:/ed el ricer.
(Name and lille or corporate elf leer)
lhdlde~'s License No ..........................
II le sl.menseNo .........................
Elect 'c'a s License No .......................
Othcr '1 u~dc's Liccnsc No ......................
Loc:ilion or hind on which pmlmsed wm lc will be done. . .E/.,~ . .D~p.o.'q . .L.a.n.e. ..............................
2300 .D.e.D .o .'.t La. n. ~ .........' .............. C..ugph. o.g .u.e
Ilouse Numl)er Sheet Ilamlet
Cotmly Tax Map No. IO00$eclion 102 Block 2 L 2, 2.
Subthwslon ........ , ............................. Filed Map No ............... Lot ............... (Name) ,
Shtle existing U.~e :md occupancy cd' premises and hllemled u~e :llld occupancy ( f ) 'oposed coHgll'UC[iOll:
a. Existing use and occupallcy Vacant, for oye~ 1, ear. '
h. h, lemlcd use and o('r:HpallCy One bedroom residence.
X
3. Nalur¢ofwo~k (ch¢ckwhu applicable): Nc;v Buihling .......... Addition .......... Alteration .... : .....
Repair .............. Removal .............. Demolition .... ; ......... OlheI Wolk ...............
. , (Description)
4. EslimMed Cost ~2 ~ 000 . '
(to b~ Imid on filing tb~s application)
S. If dwelling, number of dwellinl~ unHs .... ~ .......... Nmnber of dwelling unilfl oll each floor . . . ~ ............
, ~/~
. If fiarafie, number of cars ........................................................................
6. If business, commercial of mixed occupancy, specify nalurc nmi exlent of each typo of use .~/~, ................
7. Dimensionsofexistingstmchnes, ifany: Front 26.5 Rear 20.4 Depth 56.5
lleighl ..35.' .......... NumbcrofSlolics ...~ ....................................................
Dimensions of shine structure wilb alle,dions or addidons: Front .~,~ ........... Rmlr . .~N~ ............
De h Same , Same Same
II ....................... II~ght ........... ......... ,.. NmnbcrofSIoHes ......................
g. Dimensions of online n~w consi[ucliou: Ihonl . . .~ ........ ; Rear . .............. DcIHb ...............
Ilcigbl ............... Number of Stories ....................... ~ ................................
9. Sizeofh.H: Iqonl ,.~,~ ................ Rear ., ~.~ .............. l)eplh .,~.-.~ .............
10. DateofPmcbase ..~/.q~ .......... ......... Name of Fonnm' Owner ~q{~b.
t I. Zon~ or use dish'icl in which premises ~,e silua/cd
1 2. Does PrOl)OSCd conslruclion uk)hHe nny ZOllJng Jaw, oidinancc or ~egulalion: ~o
13. Will lot be legraded .. ~q..: .................... Will excess fill be renloved [rol~l prsillJses: Yes No
14. Nallle of Owller of p[eniJses 9~, ~.~,~e~s .~ .~K .~ Phone No. ].2].~.~ ......
Name of Architect . ~/.~ ...................... Address .~Y~ .~ .~'..o...~ No.
Nalll~ of (]ollJl'acJor , , ~ .................... Ad<hess ................... Pholl~ No ................
P LOT DIAG RAM
I,ocalc cteaHy mid dislinclly a{l buildings, w{mlher exislin~ oc proposed, and.{m{icale al{ sel-back dimensions
jUOl~eiiy hncs. Cdvc slrcet and block number or description according lo deed, lind sJiow street names ~ll(J indicMe whether
JlilelJor or corner Jol,
N 53'18'40" E 509.6T
STY. FR. BtOG~, [
now or Jorr~edY
Joseph $' Groktan
;TATI.:, OF NEW YOI(K,
:ouhrrY oF..s. ....... s.s .
.... ¢~. ~ . 9~.~z..~ t z ......... ......... bcinfi dilly SWOIll, dcposc~ and says lhnl hc is Iht nplflicant
(Name of imlividtm{ signing conhaci)
[e is lite OWNER OF PREMISES ......... .........................
(Contrach)r, agent, corpoiate officer, etc.)
f said owner or owners, and is duly aulhorized to imiform or have performed ihe said work and to makc and file lifts
plflicalion; Ibat all slate[nenis contained Jn lifts application are true to the best of his knowledge and belief; and that the
,ink wilt be performed in tl~e rammer set foHb in the application filed therewith.
worn lo befole me this
....... .'
~mi~iofl ~lr~ A~ 31, 1 ~l