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Home My WebLink About22729-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCcu~ANC~' No Z-24657 Date SEPTEMBER 26, 1996 THIS CERTIFIES that the buildin~ Location of Property. 575 HILL ROAD House No. County Tax Map No. 1000 Section 70 Subdivision ADDITION SOuT~OLD, N.Y. Street Hamlet Block 4 Lot 29 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12, 1995 pursuant to which Building Permit No. 22729-Z dated MAY 5, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to LUCIT~m GRANFORT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A uildlng Inspector / FORM NO.$ TOWN OF $OUTHOLD BUILOING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date. ............................................ 22729 Z CountyTax Map No. 1000 Section .......... .7..~ ........ Block ......... ..~.... .......... Lot No ....... .~.,. ,~., ............ pursuanf to application dated ........ . ,~-,~..~..~ ............................. ] 9..~ .~........, and approved bythe Building Inspector. Fee ~~il 'ding InspectS; ...................... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... ~"~'g..~.'~! .,~-~f. .................. New Construction ........... Old Or Pre-existing Building ................. Location of Property .... .~..~.~ .... /.¥~//.- ~.~ m-~. ........ ~'~'~/~' ....................... House No. Street Hamlet Onwer or Owners of Property...~f~g~//.~.-.~p~.'~'~'~'' ................................... County Tax Map No 1000, Section...~.-d~- ....... Block .... ~. .......... Lot.~..~ ................ Subdivision Filed Map Lot · Permit No.~.~.7.~.Date Of Permit ................ Applicant..~m~/~ .-.~/~ ..... Health Dept. Approval..........--.. ......... ... Underwriters Approval ......................... Planning Beard Approval · · Request for: Temporary Certificate ........... Final Certicate ........... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 13, 1995 Mr. Charles Thompson P.O. Box 71 Peconic, NY 11958 Re: Lucille Granfort - SCTM#1000-70-4-29 Prem: 575 Hill Road, Southold NY 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 # 22729-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME i?LUMBING INSULATION FER N, STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~/~~ [ ] ROUGH PLBG. [ ] INS.~JL~ATION [~INAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ].~JSULATION [ ] FRAMING ~ FINAL [ ] FIREPLACE & CHIMNEY -D~/ATE ~)~.-~~ INSPECTOR FORM NO. 1 ~ I ~JdV TOWN OF SOUTHOLD BUILDING DEPARTMENT ?J fi'/ i! il ;;11 TOWN HALL $OUTHOLD, N.Y. 11971 ~..ff~.L~, TEL.: 765-180;3 Examined .... , 197.C Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ................. NOTI FY ~ CALL ...~. ~..5C'..~. ~.?Y ..... MAIL TO: · .... a~,l.C./. . . a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Ihspector, with 3 s, ets 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 th.is appli- cation. ¢. The work covered by tiffs 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 ~:emoval 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 buildhag for necessary i~E~tion, s - ~ (Signature o~ -'' r. 't"~ppiic' ~r~ ~an~e', ]f'ddo'r{~drf, t]dd) '' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. a wner o rem scs ..... C., ....... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and o co r PI mber s L~cense No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done; Il b ............................... ouse Nun] er Street, Hamlet County Tax Map No. 1000 Section .... ~...O .......... Block .... .~.~. ......... Lot..~,,..~ .......... .- .. Subdivision ..................................... Eilcd Map No. . ............. Lot .......... (Name) ..... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: B. Intended use and occupancy .... ': ... !:d?....~.6~.q. . 3. Nature of work (check which appli;cable): New Building .......... Addition .......... Alteration · '. · Repair .............. Rt~movall ............ :. Demolition ............., Swimming ~oo, ...... Tennis Court ......... Ae~cessory Build~_ng .......... Fence .' ..... Other 4. Estimated Cost ....... . ................. Fee ..................................... (to be paid on filing this application) .5. If dwelling, number of dwelling unlits ............... Number of dwelling units on each floor ................. Il'garage,,. number of cars ....... : ......................................................... iiiii .... 6. If business, commercial or mixed 6ccupancy. specify nature and extent of each type of use ................. 7. Dimensions of existing structures, If any: Front.., ............ Rear ............... Depth ................ Height Number o f Stories ' Rear Dimensions of same structurc with alterations or additions: Front .................................... Depth J Height Number of Stories . , 8 ' ' ' ' ' Rear Depth .............. · D~menmons of entire new constmetmn: Front .............................. · · Height ,Number of Stories ' · · · ............. 9. Size of lot: Front .... I ........................ .................. Rea ....................... Depth 10. Date of Purchase ..... /.,~,~9 .~. ............. Name of Former Owner ...................... ' 11. Zone oruse district in which prerqises are situated ...................................................... 12. Does proposed construction violat'e any zoning law, ordinance, or regulation: ..... ,Z}~o .............. '~ ~ 'I~ '~. 13. Will lot be regraded .......... i · .~ ............. Will exccs,s,~ll he re, moved frotn premises: aa~t~ooe ...... Phone No ............. .~ !. Name of Architect ........... i ................................... . - 15.Is this property locathd within 300 feet of a tidal wetland? *ygS/~'...NO .... · If yes, Southold Town iTruatees Permit may be required. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property fines. Give street and block nllmber or description according to deed, and show streei: names and indicate whether interior or comer lot. STATE OF NEW YORK, S.S COUNTY oF ................. ................ being duly sxvorn, deposes and says that he is the applicant . (Name of individuaq signing contract) above named, : He is the ............... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or have performed the said xvork and to make and file this application; that all statements contai md in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me tiffs Notary Public, .. No. 4952246, Suffolk Cou ' of apphcant) Term E3q31re~'June lZ 1~ . , WEST HILL RD. S, BB°52',t0' E, Area = 24, 826 sq. ft. to tie line CERTIFIED TO~ LUCILLE W. GRANFORT COMMONWEAL TH LAND TITLE INSURANCE COMPANY ANY AL TERA TION OR ADDITION TO IHIS SURVEY IS A VIOLA T/ON OF SECTION TS09 OF THE NEW YORK STATE EDUCATION LAW~ EXCEPT AS PER SECTION 7,?.09-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR TI-lbS MA? AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR Y/HOSE 5'IGNA TURE APPEARS HEREON, ADDITIONALLY TO COMPLY Y/ITH SAIl) LAW THE TERM 'AL TERED MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVEYOR'S MAP, TERMS SUCH AS "INSPECTED' AND 'BROUGtIT-TO-DA TE' ARE NOT IN COMPLIANCE l¢lTR THE LAY/. /PO40 / / ,.90.,' / / / / / · / / SUP VEY FOR LUCILLE W. GRANFORT A T SOUTHOLD TO WN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 70 - 04 - 29 Scale: 1" = 30' June 30, 1994 '1~_~ N.Y.$. LIC. NO. 49618 c (516) 765 - 5020 P. O. BOX 9O9 MAIN ROAD SOUTHOLD~ N.Y. 119TI