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HomeMy WebLinkAbout22862-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24914 Date MARCH 5, 1997 THIS CERTIFIES that the building NEW DWELLING Location of Property 23625 COUNTY ROAD #48 CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 84 Block 1 Lot 10.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 1995 pursuant to which Building Permit No. 22862-Z dated AUGUST 29, 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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE & REAR DECK AS APPLIED FOR. The certificate is issued to THOMAS & DIANE GRAEB (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL-R-10-95-0088-AUG. 9, 1996 i UNDERWRITERS CERTIFICATE NO. N-395681 - AUGUST 29, 1996 PLUMBERS CERTIFICATION DATED FEB. 14, 1997- PEAK PLUMBING & BEATING //uil 'ng Ins ector 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) Date 19.Z N~ 228'62 Z Permission Is hereby granted to: J . 5 xs ....fir...... . f w fro T,? / " .:1....... T .................................4........... !^!<..!^~~/............1^..~.~.i7~` ....f.,„/7 .........:..,..,.......Gtr...... 7....... ....../J~1?/ ~f .......4-.-. .........C Tl 8 r. y....... ....O•.................................. at premises located at ; /`...YJ„a,............................ County Tax Map No. 1000 Section Block al Lot No. ~ .z pursuant to application dated r ~ ~.I..... 19... , and approved by the Buliding Inspector. Fee $..771 A uilding Inspector Rev. 6/30/80 j " Form No. 6 PI TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL OLD(). EPT 765-1802 TOWN OFSOU7HOL0 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. s 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 - .251~, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Comm--e77rcial $15.00 Date ..1 New Construction.... Old Or Pre-existing Building . d Location of Property..? .............l~Nll. J~! House No. Street Hamlet Onwer or Owners of Property.. F1S~ ~C??~ ..1~~ ~1'~~? . I c County Tax Map No 1000, Section.... Block I......... Lot...... 4.~ Subdivision ...............................((..~....Filce~d Map............ Lot...................... Permit No.~z...Date Of Permit ...~J.2.:1..Applicant 41...`~Y........ Health Dept. Approval..: Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: Ou QQ t,S~2S APPLICANT Coa~~iN ff~4~FF0(F 019 Town Hall, 53095 Main Road r°ia M' Fax (516) 765-1823 P. O. Box 1179 p Telephone (516) 765-1802 Southold, New York 11971 t- ?r,~,Of . -~~0( y«~ OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. Owner: %eLeas rro Il~_/yam / t} c Y~i ('ple' print) Plumber: ~irGT/~/~ /~d/~f `~6j ~~~/C /G6• Er/T~. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. P lumbers Signature) Sworn to before me this day of 4e03 19qq Notary Public, ounty JO:J: L. h t Y Notary Public, St; ;e of New York No. 49V202 Qualified in Suffolk Coun Term Expires Feb. 29,-~ 1185077 hUhEAl! of IEL!t6fi ~it~ 19 111 I I III ;!I I .M1 p, if ]EX"AUST THE NEW V69k 136ARD dill E!if 912'il~kI,Ttkt 1 '111 C 66 JOAN ATq~ET, Nkw 9oAkl NY 163l'AUG~b$T ~'9106 4' A llcafl ltto aN!lie 1iiAsi. 6Illl1Q41 n pp N 39TNI5 @ENTIRifts T aA f N ' If' L= I 4+ 'II t, an ae BUnibeee el il' JI + t it GRAEBI CgtmTYROAD 48j CUTCROGUNN ~r u PI Ill +hi wyalloielal} 1ve61fid, EX )Md FI ®iAd kt ~GAR"TTexamlnet~ dNr AUGUST 261996 aad fund is de trr bill eIiiecoI XTURES INDCRS t. OV S .p DISN WAS F S OUTIiTS II K~}ACLiSINCANDISCINt IIVOAkkilk? orN6AAA A.Ni k W.: AM1t IfN h.. II! 33 1111 42 '9' 1 44 VIII 132'°Id 1' ( ill If 11 111 Ill.. 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Box 1179 A Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 30, 1996 Thomas Graeb 22425 County_ Road #48 Cutchogue, N.Y. 11935 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 XX No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22862-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. { iP,l;i;)~iNSPEG'riON W-WORT DATE His FOIINDATTON ( IS'r) FOUNDATION (2ND)_ ROUGH FRAME lr ll~ - - _Qs ti tN5116ATi0Pi PER N. Y. ty STATE IiNERGY ~i CODE I ------~II------------- 1~ II------------ i FINAL --______-__=i~-G 0 ADDITIONA4 COMMENTS_--- t~ 0 a ~ - M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: r-- G DATE INSPECTOR ~"~1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO NDATION 2ND [ ]INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY / v REMARKS: ruxx5s'/~ Gc/~e./eJ~p _ ell- DATE ` INSPECTOR kAA r d Cv ~'V 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ / /FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE L INSPECTOR /2~ . tio'~ro OF HEALTH FORM NO.1 3 SETS OF/PLAN9 TOWN OFSOUTHOLD SURVEY ? BUILDING DEPARTMENT CIIECI -1. Ayd TOWN HALL Ss rrlc rontt SOUTHOLD, N.Y. 11971 .p Q TEL.: 705-1II02 t:OI FY GALL ! ~?~!1. _ -STI~.... . Examined 19 ; / . ~ I I A I L 'r 0 p q. . . . . 19/,9 ~1PGZt . . Approved . . . . .v ,~1ernilt No. Disapproved arc . (Bt ' ding inspector) APPLICATION FOR BUILDING PERMIT Date 7//4. 19 INSTRUCTIONS a. 'T'his application runs( 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. c. The work covered by this application may not be continence(] before issuance of Building Permit. .d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shZill be kept on (lie itemises 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 IIEREBY 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 wilh all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary Ins ections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises PeC~e :~~l~~sc (as on the tax roll or latest (Iced) If applicant is a corporation, signature of duly authorised officer. (Name and title of corporate officer) Builder's License No. ....7J Plumber's License No. , .L .lYli Electrician's License No. . Other'Ilade's License No . 1. Location of land on which proposed work will be done . 2s~~.........C~ ~i':..' . (louse Number Street Ilanilet 1 County Tax Map No. 1000 Section l ...:....4. ~ Block ......a Lot . j• . 1 Subdivision Filed Map No. Lot (Name) . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy " "f v . h.lnlendcduse. and occupancy 3. Nalure of work (check which applicable): New Building , . r, , , . Addition Alteration Repair Removal , . . Demolition ....:..........Other Work I e ! , 4Vol) (ion) 4. Estimated Cost ~r`(l ....~j~j GGG~~. y Fee (lo be paid on filing this application) S. If dwelling, number of dwelling wits Nurirber of dwelling mills on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing stnictrrres, if any: Front . • ' ' • ' ' • Rear Depth Height Number of Stories . Depth mrensions of same structure with . . . . . .alterations or additions: Front Rear . Height . . . :........:..Number of Stories . . ' new Dimensions lion: Front Rear.,.......,. Depth 9. Size of lot: Front Ilerg{ir~ .sio. .ns . . of . entire . . c Number of Stories , , 10, Date of Purchase • • • • • I. Date or rise P district in which x.. Rear Depth Zone • Name ofFonner Owner { ises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: . , , . • . ' , . . , . . . 13. Will lot be regraded . • • • • • • • • • • • • • • • • • Will excess fill be removed front pre emises: Yes No 14. Name of Owner of premises Address . , . .............Phone No. Name of Architect . . . Address Phone. No...... . Name of Contractor ' . .........Address Phone No. . t5. Is Chls properly wlthln 300 Peel of a tidal wetland? *Y " " " *[P yes, es.,...... No.,...... • Southold 'town 'T'rustees PermtC may be required. 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 nnpiber or description according to deed, and show street names and indicate whether. interior or corner lot. TATF OF NEW Y RTC' S.S:~ 0UN`rY of C~ = a • AE•~• • • , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. eis tile (Contractor, agent, corporate officer, etc,) f said owner or owners, and is duly at to perform or have performed the said work and to make and file this rplication; that all statements contained in this'applicalion are true to, the best of ]its knowledge and belief; and that the or k will be performed in the manner set forth in the application filed lherewlth. worn to before nie this .......J. S..~4....day of ,r TU. 19 S,- f otary Public, 4~~. . Q,. !Lk11',..\...... County J. CORNELL. Notary Public, State of Nevm~ ep - 2~' W-'e IiN dAn ate of York , can . No. 52-4827224 Qua fie i Suffolk oumy (Signature of applicant) Commission Expires iv- a LOT AOw r ra nrs suQVEr rs A mrafixrw s° D v:. AW 0 SAiWAtiNtE S'tENEtNL BUY 70 Ce7MA°l M A44 LAZY 'A4 Y' MW o cvy AND LAW. a3. SRbRIQVf-TO DA rr TH 2 V A2 9 30°~ z SURVEY OF PROPERTY A T C TCHOGUE 10. TOWN OF SOUTHOL© N '!s dspdr N s W - ~ SUFFOLK COUNTY; N. Y. 1000 - 84 - O1- P10 10 Scale . l.. = 100' M Jan. 10, 3985 _ . _ May 10,1995 (Final) " - - _ f~r fat ?.ONA Mo STAWAADS FOR APPROVAL Rh c - AAFA:,C4NS77fCtiCii N W i5i; NFACE SEWAGE k iAL SYSItWd FOR $MLE FAAN. Y RESVENCES deed of a" 6 doaftw set forth #web aid on the pow to Jug V, gs - !o c $ '1~"" "we uICO s~ ~ . ~ Qs A The locations of wells and cesspools shown hereon are from fi§!d observations and or from data obtained from others. eIa~,,,ti*l / 9 :C d ~ A ~a~;•; S 0 ygy~ JIR SUPFr K CbuNTx DEPARTMENT 0! M AAI-TH SERVIdES FOR AOVAL OF CONSTRU5j90(J OWY DATE wa. REF. 140: R1~5rt0,09 dG JS ? g 9 Iii b\ APPROVED ~9~ Ga 61J9' CONTOUR LINES ARE REFERFNCED TA` 5. 71 3 T FIVE EASyT RN TOWNS r oBRWo eiAPS MIDDLE ROAD m 6° P 4 v p0. 9001+ t t 10. 4 15 NO. 496/8 S.7/°30'0 FILL E 257.90' ILL AASEMENT Ptcomc 5 - .d C. j " R (516) 7¢5 -5020 (C R A p P. O. BOX 909 z$lycw#ax hso >>c• /V v MAIN ROAD AREA' x";Acres SOUTHOLD$ N. Y. 11971 ? 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A46 ^ 294 264 WITHOUT CERTIFICATE ~Ril~l~gvw~t~n OF OCC,UPAN Y _ asst ewt acwR e~c F I , : ~ p j APPROVED AS N61F0 43 3 F , wMIa MIN i nATV-- R a~I cm MIIlNYEIf FEE: 3/ ~I~TN NOTIFY, BUILDING' DEPARTMENT AT ~OYFQ 765-1802'S AM TO 4 PM FOR THE x I FOLLOWING INSPECTIONS: FFOUNDATION OR POURED CONC ETE REQUIRED - ~EpED ARCN/r 2. ROUGH FRAMING'8iePLUMBING - ~P• 4+~ V M. ~O PLbMBER~,fNf~JM,I G`fR1'AT10N . 3 INSULATION ~`'v @ tiTON 3~'! K. nYNy~~wd OvLEADCONrENTA 4 FINAL CONSTRUCTION, MUST_ J ruMM 1 iswoatwriiNirq CERMICAlt OFOCCd r,'A'/A.B~`/i`T,y BE COMPLETE FORC O OF OCCUP ALL CONSTRUCTION SHALL MEET ••v.~r THE REGUIREMENTS OF 39ENX =DERUSED/N~,N~I67 ISEP IN,Y~IQrG,R' STATE: CONSTRUCTION ; NNER6iX ° o e 2 o 9. SUPPLY SYSTEM CAI CODE& NOT ;STEM. HNOT[ - OOESIGN;D9 CONSTRU ~"RO~ EXCEED ' ~1gRE . 21,10, Of LEAD ~r9jf OF NEN1 1 D Pf 196 ~ 7777 f ' r s 7'-8,r 54 off 8 0 s ~ I I t TI l 1! 24910 Y28310L I 1 l ~ { - I .r .=PRE551F1G 7z,-k7 `k -BATE' .B$RROON - 04 1 I ~ 1 GAKAGE i /a ~~f r0 _ p rit 1_ ' f14 > 2..3 10 16" _ 2 3.. I I I ~ w ib 5.D, i CL. FT x k.. I I I j ~ o -2 -,11), f w / I I~D I ~I t~ (~I~ - t o , MA5TEK 3FDROOM BEQRp4hl-, 4I , r I G4 k R[ 2s " to 28 3io- I. f I 1 X2/6X 3ti!4azr6' 2 61r* -s~-i..._... _ 23' 8' i i G ~ - i { _ i P f i ~ ~ ~ - _ G\SSERED ARCy/TF I I - ~ _ ~ ' 1A i v 06209 _ ~~TF OF hEW -1 l 71 1 J „ Sim@ .V ~ y u T~ w 1 l 4 I ~ ~ G F 1 1 1 .t~ rx d u, sr 4,4 ,L ] L M- 4C V H y } 1 } F I y J r, w r d F77. s ` 1.. G\S.~EgED ARg sit: j t S . F OF NEN ' a I ~ •lL~ nl .~'A> 1 D .c nit i f r f r rl. r+ 41 ~d 1 t+ 9 , 3 iW - - 'I N IFi D '-4:By $~1U7' f~ ly K ' - DIY y'I S - 7a I z nl Ton, A t ~'.OQ p4~M 2 n, Al lost 2xt2 ~t>?~~ ' 2x8-16" Q.c, i 4 235 k I , Ro4F S~b,';A lZrM1'G? HINGLES 115 1 b, FE LT d cmr /V1ltlVlftlll'tJl, sy~-JUVUVUL/1 / - -I q NSULATION - /2 DRYWALL L DN). \ A 3/~' AG ~r!/ 2 3/4 dMT r? - R-11 6° INSULflTON r (AIL IFl) \ \ a~ ~ I ~ 1114 A i 2x4-I&" n,C I IAASTE.R SEDKIP0 41., DRESSIIkG ROOJd4 \ l " i fjJl r UNIiF4TED y Rlq~ INSULhTION (FDILDN);~ I .1NSVL{ST1oN „(FV{L,IN) I it 41 LN,ING Roots t FA~M0.`f RaAM 1 i 1 "lx(o SILL-SF4L.ER I IO" ALUM. r _ APPDx.- GRADE -2 2'x(cCCA - \3 2xip GIQGEIZ -R Iy 6. INSULATION 3'.ZxID GI{ UER (FOIL VF) , I - - ZIP COLVAN ~ I t UNMATED " I i I?.4MP1tOOF fi1S ' I f- iFi(, CODE I i18n' paC.. ' F0.01ADATI01A 1 E ! , i ( 4. ~ BG."ELonR Zs 7 f - - k 4L I It 41- RED A . P f - jj 4 t 'GO4X00 OF RVA t 1