HomeMy WebLinkAbout21252-z
T FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23628 Date MAY 11, 1995
THIS CERTIFIES that the building ADDITIONS
Location of Property 1100 COUNTY ROAD #48 MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 122 Block 1 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 26, 1993 ursuant to which
Building Permit No. 21252-Z dated MARCH 3, 1993
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 OPEN PORCH ADDITION & CONNECTING ROOF TO SHED ON EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to PAUL & MAUREEN M. GRIPPA
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING - APRIL 28, 1995
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
Yollm 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)
NONo 21252 Z Date 19.l~
Permission is hereby granted t
..~~sry....~r .
.
at premises located at .11490 /
.
County Tax Map No. 1000 Section ZP.. Block ....,1.............q. Lot No.......
pursuant to application dated 19.f..r3, and approved by the
Building Inspector.
Fee S.Q~~</•
...........................us.....
it ng Inspector
Rev. 6/30/80
* Form No. 6
L TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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.
B1 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 - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction........... Old Or Pre-existing Building.
Location of Property.. /U t1 (~I9nV1-r1V 2oQ „Tt~~....
/ f if / G!~F( Olf y z(.~ _ /Oy
House No. Street
y~ / Hamlet
Onwer or Owners of Property.. At c. ~ .d. 11) kke '-eel/ ............................Y .
County Tax Map No 1000, Section../vLoZ ,.....Block..... / .........Lot... , 1;,,,,,,,,.. .
Subdivision........ Filed Map..............Lot
Permit No. .la........ Date of Permit.. . Applicant
{~z~~
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate............
Fee Submitted:
;RQ.~,,. JI~cLCe.tne..z,?: J'e'~K~~~~' 4f' A a4.
'~wi#w~M,u~§id~Ntusxy~«.;Vasrr» ,.a.suwz1 F '
h~o~OgpFFO(~~OGy
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Town Hall, 53095 Main Road y = Fax (516) 765-1823
P. O. Box 1179 - .g Telephone (516) 765.1802
Southold, New York 11971 .j.
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 3, 1994
Mr. & Mrs. Grippa
1100 County Road #48
Mattituck, NY 11952-3104
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)
xx 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 # 21252-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ I INSULATION
FRAMING (c FINAL
REMARKS: / 0/c c
mss.
fl
i
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
REMARKS:
k
DAT INSPE l
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ } FOUNDATION 2ND [ } INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: eol/
DATE r INSPECTOR
Ci(i•SLNI~
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INSULATION PER N. Y.
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Standard N.Y.B.T.U. Form 8010 Executor's Deed-Individual or Corporation.
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 18th day of November , nineteen hundred and ninety-two
BETWEEN
JAY P. WICKHAM, residing at 101 Fox Hill Drive, Baiting Hollow, New York 11933
as executor of the last will and testament of
EDWARD P. GILLES late of
Suffolk County, deceased, who died on the 10th day of February, 1992, xpfjMlastidx
party of the first part, and
PAUL GRIPPA and MAUREEN M. GRIPPA, his wife, both residing at
572 Seaford Avenue, Massapequa, New York 11758
party of the second part,
WITNESSETH, that the party of the first part, by virtue of the power and authority given in and by said last
will and testament, and in consideration of ---THREE HUNDRED THOUSAND AND 00/100
($300,000.00) dollars,
lawful money of the United States, paid by the party of the
second part, does hereby grant and release unto the party of the second part, the heirs or successors and
assigns of the party of the second part forever,
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying and being imthe at Mattituck, Town of. Southold, County of Suffolk
artd State of New Ycrk, bounded and described as f^'l^
- "•v4•
ISTRICT BEGINNING at a monument on the Northeast corner of the premises
000 herein described, said point being 842 feet (more or less) Westerly
from the corner formed by the intersection of the Westerly side
ECTION of Lipco Road with the Southerly side of Middle Road (C.R. 48);
22.00 said point also being the corner formed by the intersection
of the Westerly side of "Old Neck Road or Shirley Road" with
LOCK the Southerly side of Middle Road (C.R. 48);
1.00
RUNNING THENCE South 30 degrees 37 minutes 50 seconds East along
OT the Westerly side of "Old Neck Road or Shirley Road", 135.70
02.000 feet to land now or formerly of Alderman;
THENCE along said land now or formerly of Alderman, South 69
degrees 19 minutes 30 seconds West, 91.00 feet to land now or
formerly of Boehm;
THENCE along said land now or formerly of Boehm and land now
or formerly of Chang, South 75 degrees 23 minutes 40 seconds
West, 199.90 feet to land now or formerly of Shen;
THENCE along said land now or formerly of Shen, South 80 degrees
17 minutes 30 seconds West, 100.08 feet to land now or formerly
of Avent;
THENCE along said land now or formerly of Avent and land now
or formerly of Demchuk, South 78 degrees 00 minutes 30 seconds
West, 174.92 feet:
THENCE continuing along land now or formerly of Demchuk, South
13 degrees 00 minutes 20 seconds East, 68.55 feet to land now
or formerly of Meyer;
THENCE along said land now or formerly of Meyer and land now
or formerly of Reeve and Doughty, South 76 degrees 18 minuted, p,
50 seconds West, 165.00 feet;
i
MAR - 51993
1
FORM NO. 1 BOARD OF HEALTH
@ 3 SETS OF 1:75
TOWN OF SOUTHOLD SURVEY .
FEB 619M -'p 1 BUILDING DEPARTMENT CHECK • Z- V
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 r:o<IFY; ..ryry~~pp
i ......190 CALL r1.`I..•,iJQ
Examined . , , , MAIL TO:
Approved , 19/.`~ Permit No.G~.~~~. _ .
Disapproved a/c
(B 'ding pector)
APPLICATION FOR BUILDING PERMIT
Date .!~!Y!!l(r/~? 19.Q
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.
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 necessa.sections.
AKc c,vt e.n Al
'
- (Signature of appl cant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
~w.n ei
.
..........................~.J............/n.A.............................................
Name of owner of premises T- Ael/ . ~..''!~:L{~E'
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
..Nz
(Name and title of corporate officer)
Builder's License No .
Plumber's License No .
Electrician's License No .
Other Trade's License,No .
1. Location of land on which proposed work will be done .
//00 eo
. W //9,6
House Number Street Hamlet
County Tax Map No. 1000 Section a....... Block Lot
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 64- roonel `
b. Intended use and occupancy X77 .
3. Nature of work (check which applicable): New Building , Addition Alteration
Repair Removal . Demolition Other Work .
"D i (Description)
4. Estimated Cost .....n Fee o...........
.
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units 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 structures, if any: Front .
Rear Depth...............
Height Number of Stories .
with alterations or additions: Front Rear
Deppthslops of same structure wi Height .
Number of Stories , , , , , ;
Dimensions of entire new constriction: Front Rear Depth
Height Number ofStories
9. Size of lot: Front y~.......... Rear Depth
c .
10. Date of Purchase Name of Former Owner A' .4ji?/(5. , . , , . , • • , , , • • • ,
11. Zone or use district in which premises are situated . .
12. Does proposed construction viola
13, Will lot be regraded rte any zoning law, ordinance or regulation: ffe. .
• • • • • • • Will excess fill be removed from premises: Yes No
14. Name of Owner of remises
1? Address Phone No.
Name of Architect Address Phone No............... .
Name of Contractor . . . . . .
15. Is this yes, yowithin T " ' Address ........Phone No
*If property 00 feet of a tidal wetland? *Yes No.........
Qwn Trustees Permit 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 number or description according to deed, and show street names and indicate whether,
interior or corner lot.
~I
i
STATE OF NEW -61R ,
COUNT ~O^F 4.
S
? 4 • • a- being duly sworn, deposes and says that he is the applicant
(Name of individual signin g con&abt) above named. I
Heisthe
(Contractor, agent, corporate officer, etc.)
of 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
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me th>,S
? day of 19 .43
Votary Public, County
CLAIRE L. GLEW
Notary Public, State of New York • • • • • • • • • • • ~1U/• ei
No.48796D8
Qualified In Suffolk County (Signature of applicant)
Commission Expires December 8,191
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SURVEYEC - F02
T17-LE NO.141-5-2602
wain MAUREEN - M.-Gr2l PPa
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MATTITUCK
TOWN OF SOUTHOLD, N.Y.rJCALE.-IQ(_)•I" C. Ix n uanger'a Inhc, a:a~ cc GUARANI@FD TO F1R5T AMEf[ICAt~ T'1'I'LE INS. 12ANCE CO,
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REMOVAL OF EMST % A4 FAWHWD TO NATON ANTI YEEf FLUENWRN \ %FMMO UNIEED NOTED OTNERWIAE.
14. UNLESS NOTED OTHERWISE. ALL WINDOW DEMDNATWNS ARt m tOF Pit \ ANOgiglM W"ORAWON. W OLWNO. EIVDHOON JAMS, T AT WNLLEt
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P 0 ED AS NOTED
p UNDERWRITERS CERTIFICP•SE DATE 3 43 BPa
REQUIRED FEE: BY:° NOTIFY BUILDING DEPART AT'
m1 785-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS
~w 1, FOUNDARON' - fN1O REQUIRED
FOR POURED CONCRETE 2. ROUGH FRAdf'.NG Ca PLUMBING
a
:u Pa F,t " Wll. p%F-` qblCY OR 3 INSULATION ~y p p 4" FINAL - CONSTRUCTION MUST I:q. ~ T y~ F,.'W„9 °
i.Y P BE COMPLETE FOR C.O 1£RED ARC
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USE IS L 2?7.57 576 1w a4.40 ;g, T T Sm ALL CONSTRUCTION SH MEET E IS' ULTiUW dFUL THE REQUIREMENTS OFATHE N.Y. ?4'~~~N~£M.F ~e F STATE CONSTRUCTION & ENERGY 5
p u N p'- A v 5 N u e i 'ff,NMI G'i~~~~6~-~ crrm CODES. NOT RESPONSIBLE FOR y
~[p1 gg~gs.S~.{{d~pT~e de DESIGN OR CONSTRUCTION ERRORS
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