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HomeMy WebLinkAbout18722-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218706 Date JANUARY 16, 1990 THIS CERTIFIES that the building ADDITION Location of Property 575 GOOSE CREEK LANE-PVT RD. lA SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 077 Block 003 Lot 025 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 2, 1990 pursuant to which Building Permit No. 187222 dated JAN. 8, 1990 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 AN EXISTING ONE FAMILY DWELLING. The certificate i.s issued to KEVIN & VERONICA GRATTAN (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A <y Bu lding Inspector Rev. 1/81 nosas xo. s 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) N 0 J. 8 ~ ~ ~ Z Date ~Q . 19.9Q Permission Is hereby grgnt ~l ~ .........r.. / ......f~..2~~~? ~ ~ ct premises lr7cated at ....4~ ,~..~~2t=~..rs•. .I~ ~2+Z ~ d ) ......................................................~G~F.G~C~.~.••.••.......................................~..J...... Caunty Tox Map No. 1000 Section Block ......:?J.........QQ.. Lot No..~.,~r..-............ pursuant to application doted 197..., and approved by the Building Inspector. 8D Fee I ~y,.wrr........... Buil g Inspe tar Rev. 6/80/80 { J ' , ~ i f i I ~ w~v-r , W 1 ~ - o~ ~ ~ - ~ G~~=~ L. l r I ~ _ __,_____.____~___i a ~ ~ 2ic~hf r~ f Way , ~ ~ 5.72'25'30"E. - [49.0 m r _ . ~o welt 1° w ~ X61 _ - ~ ;o~ -i z N1 ~ ~ ~ ~ Ae j j ~ o a ~ V, h~a fi ~ t ~ ~ ~ i p ~ ~ ~ W - , s $r~~t~ `i. ~ O w ~ ~ Q T ,,a N y~ S U ° ce o! ~ ,~d O tr t1t ~ ~ 3, ~ ~ z - ~ ,a v ,~.~~w_._ ~t- ~ ~ ~ / EVdaarr~-~ ~ ~ - ; ~ ~ i ~ , N 1 ~ ~ ~ ~ r. . { _ $~€o ~ ~ ar ~rs'~,RSrwab._i..rt.,. _J'.X ,...ta~.1§Pc,._ee. ,u~~ -sYd .iexuf ~v+?~ a.s?lam ~ w~~:, -.a=,+. xu+...~s r x ...~,¢v~:~ .~r"i'~6 -J+ror^ti.u.t'ka-e SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. • ~ - -Ml~I I"^' ~~C~l~T~ P v ~ $(J2VE:Y'ED 1~k. STATEMENT OF INtENT ~ J - ~,/~~~---~-;-I-- THE WATER SUPPLY AND SEYVAGE DISPOSAL -~*'~•-~---~~"-~F'~(-'~ SYSTEMS FOR THIS RESIDENCE WILL Ar CONFORM TO THE STANDARDS OF THE „ n, - '•BQYV(%W SUFFOLK CO. DEPT. OF HEALTH SERVICES. i, TOWN O~ ~JVIJ~~-+C~LOr N.Y. (S) APPLICANT P~UYSY SUFFOLK COUNTY DEPT. OF HEALTH SERVICES FOR APPROVAL i OF aITL? MAR 04 1985 8. D. xsa.,~# - CONSTRUCTION ONLY DATE: Tke savage disposal and eater suPp19 H. S. REF. NO.: taoilitles for thiq location have been APPROVED:, laspeoted by this depaetment and fo-a+a-d n ~ !e Ye Aatisfaotory.~{- Q~- a. ~~LY) LE. SUFFOLK CO. TAX MAP DESIGNA71ON: ~iei o! Qea rat 8sigiaeariYy DIST. SECT. BLOCK PCL. Servioab 1000 O?""' ~ 25"' ~ ~ ` = I " OWNERS ADDRESS: Ar-rtcs =!-4,°189 s.f. YVF?~'T (YlAlnt CCagU ti = mOnyrraen-/- Cu t C'F1,.:~cwur', ,`~.1.`r`. 1!c,;~~5 p =iron ~i~e ~T-tal."734-5~~°.S~ _ DEED: L.bOG?~ P.5~6 ((2etfe~ TEST HOLE STAMP SN1lUrNil]IPn~ a a:.rt,~l{~Pr . •R nUfll(IGq ~ (D 7Hf3 ~ZY.Y L A 6iDl.gluN Otl 4•?:flCPI Y2N Ud Yr:? 17c1V YGYX STAY! ' `-Y - - I 0.17755 OS YF~S iuhb'Y ;.~.GtY r^?S' C'ma%iN'O _ (OQ+Pf7 ~ re= i`+nq &.'.;,Y'. 1'i uu AL QR F"f_vi,;~~ Nov.?, 19F~q' gravel e:ac;:.~se:~.:a,a,,e,are a..uts,tw~o7 ii fib. .C7,/9E3~ ~rF., , evnn clay Lzr.+:~,u,w: c~' tSf n[~n~a.»s~ ~wwrar. YpY~I ti' SEAL C-~ucYmrr-fr~~cJ -:era Ckicaga Ti-I-(e lrrsur+~rrfca C_orrt~xtrrc j SO'„d+ ,~,~J` t and -!c, -/4r~ Srx~-hGrold 5avirrgs F3crnl, {reavy ~ r l cx5 5urveyec~ F~uc~, 39, 1979 q'ravel ~ ,.~'~r - ROD~21C, IS, VAN ~7UYY-~L, P. W` fir' LICENSED LAND SURVEYORS V - GREENPORT NEW YORK p . " ~~Z~ ~~.nY`YiC'fs's^.r'-.,r.<eKxv.?. i .P. ,Ac o .gym . - .`.n,2.. ..i: t r..+:.. _'-A~ .,i;." ..4 ,.~ksk'f~koi- ~ , f~0 ~ TONN OF 50UTIIOLD ~,o.Qdx yy4' - n~~ ~,)r9a~IIILDING DCPART:IENT lY~ TONN IIALL ~ _ U SOUTIIOLD, NEN YOKK 119 DI ' alo" +7~~ rT a~D APPLICATION FOR CERTIFICATE OF OCCII AN Wg~OgSOU DATE...D. NEN CONSTRUCTION ...OLfD OR PRE-EBISTING//1IIUILDING~.`'~~.....VACANT LAND...~.,._.. Location of Propcrtp..~S~J.....:..~~~~.`--`~~~~~-Y:'='•,-•--_ ~~~:t:~~r~~'.•- llOUSE NO. S,T//BEET ~7 UAMLE,)T ~`vner or Ovncrs of Propcrty....~~V~./y•~--V ~-~Oj:fC.1~-•~~K~'~~~~!Y•-•-~_•~••, CounCy Taz Map No. 1000 Section .~~~1 IIlock Lot' .~J'-~ Subdivision Fi~l//eyd Map ........Lot.-f........ Perni[ No.~~?y~~-Date of Permit ~/.~fgd -,.Applicant .J:~~..~~~'~~~~- Health Dept. Approval UndervriCers App coval:'l.~........-. ~//g' Planning board Approval Request for Temporary Certificate Final Certificate C7 ~ Pee Submitted: $_,~..~Ls ' APPLZCANT.....GG%1~.~.~Z... ~ 3~8`f~ rJr~I~~ /87adz Aso ~p z 1~~66 rey- 10!14!88 4 r.-++ FORM NO. 6 TOWN OF SOUTIIOLD BIIILDING DEPARTMENT TOWN MLG 765 - 1802 ' I APPLIiRATP-FORCERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must lie filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildiogs, property lines, streets, and unusual natural or topographic features. ' 2. Final approval of Dgalth Dept, of water supply and sewerage-disposal~S-9 form). ' ~ 3. Approval of clectrigal installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less' than 2/10 of IZ lead. ' S. Commercial buildings, industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Boa;d Approval of completed site plan requirements. B. For existing buildings ',(Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and _ unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicanC and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of'iOccupancy is denied, the Building Inspector shall state the reasons therefor injwriting to the applicant. 3. Date of any hausing'',code or safety inspection of buildings or premises, or other pertinent informatipn required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for pacanC land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership pf~the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. I D. FEES: I. CERTIFICATE OF QCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -'Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5:00 - over S years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpda[ed Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15.0,0 Residential ! Commercial i i+' I co. 10/14/S8 I! EOe1RD OF HEgLTH 3 SETS OF PL.1NS FORM NO. 1 SURVEY . ' TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL $OUTHOLD,N.Y.11D71 NOTIFY; TEL.:765.1H02 CALL .~.G~s-.6'~~~?~:2a~.`f. / 199D. MAIL T0: Exanuncd./....P.. Approved ..114........., 19N1. Permit No. l6 ,7.?."L~ 1~~ ~'d> ytu~. Qt.2s7 . ..Q . DisaPProveda/c a ~ .tarv~~ 219 (Boil g Inspector) } ..`.~I APPLICATION FOR BUILDING PERMIT Y~"` ' "~_~,vnrr=~~~~ JE Date . 15 . ° INSTRUCTIONS fJ~ t?,Q Q A a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~ 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 shalt 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 insp~~'~~fis{{slt1 in building for necessary inspections- . ..~..«....,....~...1k!9.t4~....,..,......,.. "'t"-~t . . (Signature"oi applicant, or name, if a corporanon) C1x 7M~111441i=9ri7(2 FJVErI.:'.t?rq „i;lt' ? ~t•31' f#C!3 t~ A fll , P, ~;ttc.r r . . -,,,^F11.,,,;.,..t,,rr"ty..,„„, (Mailing address of applicant) ~.K~IZz~I~ ~ ' xill~ ~ `Jlfll}'ate •''.$i 1f ' State wh~//e/)ther')applrcan~gi;Yeo~~e{,a~~sge,,.,~~ent, azchitect, engineer, general contractor, electrician, plumber or builder. •.„...V.~~~~~.1~.l.r.x..j...Y • , ..1 q.. ~ . . Name of owner of premispS.:... J:1~!~iT`f". f ...V~/:.U /v.l A:... L!j~.l~; TT,¢ tJ . r l .i.lz;t r . . (as on the tax roll or latest deed) If applicant is a'°dbrp~~~tiorrl, signature of duly authorized officer. 1.};1~ei,4i~ tS;, (Name SStditS't`le'''ofeorporate officer) Builder's License No. , , , , , , Plurnber's License No . . Electrician's License No . . ' Otltcr Trade's License No . . . 1. Location of land on which proposed work will be done; _ /r ~i f ~)S ....................~!d'~..~~~,~,E~l,. ..cal.:........ `~•~.~'~.~~~~,~.1......... Ilouse Number Street. Hamlet County Tax Map No. 1000 Section ~7::....: Block „ , . Lot - " , , Subdivision , . Filad slap No. . „ Lot . •(Name) ~ ' State existing use and occupancy of premises and intended use aad occupancy of proposed construction: a. Existing use and occupancy • . ~ uT~~-+~> . r,r b. Intended ,~1 ~ 3 ~F use and occupancy t~3•., . r y,rs:.••Jt . 3. Nature of work (check which applicable): New Building , Addition Alteration . Repair R~mgva} Demolition ..............Swimming pool.. . ' Tennis Court Accessory Building..........Fehce .......Other Work..,~~~r~'. ~ Odi . . 4. Estimated Cosi ~ZOOI~ Fee , (to be paid on filing this application] S. If dwelling, number of dwelling units Numbet of dwelling units on each Cloor , , , , ' Ifgaraee,numbcrofcars 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 . . Hci~ltt Number of Stories . . Dimensions of samestriictun`le t i~h~ alterations or additions: Front Rear . Depth , ....j::,: r , J Height . ..............Number of Stories , 8. Dimensions of entire new consfr<~otion: Front Rear Depth . Height .i~~a NurpbCr of Stories . . 9. Size of lot: Front ~ Rear Depth , 10. Date of Purchase , ra . : .....Name of Former Owner . . 11. 'Lone or use district in which pxdttjises are situated . . . . . 1 "L. Does proposed construction violate any zoning law, ordinance or regulation: ~ . ~ _ o U , , . Nill excess fill be removed from premises: ,Yes , NIX. 13. 1Vi11 lot be regraded N. 14. Name of Owner of premises . /(C~iN,GRI+:~:f:~t/..... Address .0445.4 .C.n,', ; ;t',d~N, , , ,Phone No, . 7.~5-: ~~~1`G.,, . ' Name of Architect . .Address ...................Phone No................ . Name of Contractor ,,'~r~6~.... . , ,Address ..Phone No.. . ` 15.Is this property locatied within 100 feet of a tidal wetland? *Y);S...r~NO)(.. *If yes, Southold TownlTrustees 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. G' G ~ urn ©d- ~~~`~'''u~'~ ,12e~ ~ r`~~ i • AP b AE NOl'ED DATE: ~ ~ ~.R,~ ~.~a ~ ~ NOTIFY 8801110INO OEPA A USE ~ UNLAWFUL FOLLOW NG N$PECTIOPM THE' ITi~4Tl CET~F~CAT FOUNDATION • 71NOREQUIREO FOR POURED CONCRETE ROUGH • FRAMING 19 PWMBINfi CAC 1 A, FtNALA7~O CONSTRUCTION MUST ' 6E COMPLETE FOR C.Q. ALL CDN5TRUCTION SHAiI MEET THE REQUIREMENTS OF THE H.Y. ;S7,A7E GONS7RUC'1'~N ENERGY Cf117ES. N,OT RESPOFlS L.E FOR i L9? ~iltv"t1L' DBL CONSTRUC'~N ERROR8 L STATE OF NE1V R COUNTY ~O/F ...~~t.~l .a ~/~v~ . S~./Sq ........4 ~:~.f~ a G:... S tr.~.G~. being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) about named. He is tltc ....................~f~~.~................... ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to p5rform or have performed the said work and to make and file this application; tfiat all statements con(ained in this application arc true to the best of his knowledge and belief; and that the work will be performed in the manngr set forth in the application filed therewith. ~ Sworn to before me this ~ r Notary Public, f(/,C,(-; , .p~ - County CLAIR6L.QUeW Notary Publia, &tets of NawYork (Signarure of applicant) nUallNad! 34affolk Cptuity " Commisebg Egplrea Derx,mbar 8,18:Y„ ,