Loading...
HomeMy WebLinkAbout18273-z FORM N0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy 2 185 18 , , Date . No.......... NOVEMBER 1 1989 THIS CERTIFIES that the building ,ACCE,SSORY Location of Property ~ 800 GRATHWOHL RD . NEW SUFFOLK House No. Sheet Hamlet County Tax Map No. 1000 Section ..1. ~ .......Block 04 ..........Lot ...Q?........... . Subdivision ...............................Filed Map No. ........Lot No. . conforms substantially to the Application for Building Permit heretofore filed in this office dated ..July 3r. 1989. , . pursuant to which Building Permit No. .182?.~~ . dated . 1a.. ~ ~ 989........... was issued, and conforms to all of the requirements of the applicable provisions of the law. Tlie occupancy for which this certificate is issued is . .Accessory_building..in.the.rear yard. The certificate is issued to . , T+?ILLIAM 6 ROSEMARIE BLANCHARD (owner, /1icEr~$~t~tS3R$ of the aforesaid building. Suffolk County Department of Health Approval N/A . UNDERWRITERS CERTIFICATE NO N/A PLUMBERS CERTIFICATION DATED: N/A r..... Building Inspector Rav. 1/81 9 ~ >POSat< xo. s TOWN OF SOUTNOLD 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 Q ~ ~ ~ ~ Z Date 19..d:.~ Permission is hereby granted to: .f.~ .w?....7~~~R.~-~....~.. S.~a .....~)..~J..=~ . to ...4~°.Xk:SV~.1.~-~...P.r».....~rL'..5~:4:~-]....:'.'~KA4.W..+...NA..!......?`~"`• J I of premises located at ....~..$s'1.~)...1.31.J.S.a..S!'J.~......!!_rl ..../yk~`~,........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . U . DDD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tox Map No. 1000 Section ..........~.~.7...... Block ........Q..T.....C(.'~ Lot No......~~--.......... pursuant to application dated 19.4..„ and approved by the Building Inspector. Fee S..rr~..~:...~...... .......rt ~N~. Bu ding Inspector Rev. 6/30/80 ' TOWN OF SOUTIIOLD BUILDING DEPART?/ENT TOWN HALL • SOUTDOLD, NEW YORK 11971 ' 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE . ~ ,tl_~.... . NEW CONSTRUCTION ...c~OLD OR PRE-E%ISTING BUILDING...pp.~..VACANT LAND........ Location of Property.. p~~~__~~F(7~~~~~.~~._.._.!~J~W _ z,~9;~~~.,. HOUSE N~O,.q ~'---~1 STREET - HAMLET Ovner or Ovners of Property.; ~ ~~,~Sf~SA.~C'1:@..... ~,~Y1C Y`~,~ • . - . - { County Taa Map No. 1000 Section ?l~__ Block rr--~~ . Lot-~.ST... Subdivision Piled44rrMap ........Lot`~_ ~ Permit No. ~•'+~-1,~.Date of PermiC~~.Z~s,~q__ A Licant 1t~!fVJ\:~`~~I~,(,~(yy~rX • PP Health Dept. Approval Undervriters Approval..__.._....... Planning Board Approval Request for Temporary Certificate . Final Certificate Fee Submitted: $.~„5 ,~°.z._._._.._.. .,C~Cf/~L~lh-' / APPLICANT. ~1inCL,'~,$_ (~c, 3 ~s~Y ~ _ i~lrl~y ~~~4~1~® Cv 2/~~~f 0 '(3 i19~9 ~ , OC BLDG.OEP7. rev . I 0 / 14 / 88 TOWN OF SOUTNOLD _ ,,a_ - '~,I ' roRM No. s TOWN OF SOUTEIOLD i BUILDING DEPARTMENT TOWN HALL 765 - 1802 1 APPLICATION FOR QERTIFICATE OF OCCUPANCY INSTRUCTIONS - A.~ 'This application must ber filed in typewriter OR ink and submitted to the Building Inspector with the follgwing; for new buildings 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 of He~lth 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 solder used in system contains less than 2/ 10 of I;L lead.!, 5. Commercial buildings,i 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 Board~,Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land pses: 1. Accurate survey of property showing all property lines, streets, buildings and uausual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant 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 Occupancy is denied, the Building Inspector shall state the reasons therefor in whiting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informationjrequired to prepare a certificate. C. For Vacant Land Certificate of Occupancy: i. An application for vaunt land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company'showing single and separate ownership of 'the entire lot prior to April 9, 1957 shall also accompany the application. If ~ Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwel,~iling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occlupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. IIpdated Certificat~,e of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential j $50.00 Commercial . 'i o ~ ~ev.'~, 10/14 /S8 ic:LD i~:S: c.".._U;. IJn~:, ~ i:vP1MLNT~ ~ T ti 'r i I 1 . ~ I ~ ~Q m ~ y OUIJDATION (1st) - °~P ?OUNDATIO;J (2nd) m z o ~ ROUGH FRAME & 0 0 .PLUMBING N a 3. y m IIJSULATIOPf PER N. Y. y STATE EPJERGY CODE 4. OZ~ ~ Dl~ Q ~ ..~1 m f~ ~ y I FI;JAL ADDITIOPJAL COMMENTS: ~ x ~ m x ro. H ~7 • 9 ' ' y ~--I p _ m ' - / _y ' o b m ^e y j X223 ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ~ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [v]' FINAL S REMARKS c DATE ~.Z6~INSPECTOR ~ w..~::.wak~,wt ,,,.....,sn§~Yaiddi;>u~~ea#rt:'s~&s "'t'< <h ~ > ~ i '~<<M Classic Styling, S~.iperior S#rengtl~ . , ~ _ ~ ~ Popular barn design combines traditional, ° , ~ ~ ~ colonial silhouette with heavy duty roof E~ construction and solid, fully faRtory- ~ ~ ~ i ` ~ ; k ~ assembled swing doors. ~ ° i 3 SPeclal Features ~ Special Benefits ~ ~ ~ 4 • Barn Shape ~ ~ • Classic, popular styling `r ~ h - Woodgrain ~ ~ ` • Auth@rtk "barnsiding" look ~ ~ ~ " Embossed Finish Double Roof ~ Extra strength for snow loatl , ~ Beam protection. ~ ~ Special Features Special Benefits Slat Roof Design • Unique system with no exposed fasteners provides ' Dura-Shle~d 'Corrosion protection of zln4 ` ' maximum weather protecti,4n. ~.a " galvanjzln~ pn every st@el ` 'Swing Doors ~ "Durable, prehinged doors ~ ` ,1 ~ ~ part. ~ ~ " i provide easy access, saves ~ ~ Neutrpl CDlars ~ `Federal Grey with Meadow ~ ~ ` valuable wall space. @ - Green Trim blends with most • Two-polnt Lock • Offers superior security fat 'exteriors and landscapipg. System stored valuables. 'Can be painted If desired.,, • Full 7-Year Limited 'Arrow's reputation as an ~ T~'o Staes Seleet size that fits indigld I~ ~ ~ ..-Wnrrnnty Industry' leader ensurQs ` Si4r4ge needs highest quality and custofi@r satlefgctlo[1. c ~i ~ s,:,y-,.e..,~.i,_ , v,ne...wa..'.a asst a,:.w r.>+uv¢iwtaa~..,wulu..rw..ebsnamidWav`lei ~ STORAGE AREA INTERIOR DIMENSIONS ONJ '`WALL DOOR OPENING (INJ SHIPPING MODEL SIZE' SD. FT. CU. FT WIDTH DEPTH HEIGHT HT (IN) WIDTH HEIGHT WT (LBS) CTN ~ M0109-B 10x9 84 514 118~/a 102~/a 87r/a N/A 55~/z 705/e 306 2 ~ M01014-B 10x14 130 817 118~/a 157th 87~/a N/A 55~/z 705/e 419 2 ..M~b ~ .d,+•.•-. .iacvui~'rew.anv3u4`kLu*' .rte v..~ti_~ a i y II r } - a x ~ ~ ~ i pi. b~ ~ M ~~u F az s ' ; ~ y t # , S z Y;~~. Su x+ ' .+r 'i: i~: ' r i V w ~i~ ~ i.. 6 ~ 3 ie g ~ Cl n~! i ~~s~ ~ FYL ~~~~~~}~c ~ ~ {a~} t i s r ~ ~ =5~ ~ .rs r ~ , r t4 sx,~. ~ b P11 i~ ~ ~ ¢ J o a~ r-9 y *4~ "t'S' S a'!t i e t x+ ca Cb~' ' ~ ~ ~ h~ Mb~"aa i s's i§~`i~`~.Y'~I s'j A~tivi i ~4~ x 'ts~ ~ s' ~ - i i~~' i c rt w is Ilt ~rd ~~7II. ~ ~ ~ a ~ f ~ .~gg { Z~~ t ~ I i~ i~r ~ 5 s ns~ i i ~ ~ i r i ~,~i ^G ~ "7~~~ # }i~ ' U~ ~7 ~ t it~ (z ~ i~ ,y^~~~¢~u'~![/y~'.V.,~a'7!r1rS r~~~.<~b ~ '3~ S r ' { ~j~ 1J~.. i r, ~ ~ Jiag' „yv~+R [~'L~ iJi f~° ~ i '~3`p ~&~"~Y "hq `A ~ y.. y to h ~ 6 ~s e,~ ~ EEf w `~s ~ ~y 5h h t1 a l ~ { 1 l ~~r a"~~f"p`pr~~ I ~ ~~YY~~y~ M S f i i t~A,~~i ~~4 A~~ta rff}il it y:mwk ~'t7" 4 e e x ~~I~ ' r s '2!5. t s? d. e~ ~ ~'t S ~ r t~ e r ~ s ~ y i ii~f~f I'y s~Cyy"~~'~irr4~~ ~~~~'~`~i~fi"SY y~2~.y 1~a~ik', 4u ,<~~~e,~y[u+,,i t 4u y aq'y~ ~ 6:- T L~ ~ ~ At. 1 ~.]~i~'O ) ~.4iY.. s+.•'GYI s{1 RSS Y j r+'~'~. ^k i«. ~ ~ 2t c 4 ~ k ~t i 'A . 4 'Exterior dimensions rounded to nearest foot. B0.\RD OF HE.\LTH FORMN0.1 3 SETS OF PI~1NS SllRV6Y ? TOWN OF SOUTHOLD CEIECK . , BUILDING DEPARTMENT SEPTIC roam TOWN HALL SOUTHOLD, N.Y. 11~J77 NOTIFY ' TEL.:7G5-1802 CALL , Examined .....~~..Z . 19 .~'9 r1A I L TO ~ t13 ' ~~I ,~Y i~P~~ Approved ..1.., 19 ~9. Pcrrrrit No. J,~ d~~Zz, ,...,,o C Disapproved a/c ~ ~ lU ? ~ Crn. 4-+.4 BLDG. DEPT: (Building Inspector) OFSOtITHOLO APPLICATION FOR BUILDING PERMIT ` Q Date I9~f. INSTRUCTIONS a. Tltis 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. Plo[ 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 coveted 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 3uilding 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, a d regulations, and to admit authorized inspectors on premises and in building for necess• inr~ns. ' ~ ~l . (Signature of applicant, or name, if a corporatton) /©O~oIC ~3 iY~-~rd Svc=rc~t~ 9d°~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...C~Gri. n~~~....... . ti`ame of owner of premises [!t; `,tAk~Fllaf , ~~CJSr~iffal~i~ / ~L~q^/Q y fj~Q (as on the tax roll or latest deed) [f applicant is a corporation, signature of duly authorized officer. (Name and tit]e of corporate officer) Builder'sLicensc No. Plumber's License No . . Electrician's License No . . OtherTradc's License No . Location of land on which proposed work will be done. ' house Num bcr Street. " " " " " " " " ' • • • • • • • • , Hantlct County Tax 11ap No. 1000 Section . , ~ Block , , ~ • , . , . , , Lot . , O Subdivision Filed Afap No. Lot . ..IN:rmc) State existing use and occupancy of premises and intended use and occupancy of pro ~osed construction: a. Existing use and occupancy ......~.N. ~:..~~/~.~:~y. , ~ {N,C~„ . b. Intended use and occupancy ...~~~.1-/.....C~~.Q~~Cl'~ ~ 3• Retair ot:work check whichl'lapplicable): New Uuilding ' ( .Addition .Vtcration p Rctnoval , Demolition ~ ~ • ~ Other R'ork$T.oR?~€...~il~~j 4. Estimated Cost ,~02,~ !Ids, , , (D;acription) Fee (to be paid on filing this application) 5. If dwelling, number of dwelli oa c rtg units Number of dwelling units on each floor....... , , If ~ ra~c, number of cars . 6. If business, commercial or miffed occupancy, specify nature and extent of each type of,use . 7. Dimensions of existing structu'res, if any: Pron[ . Height........ • . Nu',mber of Stories • Rear Depth . Dimensiors of same structure with alterations or additions: Front • • • ~ ~ • ~ • ' ' Depth .Height . Rear , • . Dimensi ••.........NumbcrofStorics. nti~¢w construction: Front . , (~7,; , l~j ~ ' ' ' • • Height : Nuinbcr of Stories , , ' ' ' • • • • Rcar Depth ,l.T, , , ~ • ~ ~ ~ • 9. Size of lot: Front E1.0 ~ . . 10. Date oFRurehasa ......Y~............ Rear f.O.Q~ Depth .r~Q r . """••••••••••..,NamcofFotTncrOwner ! 1. Zane or use district in which p%emiscs are situated , ~ • • ~ ~ • ' ' ' ' ' oes proposed construction vio late any zoning law, ordinance or regulation: • • ~ • • • • • ~ ~ ~ ~ • • ~ ~ ~ • ~ • • • • 13. Will lot be regradedI~~~ . . 14. Name of Owner of premises W,i • ~ ' ' ~ ' Will excess (ill be rcmovc~d from premises: Ycs No Name of Architect '~!~R~' 'Address 1.~~¢'iR/#7.~t,~[(G,k(c, ,!'~D, , ,Phone No.'Z,3~; 7„~~ , Name of Contractor . • - ~ • • • • ~ • ~ • ~ • ' ' ' " • • • Address ...................Phony. No.. , 15.Is this property located within •"Address.. PhoneNo.. • *If yes, Southold Town Trustees PeOrmi[ may bearequiredetland? *YES....NO~..~~ I PLOT DIAGRAh1 Locate clearly and distinctly alb 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 whet}tc: interior or comer lot. Rye-t-~ KL ~ ~ Fo ,~o~T y~~~ ~ . - /oi jrjyr ~$'ToRA4'~ .Sr/E,p ~ • i ,3~~,/ / ~ ~ ~ . / . ~TATE OF XER' RK :OUNTY OF. ~ „^.a.,~S~~S ~ (Name of individual sig • • • being duly sworn, deposes and says that he is the applicant nine; contract) :tovc named. cis the .!~!N f-~.......... (Contractor, agent, corporate officer, etc.) ~ • • ~ ~ " • said otvncr or owners, and is duly ~uthorizcd to perform or have performed the said work and to make and file this plication; that all statements contain~:d in this application arc true to the best oChis knowledge and belief; and that the irk wdl be performed in the manner sqt forth in;[he application Glcd therewitli. porn to bctorc~~mc this tar}' Public. , ~-b._ ELIZABETH A .N NEVILLE ' ' ' ' ' ' ' ' ' ' ' Note Publfo,&tteofNewYOrk (Signature of applicant) Np, g~g, 2~g 6QQa~Seuff~o'k tloun ~RA7HWOHL ROAD N 61°41'50°E. 100. 00 ' - '~'P~°~ r~'~.4 no.> a~r''n' fna - O ! ^I I ~ o ~ I , cF ~ 9 MI ^ 1 MI ~ ~O a O ~ / b I e I ~ I ° c~ ' o' O I 4i w '~1 ci~~'f ny l ~ t{/ ~ ti J/ I = r~ 60. \ti CAr ~ ~ ~ I o-~.,~' ' \ q ~ 0 iBl 96 O ~ ~ ~ r'y' E ~ 2 , ~ ~.Sy~~.F mom. c vfer^ hsc ~b~ U 2 oft, 2' _ 4i ~ • ~ e~/ oscM v 1/G ~ L ' j Q ^1 kOV~ Cv / O J U ~ S / b~ ~ ~ h ~ ~ 4 o p rP~ ~ ~ °r•~ r S. 61° 41'50°W. \ 100.00' f,~, N ~O~F~ JOHN E. ZURA WSKI ANU MARIE J.ZURAWSKI \ , i SURVEY OF PROPERTY AT cERTIFfED To: NEW SUFFOLK 7 f TLE GUARANTEE CO. DIME SAVINGS BANK TOWN OF SOUTHOLD WILLIAM R. BLANCHARD SUFFOLK COUNTY N. Y. ROSEMARIE F. BLANCHARD s 1000 - N.7 - 04 - 02 SCALE I'~ = 30~ NOV. 24, 1986 i ~rr,0 L A,Np SG tt~ y'cQN NGF gL ~ ~ O ~C tn~C .e ~ 6tii ~ O O y.1. / + ~'a ~ N.Y.S. LIC.NO. 49668 y,t~" * Prepared in accordance •:rith the minimu E ~4 C Si1R V S t# ENGINEERS r p, C , standards for title s:.veys as established ( 5 I ~ ~ ~ q(if;9,~ ~ p the L.I. A. L S. and approved and adopted P. O. R ~.~k.~ for such use by the NeW York Stall Land Title Associotion. M1.1AIN ROAD SOUTHOI_D N. Y. 11971 revs 3-ii-B7 ~c - e92