HomeMy WebLinkAbout17873-z ' FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18261 Date AUGUST 8, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 22425 COUNTY ROAD #48 CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 84 Block 1 Lot 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 21, 1989 pursuant to which
Building Permit No. 17873-Z dated FEBRUARY 27, 1989
was issued, and oonforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is BECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR WITH INGROUND SWIMMING POOL AND FENCING.
The cert~.ficate is issued to ROBERT & PHYLIS GRAEB
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-080063 - JULY 10, 1989
PLUMBERS CERTIFICATION DATED N A
~dl..t
Building Inspector
Rev. 1J81
lY/B.M NO. f
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Nfl 017 8 7 3 Z Date ..~'.r-~:!-x...:17 ~ 9~~.
Permission is hereby granted to
3..~
. . .
ct premises located at . ~~-Y::irS .~..`~:~..........L.~.~-'........1."..'~
County Tax Map No 1000 Section ..4?~.~ Block Lot No . .
pursuant to appf~cat~On dated .....w~-L 19 and approved by the
Building Inspector.
Fee $..l
A c~erz_
..............g...~eC .
Buildln 1 for
Rev 6/30/80
. .
TOWN OF SOUTDOLD
BUILDING DEPART:SENT
TOWN HALL
SOUTIIOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY J
DATE..._.~CII.~'~......
NEW CONSTRUCTION ..OLD OR PRE-E%ISTING BUILDING....,.VACANT LAND....._..
LocaCion o£ Property... _
HOUSE NO. STREET HAMLET
Ovner or Ovncrs of Property 7_.._._..,....._...............
County Taz Map No. 1000 Section ~ ~ Block ._.r... Lot .I:.._...
~ O/~:~
Subdivision Filed/ Map ....._..Lot.......... rr /
Pernit No. .Uf7~~'~~Date of Permit ..~!.Y~~%~..APplicant ~S~~YA'Y~`S lG'Ar~
IIeaLth Dept. Approval Undervriters Approval..._.....__._.
PlanninE Board Approval
Request for Temporary Certificate Final Certificate
Fee Submitted: $
APPLICANT.
rev. IO/14/88
~1~,.3~9a
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i Y .
FORM NO. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. This application must be 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 buildings, property lines,
streets, and unusual natural or topographic features_
2. Final approval of 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 solder used in system contains less
than 2/IO of 1X lead.
5. 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 Board Approval of completed site plan requirements.
B. For existing buildings (Prior to April 9, 1457] 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 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 4, 1957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing [o the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate_
C. For Vacant Land Certificate of Occupancy:
1. An application for vacant 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 a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
FEES:
I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.OD, 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 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. IIpdated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Commercial
rev. 10/14/S8
',~~:'z;~, TEL. ?GS-t 80'
~~F~('~~Cl~~ TO'R'N or SOUTIIOi.D
.r:r1~.,,~~r; _c~ OEE'iC1: OE fiU1LDING INSPF:CTaR
,w b'~'ijn* r 1'.0.1201 } I79
~ SOLl'I']iOLD, N.Y. 1 197I
y~0~ ~1 r~
July 27, 1989
ROBERT & PHYLLIS GRAEB
4782 OLE JULE LANE
MATTITUCK, N.Y. 11952
To S•ihcm TYti~ May Concern,
4.e arc unable to complete your Certificate
of Occupancy because of the folloeting reasons.
An application for Certificate of Occupancy
is not nn file. (ENCLOSED)
^:o Underur~ters Certificate on file.
/ / 't'he ch<ec}: 1_c.(~ltcdxkxL'~d{tfcnut on file.) $25.00
A:o Ften] th Dept. Approval on file.
i:o final ~nsS~ec:t.ion ham been made.
P1eaLn_ contact: our office on this, matter.
T;tattk you for your cooperation.
l:u c lc3 Lr.c7 Perm t t- (t 1 7 8 7 3 Z
( INGROUND SWIASPSING POOL )
IIuilclinq Dcpt.
"*"/y/ tto Plumber Solder Certificate on file. '
( all permiLu invoLv~ng plumbing being
i~succl aftr_r ,~pril 1,1984 )
'LO i:..`'. E~.~J:~ (fJniE ~ ~:wP9 E".NT.°. -I
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FOUtIDATI0;1 ( 1st ) ~ ~
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PLUMBING
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IIdSULATZON PER Id. Y.
STATE EIIERGY
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THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGR 1
1001.381 BUREAU OF ELECTRICITY
83 JOHN STREET. NEW YORK, NEW YORK 10038
pate JULY 10,1989 ApplicotionNo.onfile fil$61189/89 N 080063
THIS CERTIFIES THAT
only the electrical equipment ~ dseeriked below and introduced 6y the applicant named on the ekoos application number in the premieas of
ROBERT GRAEB, RTE 148, CUTCNOGUE, N.Y.
in thefdlowinq location; ? Basement ? Ixt Fl. ? Ynd FY. OOT sertian Block Lot
was examined on 'TUNE 19, 1988 and found lobe in compliance with the reyuirementx of thu Board.
N1tTUR! AfllS fYYnCMES XTURB RANGES COOKING DECKS OVlNS qSN WASXNS lXNAUST FANS
OUTLETS INCANDESCENT PIUGIIlSCENT OTNEa AMT. K. W. AMT. K. W. AMi. K.W. AMT. K. W. AMT. H. P.
1 1 2 i
DRYERS FURNACE MOTORS ti1T11R! AMUANCE IEE09L SHOAL REC'?T TMAE CIOCRf RNL UNIT IIGTERS MIlLT1.0UTIRT DIMMERS
AMT. K. W. dl N. P. GAS N. P. AMi. NO. A W. G. AMT. AMT. AMT. AMPS: TRANS. AMT. M. P: ~
« AMT. WAin
1 20 1 40
SERVKE! Oti00ND1ECT NO.OF S E R V I C E rr..~~
AMT. AMT. 11TE ~ I / t'I/ I / .TV J / SV/ J / ~W GPER
1CpND. OF CC. COMD. NO. OF NIiEG Oi ~ NO.Or NEUTKALS OF ~P
EUfKAI
OTNER ANMRATUS:
G.F.C.I:-1
"(STtIN![ING POOL) This certificate
cavern cospliance at the date of
inspection only. Because of uauaual
environsenta ft is advisable to
have frequent test and/or repairs
made by a qualified person.
JODY PUMYLLG LIC.12300-E C/j~~
PAT LAKE
NATTITllCK, NY, 7.1.952
11
Per
i
This cerafkaM mutt not Ix altered in any momwr; rHVrn ro tM office of the Boord if incorrM. Inspectors may be idetHified liy their credentials.
FOR BUILDING EPARTMENT. TNIS COPY OF CERTIFN:A MIST 8E ALTERED IN ANY MANN
Prepar.d In accordance •Ilh fhe fi/n/mbm Ths water aupplr and sewoge dispose
alrndardr for N/h survara as aslab/lshad srs/ema for lhls rssldenee wllJ eon/or
6y !ha L.GI}.L.S. and approved and adppHd to the slondard~ of The SuNolk Couni
for sacA usa by Tha Nis York Sloh Land Dsporlmanl of Nlallh Ser ulcer.
TI/la Auoela/Ion.
rAe loeollonr of wsll+ a•d cerrppoo/s shown hereon ara Irom lleld
ohservollonr and or from de/a ob/ofnsd Irom others.
cM/ ~ ~
4g1 der
,ULIUS ,KIREL ~V^C^Nt1 ~1`
6 q0 _
P
O'/ ~ /
1 / /
~ / 60 /
~ /
Q
~ "tMMgD~ATELY"
~ s~ raol.TO c~ooE e~\~oe~
y ',.Y
/ x,0°'0 , ae'
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j~ Kati
AREA = 18~acrsa
APFRGYED AS NOT€D ~ f~~ - ,Z'°~ ' ~ \ ~
DATE ~P.PtI !"/P73~. d,>,~i: ~Op; - +t
FEE /Sa • 6Y Cw.~. • t• ,.t `
NOTIFY 8t11LDINC, l3FF'FlRTtV1ENT AT \ fiJ~~*„
765.1802 ~f APA Tai n r Vi F(}R TsiE s~ ~G ,
FOLLOWING iNSF'ECT~C)'~in ~v. 'Na.v
1. FOUNDATION TM?OREOUIRE6 pQak• /h'O ,5i0~~
FOR POURED CONCRETE yj 1 4p ~h RK/
2. ROUGH - FRAMtNG & PLUMBING \ iHo"~
3. INSULATION ~L ~Gtt*
4. FINAL - CONSTRUCTION MUST
8E COMPLETE FOR C O y
ALL CONSTRUCTION SHALL MEET ~'L
J s'7~~ •p~
THE REQUIREMENTS OF THE N Y
STATE CONSTRUCTION ~ ENERGY ~,r
CODES. NO? RESPONSIBLE FOR
DE81GN OR CONSTRUCTION ERRORS
accuQANC'~ oR ~
~p {.ANDS X66
USE 1S UNtAW~Ut
J~?~~r,, I WITHOUT CERTt~iCATE
t o pE OCCUI'ARCY
use . ~ ,
~9T tia aseeg 2~
~OF NF.`N~ .S. LIC. NO. 49668
LOT NUMBERS• R£fER TO MINOR
'CCdN1C SUAVEYORS~ P. C. PNeD~SIS~roGRAEe RLIBERT A, d.
5161 765 - 5020
O. 80X 909
!A!N ROAD
OUTNOLD N. Y. !1971
B.O.N. No. 88 - SO - 096
UFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY
ATE HS REF. NO.
PPROVED ,
SURVEY OF
PROPER T Y
A T CUTCHOGUE
TbWN OF SOUTH04D
SUFFOLK COUNTY, N. Y.
rood - 8a - or - ~fo ra
"~o, Sca~o r" = 50'
'k May 3r, 1998
.Fab. I , 1989 (FINAL )
yr ~
a~ ~
8s 'es. GRA~~
?s.
"+o
G+/~" CERTIfIED TO:
AMERICAN TITLE INSURANCE COMPANY
~ 50UTHOLD SAVINGS BANK
9~ ` j~
9
A~'~ 1.y ~~.W
~
S` 1
L-~J
DSO ~ ~
_ - - . ,,~6 Ropy
(G.R'
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88 - 379'E
BOARD OF HE.ILTH
3 SETS OF PLANS
FORM N0.1 SURVEY
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FOR*1
' TOWN ViALL
SOUTHOLD, N Y 11077 NOTIFY
TEL.. 7651802 CALL
n MAIL T0:
\pProved~y010 y?, 19~`~. Pcrmtt No 17,1 ~.t..A ~ i5
Disapproved a/c f
FEB 2 i iGR9 ~ ,
BLGG Gc^..
`t ~.c~.. .:J~
. TOWN OF SOCJiHO~,,,,r„t,C?
(Bw ding Inspector}
APPLICATION FOR BUILDING PERMIT
Date ...2' ~ 15
INSTRUCTIONS
a. Tliis application must be completely filled m by typewriter or m ink and submitted to the Building Inspector, with
sets of plans, accurate piot 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 streei
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apps
canon
c. The work covered by ttus application may not be commenced before issuance of Building Permit
d. Upon approval of this apphcahon, the Building Inspector will issued a Building PermiC to the applicant. Such perrni
shall be kept on the premises avadabie for inspection throughout the work.
e. No building shall be occupied or used in whole or m 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 th•
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o
Reculations, for the constmchon of 6uddmgs, additions or alterations, or for removal or demoiihon, as herein described
The applicant agrees to comply with all applicable laws. ordinances, buildmg code, housing code, and regulations, and t~
admit authorized inspectors on premises and m buildmg for necessary inspections
(Signature ot'apphcant, or name, ifi a corporation)
D.4x...~l:~ ~?z,r~.7.T. ~ ~ y.
(Madmg address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ~t-.. Mt2-5. -_.,IZO~E:x-r ...~r.1Zi~E"?~
.
(as on the tar roll or latest deed)
[f apple n a corporation, si at ofd Iy authorized officer
'iti~-
(Name and title of corpora y officer)
Builder's License No 4.L.2 H~~•
Pluinbei s License No
Electrician's Lucnsc No J.`! v~~.~• • ~EC~f L
Oilier Trade's License No . .
1. Location of land on which proposed work will be done. ....~E?.~r'...~ ya C,IL~.CNe(~ G(E
House Number StGGmet Hamlet
County Tai ~l.ip No 1000 Scc[tan ~ 7• • . • Block , Q . La[ , , , ,
Subdivision Filed I<tap No. Lot . .
(Name)
State c~isting use and occupancy of premises an~fd,in~tended use and occupancy of proposed constniction•
a Existing use and occupancy i""• : ~!~Z'
y~~
b. Intended use and occupancy • • • • • • • • • • • • •,~c,-~,-~(~~'f/T~~4- w, NTH _~~rQ~ ,
~W/ra•t+..i.r~G 1(fdD
j'~
IUCG
3. Nature of work {check which apphcahle): New 13uddmg AddRwn Alteratton .
Repair Removal Demolition Other 1Vork ,is..% .
4. Estimated Cost ~~D.Q. ~ Fee .
(to be patd on filing thts apphcatton)
5. If dwelling, number of dwelling units Number of dwelling units on each Cloar .
If gara;e, number of cars .
6. if business, commercial or mixed occupancy, spectly nature and extent of each type of use .
7. Dimensions df extsting structures, if any Front Rear Depth .
Hei~ftt Number of Stones .
Dtmensrons of same structure with alterations or additions Front . Rear .
Depth licight Number of Stones .
Dtmensrons of entire new construction Front . Rear Depth .
Hcigltt Number of Stones . .
9. Size of lot: Front Rear Depth .
10. Daie of Purchase Name o Former Owner .
11. Zone or use distract m which gremises are situated ~~E7ChT(!~ C . . .
12. Does proposed construction violate any zoning law, ordinance or regulation' ......,~C? .
13. Wilt lot be regraded Will exces fill be removed from premises: es N~
14 Name of Owner of premises .....~~t;~ .......Address ..~,CtTL'F.>'p(%ri'~. Phone No .
Name of Architect h,~ .......Address . Phone No.. .
Name of Contractor ~ r. reG-/4G.rXC..SX,1~ ...Address .~t.~i.7~.~:~(~... Phone No..a~7.C..'7QPS~
IS.Is this property located within 300 feet of a tidal wetland? *YES._..NO~ .
*If yes, Southold Town Trustees Permit may he required.
PLOT DIAGRAM
Locate clearly and distinctly all buildmgs, whether exssung or groposed, and, indicate all set-back dimensions fron
property lines. Give street and block number or descnption according to deed, and show street names and tndtcate whethe
intenor or corner lot.
5~~~ l~~`~ Suite
STATE OF NC1V OR S S
COUNTY OF . .~C . /.2} L,/.~. .
....,ltl~"~.2,~i.~1`~1 ' LZ~IG~ r...~... bang duly sworn, degoscs and says that he is the apphcar
(Name of mdrvidual signing contract)
above named
He is the .................~~~ht9z:l~'~............ .
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said wort. and to make and file tit
apphcatton, [hat all statements contained m this application arc true to the best of his knowledge and belief, and that tk
'work wdl be performed m the manner set forth m [lie applicauon filed thcrcwtih.
Sworn to before me this r
..........01.1.. ......da~y/of./.~..,r~/./<<;P'.-... 19~y
\otary Public, laf,Y-?~!.!../.1:..N,;e-!!~ County
N0.ENKDEYOE
NOTARY PUBLIC, State of New Ywk 1 V9~ gnature o scan
No 4707818, Sufleiik County. L/~
Term Expues t6trch 30, I9...~~