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HomeMy WebLinkAbout17316-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217579 Date DECEMHER 8, 1988 THIS CERTIFIES that the building ADDITION Location of Property 7480 NORTH BAYVIEW ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 07 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 2 1988 pursuant to which Building Permit No. 173162 dated AUG. 12, 1988 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING. The certificate is issued to PAUL & NANCY GRATTAN (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING SLIP 11/7/88 PLUMBERS CERTIFICATION DATED 70HN E. WALTERS 11/10/88 Building Inspector Rev. 1/81 n~o8as 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) NO 017316 Z Date 19~~1. Permission is hereby granted to: -.....~//......~/.-~2~ ....~.r.........r..~. at premises located of ...7Y...t~Q........ ..L~/.•:~..dS..~ ...........................................................'"~""~'""7"l . ............................................................................q................................................................................... Caunty Tox Map No. 1000 Section Block ..........~........CLot No.........~l............ pursuant to application doted 19©.~ and approved by the Building Inspector. od Fee ~ X~, Cam. .~.:...,~~.,c~ ~~BuildGfg Inspector Rev. 6/30/80 's . C~~ , FORM NO. 6 ~ ~ # app TOWN OF SOUTHOLD ~7~D Building Department Town Hall E#LDO. DEPT. Southold, N.Y. 11971 TOWN 6JF sourwoLD 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ e~~~r to the Building Inspec- torwith 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 or equal). 3. Approval of electrical installation from Board of Fire Underwriters. • 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- i tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pY»perty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling, $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwe{ling $ 50.00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ I 0 . 0 0 4.Vacant' Land C.O. $ 20.00 5.Uodated C.O. $ 50.00 Date . ~.~/P~ New Construction,,,,,,OldorPre-existing Building Vacant Land Location of Property .F.~~~~..... , ..f1,Ln JZ, VJ ~!~,+r~.....°.~~ . House No. / ~ / &treet Hamlet Owner or Owners of Property ~a'.-t:-.l.. ~l.! S!?~,?7~;~z.°...~!Z-~~~ !2 County Tax Map No. 1000 Section ...?.J~......... Block , .7 . , , , , , Lot p ~ . Subdivision .................................Filed Map No. ........~J~,Lot No. . Permit No.'J.07J~.~.~.~. Date of Permitr`3~~?j.~J. ~ .Applicantu?iy~ . Health Dept. Approval ~ . .............Labor Dept. Approval . Underwriters Approval ........................Planning Board Approval Request for Temporary Certificate .....................Final Certificate . Fee Submitted . . Construction on above described building and r , it meets all applicable codes and regulations. ((J~ Applican .:-f,'~~,_ . y..Li.'~-'s:~ :z.--~~... / . Rav. 10-70-78 C12~ .~~a~ 3 l z/y/~~ C 6 z / 7 S79 THE NEW YORK BOARD OF FIRE UNDERWRITERS ' inoo~?a BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, N W YORK 0038 N{?Vti;Mklx'u if t4k8 !€7$J!1fikklkk M t}t15"t~;+, Dote Application No. on file THIS CERTIFIES THAT only tM slectr&d equipment w described 6elors and introduced 6y tlta appNcerst nomad on the oboDe appliwNon number in the premises of PAUL 6RA9"rA,N, 7A81) N.9AYY!.k'S7 BD., 9UU'rtirn.n, N. v. in tkefollouinp lncaLpn,..~,I.! B~nl~(I~k ~ /st Fl. ? Ynd Fl. .Section Block Lot mas examined on and found to 6e in wmpliance tcith the requirements of this Board. pxTUIE RXTURES RANOK COOKING DECKS OVENS DISH W AUST FANS OUTIlTS ErTAC1E5 SWI7CNB INCANDESCENT-RUOIIESClNT y AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. N. P. ~ ~ DRYERS lURNACE MOTORS RJTENIE AMIIANC! (EWERS SELGAI RECRT TKAR t10CK4 pU UNIT NEAilfS MULTIAItT1ET DIMMlRS - AMT. K. W. Oll N. 1. GAS N. P. AMT. NO. A. W. G. AMi. AMP. AMT. AMTS. TRAN{. AMT. M. 1. RYfTYAS AMt. WAITt NO. M IHT SlRVICE DISCONNECT NO.01 5 E R V 1 C E AMT. AMT. iTPE MEOW. I N TM 1 R 3W ] L ]w 3 X IW NO. Or CC. COND. A. W.O. NO. Oi N4LEG A. W. G. NO. p NEUTRALS A. W. G. TER 1 Of C[. COND. p NFIEG W N£UTMI OTHER AMARATUS: i-+ :?7r, `e(IYtN HARaOR l.bN:~: fiI~IT~'Ht)f,D. Mv, . } a.o7+ OBEpAt 11 / iJY'h;Nk F~ N4. '{ii?,g Per This certificate must not be altered in any manner; return to the office of the Board if itlcwrad. Impactors may bs identified by their credtnhal . J _~COPY FOR lUIt.DINO DEPARTMENT. THIS COPY OF CERTIFIGTE MIST NCT EE ALT ~ ~ ~ ~ , LL, - FRED IN ANY MIANIER. ~ . TEL. 765-1802 O~~FFD(./~Cp TOWN OF SOUTHOLD ~~c OFFICE OF BUILDING INSPECTOR ~ z P.O. BOX 728 ~ ~ TOWN HALL O~~ ~ ~~0~- SOUTHOLD, N.Y. 11971 'yl l ' C E R T I F I C A T I O N Date ~ ~ ~ o ' O lS Building Permit No. ~ I <)1 Owner ~~1(~ `~-~~t'~fA~ (please print) Plumber ~uth~ ~ A/+I-L~S ~~'"C~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. r? (plumber's signature) Sworn to before me this ~ ~~-day of ~~p.N7,1_. ~~~24!tj/.~ 19gs' Notary Public Notary Public, y~7Tp~County N~ry~ No. 62-8125860 SwtfoNc CCooy~yes~tt Term Expires October 31,18yii r'lELD I;:Si'DC:iU:+ ~I'Ji+ic ~OdKMENT° ,J ro W t. ~ is H ~-3 FOUIJDATION (1st) C N d FOUNDATIOid (2nd) - m d 2. z v o 0 P,OUGH FRAME & PLUMBING H 3. ~ m I1dSULATI0A1 PER~Y. ~ STATE ENERGY CODE 4 . FI;JAL . I ~ o~ ADDITIONAL COMMENTS: rn x ro\ ~ \ H~ O 2 r [*1 9 r\ H ` • - x o r~ ro H 1~3~~ 765-1802 BUILDING DEPT. INSPECTION [ )FOUNDATION 1ST ( ] ROUGH PLBG. [)FOUNDATION 2ND 1 ULATION [)FRAMING [ FINAL REMARKS: i DATE ~ ~ INSPECTOR ~f } J73~~ 7ss-1802 BUI4DING DEPT. INSPECTION [ ]FOUNDATION i5T [ ]ROUGH PLBG. ' [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING ]FINAL REM KS: ~ f i DATE INSPECTOR ~ ~ M FORM NO. 1 ~IJ~ Z Mes ~ TOWN OF SOUTFFfTLD ~,p~~', wrA BUILDING DEPARTMENT TOWN HALL TbWN OF SOUTFIOt D SOUTHOLD, N.Y. 11971 ~ ,o TEL.: 765-1802 / Examined . D..II~Z......., 19~~.8 Received.......... , 19.. . Approved 2~......, 190~Permit No............ ~ Disapproved arc ~v ~ 0~~ ....v/.Ti..~~ . (Buildin~nspector) APPLICATION FOR BUILDING PERMIT ~ cw Date . ~ 19 ~?c7 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 tfris 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, b ding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i p ctions. (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. .....~~w N ~.iZ.......~. p J ~ 1 any d ~ 7 ~2a zn........ Name of owner of premises . !.......c... . (ds on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. _ (Name and title of corporateG~officer) Builder's License No. /.3.v 7? Plumber's License No. . / ~ Electrician's License No. u o-.t?.T`...... . Other Trade's License No . . 1. Location of land on which proposed work will be done. . 7~~? ~~h.:~~v.~~..'~..~............~~J~.~~...... House Number Street Hamlet County Tax Map No. 1000 Section ....l.. 1 Block ~ Lot ! 1 . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of remise_s/and intended use and occupancy of proposed construction: a. Existing use and occupancy S I !J' P vi ~ . / _ , b. Intended use and occupancy S t' / a `~1 i'/ 3. Nature of work (check which applicable): New Building , Addition A]'f re aUon . Lc,.,~„. 4. Estpimated Cost , . ~ , Qe ~val . Demolition . , Other . (~escri~ 1 l5 a Fee.................................. (to be paid on filing this applica"tion)_ 3 5. If dwellin ,number of dwellin g g g If era e, number of cars 'units ~ , Number of dwellin units on each floor . g g 6. If business, commercial or mixed occupancy, specify natu~ a and extent of each type of use . 7. Dimensions of existin structur' g ps, if any: Front ...fit.' Rear ca........ Depth . ~ . Height .o2 c~.......... Nu~ber of Stories . . . . rth alterations or additions: Front .w.G.~............ Rea V . 8. D mensioo f entiresnew const ~ Height . a.v?. , , Number pf Stories r . ,ruction: Front ..G.(7... • • , • • . • •Rear :(zQ.......... Depth . /az . Height . oZ, Number of Stories , ~ p . 9. Size of lot: Front ,jam ~.'h Rear De th ~ 4?~~ 10. Date of Purchase c? `k/ 11. Zone or use district in which r ~ ~ • " ' ' ' ' ' ' Name of Fo;mer Owner . p ,emises are situated ..~e . L . r!'r. /.'v:1 . 12. Does proposed construction violate any zoning law, ordinance or regulation : . . 13. Will lot be regraded ' ill excess fill be remov d from premises: Yes No 14. Name of Owner of premise .°.yfr~yS /"au ~ ~fL'a ess~.•.?Jr~~ v~ e.~v..g, i 6 cl7i /C d... Phone No . Name of Architect ~ , . Address'``?.. d .Phone No........... . ~'r'sr'r~.'-4 e /(l: ~'e r-.r:..... ~ot~ %f l y~G. a cn G~ . . Name of Contractor . ............y.... Address ~ J p) Phone NoJ~~•" •5 •~.2~.. . ! /eC? ~~p LL"~y0 Ga( t PLOT DIAGRAM ~ Locate clearly and distinctly alb buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloclt number or description according to deed, and show street names and indicate whether interior or corner lot. / O b q ~ yz ~--ao' , I~'y'_.__~ ~y, vv ~ yX/ i r i STATE OF NEW YORK, I! S.S COUN F g • : being duly sworn, deposes and says that he is the applicant ( ame of individual si ing contract) above named. C He is the .L>.3~cc.~/ T (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 con{ained 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 this ! .............°Z .....day of ~:41.........., 19~~ It Notary Public, ~d:.. , . County K 0' YOE ~~IGS~ofNewYak ~ ~ ~ • • ~ ~ • • • ~ ~ ~ ~ • ~ • (Signature of applicant) 8 Sutfolk0ounq ~'xpires Minch 30,