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HomeMy WebLinkAbout17385-zFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCOPANCY No Z-18260 Date AUGUST 8, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING 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 AUGUST 22, 1988 pursuant to which Building Permit No. 17385-Z dated SEPTEMBER 2, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED_FOR. The certificate is issued to ROBERT & PHYLIS GRAEB (owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-91 - JULY 13, 1989 UNDERWRITERS CERTIFICATE NO. N-080062 - JULY 10 1989 PLUMBERS CERTIFICATION DATED AUGUST 7 1989-MATTITUCK PLUMBING & HEATING ~ Q.1.~ Building Inspector Rev. 1/81 Fosas xo, a TOWN OP SOUTHOLO 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 D_ 01' 3 8 ~ Z Date .....~~~~ :..................................... 19.~s~ Permission is hereby granted to: to .~.t~':~.tJ~:GIB........~..~"T?.~1..4~r°.:,...~.r.~^•'°?~t•.,!°........Hf.~....~ ................. /~ ~U G of premises located of ......~.ra..~~~2Z ........C~. ..f-"..../.G.~..~.Q..... s ..................... ....................................................~r.r~....-.rar•...f.~.T..r............................................ ..........................................................................CC..................................................................................... County Tox Map No. 1000 Section .............Q.~.. Block ............1....., Lot No..,.....,,~Q....... pursuant to application dated ....~/'.~.,....'~..- ................................ 19~1.~, and approved by the Building Inspecto~O Fee .~'.~ i .. .. .Q....~.t....~'~ .1~ ................................ uil ing Inspector Rev. 6/30/80 ~.~~• . TOWN OP SOUTllOLll BUILDING DEPART?LENT TOWN HALL • SOUTIlOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE..... Ff~~./.~.F .... NEW CONSTRUCTION ._. ,OLD OR PRE-E%ZSTING/;BUILDING......VACANT LAND...._... Location of Property... 7. ;`'~~;'5,,,,_._~'~,/~-T•.L/~.._._-..~~~fv~lat/,~~ DOUSE NO. ~~"""' /' STREET ~ UAMLET Ovner or Owners of Property. h-.C:g'(%r,~~/~`yG~S._ ~~-,P-iOZS~ _____________ CounCy Taa Map No. 1000 SecCion ..~Ll, Block ._. 1.. Lot l`~ Subdivision,,,,,,,,,,,,,,,,,,,,,,, Filed MaP ...._...Lot.........,~/ /' Perai[ No. QCT.~~';.Z.Date of Permit ..~/1~/`,~ ~ 'i.=!!~ ~`~ ~,fl~L.dSC~.Qn~-~= ..Applicant ...° . ............... HeaLCh DepC. Approval .................. Underwriters Approval.............. PlanninE Board Approval .... Request for Temporary Certificate ....... Final Certificate Pec Submitted: $ .................... APPLICANT .................................... -ev, 10/14/88 o~.~, 3~va7 Co ~ igaceb TEL. 7G5-1802 S~tiFOt,` c ~o o~ Town or soUT~oa,~ ~: ~~ L:?I!" < OFFICE OF BUILDIi•7G INSPECPOR E.~ ; ~.~, ;~;., P.O. BOX 728 -e TOWN HALL ~~Q~ ~b~Y SOUTHULD, N.Y. 11971 C E R T I F I C A T I O N Date g Building Permit No., Owner ~ p~~ a r ~ ~ (please pr Plusber/~ /,~ F~.` 7,15 ~ t) ease print ~ry e~'~~~e~ . 2 certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. (plumber's sign Sworn to befor^ me this ~U~day of /~Gt~'s-t~1' ~ ,' -'-" Notary Publi Notary Public, ~L/~i~aG/C County J ~ot17! ~ .~A'tni Nataryr'ubiic, Slate of New York No. 4920758 Qualified in Suffolk Covnry Term Expras Fab. 18,1490 ;. THE NEW YORK BOARD OF FIRE UNDERWRITERS t>~1rx, ~ ~.1:~150C>Ci BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10036 Date JUf1Y 10,1~~+k~t1 APPlication No. onfile ~~~~T~9~ff~~"~~ f`! ~f 2~k3 ~1SL~i; THIS CERTIFIES THAT only [he electrical equipment as deacrihed below and introduced 6y the applicant named on the ahaee opplication numher in the premises of ttr~}3fSl+~r hltAf,n, ft`e 4~, r~lf°Prf),?(rt1't., i~ t. in thefollowing location: ~ Boaement © /st Ff. ^ 2nd F'l. E`y~FiJA'C~P ~I t: 3ertion Bock Lot was examined ore ~ifl~h' I~), 1~7 `i ~1 andfomadto 6e do caneplianre wf[h the requirements of this Board. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE ECEPTACLES SWITCHES OUTLETS INCANDESCENT FIUORESCENi OTHER PMi K W AMT. K W AMT. KW. AMi K W AMT. H P ~7 ~~ 3(~ ,.! 9 i. t.l; .f k DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS DIM MERS AMi. K. W. Oll H. P GAa H P AMT. NO A W. G. AMT. AMP PMT AMPa TRANS. AMT H. P NO. OF FEET AMi WAi(a f ~~ SERVICE DISCONNECT NO.OF 5 E R V I C E AMi. AMP. TYPE METER EQUIP NO OF CC COND A W G A W G A W. G. 1 Je ]W 1 $ 3W 3 %3W 3,e' 4W pER % OF CC COND. NO OF MI-LEG OF HFLEG NO Of NEUTRALS OF NEUTRAL 1 IhB :`f; 1, .~ 1 Eft? ! t(tt OTHER APPARATUS: F1t,F;t~ . RUO1~t 111;A'(Y•Yh S ~ 7 ~-. t, K. t3. IiQ'1'(rR5t1-d fi.f(. ~~C~~ ~~l L,~r<r~, r~rl~;rrrk7l' t,,rc.~P:1.a~ ~-~ l1'~}~A GENERAL MANAGER RTi)fi7~;, NY , r' Per Thia certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT $E ALTERED IN ANY MANNER. ~S~~FOt,~~;'~, .'~rti'i7 6u:u~ you rte--, '''m", 4'jst~:, s ~,.Y~ a ~' ~, c To~rrl or sou~oLu OI~1'iCl? OF PiU[LDING INSPECTOR P.O. I30X 117 9 TOWN IIALL SOIJ"I'ItOLD, N.Y. 1 1971 July 27, 1989 ROBERT & PHYLLIS GRAEB 4782 OLF. JULE LANE MATTITUCK, N.Y. ]1952 To F7hom This May Concern, h TEL. 7G5-18(:~ 4.e are unable ro complete your Certificate of Occunanc;~ because of the folloe~~ing reasons. /V/ t1n application for Certificate of Occupancy is not on fll.c. (NECLOSED) / / r!o tJndcr~•tritcrs Certificate on file. /~// 't'he cliccF: i:; p'~tRLXc~~tXCxc~/nut on file.) $25.00 /_/ D:o II!:a].t}r Dept. Approval on file. /_/ P:o final insi~~ect:ion has been made. Please contact our office on this matter. Thank you for your cooperation. I:u.ilQir:cJ PCrm,Lt: I! I 7 3 8 5 Z Duil_di/nq Dupt. ''"/// tto !'lumber Solder. Ccrt.ificate on L-ile. ( all penaits involving plumbing being iasucd after ~1pri1 1,1984 ) ~~j~ rss-sso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ~ ROUGH PLBG. [ ] FOUNDATION 2ND [)INSULATION [ ]FRAMING [)FINAL REMARKS: ~~~~,~- ~-~~~"" _, DATE ~ ~ INSPECTOR ~ 73 ~~ rss.iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f l ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REIIAARKS: ~~~~~~ ~ . DATE ~7 l INSPECTOR ~G~ I /~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( } ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION DATE ~ ~ ~ INSPECTOR ~,~'',~ [~RAMINC [ ]FINAL 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL DATE ~ INSPECTOR 1~~ REMARKS: D-'1~ ~"a `~a ~. oL~Y -~ ~ _. ~ - -, , ROHM O.rBOX 590 BUNGALOW~LANE-E MATTITUCK, NEW YORK 11952 516-298-5940 Q March 1,1 Town of Southold Building Department Main Road Southold, New Yark 11971 Att: Mr. Gary Fish Ref. Graeb Residence County Road 48, Cutchogue Permit No. 017385-Z Dear Sir: During the construction phase of the above referenced project, a revision has been made to the original submittal. Namely, the installation of 2"x12" valley rafters in lieu of the originally submitted flitch plate beam. This revision takes place at the intersection of the main gable and the lesser spanned reverse gable to provide support for the jack rafters in this area. It is my opinion that the above referenced installation is in conformance with the general intent of the N.Y.S. Building Construction Code. Please include this letter with the original submittal for this project. Thank you for your cooperation on this matter. P.E, cc: Horton Construction i lELD :'~•, • -U;i U li.~ -_ UATr, ~ GUMMEN1 .. _ \ ~ -p V ~ MW ~ ^ 1 - `V H (^ H vl FOUtJbATION (1st) _ d~ t N FOUNDATIOIJ ( 2nd ) ~.. --~ ~ J -- "' ~ ~~ 2. `o P OUGH FRAME , G PLUMBING ' ~ x' y 3 . IIJSULATIOf2 PER N. Y. y~ STATE ENERGY o7 ~~"L ~ ~~ ~ ~ ~ CODE \, ~` a FI;JAL G l° q B ~ C.o z ITIONAL COMMENTS: m x M1s.~4'~d~e.s~ 0.A/.lla.n~.n~~ X H \ 77 pe 1+~ H O O ~~ C'7 A C 1 H p_ x ~l c7 t m -o H U\ Z m ZUNING • 4 ~ UULK ANU PARK INt1 SCIIE UUI Lr ti Y , a m A itoeldnnee District YI ~- vp ly 2° y 30°'~' {4 Two• Muiilpln dlxeldnnrel ~ Minimum o 4 }. 91nKlm Fum0y Dwnllln Family UwMlfn a Ulalrlete M Uuslneex plntrfete Induetrlal Ulxtrleln IGtyulromente ~ A A-III -AO K A40D Ltghi M•1 Unnuml K Light 19-1 Uonnrni C Lt h t K Unneral Total lot area lsq. (L) Lol wtAth ttt.) 40,000 A0,000 160,D00 ' 40,000 R0,0011 20,000 30,f100 40,000 20p 00p Lot tlep[h (It.) - - lb0 17b 176 250 ~ 270 400 ]36 200 UO 1GU 20U , app Fronl yard (ft.) 35 60 80 00 60 (f0 35 One sldn yard (ft.) 10 16 20 30 16 20 35 50> 150 Uoth side yards itt.) 2b 35 46 56 36 qb 26 30 50 Rearyard (!t.) gb 50 T6 Te 60 80 50 OD 100 Livable floorerea lsq, gyp R50 A60 860 See qrp- See ArU- 2b 36 50 100 It.)per dwelling unit cleiV c1eV _ Oft-street parking spaces perdwelltngunlt 2 2 2 3 See ArtL See grll• See Art4 See Arl1- Sre Arti- See Artl- Maximum i de 1V c1eV rte V1 cIe VII ale 4'III cle lX Permmea Lol coverage lpercenU 20 20 20 20 'l6 Yb See Arll- See Arti• Sne At'ti- SneArtl- Building height: - . cle VI cle VII cle VIII rle IX Numb¢r of stories ' 2Vi 2i¢ 25¢ 2?5 2t P eri 35 9b 35 35 35 ?Y5 tl ~ Y 2 3 :m :u, 95 t ~ t/~ ,~ - ~ ° ~r ~ 'lAmend~d b-Y949;34A•A96)'L.L.No. 74089; A•O~A3 bY'L. L. NU.O~IOg3), ' I4pu•ndld 3.911.75 bp' l., L. 50. 3~]87~R) ~ - FORM NO. 1 Examined .1~~:........, 19 .e~..~j /-7 Approved .. ,~~^; , , ,~, , , 19 ~~Permit NM .!`.?~.~'S Disapproved a/c ................................ . BOARD OF HEALTH .. 0; ~., , , , , , 3 SETS OF PLe1N5 , ,0,.~!, _ . _ _ _ - SURVEY ..... ~aas'...6.. ...... CHECK [~ , S13PTIC FORM ..~,, ([,•, , , _ , , NOTIFY CALL .... MAIL T0: --..... .....( .. P ) ... T%.. ~ BLDO. D~ ~i'7 .~~, OP B-- r~ ~ Building Ins eetor APPLICATION FOR BUILDING PERMIT 73 J!. sdl.z..... ef'~ 304. ~'~'" Date ....~~!!-+... y y..., 19~ ~. INSTRUCTIONS 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 street 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 of Regulations, for the construction of buildings, additions or alterations, or for iemoval 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 necessary inspect s. /~ (Siggature of applicant, or name, if a corporatton) L~L-LT ~/l/LLf CjP ~/ ~.iQ C~,9~1JG ~i.:: `...~1 (.J ~~. ... (Mailing address of applicant) State whether applicant is owner,' lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~wN s 2 . ................................................................................................ Name of owner of premises . a`-.~%-'.`3 r:T . ~.. G:A!.`>. F: !-`......~~.<"e.-1~~.~d .:............................ . (as on the tax roll mr latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title ofco//rporate officer) Builder's License No. ../:t`...,...I..~...... . Plwnber's License No. ..~~L.~~¢k~-:'..... Electrician's License No. ~~:-. ~'~~r....... . Outer Trade's License No . .................... . .<i/~ . 1. Location of land on tyhich proposed work will be done . . ... ............. ~ ~' o G.uG~ ...... ` .............4s~.~...:~x...~~.....aaY.a.~:... ~. R y~ House Number Street Hamlet County Tax ~fap No. 1000 Section ........w..`l ...... Block ......_~, , , , , , , , , , _ Lot .. l v. . ............ Subdivision ..........^~ .°•v.6.• .................. Filed t,talt No. Lot .............. . (Name) .............. 2. State existing use and occupancy of premises and intended use and occupancy oCproposed construction: a. Existing use and occupancy ......... ~!.Q'G?:"~'~ ................................. b. Intended use and occupancy .....J~. !:~!~!.~!~ . ~ "'/ ~ G `> ` TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 3. Nature of work (check whichl',applicable): New [3uildin ...t~.. . Repair ~ Addition .......... Alteration ......... • • • • • • • ....... Removal .............. Demolition Other Work ............. . .............. 4. Estimated Cost ...... , . ......... , , (Description) /5" ~o ors, ~ ° ................ Fcc ........ ................... 5. If d.wellin number of dwellirj (to be paid on filing this application) g, g units ... , . l......... Number of dwelling units on each floor . . ............ . If garage, number of cars ...',.. ,'~, , , , , , , • 6. If business, conuncrcial or miffed occupancy, specify nahtre and extent of each type of use .. •p , , , ,{~, , . • • • • • • imensions of existi '• stntctti Heiglit ...,.....~ ... fires, if any: Front .. , .~?f~":..... Rear ..,~, , ,r..... De th ............. • Dimenstons of same stntcturc r a~.'• • ~ • • • • • • • • • • • • • • • • • • , , , Rear .... , ~ • • • • • • • wtbt~rncs • • ~ddifions: Front Depth .. , . etg .Number of Stories . 8. Dimensions of entire new congtrpction: Front , ,°~ "v ?; Rcar .... ~.7! ; ...... Depth ,Y,Y 7 llcight ....!Y..~....... Nti;tatil~p, !"oii'e .../~ . ..... .. ........ 9. Size of lot: Front . . ~ . %CC ~~. ..,~iia1~:..a $.f....... .......................................... . .... & ......... Rear ...................... Depth ................ 10. Date of Purchase .....: ~,~ '? Name of Former pwner • • 1 1. Zone or use district in w}ticlt premises are situated . , , l~,a3! a~.•;~t.o <.-• ~,o~ ,~ ~ eu ~?-tii d ir.',:: ; : ; : • • ' ' ' " p P •olate any zoning law, ordinance or regulation: ....!r!°. • • • • • ]3. W 11 lot bee raded truction vt, g • •. • • • • • • • • • • • • ........Will excess fill be removed from premises: ,Yes Nc 14. Name of Owner of premises . ..... • • • . • , ,Address . Name of Architect ""' ••••••••••••••••••PhoneNo ................ Name of Contractor . • ~ ~ • • • • ~ • • • • • • • ' ' ' • • • • Address ...................Phone No............... . IS.Ts this property located within 300•Address ........... .... .PhoneNo....... ,,, feet of a tidal wetland? *YES....NO.~. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloc$ number or description according to deed, and show street names and indicate whether interior or corner lot. ., <. STATE OF NEW YORK Ii ` COUNTY O/F~_~~_,..°p" S.S • /~`• • • • • • .... , being duly sworn, deposes and says that he is the applicant • • • • • • • ~ ~ •{Name of trtdividua/cl~s~i;~ • • • (ng con tract) above named. He is the ................ .... '~ .... . .I" (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 contaiined in this application are true to the best of his knowledge and belief; and that the wor•; will be perlbrnted in the manner set forth in the application filed therewith. Sworn to before me this .............. Pi~. day of~'..... ..~......, 19d~~ Notary Public, ..... /I~;%e,Crht/.../1;,... ~~:! ~-:... County NEIEN K DE VOE ......... . ~N~47078%B,S~utfoelkCoeu ~y Term Expireshlemh30,1 ~ (Signaturcofapplicant)