HomeMy WebLinkAbout17685-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18159 Date 3ULY 12, 1989
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property 2410 GRATHWOHL RD. NEW SUFFOLK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 2 Lot_ 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Pertcut heretofore
filed in this office dated DECEbIDER 7, 1988 pursuant to which
Building Permit No. 17685-Z dated DECEMBER 13, 1988
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate i
issued is SECONB FLOOR ADDITION WITH ALTERATION ON FIRST FLOOR OF EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOFIN PAGE & JOSEPH McRAY
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-073705- MAY 26, 1989
PLUMBERS CERTIFICATION DATED JULY 8, 1989-FRANK MEYER
` ~ /
ildi g Inspector
Rev. 1/81
F08Et NO. f
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(Ti-IIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Nfl X17685 Z Date
..B~s:~::~~......../..~.........., I9?~:~
Permission is hereby grantedrto• ^~I p~- /f n 1 _ n~fj
.~`.1.Ona.4RYx -...4K.2..-e..t~!'~I.kM?.... 1.:..
as.~ ~~:...~y~-.-.;....
to ...C~~:~:s.~"'.. ~...s~~,~-~... "I....~.s.?~~-~....~..~
ct premises located at ..Ria..l.4.....~~.,Q,~ ~..~:...~~~F4a1~!cvKi:...K4.,......-11,~~'~^/`~':}
Caun To~I Ma No 1000 Sectidn ~ ~ 7 Block `x 2-............ Lot No 3 ~.U
tY P ,F
pursuant to application doted ../..,.2RCF<!crs~t.... 7 19~~ and approved by the
Building Inspector.
Fee S.
D-i.
Building Inspector
Rev 6/30/80
i. • ~
^ TOWN OF SOUTDOLD
BUILDING DEPARTMENT V G ~y
TOWN HALL I ~'3 ~aI ~ ~J ~ ~ i'
ULk ~V
SOUTHOLD, NEW YORK 13971 BL~~
TOWN OF SpUYHOLp
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE. .IaB~ .
~04~tloN to
NEW CONSTRUCTION ......nn.OLD OR PRE-E%ISTING BUILDING..~...VACANT L~,A~,NDL....._..
Location of Property..!:~40...,.~~R.~Nw0VCL. FV.,...._ N~iw.SUr'f`wR
HOUSE NO. STREET HAMLET
~bHIJ pAGE AND ~tos MCK,~y'
Owner or Owners of Property
County Taz Map No. 1000 Section .I,~.. Block Lot .~?I.~....
Subdivision...~~.}}..CC..~~............ Filed M/aOOpryry .`.-....Lotc...'~~-,c....fe A~.,,,
Permit No. ~~.`:~v...Date of Permit .~2:I'3Foo..Applicant SAMU~.s ~s~'Ee(,htaNN2eHt~
Health Dep[. Approval .....h'~bbr.'......_.. Underwriters Approval
Planning Board Approval ....K'Fr:
Request for Temporary Certifi/-cflate Final Certificate
Fee Submitted: $....c~L~~.:~.1~~.
APPLICANT...S/.":Y":::`::."
'~'t~ko Mth S $hNLVE'Us
rev. 10/14/88
Rec, 3~G33
Co ~)s/s9
~;4
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1000121 BIUREAU OF ELECTRICITY
83 JOHN STREET, NEW YORK. NEW YORK 70038
Date MAY 26,1989 Applica[ionNo.onfile 60204289169 N 073705
THIS CERTIFIES THAT
only the alsetrleal equipment m deecrihed 6eloto and introrAtred 6y the app/scant nomad an the shoos aytpliation numher in the prernire of
JOHN PAGB- JOSEPH MC KAY. GRATHMOHL LANE, NEW SllFFOLK, N.Y.
in thefdbsoinll locaylpp. 1~QTyyement ? Ixt Fl. ~ Ynd FI. .Berrien &ocka3 Lot 23
wss examined un MZ 707 and found to 6e in complionrr with the rryuirernentx of thin Boord.
E
pXfYE! AOiT AYng1E5 RXTURES RANGES COOKING DECKS OVENS DISHW EXHAUST lNlf
OUTLETS INCANDESCENT rIUGIIESCEM aTXER AMT. K. W. .AMT. K. W. AMT. K.W. AMT. K. W. NAT, N. r.
11 it 10 11 1 F
DRYERS lVRNACE MOTORS NYTWE AMYIANG IEWERS SMK7Al ElC?i TIMEfX.OCKS E[ll UNIT MEATNf MEU?fl~iYiYT 01MMBRE
AMT. K. w. at N, x. GAS N. 1. AMT. NO. A W. G. AMT. AMI. AMT. AMr4. TRANS. AMT. N. x. NQ MIST AMr. wAm
4 600
SlRVIQ OIfCONN[CT NO.OF 5 E R V 1 C E _
AMT. AMr. TTPE ~.1/eW 1/t`N S/7W~7AAW NG'D~pCe,GOND. OF CC
COND. NO. OF N4LEG Of~N~~lO ND.OK NEVIxA1S a~I
FYI~Mt
1 200 CB 1 X t 210 1 1/0
OTNIR AlMRATIIS:
G.F.C.I:-2
SMOKE DETECTOR:-1
. f
fit„(
PAUL R. BURNS LIC.~383E
375 TOWN HARBOR LANE
' SOUTHOLD, NY, 11971 alfEau EEEANAau
11
Psr ,
This artificab must not ba alNred in any manner; rNurn to 1M office of the Board if incorrect. Impactor may be identified by fhek cndsnfials.
COPY FOR WILDING DEPARTMENT. THIS COPY OF CERTIFIUTE MUST. NOT. !tE ALTERED Ik ANY 1MI~MER.
SAMUELS=STEELMAN ARCHITECTS ~~~~f'~Q ~1'QQG~~~]D~ LTp~
25235 Mafn Road
CUTCHOGUE,NEW YORK 11935
(516) 734.6405 -
onTE ~iy Boa No
',1 n ' RTENTION L7_
TO ~~-~J~ivvl~~~22~~2/, RE ~''9 ~ 6 1
~ d-1J' i 6-WI~i ~ e'r1i'~ ~ r,
_ WE ARE SENDING YOU f~ Attached ? Under separate cover via the fnilowmg Items.
? Shop drawinggs p Prints ? Plan S mples ? Specrficatrons
? Copy of letter ? Change order ~ ~ ~ ~
COPIES DATE NO DESCRIPTION
UaZ N d Z ^ t^ U ' ~`Y' ti ~ L~
BLDG. DEpy
THESE ARE TRANSMITTED as checked below
? For approval ? Approved as submitted ? Resubmlt__coples for approval
? For your use ? Approved as noted ? Submlt•~opies for dlstnbution
? As requested ? Retu ned for corr/e'~dons ? Return t;orrected prints
? For review and comment ~ ~ ~ ~ v~
? FOR BIDS DUE 19 ? PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED 'LIZ
TEL. 765-1802
pS~Ff~C,~~O TOWN OF SOUTHOLD R _
~ G` OFFICE OF BUILDING INSPECTOR p L5 ~ L5 Q ~
~ Q
z P.O. BOX 728
g TOWN HALL
y0~~~1 ~ ~~~t- SOUTHOLD, N.Y. 1 1971 ~ 2
B~-DG DEPT ~
TOWN OF SOUTHOID
C E R T I F I C A T I O N
Date 7/8/89
Building Permit No. 17685
Owner John Paae and Joe McKay
(please print)
Plumber Frank Meyer
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1~ lead.
G~
(plumb r'.: s nature)
Sworn to before me this
~`~day of ~~~y ,
19~• Notary Public
Notary Public, Z County
~ C-r-,.,~
NR'.42~OSn~'fDlJf COUM~11
COMMI~Oq pQ'fR65 LW91,1 } V
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ NAL
REMARKS:
DATE ~ l ~ INSPECTOR ` ~
1' 7~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [r/f ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
~RAMING [ ]FINAL
REMARKS: _
~ 4, .
G~'
DATE a" ~ C INSPECTOR
? 7~~~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
G~(~
~j r
DATE ~ d" INSPECTOR ?„y,/
765-1802
BUILDING DEPT.
INSPECTiQN
[ ]FOUNDATION iST [ UGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~ G
I
DATE /o INSPECT
}'~i L.~ i:. ~~ll nT= i; M~~1 C,NT~ ~ a
b
1. a
H
_ ..j
FOUNDTTIO?I (1st)
~.l
c
FOUNDATION (2nd) _ m
2. a1.~
~ ~X ~D o
P,OUGH FRA[~1E ~ ~
PLUMBIVG'
ti
m
3. / ~(JZ9'~ ~
m
I?dSULATI0P1 PER P1. Y.
STATE ENERGY i '
CODE
a
r
FINAL F ~ ~
o
ADDITIOP]AL COMMEPIT'S: x
m
' x
H
• 9
H
H
O
2
a
c^ '
y
y
b
m
ro
H
BOARD OF HEALTH
3 SETS OF PLANS
FORM NO. 1 SURVEY .
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
' TOWN HALL
~OUTHOLD,N Y 11971 NOTIFY
TEL .765 1802 CALL
Examined !r~~•~'!~ 13.., 19~'?~ MAIL T0:
Approved ~1..~~~!••t~!~:.(3 , 19~~ Permit No tr.~.~v.gs'~ ~ ~ y-1~ r; ~5
Disapproved a/c ; ~ I
~i ~
Y~ ~trG • , ~-c:~ • • • , BLDG DEPT
TU1~iiV OF cCUTHOLD
(Bwldmg Inspector)
APPLICATION FOR BUILDING PERMIT
Date .12/05./58......, I`
INSTRUCTIONS
a. Tlus application must be completely filled to by typewriter or to ink and submitted to the Building Inspector, w
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 t o adloimng premises or public st
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this r
catron.
c. The work covered by this application may not be commenced before issuance of Building Peatiit.
d. Upon approval of this apphcatton, the Buildmg Inspector will issued a Buildmg Permit to the applicant. Such p.
shall be kept on the premtses available for inspection throughout the work.
e. No building shall 6e occupied or used m whole or m part for any purpose whatever until a Certificate of Occup
shall have been granted by the Building Inspector
APPLICATION IS HEREBY MADE to the Buildmg Department for the issuance of a Bwldmg Permit pursuant t~
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmanc
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr
The applicant agrees to comply with all applicable laws, ordinances, building code, houstn~ code, and regulations, ar
admit authorized inspectors on premises and in budding for necessary inspections.
~~.er.~.
mod. ~~~ur.~:~rrv~~? . ?~~E : .
(Signature of applicant, or name, if a corporation)
25235 Main Road, Cutchogue, N. Y.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil
Architect
. . . .
Name of owner of premises John, Page •and• ,Joseph McKay, •
.
<as on the tae roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
n/a
. .
(Name and title of corporate officer)
Builder's License No. . .
Plumber's Licensc No
Electrician's License No . .
Oilier Ttade's Licensc No . .
I. Location of land on which proposed work will be done Grathwohl Road, New Suffolk
. . .
2410 G a hwohl Road
•$E Corner o~ '~ut~~~>,.Road.and .Grathvtohl Road ,..Y~w, Suffolk
House Number Street Hamlet
County Tai M1Lip No 1000 SecUOn 117......... Block 1 , 2 3 , 10
• Lot...............,
Subdivision n/a.... .Filed Aiap No Lot .
• (Name)
2. State e~istuig use and occupancy of premtses and intended use and occupancy of proposed construction
a Existing use and occupancy S111g1e..family .resi.den~e, , , • • • • • . • • • . _ • , • • • • • • •
single Family residence
b Intended use and occupancy
3. Nature of work (check which applicable)' New Building Addition . • - Alteration X. .
Repair Removal . , , , , , , , , , , , , Demolition Other 1Vork .2nd..i;l~:
(Descnpq~
4 Estimated Cost $ 50 , 000 Fee .
(to be paid on filing this application)
5. If dwelling, number of dwelling units , , , •one , , Number of dwelling amts on each floor .
.
If garage, number of cars _ n{a
6, If business, commercial or mixed occupancy, specify nature and extent of each typ a of~use .
7. Dunensions of existing structures, if any Front ...5g, ,f,t~ ; , , , , Rear Depth .
HCig}it , , . 18 f t - , ,Number of Stancs ,one
Dmiensions of same structure with alterations or additions Front 54 . f t..... Rear ....54, f t .
Depth ...Height , ,?1 ft. , ,Number of Stones ...two , ~ ~ ~ -
. .
8. Dimensi nti wconstruction Front....28.£t... .Rear ....~•8..f~:...Depth ...,~,0,£t.
Height ......1Q. f
t Number of Stones . .....nne........ .
9 Size of lot Front ,,,100 ft: Rear.....7~0,ft;,,,,•, Depth..• ••150~PI;':
. .
10. Date of Purchase ......6{88 ..Name of Fo er Owner 13. •li•ngton. .
11. Zone or use district m which premises are situated .....f.~.~.Y!CS,! tA . .
12. Does proposed construction violate any zoning law, ordinance or regulation• . na . . . . . . . .
13. Will lot be regraded .......no .Will excess fill be removed from premises: ~r
14. Name of Owner of premises .P~ge and, McKaX Address .Box .254,N.eyi .$>xP.$Rib'~e No. 734X0
Name of Architect .$dWRel,$ _ Steelman Address 25235, ,I~~in, (toad- ,phone No. 734-64b5' -
Name of Contractor Harrington and West... Address Southold Nl~ , • . ,phone No. '765-~ 36'5'
iS.Is this property located within 300 fee[ of a tidal wetland? *YES ~`...NO...
*I£ yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate cleazly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
property fines. Give street and block number or descnption according to deed, and show street names and indicate wh_
intenor or corner lot.
Re. #15. The proposed construction takes place to an existing
residence on the landward side of an existing town road. Further,
the proposed construction does not increase or a_ter the existing
building envelope, nor does it involve the net itcrease in the
number of bathrooms: one was removed to locate ii new stairway to
the new second floor.
STATE OF NEW YORK, S S
COUNTY OF . .
ThcamaS. Samuels . • . , , , , , , being duly sworn, deposes and says that he is the apple
(Name of mdrvidual signing contract)
above named
Heisthe Architect
(Contractor, agent, corporate officer, etc. f
of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file
appbcation, that all statements contained m this application are true to the best of hr> knowledge and belief, and tho'
work will be perfonited in the manner se[ forth m the application filed therewith.
Sworn to before me this
i
day of . :7:~:-fi 19 ~A'
Notary Public, x~,
.~t~{-~S-~.... County `^,~j,q,''o D~,(
LINDAJ COOPER (Signature oCapplic
Notary Public, State of New Yori~~
No 4822563, Suffolk County
TArm Fxn,rgq December 31, 19~