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Home My WebLink About17102-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18415 Date SEPTEMBER 26, 1989 _ THIS CERTIFIES that the building ACCESSORY Location of Property 180 GRATHWOHL RD. NEW SUFFOLK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block_ 06 Lot 16.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1, 1988 pursuant to which Building Permit No. 17102-Z dated JUNE 13 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to EDWARD & SHARON SCHMIDT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~UL~i/ Building Inspector Rev. 1/S1 gosas xo. a 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) N~ ~171~2 Z Date .........~/.~!~!:4F::....~.w~ ................. 19.~..~ Permission is hereby granted to: n ....~.~ ............. ... ......~:..y..~....1..!.~..~ U V ~~ ..................................................................................... ............................................ of premises located at ...~. ~ ~..... W.~-Y:Sl~.:4N..:°.`.~'!c~......1[+:~ :............ ~h~.... . . .................................................................................................................................................... Caunty Tax Map No. 1000 Section ........~. ~.7........ Block ......Q.~o........ Lot No.....~.b.r..~...... pursuant to application dated ..........~.t~!~.:'.:~..~ ....................... 19.~.~., and approved by the Building Inspector. fee $.. Z.7 ..:............ ~ ~o-c. iJ~J ~C.:`~-i .................. Inspector Rev. 6/30/80 ~, FORM NO. 6 TOWN OF SOUTHOLD ~~ BDILDING DEPARTMENT TOWN IIALL 765 - 1802 A. B. C. D. APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS e 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with [he following; for new buildings or new use: ' I_ Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features_ 2. Final approval of IIealth 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 1Z 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. For existing buildings (Prior to April 9, 1957 non-conforming uses, or buildings aad "pre-existing" land uses: 1. 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 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. 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: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, 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 S. IIpdated Certificate of Occupancy - $50_00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial ;~ ~ep• 10/)4/S8 .... ~a :~~o~ TOWN OF SOUTBOLU -r3~=~~p BUILDING DEPARTMENT ~~/~~ TOWN HALL SOUTIIOLD, NEW YORK 11971 i 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY ~'CC~~~o r~ .~ 1 l~'I~ DATE ... J.'~. o ~ .... . NEW CONSTRUCTION ..~,~ LD OR PRE-E%ISTING BUILDING_.....VACANT LAND.... '.'Location of Property....'~~~,,, .... ~'.~fl. ~i,~~i.L . ~d . ~l ~~1. ~~.~'.~, %t . . UOUSE NO. STREET ... UAMLET Owner or Owners of Property..E~~'~;eb ~.~~~--~~ _ ~`'~`ry !~..L_, . ~ 1• ~. County Tas Map No. 1000 Section J,. ~~._ II^^ .• /. IIlock _. Lot' .r.`~'.;,.~., Subd%vision.. ~~XpLCs i~ll~P`Qy~,. Filed Map ......Q..p~Lot........... Permit No. 1,'' ~2 Z I ('] /J O ~i-wJ~`2 •-•.--...Date of PermiC /~Adp'Lycaut .......~..~ y, q/-~-r!l~ai ~ y-- Health Dept. Approval ~l~II:~.Q~pl/~F-('~... YVO ~ t-G~'rIC Y/ •.'• Underwriters Approval..n-~!t-~--~~~~ Planning Board Approval ~o~~ ~ ~~ ~... RequcsC for Temporary Certificate .......' Final Certificate .....--- .Fee Submitted: reV• 10/14/88 ~~, '~ 3 s'a~ 8` ~~ ~ ~ ~g~~ APPLICANT. ~/(~!~!~;-R;~,~~, . ~~~,~t:FOt.~~o~ /rr,„,~~- ~,.~:/, , , ,?'l~'L9~6u.'w2" , S'l~ rte", `'li, . 4~1; j,74 .~- O~yo~ ~3 ~~~~. To~rra or souruo~.~ OFF1C1: OF IIUILDING iNST'ECTOR I'.O.IIO`( 1179 TOWN HALL SOtl"I'IIOLD, N.Y. i 1971 September 21, 1989 EDWARD 6 SHARON SCHMIDT BOI[ 263 NEW SUFFOLK, N.Y. 11956 To LVhom This, May Concern, 4Te are unable r.o complete your Certificate of Occunancy because of the follos•ring reasons. TEL. 7G5-180 /~ An application for Certificate of Occupancy is not on fil.c. (ENCLOSED) /___// t~lo Undcrs•~ritcrs Certificate on file. /.~_/ 'Phe chec:F: .i;; (!~/not on file.) $25.00 /_/ D;o IL~a].th Dept. Approval on file. /_/ No final insl~ect:ion has been made. Plea;;e contact our office on this matter. Thank you for your cooperation. Ilnil<ling Pcrm.it: 1! 1 7 1 0 2 Z 13uilclinq DopL•. tkk/-/ Uo I'lumbcr ;;older Cert.if icate on file. ( al.l pcrmiL•c involving plumbing being .issued after April 1,1984 ) _.. r: s L=v; Vra,lU~•J i ~ , i , _. __ ,.,r; ti-r~ i ~ r-~ ,~, ~ ~ ~cc~~u GQ~rG I~t~a~S~~'T'L~SI'~:`~' ~ ~; "` i T ai f ~~' ~ ~ l .~. ~ . ,- r~_ i ~ _, ~ ~~~, - ~ N E'UG=Gfi ~ ~~! ~.~ ~ =a i { a <_ t r? ~ ~ \ h~ i ' ',fix, TA`.,;~- ~~'", ," ~ \ < ~Tl ..~Uw'- I ~.. ~ 1 i~~j t~ ..~r~I'r, I ~ ~ ~ ~ ~~~ ( f '~ ~ ~, C• n ` ~4YT ~~;„), ' ~ ; f;~,, t• t ~i 1 ~~ 0 ~~ li 1' !, I ; ~' tii f j O_ i __.~._ ' t + ~; ~4 0 ~ ~. ~~ ~<< ;l ~o, r `~ ,~ ~ ,' ~ z ~~ ,.r 4 t '~+ ,n i m ~'~ ~ C3 ; N ,~ ~., f~ V ~ 4 -~ Y ~ ~ ~ ,» ;~ ~\~ vC _ I ifF)'. \ f Nom" i rA\1)I .N (At~~, ~ ` , rU t~ ~ -' M~ ~~1 ;' t, R J ('~ G, r r-' ±"; :t? n, t~ C` , i~t'L31 ~: t"' `.,,. •. I'~~° , y . I f ~`... ! ~' i '~.. 1s ~~ i ~ ~~ a ~ ~ E ~ ~ +^ur R 6~ : l~ J {~. ... i, ~ S~t 1 ~ ; l,, , " ' ~ jam, }}~~ ' rywr 1- 1 ,'~ ~ i _ri , ~ ~ , ~ ~~ £ ,,,_. ( ...a«.. ~ !r ., o.,,~ ~ ,. ~~... f».....; j ~.r'~ a ~f~~~ -. ~ x _¢, u f' i FIELD INSPECTION DATE COMMENTS ` .-F--= ~ ~ ~ D I'u l ~ ,J o 1 . r , H Y ~~ FOUNDATION (1S`t) Y~ ~\ , ~ I'_ _____ ~f m FOUNDATION (2nd) _ A ~ 2. z o '~ ~ a O ROUGH FRAME & .~ PLUMBING H 3. - m m ~ INSULATION PER N. Y. H ~ STATE ENERGY ~ CODE ~ a ~ r. /2 D ~ ~ m y 4. T ~" - , ;r 0 ,~ FINAL --° o z~~ m ADDITIONAL COMMENTS: x'~ _ m . ro ^ N H 1 ~_ a - H ~ H O ~ z ~ 1 __ ~ ~ a $ r H x ey m -o H ~~ ~~/ T6S-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING REMARKS: DATE [~NAL ~/ INSPECTOR ~_ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG'i. REMARKS: DATE ~ ~ ~ 0 ~ 1 b 1. _i ll. ~. c_. .~ o x.n_ •~ [ ] FOUNDATION 2ND [ ] INSU tON [ ]FRAMING [ NAL d ~~~-9~ 12`2-~ ass-isoa BUILDING DEPT. 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(Building Inspector) APPLICATION FOR BUILDING PERMIT Y Date ... ~ ..........., 15 ~ . INSTRUCTIONS a. This application must be completely filled in by typewrter 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 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, Suffoik County, New York, and other appli"able 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, end regulations, and to admit authorized inspectors on premises and in building for necessary inspections. / ~ ~ ~` ~,y~ (Signature of ap is nt, or name, ifra corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...4--~:P.I.,I•~l.~rW` .. f~ yJ:~'-..`J. !.~~~®~ ~~--~'1 ~. l ~ ~ ..... ... . (as on the tax roll or latest deed) 1f applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) Builder's License No . ........................ . Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . ..................... ~ 1. Location of land on which proposed work will be done . ............ .. . , ~~ ~~ F~l*C_ ....i~r~ ..................fir-a-~~~v.~. ~.. :..........~~.w • ~~ : ~I 1~........... f,~.. . House Number Street Hamlet County Tax Map No. 1000 Section .......~. ~ ~....... Block ... ~ ............ Lot ...~.~^!~ ° .~`~.......... . Subdivision .... ~.~ ~ ~ ~•~• • • ~ ~''r~ • • • • • • . Filed Map No. . ~,~ .L ~•. , .. Lot ...J.~.'. ~ ..... . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ 1 ~ ~ 1 ... b. Intended use and occupancy L ~"~~~`~°"•~~~ • •~~rc~~ `~ °"' ~~ 3. Nature of work (check which applicable): New Building .:. ~• .... Addition'.....-..... Alteration ......... . Repair .............. Removal ..'.......... , , Demolition .........',..... Other Work .............. . ... ~~ o ~~ •.~ ...... . ........ (Description) 4. Estimated Cost . ' . .Fee . ........ . .......................... . 5. If gdwelling, number of dwelling units ...: , ... Number of dwelling u e paid on filing this application) • • • • • • • nits on each floor .............. . If ara~e number of cars 2 ..... . . . . . . . ........ . 6. If business, commercial or mixed occupancy, specify nature and extent of each {ype of ~ se ........... , 7 , , , , , , , , 7. Dimensions of e~Cisting structures, if any: Front ... ;7, ~s . , r , , , ,Rear .. ~, , :~~ ... Depth .. ,~~ , Height .,~~,,,.,,,,,NumberofStories...., ~,(?- ~~~~~~•~ Dimensions of same structure with alterations or additions: Front ..........'... , .. , Rear ...... . .... . . .... . Depth .................. . ...Height ...........r........... Number ~r;f Stories ...... . 8. Dimensions of e~ttire new construction: Front .. , .~~.. Rear ...~.7r......... Depth .. ;7,D, ,p Height ...,~&... !rt a?~ .. Number of Stories ......... ~. r/~-..... r ...... ........ ,. ........ . 9. Size of lot: Front ... ,l',SQ. Rear ...... , .../,~Q.......I,. D th .27L> . „ry~rlC'.)• . 10. Date of Purchase ...... ~ , QU 1.C1 g' ; ~oy~'~• •~• •r. ~(,~ • ..Name of Former Owner' .. 11. Zone or use district in which premises are srtuated ....... . ..... S.. , , , , 12. Does proposed construction violate any zoning law, ordinance or re ulation: ..'~fl .. . . . . ... . ............. . 13. Will lot be regraded ..... , j~ p... ~. r .Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~W.G3k'r~„~l•71.1.C~~. Address 1,8,c? C~,-a~lar41o1,~ 2d, phone No..`73.y ,'1~/9 , , , Name of Architect ..~~•!'>~-. .... . ............Address . ~~. s.~,~.~G1i•F,-....Phone No. . .......... Name of Contractor ... a,/,?~-g.: , , , , , , , • , , • , , , ,Address .............'' Phone No. IS.Is this property located within 100 feet of a tidal (,retlaud? *YES....,7i0.~„ *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,,indicate all set-back dimensions from property lines. Give street and block number or descriptibn according to deed, and show street names and indicate whether interior or corner ]ot. a ~` a -r- S- 00 f~ '~ o c a STATE OF NEW YORK, S.S C ~y . ~~ U ~' e x'.50 5v o ,,~/ ~rKe .~J~ Prp~7P.y- ! OUNTY OF . ............ . .. . ' ' ' ' ' ' ' ' ' • • • • • • • • • • • • • • • • • • • • • • • • • • .. • • .... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. I He is the ................................................p) (Contractor, agent, corporate officer, etl • 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 contained in this application are true to the best of leis knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn Yo before me this (~ - ...... t.........c~ ,~, .}. _ .d~Y of ... ~v4~ ..........., 19 ~~ Notary Pu~~j~ ,,. ..G.+t/.. ~ r . , ~~___, ~1~, County NEI.EN K DE VOE NOTMiY PUBIIC, Slate of New Yak Na 1707878, Suffolk Courtly. • q Tam Expires March 30,18/ .. ~~.~~. i~ (Signature of applicant} ~~ ~ .,.~ ~ t 1 ~~ 1 i ,! % ~ ~ ; 'n "",~;' V ~. ~: I ,i i a;: '~~ ~$ ~; f a 1 y { ~ ~ G ~ ' 1 ~ ~ i ~~ ~ Y- i •q ( j ~ ~'J y ~ ~ S , , -..._`___,_,..~ ~ , f k~ ,; iBD~ _. 4 s9 31. `~ (~~~ °. i ~'~~ ~ ~ ~ ~t~' , `~'~~ ~. <R` ~ i'.h ~~ n1~ ~.,. t) f ~`~© i~ ,~ . /" 1 9 9~ ~ C o. 1 t jai G ~ 4 N m p ~RQ j''~N67 1~fm ~. t1'~ 'J i W cus o.o ~ mtir°.7 ~~ ~m~ca a~~ nN ° ~,.; J O P J p ~ ~ N ~Y :~I (G Y J N E S" N Ct n~ n N ' y Ip y' N T_ `S ~ ~ H@ ~ ~ ~ f ~ ; ~ ~ 1 ~ ~- ~ ~ ~ ~ ~ i ~,_ t t i r+ j f. ~ _ " ~ C ~ ~ , , ~` l\ ~ ~~ ~ `~ ~ ~ ~ ~~ r ~_ ~~ y t ~' ~ ~ " - -- x ' .% ~ ~NII T~~r,,Gi?=' , t . < ~. . ~ r` - ~ ~~ ti ~,., ~~ ~ ~ ,~~ y.i ~'°C ' ~ ~-fit:'. w ~"4' ~ "R #~ ~~ : i s~., ud.Q'~. v'4 ~ 5., ~ ~ '~ -~ _._~___ ___-~~ __~-~ ~1~ J ~ a ~ { ~~ A ~ 's~ 1 t ~ ~'x ~ .. ~1!S ~~ T~ _ ~: E z 4 ~ i (1 l ~( i}` ,~ n ~ k ~~ ~V. ~~ ~ ~ ~ ^~ 1 f t ~ ~~`~ ~ lcri ~k , ~ ~4 ~,\ M1 ~~ ~~ ~~~.~, ..` , `f ~~ +~t 1"; an Ci :~ ~~ ~..r ~ Y- ' ~ ry ' . °~ ~ x ~ ' $ ~ ~' ~~ N ~ ~ jY ~ ' ~ ... . 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