The URL can be used to link to this page

Home My WebLink About17017-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18047 Date MAY 22, 1989 THIS CERTIFIES that the building. ADDITIONS Location of Property 3500 GRATHWOHL ROAD NEW SUFFOLK House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 08 Lot 04 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 28, 1988 pursuant to which Building Permit No. 17017Z dated MAY 20~ 19BB 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 CHIMNEY~ FIREPLACE AND DECK ADDIT%ON. The certificate is issued to JOHN & LAURA BABASHAK (owner, _XX) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FOR.M[ NO. 0 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 017017 Z Permission is hereby granted to: ..~;z~....~...~.~.~. ...~....~.....6~ ............................................... at p,e~,,,,,ocote~ at .~..~ ........ .~..~....~....,.....O.~....~~ ...... County Tax Map No. 1000 Section ........ ,/../...0.. ........ Block ..... ~.~ ........... Lot No......C~....c'~. ........... pursuant to application dated ...... ~........'~-...~ .................... , 19.~.~.., and approved by the Building Inspector. Rev. 6/30/80 TO~N OF SOUTHOLD BDILDING DEPARTMENT TOWN HALL SOUTHOLD. NEW YORK 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY HOUSE NO. STREET HAMLET Owner or Owners of roperty ......................... County Tax Map No. 1000 Section -//~. Block ....... Lot' . ....... Planuiug Board Approval ................ Request for Temporary Certificate ....... Subdivision ....................... Filed Map ........ Lot .......... Permit No. ~.~J--~-..Hate of Permit -Applicant . ..~.~.. ~ ~ Health Dept. Approval .................. Underwriters Approval .............. ? / Final Certificate ....~...~ ........ Fee Submitted: $ .~ .C~.. ............ APPLICANT . .'. . .................. rev. Cm FORM NO. T~NN OF S~U'~tOLD BI)'ILD lNG DEPARTMENT TOWN FALL 765- 1802 i APPLICAT~i FO~ ~EKTIFICATK OF OCCUPANCY INSTRUCTIONS 'Thz~ appllcatibn, must ~ filed in typewriter OR ink and submitted to the Building Inspector with the'~llgwing; for new buildings or new use: ]. Final survey of property with accurate location of all buildings, property lines, streets, and unusuallnatural or topographic features. 2. Final approval of Healtb Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement fromlplumber certifying that solder used in system contains less than 2/10 of IZ lead~ 5. Commercial buildings~ industrial buildings, multiple residences and similar.' buildings and installations, a certificate of code compliance from the Architect ~ elf Emgineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (Prior to April 9, 19573 non-conforming uses, or buildings and "pre-existing" landiuses: ]. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or t~pographic features. 2. A properly completediapplication' 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 ~ccupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3, Date of any housing c'ode or safety inspection of b~ildings or premises, or other pertinent mnformat~oq required to prepare a certificate. For Vacant Land'Certific!ate of Occupancy: I. An application for va;cant land Certificate of Occupancy shall be submitted, and a certified abstr~act of title issued by a title company showing single and separate ownership oil the entire lot prior to April 9, 19~7 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasohs therefor in writing to the applicant. FEES: ]- CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwe:lliug $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to AccesBory buildings, $25.00 - Businesses $50.00. 2. Certificate of OcCupancy om pre-existing dwelling - $~00.00. 3. Copy of Certiflca~e of Occupancy - $5.00 - over 5 years - $~0.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certiflca~e of Occupancy - $50.00 6, Temporary CertifiCate of Occupancy - $25.00 Residential $50.00 Commercial APPLICATION ON BACK ~0/~4/88 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 TEL. 765-I 802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /_--/~/An application for Certificate of Occupancy in not on file. /--/ No Underwriters Certificate on file. /~ The check is(outdated/not on /5/ No Health Dept. Approval on file. /Z/ Ne final ins.pection has been made. Please contact our office on this matter. Thank you for your cooperation. Bui]dJ.ng Permit t~ i 7 ~ _~ _~ Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 'OUNDATION (1st) 'OUNDATION (2nd) ~OUGH FRAME & ?LUMBING iNSULATION PER N. STATE ENERGY CODE FINAL emorandum from .... BUILDING INSPECTORS OFFICE TOWN OF $OUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 May 2, 1988 Mr. & Mrs. gon Babashak P.O. Box 645 New Suffolk, N.Y. I1956 Dear Mr. & Mrs. Babashak: Wc are unable to process your building permit application for the following reasons: 1. Application not notarized. 2. Please submit plans showing location of chimney and fireplace. Thank you, SOUTHOLD TOWN BLDG. DEPT. HOUSE EI --. FAONU/^t:HT 0 IRDH PIPE C,U~R~NTEGO lO TWE TITLE 6UPRRNT~E £O/&PRNY o ~UBVEYEO. ~UG. 1), 19B9 V,qN TUYL ~ SON 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ~ ] FOUNDATION 2ND [ ] INSULATION []FRAMING [~FINAL REMARKS~ DATE INSPECTOR Approved ...-- '4 M~.A~...,~o.., 19.~_.~. Pen'nit No. }..~. 9. ! ."'/..~ Disapproved ale ..................................... ................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT '1 l;l';'l',q OF pI,^Ng ....... I~OIIM NO. 1 SURVEY ......... TOWN OF SOUTHOLD CIIECK .......... BUILDING DEPARTMENT sgPTIC FOR~q ............. TOWN HALL NOTTYY ,°,OUTHOLD, N.Y. 11971 CALL · ............... INSTRUCTIONS a. This application nlust be completely filled in by typewriter or in ink and submitted to the Building Inspector, witli 3 sets of pians, 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 ]nay 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 irlspeetion 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 Sou,hold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remoPal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, arkd regulations, and to~ admitauthorizedinspectorson~r.e;~i,i~llO~uildingfornecessarv~/msp,~ct~ls.~u~I~· ' ,/~] C~.~_._~) (-~1 D [) LRlrlT " '1'"'"'-'"";" '.: ~ '.' "x42./- . . I15[I$?*~"~'~ICAII[~]~i.- fi~]gnature' of applicant, or name, If a corporaUon) I: t, r ............. 0 ~ (Mailing address of ffp~licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. as oT'm ~Name of owner of premises ~ :..~ DA~: __ ~.~ , -- (as on the tax roll or la~~_ aY N~ ~IJILDING DEPARTMENT AT a~f applicant is a corporation, signature of duly authorized officer. 765 1802 9 AM TO 4 PM FOR THE (Name and title of co¢orate officer) . ALL CONTRACTOR'S HUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... FOLLOWING INSPECTIONS. I. FOUNDATION T/NO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3, INSULATION 4. FINAL CONSTRUCTION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. StAtE CONSTRUCTIOI~ ~ ENERGY _. cOOES. Ot~er lraoe~ glcellse ~0 .... t ........... Location of,and on wi,ich proposed work will be done .. ' .... .... ...... ...... .......... l-~se Number Street ) Hamlet Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constrnction: a. Existing use and occupancy ..... ~ .......................................... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration . . .V'..../~ Repair .............. Removal .............. Demolition .............. OtherWork ...,~.~,_~..~ (Oescfiplion) 4. Estimated Cost ~/~ ..................................__ Fee ...................................... ~ (to be paid on filing this application) 5. I f dwelling, number of dwelling units ' .[ .......... Number of dwelling units on each floor ................. If garage, number of ears ....... ~ ................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ................ Number of Stories .. ~. ................................................. Dimensious of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... HeiSt ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ' Rear Depth Height ............... Number of Stories ................................. 9 Si of lot: Front Rear Depth ....................... 10. Date of Purchase ............................. Name of Fo~er Owner ............................. 11. Zone or use district in which premises are situated 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ . Nme of Architect ........................... Address ................... Phone No ................ Nmne of Contractor .......................... Address .... : .............. Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold To~ Trustees Permit maybe required. PLO~ DIAG~M Locate clearly and distinctly ~1 bulldogs, whether existing or proposed, and. indicate ~1 set-back dimensions from property fines. Give street and block number or deschption according to deed, ~d show street names and indicate whether interior or corner lot.~ C~m~'l ~.V~ .... .....~~~~~~~ ............. being duly sworn, deposes aad says that he is the applicant (Name of individual signing contract) ,d)ove healed. He is tile ......................................................................................... (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 contained 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 ......... ~...% ........ day of. Nota~, Public,~ .... '.: ~~ {y O0~,,StOn E. res gay 2~, 19~ .... .g .............. (Signature of ao~licant]