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Home My WebLink About28604-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29875 Date: 11/26/03 T~IS CERTIFIES that the building ALTERATION Location of Property: 435 NORTH BAYVIEW RD EXT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 8 Lot 16.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 8, 2002 pursua//t to which Building Pex~it No. 28604-Z dated JULY 26, 2002 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 ALTERATION TO EXISTING UNHEATED NON-HABITABLE ACCESSORY GARAGE WITHOUT BATHROOM, 2ND FLOOR STORAGE ONLY WITH ATTACHED WOOD DECK AS APPLIED FOR. The certificate is issued to GERARD & KATHLEEN GP~ASSECK (OWNER) of the aforesaid building. SUFFOLK COUNT~DEPARTMENT OF fD~ALT~APPROVAL ELECTRICAL CERTIFICATE NO. PLI~B~ CERTIFICATION DAT~ Rev. 1/81 N/A 3314 10/04/03 N/A FORM NO. 3 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) PERMIT NO. 28604 Z Date JULY 26, 2002 Permission is hereby granted to: GERARD & WF GRASECK 435 N BAYVIEW RD SOUTHOLD,NY 11971 for : ALTER3~TION TO AN EXISTING ACCESSORY UNHABITABLE GARAGE WITHOUT BATHROOM, UNHEATED at premises located at County Tax Map No. 473889 Section 078 pursuant to application dated JULY Building Inspector to expire on JANUARY 435 NORTH BAYVIEW RD EXT SOUTHOLD Block 0008 Lot No. 016.002 8, 2002 and approved by the 26, 2004. Fee $ 253.50 k~_~/______,-"kuth~z~z~d smgnature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following! A. For new building 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 from Health 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 the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from 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 and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwellifig $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Ii': Old or Pre-existing Building: (check one) New Construction: Location of Property: House No. Street Hamlet Owner or Owners of Property: t~t~/'~q/~D & id/:'t'~rd~ff~E?.A.~ Suffolk County Tax Map No 1000, Section Subdivision _~F2 ~ Date of Permit. Z/~/~ ~.. Applicant: Permit No. Health Dept. Approval: . ~ ~--------"--'~- Underwriters Approval: Planning Board Approval:_~z~_-~ Request for: Temporary Certificate __ Final Certificate: Fee Submitted: $ Block ~t9c9oo Lot Filed Map. Lot: t~ (check one) App mant S~gnature WARREN A. SAMBACH, SR, CONSULTING ENGINEERS · PLANNERS 7675 COX LANE · P.O. BOX 1033 CUTCHOGUE, NY 11935 63 ~J -- {~;~) 734-7492 July 19 2002 Building Department Town of Southold 53095 Main Road Southold NY 11971 Re: SCTM: 1000 Section: 432 North Bayvie~¢ Southold NY 11971 To Whom it May Concern: The Bathroom in the Garage plan. Warren A. Sambach Sr. P.E. was:s 78 Block: 8 Lot: 16.2 is to be eliminated from the Town Hall, 53095 Main Road P.O. Box 1179 $outhold, New York 11971-0959 Fax (631) 765-1823 Telephone(631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 17, 2002 Gerard and Kathleen Graseck 435 North Bayview Rd. Ext. Southold, NY 1197l To Whom It May Concern: Please take notice that in review of your building permit application, dated July 12, 2002, for alterations to an existing garage at 435 North Bayview Road Extension, Suftblk County Tax Map Number 1000-78-8-16.2 it has come to our attention that you currently have a number of expired permits and do not have valid certificate of occupancies on your property and you are in violation of Southold Town Code. It is imperative that you address this matter as soon as possible, by submitting the following: 1) Immediate renewal of building permit #16392-Z, for construction of an in-ground swimming pool, deck, and fence as applied for. In order to renew the permit, you must submit a check for $225 and schedule a final pool inspection. Once you have passed your final inspection, you must apply for a certificate of occupancy and submit a certificate of occupancy fee of $25. 2) Immediate renewal ofbuilding permit #11925-Z, for construction of a garage addition as applied for. In order to renew the permit, you must submit a check for $150 and schedule a final pool inspection. Once you have passed your final inspection, you must apply for a certificate of occupancy and submit a certificate of occupancy fee of $25. If you have any questions, feel free to call this office, between the hours of 8 a.m. and 4 p.m. Respectfully Yours, Authorized Signature CC: File Nassau Suffolk Elec~c~ Inspections, ~c. 5A Can~ Street * Center Mofiches, New York 11934 * Tel: 631-878-3500 * Fax: 631-878-3764 Application: 3314 Date: Issued to: Graseck Address:. 435 N.Bayview Rd Ext. Village: Southold 10/4/03 Introduced By: EECO Electric Lic#:2781 -E was examined and approved up to the above date and was in compliance with the NEC llll Switches Receptacles Fixtures G.F.I Range Hood Whirlpool 19 35 41 9 Oven Carbon Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Molloxide 1 Furnace Oil Gas Heat Zones Smoke Bell Detectors Transformers 2 Meter Amps Phase Motors Dther Equipment: Accessory Building ::)ut,Res This certificate must not be altered in any manner BUILDING PERMIT EXAMINER CHECK LIST APPLICANT :~,~-~2~,? ~q DATE REViEWED: ~ ~/02 DATE SUBMITTED:4~_/.~_/02 SCTM# DISTRICT: 1,000, SECTION: ,~ , BLOCK: $~, LOT: ./~. STREET ADDRESS: .~,,,~ /,/. _~.~4,.q~-z,) CITY: 63~,,~,r~r3~ SUBDIVISION: /- / :~_:. :, .' PROJECT DESCRIPTION:/:fl, q~_,Orr, a,t/ OA"- ,~g .~Je~,r~_- · ,. ESTIMATED PROJECT COST: ~ /~,E ARCHITECT/L~. _~-,,~,thzv-t' FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? A,~ NOTES: LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming al any time after 7/1/83 ZONING DISTRICT: ~7. ~/O CONFORMING? REQ. LOT SIZE: qg,ec~ ACT. LOT SIZE:Pt~,~t3 REQ. LOT COV., c~:>~ .ACT. LOT COV. REQ. FRONT ~ _~ / PROP· FRONT ;F' ~REQ SIDE ~ 'Sf~ACT. SIDE REQ. REAR ~ St PROP· REAR ~ REQ. HEIGHT -- PROP. HEIGHT WATER FRONT? A/o DESCRIPTION: PANEL #: /~.~ FLOOD ZONE: ~ , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or~) (BED #):__ TOWN SEPTIC RECEIPT: Y or& NEW YORK STATE DEC: PW-i)ec 911/?s YES SOUTHOLD TOWN TRUSTEES: YES or~O TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or~ TOWN HISTORICAL PRE (SPLIA): YES or~9 DTE: / / PERMIT #:R10- NYS ENERGY: YES OR NO : EGRESS (18 H min.? 4 sq total)!-- VENT (SQ. FT. x 4%) BUILDING PERMITS OPEN/EXPIRED: BP //? 12~" -Z / C/0 Z- HAVE PRE CO'S :YORN BP./~q~'3( -Z/C/0 Z- NOTES: ~ < O-, ? ~ LIGHT (SQ. FT. x 8%) FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: 1.( 10~% SF)-(,~SF)= SF qOO SF ! Oo~' SF SF Iqo~- SF SF x $ =$ INIT OTHER TOTAL FEE FEE FEE ~ +$ 2. ( SF)- ( SF)= SF X $__=$ +$ +$ = $ 765-1802 BUILDING DEPT. INSPECTION [~] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK~ DATE ~/'~~,NSPECTO. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOU/NDATION 2ND [ ~/"FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ]/~GH PLBG. [ ~]' INSULATION [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: ~.~/~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL~N [ ] FRAMING [ ]~FINAL [ ] FIREPLACE & CHIMNEY REMARK/S: ~. DATE ~INSPE~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG~.BG. [ ] FOUNDATION2ND [ ] I.~J~ATION [ ] FRAMING /~ [~}~INAL [ ] FIREPLACE & CHIMNEY DATE ///////7///~-- / / INSPE~ DATE FOUNDATION (iST) FOI. JNI).4.TION (g/VD) ROUGt~ FRAMING & FLUMBING 12qSUI.~TION PE~ N. ¥. STATE EN]~t>,,G'Y CODE ~DDIT/ONAL COMi~/EN~ TOV~'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined Approved ~t~- .20~.~_ Disapproved k xpiration PERMIT NO. ~GO4 ~5~ BUILDING PEKMIT APPLICATION-CH ECI< 1.1 Sq Board of Health ~ 3 sets of Building Plans Plam~ing Board approx a I/ Check~ . Septic Form N.Y.S.D.E.C. 5. .. ':~Ir~ Building Inspector 2002 ,, { '~PLICATION FOR BUILDING PB~IT t INSTRUCTIONS Mail to: Phone: a. Th/s application MUST be conrpletely filled in by typewriter or in imk and submitted to the Building Inspector sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings ou pre~mses, relationship to adjoining premises or public str~'cl meas, and waterways. c. The work covered by this application may not be connnenced before issuance of Building Permit. d. Upon approval of this application, the Building h~spector will issue a Building Permit to the applicam Such shall be kept on the premises avuilable for inspection throughout the work. e. No building shall be occnpied or used in whole or m part tbr any purpose what so ever until the Building Inspeclor is.,ues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized bas not connnenced within 12 months aflc: Ibc issuance or has not been completed within 1 8 months from such date. if no zouing amendments or other regulalions atI~cling ploperty have been enacted m thc interim, thc Building hxspec;or may authorize, in writing, the extension ol thc pC~ltU! addition six months. Thereafter. a new pcrnfit shall be required. APPLICATION IS HEREBY MADE to the Building Departmem lbr the issuance ora Building Pemqit ptll~,uaut Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordn~mces or Regulations, for the consm~ction of buildings, additions, or alterations or fbr removal or demolition as herein described applicant agrees to compl5 with all applicable laws, ordinances, building code, housing code, and regulations, :md authorized inspectors on premises and in building for necessary inspections. (Signatm'e of applicant or name. il;/coq>orahom (Mailing address of applicam) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises G~2~I~(XI"4 CA.. ~',.0~\00~'% Gi~O,~'~O_O}~,~ (As on the tax roll or latest deed) It' applicant is a cot-potation, signature o£ duly authorized officer (Name and title of coq)orate officer) Builders License No. I "~ PI umbers License No. Electricians License No. Other Trade's License Location of land on ~ hich proposed work will be done: House-Number - ' Str~'~t' - Hamlet County Tax Map No. 1000 Subdivision (N ume) Block ~ ¢~,_r Filed Map No. Lot Sl:te existing use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy 0._~$ ~ D~/~'TI/h L b. Intended use and occupancy_ x,:/ture of work (check which applicable): New BuildingS'""" Repair Removal Demolition If dx~ dim:. mmnber of dwelling units ,~ If garage, number of cars -f~o Addition Other Work Alteration (Description) (To be paid on filing this application) Number of dwelling un/ts on each floor .~ business, commercial or mixed occupancy, specif.v natnre and extent of each tyq0e o}'use. / - I)nncnsiol~s of existing structures, if any: Front Rear Depth Height__ Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth. Height Number of Stories Dimensions of entire new construction: Front 'Z-- ~ Rear '7..- ~ .Depth Height I ~ Number of Stories / 9. Sizeoflot:Front__J~S Rear I'll ,~7 Depth II). D::c el Vmchase "Y-/qr,5, I 97 [ _Name of Former O~vner ~tq~O_ r~q~h'F L 1 I. Zone et usc district in which premises are situated 12. ~--S lPl:7,'OT-? ,~ z_ _ 1=. '~ Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot he re%faded? YES NO /Will excess fill be removed from premises? YES NO / 14. Names T~ "£,q:f, iAddress 45S'-,'q'6',4y'OY 4,e hone No. '7&q'---IqO q of Owner of prem~ses,g.4 Name of Architect Address Phone No N amc of Contractor Address Phone No. s a ls this p~(~perty within 100 feet of a tidal wetland or a freshwater wetland? *YES * W YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE RE~QUIRED. b Is this p:operty within 300 feet of a tidal wetland? * YES NO 't 11: YES. I .[:.(. PERMITS MAY BE REQUIRED. Ih'oxide survey, to scale, with accurate foundation plan and distances to p~ perry hne. 7. it ele,~alion at any point on property is at I 0 feet or below, must provide topographical data on sur,'ey. ~4TAq E ()F Nt\V YORK) SS: N]h' ()F ) _ ~J"(~ ~'~_ ~ bfl ~. ? being duly' sv¢om, deposes and say's tlml (s)hc is the applicant {Name t,l individual signing contract) above named, (Contractor, Agent, Corporate Officer, etc.) said o',x ncx Ill owners, and is duly authorized to pertbrm or have performed the said work and 1o make and file this application: thai all slatcmcnl5 contained in this application are true to the best of his knowledge and belief; and that the work will be pc~ Iormed in tile mariner set forth in the application filed therewith. ,, ~ N,: aLv Pu~c ELI~ A STA~I~ NOTARY PUBLIC, S~te of N~ Yoffi No. 01 ST$008173, S~oik ~un~ Te~ Expires June 8, 20~