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Home My WebLink About31791-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31469 Date: 03/03/06 R~{IS CERTIFIES tt~at the building ACCESSORY Location of Property: 8625 NASSAU POINT RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 118 Block 4 Lot 13 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 10, 2006 pursuant to which Building Permit No. 31791-Z dated FEBRUARY 10, 2006 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 "AS BUILT" ACCESSORY 12' X 12' PLAYHOUSE MOVED ONTO THE PROPERTY IN 1958. · ~ne certificate is issued to GEORGE C & MURIEL GPJkHAN (OWNER) of the aforesaid building. SUFFOLK COUN~fYDEPARTI~ENT OF ~EALTEAPPROVAL ELECTEICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£~U3 ~/a N/A N/A ~r i z~ Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, CERTIFICATE OF OCCUPANCY No: Z-31467 Date: 03/03/06 THIS CERTIFIES t~at the building ACCESSORY Location of Property: 8625 NASSAU POINT RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 118 Block 4 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 10, 2006 pursuant to which Building Permit No. 31791-Z dated FEBRUARY 10, 2006 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. (NOTE: THIS GARAGE WAS CONSTRUCTED IN 1966.) The certificate is issued to GEORGE C & MURIEL GRAHAM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF I{EALTH APPROVAL ELECT~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 Form No. 6 TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tiffs application must be filled in by typewriter or ink and subinitted 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. B. 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 dwelling $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 ~Old or Pre-existing Building: House No. Street New Construction: Location of Property: Owner or Owners of Property: C~ (,w,~ ~. Suffolk County Tax Map No 1000, Section ~ ? Block Subdivision Filed Map. Date..,t4 6/ / __ C Crc-a cc-q4 (check one) Permit No. '~} ,~, [*'~ Health Dept. Approval: Hamlet Lot I~ Lot: ~. DateofPemfit. /t~l/. l~/ [/~g~,Applicant: ~:v0~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Subnfitted: $ .2~~'''''''-- . qgo5 Final Certificate: (check one) ~ant Si~ e~ 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 subnfitted 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 lbrm). 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. B. 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 dwelling $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 New Construction: Location of Property: Owner or Owners of Property: ~1~ (y~ Suffolk County Tax Map No 1000, Section ~ Old or Pre-existing Building: }louse No. Street Block Date. _J-'/A/~.~ ~/ / (check one) _c'.ccvo4 Hamlet Lot I -~ Subdivision Permit No. Health Dept. Approval: __ Filed Map. _ Lot: Date of Pemfit. Unde~riters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,.2~~'~-'- Final Certificate: (check one) nt Si~ e~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31791 Z Date FEBRUARY 10, 2006 Permission is hereby granted to: GEORGE C GRAHAM 265 WOODFIELD RD W HEMPSTEAD,NY 11552 for : BUILD NEW ACCESSORY BUILDING (PVT GARAGE). BP 3319. THIS PERMIT REPLACES at premises located at County Tax Map No. 473889 Section 118 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST Fee $ 75.00 8625 NASSAU POINT RD CUTCHOGUE Block 0004 Lot No. 013 10, 2006 and approved by the 10, 2007. ? Auth/ized Sig~ture ORIGINAL Rev. 5/8/02 O~o~°~ FOH~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT N? (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 3319 Z ..................... 19 .. Permission is hereby granted to: ........... ................ .~.~.c~m~ .......................................... at premises located at .N&s~iI~U...P~J~-/;..~I~p,.~J..~.6~ ............................................................ ........................... F*/. ~ ..ti~ a~.~....~.~, ,....,*~.t..-.. l;~atehegu,~ ~. · .N.o:~;, ............................................ pursuant to application dated .............................. 0~.~.....~ ............. , 19.~,., and approved by the Building Inspector. JJO~! Ap~z-oved by ~cL, Appea].B ~lov. ]-?t '19E6 Fee $5~,.O0...lll~.a..zl~eeip'(; ~ 3387 FIELD IIqSPECTION REPORT [ DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLLrMBING INSULATION PER N. Y. STATE ENERGY CODE COMMENTS ADDITIONAL COMMENTS FOBM NO. ! '/'OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... ....... Approved ...... ~i....!......~........, 19.(~C. Permit No..3...~....Jl...?....~ D isopp roved o/c .~...~........~.~.../...~... ~.~ .................... ........ ...... Application No ...... ..~.....~....J... ~. ....... APPLICATION FOR BUILDING PERMIT Date ............ .J. ............... ~ 'i~../. .... .......................... , 19..(.~ .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shah 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 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 and regulations. (Signature of applpant, or name, if a corporation) / (Address of applicant) ,~/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, ................................................................... ~ ~,: ~. ~ ~..', ~ ..................................................................................................... Name of owner of premises ................~ff...~ .............. ~ ............................................................................................. If applicant is a corporate, signature of duly authorized ~fficer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Mc~p No.: ..... '.,:/.:........:..~...:.:-.~ ......... Lot No.: ........................ Street and Number ................... ':,/.,...;:.~::M:~:: ............... :i~.. ......... ,~....~.'. ........................... ~...:..../.?.~.~..~L.:]~?..X~ .............. Municipality ./ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ..................................................... x( .................................................... 3. Nature of work (check which applicable): New Building '~'"~ Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost .................. 4~../..',~/..~......./.~! ................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars 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 ................................................................................................................ Dimensions of same structure with alterations or additions: Front ....................................Rear ........................... Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ................ .~%.:~ .............. Rear ........... ::..~ ............ Depth ... ~.~. .............. Height ........ ./.~ ....... Number of Stories 9. Size of lot: Front ......... /.:?...~ ......... Rear ............ /.:;'..~t ............... / · Depth .............. ........,.., ....... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction via!ate any zoning law ordinance or regulation~ ........ :.~r~.~ ....................... _~. 13. Nome of Owner of premises .:...::~.......,......,.:v:....:; ........ Address ../..~,:~.:/..~..4'.~...;:.'..~..Z ........... Phone Name of Architect ...................................................... Address ........................ ,. ................... Phone No ..................... Name of Contractor-~.~.~. ....... ::....~.~:~.~..~.. .................. Address ' ;'" ~' Phone No. 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 description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ c c COUNTY OF ................................ f .... ....................... ............ / ?..~. ........................... being duly sworn, deposes and says that he is the applicant (Name of in~vidual signing application) above named. He is the z_., (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 end 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 .......... e~.?. ....... day__of ...~~/,) ,') . ........ , 19...~.~'~, Notary Public, .i?~~.~p~. Cou nty~.~; ................... "J"./(Signature~ .................................................... of applicant)