HomeMy WebLinkAbout32488-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32137
Date: 01/12/07
THIS CERTIFIES that the building
ADDITION
Location of Property: 7480 NORTH
(HOUSE NO.)
County Tax Map No. 473889 Section 79
BAYVIEW RD
(STREET)
Block 7
SOUTHOLD
(HAMLET)
Lot 11
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
NOVEMBER 13, 2006 pursuant to which
Building Permit No. 32488-Z
dated
NOVEMBER 13, 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 2ND STORY ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR,
AND AMENDED TO INCLUDE GARAGE CONVERSION TO FAMILY ROOM AND A DECK
ADDITION.
The certificate is issued to PAUL D & NANCY GRATTAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
113S48H
01/05/07
PLUMBERS CERTIFICATION DATED
N/A
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Rev. 1/81
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.
32488 Z
Date NOVEMBER 13, 2006
Permission is hereby granted to:
PAUL D & NANY GRATTAN
PO BOX 435
SOUTHOLD,NY 11971
for :
CONSTRUCT 2ND STORY ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at
7480 NORTH BAYVIEW RD
SOUTHOLD
County Tax Map No. 473889 Section 079
Block 0007
Lot No. 011
pursuant to application dated NOVEMBER 13, 2006 and approved by the
Building Inspector to expire on MAY 13, 2008.
Fee $
150.00
ORIGINAL
Rev. 5/8/02
.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
APPLICATION FOR CERTIFICATE OF OCCUPANCY
-
A. For new building 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 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 certitying that the solder used in system contains less than 2/10 of I % 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:
I. 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
I. 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 ofOccnpancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00
Date. 1:< vEC' oC
New Construction:
Old or Pre-existing Building:
(check one)
Location of Property: 7 'I fJ, 0
House No.
IJ /M'f'O/AJ Ill)
Street
<;CJ c.) rl/at.()
Hamlet
Owner or Owners of Property: PAV L .... lJ,lffJ<..'( GIL/}ri)?#
Suffolk Connty Tal' Map No 1000, Section
Subdivision .-.MAw4/l1J A c I/.ES
Permit No. _..?_~'iee ;?__ Date of Penn it.
07'1
.
Block OOd) 7
._._ __ Lot ..t2/L_.____
.____ Filed Map. _'_
I ? NoU .!2f.__ Applicant:---0w.L_J2.
Lot:
eMllAA!
Health Dept: Approval:
Planning Board Approval:
Underwriters Approval: _______..____._ "___
Request for:
Temporary Certificate
Final Certificate:
( check one)
Fee Submitted: $
P $ U GA_
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Applicant Signature
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TOWN OF SOUTH BUILr::;:NG DEPT.
765.180 /.
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INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [~L
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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INSPECTOR
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FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SQUTHOLD. N.Y. 11971
TEL.: 765-180:!
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BLDG. DEPT
TOWN OF SOurHOlD
Examined. .4~.~... .., 19'i.1,.
Approved.. '1'~' 9....., 19)1~. Permit No. .I.lf.f.If.~.~.
Disapproved alc ................ . . . . . . . . . . . . . . . . . . . . .
Received.. ..... . . . . ,19.. .
3~
................................:'C.J~~;:~.......O-K. ~ V~
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date. ~f.8.........., 19?4>
INSTRUCTIONS
a. This application must be completely filled in by typewriter 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, 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, housing code, and regulations, and to
admit authorized inspectors on premises and in building for neces~~~~ .b. . . .. . . . . . . . . : . . . . . . . . .
(Signature of applicant, or name, if a corporation)
............. .... ....... ... ........ ....... ....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
... e~.;Jc;I.~~.................................................................................
Name of owner of premises /!}f:.?, fJ1.f:".5.. Pdtl..!.. G.t:il-tt;~.~......................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.............................. ................
(Name and title of corporate officer)
.....
Builder's License No. .I.!.:J....................
Plumber's License No. .... ~ . . . . . . . . . . . . . . . . . .
Electrician's License No. ......................
Other Trade's License No. ....--:-................
I. Location of land on which proposed work will be done. .................................................
.. 7$. .<;q............... .N.. J3arY;.~~. /?l....... .S<:>.l.(.ih9.1.,J........................
House Number Street Hamlet .
County Tax Map No. 1000 Section .......7.9........ Block...... 7. . . . . . .. ... Lot..... .II. . . . . . . . . . .
Subdivision. ... . . . . . . . . .. . . . .. . . . .. .. .. .. . . " . .. Filed Map No. .............. Lot. ...... .. ... .. .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . .!?:t? .5. I ~.t I] {;. <( . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended usea.nd occupancy :&.5.',1.J,.f:7. !C.~.:.~..~........ .::.... .-..........
3. Nature of work (check which applicable): New Building. .. . ... . . . . Addition../ Alteration ..........
Repair ....:......... Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . .
(Description)
4. Estimated Cost ...l"'?'~. ~ 7.5'. P. 9.9 . . . . . . . . . . . . . . . . . . Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. '
.. (to be paid on fIling this application)
5. If dwelling, number of dwelling units. . . . .I. . . . . . . .. Number of dwelling units~n 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. c'O. ( . . . . . . . . . Rear .4: '? . '. . . . . . .. Depth ..;2. k. . . . . . . . . .
Height .1. 't.t. . . . . . . . . . . Number of Stories . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . .
Dimensions of same structure with alterati6ns or additions: Front .(4.0.'............ Rear .4>.9. . . . . . . . . . . . . .
Depth. ...1...(:!. .. . . . . . . . . . . . . . Height ..z.;.. ~ . . . . . . . . . . . . . . . . Number of Stories. . .2-. .. . . . . . .. . . .. . .
. 8. Dimensions of entire new construction: Front. . G~. '. . . . . . . .. Rear.. .t;..Q. ~ . .. . . . . Depth . 2.~: . . . . . . . . .
Height .2...2... '. . . . . . . . . . Number of Stories. . . :L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9., Size of lot: Front. . . . . . . . . . . . . . . . . . . . .. Rear...................... Depth ......................
10. Date of Purchase ............................. Name of Former Owner .............................
11. Zone or use district in which premises are situated. . . . . . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .
12. D?es proposed constructiVb'>late any zoning law, ordin~ce or regulation: ..............................~.
13. Will lot be regraded ..... n1 ..;/. . . . . . "'?:hi.' . . . . . . Will ex~e s fin be removed fr~ premIses~' Ye /Nbo.
14 N fO f . '-T;I'>1~~r~ Add 7 ","'i:'""G'''I1''I''~ h N"''' -,9S-
. ame 0 wner 0 premIses .. .. . a.r.R-. . .'1.... ress. P.'<.... 1'/ <L: .. .. .. . one 0.... ..... .....
Name of Architect .. . . . . . . . :-:-:-: . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . '1( . . Phone No. ...............
Name ofContractort:;'~Oi'" NJfr-r.t.......... Address;::..!!~t;;;;.;...? Phone No. 7"05 :-..5". '!.'?~..
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
inlerior or corner lot.
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STATE OF NEW YORK, S S
COUNTY OF./- J' . . . . . . . . . . .. . /00. () D '
.... . .... .../~.-:.'.~.. .. ... .... ... .. .. being duly sworn, deposes and says that he is the applicant
(Name of individual signin~ contract)
above named.
He is the ... .~.....................................................................
(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
. . . . .. . . . . .. .t. . . . . .. . . .day of. . . 5f!q. . . . . . . . . . . ., 19lF .
No'", P,b"" ...~.;t. [)kil~.. . . .. cO=~L ~ ..111. .. '.11II. .... :..
HOTARY~5k'.Il~'1NewM (f" (Sign:atu~ of applicant)
No. 4707878, SoIIaIII Counlr<;.7
Term Expires Marcil 30, lL..:L
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JULY R6, /976
NOV ./1, /976
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IN,,""THORIZED'ALT[RArtQH'OJl ADDITION TO THII SlJAVr'f IS A vl(l~_AT,')N 01'
f CllON 7209 Of THE Hfw YDRI(ITATr: EOUCATlON LAW - COPlfS ~ THIS
urwn NAP NOT .EARING rH['~. DiURVE:YOR'1 tNII.E'o SEAL OR EMBOSSED
,lAL. SHAL+ NOT'IE CONS' Of REO TO BE' VALlO TAvE COpy - GUARANl{ l S
I{JICATE.D. riEREON 'HALL: IItUf\lONlY TO THE: PERSON rQR WHC>>oI THt. '!)uWVf Y IS
~EPAREO, AND OH.HIS BEHAlF TO -lliE' rULE COMPANY. GOVERNP04(NJAl AGENCY
,'NO L[fiPlf\l(J IHSJITUJ'lDH WSTtD HDfE'ON. AND TO THE ASSIGNEE ~ OS: hlf
ENDING lNStttUTtOH. GUA'tAHTEU "RE NOT TRANSfERABLE. TO AOOI "',NAl
~STtTUTK)N$ OR SUU)9UENT~N[RS. .
I'iE LOCATION 0" WEU.I ANO'CI"PCX>LS SHoWN'HERECW ARE FROM F If LO
ti5EFlvATIONS "NO/OR ,,~.. OAT';O,YAINEOFRON OTHERS
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HE WAltA SUPP!..Y ANO If WAGE DISPOSAL SYSTEMS FOR THIS RfSIO[NCF W,Ll.,
,ONFORM T,~,THE JTANO~'OS CW,}~ ,1IJff'0i.1<. COUNTY Of PAR rMENT Of 'If J" I H .
cHvlCfS . I .',,' . . ~';:,;)o.." '. .
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SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ,ON JUNE 4,1971 AS FILE NO. 5599
WATER SUPPLY -PRIVATE WELLS'
NEAREST PUBLIC WATER- 2 MILES :!:
SURVEY FOR
~'/fu~~~~'~4~;NGS BANK
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,RANDAZZO BUILDING CO,
LOT 8
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"LEEWARD ACRES
AT BAYVIEW"
AT;
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TOWN Of .. ."... f
SOUTHOLn, AL',fN W 'OU">, "Ref SS'ONAL
LJ F,"'GIN!-[A ANlj LLrIO suk'Jf '(OR
N VS LIt: NO jZH4~ '
SUFFOLK COUNTY, N, Y ..OWARD W VDUNG, L<h' SoR,[<O_
N .!_5 LlC (,10 4'693
YO Li-NGa- YOUNG, LAND SURVEYORS
400 OSTRANDER AVENUE
_B-LYE B_HIAD .L_~EW ,Y2f1~,:;'_
SCAlE NO
I" =50'
DATE,
MAR~H 4,1976
76-129
BAYVIEW
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I't01!tFY $JII;DtNG, DEP~RTMQIrr AT
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ST~:rEC .NSTRUCftON" ENeRGY
QODES, NOT'flE~E f=OR
riEStGN OR C;(lN~ON ERRORS.
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