HomeMy WebLinkAboutZ-25991FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25991
Date: 09/28/98
THIS CERTIFIES that the building DWELLING
Location of Property 2750 YOUNGS AVE SOUTHOLD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 063 Block 0002
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 25991 dated SEPTEMBER 28, 1998
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 ONE FAMILY DWELLING WITH ACCESSORY STORAGE BARN*
(HAMLET}
Lot 003
The certificate is issued to CHARLES E GRATTAN & ORS.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Bui~ing Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPOET
LOCATION: 2750 YOUN~S AVE SOUTHOLD
SUBDIVISION: MAP NO.:
NAME OF OWNER (S) : CHARLES E GRATTAN & O~,
-- LOT (S) --
OCCUPANCY: SINGLE FAMILy CHARLES E GRATTAN & ORS.
ADMITTED BY: ROGER GRATTAN ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAp NO.: 63.-2-3
SOURCE OF REQUEST: F.J. TEDESCHI. 9/15/98 DATE: 09/28/98
TYPE OF CONSTRUCTION: WOOD FRAME
FOUNDATION: BRICK
TOTAL ROOMS: 1ST FLR.: ~ 2ND FLR.: __~
BATHROOM(S): 1.0 TOILET ROOM(S): 0.0
PORCH TYPE: COVERED SIDE & FRONT DECK TYPE:
BREEZEWAY: FIREPLACE: NO
DOMESTIC HOTWATER: YES TYPE HEATER: STREET GAS
TYPE HEAT: GAS * WARM AIR: EOTWATER:
OTHER: *FLOOR UNIT
# STORIES: 2.0 # EXITS:
CELLA,R: FULL CRAWL SPACE:
3RD FLR.:
UTILITY ROOM(S): --
PATIO TYPE:
GAP. AGE:
AIRCONDITIONING:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.: WOOD FRAME BARN
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~ DESCRIPTION ~ ART.
SEC.
REMARKS:
INSPECTED BY:
MICHAEL J. VERITY
DATE ON INSPECTION: 09/21/~$
TIME START: 10:15 AM END: 11:00 AM
Form No. ~
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 built
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lit
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contain
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar bull
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or ~uildings
'!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 a consent to inspect signed by the applic~
If a Certificate of Occupancy is denied, the Building Inspector shall state thc
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 $25.0£
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00
3. Copy of Certificate of Occupancy - =
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ?/:
· ' ....r-dM' ........................
New Construction ....... ! ....Old Or P~eTexisting Building .... ~ ...........
House No. S freer H~ml et
Omwer or Owners of Property. /..~.~.~ '~/~ P~ .~.~ /~
County Tax Map No 1000, Section. ..~.~.. .Block ' ~ Lot'
Subdivision .................................... Filed Map ............ Lot ........... ~ ....
Permit No ................ Date Of Permit ................ Applicant. ' .< ....
Health Dept. Approval .......................... Underwriters Approval ....................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $.. 4 ~_/......'~?.Y~....- .............. .~- .~. ~ ~2.~ ~ '~