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Home My WebLink AboutZ-28885FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD~qTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28885 Date: 09/26/02 · £~fS CERTIFIES tb~at the building DWELLING Location of Property 2300 GRATHWOHL RD (HOUSE NO.) (STREET) County Tax ~ap No. 473889 Section 117 Block 0002 Subdivision FiledMap No. __ Lot No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICA~ OF OCCI/PANCY~31~BER Z- 28885 dated SEPTEMBER 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 ONE FAMILY DWELLING * NEW SUFFOLK (HAMLET) Lot 012 The certificate is issued to PHYLLIS A. ROSS (OWNER) of the aforesaid building. SUFFOLK COUI~TYDEPARTME~TOF ~KALTHAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAr~,, *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A BUILDING DEPARTMENT TOWN OF SOUTEOLD HOUSING CODE INSPECTION REPORT I&~-.ATION: 2300 GRATHWOHL RD SUBDI~r/SION: ~ OF OW-~ (S): PHYLLIS A. ROSS OCCNJPANCY: SINGLE FAMILY DWELLING ~2)Ml'r£~u BY: PHYLLIS ROSS NEW SUFFOLK MAP NO.: LOT (S) PHYLLIS A. ROSS ACCOMPANIED BY: SAME K]~Y A~-AII,%BLE: ~UFF. CO. T~J~ ~ NO.: 117.-2-12 SO~C'E OF P~: PHYLLIS A. ROSS 9/11/02 DA~: 09/26/02 DWELLING: TYPE OF CONStrUCTION: WOOD FRAME ~ STORIES: 1.0 ~ EXITS: 2 FOI3RDATION: CEMENT BLOCK CRIJ~%R: FULL CRAWL SPACE: TOTAL ROO~S: 1ST FLR.: 4 2ND FIR.: 0 3RD FLR.: 0 BA'I'~I(O0~(S): 1.0 TOILET ROOM(S): 0.0 13TI~ITY ROOM(S): PORCH TYPE: NONE DECK TYPE: NONE PATIO TYPE: NONE REAR ENTRY WAY ROOM ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: OTHER: 1 CAR WOOD FRAME STOP=~GE, ~"fPE C~)NST.: (~JEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPEcr~u; BY: DATE ON INSPECTION: 09/19/02 TIME START: 9:35 AM ~D: 9:55 AM 'T'OV,{~! OF ? r;U~ ~OL.D Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 a 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-existinK Buildinm - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15100 Date . .S..ep.t.e.m.b..e.r..9.,...2.0.0.2. ................... New Construction ........... Old Or Pre-existing Building..~ .............. Location of Property...2.3.0.0 .G.r.a.t.h.w. qh.1..R.o.a.d., ........... : ................ .N.e.w..S.uf. f.o.l.k. ............. House No. Street Hamlet Onwer or Owners of Property... PHYLLIS A..R. OS.S County Tax No 1000, Section..AV...0.0. ..... Block..0. :pp .......... Zot.9. . :.00.9 .............. Subdivision .................................. . .Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval.' ......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...X ........ Fee Submitted: ~ 100.00 .............................. , . .. . ........ ~ C O~ ~gS " Phyllis/A. Ross APPLICANT 77 ........... CONSENT TO INSPECTION PHYLLIS A. ROSS · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (~gj~the owner(u) of the premises in the Town of Southold located at 2300 Grathwohl Road, New Suffolk, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 117.00 , Block 02.00 , Lot 012.000 . That the undersigned (has) (~) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ Pre-Existin$ Certificate of 0cc~upancy for house and garage That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws· ordinances, rules and regulations of the Town of Southold.. The undersigned, in consenting to such inspections, do(es) so ~vith the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: September 9, 2002 -' / (signature) / Phyllis A. Ross (print name) (/) od I~SOOHD 3/N 7HO/vlH_L V~jO