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HomeMy WebLinkAbout22342-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24675 Date OCTOBER 1, 1996 THIS CERTIFIES that the building AGRICULTURAL Location of Property 1100 COUNTY ROAD #48 MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 1 Lot 2.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 31, 1994 pursuant to which Building Permit No. 22342-Z dated SEPTEMBER 19, 1994 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 AGRICULTURAL BUILDING AS APPLIED FOR. The certificate is issued to PAUL & MAUREEN GRIPPA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - SEPT. 27, 1996 PLUMBERS CERTIFICATION DATED N/A a r" in Inspector 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) Date............ ................... 19.. , N° 22342 Z Permission Is hereby granted to; - /� .. /�............ ...-�. 7-L ... ..........� ................. ....... ./..�..%��............. s .. to ........ ........ . - ....../9- r..G�ti/ ................................. .......... . ....... .................................................................................................................................................................. .................................................................................................................................................................. at premises located at........!•/!�Pp.........�� /'y..a �..7.,Q.......................................... ........................................... ? i. .c` ......., .� ..1..... �. ......,........... County Tax Map No. 1000 Section ......�a ....... Block........ ................ Lot No. .�?.�..P2 ............. pursuant to application dated ......................`'L �.4.4- .. .�.., 195.((...... and approved by the Building Inspector. Fee$.. 0....... ... .............. .. ...... .Building In ector Rev. 6/30/80 TOVN OF SOUTHOLD T BUILDING DEPAREEN. 1 �� L5 l� lJ_IJ'¢f5 �� TOWN _ALL % rl 763-1-302 SEP 2 7 1996 APPLICATION FOR CERITI77CATE OF OCCM:NCY A. This application -must be. Filled in by typewriter OR ink and submitted to the building O inspector with the following: 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 Dent. or water supply and sewerage-d-isposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement From olumber certifying that the solder used in system contains less than 2/10 of 1-16 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-eX4St-fn_'1 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 S25.00, Additions to .dwelling $25.00, Alterations to dwelling $25.00, Swimming pool S25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildina - $100.00 3.. Copy of Certificate of Occupancy - _* .25c: 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date _1 101k . . . . . . . . . . . 7. . . . . . . . . . . . . . ... ... . . .... . New Construction. . . . . . Old Or Pre-existi_3�g B ildl g 1167) Location of Property.. . . .. . . . . .. . ... . . . . . " '2 . . . . House No.. Street ��amlet Onwer or Owners of-Property... . . . . . . . . . ... .. . . . . . . . ... . . . .. . . ... . . . . . . . . . . ... ..... .. County Tax Map No 1000, Section. . . . . .Block. . . . . . . . . . . . .. .Lot.. . . . ..'W . . . . . . ... Subdivision. . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Hap . . . . . . . . . . . .Lot. . . Permit No. . . Of Permit. . . .! !Y.Applicant.)- . . . .. . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . ... . . . Recuesz for: Temuorar-,, Certificate. . . . . . . . . . . .Final Carticate. . . Fee Submitted: 3 . . . . . . . . . . . . . . . . . . . . . . . Ae . . . . . . . . . ... . . . . . . . . . . . . I. . . . . . . AP PLI CANTE 00 -Z tG15 o y� H Z Town Hall,53095 Main Road p • Fax(516)765-1823 P. 0. Box 1179e y��l � � Telephone(516)765 1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR, TOWN OF SOUTHOLD September 12, 1996 Mr. Paul Grippa� 1100 County Rd. #48 `f.Mattituck, N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons:. ffi An application for Certificate of Occupancy is not on file.' (Enclosed) No Underwriters Certificate on file. %%% The check is ( /not on file. ) $25,00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. '(All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22342Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Z THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8052794 BUREAU OF ELECTRICITY 7 85 JOHN STREET, NEW YORK, NEW YORK 10038 ;:, .,,: I AUGUST 0-8,1995, 87389595/95 H046456 Date Application No.on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of PAUL GRIPPA, 1100 COUNTY ROAD #48, MATTITUCK, N.Y. in the following location; P!] Basement 0 Ist Ft. n 2nd Fl. OUT Section Block Lot AUGUST 014,1995 was examined on and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. I AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 60 82 54 52 8 1 4.5 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 T' 1 30 SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER EQUIP. 0 ZW 1,0'3W 3,0'3W 3,0'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER b OF CC.COND. OF HIAEG OF NEUTRAL 1 200 CB x !. 2/0 1 2/0 OTHER APPARATUS: G.F.C.I:-•9 1 SMOKE DETECTOR:--1 PAUL GRIPPA 1100 COUNTY ROAD ##48 MATTI"TUCK, i�lf,, 11952 GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT RE ALTERED IN ANY MANNER. I I , THE NEW YORKBOARD OF FIRE UNDERWRITERS WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS C INAN APPLICATION NOTJED BELOW EKED APPLICATION NO. l , LOCATION 00 INSPECTOR DATE ISD(REV 9190) � i 'I I I'� 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ �FINAL [ ] FIREPLACE & CHIMNEY REMARKS ZlIX DATE 9110 INSPECTOR 3 > ( 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL [;;rMING AT 2ND [ ] INSU ION [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: Zza DATE 7 INSPECTOR / -U:l Jn: -- -ter c- -•ter.-� . . .. ;n _.v .,--�.._�.-� 1v' 0 OHM E9T.S J1ID,1TI0•y . ( 1st) — - •-j a . 1IIDATION (2nd ) I o IGH FRAIIE - •PLUMBING - _- Ca • I m ;ULATION PER N.• Y. II • • :� STATE ENERGY CODE I } •FETAL •• I _ ADDIT I OIIAL COMMENTS : m � • x - H .,.�i3•�.Y"^ei•`_'_'���79i� _ _�',•-:v.�!'I v.3i'1': ••►b 4..r ••r .. . .• . .. r • -- -. .• •.. .. 0'1��11��0(!{�DG �1 0 y Z Town Hall, 53095 Main Road p Fax (516) 765-1823 P. 0. Box 1179 �� Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD' September 12, 1996 Mr. Paul Grippa 1100 County Rd. #48 Mattituck, N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : ZZg An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. ffi The check is ( /not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22342Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BOARD OF HEALTH . . . . . . . FORM NO. 1 • . �3 SETS OF PLANS . . . . . . -- TOWN OF SOUTHOLD SURVEY . . . _ . _ . . . . . . . . . . . {yr BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM _ . . . . . . . . . . . . . SOUTHOLD N.Y. 11971 TEL.. 765-1802 "'Q"° ";=. '• { {{ ". �` CALL /�n•_��1 SSO/ . . . Examulre 219./.°. MAIL TO : Approved . .. . . .1191,2 Permit No. d2 Z . . . . . . _ . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . (Building Inspector) P CATION FOR BUILDING PERMIT Date . L!��. s . . . . ., 19 g5`' 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 necessayspections. 7 I (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. own 2k­ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . / �� 67 Name of owner of premises . . . . �. .�"'l.Cu.�.VQ.c�!?.���. . � . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or lAes't deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) 5 Builder's License No. Plumber's License No. . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 At House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . . . . . . . Block . . . . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . Lot Subdivision . . . . . . . . . . . . . . _--- (Name) . . . . . . . . . . . f_ 2. State existing use and occupancy of premises and intended use and occupancy_PIF-00-0o ed construction: a. Existing use and occupancy . . . i�i`J2 CcY� �5��!Ct��� . . . . _ . . . . 4 . . . b. Intended use and occupancy . . S��..e .lO .. . . . . . . .... v� 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . V.,(Description) 4. Estimated Cost . . . ✓�. . . . Fee . Q ` ,• . . . . . . . . . . . . (to be paid on filing this application) S. 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 . . . . . . . . . . . . . . . . . A8.. Dimensions of entire new construction: Front . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth. Height . . . : . . . . . . . . . . .Number of Stories . 9. Size of lot: Front . . . . ... . Rear . . . .... . . . . . . . . . . . . .Depth . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . .. 41 . .I./.. ... • . • . • • . . . . • . Name of Former Owner �d �!~�I�5 11. Zone or use district in which premises are situated . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . 13. Will lot be regraded . . . . Will excess fill be removed from premises: • Yes . • No 14. Name of Owner of premises 11. . ..cvE�ay 6• ,,/DaAddress Phone No. Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address ? :' :'k`::`''� � � • , Phone No. . . . . . . . . . . . . . . . Name of Contractor . Address . . . . . . . . . . .Phone o. 15. Is this property within 300 feet of a tidal wetland? • *yeS_ , . No . . . . . • � • *If yes, Southold Town Trustees Permit may be required. 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, S.S COUNTY OF . . . . . . . . . . • • �eev��`� 4. C��•� �• • • • • • • • . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing g g contract) above named. blieis 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 . .. dau of. . . . �. . . . . . . . . . . 19 . . y 1 Notary Public, . . . . . . . .o„. „ Jv ' :---. . . . . . County 4 LINDA j.COOPER - . . . . . . Notary Public,State of NeW York • . ( ignature of applicant) Term Exp res Decemb rk316 , 9 ` l!"d:- 2l N 7a q0 40,e I Cb00,dl /�/ p E�XG�t1T6�iJlw ram {1 U O P `\\\: ------ - 174.ej2 1 408.6' 97rr 18 EON 43�,00 =� 0 8 "� , r 060 j 0 1p 8 3 i r l-oT h' A\H 227,57' 5-1r°18 50 w 414.40 IN HA-ION FGR TH13 vA;•AnQa p!/.9 U N r� A V e N t1 e FROH A DuF;LvG- Iw,;e 17 92 Er' 40 011 40 _. 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