The URL can be used to link to this page

Home My WebLink AboutZ-28885 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28885 Date: 09/26/02 THIS CERTIFIES that the building DWELLING Location of Property 2300 GRATHWOHL RD NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 0002 Lot 012 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- 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 The certificate is issued to PHYLLIS A. ROSS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. A riz d Sig ature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2300 GRATHWOHL RD NEW SUFFOLK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): PHYLLIS A. ROSS OCCUPANCY: SINGLE FAMILY DWELLING PHYLLIS A. ROSS ADMITTED BY: PHYLLIS ROSS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 117.-2-12 SOURCE OF REQUEST: PHYLLIS A. ROSS 9/11/02 DATE: 09 26 02 DWELLING: TYPE OF CONSTRUCTION- WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0 BATHROOW(S): 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: NONE DECK TYPE: NONE PATIO TYPE: NONE BREEZEWAY: NONE FIREPLACE: NONE GARAGE: NONE DOMESTIC HOTWATER: YES TYPE HEATER: KEYSPAN AIRCONDITIONING: TYPE HEAT: KEYSPAN WARM AIR: XX HOTWATER: OTHER: REAR ENTRY WAY ROOM ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 09 19 02 GARY J. F SH TIME START: 9:35 AM END: 9:55 AM 3 r� F- i Form No. 6 TOWN OF SOUTHOLD SEP t1, � s! BUILDING DEPARTMENT `- TOWN HALL 7 6 5-18 0 2 [jqai L V\r7[1(.�C,. T11�Iy.j'� {� 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 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 tp accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $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 $15.00 Date New Construction. . . . . . . . . . . Old Or Pre-existing Building. .X. . . . . . . . . . . . . . Location of Property. 3300.Grathwohl Road.. . . . . . . . . . .: . . . New Suffolk House No. Street Hamlet . . . . . . . . . . . . . Onwer or Owners of Property. PHYLLIS A. ROSS . . . . . . . 0 . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . County Tax Map No 1000, Section. , 117.00 . . . . . . . . . . .Block. 02:00. . . . . . . . . .Lot,012:000. . . . . . . . . . . . . . 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. . . . . . . .. . . . . . . . . . . . .. 4. A C 0�a88 SS Phyl . Ross APPLICANT T ■■■NNE■■SEEN■■ ■N■OENN■■ON■N■ ■ ■ENONE N■EN NONE■■E■ ■E■E■EN■EE■■OENEON NEON■NMEMO EO■MEN '§�' f, . e `. .�. �, . , ■NNE■®��■NNN■ ■■t '!► -t� O�INE MEN E■ ■EON■°Nini�■�1■■O■■■ ME N FoundationWE Interior Finish I •• Floor TOWN OF SOUTHOLD kOPERTY . RECORD CARD 'OWNER STREET cc� VILLAGE DISTRICT SUB. LOT A',. 4 r tA/o �Oda� z°ttsCl FO ER OWNER N . ,t,� �p E n ACREAGE w //r dl bJ�J' lT 1-� ➢�/�Wo �i "•2�o S C 6! w o W6,� fA Wale � d- TYPE OF BUILDING RES.,;79/0 S EUS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 912 7)9 8 J, 16! =1 '9 /v le-, AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD' yC� �.- Tillable 1 BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland Swampland Brushland House Plot Total SR 1 2002 CONSENT TO q;_r)G. nE^7. INSPECTION `; UrNOLD PHYLLIS A. ROSS the. undersigned, Owner(s) Names) do(es) hereby state: That the undersigned (is) Wthe owner(p) 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) (k ) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Pre-Existing Certificate of Occupancy 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 with 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) (signature) (print name) ROPE GUARANTEES INDICATED HERE ON SHALL RUN SURVEY OF ONLY TO 7HE PERSON FOR WHOM THE SURVEY DESCRIBED PROPERTY IS PREPARED, AND ON HIS BEHALF TO THE nnF COMPANY. GOVERNMENTAL AGENCY G\OR , SITUATE LENDING -'Z9GNEES /F LISTED LENDING IHEREON, AND NEW SUFFOLK, TOWN OF SOUTHOLD OE TO THE ASSIGNEES OF THE LENDING INSnTU710N. 011E GUARANTEES ARE NOT TRANSFERABLE TO ADDrnoNAL INsnTunolJs OR suesEOUENr OWNERS SUFFOLK COUNTY, N.Y. FD CM UNAUTHORIZED ALTERA770M OR ADD/nON 70 THIS SURVEY IS A WOLA77ON OF SEC770N 7209 OF THE NEW YORK ST47E EDUCATION LAW. SURVEYED FOR: FRANK T. KLOS COPIES OF THIS SURVEY MAP NOT BEARING _ LOIS A. KLOS THE LAND SURVEYORS EMBOSSED SEAL SHALL N NOT BE CONSIDERED TO BE A VALID TRUE N ' COPY. 00 TM# 1000-1 17-02-012 II w GUARANTEED TO: F FRANK T. KLOS N/F ROSS LOIS A. KLOS FD CM ALLIANCE ABSTRACT OF NEW YORK, INC. S 74'29'40"E ' ' .V Eo i FD CM �+� 50.00 N UW MI Q . Q O o O I� N O 74.0' 25.3' STOOP •1 SURVEYED: 5 SEPTEMBER 2002 WrrH ROOF ONE STORY OVER SCALE 1"=20' O oNo RESIDENCE N Y N AREA = 11,125.73 S.F. a cc OR 76.6' z 3 0.255 ACRES U O 0 Z O 20.3' N N SURVEYED BY _ — r� FRAME v1 STANLEY J. ISAKSEN, JR. Z EARTH DRIVE N GARAGE P.O. BOX 294 FD CM — NEW SUFFOLK. N.Y. 11956 6' 631-734-5835 N 74'29 40 W 'D UTIL M 150.00 N/F GRODSKI POLE N E 0CE D NYS Lic. No. 49273 2R1167