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Home My WebLink About8489-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N, Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .~.e.n$'~,.*.~..La~.e ............. Street Map No..Pe.e. OI~$-C..Hol~$1$ck No ........... Lot No, . .~.~.....P.e..c.o~..i.e....N.:Y.; .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... AP~'...1. .2..., 19..76. pursuant to which Building Permit No..8.~..89.Z.. dated ............ .A.p.r.i. 1....1.2' 19..7.6., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .P.r~v.a.t.e..°.n.e..ff..a~..~.]..y..d.~p.l.~..~ng...(.. &pp.~o..v.e.d..b.y. ~qu..s.~.n.g..~...A. pp.e.a, ls ) The certificate is issued to . . .Apl..t.h.q.Ily...~.?.a.n.d.J... &..t~.~$'.e....o~...e?.s. .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .0¢.t.. UNDERWRITERS CERTIFICATE No. N. 3 .1.03.~.~' ..... No..~...3...~.~.~.~ ................. HOUSE NUMBER ...... .~... Street . ~Ie~y.~ S..Lane ..... P. eeor~i~ ............. FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8489 Z Permission is hereby granted to: ................... .......... .c~ ~'.~ ~'~r,.o.r.'l; ................................................ ~o ... ~.~],~.t,... Z3.~.~.f...Q ~,~.. :~ .~, ~, ;, ;l~....c;, ~ ~, ~,L~3g .................................................................................. at premises located at ...~-.9..I;..~7.....~.~.9..~..~.c....].!.o.~.,~...~ ............................................................. ........................................ 2ie, u~.... La~e .......... ~.econ.tc ................................................ pursuant to application dated ............................ ~..~Z..[ ........ 'J.c...., 19..7.~.., and approved by the Building Inspector. Fee $.. ~.~ :..0...0. .......... TOWN O~ SOUTHOLD , Building Depa~ment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: l. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect ar Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code ar safety inspection of buildings or premises, or other pertinent formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ..4J~.U.,...~...../.~ 2.~. ............ New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Loeotian of Property .... ......... i'-..,, ~'"~-- / Owner Or Owners Of Property .../..~.,.~..u.';..~.....~'.../L..../~..'~...~.,LU.C'.4:......~.'.~?Z'/.a ............................................... Subdivision ................................................................ Lot No. ,.~...~. ..... Block No. 'Z~.' ....... House No.../.~..,~.~r Permit Z.. Date Of Perm,t ca,t Health Dept. Approval ..... ~..~.:..~:.. .......................... Labor Dept. Approval ..............~'..:..'..... ....................... Uncle,writers ^ppr~a~ ...Lr/.~_/..;./.~ ...................... ~onn,ng B~rd Approva~ ..... .U.!~= ........................ Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ ,.,~,,~ ............. Construction on above described buildin~ permit m~ all applicable ~/c)d~es and re .~tions,/~/, Sworn to before me this ~,~ .......... ~., day of ....... ~.,,., ~..~,.~.~ ..... Nota~ Public .................................... Coun~ SOUTHOLD TO%IN HOUSING BOAKD OK APPEALS Town Clerk's Office Southold, N. Y. MINUTES November 1, 1976 A meeting of the Southold Town Hous.ing Board of Appeals was held on Monday, November 1, 1976, at the Town Office, Main Road, Southold, New York. There were present: Mr. E. Kenneth Tabor, Chairman; Mr. Frank A. Lekich; Mr. John J. Talbot; Mr. George Fisher, Building Inspector; Mr. Anthony Brandi, owner of premises. The meeting of the Housing Board of Appeals was called to order at 7:00 P.M. (E.S.T.) for the purpose of discussing the violations existing on the premises of Mr. Anthony Brandi, Henry's Lane, Peconic, New York. The Building Inspector, in inspecting the construction of a dwelling owned by Mr. Brandi, stated that violations exist in window height above the floor in the bedrooms and window size in the side bedroom. Mr. Brandi stated that he realizes that an error was made when he had the windows changed to a smaller size than those which existed on the plans which were submitted to the Building Depart- ment. Mr. Tabor explained the code and asked how much it would cost to replace one window in each bedroom. To replace three win- dows, it would cost $480.00 for material. The problem exists because the contractor did not call for a pipe inspection at which time the violation would have been noticed, and because no changes to the plans were reported to the Building Department. Mr. Brandi stated that all pipes are exposed and he did not think an inspection was necessary. Mr. Tabor stated that we are all aware that a violation exists, and that the Board is trying to resolve this with as little expense as possible to the owner. Mr. Brandi offered to sign a waver which would exonerate the Town of Southold from any responsibility should there be loss of life due to a fire on the premises. Mr. Tabor stated that the Board Housing Board of Appeals -2- November 1, 1976 would feel personal responsibility should a life be lost. Mr. Talbot read the paragraphs in the code pertaining to these vio- lations. Mr. Brandi offered to install a smoke detector in the hallway on th~ ceiling near the bedroom doorways. The violation in the side bedroom with the window being too small to provide adequate lighting and ventilation was discussed. At this time, Mr. Brandi stated that he came to discuss this with the Board and that he has stated his case and wished to be ex- cused. Mr. Brandi was excused and the Board together with Mr. Fisher discussed the case further. In further discussion, it was determined by the Board that because of the number of exits from %he dwelling, that the front bedrooms do not, in their opinion, create violation. The Board recommends to the Building Department that the stamp which is stamped on the approved blueprints include the statement that "All changes must be approved by the Building Department." (The following is to be included in a letter to Mr. Brandi.) After considerable discussion by the Housing Board of Appeals, it was determined that: 1. The Board requires that in order to comply with the New York State Building Code and Southold Town Housing Code, Chapter 52, Section 24, Paragraph C (1) (3), Mr. Brandi replace the window in the side bedroom to the next larger size. 2. In accordance with Mr. requires the installation of a between the bedroom doors. Brandi's offer, the Board also smoke detector in the hallway Upon completion of the above, the owner is to contact the Town Building Department for an inspection to determine compliance of the requirements. Upon completing the items in ~1 and 2 above, it was the Board's feeling that the dwelling would then be in compliance with the existing code. The meeting was adjourned at 10:00 P.M. (E.S.T.) Respectfully submitted, Frank Lekich Acting Secretary E. K~nneth Tabor, Ch 'rm n IUII,~IN~ JlJitAI'I'I~Z,'~ - / '~ '/- -" .... Examined Approved ........................... ~ /. .......... , Permit Disapproved a/c .................................................. ........................... ......... A~I~ ~ IUILDING ~lt b. PI~ pl~ ~ l~i~ of 1~ =~ of buildi~ ~ premix, ~lat~nship to ~joini~ premiss or p~lic or~s, and give, a~ ~ripti~ of I~ ~p~, mu~ ~ d~ ~ the diag~m w~ch d. U~ ~1 of ~is ~lic~i~, ~ Buildi~ l~tor will i~ o Buildi~ Permit to the ~1~. S~h ~it shall ~ ~ ~ ~ ~ml~ ~il~le ~ In~ ~ ~ ~-k. e. No ~l~ ~11 ~ ~ ~ ~ in ~e or in ~ ~r any pu~ whirr until a ~ific~ of ~cu~ shall h~ ~ g~ ~ ~e B~ldi~ I~or. 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 Regulati..ons, for the construction of buildings, additions or alteratio~s, or for removal or clemolition, os herein described. The applicant agrees to comply with all applicable laws, b~inances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature ~f applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises Az~th°.~.;Z. Bra..z~. :!. & If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... .~...~..:....~...~..~..~..~...a~..~ ................... Plumber's Ucense No...~,~.~;;I,~...~.e..,~&~L,~D& ...... Electrician's Ucense No..~.f....~.~D~..~. ..................... Other Trade'e License No ............................................... 1. Location of land on which proposed work will be clone. Map No.: ......... ~.e¢.c~ZL,l.C..][O~e,q Lot No ....... ~.~ ............. Street and Number ........ ~[e~R~T~...~..~Li3ZI .......... ~.e~.o~J.e. ................................................................................... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... X'aJF~LD,~ ............................. ~ .............................................................................. b. Intended use and occulXmcy ............. .o...~.~....~....a~..~..]-.7.....cl:..~...e..~...]-.~ ..................................................................... 3 Nature of work (check which applicable): New Building' ....~.... Addition .................. Alteration .............. Repair .................. Removal .................. Demolition .................... Other Work .................................................. (Description) 4. Estimated COst ................ 2~.s. 000 + Fee ~..~.k.0..Q ............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ......q~.e.. ................ Number of dwelling units on each floor ............................ If garage, number of cars ....... .9..~..e....~.; ....................................................................................................................... 6. If business, .commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions qf 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 ................................ 8. Dimensions 6f entire new construction: Front ........... ..LI:~. ................... Rear ....... ..bc~ ................ Depth ....... .LkQ ............ Height ........ : ........... Number of Stories ..... "D~eJ ......................................................................................................... 9. Size of lot: Front ..... $.~) ............................................ Rear ........ J..1..Q .......................... Depth ........ 1~.~ ................. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ......... !!~.!!..~I.~.,S.~ ......................................................................... 12 Does proposed construction violate any zoning Iow, ordinance or regulation: ............ .QQ ....................................... 13. Will lot be regraded' ......,13,0...., ........... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ..~I,Q~'..,,t~'~Z~I,J...~ ....... ld'. Address ..... ~'~e~,pc~ ..... Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ~...W~/.~]~e, llt~ ................................. Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly ~nd distinctly all buildings, whether existing or proposed, and indicate all set-beak dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or cbrner lot. See filed plans ~CTATE OF NEW YORK. ! ~ S COUNTY OF ..~.~';['.q],~ ............. ........................... ~..~.~ ................................... being duly sworn, deposes and says that he is the applicard (Name of individual si~ning ¢~troc~ above named. Fie is the o~er (Contractor, agent, co~orote officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that :all statements contained in this application are true to the best of his knowledge and belief; end tha~ the work will be performed in the manner set foRh in the application filed therewith. Sworn to before me this .................... ~.~ ~ o~ ..................... ~zz ........... , ~"~'~'~__ ~_ __ .,, --~.~Z ~ No~ ~b,i~,. ............. ~ ............ ~ ............. ~ ...... ~.~ .... C~...~.~...'~.~.....~ ........................ ................ ~~~ ~ ,Signature of applicant) I :, THE NEW YORK BOARD OF FIRE UNDERWRITERS ak ' '' BUREAU OF ELECTRICITY ~ " 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~"~ November 3,' 1976 only t~ electr~al equipment ~ ~s~r~bed ~e~ a~d ~troduced ~y t~ appiieant named o~ the a~e a~p[icatlo~ number i~ the premises of ~ M~. Anthony B~ndl, Henry's Lane, Peconlc, outside OTHER APPARATUS: 1 G.F.C.I. Box 44,Champ!In Place. :'~) Greenport, L.I. 11944 ~ GENERAL MAI~AG~R ~ i~! Lic. 743E t/ ~_:D: This=_ car ..... f cate must not be altered in any~manner;~_ ........ return to the office of the Board if incorrect~~y~lns actor m ' ' credentials. '/ ~ac~l~t.~.6~ for ~t~.~ Iccnt.{on h~v9 been ~nspe~ted by th,'is d,,-'~I].~,rt[_~ezzt and Found. -/