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Home My WebLink About12324-zFORI~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22809 Date DECF24BER 21~ 1993 THIS CERTIFIES that the building. DWELLING Location of Property 1050 LONG CREEK DRIVE House No. Street County Tax Map No. 1000 Section 55 Block 4 Subdivision Filed M~p No. SOUTt{OLD{ NEW YORK Hamlet Lot 10 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26, 1978 pursuant to which Building Permit No. 10085-Z dated DECEMBER 28~ 1978 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 GARAGE & SUNPORCH ADDITIONS * The certificate is issued to GEORGETTE S. BRAUN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 8-SO-150-MAY 25~ 1979 UNDERWRITERS CERTIFICATE NO. N435103-5/79-N605990-6/83-N656850-8/1984 PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES CO Z-9547 DATED 6/4/79 FOR NEW DWELLING CO Z-12032 DATED ll/2/83-GARAGE ADDITION, & CO Z-12789 DATED 9/19/84 SUN PORCH ADDITION /~ / Bui~ing Inspector Rev. 1/81 BUILDING ~DEPARTM~NT SOUTHOLD, N.Y. ~ N.° :~232~ Z .o~e BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES COMPLETION OF THE WORK AUTHORIZED) UNTIL ~ULL Permission ,s hereby grant d to: f2 -~ , ~ · ..... .. .. ,o ....... ~~...~~ ..... ~..~~... .~-.: .... __~.L~ .~ .] .................... ...... ..~.. ~.....~ ~ L~ ~.~......~~~.....?_... ~ ........... ~ . ~ ............................... , ..... ~..~[~,..~..~ ~ ro~ ~op Uo. ~ooo s~t,o~ ...r~.~ ........ m~k ...~.~..,.~ ~tot ~o. ,..~.~ .......... Buildflng I~specto~. Fee: ~...::£L. !PERMIT !N~;LUDES APPROVAL TQ REMOVE E×~E$S FILL FROM ABOVE PREMISES BY REGRADING t. OT 'D~IVEW~Y CONSTRUCTION C~SsPOOL CONS[RUCTION ~ C~LA~ CONSTRUCTION o~ Rev. 6/30/,80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.1.2032 Date ....... ~ovemb.er 2 .... 19 8.3. THIS CERTIFIES that the building a ddi t ion · 1050 Lon .C.r..e.e.k..D..r.i.v.e.... South?Id Location of Property ...................... House No. Street ................ County Tax Map No. 1000 Section 055 ·Block 05 ...... Lot 010 . Subdivision..Y.e..n .n.e.c.o..t .t..P.a. r: .k ............. Filed Map No..5. 1..8.7...Lot No.. J .8 .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated · ...a.p.p..i.1..1.9. .........19 $ 3 pursuant to which Building Permit No. 123.24. Z dated .... .M.a. y....1.3 ................. 19 .8.3., 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 ......... a ~ara~e addition to existing dwelling. The certificate is issued to RICHARD D. BRAUN ..................... ~o¥,,'~;,z~AYM~,'d~;;.,',,i./ ................ of the aforesaid building· Suffolk County Department of Health Approval not .~p~icabl~' UNDERWRITERS CERTIFICATE NO .... N 605990. Building Inspector Rev. 1/81 c TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PPLICATION 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 i% 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 Vpre-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. 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 to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 ever 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 December 1.7 1993 Date . New Construction ........... Old Or Pre-existing Building ................. 1050 Long Crc d Drive uth Id Location of Property ................ e So o House No. Street Hamlet Georgette S/ Braun 0nwer or Owners of Property ............................................................... . . . County Tax Map No 1000, Section... 55 ....... Block..4 . . Lot. 10 Subdivision .................................... Filed Map ............ Lot ....... ......... ...... Permit No Date Of Permit' Applicant Health Dept. Approval ...................... -. . . Underwriters Approval ................... Planning Board Approval ........................ Request for: Temporary Certificate .... Fee Submitted- g 50.00 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall 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 Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of e~ectricai installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or 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: I. Accurate survey of peoperty 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 or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling ~r 3. Copy of certificate of occupancy $1.00 land use $/~/$5.00 Data ~o~ ~o. ,'"h ~J s,,~or ' ~'z~' .... ': " "'~-' .... Owner or Owners of Property ~{~~ . .. ~: .-.- ........... ' .......................... County Tax Map No. 1000 Section . ~ ~ .... Block .... ~. ......... Lot...42. f..~. ........ ................................. .... .... Permit No. /. '.~ ~ ~.~'~ate of Permit~..~.f.~.~.//.~3 .Applicant ,(,Z~Z.~.~ .... Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval..~.~,.d..~.~ ~..~ ......... Planning Board Approval .................. Request for Temporary Certificate Final Certificate' , ,/ Fee Submitted $ ........................ Construction,on above described building and per, m-i~meets all appt~cable~C~odes and regulations. ~, c'~. '-~. I ._, o :.~ ~ . ~r~/? - ~ ~ ~ - Rev. 10-10-78 ,j cy~ 0 FIELD INSPECTI N~ 1. FOUNDATION (1st) COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: V45 O0 4 NOTE mm= MONUMENT FOUND E]: STAKE ELEVATIONS SHOW THUS E~.: ~a.o ARE REFERENCED TO APPROXIMATE M.$ L SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON OCT. 9, )968 AS FILE NOr 5187, .ot THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY · .~[J~l(~ .Z'~ ~ ES JOHN STREET, NEW YORK, NEW ~ 100~8 THIS CERTIFIES THAT only the electrical equipment ~ described belo~ and introduc~ by the applicant ~amed on the able application ~ber itt the premises of ~cl~'d B~s~b 10~ ~cre~ ~'ive, ~ut~ld, N.Y. in thefollowinglocatlon; ~ aa~,n~,~t ~ t~t rt. ~ 2~ rt. ~tsi~ Section Block Lot was examined on ~l~ 6 ~ lDO3 aud found to be in compliance with the requirements of this Board. EtXTURE FIXTURES RANGES OVENS DISHWASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT DRYERS OTHER APPARATUS~ E E V I C NO. OF CC COND. A, W.G. A W.G. NO OF NEUTRALS A W O, PER ~/ OF CC, COND. OF HI-LEG OF NEUTRAL 1 ~ 1 ~ J ~ Sal Prato , Electricia~t G~'eenporg ~ N.Y. 119~4 Lio#104gE ll This certificate must not be altered in any manner; return to the office of the Board if iinco~rect. Inspector, s may 'ILD?G DEPARTMENT. THIS COPY OF CERTIFICATE MU9~ N~T BE ALTERED IN AN, Y MAN"E~ FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To /~.~.~..<~,..C¢~...~. ........ . ./:~..~...~ ~. ~/-~../~.~ ...... PLEASE TAKE NOTICE that your application dated ..... ~..~.~ ......... 19 fo~ pe~[t to const~ct ...... - ...................................... at .ouse ~vo. ' ' S~reet Ham/et co~ ~ ~ ~o. ;~ s~m . .~ ...... mo~ .... ~ ...... ~ . ~ ~ ~ ....... S~bdivisioR ~.~'CQ ~-~'led Map No .... ~'~ ..... Lot No ..... ~ ~ ......... is returned herewith and disapproved on theJollow~g grounds .~~~~~ ~ ~/, . .~.. Building Inspector RV 1/80 · ~ ~ 76S~1802 : ~/~/~'~ G~'BUILDING~DEPT.~, ':: INSPECTION~ FOUNDATION IST [ ] ROUGH P~o. - FOUNDATION 2ND E ] INSULATION ( ] FRAMING FINAL INSPECTOR BUll. DIN DEPT. INS CTION FOUNDATION 'IST [ ] ROUGH Pi. BO. FOUNDATION ~ND [ ] INSULATION REMARKSt / II tl ./ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ....... 1 Permit Application No..~.~..~. ........ Disapproved a/c .......... ~....-'Y .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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 Ordinaz~ce 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,~.hocsing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections.~'/~-~ ........... //...~../.~..~.~.~. ~~.. (Signature of ahppligant, or name, if a corporation) .......... (~ailing address of applicant) State,ether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... ~?/~' .'.. ......... Plumber's License No ..... ./~_ ._...~. ......... Electrician's License No. ~-~2.~. ]Y~ .... Other Trade's License No. ~....~...~' 1. Location of land on which pl~posed work will be done .................. ~ ............................... ............. .......................... House Number Ot Street Hamlet County Tax Map No. 1000 Section .C ~.O~.,.~: .~..'r./.~ ....... Block ~'~ Lot.../~ ~ Subdivision...../~.~..~....~...~..' ........... Filed Map No. .~.'.- ./ ?. ~. ...... Lot ../...~. ......... (./ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ...~.. ~.~x'. .. . b. Intended use and occupancy., /~...~. 3. Nature of work (check which applicable): New Building .......... Addition . ..~.. ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ~"°~'°°t" ............ Fee__~.' .............. : (to be paid on 1 lng t is a~plication)' 5. If dwelling, number of dwelling units ................ Number of dwelling units on each floor ................ If garage, number of cars ../. 2 ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....... 7. Dimensions of existing stmctur;s, if any: Front .... ~-d~. F.' ....... Rear . .~-~..~ ......... Depth...............~'~ .......... Height ... f/~../ ........ Number of Stories .~ ................................................ Dimensions of same structure with alterations or additions: Front .... ~'.~..: ......... Rear .. ?.~..t ............ Depth:... C~.¢.~ ........... 2.. Height ..... ./?.'J ............. Number of Stories./. ................... 8. Dimensions of entire new constrUction: Front ...m,~ .O.' ........ Rear .. ~. ~. ........ Depth . .2'.-(../ .......... Height j~. .......... Ncmber of Stories ../. .......... ~.~ ............................ ; ............ 1 I. Zone or use district in which pr~mises are situated..~'~ .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: :~.~ .......................... 13. Will lot be regraded ......... ........ ~ ......... Will excess fill be removed,~rom premises: ~ No 14. Name of Owner of premises J~..~..dd.~ ~.z..c/n~-... Ad~lress/?.~. ~..*~ ~. ~.~Phone No. 7.k q-: ~.~'..'t<.~. ..... Name of Architect .......... ............ Address .... ~,/. .......... Phone No ................ Name of Contractor ......... ' ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly allI buildings, whether existing or propos~ [, an& indicate all set-back dimensions from property lines. Give street and block.number or description .ac~_q!~rding-to--dee{ and show street names and indicate whether interior or corner lot. ,~X/,,c 7-/HG STATE OF NEW YORK, COUNT¥.-gF... . ..... .~..J.C..~.~./~./X..~) ...... ~.C..~/~....,~.. ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is 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 mannep set forth in the application filed therewith. Sworn to before me this ......... /~ .~.x. ......... day oi.. d~. ?. 1..C= ......... , 19c~._,~.. NOTARY PUBLIC, St~t0 at New York . I/, .~,~. . ~. .%~. . ,r-'~, . , .~__l~~. · [,.~. ~ ~. ,~, .~.", , .~"~-~, , . No. 52-4524711 *' '-~ (SiX~n~ture of applicant) (~uolified in Suffolk County , / Cr?EEK NOTE'I:MONUMENT FOUND Q: STAKE ELEVATIONS SHOW THUS ~ EL-- ~a,O ARE REFERENCED TO APPROXIMATE M.$ L SUBDtVISION k~AP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON OCT 9, 1968 AS FiLE NO 5f87 ~p/VE