The URL can be used to link to this page

Home My WebLink About10858-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z14100 Date December 18 19 85 THIS CBRTIFIBS that tile building P o o 1 Location of Property ..... 9 F,e,e. ,n..H.i, 1,1, L a n e ..... .GF.e' e..n p.o.p..t .... House No. ' ............ Street ........ ~l~tJn/el County Tax Map No. 1000 Section 33 , .Block 2 ..... Lot 4 7 Subdivision...E.a.s..t.e?.n..S..h.o?.e..s ............ Filed Map No..5.2.3.4....Lot No. 124 conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .S.e.p.t. :..1.0. ........19 .89. pursuant to which Building Permit No..1.0..8.5.8.Z, ............. dated .... .S .%0. t. .. . .1.8 ............... 19.8.0,, 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 ......... I n~r. oun.d..p ooZ..amd. ,f.e~ c.e. ....................................................... The certificate is issued to ELI ZABETH BRANDI (owner, 1~,~2~[ ~.~[e~ of the aforesaid building. Suffolk County Department of Health Approval ........... N../.A ............................ N498488 UNDERWRITERS CERTIFICATB NO .................................................. Rev. 1/81 Building Inspector 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 ia ~ 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 featu res. 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 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: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2, Sworn statement of owner or previous owner as t~o 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date .D.e.c.e. ,m.b.e.~'..3;. !.9.8,5 ......... New Building x(Swimming Pool) ............. Old or Pre-existing Building ............ Vacant Land ............ - Location of Property .G.F.e.e.n..H.i[I..I-.ap,e.,..G.r.e.e.n.p .o.rt. ,..N..e.w..Y. qr.k. ..................... Owner or Owners of Property .... E. I.i.z.a.b.e.t.h..B.rAn. d.i. .................................... ;.. County Tax Map No. 1000 Section ...0.3.~} ......... Block .2. ............. Lot...q;.7. .......... Subdivision .... Easter. r~.Shor~;s ............... Filed Map No, 5,2.3.~. ...... Lot No. 1.24 Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval ......................... Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate .......X. ............. Fee Submitted $ ..... 5.00 .................... Construction on above described building and permit meets all applicable codes and regulations. Applicant .................................................... Rev. 10.10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS j~.,~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 .a,~ Oct:o~r ~0, ~gao ~pp.~.o. ~o. o.~ile 09~S13 N 4 g ~ ~ 8 8 THIS CERTIFIES THAT o only the electrical equipment as described below and introduced by the applicant named on the above application nu tuber in the premises of ~li~m;h M. grandi,I~ox 41 ~k~ore~ I~. l~o~,No. Rd. Rt.27 Fk~mstead WayJk'e~rt~N.Y~ in the following location; [] Basement [] 1st FI. ,-,a~ex,,,nlnedon Oetober 20~ FIXTURE OUTLETS IECEPTACLES [] 2nd FI. (y~fg~ Section Block Lot and found to be in cotnpliance with the requiremer~ts of this Board. SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 1 FUTURE APPLIANCE FEEDERS DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI~OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E AWG, OF CC COND C NO OF HI4EG AWG OF HI LEG NO OF NEUTRALS AWG OF NEUTRAL 11725 This certificate must not be altered in any manner; office Ltc. 1610 ~r o~ FIELD INSUECTION FOUNDATION COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDZTZONAL COMMENTS: ATTORNEY AT LAW December 9, 1985 Mrs. Helen Devoe Building Department Town of Southold Main Road Southold, New York 11971 Re: Brandi Property at Eastern Shores Dear Mrs. Devoe: Enclosed herewith is an application for a certificate of occupancy for tax map lot 47 for the swimming pool which was constructed thereon in 1980 pursuant to Building Permit No. 10858 Z. For your information, I am enclosing herewith a copy of the application for such Building Permit as well as a receipt for the Building Permit. Apparently, the contractor neglected to obtain a certificate of occupancy for the pool which necessitates the enclosed application. I am also enclosing a check payable to the Town in the amount of $6.00, $5.00 of which is for the certificate for the pool and $1.00 for a copy of the certificate for the dwelling which is located on Tax Map Lot 40. Yours very truly, ROBERT W. TASKER RWT:aa eric · ...................... ' .... L_._-T/_V- C U~TC o. 0 >- LU ~._-"J' ,¥ LON~ 80 M I DDI-E [ C.~, Z7.) I~ 0 A D STATE OF NEW YORK, COUNTY On t~e day of personally came 19 SS: , before me to me known to be tbe individual described in and who executed the foregoing instrnment, and acknowledged that executed the same. STATE OF NEW ¥ORR, ¢O~I#T~ OF Suffolk personally ~me Char~e~ ~. to me ~own, who, bring by me d~y sworn, dtd depose and saythat he resides at ~ ~ackson S~ree~ (no number), New Suffolk, New York ~mt he ~s the Treasurer O~H~J,S, Land & Develo ~ent Corp , ~e co~oratmn ~e~cnbed in and which executed ~e foregoing ~strument; ~at knows ~e seal of said eorporati~;' that the s~l a~xed to $~d instrument is such co.rate seal; that it was so a~xed by order of the board of directors of said corpora- tion, and that he si~ed h~ 8 name thereto by like order. STATE OF NI~W YORK. COUNYY OF On the day of personally came $$; 19 , before me to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed the same. STATE OF NEW YORK, COUNTY O~ On the day of 19 , be£ore me personally came the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he resides at No. ; that he knows to be the individual described in and who executed the fmegoing instrument; that he, said subscribing witness, was present and saw execute the sanle; and that tie, said wit:less, at the same time subscribed h name as witness thereto. WITH COVENANT AGAINST GRANTOR'S AcTs TITLE NO. H.J.S. Land & Development Corp. TO Elizabeth Brandi STANDARD FORM OF NEW YORK ODARO OF TIILE UNOERWRITERS Distributed by HOME TITL~ DIVISlO~ CHICAGO TITLE INSURANCE COMPANY SECTION 5, Map of Eastern Shores at Greenport BI ,OCK LOT lqO. 124 ~'rOWN of $outhold, County of Suffolk Recorded at Request of HOME TITLE DIVISION C}{ICAGO 'IITLE INSURANCE COMPANY Return by Maim to Lefferts P. Edson, Esq. 51755 Main Road Southold New York zip No. 11971 t~Si'eR M. ALBERTSON CJerk o~ Sulfolk County FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ........ /.( .;.., 19 .. i l~ermit ............ Disapproved a/c ) ..... ~ '~L' .L'.x '4 L ..........-L'~'~ ......... .................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No..?.('..~. 51 .~..' .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink ?nd submitted in triplicate 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 promises 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 issue 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 buildings for necessary insp~//'~~ (Sign4ture of applicant,~or name, if a corporation) .... (Maifing address oI app ' State whether applic~t is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ...... ................................... Name of owner of premises ... ~~. ·~..°' .... ('~s oC~n'~ ;; i;t~}t' ~;d) ......................... If applicant is a corporation, signature of duly authorized officer. ............................................. (Name and title of corporate officer) Builder's License No ....................... .).. Plumber's License No ....................... 9 .~l' -~L°cati°nd ~°f land on which~~proposed work will~be done ................................................. ~ ~~~ House Number Street Hamlet e~orT' ~ r~ County Tax Map No. 1000 Section .... -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: Existing use and occupancy b. Intendeduseandoccupancy .~~~.~..a ~' /-'~ ....................... ~ ............. q 3. Nature of work (check which applicable): New Building . t ......... Addition .......... Alterat~n.;.~. Repair .............. Remgval .............. Demolition .. 4. Estimated Cost ~& ~ ~ (to be paid on filing this application) 5. If dwellMg, 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. I)~ensions of existing structures, if any: Front....'~ ......... Rear m-;-,~ ......... Depth-.-~ .............. Height Number of Stories I)~ensions of same structure ~ith alterations or additions: Front f:E-~2' ............ Rear .................. Depth ................... ~.. Height ..... ,~1 ...... [ ....... Number of Stories ...................... 8. Dimensions of entire new construction: Front~.~ .gD ..... ~t~*.,~... epth ............... Height ............... Number of Stories ........................................................ o~ze of 1 F -~ ' - 9. ' ct: ront ....... ~ ........... ~ear ...... ~ ............ Dep~ ...... ~ .......... ~. · 10. ~)ate of Purchase .~. g..T.( ~ .~ ........... Name of Former Owner bl. Zone or use district in w~ich pr~mises are situated ....................... ~ ....................... ' 12. Does proposed construct~v~late any zoning law, ordinance or regulation: ./..~..~ .......... ~ ...... 13. Will lot be regraded . ~. ~. }~x ......... ~ ...... Will excess fill be mmved from ~remises: fYe~ No 14. Nme of Owner ofprgmises..~.(~ss ~ ~ne No. ~~.. Nme of Architect .... ' .... ~, .. ~ ........... Address ................... Phone No ........... :. ........... . Locate clearly ~d distinctly ~1 bulldogs, whether existing or proposed, and, indicate all set-back dimensions from prope~ ~nes. Give street ~d block~number or description accor~g to deed, and show street flames qn~ indicate whether STATE OF NEW YORI~,. ~ Z iN ~ COUNTY OF~e'~.,,~,~'-f.."4"~'~:*-~J~".. ~.~ // /~ . (Name of individual signing contract) above named, i being duly sworn, deposes and says that he is the applicant 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 contBined 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 .~ ~ ............. /.~..~.. :,..d~ay oi ..... ~., 19 .~. Notary Public, .~, .'=~, 7. ,~, .~ County ~ ~ . , ~y Public, Stcate of New York ............ /.)..: ,-.- ........ . .~'~'..'%~.77...--f"~-"~. ...... _No. 52-0344963 Suffolk Coun~/ c.~ (Signature of applicant) ~.;ommisslon Expires March 30, 19~/