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Home My WebLink About13585-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13024 Date November 27 19 84 THIS CERTIFIES that the building ....A.d.d..~ .t.~.o.n. ................................... Location of Property . .3.95. .............. Bricjantine Dr. Southold Hou$'e No. ' ......... 's't/o$i ....................... h~rhl'oi County Tax Map No. 1000 Section ...0.7.9. ...... Block ....... .0.4 ...... Lot ·..0.4.6. ........... Subdivision...H.a.r.b. 9.r..L.~g.h.t.s.. 1~.~.: ....... Filed Map No. 9.n.e. .... Lot No..3. .3 .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ~l.o.v.~r~.e.r. ..... ~ 6, 19 8.4. pursuant to which Building Permit No ...... .1.3.5. 8..5.g ......... dated ...... .Np.v.e..r~..e.r. ..... 2. .7 ..... 198..4., 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 ......... ........... p.e.c.k...~.d.d. %.~.~.o.n...Cp..~..x.~,s.~. % .rig..O.n..e. ~a.m..&~y..~..~.e.Z.Z..~.n~. .............. The certificate is issued to ..... [~I.C.H.A.E..L..A.... ~..R, QB..I.N..B~A..R?.O.I~. O. ~.E.O. ................... (owner, lessee-e~. of the aforesaid building. Suffolk County Department of Health Approval ........ .N./.~. .............................. UNDERWRITERS CERTIFICATE NO ................ .N./.A. .............................. Rev. 1/81 Building Inspector FO'~M NO. It 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) N-° 13585 Z Date Permission is hereby granted to: ~.~ ...... I.~.!..~. ............................................ ....~..~....~.:~.:...~.~.~..! .............. ~,c~.~'~~'~, ~ . · .~:,~..~.. ....... . ....~.~ ...... ~ . at premises located at--,~.~-.'~.,.,....~.~....~..~.,.,....~....~.:~.' ·.......... · ........... County Tax Map No. 1000 Section ~.......,~....~....~ ...... Block .....~....~. .......... Lot No ....... .~..~-..~ ...... pursuant to application dated .... .~...~....~.~,...~....~. ............ , 19..~..~..., and approved by the Building Inspector. Rev. 6130/80 FORM NO, 6 TOWN OF $OUTHOLD Building Department Town Hall · 5}outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~p'Jcctc 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 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: 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 anv 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/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date ...... ~y: 26~ 1984 New Building ~ Old or Pre-existing Building Vacant Land Location of Property ,, .3..9.5 ......... ~, y~,9?.,n, ,t,i~e,,, p.K~,y,e ................ S, 9,u,%h, 9~-~ ...... House No. Street Hamlet Owner or Owners of Property Mich,~el A. & Robin Bartolomeo County Tax Map No. 1000 Section 079 Block 04 Lot 046 Subdivision..Harb°r Lights Estates . .Filed Map No. One .Lot No. 33 ... PermitNo. l.~3-'~g~ DateofPermit~)!.~.ql,~.~..,Applicant G,a. rr,et,t. A.. Strand/ .......... Health Dept. Approval ..... .N/.A. ............... Labor Dept. Approval ......... ~/.A. ........... Underwriters Approval ........ ~../.A ............. Planning Board Approval ....... .~/.A. ........... Request for Temporary Certificate ..................... Final Certificate ..... ~. ................. Fee Submitted $..5: .0.0, ....................... Construction on above described building and permit me~s~ applica~ations. ~ ~L~5~ :~q ~ Applicant ....... ~~.~/~ ~.~ ~,-' ........ (LO Rev, 10-10-78 Garret% A. Strang, R.A. FIELD INSFECTION 1. FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY %ODE FINAL ADDITIONAL COMMENTS: ::'"' ' ""'~ ;;' 'FORMNO. 1 ...... TOWN OF SOUTHOLD "' BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..~....°Nd-L'~....~...an., 19g'l Approved .0...0-'~c~.....~...a.q.., 19~. x.{. Permit No ............ Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date Nov. 26 198.4. 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 necessary inspect__ (Signature of applicant, or name, if a corporation) ...P., 9...B.o..x.J.4.1..2,..s. 9 .u.t.h. ql.d.' .N...Y.,. 3.1.9.7.1 .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Architect Name of owner of premises Michael A. & Robin Bartolomeo (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... .N./.A ............... Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. 395 Brigantine Drive Southold House Number Street Hamlet County Tax Map No. 1000 Section ....... .0.7.9. ....... Block ...... .0.4 .......... Lot....0.4.6. ............ Subdivision ..... H..a.r.b. qr...L.i.qh.t..s..E.s..t.a.t.e.s. ....... Filed Map No .... Qi3~ ........ Lot ...33 .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... .S.J:.n. 9.1.e' .F..a.m.J:J:y. p.w.e..1 .k.i.n.g. ............................... b. Intended use and occupancy .................. S..at?. ......... .09.'..~.....~o/~...~. ...................... 3. Nature of work (check which applicable): New Building ..... ' .....'Addition ...x Alteration .... ~... Repair .............. Removal .............. Demolition ........... .... Other Work ............... I (Description) 4 Estimated Cost N/A Fee {2..5;0.0. '~ (to beipaid on filing this application) 5. If dwelling, number of dwelling units...............One 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 .... 3.4. ...8.'. Rear 3 .4 ).8. ' Depth .. 24.5, '. Height 24 ' Number of Stories 1 ~ .' 46 8.' Dimensions of same structure with alterations or additions: Front ......... : ....... Rear...4.6.: .8.' 24 · 5 ' · 24 ' ... Number of Stories ~.q .. ' ......... Depth ...................... Height ................... ................... 8 Dimensions of entire new construction: Front Rear ' Depth Height ............... Number of Stories ............................ ! ............................ 9. Size of lot: Front ...... J .2.5. ' ............ Rear ...... ~..2.5 ' Depth fl 6.0. '. 10. DateofPurchase Fall 1984 . . Name of Former Owner O'Donnell 11. Zone or use district in which premises are situated... Ar .R.e~.J,d. g¢.~.%a..l[.A, qr..i.c.u.i.t, gr.a.Z. .............. 12. Does proposed construction violate any zoning law, ordinance or regulation: NO. 13. Will lot be regraded ........... .N.q .............. Will excess fill be removed from premises: Yes No O · M M Bartolomeo Valley Stream NYph,~n~M,~ 212-571-2116 14. Name of wner of premises .../ ................ Address ............................................. Name of Architect ...G.: .~....S..t.~.a.n.q/ ........... Address .B.o.x..~..43.2. .S..o.u.fi.h.??.l~hone No.5. ~..6.--.7.6.5. 7.5~.5.5.. Name of Contractor N.. [.A. Address Phone No PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and~indicate ail set-back dimensions from properly lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. See Survey STATE OF NEW YORK, COUNTY OF .... S.~f folk .... S.S ........... Garrett A. Strang being duly sworn, depo}es and says that he is the applicant (Name of individual signing contract) above named. He is the Architect (Contractor, agent, corporate officer, etc.)i of said owner or owners, and is duly authorized to perform or have performed the sfiid 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 26.th. day of November 1984 ...... ..... oun .: NOTARy PUBLIC, State of New York I.--~ _ No. 4730095 - Quolified in Suffolk C~nly .. ' ............................. Comml~lon Ex~i,'e,~ Morch 30,1gq~.~, (Signature of applicant) ,0'0~£ M .Og ,~g .g~ $ I, ,0 "gEl 3,,Og ,t~g og~ N ~ 3AI~IO NIINVOI~G ~ 101