The URL can be used to link to this page

Home My WebLink About13145-zFOR~ NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY Mo Z-22809 Date DECEHBER 21, 1993 THIS CERTIFIES that the building. D~qZLLING Location of Property 1050 LONG CREEK DRIVE House No. Street County Tax Map No. 1000 Section 55 Block 4 Subdivision Filed Map No. SOUTHOLDr NEW YORK Hamlet Lot 10 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26r 1978 . pursuant to which Building Permit No. 10085-Z dated DECEMBER 28r 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-i 03 DATED i/ /S3-G GE DITIO , CO Z-1 789 DATED 9/19/ 4 SUN PORCH ADDITION / Buijing Inspector Rev. 1/81 FOmw NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~v~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13145 Z Permission is hereby granted ~: ./..~.~:~...~.~¢..~,.L.~..-.~:?:~ ........ ~:;.~...~. ~.&...~..:.'.t.~......!.~.~ .~../. ....... ~o ..2~?~..~.~:~....~.~.~:~.....~~.`....~".."~y~..~:~....~.~`~ ............................................ County Tax Map No. 1000 Section ..... L~L:~...~. ...... Block ........ ..~.~ ......... Lot No ......?...!...?. ....... to application dated ....... ..~.¥..~..C?.i..~.,.~..l...~. ..................... , 19.~.!:l'.,' and approved by the pursuant Building Inspector. Building Inspector 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 Z12789 Date SeR4c, 19 19 .B.4. THIS CERTIFIES that the building .... .S. qn...Pp.r.c..h..A.d.d..i.t.i, qn. ...................... Location of Property ...1. O .5.0 ..... .L.o.n.g..C.r.e.e..k..D.r.: ............... S. qu..t.h.o. 1..d .......... House No. Street Hamlet County Tax Map No. ] 000 Section .... q 5..5 ..... Block .... 0.5. ......... Lot .... 0.1. ,0 .......... Subdivision..7.ar~r~ec.o.t;t;.P.~l~ ............ Filed Map No. .5,1.8.7. , . .Lot No. .1. .8 .......... conforms substantially to the Application for Building Permit heretofore fried in this office dated ..... ~a7.1.7 .......... 19 8.4. pursuant to which Building Permit No ..... .1.3.1.4.5..g .......... dated ........... .Fi.ay....1.9 ......... 19..8.4, 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 ......... ~un .Porc. h Addition The certificate is issued to . 13RAUNz RICHARD & GEORGETTE ................... /oYn'e;, ...................... of the aforesaid building. Suffolk County Department of Health Approval ....... .N/.A. ............................... UNDERWRITERS CERTIFICATE NO ............... I7.6.5. ~.8 .5 ............................ Rev. 1/81 Building Inspector TOkrN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL. 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 sita plan requirements. 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. 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 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... December 17, 1993 New Construction ........... Old Or Pre-existing Building ................. 1050 Long Creed Drive Southold Location of Property ................................................................. .. .. . . .. House No. Street Hamlet Onwer or Owners of Pronertv_ J. .................. Georgette S/ .Brsu.n ..................................... ........ County Tax Map No 1000, Section....5.5 ......... Block...4 ............. Lot....1.0 .... Subdivision ................................. · -. Filed Map .......... .. Lot ...................... Permit No Date Of Permit' Applicant Health Dept. Approval .....................- · ... Underwriters Approval ........................ . Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ....... Fee Submitted: $..Aq..qq .................. ;,- -' . ..... ............... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitte~pllc=*,~to the Building Inspec- tor with the following; for new buildings or new use: I. 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--(So9 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographie 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificateofoccupancyonpre-existingdwelling/landuse--?re-E×±st~.ng C.O. $15.00 3. Copy of certificate of occupancy $1.00 / Vacant l~and~,C.O. $ i.'00 ... .......... New Building ........... ~. Old or Pre-existing Buiiding ~;" ........... Vacant~and ............. Location of Property ~ ~'~.. ~..~~... ,.~~~ ............ Hou~ No. ~'~' Street ~,, ~ ~ Hem/et Owner or Ow,ers of Property ./~';~.~'.. ~.~ ~~'. ~:... ~~ ....... County Tax Map No. 1000 Sectio, .... ~... Block ... ~. ~ ...... Lot .... ~ ~. ~, ..... Subdivision .~ ~ .~ ........ Filed Map No. ~ ) ~ ~...Lot .o .... [ ~ ....... Health Dept. Approval .;..~[~ .................. Labor Dept. Approval ........................ ~ ~ ~ gB App Unde~riters Approval ..................... Plannin oard roval ...................... Request for Temporary Certificate .... Final Certificate ~ Fee Submitted $..~., ~ ~0 Construction on above described building and per, mi%m[~gts all applicable codes and regulations. Applicant....~'.. ,~.~.~'~ ,~, ·...~..". ~~ .............. Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8S JOHN STREET, NEW YORK, NEW, YORK 10038 THIS CERTIFIE~ THAT only the electrical equlpmeat as ~riSed ~{o~ ang introduced by the applicant natned on the ~bove application number in the premises of in the followlng Ioc~tion; ~ Basement ~, 1st FI. ~ 2nd FI. Sectio~ Block Lot was exatnlned on and found to be in compliance with the requirements of th~s Board. FIXTURE SWITCHES ~IXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS FLUORESCENT i 1 DRYERS NIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS: E R OF CC, COND C lObO Long Ore,ak la'Ave ~$ouZi/old~ N.Y. 11971 This certificate must not be altered in any manner; return to the office of the Board if inco~'rect. Inspecto[s may be ,identified by COPYiFOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIcA~TE MUST I~OT BE ~L ,TERED iN ANY MANNER. EOU~ID^T/OII (l~t.) FOUNDATIOI! 2. (2nd) ~IOUGH FRAME & PLUMBING COHME 3. ]IISUt, ATION PER ~l. STATE ENERGY C,ODE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 .... ' Approved .... Disapproved a/c ..................................... ........................... ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .................. INSTRUCTIONS a. This application must b~ completely filled in by typewriter or in ink and 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 tot 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 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 Occupahcy 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~et~ns. /p ......... (~' '~j~i~g ~l~;e's; ~>~'applicant~ ..... ; ........... State whether 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 ....................... Other Trade's License No ...................... Location of land on which proposed w?rk will be done .... [ ............................................. ·. ,/. ..................... ~'.. ~...y;' L~c~-. . . ........................................... //// Street Hanllet . House Number c;i~nty Tax Map No. 1000 Section ..... (~). ~--.~.... Block ....... .~.~.~. ..... Lot ..... ~'~D...J..~. ....... Subdivision... ~ ................................ Filed ............. Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................~ b. Intended use and occupancy~.~ .~.'; '. d/.. ~.~:;'~ :' .... ........................................ 3. Nature of work (check which app, licable): New Building .......... Addition..~.... ·. · Alteration .......... Remo-gal Demolition Other Work ............... Repair .......................................... ,, (Description) 4. Estimated Cost .... .~..~..~/.~...'~. ....................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling finits ............... 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 strncture~,, if any: Front ............... Rear .............. Depth ............... Number of Stories ' Height............... ................................................... Dimensions of same structure wRh alterations or additions: Front ................. Rear .................. Depth ................... i Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .... ./?...r.~.-':~ .... Rear .... /. ~./~s' '~ Depth ;M..~ ' .~_ ~ Numlber of Stories / Height.. ........... ....................................................... Size of lot: Front ' Rear Depth ..... ' Name of Former Owner 10 Date of Purchase ............................. · ' ' wh' hpr~m' ' d 11 Zone or use district in ~c ~ses are s~tuate ..................................................... 12. Does proposed construction violate, any zoning law, ordinance or regulation: ........................... 13. Will lot be regraded ....... ..................: ... Will excess fill be removed from premises: Yes No 14 Name Of Owner of premises ~ Address Phone No ................ Name of Architect .......... i ................. Address ................... Phone No ................ Name of Contractor ......... ' ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate property lines. Give street and block number or description according to deed, and show interior or corner lot. set-back dimensions from indicate whether STA OF NEW tZCK 7 COUNTY ..... (Name of individual si~ning L'ffntract) 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 dhly authorized to perform or have performed the said work and to make and file this applicatioh; that all statements coCtmned in this application are true to the best of his knowledge and belief; and that the work will be performed in the man~er set forth in the application filed therewith. Sworn to before me this ........ ~-~-day !of · ., 19~ . Notary Publi.c, ....... ~ ..... ~. County r