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Home My WebLink About16298-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z16430 Date Nov. 24, 1987 THIS CERTIFIES that the building .... I.n. g .r 9.u.n.d.. p.o.q 1...a.n.d...f.e.n.c.e. ................. Location of Property 1465 Brigantine Dr. Southold - - P~ ~/'o: ....................... 's't/o~i ....................... hJ;,io~ County Tax Map No, 1000 Section . 079 .Block 04 ..... Lot 56 Subdivision.ttarbor Lights See. 3 .Filed Map No. .5.1.4. .7. . .Lot No. 72 conforms substantially to the Application for Building Permit heretofore filed in this office dated July 29, 1987 . pursuant to which Building Permit No. 16298. Z dated .... .J.u. 1. y...3.1. ,.......1987 ......... 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 ......... Inground pool and fence as applied for. The certificate is issued to RONALD BUTKOVICH ..................... ?oY.'e;, '/~'~,~t'~ X .................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. . N842986 11/12/87 PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 PORn[ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD0 N. Y. BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date Permission is hereby granted to: ...~..;..T4.~. ,~....,..~...~ .............. ....~...*..~.~.~.~. ..................................................... ,o ~~...~...~~..~.~..~.....~...~...~. at premises ,~ated at ...~..~.¢...':~.~..-}.~.~.,.....~~ ............... Coun~ Tax Map No. I000 Section ..... O.~..~. ....... Bilk ....... ~.~ ....... Lot No...~% .............. the Building Inspector. Fee *..t..~ .............. "Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD Building Department Town Hall 8outhold, N,Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m= ~ 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: 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 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: Additions $25.00 1. Certificate of occupancy New Dwelling~$25.00, Accessory~1$t0.00 Business $50.00 2. Certificate ofoccupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewCons t, ruc t, ion ...... Old or Pre-existing Building ............ Vacant Land ............. of Property Location ............... ~ ............................... House No. Street Ham/et Owner or Owners of Property ............................................................ County Tax Map No. 1000Section .../.~.. ........ Block .... . .~'.. ....... Lot .....-.~'.~. ........ Health Dept. Approval ...'2 .................... Labor Dept. Approval ........................ ~/ Underwriters Approval Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and~m/~ets al~,,~l~le codes and regulations. Applicant . . .,/:'~l~z~-~'~..~../.% .'~7 ................................ THE 'NEW YORK BOARD OF FIRE UNDERWRITERS 1001381 BUREAU OF ELECTRICITY ~-kh E5 JOHN STREET, NEW YORK, NEW YORK 100:38 THIS CERTIFIES THAT Ron Butkovich, Brig~t~e Dr. ~ ~1550, ~orth Sayview Rd., ~u~old, i. the follo~ing location; ~ B~,e,m~nt ~ Ist FI. ~ 2nd FL O~t~ide .%c~hm ~[~k Lot was examined o. ~OVe~' ~ 19~ and found to be in compller~ce u'ith the req,ire~nents of this Boord. EXHAUST FANS 1 DRYERS R V I C OTHSR APPARATUS: 1-GoF.G. ~($X~IM~IING POOL) TtIIS CERTIFICATE COVERS COMPLIANCE AT BECAUSE OF ~SU~ ENV~ON~TS IT tS ~I~L~ TO }~ ~QU~T TEST/~D OR ~PA~S ~E BY A QU~,~ll~) P~SON. Jody Pumtllo P~t Lame Fmttttuck, N.Y. 11932 lic.#2300E GENERAL MANAGER Per / This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentla{s, ~1~ ,COPY FOI~iBUILDING DEPARTMENT, THiS COPY OF CERTIFICA~'E M~UST NOT BE ALTERED N ANY MANNER TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P,O. BOX 728 TOWN IIALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concernf We are unable To complete your Certificate of Occupancy because .of Che following reasons. /_--_--/ An application for Certificate of Occupancy is not on file. / No UDderwriters Certificate on fileo /~-_~ Tile check is(outdated/not On file.) /~/ No llealth Depto Approval on file. /-~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building D~pt. ***/-/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) UNDATION (1st) UNDATION ( 2nd ) UGH FRAME & FLUMBING SULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING DATE / / INSPECTOR~~ BU765-1802 ILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE ? INSPECTOR Approved...~..al.., 19 ~.~. Permit N0. l FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · COUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved ale .................................... (Building Inspector) BLDG. DEPT. TOWN OF SOUTHOLD Received ........... ,19... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .~ .......... a. This application must be completely filled in by typewriter or in ink and shbmitted 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 lssuan e of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building P0rmit 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 ~ Certificate of Occupancy shall have been granted by the Building Inspector. " ' APPLICATION IS HEREBY MA~E 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary2inspections. , ,...~...../~../.~ f.,a..J~...~., .c..~.~.'-ee. c.... .... (.Signature of applicant, or name, if a corporation) · ' · .', , (mailing address or appl~_cant) state whether applicant is owner, lessee, agent, architect, cn~neer, genera] contractor, e]ectrician, plumber or builder. r< ......................................... Name of owner of premises ..... Y~...~. ...... ~' ~' .7fi. ~ .O ~/.C/~. ..................................... (as on the tax roll or latest deed) If aDl~n~t is a corporation, sig.na~uxe of duly authorized officer. ( · Builder's License ...... .Z. .... Plumber's License No ......................... /4Z, ~,~// ~-z~ cc_. Electrician's License No ..... ~)~.~.~. ...... ......".~//~ Other Trado's Lkens~ No ...................... ~ . ~/~ ~/~- O~lu~~ 1. Location of land on which proposed work will be done. ~ .... ~: ................... /. ~~.~. ·. ........... g~.r~.-~ atq~... ~ ~7.. ~. :~ ~ ~ z.~...< :~:./~ ~,.//~. L ~ House Number;., , ,~ . Street Hamlet County Tax Map No. 1000 Section · · ~ ......... . ............... Lot ............. Subd~wmon/~.~! ..... ~ ~ .................... Filed Map No ......................... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. ~ ~~.~ ...................................... applicable): New Building Addition Alteration 3. Nature of work (check which .............................. Repair ..... ~;!.lt.~.~moval .............. Demolition .............. Other Work ............... . (Description) 4. Estimated Cost ............, .......................... Fee ...................................... (to be paid on filing this application) 5 If dwelling number of ' ~ ' Number of dwelling units on each floor · , dwelhng umts .............................. 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 ............... Rear .............. Depth ................ Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear'. ................. Depth ...... Height Number of Stories 8. Dimensions of entire new construction Front ............... Rear ............... De~th ............... Height Number of Stories .. '.'~ ' 9. Size of lot: Front .......... 1 ............ Rear ...................... Depth ...................... 10. Date of Purchase ......... i ................... Name of Former Owner ............................. 11. Zone or use district in which p~emises are situated ............. /.~-~./.~...g~...T./.~.tr ........................ 12. Does proposed construction w01at~21~ zoning law ordinance or regulahon ..... ~ ......................... 13. Will lot be regraded ....... ! t~. ~ Yes ............. Wall excess fill be removed from premmeS:o~'~ 14. Name of Owner of premises . i[~...1 J~oqt.~p{ Address f'z2~.~.-7~.~ Phone No Name of Architect ....... ~ .................. Address ................... Phone No ................ Name of Contractor . ~]:i ~l~/zd~ ~t.~..~..~...~v.~-. Address t~../~.~ ?'Z~:.¢;/~.. Phone No. . .~.; 15. Is this property located within 1,00 feet of a tidal wetland? * Yes ..... No ..... · If yes, Southold Towa T~ustees Permit may be required. ' PLOT DIAGRAM Loc'ate clearly and distinctly all build'ings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................ g ,OV D A8 NOTED , '/ · ~ILD~MG OEPARTM~ ' . ~NSP~CTIONs: ~Oo~r'~r~O~ TWO REO~RED ' ')~-'%~[E~ FOR C.O, ' ULTION SHA~ T~,~' ~EO[J S.S ........................... ~ ...................... being duly sworn, deposes and says that he is the applicant (Name of indtwdual signing contract) above named. He is the .................... ! ..................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is 6uly authorized to perform or have performed the said work and to make and file this application; that all statements cofltalned 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 i ' ............... , ........ day pf ............... , Ne. 4767878, Suffolk .Co~udY~ ~ ................. T~m E~pi~ I,~r~h ~0, l~.a./ applicant)