HomeMy WebLinkAbout15681-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N Y.
Certificate Of Occupancy
No . Z-16239 Date October 2, 1987
THIS CERTIFIES that the bmldmg RENOVATE BASEMENT
Locatlon of Property . 7~5 Dawn Dr.~ve. ...G. re.e.n.p.o.r..t.,. N.e.w..Yor..k ...........
~ House No Street Ham/et
County Tax Map No. I000 Section 035 .. Block 0.5 ....... Lot . . .I.6 .........
Subdivision ........
...... Fried Map No ...... Lot No ...........
conforms substantially to the Application for Building Permit heretofore filed in tins office dated
February 6, 1987 15681 Z
.......... pursuant to which Bmldmg Permit No ...........
dated . F e b r uar .y. 1.3, .... ! 987 . .. was issued, and conforms to all of the reqmrements
of the applicable provisions of the law The occupancy for winch this certificate is issued is ....
RENOVATE EXISTING BASEMENT AS APPLIED FOR
The certificate ~s msued to ALFRED BRENE I SON
..... ?o~.,'~r. I~¢;~,.~I~i,~ ....
of the aforesaid bmlding
Suffolk County Department of Health Approval ...... N./.A ................
PENDING
UNDERWRITERS CERTIFICATE NO ............................
PLUMBERS CERTI'FICATIOR DATED:
September I7, 1987
Building Inspector
Rev 1/81
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
5OUTHOLD, N. Y.
BUILDING FERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CQMPL~ION OF THE WORK AUTHORIZED)
N9 15681~, Z
Permission is hereby gn3nted to.
~.....,,~.......~..~:,.,,..~.~....~.:.~.,..~.~,.
....~..~.~....~.:~..,....u..~..q..~ .........
otp~mi~s,ocot.d~...~..~ ............. ~...~.~. ............. ......~.~i~ ........................
County Tax Map No 1000 Section .... ~::~.,~.~" ... Block ...... .~..~. ....... Lot No ......l..~,~ ......
Buffding Inspector.
Fee '~
~.L~. .............
and approved by the
Rev. 6/30/80
RICHARD SAETTA, INC.
General Contracting
4 Bootleg Alley
Greenport, New Yo~k 11944
($16) 477-1633 '
(516) 749-1060
BLDG
TOWN OF $OU'~r
October 9, 1987
Building Department
Southold Town Hall
P. O. Box 1179
Southold, New York
11971
Dear Sir:
RE:
Albert Brenelsen Reszdence
71 Dawn Dr~ve
Greenport, New York 11944
Enclosed please fznd a copy of the Underwr~ter's Cert~fzcate for the
above resmdence regardzng Certificate of Occupancy No. Z-16239.
If you have any questzons, please don't hesitate to call.
Respectfully yours, /~-~-
R~chard Saetta ' '~..~
~dent ~" ......... ~/ /~
Enclosure (1)
FORM NO 6
TOWN OF SOUTHOLD
Budding Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCU~
8LDG, OEPT,
TOWN OF SOUTHOLD
ANCY
Instructions
This application mu~t be fdled in typewriter OR ink, and submitted ~ ~ to the Bu~ldtng Inspec-
tor w~th the following; for new buddings or new use.
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. F~nal approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of F~re Underwmters.
4. Commercml buddings, Industrml buddings, Multiple Residences and mmdar buddings and installa-
tions, a cert~fmate, of Code comphance from the Architect or Engineer responsible for the building.
5. Submit Planmng Board approval of completed rote plan reqmrements where applicable.
B. For existing buddings (pmor to Aprd 1957), Non-conforming uses, or buildings and "pre-existing"
land uses'
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or prewous owner as to use, occupancy and condition of buddings`
3. Date of any housing code or safety inspection of buddings or premises, or other pertinent mforma-
t~on requ ~red to prepare a certificate.
C. Fees Addztions $25.00
1. Cert~ficateofoccupancv New Dwelling $25.00, Accessory ,$]0.00 Buszness $50.00
2. Certificate of occu,pancy on pre-exist~ng dwelling $ 50.0 0
3 Copy of cert~hcate of occupancy $ 5 00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date. September 23, 1987
NewConstruction ..... Old or Pre-ex mtmg Buddmg XX Vacant Land
Location of Property ~/1-%awn Drive, Greenport, NY 11944
House No. Street Hamlet
Alfred Breneisen
Owner or Owners of Property ......................................................
County Tax Map No. 1000 Section .0.35 ........ Block .. 05 Lot 16
Subd~wmon ......................... Fded Map No ......... Lot No .............
Permit No 15681Z Date of Permit 2/13/87 A--' ..... Rich. Saetta Gen'l C.o. ntr. Inc.
Health Dept. Approval .................... Labor Dept. Approval .......................
Pending
Underwmters Approvat ........................ Planmng Board Approva~ .....................
Request for Temporary Cert~hcate ................... Final Certificate ......................
Fee Submitted $ .2.5.00 .................
Construction on above descmbed budding and permit meets all apphcable codes and re~u~;tl~ns,
Apphcant .................
Richard Saetta General Contr. Inc.
Rev 10-10 78 4 Bootleg Alley
Greenpor%, NY 11944
· uuuTouTHE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~1~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
-...,~t..~,~ 30, ,~~,,~.,,~.~o.~,,~ '~'~'~/~ N ~351
Date
THIS CE~IFIE~ THAT
FIXTURE I ~ FIXTURES I RANGES C~-KI~G DECKS ~ OVENS I DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE A~ANCE ~E~RS ~IALREC PT~ TIMEC~KS { BELt ~UNIT HEATERS [MULTI-OUT~T DIMMERS
~RVI~ ~N~T ~ ~ ~ [ S E R V i C E
l-6.Okw., hot wat~ ~
Lic~1049~
f~AL MANAGFA
Thru certd~cate must not he alteced m any m~er, return to the of~tce of t~e ~oard ~f ~ncorrect inspectors may be ~dentified by their credenhal$
COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN AHY MANNER.
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date ~p~.~mh~r 17. lqR7
15681Z
Building Permit No.
Owner Alfred' Breneisen
Plumber
(please print)
Frank Meyer
(please print)
I certify that the solder used ~n the water supply system
contains less than 2/10 of 1% lead.
(plumbe~' s slgna~re)
Sworn to before me thms
/~ day of i~-~-~
Notary Publlc,, ~- County
HAROU) T OARR
NOTARY PUBLIC, STATE OF NEW YORK
NO 52-0578405 SUFFOLK COUNTY
COMMISSION EXPIRES ~l~l,
Notary Public
~'~ 765-1802
/~IBUILDING DEPT.
'/ /IN,SPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ .] ~SULATION/
FRAMING ['"'] FINAL
REMARKS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [~R~0UGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [~OROUGH PLBG.
[ 't FOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
/Z~ An application for Certificate of Occupancy
is not on file.
/? No Underwriters Certificate on file.
/_~ The check is (outdated/~B_~_IL.)~2s°O
/Z/ No Health Dept. Approval on file.
/5/ No final inspection has been made.
please contact our office on this matter.
Thank you for your cooperation.
Building Permit # _]_ ~ _~ ~ ~_ Z
Building Dept.
***/~No Plumber solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
Occupancy or use is unlawful without a Certificate
of Occupancy. Clear up this matter as soon as possible
so that legal action does not have to be taken.
Thank you for your prompt attention.
RICHARD SAETTA, INC.
General Contract!ng
4 Bootleg Alley
Greenport, New Yolk, 11944
(516) 477-1633
(516) 749-1060
September 18, 1987
Building Department
Southold Town Hall
P. O. Box 1179
Southold, NY 11971
Re:
Albert Breneisen Residence
71 Dawn Drive
Greenport, NY 11971
Dear Sir or Madame:
Enclosed please find the "Information for Buildin~ Department" notice
issued by the electrical inspector for the above residence.
Thank you.
Respectfully yours,
Richard Saetia
President
RS:bwm
Enclosure (1)
RICHARD SAETTA, INC.
General Contracting
4 Bootleg Alley
Greenport, New Yol~ 11944
(516) 477-1633
(516) 749-1060
September 23, 1987
Building Department
Southold Tow~ Hall
P. O. Box 1179
Southold, NY 11971
Albert Breneisen Residence
71 Dawn Drive
Oreenport, NY 11971
Dear Madame or Sir:
Enclosed are: 1) Application for Certificate of Occupancy
2) Plumber Solder Certificate
3) Check in the amount of $25.00
You already have the Underwriters Certificate on file.
We look forwar( to recelvzng the Cerblficate of Occupancy.
Thank you.
Respec%fully y6urs,
Rzchard Saetta
Presxdent
Enclosures - 4
OU~DATIO:~ {1st)
OUNDATIO:; (2nd)
OUGH FRAME &
FLUMBING
NSULATION PER N. Y.
STATE ENERGY
CODE
ADDITIONAL COMMENTS:
FORM NO 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALl..
~OUTHOLD, N.Y 11971
TEL.: 765-1803
Approved~'~,~,~'~ 1 ~ 19~ Permit No I ~%'-~ ~ J ~-
Disapproved a/c . ~
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
FEB
Date . Februiary 6, , 19 ~3
INSTRUCTIONS
a Tins application must be completely filled m by typewriter or in mk and submitted to the Bufldmg Inspector, wltt
sets of plans, accurate plot plan to scale. Fee according to schedule
b Plot plan showing location of lot and of buddings on premises, relationship to ad3olmng premises or pubhc stre.
or areas, and givmg a detmled description of layout of property must be drawn on the diagram which is part of this ap,,
cation
c The work covered by tins application may not be commenced before issuance of Building Permit
d Upon approval of this apbhcatlon, the Building Inspector will issued a Buddmg Permit to the apphcant Such per~
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 Occupan
shall have been granted by the B6ildmg Inspector
APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Btuldmg Permit pursuant to t
Building Zone Ordinance of the Town of Southotd, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of bmldmgs, additions or alterations, or for removal or demolition, as hereto descnb.
The apphcant agrees to comply w~th all apphcable laws, ordinances, budding code, housing code, and regulations, and
admit authorized inspectors on premises and in budding for necessary._
(Signature of apphcant, or name, if a'C6rporatlon)
·..R.~.c.h.a.r.d..S~.el-l-~o. ~¢r~1. Contrqctor,. Inc,..
4 Boo~leg Alley, Greenpor~, NY 11944
........ ififiiiifi~' ~3~ ~' fi?' ~33iififi~U ......
State whether applicant is owner, lessee, agent, architect, engoneer, general contractor, electrician, plumber or build,
Gqn~ral Cou~q~qr
Name of owner of premises Alfred Brene~son
(as on the tax roi1 or latest deed)
If applicant is a corporation, signature of duly authorized officer
, .President
(Name and title of corporate officer)
Builder's License No 130~6HI ..
Plumber's License No 1386P
Electrician's License No lO49-E . .
Other Trade's License No . .
Location of land on which proposed work will be done
71 Dawn Drzve, Greer~pork ....
House Nulnber Street Hamlet
County Tax Map No 1000 Section 3~ Block *~. Lot
Subdivision t:2(~c~-,~//c'~ t°7~ Y~C. ~ Fried Map No /~-~. Lot
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction
a Existing use and occupancy R.e~xdeDt~l
b Intended use and occupancy Rpss~eny~al
3. Nature of work (check which applicable) New Budding Addition ........ Alteration , ×.
Repair . - · *rti~.- ~ aRemoval ....... Demohtlon ......... Other Work..
~ (Desc~ptlon)
4 EstanatedCost .$.41 .000 .................... Fee .]~'.~.~. ......................
(to be paid on f'flmg this application)
5. If dwelling, number of dwelhng units .... 1 ........ Number of dwelling umts on each floor ............
If garage, number of cars ...................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................
· 27. A.
7 Dimensions of existing structures, if any. Front .56' ...... Rear . ,5.6~' ........ Depth . ' ".
Height . 25.' ...... Number of Stones . I ..........
Dimensions of same structure with alterations or additions Front S.a~e ....... Rear . Same ......
Depth 5~alu.e ........ Height. S~e ........... Number of Stones .S.a, rae. ............
8. Dh-nenslons of entire new construction Front ....... Rear ........... Depth ...........
Height ....... Number of Stones .............................
Size of lot Front / ~' } . .. . Rear . I~/. ... .... Depth .t7..-7,~ ...........
5
Date of Purchase . ~'/~'/, IF. ...... ~K~Name of Former Owner .~.~J'P2 ,5:7'_'4fioet,4.~...
Zone or use district in w' hic~h premises are s~tuated ..........................
Does proposed construction violate any zoning law, ordinance or regulation
Wllllot be regraded .No ,. . ... Will excess fill be removed from premises Yes X N
14 Name of Owner of premisesI Al..B.r.e.ne.~.so.n Address 238 Dogwood Lane ~?~_one No .6.~7.-:5.5.~4 ..
Name of Architect Rxcha'rd Mhetta', Gen'~l. Address .~a.n.h. as. sldt.', i.~. illl.'6rnone NO ......
Name of Contractor ~'onZ~atZ'or,' Igc ....... Address ~ Bootle~ .A.~.ey... Phone No 47.7.x16.3.3.
15. Is this property~ocage~wztlimni00 feet of a tidff~w%[Vff~? * Yes ..O~. No .....
· If yes, Southold TownlTrustees Permit may be required·
PlOT DIAGRAM
Locate clearly and dmtmctl~ ail buildings, whether ex,sting or proposed, and indicate .11 set-back dnmenslons fro
property lines Give street and block number or description accordmg to deed, and show street names and indicate wheth
interior or comer lot.
,,k[ 9
12
13
See Attached Plans
STATE OF NEW YORK, S S
COUNTY OF ..
8,ch~rd $~¢~ ..
(Name of individual signing contract)
above named
.... being duly sworn, deposes and says that he is the apphca
He is the Con.trac.tor ........
(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 ti
application, that all statements contained m this application are true to the best of his knowledge and behef, and that t
work wdl be performed in the manner set forth m the application filed therewith
Sworn to before me this
· fil;h ....... day of... F.e.bruary ....... 19 .87.
N°tary Publl 'c~''~(~~' 'S 'u 'f 'f ° 'lk ' CountYBEvERLY A BREOEMEYER ~.~... ~.
Notary Pubhc, State o! New York ....... ' .....
No 4734549, Suffolk Couo~ (Signature of apphca,
Term [XF. ires March 30. 193~\
OCCUPANCY, '"
USE IS UNLAWFUL
WITHOUT CE~iFIC^TE
OF OCCUPANCYI'