HomeMy WebLinkAbout15046-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. z16434 Date Nov. 24, ]987
THIS Add i t i on
CERTIFIES that the building ................................................
Location of Pro err 150 Briarwood Lane Cutchogue
House No. Street ' ' ~l~ie~
County Ta× Map No. i000 Section .1.3,6. ........ Block ...0. ~, .......... Lot .... 3
Subdivision. E u g e n e H e i g h t s .Filed Map No..8.5.6. .... Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
June 24, 1986 . pursuant to which Building Permit No. 15046Z
dated .... .J.u.n.e...2.8 .... ! .9.8.6. ......... was issued, and conforms to all of the requirements
of tile applicable provisions of the law. The occupancy for which this certificate is issued is .........
.... A.d~ition to an existing one family dwelling and permit amended
to }~t'c']_'~.~' '~ ' ~l'i'~.' 'd'~'. ..............................................
The certificate is issued to GEORGE A. BROWN
..................... ....................
of the aforesaid building.
Suffolk County Department of Health Approval ..... N / A
UNDERWRITERS'CERTIFICATENO ........... N776382 Oct. 28, 1986
PLUMBERS CERTIFICATION DATED: N/A
Rev, 1/81
FO~I~[ NO. Is
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥.
BUILDI~qG PERJ~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°. 15046
Z
Permission is hereby granted to:
....... ....
....t..~.,~.~..H~...~...~ ..................
.~~~ ~..~. ~,~.~ .
................ ;"~ .................... ~-;-:"$"~' ~ ,
............... ~5 ................ ~'u-~ ...... ;_~. ........... ; -~ ~" '0_~-c0~-~
at premises located at ...[..~..'~..,........~'~~....~ .................... ~~ .......
................................ ..............................................................................................................
County Tax Map No. 1000 Section ...... l....'~..~. ....... Block ...... .~..) ......... Lot No ..... 3 ................
,,ur,uont ,o op,~,co,,o,, do,~ ..... ...~..~...~.~ .................. , ~9!~., o,d oppro¥~ by
Building Inspector.
Rev, 6/30/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS FA S].
8~7358~ BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 1003S
Date DvgCEHBER 0~,'i99B Application No. on file 17274298/9~ H {362342
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
l'tR.& IlRS. BROWN, 1150 BRIARWOOD l~/g~, CUTCHOGUE, NY
in the following location; [] Basement [] tst Fl. [] 2ha Fi. GAR/ATTIC/OUT Section Block Lot
was examined on ~O?EI~BER 3~, 1998 and found to be in compliance with the National Electrical Code.
FIXTURE SWITCHES
OUTLETS
DRYERS FURNACE MOTORS
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO, OF FEET
SERVICE DISCONNECT
S E R V I 0
NO. OF CC COND. A W G. NO, OF HI-LEG A, W, O NO, OF NEUTRALS A- W. G,
OTHER APPARATUS:
ENTII~ PEEMiSES-i
*NO VISUAL DEFECTS: "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
~lsatis£actoz¥ condition was found.
GEO BRO~!
P. O. BOX 1062
CUTCIIOGUE, APf, 1.1935
GENERAL MANAGER
This ceffiflcote must not be alterod in any manner; return to the office of the Board if Incorrect. Inspectors may be identified by their credentials.
COPY FOR ~BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1001195
EUREAU OF EL. ECTRICITY
~[I~ 85 JOHN STREET. NEW YORK, NEW YORK 10038
,.re o~to~ ~8, ~ ~.w~.,o.~o.o.~,~ 4~/s~ N 776382
THIS CERTIFIES THAT
o~y the e~ectr~caJ ~ulpment ~ ~scrlbed belo~ and intr~uced by t~ applicant ~med on the a~ve application number in the premises of
was exar.lned o. OC~ ~ ~ 1~ a,~d found to be ~n compll.nce u'il h the req.lre.,ents qf thls J;oard.
FIXTUEE FIXTURES
ZO 21 ~ o3 21
DRYERS MOTORS FUTURE APPLIANCE FEEDERS
SERVICE DISCONNECT
RANGES
;PECIAL REC'PT
KS U
IME LO ITHEATE UL I
C BELL ~ '
SYSTEMS
A~AT AMpS TRANS*I A~T I H,P NO OF I~ET
C
A.W,G. NO OF HI.LEG A.W.G. NO.OF NEUTRAL~
OF CC* COND. OF HI-LEG
~'otors: 1-1 / 2Ilo
1-G.F.C.I. [-S~oke Detector
EXHAUST FANS
DIMMERS
1
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their d-edentials.
FIELD INS£~ECTION
FOUNDATION
FOUNDATION ( 2nd )
ROUGH FRAME &
PLUMBING
C OI~h'~ E~U TS
INSULATION FERN.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
BUILDING DEPT.
INSPECTION
TION 1ST ~ ~ ROUGH PLBG.
[/~ FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL ~'~'
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [] ROUGH PLBG.
FOUNDATION 2ND [] INSULATION
FRAMING ~] FINAL
REMARKS:
DATE' ~//~//~// iNSPECTOR ~.~,~,%~
765-1~02
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION AND [ ] INSULATION
[ ] FRAMING
REMARKS:
INSPECTOR~
FORM NO~ 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- ]802
APPLICATION FOR CERTIFICATE OF OCCUPANC~
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ Ja~c~JJJ to the Building Inspec-
tor with the follow ng; for new buildings or new use;
I. Final survey of property with accurate Iocatk)n of all buildings, property lines, ~reets, 8nd unu~al
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 Unde~riters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and in,alia-
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 u~s, or buildings and "pre,ex]ming"
land uses:
I. Accurate m~ey of p~perty showing all property lines, Areets, buildings and unu~al na~ral 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 pe~inent informa-
tion required to prepare a ce~ificate.
2.)
C. Fees: Add~tlons $''*.00 POOLS $25.00
~2~.00, Accessory ,$10.00 Bus'.ness $50.00
1. Certificate of occupancy New l)we[J Jn(; S'"
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy o[ certi[icate of occupancy $ 5.00, over 5 years $10.00
4,,Vacant Land C.O. $ 20.00 / ~/ ,
NewCon:~ issue ti on .... ~.
' . ..... Old or Pre-ex~stmg Braiding ............ Vacant Land .............
House No. ~ ~ Street ~am/et
...
Owner or Owners of Property ~'~ , o ~ .
County Tax Map No. 1000 Section ............... Block ............. Lot ............
Subdivision .................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ......................... abor Dept. Approval ........................
?~ ~¢~" 3~- Planning Board Approval
Underwriters Approval . . .3. .........................................
Request for Temporary Certificate Final Certificate
Fee Submitted $ . , . .~. ~..q~ ...............
ng an.~ ~ ;bio codes and regulations.
Construction on above described buikii ~[t mee~~ ~~
......
.o:
FORM NO, 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined ..~. ~4-/,~...~..~ ..... 19 .~.¢.
Approved.l..~A4,,~t..~-..~ ..... 19.~.~. Permit No. l .~-1)..~.~..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BLDG, DEPT.
TOWN OF SOUTHOLD
Received ........... ,19...
Date 6/24/86 19
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, housin~ code, a~ regulations, and to
admit authorized inspectors on premises and in building for necessary insp~
· ....
(Signature of applica~, or name, if a corporation)
17 4 5
Cutchogue, N .~Y. ,1~1q9'3 5
........ [~ii~ii~'i~i'~'i~i~ .......
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
Name of owner of premises ...G..ep.r. ge...&..Ea..t;..B.r. OWO. ..................................................
(as on the tax roll or latest deed)
If appli&aa_L~c_orpo, r~on, sign~re~ of duly authorized officer.
..,:. .... .........
(Name and title of corporate officer) /0~
Builder's License No...S.u.f..f...8.9..9.1.H.I....~. ~..J~.{.~. ~
Plumber's License No .........................
Electrician's License No...2.8.3.9. ................
Other Trade's License No ......................
1. Location of land on which proposed work will be done..BrEa~;woocL Lane.,..CutcJiogua,..I~I~E.,: ...........
House Number Street Hamlet
County Tax Map No. 1000 Section .....1.3.6. ........... Block ...1 ............... Lot...3.
Subdivision... ~l.uqene..l~ei~r.t~t;$ ................. Filed Map No. .85.6 ......... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . .O.n..e..F.a.m..i.1¥..D.w..e.l.l.i.n.q..(c.a.p.e.) .....................................
b. Intended use and occupancy . .
......................... i~,1~ ~¢~ ~:*~ ~, ~ .,,~ ....................
3. Nati.~f~$fl~(cli,~phcable): New Building .......... Addition .......... Alteration ........
Repot ' ............ Re~n~ c~val .............. Demolition .............. Other Work ..............
4. Estimated Cost . . ...... ................... Fee ......................................
! : (to be paid on filing this application)
5. If dwelling, number of dwelling units.. 2 Number of dwelling units on each floor. 1. .....
If garage, number of cars ...; .....................................................................
6. If business, commercial or mix!ed, occupancy, specify nature and extent of each type of use . .N.3:. .... . .............
7. Dimensions of existing structures, if any: Front..30 .~ .......... Rear .. 3 P.' Depth :2.4.'...
Height 22 ' Number of Stories 2.
Dimensions of same structure With alterations or additions: Front . 50 ' . Rear 50 '
2. 4 ' Height ~ 2.: Number of Stories 2
Depth ................ q ............................................
8. Dimensions of entire new construction: Front 50 ~ Rear 50 ' Depth 24 [
u~h+ 22 ' r ' ' 2
....... Number of Stones .................................................
9. Size 0flot: Front 70 ~ .. Rear 69.63 ~ ~ 204.25
......... , ................................ l. Jepul.. .....................
10. DateofPurchase ' 1973i . Name of Former O Litt~ce R. Bonne.r
......................... wner .............................
1 I. Zone or use district in which premises are situated .....................................................
12. Does pri~g6~nstruction vi61ate any zoning law, ordinance or regulation: . XeS ...........................
13. Will lot be regraded ....... ~ .................... Will excess fill be removed from premises: Yes
14. NameofOwnerofpremisesGeo~:ge. B~:O~O ...... Address Jt~;igrwood Lane PhoneNo.
Name of Architect .Richard..O.. Kunst ....... Address .Briar.wc~ocl. J~a~g~.. Phone No. 7.4.5. .....
Name of Contractor. Sa.me. ~ .................. Address . .TT.-.--.-.TT.--.-..~T .-.-.. Phone No. 7r.r-r.".-.-.. .....
15. Is this property located w±thin.l;00 feet of a tidal wetland? * Yes ..... No ...~.
· If yes, Scut:hold To~m T[ustees Permit may be required.
... PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether ~xisting or proposed, and, indicate all set-back dimensions from
properW lines. Give street and bloc k number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
COUNTY OF ................
...... P,£char.d .0,. Kuns.t..
(Name of individual si
above named.
S.S
, · .................... being duly sworn, deposes and says that he is the applicant
ning contract)
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is d¢ly authorized to perform or have performed the said work and to make and file this
application; that all statements cofitained in this application are true to the best of his knowledge and belief; and thfit the
work will be performed in the manfier set forth in the application filed therewith.
Sworn to before me this
(Signature of apphcant)
55
oGGU?ANG~ OR
USE iS UNLAWI:UL
O~ oGGU?~NB¥
~/ce~OYED AS NOTED
THE ~EOLII~NT~ OF TH[ ~.Y
9~ATE CONSTRUC~O~ ~
COO~, NOT ~NS~L~ r~
~N OR C~N~TRUC~ON ~RORS,
Unauthorized alteration or
~ddif[on to this document is a
v]oiaCon of scc~!on 7209 of
CLIENT CLIENT CONST. DRAWN BY: Eastern Post & Beam
~x~ ~ - ~ Lq'~ APPROVALS: DA~: '~ ":'~x
~f' ~/~
BUI~ING ~PE: REUSED:
~ ~ ~ ~ck Kunst (516) 73~67~
~-~% ~ P.O. ~X gW * ~MEON BAYS. N~ VO~
WINDOW SCHEDULE L~TEST REV. DATE'
CASE MANUF./MODEL NO.
MK. QTY. DESCRIPTION ROUGH OPENING WALL PR. CAS'G GR. SCN. GL. SWG.
MK. QTY.
DESCRIPTION ROUGH OPENING WALL
>R. CAS'G. SWG. GR. I
MANUF./MODEL NO.
~ddition to fhls document is a
violaFen of s=c~;on 72.09 of
the New Yer!~' 5:a]a Education
Cop~es of this dozument not
bearing the engineer's inked
seal or embossed seal shall not
be considered valid copies.
I
k
J
Unauthorized alteration or
eddltlon to this document i, ·
vialaHon of section 7209 of
the New YoHc $:n~a Educnfion
FLOOR ~=t~ HOT WA~ PIP~ ,~ ~ --'
SLAB E~E ~;~
CLIENT CLIENT CONST. DRAWN sv: Eastern Post & Beam
, :L:, !.;