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Home My WebLink About14647-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupnncy No. Z14312 Date March 24 ................................................. THIS CERTIFIES that the building ........ .A.d.d. $ .t.~.o.n. .............................. Location of Property .2.0.0..: ......... Breitstadt Court Southold House NO. ' .............. ~'tde~i ....................... County Tax Map No. 1000 Section 070 .Block 09 .Lot 028 Subdivision...S.m.~. ~.hf.~.e..1.ct..P.a..~.k ........... Filed Map No..4.7.7..0...Lot No....1.5. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..~.a?.qh....1.3. ........ 19 .8.6. pursuant to which Building Permit No ....... 1.4. 6. .4.7.Z. ........ dated ............ .~.a.r..c.h....J: .4 ..... ] 9 .8.6. , was issued, and conforms to all of the requirements of the applicable provisions of the Jaw. The occupancy for which this certificate is issued is ......... The certificate is issued to WEBER~ ADRIENNE E. & FREDERICK R. (owner, of the aforesaid building. Suffolk County Department of Health Approval .......... N./.R ............................. UNDERWRITERS CERTIFICATE NO .................. N../.R ............................. Rev. 1/81 Building Inspector TOV, q4 OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJv~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14647 Z Permission is hereby gronted~~ ...~..o....o.....~~....~.... ....... ~ ~.~.~....~..:..?.,.....z../..r...'z..~ ....... County Tax Map No. 1000 Section ..... .C)~I.....~. ........ Block ...... .~...~. .......Lot No ....... ~...~. .......... pursuant to application doted ................... ./..~L. .................. , 194~..~, and approved by the Building Inspector. Building Inspector Rev. 6/.30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall Southold, N.Y. 11971 765- 1802 '[OWN OF 'SOUl'OLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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--iS-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. 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 featu res. 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. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 '~ 4~..~. 5 .updated C.O. $15.00 Date ..... .'~. ~ ./.~..~. ........ New Building .. ,~.. · Old or Pre~existing Building ............ Vacant Land ............. Location of PropertyHouse ...... No.'~'I~'-~' ....~. .~.~..~.Street . . County Tax Map No. 1000 Section 70 Block ~'. Lot .... Subdivision ,.~/V// ~/.LZ) .Filed Map No. .Lot No. PermitNo '.~.~¢]~' DateofParmit~J).~.[~...Applicant .................. HeaJth Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ........ .-~ ............... Construction on above described building and permit meets all appiicab~ codes and regulations. ~¢,N%t% Applicant ... ~~~.,~'~..,: t.., .......... FIELD INS~ECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FR AM~/ ~TE ENERGY FINAL ADDITIONAL COMMENTS, 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~F~{~NAL 765-~802 BUILDING DEPT, INSPECTION [] FOUNDATION ~ST []ROUGH PLBG. [] FOUNDATION 2ND []INSULATION /~}? (~']FRAMINg, []FINAL / DATE INSPECTOR LUMBER LIST 28 16 2 16 3 4 X 4 10 lbs. 10 lbs. 1 2 126 2 X 6 '16's C.C.A. PINE 2 x 8 14's 2 x 8 ~4's 8-28 TECO 12's eight pennt galvanized nails 10 penny galvanized nails x 10 16's lineal feet 5/4 x 6 CCA Approximate%y $300 5-6 years ag0, ~ITt-IOIJT (;£R'I'IFIC;A'ff-. OF OCCUPANCY 'NOTIFY BUILDING DEPARTMENT AT '765-1802 9 Alii TO 4 PM FOR THE FOLLOWING INSPECTIONS: I FOUNDATION ~O r~eQUIRED FOR POU~ED · 2 ROUGH FRAMING ~ PLUMBING 3. INSULATION .~, Fi~fA[. C~'~:~TRtiCT~ON MUST BE COMP _ET~ FOR C,O. ALL CONSTRucTION SHALL MEET THE REQUIREMENTS OF rile N~Y STATE CONSTRUCTION & ENERGY CODES, NOT RE~NSIBL~ FOR . Building Inspector Town of Southold Frederick R. and Adrienne Weber 200 Breitstadt Cto Smithfield Park Southold, NY inspection on a deck years ago. Premises: Gentlemen: Please issue a C.O. after the proper addition to the above premises 5 -6 Time is of the essence as this involves a refinance closing date with Rudy Bruer0 I would appreciate your immediate attention to this matter Very truly yours, Adrienne Weber and Frederick R. Weber March 13, 1986 5 CUTCHOGUI~ FOR ADJO[N~NG AREA SEE MAP NO 24 LE IS NICKLES LTD. REAL ESTATE ~st Mal~ Road, $o~Jlho[d, New York 11971 (51G) 765-341G All f~ thc Savings Bank ~ervices Offices SOUTNOLO, 54375 Main Rd., (516) 765-2800 conveniently PORT JEFFERSON STA., 532 O~d Town Rd., (516) 47'3-7000 located in BOHEMIA, 4525 Sunrise Hwy. at Sycamore Ave., (516) 567.6700 SOUTHAMPTON, 46 Windmill Lane, (516) 283-8300 Member F.D.LC. Egual Housing Lender/[~ 65 LE IS NICKLES LTD. REAL ESTATE ast Main Road, Soufhold, New York I 1971 / (516) 765.3416 Offices conveniently located in SOUTHOLD, 543?5 Main Rd., (516) 765.2800 PORT JEFFERSON STA., 532 Old Town Rd., ~516) 473-7000 BOHEMIA, 4525 Sunrise Hwy. al Sycamore Ave., (516) 567-6700 SOUTHAMPTON, 46 Windmill Lane, (516 263-8300 Member F.ID.I.C. Equal Housing Lender.~ 65 NOTE: · -* MONUI~ENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLENK OF SUFFOLK COUNTY ON DE~ 2T~ 19$$AE ~4AP NO, 4770 SURVEY FOR_ FREDER ICH WEBER LOT 15 "SMITHFIELD PARK" SOUTHOLD TOWN OF SOUTHOLD SUFF. CO., N.Y. CUARANTEEO TO: THE TITLE GUARANTEE CO, SCALE: I "= 40' SEPT. 21, 1970 ALDEN ~ YO~N-G~ ~ PROFESSIONAL ENGINEER AND LAND SUHYE YOR, N. Y. S. LIQNO. I£84~ RIVERNEAD, N. Y. FORM NO, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y, 11971 \ TEL.: 765-1803 Examined ...~t;v~.C~ J.q..., 19~..(". Approved ...~.'...~.... ! .~..., 19~..~. Permit No. [.~..~.¢.7. BLDG. DEPT, TOWN OF $OU1HOLD Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date Marc'h 13, 19 86 INSTRUCTIONS a. This application must be completely tilled 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 g 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 ail applicable laws, ordinances, building code, houaing code, and regu. lj~tions, aod to admit authorized inspectors on premises and in building for necessary insp,~,ns, f~~ ~ ~/.,~///~f...- ... ............. ,q,, ~ ,, ~ .... fi'Signature of applicant, or name, if a corporation) ~Z,J/~/~---,,~.f/LJ,~ ~{f~-~---~-/~ 200 Breitstadt Court Box 259 Southold, NY (Mailing address of applicant) 119 7 1 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... A. pp.l.i.q .a.n.t.s...a.r.e..t..h.e..o.w..n.e.r.s...s.~.n. qe...b.u.J:.l..t..O, qt. 9.b.e.r...1.97.q ................. Name of owner of premises ...... i~r.~..d.e.r.~.c..k..R.....a.n.d..A.d.r.J_.~.n..n.c..E.....W.~.b?..r ........................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . Applicants are not incorporated, Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... This is not propsoed work, This was added in the last 5-6 years and is on the 1. Location of land on which proposed work will be done.., g~a;~..ri .o~_ks...u.n.d.e.r...1.0.0.0. v 7.0.-.9. v 213..$C~IBp..$9.-.. .... 2.99..~.r..e 5.t.s:t..a.d?..qe.u.r.t....%m.~t..h?.%e.~..d. ?.a.r..k...S.q.u.thq% .d,. ?.e..w. Xqr..k..Z.t. 9. 7 .~: ............. House Number Street Hamlet Copy attached. County Tax Map No. 1000 Section ..... 7..0 ........... Block .... 9. ............. Lot ....... 2..8 .......... Subdivision ..... SMITI-I.F./~ELD..PARK ............... Filed 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.s..i.d~.n.t..ig.1' .h. 9 .m ?. .w.. .i .t .h. ?:4..'..x...1.6.'..d.? .c.k..a.t..t.a.c.h.? .d... b. Intended use and occupancy ............ .C.qn. ¥ .i.n.u.a. .d..u.s.a...f.o.r...r.e:?:d. ?.n.t.J:a..1..-..n..o..c.h.a..n.~.e.. ...... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration U~CK .... ~' Repair .............. Removal .............. Demolition ........... ... Other Work....'%...~. ....... done by son who does carpentr · · /( , , ;~escnphon) Estimated Cost APPROXIMATELY $300.00I n wo.r.k %~eteh P.enny Lumper. ./ . . (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number o f dwelling units on each floor ................ If garage, number of cars ............................................ ' ............................ 6. Ifbus~nes ,commercmlorm~xedoccupancy, specify nature and .extent of each type of use ..................... 7. Dimensions of existin structures if an · Front 5.6 ' + ~ ' ] O~Rear 36 ' + 5 ' j o~nth 26 ' g , Y .................... , ......................... Height ............... Number of Stories ..... .2.[ .s..t 9.r.i.e..s ........... :... Dimensions'of same structure with alterations or additions: Front . .n.o.n.e. ...... . ..'..' "~t~ear .... ............... i 2t" k'l' ~ ~' i{~ .k' ' ' Depth ...................... Height ...................... Number of!Stories ...................... Dimensions of entire new construction: Front ............... Rear . .1.4.'.x. 1..61f..d.e.c..kDepth ............... Height ............... Nmnber of Stories ............................ ............................ .55 acre R~- Size of lot: Front ' '~' 't' ...... 6 ........... ,m ...................... !Depth ...................... 10. Date ofPurohase .S.. p..:..1.9.7 .................. Name of Former Owner .. D. qn..e..-.qr. Sg.i.n.a..1..o.w.n..e.r.s.. I I. Zone or use district in which premises are situated ......................... ! ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: . .N.o. ............................ 13. Will lot be regraded .......... hlQ ................ Will excess fill be removed from premises: Yes NoX 14. Name of Owner of premises . .s.e.e...f.r.qn.t. ........ Address ............... .... Phone No ................ Name of Architect ........................... Address ............... ! ....Phone No ................ Name of Contractor .......................... Address .... : .......... i ....Phone No ................ If any questions, call Adrienne Weber at Ext230-765~2800 8.-15 to 4PM Thank you. PLOT DIAGRAM Locate clearly and distinctly all buildings, 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. ~' below ~rade,coDcrete ooLlngs were lnsral±ea. CCA pine was used: 14'x 16' deck Lumber list: 16'0" 36'0" 36'0" STATE OF NEW YORK - - COUNTY OF . .~. , . S.S .................. 7~'~./.e~.M¢. · .~.~-..(~..~..~.C ..... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ............................... ~..~.. ~. £~[~ ..................................... . ........ (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 this application; that all statements contained in this application are true to the best of hi: nowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ....................... day of ............ 19... Notary Public, .............. ~ ....... County r~.~// ' ' '~[.IC, St.t. e~ NewYo~ ,~ (Signature of applicant) :5,~ Suffolk ~ ~, ','h30, lg~ i