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Home My WebLink About14010-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26159 Date: 12/10/98 THIS CERTIFIES that the building ADDITION Location of Property: ~50 BRIARWOOD LANE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 136 Block i. Lot 3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 1985 pursuant to which Building Permit No. 14010-Z dated JUNE 6, 1985 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie issued is CELLAR ADDITION UNDER AN EXISTING DWELLING AS APPLIED FOR. The certificate is issued to GARY C. BROWN & GAYLE B. WALLACE (OWNER) cf the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-062342 12/04/98 PLUMBERS CERTIFICATION DATED N/A ui~ing Inspector Rev. 1/81 1~0~v NO. ~ TOWN OP $O~THOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14010 Z Permission is hereby granted to: ...... ~_~ ~.,..,~1........~.,~.~.....~ ..... ..... /. .(. .~ ~ . . . . , ~ ~ .~. .~ ~.L~. . . . .Z ~. . . . ,o ....... .~.~(.~Z. .~.....~. ~ ~.... ~~....~~.~..~/~.~.~ ............ ...~.L ...... ~ ......... ~ ............ ~..~ ~...~~....~..~ ......... ................................................................................................ :~:~.~ ....................... ~ ~ ~ ~,. ~oo s,~,~,, ....... }~ ..... ~,~, ..... ~l ......... ~, ~,..~g.: ......... Building Inspector. Fee $......~.....~.....~.. Rev. 6130180 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 featu res. 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 property 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: Addit ±OhS $25.00 1. Certificate of occupancy New Dwellin§ $25.00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. ~) 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New C OhS truc tion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................................................... House No. Street Ham/et Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section .../. ~..~. ...... Block .... ./' .......... Lot....~. .......... · Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo./O'-~'~, Z. Date of Permit ¢.~/.~. .Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ... ~.' '.~..- ............... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction o n above described bu ilding and pe/f~/,?e, ets all %p/~i~/~/~//%~.des and regulations. Applicant../.~..~i¢'.': ! ..... ~ ...... .... Rev, 10-10.7a TOWN 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 site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing ail 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. 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-existinR Building - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... -- .- ouse No. Street .......... ........... )nwer or Owners of Property · ... - · · ]ounty Tax No 1000, Section ......... Block ................ Lot ~ ........ ;ubdivision .................................... Filed Map ............ Lot ...................... ?ermit No...~.~..~?.~.~.. ..... Date Of Permit ................ Applicant ............................. {ealth Dept. Approval...o......................Underwriters Approval... ...................... 'lanning Board Approval ........................ ~ Cequest for: Temporary Certificate ........... Final Certicate ........... FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N,Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ ,,,.,------, 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 ,.,~nusual natural or topographic features. 2. Final approva~ 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 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: Additions $25.00 1. Cer~ificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstruc f,i°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............................. ~. ..................................... House No. Street Hamlet Owner or Owners of Property .............................................. ; ............. County Tax Map No. 1000 Section ............... Block ............... Lot ................ · Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./. ,~.d/~..2[.. Date of Permit ......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and p~.n~ets al~,a~, ic~_~es and regulations. Applicant ...z'...%<..~?¢~... ~.. '...f,/..%~ ............ / Rev. t0-10-78 Town Hall, 53095 Main Road P.O. Box 11'79 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARFI'MENT TOWN OF 8OUTttOLD November 23, 1998 George & Patricia Brown Box 1062 Cutchogue, New York 11935-0693 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 14010-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~IEI]~. INSI~E~TION COMMEN~S ~ ~ ~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~,ODE FINAL ADDITIONAL COM~LN~TS , THE NEW YORK BOARD OF FIRE UNDERWRITERS 7~4 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date DECEMBER O4,1998 Application No. on file 17274298/98 H 062342 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the appliea~~ name.d on the above application number is in the premises of MRS. BROWN, 15~.~ BRIARWOO~Q~ I&NE, ~.~TCHOGUE, NY ~ the following location/ ~ Base,tent LYO ls~ FI. ~2nd Fl. GAR/ATTIC/OUT : Section BloCk LOt was examined on ~OV~i~3~R 30,1998 and found to be tn complla~tc? with the National Electrical Code. FIXTURE ~ECEPTACLEEI FIXTURES ' RANGES OVENS DiSH WASHERS EXHAUST FANS OUTLETS ;Luo~$cs~ o*m~,~ DRYERS FURNACE MOTORS TIME CLOCKS MUI.T~-OUTLET DIMMERS SYSTEMS NO, OF FEET OTHER APPARATUS: ENTIRE PREMISES-1 *NO VISUAL DEFECTS: "An electrical survey has been made of~the exposed electrical equipment in the premises indic~tedo" "No obvious unsatisfactory condition was found. GEO BROWN P. O. BOX 1062 CUTCHOGUE, NY, 11935 FEE PAID AMOUNT PLEASE REMIT BY CHECK OR MONEY ORDER TO THE ORDER OF THE NEW YORK BOARD OF FIRE UNDERWRITERS AS CASH SENT BY MAIL WILL BE AT RISK THIS IS YOUR BILL FOR SERVICE RENDERED AND iS NOT A OERTIF CATE OF COMPLIANCE, THI~ E 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION ] FIREPLACE & CHIMNEY DATE,, ~//~/~/ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [~INAL REMARKS: DATE /~' f(-//~ ~ INSPECTOR ~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS.~ULATION [,,'"~NAL [ ] FIREPLACE & CHIMNEY INSPECTOR. 765-].802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLB~G~~' [ ] INS~~ON [ ~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,/~ DATE ////~'/~//~?,~ INSPECTOR Disapproved~//c ............................................................................................ / (Buildlng Inspector) Application No ................................. APPLICATION FOR BUILDING ,PERMIT Date . .,,9 INSTRUCTIONS - a. This applic~tlon ,must be comp~ete!y fi'led in by.~pewriter o~ in ink'--and eubo~:[ted Sn triplicat~ to the Dui)ding 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 o~ areas, and giving a detailed description of layout afproperty must be drawn on the diagram which is part of this application. 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 far inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until o Certificate of Occupar, cy shall have been granted by the Building Inspector. A[*'PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building P~rmit 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 cod% and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (S'g e o pplicant, or name, if a corporation) ............................................................... :.+...I ............ ./( ..... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) Builder's License No ..................................................... Plumber's Licens~ No ................................................. Electrician's License No..jz"", ..................................... State exJstlng use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy County Tax Map No. Dist. ]000 Section /3~o__Biock / Lot~_ 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................. 4. Estimated Cost~.~.~.~...~ ....... ................ ................... Fee .~....~.~...'"" ............. ................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ................... Number of dwelling units on each floor ............................ If garage, number of cars .~Z. .............................................. : ......................................................................................... 6. If business, commercial o~ mixed occupancy, specdy nature and extent of each ~pe of use ............................ 7. Dimensions of existing structures, if any: Fron~ ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................... ' .............. Dimensions of same structOre with alterations or additions: Front .................................... Rear ............................ Depth ................................ ] Height ............................ Number of Stories ................................ 8. Dimensions of entire new donstruction: Front .................................... Rear ............................ Depth Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ...................................................... Rea,'. ........................................ Depth 10. Dote of Purchase ....... ] .......................................... Name of Former Owner ........................................................ 11. Zone or use district in whiqh premises ore situated ..................................................................................................... ]2, Does proposed consfruction~lviolote any zoning Iow, o~dinance or regulation: ,.,~ 13. Wil'l lot be regroded .~.~ ................ Will excess fill be removed from premises; (~s ( ) No 14. Name of Owner of premises ~ ~ ~ ~b ~. ~. Address .6.~Z~.~..~,~.~.. Phone Name of Architect ........... 4 ........................................... j ...... Address ................................ Phone No ....................... Name of Contractor ~.~.~...~.'.~[( ...... J.. Address ~[~.Z~..~. Phone No~.~.~.~.. PLOT DIAG~M Locate clearly and distinctly al buildings, whether existing or proposed, and indicate all set-~ck dimensions from property lines. Give street and ~ock number or description according to deed, and show street names and indicate whether interior or corner lot. , ' NE~h~O~I{, j STAT~OF I~ s s CO~TY O~ ........ ~[ · ' (~am~nd~dua] s~gning contract) above n~med. ~He is the ...................................... [.~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is ~uly authorized to perform or have performed the said work ~nd to make and fil~ this application; that all statements contained in this application are true to the best of his knowledge and belief; tha~ the work will be performed in[the manner set forth in the application filed therewith. Sworn to b?~re me this , ~ ~Z,.. ~._ ~ ,