HomeMy WebLinkAbout27269-zFORM NO. 4
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Eall
Southold, N.Y.
CERTIFICATE OF OCCUPA/qCY
NO: Z-27667
Date: 05/10/01
THIS CERTIFIES that the building ADDITION
Location of Property: 965 BRIGANTINE DR SOUTHOLD
(HOUSE NO.) {STREET) (~IAMLET)
County Tax Map No. 473889 Section 79 Block 4 Lot 51
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 25, 2001 pursuant to which
Building Permit No. 27269-Z dated APRIL 26, 2001
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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
· ~ne certificate is issued to LORRAINE J MARINO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTSf DEPARTMENT OF ~F~%LTH i%PPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBEEE CERTIFICATION
Rev. 1/81
N/A
N/A
N/A
/~ - Aut~or'i~ea ~ig/ture
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27269 Z Date APRIL 26, 2001
Permission is hereby granted to:
LORP~AINE J MARINO
965 BRIGANTINE DR
SOUTHOLD,NY 11971
for :
DECK ALTERATION. REPLACES EXPIRED PMT. 13378.
at premises located at 965
County Tax Map No. 473889 Section 079
pursuant to application dated APRIL
Building Inspector.
BRIGANTINE DR SOUTHOLD
Block 0004 Lot No. 051
25, 2001 and approved by the
Fee $ 75.00
Authorized Signature
Rev. 2/19/98
ORIGINAL
Form No. 6
TOWN OF $OUTHOLD
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 oh 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
'!pre-existing" land uses:
1. Accurate survey of property showing all 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-existing Building - $100.00
3. Copy of Certificate of Occupancy - i .~5~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00,'Commercial $15.00
Date .... · ..........
New Construction ........... Old Or Pre-existing Building., .......
House No. ( Street Ha~et
Onwer or 0~ers of Property ......
County T~ ~p No 1000, Section ........... ck ............. Lot ..................
Subdivision ................ Filed Map ............ ~ot ........
Health Dept, Approval .......................... Unde~riters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate...~./.'.'~...'~..
¢ 7 APPLICANT
*** BUILDING PERMIT APPLICATION ***
3/20/01 11:46:40
TAXID: 473889 79.-4-51 PERMIT#: 13378 APPLY#:
OWNER: MARINO, WILLIAM & WF MAP: LOT:
ADDR: 120 N MANHATTAN AVE LOC: 965 BRIGANTINE DRIVE
N MASSAPEQUA, NY 11758 HAMLET
APPLY DATE: 0/00/00 PERMIT DATE: 8/24/84 DENY DATE: 0/00/00
VERIFIED BY: VERIFY DATE: 0/00/00 EXPIRATION: 99/99/99
USE CODE: USE: BUILDING#: 0 OF:
SUBDIVISION RO#: MAX HGT:
ZONING DISTRICT: PLOT SIZE: AREA:
YARDS SETBACK FRONT: SIDES: REAR:
PERMIT OWNER/AGENT: MARINO, WILLIAM & WF
ADDRESS: 120 N MANHATTAN AVE
CITY: N MASSAPEQUA STATE: NY ZIP: 11758
DESCRIPTION: B.P.#13378 CONSTR. DECK
0
WETLANDS Y/N:
TRUSTEES APPROVAL DATE: -0/00/00
DEC APPROVAL DATE: 0/00/00
FLOOR AREA: 0
VALUE OF WORK: .00
ADD/CHG/DEL:
Fl=Next Permit
CHANGE
F2=Summary
COASTAL EROSION Y/N:
PLANNING BOARD APPROVAL DATE:
ZBA APPROVAL DATE:
FEE CODE: FEE:
0/00/00
0/00/00
.00
F3=Exit FT=Reprint FS=CO Fg=Denial F12=Clear
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG,
FOUNDATION 2ND [ ,~] I~JLATION/
FRAMING ~ FINAL
jDATE
765-/.802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ~SULATION
[ r/] FINAL
REMARKS:
] FIREPLACE & CHIMNEY
DATE
INSPECTOR
76s. ZS0'
BUILDING
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.-
[ ] FOUNDATION 2ND
[ ] FRAMING
REMARKS: ,,
INSULATION
[~AL
... ,NSP£CTOR ~/~2~,.
F D ~NSFECTION COMMENTS
FOUNDATION
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
~ODE
ADDITIONAL COMMENTS:
Disapproved a/c ..............
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765.1803
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date .......... ~.~ ...... ,19...
a. This application must be co~npletely filled in by typewriter or in ink and submitted to the Building Inspector, with
3
sets of plans, accurate plot plan to sc_ale. 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 descliption of layout of property must be drawn on the diagram which is part of this appli-
cation.
. c. 'The work covered by this a~plication 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 certincate oI uccupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY Iv[ADE to the Building Department for the issuance of a Building Permit pulsuant to the
Building Zone Ordinance of the TOwn of Southold, Suffolk County, New York, and other applicable Laws, Ordinanc.e,s o,r
Reoulations for the construction 6f buildings, additions or alterations, or for removal or demolition, as herein descrioea.
The~ applicant, agrees to comply wrl~th all applicable laws ordinances building, code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections. ~
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is ownerI lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. ...........................................................................
Name of owner of premises ..........................................
(as on the tax roll or latest deed)
If applicant is a corporation, signa(~re of duly authorized officer.
(Name and title of corpprate officer)
Builder's License No ....... 1 ...................
Plumber's License No ...... 1 ...................
Electrician's License No .... ! ...................
Other Trade's License No...~ ................... ,~ ,
1. Location of laud on which proposed work wall be done~ t .--.-rw :. .... ~. ,../. ....................
ltouse Number ~ ' Stree~ Hamlet
Tax Map No. 1000 Secltion .... .?...~ .......... Block ...//. .............. Lot.. g 1 ........
County
Subdivision ............. '..i ...................... Filed Map No ............... Lot .............
2. State existing use and occupan;~';';;;;mises and intended use ann occupancy of proposed construction:
a. Existing use and occupaucy....~'..~t~:'. · ~. ;r4~. · .~./St. · · ·~. .~. · .~. · .~. .' '~' ............................
b Intended use and occupancy ~..~ ~d.~ ....
3 Nature of work (check which applicable): New Building ' Addition
Repair Removal · ............... Alteration ..........
............................ Demolition .............. Other Work.... ............
4 ' ., '~ ,.~ ~-<Q (D~scription) '
Estunated Cost '
.............................. ; ....... Fee .......................... ~ ..........
~' ~" (to be paid on filing this application)
5 If dwelling number of dwelling units 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
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 . ........ ~//~' .Y ........
8. Dimensions of entire new construction: Front .... ./f'~ .. Rear ............... Depth .
Height ,..~../ ........ Number of Stories ...... ~ ; ' ~ ; i .... ~ .... i .......
9. Size of lot: Front ...................... Rear .................. Depth ......................
10. Date of Purchase ........................... Name ~'>rmer Owner .............................
11. Zone or use district in which premises are situated ....................................
12. Does pr6posed construction~violate any zoning law, ordinance or regulation: . ' ' ' ' i ' ' ' i ........
13 ....... 2' ' '~' ~' ............... ill excess fillbe removed from premises: ~Yes No
Will lot be regraded ,n~/D W' ' .....................
t4. NameofOwnerofpremises ..:..~/~.¢:/~.0.. AddressCJ.~..~)'~.~e.PhoneNo ~.,/2.~..~..~?..
Name of Architect ...~._..,.:~.: .............. Address ......... i ~."b.'.~'i' Phoneme
Name of Contractor .~ .,%-.~.. ................ Address .~~.. Phone No...
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
~roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
nterior or comer lot.
rATE OF NEW YORK, S.S
.................. being duly sworn, deposes and says that he is the applicant
(N e ofd,qdividual signing contract)
.eve named·
: is the . . . .~.~ ...................................................... , ..................... (Contractor, agent, corporate officer,, etc.)
said owner or owners, and is duly authorized to perform or have performed the said Work and to make and file this
plication; that ail statements contained in this application are true to the best of his knowledge and belief; and that the
~rk will be performed in the manner set forth in the application filed therewith.
,om to before me this
....... ~'.9."~.o~. ..... day of~; .......... , 19 .TY '
tary Public ....... ~...~...~. ff~.~..~/.d~..-.., c0unty/~
Term Expi~ ~arcl~ ~ 1~ ~ (Si~ature of applicant)
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
March 24, 1998
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Lorraine Marino
965 Brigantine Dr.
Southold, New York
11971
Re: Building Permit # 1~378-Z DECK
Premises: 965 Brigantine Dr., Southold
Suff. Co. Tax Map #1000-79-4-51
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
FORM NO. 0
TOWN OF $OUTHOLD
Building Department
Town Hell
$outhold, N.Y. 11071
76.5- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in Wpewriter OR Ink, and submitted ~a m====s,=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 Ilnes, streets, and unumal
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)0 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:
1. CertficateQfoccupancy New Dwe].lJ.n[:.$25.00, 'Acce.~.~ory ,.$10.00 ttuaJ, ne.~:~ $50.00
2. Certificate of occupancy on pre-existing dwelling $ .50, O0
3, Copy of certiflcate of occupancy $ 5,'00, over 5 yeats $10,00
4.Vacant Land C.O. $ 20.00 ~//~/~
5.Updated C.O. $ 50.00 Date ........................ ''-- /~/.
6. Alteration $25.00
NewCona t~uc t, ion...vi... Old or Pre-existing Building ............ Vacant Land .............
Location of Property '
House No. Street r~ Hamlet
Owner or Owners of Property ;W.
County Tax Map No, 1000 Section ............... Block, ............... Lot ................
' ' ' Flied Map No Lot No
Subd,wsmn ..........................................................
PermitNo./,,?,~,,7,~,,;,,, Date of Pa~ml{.~,>'~7~,~,,,...Appllcant .......... ' .... , ~.,~/; ~, .......
Health Dept. Approval ........................ Labor Dopt, Approval ........................
Approval Planning Board Approval
Underwriters ..............................................
Request for Temporary Certificate ..................... Final Certificate, ,~,, ..................
Construction on above described budding a ermlt mae ,cable codes and regulations.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUTtI'OLD, N.Y, 11971
TEL. 765-1802
This is to advise you that the job under building
permit no, 13378Z issued to Lorraine Marino
nn 8/27/84 for Kddition' is completed
a final inspection has ( ) has not (X) been done.
and
In order to complete this file, it is necessary that
t~ Certiflcate of Oceupaac¥ be issued. Please fill out the
enclosed form, retnrn ssme to the above office with a check
for $25.00paynblo to the Town of $outhold. Please indicate
to Whom the Certificate of Occupancy is to bs mailed, and
arrnnge with this office ~or an inspection date
Occnpancy or use is nnlawful without: a
Occupancy. Plent~o. help ns tO clear up thin
lop,~,l action docs aot have to be taken.
Cer~i£icate of
metter so that
Thank you for your prompt attention.
Very truly_~,
Victor Lessard
Executive Administrator
VL:gnr
encl .
· 0~ NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PEP. MIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
13378' Z Dote ~.,~...~.........~....~. .......... , 19..~....L~
Permission is hereby gran~
.,..~.;::.~.-
........
-/:::;:..: .........
,o ...~~...~.0.....~~....~...~~..)..~
~.....~.~:~....~:=..:~::...~.,,,--,,--, ~- ...... ~.~.-~ ...............
at premises located ot ......................... ~l't~ '~..~....~.~, ........ .. ......... ...........................
County Tax Map No. 1000 Section ..... ...0.....-~..~ ..... Block ......... ..~.. ........ Lot No......~...L .............
pursuant to application dated .... ~,~.~..~.=.../ .................................. ,
Building Inspector.
Fee $ ........................
Building Inspector
Rev. 6/30/80