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Home My WebLink About26489-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27125 Date: 06/06/00 THIS CERTIFIES that the building ALTERATION Location of Property: 1565 BRIGANTINE DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473869 Section 79 Block 4 Lot 57 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 28, 2000 pursuant to which Building Permit No. 26489-Z dated MAY 10, 2000 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 REPAIR & REBUILD WALL IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SHEILA BRENNAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Auth rized S156nature Rev. 1/81 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. 26489 Z Date MAY 10, 2000 Permission is hereby granted to: CHESTER BERRY, JR. (BRENNAN) 3460 WESTPHALIA RD. MATTITUCK„NY 11952 for REBUILD WALL IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 1565 BRIGANTINE DR SOUTHOLD County Tax Map No. 473689 Section 079 Block 0004 Lot No. 057 pursuant to application dated FEBRUARY 28, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authori Signature ORIGINAL Rev. 2/19/98 Form No. 6 IrP O Ui L�_ TOWN OF SOUTHOLD •�Xc ii BUILDING DEPARTMENT �. JUN } TOWN HALL. 765-1802 TOWN OF SOU G. HOLD APPLICATION FOR CERTIFICATli OF OCCUPANCY A. This application must be filled in by typewriter OF, 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 17 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. B. 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. C. Fees K. 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 Buildina - $100%00 3. Copy of Certificate of Occupancy - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . T/.d/,47j, -2000. . . . . . . . . . . . . . . . . . . . . New Construction. . .. .. . .. . . Old Or Pre-existing Building. .S<� . . . . . . . . . . . . Location of Property. . ./sS�A;.f. . . . . . .8hC6 .W% . . . . . . . . �dur/IOLr� . . . . . . . . . House No. Street Hamlet Onwer or owners of Property. .00TQCAk . . . .45M: !6c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V7 388p County Tax Map No 1000, Section. . . .d 0 . . . . .Block. . . . D.4?Ait. . . .Lot. . . . AM. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . ../. . . . . Fee Submitted: $ . . . . . . . . . . . . . . . . . . . _5-1168' • • . �t. . . . . . . . . . . . . . . . . . . . . . . . �� . . . AP ANT Co-F, a719s o��SUFFO(,�c Town Hall,53095 Main Road p Fax(516)765-1823 P.O. Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 16, 2000 Chester A. Berry, Sr. 3460 Westphalia Rd. Mattituck, NY 11952 RE: Brennan, 1565 Brigantine Dr. , Southold. 1000-79-4-57 . To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX 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 # 26489-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 41 8' Typical Pilasters AF D AS NOTED Notes: � � 1) 72 Ft of 8' Block Wall to be ✓ aY _ rebuilt Wall to include Interlocked �FEE: AT pilasters on 8 Ft centers and filled 4'�< FY 78rr1 a AM to 4 � olE solid. FOLLOWING e i 2) Wall height to be 11 courses of 8` 2• FRAMW6 & ry,UAMG 3.block plus 1 course of 4" block. 4. FINAL- CONSTRUCTION MUST BE COMPLETE FOR C.O. 3 Outside of wall to be covered with ALL CONSTRUCTION SHALL MEET ) THE REQUIREMENTS OF THE N.Y. &Ifl64m— Stucco and tar oumW. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Chester A. Barry, Mason Contractor MathicK NY 11952 298-5743 For. ahlala Bresnan Harbor Ughts,>sasrfhold,MY 11971 /j �16"x 16"chimney Block every other course. Typi al 8"cement block Filled solid. ' ncrete footing as required. Chester A. Berry, Mason Contractor Mattituck, NY 11952 Cross section of wall 298-5743 noting pilaster For Shiela Brennan construction. Harbor Lights, Southold, NY 11971 765-1802 BUILDING DEPT. INSPECTION [ vr'-FOUt ATION 1ST [ ] ROUGH PLBG. [ OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ j FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR d�1 i BOARD OF HEALTH . . . . . . . . . . . . . FOR14 NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . FEB 2 8 20 TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK .. . . . . .. . .. . .. . . .. . . . . . . TOWN HALL SEPTIC FORM 0vv TJTp !.D_ _ ! SOUTHOLD, N.Y. 11971 TEL: 765-)802 NOTIFY:�JQ Q� CALL ,.-_.�_.. . Examined...�. /a........., 20�. MAIL TO: . . . . . . . . . . . . . . . . . Approved---,;. !° 7,C19.1) ........ - Permit No.a e•1 9= .............................. Disapproveda/c .................................. .............................. ...................................................... (Building I ctor) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 20. . INSTRUCTIONS a. 'ibis application mist be completely filled in by typewriter or in ink and submitted to the Building Inspects 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 publi,. streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part 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. Si permit shall be kept on the premises available for inspection thruugiwut 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. APPLICATICH IS HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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 code, and regulations, and to admit authorized inspectors on premises and in building foViecessary inspections. .�: �............... (Signature of applicant, o hf a corporation 3y4a. ./At". .. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer Kineral contractor electrician, plumber or bui rf� :.r.............................................. (/ Nameof owner of premises ........ h-L!� ............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... �� I. Location of land on which proposed work will be done..YY/�iCL',�"...�Clp.. �4y` __�...._.. ................................................................////....................sCziz ola................. House [kmber Street 7 Hamlet County Tax Map No. 1000 Section ....!.7�......... Block .. 7'........... Lot ......�5`,2... Subdivision ...................................... Filed Map No. ............... tot ............... (Name) 2. State existing use and occupancy of premises and••iin�nten/de/duse and occupancy of ,,proposed construction: a. Existing use and occupancy ....... �1..� ,�/ 1_ 5 /�.... .X1f.Llr�i....................... b. Interded use and occupancy ...G� All— f,/f v1_ 5... ..�...................... i IAP,'IA N ACIVY.1 v ((Jf UUU *W W914 to YRATON glnWl xr ,.' n)ba,tasu O —02,8 rkn5m eiriNx.a R48r 3. Nature of nv (check which applicable): New Building .......... Addition .......... Alteration ......... Repair ..-. Removal ............. Demolition ............ Other Work .................................. (Description) 4. Estimate(] Cost ..,1. 0.x??.............. fee .............................................. ............... (to be paid on filing this application) 5. If dulling, nuaber of dwelling units ............ Nmber of dwelling units on each floor ................ Ifgarage, cumber 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 ................. fleiglit ......................... Number of Stories ...................... Dimensions of sore structure with alterations or additions: Front ............... Rear ............... Depth .................... ]eight .................... Number of Stories ............... 8. Dimensions of entire new construction. Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ I1. Zone or use district in which premises are situated ................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO 14. Nacos of Owner of premises ........................... Address .............................. Phone No. ........... Naeof ArchitecC .................................... Address .............................. Phone No. ........... Nae of Contractor ................................... Address ...............................Phone No. ........... 15. Is Lhis property within 300 feet of a tidal wetland? * YES .......... NO ..11.... *IP YES, SOLM13M 1Ud1 7WSfE&S PIUNU M1W BE MQUTRED. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensidths from property lines. Give street and block number or description according to deed, and show street nares and indicate whether interior or corner lot. SPAIE OF N1W YORK, S.(i Cufury or ...��:. .............................being duly sworn, deposes and says that lie is Una applicant (N.-me of individual signing contract) above named, lieis Ole .........&-1awe11.(........................................................................... (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 his knowledge and belief; and that the work will, be perfonned in LHe manner set forth in the application filed therewith. Sworn Lo�the Core me this FO-LSA Ar Notary Public{��... NOTARYP 6uc�� `j�PPl;cant) No.01806020932 Mallfied in Suffolk Cou Term Expires March S. BUILDING PERMIT . W CHUCK LIST Applicant/ Date Owners Name: &ttn0,"1 W, Reviewed: Architect/ Date . Engineer: Submitted: SCTM M District: 1 000 Section: 11 Block: Lot: S -7 Project I -hJ 6- C S-f' Subdivision Location: [) I�f Name Single&separate Required 1 certtfication: (Yes/No) Rey Req. Zoning District: [Lot size: Actual: ) [Lot coverage Proposed: ] Req. Req. RW (Front Yard Proposed: [Side Yard Proposed: (Rear Yard Proposed: J Project Description: 4e (—Inn 6&via r-) AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: n Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes: - P- & 9-) FIELD INSPECTION REPORT DATECOMMENTS � =s:ssaxaesxaax=aca=xaaxax�xaa -aa= sass-c--- ==s=x=s=xxsaaaaa xxxx=a.aa a II n y if FOUNDATION OST) � _ll FOUNDATION (2ND) ------------------------------------------------------- --_- -------------- � N ----------------- 7— it x N o In ROUGH FRAME i _moi n— N PLUMBING I " II jj � 1 INSULATION PER N. Y. If N H STATE ENERGY ii CODE u II N N ----x- n II II II FINAL I� --i aaaxxxaaexaaxxxxxxxxxxxxx�=xx.-x=ax��xxs=xxxxxxxx�xxx=xxxr-xxxc==xxaxsxxxxxsxxxxaxxxx=xxx O ADDITIONAL CONMENTS: a:aaaxaxaaxx------------x —xx===ax==xcaax------r=x=xxa= tlj 1 O H � H O x r b H