HomeMy WebLinkAbout22241-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-26365 Date APRIL 12, 1999
THIS CERTIFIES that the buildin~ ADDITION
Location of Property 530 CEDARFIELDS DR.
House NO. Street
County Tax Map No. 1000 Section 40 Block 5
Subdivision Filed Map No.
GREENPORT
Hamlet
Lot 1.20
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 19, 1994 pursuant to which
Building Permit No. 22241-Z dated AUGUST 8, 1994
was issued, and conforms to all of the requirements of the applicable
previsions of the law. The occupancy for which this certificate is
issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
BRIAN P. & BONNIE E. BRACKEN
N/A
N/A
N/A
Buildin~ ~spe~r
FORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
1'OWN HALL
SOUTHOLD, N.Y.
No- 22241 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL
COMPLETION OF THE WORK AUTHORIZED)
......... ..................
Permission Is hereby granted to:
....... ~..~.~.~..o.~...,..:,..~.~.v.. ................ .
to ...... .~.c~,~..~s.~,,_~......~....~.~..c../..<....A~.~.~.;...<,~.........'-~ ......
......................... ,.....s,.,..: .............. 43.... ....... ~. .............................. ,~
...... ~,~. ......... ,~.¢¢...1.~..~&...~o.~ ....................................................................................
at premises ,ocoted at ..~ '~ 0 ~ ~-~._./~.~ ~ ~._
............................................. ...~...~.,~,~,....~±-- .............. ~,.:.~..~ .......................
Coun'h/TaxMap No, 1000 Section ....... ~,~ ....... Blook,..,,,~ .............. Lot No...ZF..~ .........
~ t ~ ~[~ I~ 19.~.,~ ....... bythe
pursuant to applloatlon a e~ ....................................... '"1 .............. an~ approve~
Buildln..glnspector,
Fee $...,, ~.,,~,.....,.~.~.....
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
mo
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).
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 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
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 Buildinm - $i00.00
3. Copy of Certificate of Occupancy - ~ .25~. '
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
House No. Street Hamlet
Onwer or Owners of Froperty...~.~....~...~,0\~......~. .............................
County Tax Map No 1000, Section....~..~. ....... Block..~ ........... Lot...l.~ .................
Lot
Subdivision ........................ Filed Map ..................................
Permit No Date Of Permit Applicant .........
Health Dept. Approval ......................... . Underwriters Approval .........................
C0 .3 ............ : .................
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 22, 1998
Mr. & Mrs. B. Bracken
530 Cedarfields Drive
Greenport, New York 11944
Fax (516) 765-1823
Telephone (516) 765-1802
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 #22241-Z Second notice
Please contact our office on this matter.
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Thank you for
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 11, 1996
Mr. & Mrs. B. Bracken
530 Cedarfields Drive
Greenport, NY 11944
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 ~ 22241-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
)UIIDATION [ls t)
CO~M£uTS . ' '.
SULATIOH PER'~.
STATE EHERGY
CODE
'FIr;AL ' '
{_.. }{ .'. ~ (.. /I ~._C.,~_....--. _
ADDITIO?/A'L CO,q~IE{,ITS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH~.,~
[ ] FOUNDATION2ND [ ] I~U~ATION
[ ] FRAMING [~./~NAL
[ ] FIREPLACE & CHIMNEY ...,
cEDARFIE. LDS
OPEN SPACE
PARKLAND
SURVE~ OF
LOT '2o
SUBDIVISION OF CEDARFIELDS
FILED JUNE 27, 1990 FILE NO. 8986
AT GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1ooo 4o oi
Scale -
July,, 11, 1990
July 31, 1990(found. loc.)
Nov. 16, 1990(finalJ
AREA = 20,446 sq. ft.
t~ $. £EF. NO. 90 - SO ~ 60
/
~ ~ LOt ~
ViLL~.G~E Of
NlOl~ ~Rj[F_HpORI'
CERn/FlED TO .' ' ·
BRIAN p. BRACKEN &
80NNIE p. BRACKEN
HARTFORB FLINDINt~ L TD~
FIRST AMERICAN TITLE INSURANCE
COMPAN~ OF NEW YORK
77TLE NO. 608 - S - 8658
~. ,?~,~ ~.~.$. L,c. NO.
,'ECO~,O ~R,E,OR~, ,~
(018) 768 - ~020 ' *
P. O. aox 00~
MAIN ROAD
$OUTHOLD, N.~ 1197~
Disapproved a/c ............................. ' ...
· . (
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
.~;OUTHOLD, N.Y. 11971
TEL.: 765-1802
CALL .......
HAIL TO:
INSTRUCTIONS
a. T/ds application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with £
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 sti'eet:
or areas, and giving a detailed description of layout of property muir be drawn on the diagram which is part of this appli
cation.
' c. The work covered by t~s application may not be commenced before issuance of BuLlding Permit.
i d. Upon approval of this application, the Building Inspector will issued a Building Permit to the app/Jcant. 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 bui/dings, 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 author/zed 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 owner, lessee, agent, architect, engineer, general ·contractor, electrician, plumber or builder.
. APPIIOYEDAS IlO'lTD ..
.............................. : ...... : ............. . ................ ~^~:.~B.....~
~'~eofownerofpremises .... %r'.'O,:,~ .~..~.~,.~.n~c.E....~mc~2~.Z2.~~.
· '' 8Oitumnm,~
If applicant is a corporation, signature of duly authorized officer· FOLLOWING INSPECTIONI];
....................................... OCCUPANCY OR m.,.o~,,,~:: ~-o,..:.
'C~ameand ~itle of co,~o~ate of~cer) USE~'"' UNLAWFUL t .o..,o., -~ ~,~ .....
Builder's ~-iccnse No ................... WITHOUT CERTIFICATI~ ":"~
Plumber's License No .................. ~.n~ OCCUPANCY m ~'~"~'""~- ~ '"'~ '"- ,'"~
rlecmm.'~ ci~ ~o ................ ~ ' ~~0~!'~ /~'re~ee4~ ~ ~ ~.~,2~:':~.
Other Trade's License No ...................... ~~ ~--_--
Location ofland on wbicA propose~ work will be done. 3~0...~.*X~¢~.~ J~e;
I tqqq .
House Number Street Hamlet
co,~ ~ ~ ~o. ~ooo s¢~io~ :... :.. ~ ........ mo~ .... ~ .~ ?.~lo. ~ ~ . Lot....~ ...........
(Name)
State existing usc and occupancy of premises and intended use and occupancy of proposed construction:
i ti ' ~' ~ "
a. E1 5 Bguse and o~pancy .................................... ~ ............................
~. ~.t~.a~a .~ ~.d o~.~,~y ~ .~ .[~ ..........................................
· 3. Nature , i . , ' /~ ~ .q ql ~j
of work (check which iapPhcable): ............
Repair ~ New Building .... .. Addition ...~.'j ..... 'Xl'terat~ton
.............. Removal
............ ~.. Demolition
' '"":'"
,;q ....... Other Work.
.. . ....~ ~'(2~ 7j,-,r.~ (Description)
4. Estimated Cost .!00. · ..O.O ...... Fee /> .,~.~,,e,,>; .............
5. ! "''y "'" '"i ~-~;~;~!,~a ' ' :" ............
If dwelling, number of dwellin'g units tlc ce pan ~r~lJrtOll~$g-a ica o
-, ,~.~ ........Pp n
6. ' If garage, number of cars ............... . Number o£ dwelling units ou each floor ........
7.
If bus,ness, commercial r m,,~l,,,~ ^~ ' ' '. .......................................
.... .. ..... cnpancy spec,rz t r and e×te.t or.ca' .......
~,,,,~,,~Juns oJ ex,sung stmctu[es, if any: Front . . .~b,~ .....
?ght .. ...... ......... N.m~ or Stori¢~..i..i/~Z Rear. ~. Depth . .~, ~ ......
~mens~qns ofsame st~cture W/th ~ .... · .... ~ ............. ~ ', t ......................
Den*h ~t · - ,,,o~,~lo,~,oraamtlons: Front k~_ ~ t~ ..........
~. . · ....... ..,- · · Hemht ......... . .... , ~ ...............
olmenslons of entire new cons;~.~,' ~- ,, ~ .......... , ·. mummer of Storms
He;,,. / ~ C ?uctlOB: eront .... [~ ........ ; Rear ~a~ ~ : ;-t ..........
~ .oat . .u.~ ..... ~. · ~Rmber of Stories . ~ .... ~ .......... .eptn .t~ ..........
21ze of lot: Front ..,. {~ ~,[Oi ..... ;. '~." ' %'¢' ~A .................... ~G ...............
Date of Purchase l./~lqi ............ :g'~ ~ ~'~ ............ mpa
Zone or use district i~ ~hi~i~ ppemises are situated..; ~?~:.er Owner...~.~ ............ : .......
....... ' ' '~w~ ~ · '~ ......... ' ......... being duly sworn, deposes ~d says that he is the
(~ame orindivid al signin[ comrac0 .
~ove named. . ~
is the . .'~... ~-~ ....... '..
' ' ~ (Contractor, agent, corporate o r, etc.)
said owner or OWners, aid is duly ahtborized to perform or have performed the said work and to make and file this
)plication; that all statements containdd ~ this application are true to the best of his knowledge and belief; and that the
ork will be perfo~ed in the mender se} forth hi ll}e application filed therewith.
,yom to before me thi~ , ~ .
..... 'r ...... 77' :'" '" '
N~aW Public, StYe of N~ o~ r {.) ' ~ Ir ;/I //
alifiedin SuffolkC' n ............ c ................
Gu .~ ~ · .
' (S
· Commission Expires r)e~m~r 8, 19~ ~ of ~pphc~t)
11.
12. Does proposed construction vi61~* ........ : , -. '
13. ' ...... . _ ~ ~,~,~ ,my ,~umng mw, ormnance or regulation. . l~.i:} . . .
WlU mt be regraded ...... ~ ..... · ..............
14. " ~ ~ ~ . ~, ~ ' · ~' c .......... wm excess fill be rem red from premises: Yes
of Architect ...... i " . Address .............. Phone
~' Nme of Contractor .~Cl~.~, ~C~¢~ ::::2. Address~3~:~ ~C :: Phone No.
15.' Is this property within g00 feet of a tidal wetland? *Yes ........ No ....
· If yes, Southold ~own Trustees Permit may be required. '
.... i PLOT DIAG~
Locate clearly ~d distinctly ~1[ bulldogs, ~heth~r existing or proposed, ~d, indicate ~I set-back d~ensions from
prope~y ~nes. Give street ~d block mmber or description accordNg to deed, and show street rimes and indicate whel}~er
Ntefior or corner lot. .