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HomeMy WebLinkAbout19685-z vy t 1C FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20096 Date JULY 22, 1491 THIS CERTIFIES that the building ACCESSORY Location of Property 2330 BRIGANTINE DRIVE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 79 Biock 4 Lot 20 Subdivision Filed Map No._ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY'19, 1991 pursuant to which Building Permit No. 19685-Z dated MARCH 1 1991 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to ROBERT T. & NANCIE L. ALBERTSON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 IFOEM NU ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 50UTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N o 19 6 8 5 2 Date ......°j'.l'1.,.~~r~ .~...~.......1........, 19..1.../ Permission is hereby granted to: ...I.~..o....~..~ ...1...~.~ to ....~i ,Q....... . . . . . . . . . . . . . . . . . . . . . . . . . . j. . . . . .7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at pre ises located at .......c+~..~v+••~.f....~..".'.....~1~~„l!!l!/ . ~.X/..~ .....................................................................77.......................................................................................... County Tax Map No. 1000 Section ......:.1....~~../.... Block Lot No....o~L....~~........... pursuant to application dated .........~...~.~••........~...r~.........., 19.~'~..~, and approved by the Buildfngr~ Inspector. Fee 5.../..S7.a..~~.7.. i Building Inspector Rev. 6/30/80 Ytrtir~~ TEL. 7G5-1801 0~o5~~f~~~~xC~Gy TOWN OI' SOUTIIOLD :.d~ ~ OI'[~iCE OP BUILDING INSPECTOR ~ ~"~r' +ti~t,~ ' z P.O. BOX 728 ~ ~ TO\VN fIALL , SOUTIfOLp, N.Y. I }971 7 7 ~y°/ To 4Thom This May Concern, we arc unable to complete your Certificate of- Occupancy because of the following reasons. /r' An application for CcrL-ificate of Occupancy i s not o n file . ~~~r~,~-~_ / / No Underwriters Certificate on file. 'Phc checY, is(e3~c1/not on file.) ~~25`,~q No Ilcalth Dept. hpproval on file. No final i.nspecCion has been made. Please contact our office on this matter. Thank you for your cooperation. I3ui]di.nq Permit / ~ ~ S~ Z ~c~t_. Bu.ildi.nd Dept. a Dlo Plumber. So].cler Certificate on file. , ( all permits involving plumbing being .i ,sued after ~1pri1 1, 19II4 ) p ('j~~ Form No. U \VI ' TOWN Or SOUT[IOLD t pp BUILDING DEPARTPIENT ` Q ~9' ~ ~ ~ TOIJN lIALL 765-1802 BLCG'g`` APPLICATION FOR CERTIFICATE OP OCCUP~INCY a .3',~Q ~i[.t~e~.LL„~ This application must be filled in b t / ~ inspector with the Y YPewriter OP, ink and submitted to the building 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 Pire 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 C,;mpliance from archi_ect 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: I• unusualenatural or PooouraY showing all property lines, streets, building and P g Phic features. 2. A Properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the L'uilding Inspector shall state the reasons therefor in writing to the applicant. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ew Construction........., Old Or Pre-existing Building.,•••.•••_•.•.•..•.••..•....•••~.~•~~~ ocation of Property.....,2,33p, z~g~, .R y~.. ,B, n ne ri Squthpld Iiousc No. Street • " " " Hamlet twer or Owners of Property.. RokleX~. T,, , Nanci~, ,I~ ; ,~~.pEx~gan , , ,unty Tax Pfap No 1000, Section.. 079 , , , , , , , ,Block.... 04' 020. ......Lot.... ;bdivision..ll~o Harbor Li hts 61 . • • 1 p .Filed Map. 5147 .Lot.. emit No...! ~LO,~ZZ...DaCe Of PcrmiC.. ..............Applicant.......... alth Dept. Approval..... NfA,,,,.• ,,,,,,,,Underwriters A N A • Pproval.., ~nning Board Approval... nuest for: Temporary Certificate........ ' Final CurticaCC.,,,X... Submitted: 2r ~ APPLICANT Ctj ~d00Qf, ' r 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ~ ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ NAL REMARKS: DATE INSPECTOR s 1cLD 1''S';'~~TIUN (~UATc ~ COMMENT" ~ -o _s 1~~' / H ` _ H ?OUNDATION (1st) o - - c ti FOUNDATIOtJ ( 2nd ) 2. z 0 P,OUGH FRAME & PLUMBING m~ 3. ~ ra H IIJSULATIOPI PER N. Y. STATE ENERGY CODE x a r 4. 6 y FIiJAL I p z ADDITIONAL COMMENTS: ~ H \ ry H 1 H S d m ~v H (cam. ~ B0,1RD OF HEAY:TH 15 FORM NO. 1 3 SETS OF PL \NS P K1..... . I~ TOWN OFSOUTHOLD SURVEY - ~F' j~ ? F~ + 9~ BUILDING DEPARTMENT CIIECI: ~•~~>3` .'Q..,,....... . TOWN HALL SEPTIC FOaM _ - Y, SOUTHOLD, N.Y. 11971 i, s r K TEL.. 765-1802 t:aTIFY: 7a~7- Oy~2 CALL Examined 19 MAIL TO Approved l~ 19~~. Permit No. I. ~.~~„Jr~ • . Disapproved a/c . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19 . , INSTRUCTIONS a. This application must be completely filled 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 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 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 for necessary inspect ns. - (Signature of applicant, ol!r~' am f a corpora~~t//ion) ~~!G (Mailing address of applicant) State whether applicant is owner, Jesse agen , rchitect, engineer, general contractor, electrician, plumber or builder. ' Name of owner of premises . T ~~N~~... ~'..~k~ Y . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ..~J7.~.s'~~.7~.-/?~......... Plumber's License No. . Electrician's License No. /~q?~///f . Other Trade's License No. ?X~~ . I . Location of land on which proposed work will be done . . I-Iouse Number Street Hamlet County Tax Map No. 1000 Section ....~`7............ Block Lot ~ . Subdivision . ~<i1?'l~`. • • ,lc.~„(,~~~•l~ Filed Map No. .~~./.'%7....... Lot 6~......... . (Name) 2. State existing use and occupancy of premises and i~nt"ended use^and occupancy of proposed construction: a. Existing use and occupancy /~,,~n ,L,~ ~,i/h//!Z~/. ~C-~, ,ELLZ++~. . b. Intended use and occupancy ...~~i.~...,/s~~..~.~!E . , ~Ug~,~~( , , , , , , , , I ~ ~ : a 3. Retuarir of work (check whiRempplicable): New Building ~ Addition , . Alter9tion ' P oval , , , , , , , , , , , , , , Demolition Other W k 4. Estimated Cost ~ ~d Fee . y (~tion) . . ~a . . (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 , . 6. If business, commercial or mixe}i occupancy, specify nature and extent of each type of use . . . . . . . . 7. Dimensions of existing structureis, if any: Front ~ 7~......... Rear 4~i .7. ; , Depth ~ , , , Height . Number of Stories %Z . Depth lions of same structure wjth alterations or additions: Front . Rear , , , , , , , , , , , , , • • • ~ • • • • • • ..Height ......................Number of Stories 8. Dimensions of entire new construction: Front , , , , , Rear • , ...2.`•~ . , , ..Depth ..may. Height . ~4f.. ~ Nurr}ber of Stories . ~ • ~ • • ~ ~ • ~ ~ • 9. Size of lot: Front . /.4~~ Rear rte. ~ Depth ....~An. ~ . 101. one or usecdistrict in which pre • • ' ' ' ' • • • • Name of Former Owner . p p 7~• misesaresituated.~'~.~?,,,,,,,,,,,,,,,,,,, , 12. Does ro osed construction ylo~ate any zoning law, ordinance or re ulation: UU g •~Q 13. Will lot be regraded ~ . .Will excess fill a removed from premises: Yes ` 14. Name of Owner ofpremises.7.. ~}~Qr~.aza(JAddressZ~~. ~ ~ Phone No..7.4~ : ,J,Q(Z , , , , Name of Architect 1>~©~, i~~':1~~j , , , , ,Address .~.v~.Y. r'~d f~a~:~fl~phone No..7.27; ~BZ Name of Contractor /~}L.''14~1~~.~z{,~5, , ,Address ~~'./~!Q ~~/mho e o.. ~7; ~~y~2 15. Is this property within X300 feet of a tidal wetland? 'ryes,,,,,... No.. ~rIf yes, Southold Town Trustees Permit may be required.' I PLOT DIAGRAM Locate clearly and distinctly all I buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block pumber or description according to deed, and show street names and indicate whether interior or corner lot. - ~ i i i I~ ~ ~ ~ 6 ~ ' U I r. r~V ~ w l ' ~ ~t~ ~i' ~ eye ~ 0 " 0 n~° ~i ~ ~~y, ~:4aroge Q ~ , ~ G. n ' ~y, 0 • I P~l•~- a,r. ~ ~ o ~ . . ~ ~ C~ACac,G o' y ~ ~ ~ , ~ ~ . ~I Q t - _ I . N Q~ . STATE OF NEW YORK, ~ S COUNTY OF ~LL~~~ • • ~ • ; • • • • • • • ~ . • • • being duly sworn, deposes and says that he is the applicant ~ (Name of individual signipg contract) above named. He is the.~rt~~ .............l~l............... (Contractor, gent, rporate 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 conta}ned in this application are true to the bast of his knowledge and belief; and that the work will be performed in the mannezj set forth in the application filed therewith. Sworn to before me this .........."l.l-~ ...day of i ~:~C!~!r/!,-i:~:2.-rte, 19 Notary Pull ' .jaunty pRANCIS G. PAINT RJR GG~~~ T Nolary Publk, State oI York • • . ~ . No.451i295 ( n re o • pplicant) Cualiied In Suffolk Clrounty Commtsskn Expires Feb. 28,1992