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Home My WebLink About19074-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCOJPANCY No Z-20268 Date OCTOBER 7~ 1991 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1550 BRIGANTINE DRIVE House No. Street County Tax Map No. 1000 Section 79 Block 4 Subdivision Filed Map No. SOUTHOLD~ N.Y. Hamlet Lot 36 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 24, 1990 pursuant to which Building Permit No. 19074-Z dated JUNE 5~ 1990 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 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. H-024701 PLUMBERS CERTIFICATION DATED ANNETTE & THOMAS P. JORDAN - SEPTEMBER 30, 1991 N/A ~il~ing Inspector Rev. 1/81 FO~I,M NO. ~B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERk~IT (THIS PERMIT MUST BE KEPT ON TIlE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ Permission is hereby granted to: /..~..~ .~,.~.~ .................. ..... ~ ......... .%..z...~...v..~. ....... ~ ~ -- , "e~. ..................... ; ....................... at pram,sas ,ocated at ..!.~.~...~~...~.~.:.....~ .............. County Tax Map No. 1000 Section .... ...~...~.....~. ........ Block .......~...~. ......... Lot No....~....~. .............. pursuant to application doted ........ ~.~. ....~:~ ................ , 19..~..°..., and approved bythe Building Inspector. B'~llding Ir~tor ~ Rev. 6/30/80 No. 6 TOWN OF SOUTIIOLD BU I LDINC, DEPARTMENT TOWN llALL .' 765-1802 APPLICATION FOR CERTIFICATE OF'UCC This application must be filled in by, typewriter OR ~nk and Submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Con~ercial building, industrial building, multiple residenc'es and similar buildings and installations, a certificate of Code C~plianco from archi;ect or engineer responsible for the building. 6. Submi~ Planning Board Approval of Completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-exzst~ng land uses: 1. Accurate Survey of property showing ali 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 Btziding Inspector shall state the reasons therefor in writing to the applicant' :- Fees l. 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 .......... e~ Construction ......... Old Or Pre-existing Building .... ~... House No, Street ' ' - ...... ~ tlamlet ~unty Ta~ Nap No 1000, Section ~7~ f;', ~f~/f~/ .................. alth Dept Approval ' ..................... Underwriters Approval mnisg Board Approval ............... ]uest for: Temporary Certificate. Final Certicate ..~.. Submit'ted: $ ~.~]~ '' APPLICANT --. .... ' ................ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date ]pplil'ation No. o~ fiJe THIS CERTIFIES THAT only the electr~caJ equipment ~ ~scrJbed be~ and introduced by t~ appJicont ~med on the a~ve appl~catlon number ~n the premises of in thelollowittg locat on; ~ Basemen{. ~ 1st FI. ~ 2nd FL Section Bilk Lot FIXTURE I SWITCHES -- OUFLETS DRYERS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET E R I C A W G NO OF HI-LEG NO OF NEUTI!ALS A, WG OF NEUTRAL OTHER APPARATUS: This certificote must not be altered in any monner; return to the office of th~~~~r credentials. ~ COPY FOR BUILDING DEPARTMENT. THIS CO~ OF CERTIFI~TE MUST NOT BE ALTERED IN ANY ~NNER. ' ~ TOWN OF $OUTItOLD OFFICE OF BUILDING IN~'PECTOR P,O. BOX 728 TOWN tIALL , 'O $ UTIIOL~3, N.Y. 11971 20, 1991 TEl? 765-1802 ,4, THOMAS & ANN JORDAN 1550 BRIGANTINE DRIVE SOUTHOLD, NY I ]97 l To Whom This May Co,ncern, 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 (~2~/not on file.) $25.00 /-/ No llealth Dept. Approval on file. /--/ No final inspection has been made. Please co~tact our office on Thank you for your cooperation. Building Permit tl I 9 0, 7 4 Z. Buildin<i Dept. ***/_--/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,198~ this matter. IIDA?E FOUNDATION FOUNDATION ( 2nd ) ROUGH FRAME & ?LUMBING 3. INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~FF~MING ~r ] FINAL DATE INSPECTOR ,~ 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ~)UGH PLBG. FOUNDATION ZND [,/] INSULATION [ ] FRAMING REMARKS: [ ] FINAL UILDING DEPT. PECTION FOUNDATION 1ST FOUNDATION FRAMING [ ] ROUGH PLBG. ZND [ ] INSULATION [ ] FINAL REMARKS: DATE INSPECTOR lq Y 765-1802 BUILDING DEPT. ~INSPECTION [/,,"J F~.~FIDATION 1ST [ ] ROUGH PLBG. [t,-y'FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL TOWN 01 ~,OU~"~ , ~ TOWN HALL .......... $OUTHOLD, N.Y. 11971 TEL.: Examined .... ~ .~, .... , 19~'.O. Approved .. [.~.4,%~&~'~ .... 19 .gP, Permit No. J Disapproved ale ..................................... TOWN OF SOUTHOLD BUILD NG DEPARTMENT BOARD OF HEALT}t ............ 3 SETS OF PLANs ............ SURVEY , .................... CtIECK . . . .;'do77¥ o c~ / Ax)///c~ 7/ (Building inspector} APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tld~ application must be completely filled in by typewriter or in ink and submitted to the Building. I~pector, 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 p~blic streets or areas, and -' · - cation, otVm= a detailed description of layout of property must be drawn on the diagram which ispanof this appll- c. The work covered by this application may not be commenced before issuance of Buildin,, Per 't - ' d. Upon approval of th~s application, the Building Inspector will issued a Buitdino Permit to-the shall be kept on the premises available for inspection throughout the work. o e. No building shall be occupied or used in wi~ole or in part for aoy 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 huildlng Permit WarSuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Law~. Oxdinances or Regulations, for the construction of buildings, additions or alterations, or for l:emoval or demolition, as herein described. The applicant a~rees to comply with all pphcab e laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins~pections. (Sig.na~Ltuze of ~pplican ,~, oi ~a'r~e', ifa'c'o'r~o'~:~tign'l ' ' ' · /50-0 Z3~/~77,,~'~ .,p,,,,( .t ~,~ - ~ -· ..... , W.¢.Z/ ............. ( '' o ss of applicant) State whether applicant is owner, lessee, agent, architect, enginqer', ~neral contractor electrician, plumber or builder. ' ' ... ' .... Name of owner of premises (as on the tax roll or latest deed) [fappl{cant is a corporation, signature of duly authorized officer. a of co o officer) Plumber's License No ...... ;~V/~.. Electrician's License No .~././?. OlherTrade's License No .... ./[/~ . .. ' Location of land on which proposed work will be done; ....... A/V ouse Number Street. ~: Hamlet ' ' County Tax ,qap No. lO00 S,ction .. ......... Block ...... . ...... Lot ..... ..... (Nante) '" · ... Lot .... State e -' .. x sting nsc and occupancy of prcmlses antl intended use and occupancy of proposed constrnctioni a. Existing Use and occupancy · mended Use and occupancy ',%ture of work (check which applies e: New Building .......... c~n ....... i ' R~m ' liti ~1~.~.~ , ii ............. Oval ..... , ........ Demo on .............. S~4 ml;H. tlg /~. ~,, ~ ........... Fee .......... · ...................... ~, Estimated Cost ........ ~ ..... , · (to be paid on filing Ihi~ a~plicatioh}~L : ; Ifh Iling b ccd cll'ngun' ' Nn bcrofd clli ~unitsone hflo Ir garage, number of cars ........ ~ ........................................................ ' ....... ~. Ir. business, commercial or mixed ocdupp, ncy. specify t~p~nre and extent of each ~p~ of ~se ............ l. D,mensions orexis,ingstmctures, if~nY. Front...~ ......... Rear . .~ ........ Dep~h..':...~..~ ~ ~ ............... vrs o.= .......... * ..................... lleight ~ ' ' ' ' Dimensions of same stmctur~ with Mterations or additions: Front ~ ~. ~ ........ a ' Depth ~ HeiO~t ~ .'. Number of Stories I. . 3. Dimensions of entire new constmcti0n: Front . ,. ~ ~ ........ Rear .....~&~ ....... Depth .... ~ ...... Height ..... I~ ~ ....... ~ ~.~ ~1 ~um ber ~of Stories ....... [ ......~': ~ ............................. Depth .. ' ?;5 ........... 3: Date oF Purclmse . ~6V~W,L~ .............. NamcofFormerO~vuer~'" ,~.~e~ ...... },.. Zorn:: or us~ d~strict in which premises are situated .......................................... 2. Docs proposed construction violate tiny zoning aw, ordinance or regulation: ...'.. ~ .............. 3. W 11 lot be regmded ...... ~.~ ................ Will excess' fill be removed from premises: .~ ~,. No. . ~/~ ~ Phon No. 4. Name of Owner of premises . ~Z~$.. ~. .' .... Address/~-~ ' ' Na.',,~ ~r ~,;~,~, ~ sadress .......... ....,. Phone No ........ : .,~ ~. - · Name of Contmctor JC~d0~; ff~.~4~. Address ~ ~ ?<~. Phone. H°'_''~' 6~ 15.la thxs property located ~zthxn lO0 feet o~ a txdal ~et~ · If yes, Southold ~o~n ~/uatees per,nit may be required. ~ PLOT DIAG~M Locate cle~ly ~d distMetly ~1 buddings, whether existing or proposed, ~d, indicat~ MI set-back d~ension~ from ~ropeNy ~es. Give street md block number or description accord~g to deed, ~d show street n~es and ~dj~t~ whethe.~ ntefior or corner lot, Jz~tTE~lO~ t. oT' STATE OF NEW YORK, .......... ~.~.. ~.. ~P~.~ ............. being doly sworn, deposes ~d ~ay~ that h* ix the applicant . {Name or iodividual signipg contract) above named. (Contractor, agent, corporate officer, etc.) Of said owner or ownerS, and is doly authorized to pesform or have perfo~ed the said work and to m~e and file this application: that all statements cootah~cd in this application are trtm to thc best of bis knowlcdg~ and belief; and that thc work will be performed in the manne~ set fortl~ in the application filed therewith. ' t". Sworn to before mc this I ' : ' ' "' "~ 'Ho. 4~1~ ~(Si~aturc of applic~t) ~ Qualified in S~olk Commission Expires 3/}0/19 ~ ~ ... ./ J SUI~/EY FOR /~AY /e. /9e4 THOMAS P JOtTDAN ~ ANNETTE dO.DAN ~o~ ~,/~3 ~o~ ~0. ~, ' H~B~OB ~tGHTS EST~TE~, ~S~CTION ~HR~ . AT B~Y~IEW DATE: SEP~ 16, 1983 ~ ~ ~U~HOtO SCALE: / "= 40' NO. 83 - YsI SUFFOLK 'COUNTY, NEW YORK SURVEY B A V ~4~oN ~ ~E~TION 7209 ~ THE NEW ~K'STATE ,~AT~ UR.VEeR ~ , ~S HE~ DEPARTM~NT~DATA F~ A~R~ ~ C~sTRUCT ~ ~ ~HT~ A~NCY A~ L~.G:INSTtTUYION LI~D R~ ~ W ~kLlMl WITHIN I00 FEET OF TWS ~ROPERTY ) ~AL INSTITUTES OR ~HEN THAN THO~ IHOWN HIAEON. iNrnS , WILL ~FORM ~ ~T~ STANW OF THE S~K CO~TY DEP~TMEHT 9.EX iSTMS , ~ H~T* ,,lC,,. ,.F~E AND I ~LlCiT~ P~PERTY LINES ! ~. ~ .-~ YOUNG s YOUNG I ou.o, ~ N.Y,S;LICENSE N0,~589~