HomeMy WebLinkAbout17480-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17645 Date DECEMBER 29, 1988
THIS CERTIFIES that the building ADDITION
Location of Property 1550 BRIGANTINE DR.
House No. Street
County Tax Map No. 1000 Section 079 Block 04
Subdivision HARBOR LIGHTS ESTS.Filed Map No. 5147
conforms substantially to the Application for Build
filed in this office dated SEPTEMBER 23, 1988
SOUTHOLD, N.Y.
Hamlet
_Lot 26
Lot No. 55
ing Permit heretofore
pursuant to which
Building Permit No. 17480-Z dated OCTOBER 3, 1988
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 GA7.F.RC~ ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to THOMAS & ANNETTE JORDAN
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED NlA
Rev. 1/81
F08,M NO. ~
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)
N~ ~1748C? Z Date ......0.~~ ~ , 19 ~$
........................... .......
Permission is hereby granted o•
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n r ,
ct premises located at .~,3~.w1~.. ......... .~ ..........................................................
................................................................................................................................................................
County Tox Mop No. 1000 Section ....0.~..~....... Block li..l....... Lot No.....`~..Y
pursuant to application doted .~Ck~!'~!..""""''~.....~.~......, 19~~, and approved by the
Building Inspector.
Fee 3. ~~ .:..
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.................................... 9 .. ^SDe~ ..................... .....
Buildin I for
Rev. 6/30/80
:.'
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOIITHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
yylo~;,e, C, 0. ~
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DATE .. /iX /''~ ~/.'r.~'~.. .
NEW CONSTRUCTION ....OLD OR PRE-E%ISTING BUILDING......VACANT LAND........
Location of Property. 1.~~. ~ v...~~'/ `U'iii1~/i(.~t. , /'j~.~l/~_ . _ Sd f17t~df~_ _ .. _ - _ - • .
HOUSE NO~.-7-~~, ,L STREET HAMLET
Owner or Owners of Property...: ! 1~~1/},S, . ~1 ,~AVNt ~~ , _ .~C~~?j~}/~_ _ . _ _ . _ .. .
County Taz Map No. 1000 Section ~ 7 ~. Block .~ ~... Lot . ~ ~.....
Subdivision~a2~~?~ Li~!~r3. ~$77¢7'~S'. Filed Map `5~~7...Lot'.~.55.....
Permit No. ~.'~:T17Yg~.Date of Permi[ VC~.~1C~1~3.Applicant !/'LQ~P¢~ ~:I.~N~T~„'"~A~
Health Dept. Approval ....A[1.f~........... Underwriters Approval.. !U/~...,.,,,
Planning Board Approval .[~~f}............
Request for Temporary Certificate ....... Final Certificate ....~ .........
G~ ~
Fee Submitted: $....~ ~~:! .,,,,,,,,
APPLICANT.. ~~~.~~...~~'.2, ...........
CsZac.. 3Ly oG
rev. 10/14/88
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IIJSULATIOPI PER N. Y. • • 'j
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STATE ENERGY
CODE
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ADDITIOPIAL COMMENTS: a
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Specifications €~ Dimensions
A
H 8
G C
D
Imperial E
Parody
Imperial Classic E~ -
Each Gazebo u hantlmatle ... Therefore tlimensions may vary
• .40 CCA #1 Southern Pine Pressure Treated wood for
maximum strength and long life
• Kiln-dryad both before and after pressure treating
guaranteeing greatest prevention against checking anc~
warping
• #1 24" Cedar Shakes provide lasting beauty and
protection
• Stainless steel screws guarantee maximum durability
• Each board is planed and shaped providing finished
surfaces and edges
• Parquet-type floor adds a finishing touch to this beautiful
structure
• Guaranteed customer satisfaction is a Kloter Farms
tradition
KEY 10' 12'
A 157 112' 163'
B 133 1/4 136 112
C 74 74
D 32 32
E 6 3/4 6 3/4
G 40 3/4 50 1/2
H 114 1/2 139
J 117 140 1//
K 45 114 55
L 12fi 1/2 151 1/2
M 481/2 SB
N 59 71 1l2
A
B
C
D
E
Elegant
/.
Shipping ~ Assembly
Kloter Farms ships to you using reputable,
established common carriers to any loca-
tion. The gazebo arrives on-site, complete
with hardware and detailed instructions
which allow for assembly easily
accomplished in an afternoon by two to
three adults. Employing common house-
hold tools, the modular assembly requires
no carpentry or construction experience
and leaves no hint as to its modular design.
Each section is designed to be handled by
two adults and an instructional video in-
cluded with the gazebo walks you through
every step of the way. All that is necessary
prior to arrival is a level, prepared site. You
will find that the ease of construction is
indirect contrast to the enduring qualities
found in a Kloter Farms gazebo.
5
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ICI ,y_r_L lz _ ~ 1I~~ I
"Qtwliry is the foundation on which we build."
Back Cover: 14-foot Imperial
Your Kloter Farms Gazebo will arrive pre-cut and pre-
assembled ready to be erected for life long beauty and
pleasure.
..
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLO, N.Y. 11971
TEL.: 765-1802
Examined .P. ~''.Q`:`•r~..3:., 19 ~ ``II
Approved .trs~~'~-~ :. 3-; ,, 19 ~ Permit No. ~ ~ J. g ~ ~ . ,
BOARD OF HEALTH ........
3 SETS OF/~LANS ~..........
SURVEY YY __yy..~~ ..
CHECK ....:f~..7 .~:~~.?CF'..
SEPTIC FORPI .....`...........
NOTIFY
CALL .....................
MAIL T0: _~
Disapproved a/c .....................................
~[U (Building Inspector)
APPLICATION FOR BUILDING PERMIT
--, ~
~.U
II A SPP 2 3 I~eB
• Date ... A.~~v~r /S ....., 15 ~rY
INSTRUCTIONS
a. Tlus 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.
Tlie 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 inspections
<<i ~.~... ~. .
(Signature oi' applicant, name, if a corporation)
/SSO DRrGA~/TinrE DR%vE
t - ! ....S'OV.Ttloc.Dy . N.Y /r .9.7./ .................. .
' (Mailing address of applicant)
State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
......QwN. +<.f ........................................:........................................ .
Name of owner of premises ....7'f{U~Yf~$„ f? . ~'oR,DA;A/ • , fjr, W( Fes, , • ..... _ .. , ... • ... . ............ .
(as on the tax roll or latesll~2&®kED A$ N07ED
1(applican[ is a corporation, signature of duly authorized officer. DATE I ° g,p q ~7 y~d
FEE S~' '- BV ._~~~
" " " " " "' ' • •''i •~/ •gf NOTIFY BUILDING DEPARTMENT AT
(Name and title of corporate officer) ~r ~~ CG 765 1802 9 AM TO a PM FOR THE
FOLLOWING INSPECTIONS.
Builder's License No.......N~/~-....... ~it~~a(/f./~,G ~. 1. FOUNDATION - TWO REQUIRED
y ~/~ fOR POURED CONCRETE
Plumber's License No. .....ldl/)_..........~I~GA*f~~O~ 2. ROUCM -FRAMING 8 PlUM61NG
3
. INSUUnoN
...N~........... /
Electrician's License No. ~ G 4. FINAL - CONSTRUCTpN MUST
...~~'ic7 ~ ~E coMPl.Erf ro~ c.o.
Outer Trade's License No. .. !'~/~ ................ ~ ALL ~~~ SIIA(1 ~~
THE REQUIREMENTS OF THE N.V.
Location of land on which proposed work will be done. ....... STATE. COftl~11UCT1pN •t}. ENERGY ....... ,
' CODEB. REMONiNLE FOR
. !.~J.~?.....13!? ! (~,t ni {'/.^!~`...... D.R. ! !! E ...... SOG~SIDM:Q~INJCTION ERRORS ....... .
Elouse Number Strcet~ Hamlet
County Tax htap No. 1000 $eCllOn .... 0.7`I.........: BlYck ~.1........... Lot .....?./°
...........
Subdivision . FIAR40R . L[6(fT5 F$7~7~,$, , , , , , , . Filed tap No. .. S./.'~7 ...... Lot ....S~ ...... .
..(Name) ~t
State existing use and occupancy of pre ssawnd,~iQn,.~ use and occupancy of proposed construction:
a. Existing use and occupancy .. ~-~~~' ' ' ' ' ' ' 'J ' J ... .. ..................... .
b. Intended use and occupancy ...... G/~ Z E e O, ... S'7R U~TUip $• .
3. Nature of work (check which applicable): New Uuilding .. X.'..... Addition .......... Alteration •........ .
Repair .............. Removal .............. Demolition .............. Other 1Vork ............. .
~' (Description)
4. Estimated Cost .....~~,.QQO.% ~'....... ,
............. Fee.....................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each (loot .............. .
If garage.numbcrofcars ........................................................................
6. TC business, commercial or mixed occupancy, specify nature and extent of each type of use .................... .
7. Dimensions of existing structures, if any: Front .. . ............ Rear ..:............ Depth .............. .
Hcigltt ...............Number of Stories ....................................................... .
Dimensior~s~tt~ cture with alterations or additions: Front ... . ............. Rear ................. .
Depth .......... ~ .... IIeight ........ ......... Nuntbcr of Stories .......... .... .
..... .... ...
8. Djmehsiems of ent're new constnrction: Front ..... / 0.~....... Rear ..lo ~ .......... Depth . /.4 ~ ........ .
HciBht '..../.'~.3 ~ ~~ .... Number of Stories .......... ~ ...:........................................ .
9. Size of lot: Front ...... ~~71 ... ~...... Rear ....... 8s
99 ~ .......... Depth ......~-RO.~..........
10. Date of Purchase .... AtwuST.. /.9.7(u ............Name oC Former Owner ..Hw/z44•D.. RJZr;SE.......... .
11. Zone or use district in which premises are situated ... Rt:SJD.Pavzirt L .................................... .
12. Does proposed construction violate any zoning law, ordinance or regulation: ........NP ..................... .
13. Will lot be regraded ........ND , , , , , , , , ,, , , , , , , ,Will excess fill be removed from premises: N/A , Yes No
14. Name of Owner of premises TtiDm~-S . P.~'oitDtF.A~ Address /~SP.l3B/ 6AtrlT.~N. ~. ?RPhone No..765. -.5.~ ~. /. .
Name of Architect ........ N/I.Q; ,, , , , , , , , , , , , , ,Address ...................Phone No............... .
Name of Contractor .......y~R:........'....... Address ...................Phone No............... .
15.Is this property located with in 300 feet of a tidal wetland? *YES....N0.1C.
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property Lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
i
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NY},et~R LI6t.~TS EST~S
1550 PJRI6AN>•IN~ Ll?I~~
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STATE OF NE~V YORK, ~ '~ ~'~ ~ "' ~~ ~ n
~r.q,o~ .+S:S~''r.
COUNTY OF';':':.:.':.`::':... ,.., tt
' ' ' • ' ' •'T£~~~+~ir~ ^ ~a~~~~'~~~ t` ~°+l • n • • • • • •~~ ~w.~'15cing duly sworn, deposes and says that !te is the applicant
(Name ~ OIli91d>li~9i(;Aliu~ dAttract) tip" y
above nan,pd,M J.IA11[a MnIT~IMITRNOa JJA ''9
HC is the .ruw,t.~J. X .81UiT.~VHT.7V)9' .:Its:'~ ............................................................
~' ?_. t_r#1t2NO`+?3A Tt7N '~O`!~Contractor, agent, corporate officer, ete.)
of said ownc'r"~j~cisAa~iri duly ~aut~liorizcd to perform or have performed the said work and to make and file this
application; that all statements contained in this application arc true to the best oChis knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this '
Notary Public, • , uF~aG~
-~f'~/~ .............. .........., County
//L~l// C~ ~ OBERT . MILITSCHER
/~ Notary Publk, state of New York
QuallRed In SuMolk County
e4831M41
M y rgmmissSgn Ewplrns h~~•n 30. 1424
....`~~~~?.lam` ...............
(Signature of applicant)