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Home My WebLink About27437-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29477 Date: 05/30/03 T~IS CERTIFIES that the building ADDITION Location of Property: 250 BRIGANTINE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 4 Lot 44 subdivision Filed Map No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 2001 pursuant to which Building Pernhit No. 27437-Z dated JI/NE 29, 2001 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Ge certificate is issued to NICHOLAS & CAROL CORDONE (OWNER) of the aforesaid building. SUFFOLK COUI~TYDEPART~4ENTOF~EALT~APPROVAL E~ECTRICAL CERTIFICATE NO. PLQI~BERS CERTIFICATION Rev. 1/81 N/A N/A N/~ 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. 27437 Z Date JUNE 29, 2001 Permission is hereby granted to: NICHOLAS & CAROL CORDONE COR3~M,NY 11727 for : 16 X 36 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 250 County Tax Map No. 473889 Section 079 pursuant to application dated MARCH Building Inspector. BRIGANTINE DR SOUTHOLD Block 0004 Lot No. 044 21, 2001 and approved by the Fee $ 75.00 Author~ture ORIGINAL Rev. 2/19/98 Form No. 6 TOVv~ OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ This application must be filled m by typewriter or ink and submitted to the Building Departm~ T°iio;ving: A. 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 1% lead. 5. Connnercial 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: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 Building - $100.00 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 New Construction: ~'/ Old or Pre-existing Building: ~ (check one) Location of Property: ~1) ~r~4 tM'''~ ~t'OL..~ House No. Street Hamlet Owner or Owners of Property: __ Suffolk County Tax Map No 1000, Section ~73 ~___ Subdivision Permit No. dT---'~4~L~ -"Z. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate 0 ~__ Block ¢:> o e, ~ Lot Filed Map. ~,~o I Applicant:~///]~'~ Underwriters Approval: Final Certificate: ~ (check one) Lot: nt S~gnature BUILDING DEPT. INSPECTION [ ]~FOUNDATION 15T [ ] ROUGH PLBG. [ ] F~JNDATION 2ND [ ] INSULATION [/] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~~REMAR S: ~ '* DATE INSPECTOR ~~~~ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING XN [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH P~,BG. [ ] INSU~ON REMARKS: DATE / FIELD INSPECTION REPORT DAW :,_,j? COMMENTS ~O.~AT~ON (~s~) 1{ " II II FO~ATION (2~) 1 ' INS~TION ~R N.I. / ~; 11 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NY 1197:-I:;~ ~r ¥C BUILDING PERMIT APPLICATION CHECKLIST: Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey. Cheek Septic Form N.Y.S.D.E.C. Trustees Examined ( ,20 ~q k/~V Disapproved a/c APPLICATION FOR BUILDING PERMIT Date. ~"~ ['Ze) ,200[ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and subnfitted to the Building Inspector with 3 sets of plans, accur3te plot plan to sale, Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premases 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 application. c. The work covered by th/s 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. Such a 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 I-IEREBY MADE to the Building Department for the issuance of a B aild/ng Perm/t 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 demolitiun 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 inspections. (Signature 0f a~h~aart/m: name, ifa corporation) 0Vlail/n~ address of al~plican0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownero£premises b,l't~t~c% ~cT~f~o'r,3~- ~ (as onthe tax roll or latSst deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Ham!et Subdivision t&~ ~ ~: ~,~F~ Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. lntended use and occupancy ~'2.-! X'r '~! 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost~ Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition M,'"'" Alteration Other Work (Description) (to be paid on filing this application) Number of dwelhng units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing sh-uctures, if any: Front Height Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new conslruction: Front Rear Height Number of Stories 9. Size of lot: Front { (~7~) Rear l OO Depth 10. Date ofPurchase ~10~ Name of Former Owner Depth 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: MC3 14. Names of Owner of premises Name of Architect Name of Contractor 13. Will lot be re,graded ~ Will excess fill be removed from premises: ~ot'4~-. Address~~0 .~ffato/hfWtt0eSl;~trfione No. -~ Address Phone No ~ Address Phone No. 15. Is this property within 300 feet of a tidal wetland? *YES NO ~ · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, indicate scope of project, to scale, with distances to property hnes. 17. If elevation at any point, on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ss: too COUNTY OF ) t'~ I ffl, r~ L~--, (,o~--(~oiX] ~- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 behef; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this d~l~ dayof % Notary P~blic , HELEN~ D. HORN~ Notary Public, State of New York No. 4951364 Qualified n Suffolk Coun / ~ig2~mre o"fAl~lic~nt JOBNo 98-54 REV1/3/99 TAXI.D. No. 1000-79-04-44 THE WATER suPPLY WELLS TYPICAL NEAR ROADLINE [ WINDJAMMER DRIVE LOT 29 LOT 30 J LOT 18 200' N 25"54'50"E 100.00' LOT 22 X WELL 3 LEAC~NG POOLS 4' IN DEPTH ~18 EQUALITJ~TION PIpE I , O~DE 20 3 PROPOSED SINGLE FAMILY FF 22,5 GAN 21.0 65' S 25"54'50"W 100.00' DISPOSAL FOR THIS RESIDEN( WiLL CONFROM TO THE STAN[ ARDS OF THE sUFFOLK cOUN DEPT. OF HEALTH SERVICES. LOT 19 15~' RADIUS¢''' ~ ~ TIE 200.00' m BRIGANTINE DRIVE [ 50'] ELEV USCGS DATUM LOT 33 X WELL WELL AREA LOT 32 LOT 31 ALL DISTANCES TO WELLS AND CESSPOOLS ARE BY LOCATIONS FROM HOMEOWNERS, FIELD OBSERVATIONS, AND EXISTING SURVEYS. SINCE MOST ARE NOT VISIBLE THESE DIMENSIONS ARE NOT CERTIFIED. CERTIFIED ONLY TO: SCHEMBRI HOMES INC. NICHOLAS CORDON By DESTIN G. GRAF NYS LIC No 50067 SURVEY OF: LOT 21 MAP OF HARBOR LIGHTS ESTATES SECTION 1 BAYVIEW, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 11\16\98 SCALE: 1"= 40' DESTIN G.GRAF ',,.: LAND SURVEYOR ' ;'~ .4 -'~ 73 Woodlawn Road · ~""~,i~,RockyPoint, N.Y. 11778 ,. ' V516-821-3442 A~PI~OVED AS NOTED NOTIFY BUILDING DEPAR'TI~ENT AT 766-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: OCCUPANCY OR USE IS UNLAWFL!!, WITHOUT CERTtRC,' '~ OF OCCUPANO~fz,' 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & I~.UMBING 3. IN;ULATION 4. Fli AL - CONSTRUCTION MUST BL COMPLETE FOR C O . , ~t~JJALL CONSTRUCTION SHALL MEET STATE CONSTRUCTION & ENERGY (~__,~HE REQUIREMENTS OF THE N.Y. Cf~ES NO, R~Rr'('~,~. ~ E ~F,F~