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Home My WebLink About28859-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~CY NO: Z 30182 Date: 05/07/04 T~IS CERTIFIES that the building ACCESSORY Location of Property: 272 BREAKWATER RD (HOUSE NO.) (STREET) County T~=x Map No. 473889 Section 113 Block 3 Subdivision Filed Map No. MATTITUCK Lot 7.4 Lot No. (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dmted OCTOBER 24, 2002 pursusnt to which Building Permit No. 28859-Z dated OCTOBER 24, 2002 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to RICHARD T & LORI L BRIGGMAAr~ (OWNER) of the aforesaid building. $%~FFOLK COUNTY DE~ART~Zl~T OF ~J%L~ A~PROVAL N/A ELECTRICAL CERTIFICATE NO. 1204179 04/13/04 PLLq~BERS CERTIFICATION DAr~m N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEPa~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COHPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28859 Z Date OCTOBER 24, 2002 Permission is hereby granted to: RICHARD T BRIGGMANN PO BOX 850 HATTITUCK,NY 11952 for : CONSTRUCTION OF AN ABOVE-GROUND SWIMMING POOL AS APPLIED FOR IN THE REQUIRED REAR YARD at premises located at County Tax Map No. 473889 Section 113 pursuant to application dated OCTOBER Building Inspector to expire on APRIL Fee $ 300.00 272 BREAKWATER RD MATTITUCK Block 0003 Lot No. 007.004 24, 2002 elld approved by the 24, 2004. Signature ORIGINAL Rev. 5/8/02 F~rm No. ~ TOWN OF S@UTHOLD BUILDING DEPARTMENT TOWN HALL APPLICATION FOR CERTIFICATE OF OCCUPANCY Y~ .... ~?:,~4~ This application must be filled in by typewriter or ink and submitted to the Braiding Department with the following: A. For new build[ng or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natikaI or topographic feat:ares. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form~. 3. Approval of electrical installation from Board of Fire Underwrkers. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial bu/lding, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Hamming Board Approval of completed site plan requirements. B. For existing buildings (prior to ApriI 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all propeay lines, streets, building and unusual natural or topographic feat:ares. 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 ~f ~ccupancy - New dwe~ing $25.~ Additi~ns ~o dwe~ing $25.~ A~terati~ns t~ dwe~ing $25.~ Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-exist/p~g Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 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) House No. Street Suffolk County Tax Map No 100O, Sectiun ~_~ Block ~ ~ _ Pe~it No. ~ ~,~ Date of Pemit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Hamltet ~ ~J Lot: ~ e~/a.~/~~_ Apphcant.~,~' ' · Unde~wkers Approval: C~, Final Certificate: (check one) Applicaht S-ignamre // ~3Y TNIS CERTiFiCATE OF COMPLIANCE THE OF: 40 FULTON STREET - NEW YORK, NY ~003B THAT Upon the application of upon premises owned by JOHN LUDEMANN P O BOX 621 NEW SUFFOLK, NY 11956 RICHARD BRIGGMAN 272 BREAKWATER RD MATTITUCK, NY 11952 Located at 272 BREAKWATER RD MATTITUCK, NY 11952 1204179 Certificate Number: 1204179 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residemial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, A visual inspection of the premises electrical system, iimited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 13~ Day of April, 2004. Name ~OTY Rate Rating Circuit Tvoe Miscellaneous l-GF[ recpticle for above ground pool. Wiring and Devices Receptacle 1 0 Pool/Spa (Swimming Pool): This certificate covers compliance at the date o£ inspection only. Because of unusual environments it is advisable to have frequeDt test and/or repairs made by a qualified person. sea/ 1 o£ ~. This cerkificate may not be altered in any way and is validated only by the presence of a raised seal at the Iocafion indicated. , c OWNER STREet _ RES. ~/(~ ~illoble ~/ocxfond 4eadowb~d louse Plot 'otol SEAS. IMP. : / vL. /~ TOTAL FARM DATE VI LLAGE w SUB. LOT ~? ACR. TYPE OF BUILDING COM~& CB. MICS. Mkt Va~ue REMARKs FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD Extension. COLOR \ ;:. ..... TRIM Po~h Porch Patio Basement Fire Piece Type Roof Recreation Roorr Bath Interior Finish' Heat Rooms ]st Floor Rooms 2nd Floor E~Tr7,,-¢D°rmer Driveway Dinette . ~LD IN~cTIoN']~'~ORT DATE FOUNDATION (1ST) FOUNDATION (2N~) PLUI~B~I~G INSULATION ?F_~ N. ¥. STATZ F~NEt:~GY AI)D~T~tONAL CO~Ts B dlLD'~'~G DE]PJ~RTNIENT TOWN IiALL TEL: 765-1802 BUILDING PERMD' APPLiCATION CHECKLtS Examined Approved Disapproved Do yon tmv~ or needf ~ following~ before aloply~a1 Board 3 ~ of~ P~ C~ N.Y.S~.C. Conm~ APPLICATION FOR BII~D~G PE~ INSTRUCTIONS a. Tias application MUST be completely filled in by Wpewriter or in ink and sutrm~ged to the Builiiing Inspector ~th 3 sets of plans, accra'aze plot plan to scale. Fee according *o sche&de. b. Pict plan showing location oflot and of bnildiags on premises, relationship to acljo{~ing premises or public streets or ar6~s, a/id wazcTways. c. The work covered by ttJs application may not be corranenced before issuance of Building Pezmit. d. Upon approval of this applicafio~ the Building Inspector witl issue a Building Pea-mSt to 2he applicant. Such a p~r/m~ shall be kep~ on the premises available for inspection throughout the work. e. No buikting shall be occupied or used ia whole or in part for any purpose wtm~-so-ever nnfil a Ce~ficate of @ccnpma, is issued by the Building Inspeczor. APPLICATfON IS FIEREBY MADE to ~e Building Deparnneut for the issuance of a B~lding Permit pursuam *o ~e Building Zone Or ~dinance of the Town of Southold, Suffolk County, New York, and otter applicgSle L~ws, Ordinances or Regulations, for the conszmction of buildings, additions, or alterations or for removal or de~olifio~ as herein describe& The a_vplicanr agrees ro comply w/th all applicable laws. ordkmnces, buildirfg code, hansiag code, and regulations, and *o admit authorized inspectors on premises and ia bufidingzf~r neces~-7 inspections. . /~ ~_.__~ (l~g ~ o~appHoan~) State whether applicant is owner, lessee, agenr~ architect, 6mgine~r, general con~racmr, eleCaScSan, plumber o~.bnilder (as on the tax roll or Ia~es~ deed) If applicant is a corporation, si~xamre of duly authorized officer (Name and t~fle of corporate officer) BuJtders License No. Plumbers License No. N,// Electricians License No. O~her Tzade's License No. Location of lmad on which proposed work will be done: House N~b~ S~[ H~ Co~T~MapNo. 1000 Se~on [ [ ~ Block O O~ .... ~t ~' ~' 3. Natnre of work (c~eek wkieh gppHcable): N~w Building t~emov~_ . Demolition 5. Rep*ir Estirrmted Cost Addition Alteration Other Work '7~ C~ (Deserip~ion~ Fee (to be pa{d on filing this applJ_cation Number of dwelling units on each floor tf dwelling, nmnber of dwelling m~its {f garage, number of csr~ 6. IfBusines~, commerci~ or mixed occupancy, specifynaturea~dextentofeachrypeofnse. ~ 7 Dimensions of ex, sling smacmres, if any: Front Rear .Depth Height /?/_~ ~-r Number of 8tode~ D~mensions of same structure with alterations or addRions: Front F:~ear Depth Height Number of Stodes 8. D~nems~o~s of entire new co~straedon: Front Number of Stodes Rear Depth 9.. Size of lot: Front .Rear Depth I O. Date of Purchase Name of Former Owner 1 t. Zone or use district in w.'~ibh premises are sieaated. . f{///~/ t2. Does ta-oposed consflmetion violate any zoning law, ordinance or regulation: fi,/O 13. Will lot be re,graded p~7 ~7 WgI excess fill be removed from premises: Name of Architec~ Address Phone No Name of Contractor Address Phone No. 15- Is ga~s property wiihi~ 100 feel of a tMaI wetland? *yEs NO ®- ~ ~S, SO--OLD TO~ TRUSTEES P~S ~Y BE ~QU~D 16. ~ ~ey, ~ sc~e, ~ ~e fomd~o~ pl~ ~d ~ to ~op~ l~es. 17. ~ elation ~ any'po~ on ~ is at t 0 f~ or 5elow.. m~ ~o~de t~o~pNc~ data on g~ey. STA~ OF ~W d~y ~o~ d~oses ~d~ (~r, ~ent, Co,omo O~cer. og sMR o~ or o~, ~d xs d~y ~o~d to p~ ~ have p~ ~e smd wo~ ~d to ~e ~d ~t ~ mm~m ~n~ ~ ~s ~e~ ~ ~e ro ~.e beC *f~.s ~owle~e ~d belief: ~d tha( ~e work ~I1 be Sworn to before me this ~ dayof~20d~_ -_ NOTARY PUBLIC, State of New NO._01ST~008173, $~Ik ~u~ ~e~ ~pfms June 8, 2~ ~ Signature of Applicant ~NO DISTRICT: ~000 SECllON: I~.~ BLOCK: 3 LOT(S): 7.4 AS ~ NOT~ B~L~)NG B~PART~ENT ~T / '~ ' 765=180~ ~ iL~°" / ~ . FOLLOW~NG ~NSP~CT~ONS: 57,9~4.~9 sq,ft. - UNA~ORI~D ALTERA~ON OR ADDITION TO THI~ SURLY I~ A ~OLA~ON OF SEC~ON 7209 OP THE NEW YORK STATE EDUCA~ON MAP NOT BEARING THE LAND SUR~YOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID ~UE COP~ GUARANTYS INDICATED HEREON SHALL RUN ONLY TO ~E PERSON FOR ~OM TH~ SURLY IS PREPARED AND ON HIS BEHALF TO THE BTLE CO~PAN~ GO~RNMENTAL AGENCY AND LENDING INSUTU~ON LIS~D HEREON, AND TO THE ASS[~EE5 OF THE LENDING INSTITUEON, GUAR~ES ARE NOT TRANSFERABLE. ~E OFFSE~ OR DIMENSIONS SHO~ HEREON FROM THE PROPERTY LINES TO ~E STRUC~RES ARE FOR A SPEC~C PURPOSE AND USE ~EREFORE THEY ARE NOT IN~NDED TO MONUMENT ~g PROPERTY LINES OR TO GUIDE ~E ERECUON OF ~NCES, ADD/UONAL S~UCTURES OR AND O~ER IMPRO~MENTS, EASEMENTE AND/OR SUBSURFACE 9~UC~RES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PH~ICALLY E~DENT ON THE PR~ISES AT ~E EME OF SURLY PUBLIC WATER AVAILABLE ~ ~LL WA~R ~ INDI~DUAL SANITARY S~TEM ~ ELEVATION DATUM: ......................... suRlY OF: DESCRIBED PROPER~ ~ CERTiFiED TO: RJCHARD BR~GGMANN ~ LORJ MAP OF:~ BRIGGMANN; Si~ATED AT: MA~'ITUCK TO~ OF: SOUTHOLD ~ENNgTH SuFFOLK COUNTY. NEW YORK ~~, ~~ FiLE ¢ ~9--~5 SCALE: ~ : ~ DATE: APR, ~, ~ 99~ N, Y, $. UC NO, 50227 ma~g