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Home My WebLink About30514-ZFORM NO. 4 TO~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Nall Southold, N.Y. CERTIFICATE OF OCCUPDX¢CY No: Z-30460 Date: 09/22/04 T~IS CERTIFIES that the building ADDITIONS Location of Property: 265 BRIGA/~TII~ DR SOUTHOLD (HOUSE NO .) (STREET) (HD~ILET) County Tax F~p No. 473889 Section 79 Block 4 Lot 45 Su]~division Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated J~JL¥ 23, 2004 p~snant to which Building Pemit No. 30514-Z dated JULY 27, 2004 was issued, and conforms to all of the recp/irements of the applicable provisions of tke law. The occupancy for which this certificate is issued is "AS BUILT" PORCH .ADDITION & DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FREDERICK & RUTH ROSSI (O~R) of the aforesaid building. SI/FFOLK COUNTY DEPARTI~ENT OF HF~%LT~ i~PPROVAL N/A ELRCTRICAL CERTIFICA~E NO. 2023070 09/14/04 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 zed~ignature 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) '.PERI, IT NO, 30514 Z Date JULY 27, 2004 Permission is hereby granted to: RUTH M & FREDERICK ROSSI 265 BRIGANTINE DRIVE SOUTHOLD,NY 11971 for "AS BUILT" PORCH ADDITION & DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 079 pursuant to application dated JULY Building Inspector to expire on JAAUJARY 265 BRIGANTINE DR SOUTHOLD Block 0004 Lot No. 045 23, 2004 and approved by the 27, 2006. Fee $ 600.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTItOLD BUILDING DEPARTMENT TO~ I-L~L L 765-1802 .aPPLICATION FOR CERTIFICATE OF OCCUPANCY 'Ti:tis application must 6e ~'flled in by typewriter or ink and submitted to the Building Department ,~Sth the following: For new building or new use: 1. Final sur~ ey of property with accurate location of all buildings, property lines, streets, and unusual natural or topo~raphic features. 2. Final Approval from Health Dept. o f water supply and sewerage-disposal (S-9 form). 3. Approt'al of electrical installation from Board of Fire Underwritem. 4. Sworn st ,a~m. e~ frgm plumber certifying that the solder used in system contains less than 2/10 o~' 1% lead. 5. Cormnercial buitd'mg, industrial building, multiple residences and simih:u' buildings and h~stallations, a certificate of Code ,Cofi~pfianae fi-om arckitect or engineer responsible for the building_ 6_ Submit Pl~nnqng Board Approval of completed site plan requirenxents. B. For e~sting bnildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud uses: 1. Accurate su~ey of propert3 showing all property lines, streets, building and unusual natural or topo~apkic 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 xvriting to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $2~ O0, Swiraming pool $25.00, Accessory_ building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of O?c-apancy on Pre-existing Building - $100 00 3. Copy of Celliffcate o£ Occupancy - $.25 4. Updated Certificate of Occupency- $50.00 5. Temporary C~rtificate o f Occupancy - Residential $15 00, Commercial $15.00 New Construction: Location of Property: ~F~'~ House No. O~mer or Owners of Property: l~'r ~., 3,,- Su~blk County Tax Map No 1000, Sectiou Subdivision ~,~- L~,~t 4s ~'~a{'~,.q Permit No_ Date of Permit. Dept. Approval: A}/~ Health Plaaniug Board Approval: ].// Request for: Temporary Certificate Fee Submitted: $ ~o Date. Old or Pre-existing Binldh~g: 'I ~treet (check one) Hamlet ~7~ Block ~y Lot Filed Map. Lot: ~,. Applicant: ~,~vld Underwriters Approval: Final Certificate: (check one) BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORiK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by FRED ROSSI 265 BRIGANTINE DRIVE SOUTHOLD, NY ~.1971 FRED ROSSI 265 BRIGANTINE DRIVE SOUTHOLD, NY 11971 Located at 265 BRIGANTINE DRIVE SOUTHOLD, NY 11971 Application Number: 2023070 Certificate Number: 2023070 Section: Block: Lot: Building Permit:lNSP#: 30514 BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, closed inporch, A visual inspection of the premises electrical system, limited 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 I4th Day of September. 2004_ Name QTY Rate Ratine Circuit T~'pe Miscellanegns a~ built 1998 Wiring and Devices Receptacle 4 0 General Purpose Switch I 0 General Purpose Fixture 3 0 Incandescent An as built inspection, of the delineated electrical installation, determined that au obvious hazard is not present and the installation is believed to be in comfommane with the applicable reference standard for the estimated period of constauction of the premises wiring system seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. t~.:,~ APPflOV~D A~ NOTED ?_ ~ NOTI~ BUDDING D~A~r~ AT. FOLLOWING' iN~ECTIO~S: 1. FOUNDATION r TWO, REQUlR, E~, FOR POUR~ CO~fCnE~E 2.' ROUGH - FRAMING &. PLUMBING 4. FINAL - BE COUR.C_TE .FOP, C 285 Brigantine Dr. : Or.:, ]-,?C--3:-45 2633 YORK STATE~ NOT FOR OF. SUN OR ='R~3~S, PcFch 7888 '22' L_ e,~,~* ~-~ ,- 't ~'~f; .... ~. ~- ' ,,.':i! ?'~LL CONSTRUCTION SHALL , ~I~,E,'T THE RmUIREMENTS OF THE !~ ,~ODE$OF NEW YORK ,STATE, ~!~2 ~RTIFICATION OF ,'~G & C~NECTIONS '~., REQUi~ED' 765-1802 BUILDING DEPT. 'INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ULATION / [ ]'FRAMING [v~ FINAL [ ] FIREPLACE & C~,NEY [ ] FIRE SAFETY INSPECTION REMARKS: '~:~/ ~/~l~ C~,Y~'~,~ ~FB~LD 12~SPECTION R.EPO1LT FO~DA~ON (1S1) FO~DATION ROUGH ~G & . PL~G ~S[~ATION ~ER N. Y. ~DI'I'ION~ CO~NTS TOg*D/OF SOUTHOLI)' · BUILDING DEPAR~T~, IEN soUTaOLD, NY TEl,' 631 765-180· FALK: (631),765-9502 ~s~. nor~hfork.net/Sonthold/ PERMIT NO. ,3 Expkation BUILDING PERMIT APPLICATION CHECKLIST Do you lmve or need the follox;ing, before applying? Board of Health 4 s~ ofBtfiIding Plarrs Planning Board approval Sttm~ey_ Cheek Septic Form NA/.SZ)iE:C. Trustees ~ Contact: ~u'ld- ~ t~'~azg{ Ivlailto: PO ~'/t /(a~-q Building Inspector APPLIC, A~ION FOR BUILDING PERMIT Date INSTRUCTIONS ,7/8 ,20 o,-/ a. This application MUST be completely filled in by t3q~ewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bmldings on premises, relationship to adjoining premises or public sU:eets or areas, and water~vays. c. The work covered by rids appl/cation may not be.commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector w/J2 kssue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout th~ work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy· f. Ex ew building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from sach date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition slx months_ Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department tbr the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southotd, Suffolk Cmmty, New York, and other applicable Laws, Ordinances or Regulations, for the constructionlof bu/ldings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with ali applicable laws, ordinan'ces~ building code, housing co¢,~ and regulatinns, ~pd to admit authorized inspectors on premises and in building for neces~ar3 inspections. [Signatu.re ol~ppi[can~ or name, ifa corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofprernises ~¢¢~ ~tc~ ~o4k ~t~S,~) (As on the tax roll or latest deed) If applicant is a corporation, sigaat,~e of dui3: authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No_ Other Trade's License No_ 1. Locafioh of land on which proposed work will be done: House N~ber - Street o id Hamlet County Tax Map No. 1000 Section O'Tq Block ~)ff Subdivision b~"ba, L~.'n~ L=-~,4e_.g Filed Map No. (Name) Lot Lot _ .~[~. _rote .exigting as~' ~d Occupancy 0fPr~es.and intended use-and occupancy ofproposblt c°nstzucti._o ,n: i .. a. Existing use and occupaney ¢,.,qb. b_ Intended use. and occupancy 3_ Nature of work (check which apphcable): New Building Addition t~l)~~lf$~ Repair Removal. Demolition Other Work 4_ Estimated Cost '~ Fee 5_ If dwelling, number of dwelling units If garage, number of cam Alteration~,-c (Description) (To be paid on filing this application) Number of dwelling units on each floor 6, Ifzbnsiness, commercial or mixed occupancy, specify nature and extent of each type of nsc. 7. Dimensions of existing structures, if any: Front Rear .Depth Heigh~ Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth. Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height. Number of Stories 9. Size of lot: Front Rear .Depth 10. Date of Purchase /i~q~ Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction x4olate any zoning law, ordinance or regulation? YES__ NO/~ 13. Will lot be re-graded? YES 14. Names of Owner of premises Name of Architect Name of Contractor NO~_~ Will excess fill be removed from premises? YES__ ~O-~gi Address .~u't~ol& tt.J.¢. PhoneNo. Address Phone No Address Phone No. 15 a_ Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO/~ * 1F YES, D.E.C. PERMITS MAY BE REQUIRED_ NO NO ~ 16. Provide sur~,ey, to scale, with accurate foundation plan and distances to property lines. 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: COUNTY OF ) ~')/~.~ ~tl., ff',~ 'l~'~,~r,j being duly sworn, deposes and says that (s)he is the applicant (Name o~individual sigffing contract) above lmrned, (S) e is the (Contractor, Agent, Corporate Officer, etc.) of said owner or ovrners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statemcazts contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the maimer set forth in the application filed therewith_ Sworn to before me this c~ .J da5, of (~ ~'..~.~, 20 ~) ¢ Notar~ ?ablic- SiKaature of Applicant LINDA J. COO.~ N.~. ary Public, State of Naw Yon~ _ mo. 4822,.=,63, LOT $1 S 64°05'!0"E 564.° NOI' (FILE MAP) (ACTUAL) 149. $! :5' N '~4 ~ '05' ~0" W (FILE LOT 3~ Er'O, I, R LINE" ~f i. Dr SURVEY oF LOT Land ~ embomd ..al shall be canddeted lo 'be a 'H, Ild ~Y. GUARAN~'E~D TO SURVEYED FOR: FRED J. ROSSI RUTH M. ROSSI FRED ,,~ ROSSI RU TH ~ ROSSI F~OELirY. NATIORML TITLE INS CO TOWN OF SOUTHOLD (5t6] 734-5~35