HomeMy WebLinkAbout52176-Z ho��°F SOpTyo�o Town of Southold
P.O. Box 1179
�0 53095 Main Rd
�Z#'C'OUNr+." Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46435 Date: 08/21/2025
THIS CERTIFIES that the building AS BUILT ACCESSORY STRUCTURE
Location of Property: 645 Brigantine Dr Southold, NY 11971
Sec/Block/Lot: 79.4-48
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 07/15/2025
Pursuant to which Building Permit No. 52176 and dated: 08/12/2025
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:
"As built" pergola accessory as applied for.
The certificate is issued to: George Syrian, Carleen Syrian
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION:
A tho 'ze Si ature
*&So yo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS,PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52176 Date: 08/12/2025
Permission is hereby granted to:
George W Synan
645 Brigantine Dr
Southold, NY 11971
To:
Legalize an existing"as built" pergola accessory to an existing single-family dwelling as applied for.
Additional certification may be required.
Premises Located at:
645 Brigantine Dr, Southold, NY 11971
SCTM#79.-4-48
Pursuant to application dated 07/15/2025 and approved by the Building Inspector.
To expire on 08/12/2027.
Contractors:
Required Inspections:
Fees:
` As Built Accessory Structure $390.00
CO Accessory $100.00
Total $490.00
Building Inspector
OF SOUlyO�
# TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION ,
[. ] FOUNDATION 1ST/REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL (fr-'
[ ] FIREPLACE & CHIMNEY [. ]" FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [- ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE FS g INSPECTOR
J
ors°F00aw-
Date1�1t�� TOWN OF SOLJTHOLD- BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
y�� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownnv.2ov
01 Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only T E491; E I V
PERMIT No. 5 rRe Building Inspector: J U L
i 5
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an > Ndp��Py
Owner's Authorization form(Page 2)shall be completed., 1'hwn;of Southold
Date: 7 xL2�02
OWNER(S)O PROPERTY.:
Name: Cl d QLRL66d '` AIA SCTM # 1000-
Project Address: (�� �(Zb11oJL� tRIVr SOtl�Hj)Un /Jy 11971
Phone#: 6'3 I'76Sf'111 t7 Email: Sit vi=k STAR FW46 96,A %�i
Mailing Address: S ANL AS PRV�C'�l R �,� 0 V'R66 K.COI`
CONTACT PERSON:
Name: L)WpLS2
Mailing Address: EA Ii t-
Phone#: SRM2_ Email: SA�y
DESIGN PROFESSIONAL INFORMATION:
Name: 9f1?%Jrlk15 \)JR S Kl i f7tr1-H S.1 s 1n/kat-IfS'RLC
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: U'nJ ,Ir440ti✓%1
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
EXew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other O $
Will the.lot be re-graded? ❑Yes QNo Will excess fill be removed from premises? ❑Yes 24NO
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes ❑No IF YES, PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,alterations or for removal or demolition 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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(prin name): A7-tA —
CONNIE�RGr W SYAIA ❑Authorized Agent downer of Applicant: . Date: �i 1-11201�
D. BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No. 01BU6185050
SS. Qualified in Suffolk County
COUNTY OF SV f0'L ) Commission Expires April 14, 2
. GC'oR Ga W SyAIr✓ being duly sworn, deposes and says thatAll<is the applicant
(Name of individual signing contract) above named,
X(*s the 4\+✓11/15 A
(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/4er knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
1 day of , 20
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
QWN��R tS. APPLJ6,1rJ'-1'
I, residing at
do hereby authorize to apply on
my behalf to the Townof Southold Building Department for approval as described herein.
�'V7/2./2-02-
Owner's Signature Date
R 6u- vJ SYN 4W
Print Owner's Name
2
1J1 9.1J I
SCDHS. Ref. # RIO-99-0014 The /ocallons of wells mid cesspools
shown hereon are from held observallons
and or from data obtained from others. L RICHMOND REALTY
Et.EVATXNs ARE REFERENCED
443 Main-BQx_2100
To AN ASSuED DA% v_ (;.: _ ; Greenport, N.Y. 1944
'�• Q 2 Test Boring - 130 C7
0.
Dr. Brown Sandy
t,, s sue. �Op �, Loatr a :.. DEC �.�. 1999
0.5.. `A � Or. y Sand '
4' 1
op 4 2.5
O eft- Pale Br. FkH to.
Re. Coarse Sand SW -
�yv �r � �sr B• d
Br. Sandy Clay _
?sue® CL l an fm74%r with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SNGLE FAY#-Y RESIDENCES
N169 � `'' �' l2' and will ablde by the conafflons sel forth therein and on the
Pale Brown Floe permit to construct.
to Coarse Sand
sw
` c � ss
�,� 8
` e
4-41
Oj y SURVEY OF PROPERTY
/o. ' AT BAY VIEW
ki
TOWN OF SOUTHOLD.
SUFFOLK COUNTY, N. Y.
tc' WOO79- 04 48
SCALE- Y _ 30
`Or \� M Q� 3a '' C '
O • +� JAN. 12, 1999 f B.O.H. J
Feb. l T, 1999 (addlNons) i
MAR. 2, 1999 f revlsloo 1 _- `'
e JUL Y 6, 1999 ( addition _ n
JUL Y 16, /999 (hxid+allon /oC.
NOV. 15, 1999 l An
iD
'qO CER TIFIED TO,, NO TE' L O T NUMBERS REFER TO 'MAP OF HARBOR <
LIGHTS ESTATES - SECTION ONE' t4F NEW ZfM tD
GEORGE W. SYNAN FILED /N THE SUFFOLK COUNTY CLERKS `PA 1.M,-
CARLEEN E. SYNAN OFFICE ON JUNE 8, 1965 AS MAP NO. 4362 ' 'FQ
ANY ALTERATION OR AMTION TO TMS"VEY.$A VIOLATION COMMONWEALTH LAND TITLE
OF SECT KW 7209 OF THE AEw YOIRK STATE MCA7rON LAw pVSURANCE COMPANY ' _I .S. LtC. N0. 496/B
EXCEPT AS PER SEC770,V 7£09-S1/B,ot MON r. ALL CERTFKA�VAW
SAD AW Oft COPES OBEAR ThE iA W SEAL T OF Tf'1L�OF 0Str14VEYOR C P�GQ too� U���aw�
MMO:sE SI6NA7zfPE APPEARS t+FREOA� a well O;1 `_�V02 P.C.
ADDITIONALLY TO COMPLY w77H SAID LAW THE T FRM 'ALTERED BY' 0 . X bid
MUST BE USED BY ANY AAV ALL "VE'YORS UTXMW A COPY l E STREET
OF ANO TIAW SL1�4 VE MrS MAP. TOWS SUCH!AS %QWCTEO'AAp AREA = 21,800 8q ff. 119 Y1
'W"HT-T?DAMARE NOT 1V COACWNCE WTH Tom'f.A•:
98 - 385
34./35
2
Secure the assembled pavilion to the lawn with the stakes(PP).
8x APPROVED AS-.NOTED; `-' :_
oA :8-►a a5 B.P 0. 5a 17(0:'
�- FE
j
,. .
COMPLY WITH ALL CODES OF ' , NOTIFY BUILDING,DEPARTMENT AT a 4,
1! NEW YORK STATE&TOWN.CODES ' ss�-765-1802 eAM 1 O 4PM°FOR�,THE
AS REQU RED AND CONDITIONS OF FOLLOWING INSPECTIONS:`
SOMOLD TOWN ZBA FOUNDATION-TWQF�E6"rIRI,_ .
SOUTHOIDTOWN PLANNING BOARD FOR P UREQ CONCRETE20
A H-FRAMING&-PLUMBING
SOL)MUTOWN TRUSTEES INSULATION
4� ��:� N.Y.S,DEC _• .,
FINAL-CONSTRUCTION'MUST
t SOUTL{DiAE1PC
• �'�BE,COMPLETE FOR C.O. rr
+•ALLCONSTRUCTION SHALL N115:ET THE
Additional REQUIREMENTS OFTHE CODES OF NEW z'
YQRK-STATE NOT RESPONSiBLE'FOR
Certification f SIGNjOR CONSTRUCTION'ERRORS
r -fit
wired. <s �` _ u; r
May Be ReQ ,- a ys*rz `. > nvi�Sr '
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•' i1..n N.
r
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y{ k � 14_
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�?��.. fir.. `f.. �.�q_a;• ��.. r.f��;e ,y f B� .�t��a-c�k�7
' SCDHS Ref. # RIO-99-0014 The locations of wells and cesspools
shown hereon are from fleld observations — — — -- —
�: and or from data obtained from others. RICHMOND REALTY
J ELEYArilOIUS ARE REFERENCED
443 Main-BOX2100
(Z. zTo AN ASSUACD DATI ,,....: �:+-__;__;..__. Greenporrt, N.YJ 1944
g3 Test Boring
0'
Dr.ran OL .Brown Sandy
sg Lo DEC i ir99
•
°s7-0. Or. Loamy Sad
Polo Sr. Floe to F
a. Coax" Sand SW -
yr ST �
\� Br. sody Clan --
�8\� CL / am famtllar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
'may Aw. �'•8 DISPOSAL SYSTEMS FOR SABLE FAMfL Y RESIDENCES
�,• I2' and wilt ablde by the condfions set forth therein and on the
r� permit to construct.
V _ ` l Pale Brown )Y»
n� p ez to Coarse a sand
3s8
4
0
za o` � ad`Z• ,�' � rS
SURVEY OF PROPERTY
°s�°• `y AT BAY VIEW
TOWN OF SOUTHOLD.
' SUFFOLK COUNTY, N. Y.
�o 7000 - 79• - 04 - 48
SCALE.- Y'
f 401, ti Q �a a DEC. 31, 1998
O • .All JAN. 12, 1999 ( B.O.H.
Feb. 17, 1999 (addltlonsl ,
'`'��' �• MAR. 2, 1999 ( re vlslon
JUL Y 6, 1999 ( addillon ry n
JUL Y 16, /999 (funddtion loc.
NOV. 15 /999 ( final 1 -'u
S ••
CERTIFIED TO,, NOTE' LOT NUMBERS REFER TO 'MAP OF HARBOR s- -
GEDRGE W. SYNAN LIGHTS ESTATES - SECTION OW' �,OF NEW yO� w
FA<ED IN THE S(1FFOLK COUNTY CLERKS
CARLEEN E. SYNAN OFFICE ON JUNE 81 1965 AS MAP NO. 4362 �FQ ANY ALTERATION OR ADDITA N TO TMS "VFY.IS A VIOLATION COMMONWEAL TH LAND TITLE
OF SECTION 7209 OF THE NEW YORK STATE EDMATIM LAM' s
EXCEPT AS PER SECTION 7209-St�BDlV1570N 2. ALL CERT17CZVArS INSURANCE COMPANY S. LtC. NO. 49618
S"AW oft cis°BTIC SM P AAV � �"VEYOR U��oaw„ ONl' .. . Y P.C.
M'MSE S WATEVE'APPEARS WJW09 s Well 7 _&
AWITKNALLY TO COWLY MATH SAW LAW THE TERM 'ALTERED BY' l? , X
MUST BE USED BYV p AW ALL SURVEYORS UTXQN6 A COPY I E STREET
°R OSHT-'rRo�ATE'AResnbr Iv Tcw4'tuNcc 01TH Try cLAww.•'`M' AREA 21,800 sq. ft �� s 1l971
• . 98 - 385