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Home My WebLink About32116-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31684 THIS CERTIFIES that the building ADDITION Date: 07/18/06 Location of Property: 395 BRIGANTINE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 4 Lot 46 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 15, 2006 pursuant to which Building Permit No. 32116-Z dated JUNE 15, 2006 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL A & ROBIN BARTOLOMEO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 2104250 07/05/06 06/27/06 HENRY SMITH PLUMB.& HEAT. l Signature Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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. Commercial 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: 1. 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: IIX Old or Pre-existing Building: Date. 7/14/06 (check one) Location of Property: 395 Brigantine Dr. Southold N.Y. House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision 79 Block 4 Filed Map. Lot 46 Lot: Permit No. 32116—Z Date ofPennit.6/15/06 Applicant: Peter Johnstone Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 25.00 �0�3168 y Underwriters Approval: Final Certificate: u (check one) Peter Johnstone Applicant Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by MICHAEL BARTOLOMEO 395 BRIGATINE DRIVE SOUTHOLD, NY 11971 MICHAEL BARTOLOMEO 395 BRIGANTINE DRIVE SOUTHOLD, NY 11971 Located at 395 BRIGANTINE DRIVE SOUTHOLD, NY 11971 Application Number: 2104250 Certificate Number: 2104250 Section: Block: Lot: Building Permit: 32116Z 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, Outside, 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 5th Day of July, 2006. Name OTY Rate Rating Circuit Type Miscellaneous as built 1998 -family room Wiring and Devices Outlet 5 0 Fixture Fixture 5 0 Incandescent Outlet 12 0 General Purpose Receptacle 6 0 General Purpose Switch 8 0 General Purpose Paddle Fan 1 0 Receptacle 1 0 20 amp Laundry Receptacle 1 0 Dryer Receptacle 1 0 GFCI An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in conformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal 1 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. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: to Building Permit No. Owner: M I K.& 3czv-t- o LorAc o (please print) Plumber: t-Flj" 'SM IT14 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 18 lead. Sworn to before me this day ofI — 6 otary Publi County 801111IEL DOROSM Notary Public, State Of New Y.'* No. OI D06095328, Suffolk County Term Upiresluly 7,20_ n,7 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. 32116 Z Date JUNE 15, 2006 Permission is hereby granted to: PETER JOHNSTONE PO BOX 91 SOUTHOLD,NY 11971 for CONSTRUCT AN ADDITION TO AN EXISITNG ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 24713. at premises located at 395 BRIGANTINE DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0004 Lot No. 046 pursuant to application dated JUNE 15, 2006 and approved by the Building Inspector to expire on DECEMBER 15, 2007. Fee $ 150.00 Rev. 5/8/02 ORIGINAL 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. 24713 Z Date FEBRUARY 24, 1998 Permission is hereby granted to: M. BARTOLOMEO A/C JOHSTONE PO BOX 91 SOUTHOLD.NY 11971 for : CONSTRUCT AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS 16DID] at premises located at 395 BRIGANTINE DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0004 Lot No. 046 pursuant to application dated FEBRUARY 9 1998 and approved by the Building Inspector. Fee $ 75.00 1 ing Inspector ORIGINAL Rev. 2/19/98 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST GH PLBG. [ ] F UNDATION 2ND [ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARWCE s DATE �/P INSPECTOR m, 2-4 M-1802 BUILDING DEPT. SPECTION FOU ATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY / REM KS: vim. DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION FRAMING/ STRAPPING[ k,, FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE 0 INSPECTOR ' =IL~D Ii: S:. .'_UG ��U6:E II :.00SMcNTD ` VON FOUt1DA?ION c < FOUNDATION (2nd) m 2. oG \ ROUGH FRAME & �I PLUMBING C F y � y _ 3. I m INSULATION PER N. Y. 3 E Z STATE ENERGY CODE (� co —� a 4. FINAL o E � ADDITIONAL COMMENTS: c s n � • x H a_ H Ll Z(n O m a } v 0 m H a U R ; FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT FEB 10T TOWNHALL � SOUTHOLD, N.Y. 11971 r -r_ nPPT TEL: 765-1802 Examined.....4'I....., 19. Approved ....... ��"�?• ... , 19 . V Permit Mo. Disapproveda/c .................................. ...................................................... _ ... AWt5, ..... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... NOTIFY:G,1 aaua�oaE CALL fi sA?9....... MAIL TO:.W`!&gKW?b0j..4... ..................... ..Date.................19.... a. This 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 promises, 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 application. 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 issue 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 HKEER M9LE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane Ordinance of the Tam 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. 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. .. :e ..;AWS TM'F............................ (Signature of applicant, or name, if a corporation) Rex.R S'QU?NRGO�.(�Q%1............ (Mailing address of applicant) State whetter applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................................................................ Name of owner of promises .!`//.�'f%eQ F�...f}l:Ii?�A/UEG.......................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. .0 7/ 7/. &Z........ Plumbers License No . ......................... Electricians License No . ..................... Other Trade's License No . .................... I. Location of land on which proposed work will be done .............................................................. ........395 ...................... B,e!A4NXW,(.A<.....�.,WWVAA ..................... Rause Nuwber Street Hamlet Canty Tax Map No. 1000 Section ... 79.......... Block ..y ........... Lot ...Yk.......... Subdivision Alkeda<..4t4 i1.'S................. Filed Map NDA.."P5C7-14AM9... Int .. ri 3......... (Name) 2. State existing use and occupancy of premises `and intended use and occupancy of proposed construction: a. Existing use and occupancy .. JIN �rFa�: /,1WAtoo/..Q NllFG AIA ........................................ b. Intended use and occupancy............................................................................. 3. Khhure of work (check Akich applicable): Ne Building .......... Addition _&... Alteration .......... Repair ............ Mammal ............. Demolition ............ Other Work / (DeSCTIpC Ion) 4. Estimated Cost A.da44 G ................ fee ............................. ................. (to be paid on filing this application) 5. If dwelling, nnier of dwelling units ............ timber of dwelling units on each floor Ifgarage, nnber of cars ...................................... 6. If business, coarercial or mixed occupancy, specify nature and extent of each type of use ...................... 7. Dimensions of existing stnuctures, if any; Front.&y-hiD......... Rear .3y.8n....... Depth 0.��'�.•w � lleig)nt .020 ..i�................... Umber of Stories _... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... IleiglrC Umber of Stories 8. Diaensiot dt entire new construction: Front AO... �O ' ...... _.. Rear ............. Depth .!Z.S ........ 1@iftht .. - 0. ................ Umber of Stories ..d ................. 9. Size of lot: Front... • q ' ................ Rear ... /OG �........... Depth ..11L�............. 10. Date of Purchase ..................... &-me of Former Owner 11. Tone or use district in whidr premises are situated ./Jk&G (i411S,.4"Ver 4h 12. Does proposed constructio//n violate any ening law, ordinance or regulation: ..AIA ................. 13. Will lot be regraded ..!lr.O .............. Will excess fill be rem Roved from premises: YRS ND 14. Nares of Owner of premises A14Mt'd1R*ft40AVA4t.._. Addre19V7n49 '1 .Qp�........ Phone No. %14 Dare of Ardni[ect .�!$/!kSio? ................. Address /%C IX %/.VO.r!1J/...... 17wre No. ?bme of Contractor 1. ,`/r �lh�/A�fQ'.�%1:.............. Address ............................... Phone No. 15. Is this property within 300 feet of a tidal c Clam? * YES Na >11, ....... *IF YES, S(XMKID 7OI4i MNIIIES PERMIT MAY RR REgJIR1-. PLOT DIAGRAM locate clearly and distinctly all buildings, wbether existing or proposed, and indicate all set -back dimensions fruit property lines. Give street and block nuiber or description according to deed, and Atow street names and indicate nA)ether interior or corner lot. suvm OF Ny1 Y(NOC, SS (X)IINIY (A%... ... "' 40,%dW.44E .................................being, duly sworn, deposes and says thaL be is tine applicant (Name of individual signing contract) above named, /i He is Lite ..l oe4ftM'p:isov 6e ...... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed tine said work and to rake and file this application; that all sLaLe efts contained in this application are the to Lite best of his knowledge and belief; and Ihat Lite work will be performer) in the miner set forth in Line application filed therewith. Stern to leforeAre this .Q . d�ayy of%�.19.9. ?f Notary Public HFtFNF 0. HOME Not -,y Pv,'nJic, SlMe o; New York No. 4951364 Qualified in Suffolk County Commission F,':Piros (%ley 22, 19 ......... ............ (Signnlur ofof Aprp Peter Johnstone s :ONTRACTING • CUSTOM WOODWORK - BUILDING P.O. Box 91, Southold, New, York 11971 (516)765-5309 i PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. PLURA4ESING ALL PLUMBING WASTE IN WATER LINES NEED TESTING BEFORE COVERING PROVIDE ANTI -SCALD AND/OR THERMAL SHOCK PREVENTING DEVICES AS TO PART. 902.6(K) N.Y. STATE BUILDING CODE. If copper tubing is used for water distributing system; piping shall be of types K or L only crrrlo crrJ1n M 0 DVL 18111 X041 34D11i- /S 2Ct GRp o�c _ —T '��— 3iL'�C.4wLSA4GlL . 1t 2.►r SLRra SKVLKE EXIST/NE. ENO OF 14AME S 019P I/,aF-I 'SCALE NO,tTH ANO Diblcv9r; PROVIDE OPENINGS FOR. EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. UNDERWRITERS CERTIFICATE REQUIRED OCCUPA"�CY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY oAT��s.�'—�r�r.• �� 13 NMff MMLONIO 0lIMIII6MN/ AT 76&1902 ! AM W 4 !M NO TFE FOLLOWNG WWWTNM 1 FOUNQATION - 7w0 onaLow FOR POUF CONCAM 2. ROUGH - FRAM1118 & PL NMMG 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 71 f � n p N T N to L �u a I I i 3 i I 4 Uri el64 I I m MOHR H r Y$ c /+16't7 L 3 3 =hoF � NtN�Iy tha£ 0 ova" 2.tox Qia" 1,10 COLLM rJAM rt' dC wo Poar Ies6r�2S /b'vC ovate 21tb /I.rCYC 2i1Cd�S 32U!/2 3•.�ti2IIt III Z Dculun 67N.30 2t/0 LJ41t%IE A2 Z2&Lyr4d CTN;o 30vt 3ovz J •d xlj, a'f Ydutcc QDrM `2iL6I 1 11S err ur 1x4 WALL4 Ii of 214 /AlQuu r.Wxl u 1d. -a YWAM&Noar 3.t S Cts RW6 N.&S944 reeMOS S>r/u QLOCK f»uNdATJat1 Z' LS?.Nt Sri/AE ^� fly" - !I SCALE RAr SLAB s ENERGY CODE CALCULATIONS (Por Non -Electric Heat) FOR: M,Ch4 Cj 4.9 Design Criteria 6,000 Degree' -Days O.A. lU°F I -A- 7U°F PER: f e�e� To iia S �nAs 4a DATED: S er fJ • 2 7 S DESIGN THERMEL REMARKS SUBSYSTEM AREA "D" RATING ExL•erlor Walls (Opaque) Glaziny / 7 B y'�i .3 2 ' /3 0,, Doors i Ceiliny/Roof (Opaque) yj� D> 0 Skylights Floor U 0 Foundation Walls Slab Insulation IF- ? 3 No Les: Huildlny Envelope Systems to meet requirements of 7815.2 11VAC Equipement to meet- requirements of 7U15.11 11VAC Systems to meet requirements of 7815.12 UucL SysL-ems to meet- requirements Of 781.5.13 Vent-ilat-ious Systems to meet requirements of 7015.14 111sulaL-iol, of piping Systems to meet requirements of 7815.15 Service Water Heating Systems & Equipment to meet requirements of '1015.21 Electrical & LighL•ing Systems & Equipment to meet- requirements of 7U15-31 _r 10 1'o the best of my knowledge, , :�� belief, & professional judgement-, these plans are 111 �+ a compliance with the code. C 032254-1 P R OFESS10I /� 0 � fours /U* oC x/2 )-*mej4v5K 0 M 13i ---D 3oyt- 3Y� Satz Sou w +II i .�A N `s ? �a R t cl s ti c^ %ti` 3 Z "-) 0,X4 7 Ir)A 4 _ 7q— J144 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST SUB. LOT 3 3 M rc� Ictc ` I 16,Pi nTNe de d...�.,C. C. ;� S o�ic . �r o -C:, FORMER OWNER r N E AC 71 c / R S W TYPE OF BUILDING RESi1 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value REMARKS LAND IMR. TOTAL DATE IZDp 12-,00 2 6 /.1.-'I Y0 aca /L�rPiGS� - 1 E' a o S/C / C ri o 1% n r f `� r c L t_ / /� G 0,7e/ Y°------- No L? ,!'!' 1 - Ool. .5�; :i Sox-%;• , alio _1 L)o 39 v a z 00 S5QC) 76 ,r tv >QI • , d,�i;$N�G�A��e_ Ir,Z5 -iI L 5Y,.C1 -' `�• L� r-iu-��( �a 131174L,loll "sad eat 13d�y BUILDING CONDITION -- — ---------------------------------------- BELOW ABOVE Value Per Value Acre AGE NEW NORMAL FARM Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Tot a'r �" DOCK Young » Young, Land Surveyors «o Ostrander #_ _& New »R 11901 516-727-2303 ,__W. Young, RE acs R908w9941 Howard WYoung, Land Surveyor Thomas C. Wolpert, Professiomom_ Kenneth F.,b�ruzzo,Land Surveyor John a_urr,a_ a__r NOTES: is ,MSI a «R FILEDw THE OFFICE OF THE CLERK 7 THE SUFFOLK COUON JUNE !,965 AS MAP NO. 4362. IaAFFIDAVIT «CORRECTION FILED_THE OFFICE « 'THE CLERK OF SUFFOLK COU .> ON NOV. a,s . ON me 5833 PAGE a !a *=mss a..MONUMENT FOUND. o.PIPE FOUND. SURVEY FR MICHAEL A. BARTOLOMEO LOT 3,"MAP 0 HARBOR LIGHTS, SECTION ONE- At: EAt S UTH0 D Town o SOUT O D Suffolk Cudw New York Suff. Co. 2. M#: Lot 46 r_ - ^� os :SEPT. »,@7 SCALE o� & JOB NO. :s _, SHEET m u E, [ r_ - 13 -' op 9s 50-700 LPJ aite Ae 'Alp CCA posr$ &Z alfjfo &-A A001 IWO rV AP%fo Aols jousn" two OAw a a. OL V 41- NO OR W.AWFUL, T. CERTIFICATE IPANCY VEOrIAS NOTED 5013 t7 # 4R0 , DEPA&MtNT At ING M:TO 4 PM FOR THE SPECTIONS: - W --TWO REQUIRED D, CONCRETE RPAING &'PLUMOM ff,", �49rRUCTION MUV rx TE FOR C.O. JCTION SHALL MEET .rAENTS OF., THE. N.Y. RUCTION & ENERGY FkESPONSIBLE:,FOR )NISTRUCT6N En Pl o Rs 'Alp CCA posr$ &Z alfjfo &-A A001 IWO rV AP%fo Aols jousn" two OAw a a. NO OR W.AWFUL, T. CERTIFICATE IPANCY VEOrIAS NOTED 5013 t7 # 4R0 , DEPA&MtNT At ING M:TO 4 PM FOR THE SPECTIONS: - W --TWO REQUIRED D, CONCRETE RPAING &'PLUMOM ff,", �49rRUCTION MUV rx TE FOR C.O. JCTION SHALL MEET .rAENTS OF., THE. N.Y. RUCTION & ENERGY FkESPONSIBLE:,FOR )NISTRUCT6N En Pl o Rs