HomeMy WebLinkAbout27097-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31837 Date: 09/25/06
THIS CERTIFIES that the building ALTERATION
Location of Property: 910
(HOUSE NO.)
County Tax Map No. 473889 Section 79
BRIGANTINE DR
(STREET)
Block 4
SOUTHOLD
(HAMLET)
Lot 32
Subdivision
Filed Map No.
Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JANUARY 18, 2001 pursuant to which
Building Permit NO. 27097-Z
dated
MARCH 1, 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 "AS BUILT" PORCH ENCLOSURE (UNHEATED) IN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to STEVEN A LAPPE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
N/A
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
.
~
r
,
APPLICATION FOR CERTIFICATE OF OCCUPANCY! Spi (2. 2[06
I l .
This application must be filled in by typewriter or ink and submitted to the Building Departmen, ~~~th ~he fO~I~_'ri~&~..;:;.~~
A. For new building or new use:
I. 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 fonn).
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 2/1 0 of I % 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.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildiugs 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
I. 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, Conunercial $15.00
Date. ~ - / J - () (,
New Construction:
Old or Pre-existing Building:
q lOG (( I l;.f-I"j 1/,\) r::
House No. Street
Owner or Owners of Property: _ .25!iJJ-vr... A-.~
Suffolk County Tax Map No 1000, Section 7 q Block
(check one)
Location of Property:
i):~
S'UVTHoL D
Hamlet
i
Lot d::l....
Subdivision
Filed Map.
Lot:
Pennit No. :2 70 f 7 ~
Date of Pennit. '3/,/6 }
Applicant:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
)t,,-v', c{. i"(~
Applicant Signature -
Qv:-. 710 IS
'--O't:JI~J7
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.
27097 Z
Date MARCH
1, 2001
Permission is hereby granted to:
ROCCO & DOLORES LOCCISANO
910 BRIGANTINE DR
SOUTHOLD,NY 11971
for :
ENCLOSING AN EXISTING PORCH AS APPLIED FOR " AS BUILT "
at premises located at
910 BRIGANTINE DR
SOUTHOLD
County Tax Map No. 473889 Section 079
Block 0004
Lot No. 032
pursuant to application dated JANUARY
18, 2001 and approved by the
Building Inspector.
Fee $
75.00
~d~
ORIGINAL
Rev. 2/19/98
~7097r
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[
[ ] ROUGH PLBG.
[ ] INJULATION
[~NAL
_RZ~
b_/Jyl.-/)~ - <- Y7~
/J:. ~
~ 7
1)7017 ;p
5'c/~ ~/?1?CJ 0 - 79'- C/ - 3 ~
..--
-
765-1802 (fY wi- StVtft(f /ivt:j
BUILDING DEPT. 1J MI7 ~ ~
INSPECTION ~7/{f'::
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
REMARKS: r !f. dO
;t'i.~- . -- ~/r
<i-ff y~;;- yr~ ~-u:P.)
q ~~A~_LjJ~~crne'y
$~~-Q/u~L0M~-
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,DATE ~.&i~/ INSPECTO ~
~~ .~ ~d~:;d-eP'
//>L~ .-4'~ pd,; ~ ~
~~~~~~-
Guy F. Wheaton, P.E.
33 River Street
Sayville, NY 11782
631-589-8059
Febmary 23, 2001
Building Department
Town of Southold
Southold, NY 11971
RE: Property located at 910 Brigantine Drive, Southold,!\II
Section 079, Block 4, Lot 32
To Whom It May Concern:
The stmcture located at the above address is safe and complies with all town
codes at the time of construction.
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FIELD INSPECTION REPORT OATK . ... j COMMENTS. .
-========================r========"=====~=================================================
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ROUGH FRAME &
PLUMBING
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INSULATION PER N. Y.
STATE ENERGY
CODE
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ADDITIONAL COMKIlNTS:
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TOWN OF SOUTH OLD PROPERTY RECORD CARD
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OWNER
STREET
VILLAGE
DIST.
SUB.
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RES) 10 VL. FARM
LAND IMP. TOTAL DATE
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6~oo /
Do ~oo
1000 ~-"O() /
I 30cJ Gooo
COMM. CB.
MICS.
ACIL
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TYPE OF BUILDING
1ST<
Mkt. Value
S
W
REMARKS
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NORMAL
BELOW
ABOVE
Vclue
Q.1ili&~ rr'--g"'" y'~~~{TVi:. 0hou,S9-.N.r f'^'l':~d ~0"".L-
AGE
NEW
FARM
BUILDING CONDITION
Acre
Value Per
Acre
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
DEPTH
Meadowland
House Plot
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BULKHEAD
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Total
DOCK
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'7'1]', '" / / y ('].- = /1'1-) 3.~ 1~z- Basement /../1 Floors I IK.
(r{if , ~fiK
Porch I </.01 fo J .rO IfY. Ex!. Walls 8,f"'." _!/ri., Interior Finish .sIR LR.
-=- I .p,ck-vpl>'
8 reezeway I Fire Place / Heat t nl4/ DR
Go rage 12,] n. 'J ~t 1/ If!] t,). / ~ROOf 9"y6/ -e Rooms 1 st Floor IBR
Patio I I F""O ,"om Rooms 2nd Floor FIN, B
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0, R I Driveway
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Total I I Dormer' I
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IV""l~ Vi' ~VUlt1VLU
BUlLDIl\'G DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
PERMIT NO.
.::27(j17~
ljULLJJ!.NlJ l'hKMll N'J-'LiCAJ1UN CHECKL1S
Do you have or need the following, before applymg
Board of Health
3 sets of Building Plans
Survey V
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
.,/
Examined ~(
Approved ~I
,
Disapproved alc
20 o(
'-
20 I I
'-
Mali to:
Phone:
, .tZ-
~to~
APPLICATION FOR BUILDING PERMIT
,8
Date
,20_
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Buildmg 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'premises, relationship to adjoining premises or public streets or
areas, and waterways.
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 a permit
shall be kept on the premises available for inspection throughoutthe work.
e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building inspector.
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 South old, Suffolk:County, New York, and other applicable Laws, Ordinances or
Regulations, for the c'onstru~tion of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building c,:'de, hcus;ng code, "nd regulations, and to admit
authorized inspectors on premises and in building for necesSary inspections.
1l-t,84eT'r. 0eA/1.e/!:'- /It;'e,.,.r
(Signature of applicant or name, if a corporation)
Po I6tJ)l
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
>>{je.HT
.
Name of owner of premises M /l. -+ fl\ /l5
R,o ceO !-oCC/S/.lNO
(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.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
9 J 0 f!; (( di A t'/ Tf if e 7J f( . '$ tJ unl ()t. /) I
House Number Street
Ny
,
Hamlet
County Tax Map No. 1000 Section CJ 7 q
Subdivision
Block-A
Filed Map No.
Lot :3..2
Lot
(Name)
) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~
a. Existing use and occupancy 5/ /-7/ /Y' t{ /( 017 /If ;:#17/" E J;15,0N~ t7P<';V /,o;t:~/~
,
b. Intended use and occupancy
,. Nature of work (check which applicable): New Building
Repair Removal Demolition
f. Estimated Cost $' 12GtJ 0
Addition
Other Work
Alteration ~.
(Description)
Fee
If dwelling, number of dwelling units
If garage, number of cars
rlt1
(to be paid on filing this application)
Number of dwelling units on each floor
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
/1' b II
Rear
Depth
10' 0 ,I
Height
Number of Stories
Rear II / t
Dimensions of entire new construction: Front
Height Number of Stories
Depth
, ,.'
10 0
Size of lot: Front
Rear
Depth
O. Date of Purchase
Name of Former Owner
1. Zone or use district in which premises are situated
2. Does proposed construction violate any zoning law, ordinance or regulation: /'I tJ
3. Will lot be re-graded H 0
4. Names of Owner of premises
Name of Architect
Name of Contractor
IvCCCif/lN'fJ
Will excess fill be removed from premises: YES NO N /I
(,,'/ - SoD I
Phone No. S' otlT i1 (J (.. ()
Phone No
Phone No.
Address 9//J !J;e,C;lfrdllVe
Address
Address
5. Is this property within 100 feet of a tidal wetland? *YES tV f1 NO
. IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
TATEOF:EJ7~~RK~:/
'OUNTY O.~
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual SIgning contract) above named,
;)He IS the tlte. t..
. r[ (Contractor, Agent, Corporate Officer, etc.)
f saId owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
lat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
erformed in the manner set forth in the application filed therewith.
20M
d // _//
rto/C?5L ~/~ ~
, Sigllature of Applicant
e!JSANJM~
Ilo~ry Pub!... ,tat. of~... 'IDrl
~lt :8q6i\~5
0u<,lir:;;(l "I c;U(":JI' ....um} ~
ColJIl\lIss1m' crnir.., l'av?~ ?Cl ..-1.
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'0- ____u_____ '"o._u_____
E ti C 1 !>~_u fCI' 0 F ( X IST.;y C, - () f' UI
r{)~'cii,
PROVIDE OPENINGS FOR
EMERGENCY ESCAPE AS
UNDERWRITtRsOOcutlCAlt REQUIRED BY PARt 714 OF
REQUIRED ; H." STATE BUILDING CODE.
i
____... ...... n__....____.._\>1
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~R VEDASQ!Jo ;'I;~,IP.M 11',1
Il~ I 0/ BoP.. :2.70' 7 i!:- 7 h I i
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FEE: 75':00 BY: !
NOTIFY BUILDING DEP T NT AT I
765-1802 9 AM TO 4 PM FOR THE !
FOLLOWING INSPECTIONS: ,,' {, ,
1'/
1. FOUNDATION - TWO REQUIRED '1\> Of.
FOR POURED CONCRETE .
2. ROUGH - FRAMING & PLUMBING "Yo
3. INSULATION \
4. FINAL . CONSTRUCTION MUST ~ //
BE COMPLETE FOR C.O. --!l' I ~ I ~ 1'-' ~Ti'" c.." n:, ;,"'.L
ALL CONSTRUCTION SHALL MEET """" .,' <.J v r> ~ : u,,, II'
THE REQUIREMENTS OF THE N.Y. ;>--:--. ------ ......~._r. rr ,"" N
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR C~*ltC(1iClH sRROij$ IL ;. '" t..s. ft. l." eel s ~ 1'4 0 lifO, w N (J 'j
r- Bt.I~AN""''' ~rc.. - $ou7rlot v) NY ~ I
.; er.~ rf:,. CnT"c9.. Sid 4 L.";:~
r o. v c; 10 C3 r(I,-~ 11'11/,' ,J) f?
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USE IS UNLAWFUL 'T't> l" - (!'OTTD'" I
WITHOUT CERTlACATJ: II ._____/r
Of OCCUPANCY ~ I ;./G vi 11 ~ /)
11'./1'111.5 .
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OCCUPANCY OR
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SUFF. co. HEALTH DEPT. APPROVAL
SVROur 00tIm' BIALIB DlPmw1'\.
QUI AUG to 1978 I. D. 1lEl. # 7 - '0 .7"-{
,
the sewai8 disposal and .ater supply
faoilitles for thl. locftti8n ~8Ye been
lupaoUd ~., .... 1 'o1apartaell\ 8IId found
.... :tJl~llitzl4~
DEED:
N/A
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UNMJrnORllED ....lnullON 011. ....l>1.I '"
TO THIS SURVEY IS A VIOLA liON Of
SfCTION 7209 OJ THE NEW YOlK STAn
EDUCATION LAW.
COPIES Of THIS SURVEY MAP HOT 6EAIlINQ
THf lM'D Sl:~"'HS!l.'S IN:'.EO SEAL OR
IM~C~':D S[AI ~HALl NOT" CONSIDEIUO
TO r.~ " VAUO T::U~ C:JF't.
Gu^r"t'Tf~<i~'~'-:Ai.: :::.::-.....: !li,,!l rL'N
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RODERICK VAN TUYL. ... C.
12. V.o..- 7::-~~
LIe. LAND SURVEYORS.GREEN RT. N. Y.
. .
Surf. Co. Thw; Map O-.,Iq,.,<t-i'io/(; O"::>f-.IOOO,~cf.079, Gloct.:.4, Lrl3Z. . . .. _..' .,
TE.5T HOLI[ SUFI'. co. DEPT. OF HEALTH SERVICES STATEMENT OF INTENT
O'
(/far . FOR APPROVAL OF CONsmUCTlON ONLY
THE WATER SUPPLY AND l!IEWAOI:
rey'd.)
DATE: DISPOSAL SYSTEMS FOR. THIS "ESI.
DENCE WILL CONFORM TO THI:
7 - 50- 76 STANDARDS OF SUFFOLK CO. DEPT.
H. S. REF. NO.:
OF HEALTH. SERVICES.
APPROVED:
" ','. (S)
17' APPLlCA.NT