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Home My WebLink About33961-Z Form No. 6 TOWN OF SOiJTHOLD 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: 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 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 Plauning Board Approval of completed site plan requiremems. 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 thc applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state thc masons 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 Date. .__~'//,0/6'Q~'/O New Construction: Location of Property: Owner or Owners of Property: A.,q',q e//'e~, Suffolk County Tax Map No 1000, Section Subdivision "'" Old or Pre-existing Building: (check one) House No. Street Hamlet Date of Permit. Block OOO ~ Permit No.."~ (~. ! Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ L~,~. Lot ~ct'2- O0 ~ Filed Map. Lot: Applicant: Z~A~R o~t~o / Underwriters Approval: Final Certificate: ~/// (check one) Alii/cant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (63 I) 765-1802 Fax (63 l) 765-9502 BUILDING DEPARTMENT TOWN O1~ 8OUTItOLD CERTIFICATION Building Permit No. (Please print) Plumber: 3,'C t.~t~.yte'¢,~ v~3 (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this /~(o~ day of ~ , 20/~ Notary Public,~a~.. Co unty (Plumbers Signature) Town 1 lall Annex 51375 Main Road 1LO. Box 117!I Noutlu~lll, NY 11!1714)9,59 Telephone (631) 765-1g02 Fax (631) 765+9302 ro.qer, fiche rt@town.southold, ny. us BI ;II,DIN(; 1)EPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Bradley Conklin Address: 721 Brown St. City: Greenport St: NY Zip: 11944 ~]uilding Permit#: 33961 Section: 48 Block: 3 Lot: 42.~ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Jim Sage Elec LicenseNo: 3635-e SITE DETAILS Residential Commerical New Addition Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Office Use Only Indoor ~ Basement ~ Service Only ~ Outdoor 1st Floor Pool Renovation 2nd Floor Hot Tub Survey Attic Garage INVENTORY Heat ~ DuplecRecpt ~ Hot Water GFCI Recpt A/C Condenser Single Recpt A/C Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures ~ HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixture ~.~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures [~ TVSS Notes: 200a overhead service, as built addition to rear of house Inspector Signature: Date: June 21 2010 81-Cert Electrical Compliance Form FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33961 Z Date JUNE 5, 2008 Permission is hereby 9ranted to: BR3~DLEY CONKLIN GREENPORT,NY 11944 for : CONSTRUCT ADDITION TO DWELLING. THIS PERMIT REPLACES BP 13880. at premises located at County Tax Map No. 473889 Section 048 pursuant to application dated JUNE Building Inspector to expire on DECEMBER 1395 NINTH ST GREENPORT Block 0003 Lot No. 042.008 5, 2008 and approved by the 5, 2009. Fee $ 50.00 Authorized Signature ORIGINAL Rev. 5/8/02 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) NS ~"3~0 Z mt.....,~...~..~./..~ ........ ./..2 ............. , ,,.Z~- Permission is hereby granted to: ...... ~...~....~.~...~....~~.~.~ ..... ...~...~.....Z~.~.~.....~..~.~ ............. ..... .~~~...~.~....~.~.~. ............ ~ ...... ~'""~'"~'" '~ '"~' '" '~;;; '7'-'~' '~' '"~'~':""~' '~'"~ ................. ~''~' at premises I~Ot~ at .~,...~l.~...~.,..~....x.z..~.~ ......... ~ ....... ;...,.~.; ......................... ............................................................................................................. ~~z...~.~ ~...~ ....... ~.~......~.~ ...... ~ ............. ~,.z....~...~..~.~ ........ ~ ~x ~a, ,o. ~000 ~t,o...~.~ ....... ~,~ .~.~ ........... ~ ,o..Q..~.O. ......... Building Inspector. Fee $;...~,. ............. Bullcling Inspector Rev. 6/30/80 7Lq-x8eZ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] I~GH PLBG. [ ] FRAMING [,,~FINAL ~ // DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. [ ]FOUNDATION 1ST [ ] ROU~H~PLBG. [ ]FOUNDATION 2ND [ ]~JLATION [ ]FRAMING / STRAPPING [ ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~,~ /~.~ r.~ ~?~_ DATE __ INSPECTOR I NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY ROUGH PLBG. j ],.su~~ [~'T'~AL FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS: . .,~/"'/~--"~/'~ '~~ ~/~/~/~ DATE INSPECTOR~ FIELD INSPECTION .FOUNDATION (1st) FOUNDATION (2nd) t~OUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL COMMEN fS ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined/~)~..../..~.~..,1 .~r~. ~,".( i~ ~ - ~, ApprovedL~....~-... ~O?., 190~. Permit No. t~. · ~ Disapproved a/c ................ ~ ....... (,~ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. · ~i i TOWN OF SOUTHOLD t L Received // /~ 19 INSTRUCTIONS 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 premises, 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 appli- cation. 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 issued 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 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 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 in specto~ on premises and in building for necessary6~~ ~ ~ ............. i 7 ............... .' '~'-' 'l' ......... (Mailmg address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises....~..~../~./.~..~./../~. ,,...~..~.~../D...~..~.7...-,~....~. 5 ............. ................... (as on thettax roll o~ latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... . .~.~. L .~. ............. Plu:nber's License No....?.e...~..~. .............. Electrician's License No..~..~.~...~... i . ......... Other Trade's License No....e~..~.4~ ............. 1. Location of land on which proposed work will be done .................................................. County Tax Map No. 1000 Section ~. 7.3.T. ~... Block .................. Lot ................... "S~ivision. ~R~Pq~...~*~15~S.. ~ ~ ...... Filed Map No... ~.~ ? ........ Lot...gP.'.~ ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ ~ ~ ' b. Intended use and occupancy ~g/o ~ ~,~/4 ~ h . 3. Nature of work (check which applicable): New Building ' Addition ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost k././]? d~O .q"¢ e .j~..~. ~ '-~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ( ....... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify naturp and extent of each~y~e of use ............ ~ ........ 7. Dimensions of existing structures, if any: Front .... .-~..~ ........ Rear ...'~.. ?. ' ........ Depth...~...~. ......... Height ............... Number of Stories .......... ./ .......... .~.,~,?. 'Dimensions of ~n~e structure with alterations or additions: Front .... .~..~?.. i i i i i i i 'l~r' Depth ...................... Height ...... ~ ............. Numbex qf Stories ...... [ ..... ,~ ....... ~- 8. Dimensiogs/of entire new construction: Front .............. ,/ Rear ...~.~. ......... Depth .../'4~. ......... · ~ ~e~ll~/ · Height ......... ~ ..... N~mlber of Stones ............. ~., ......................... ,., >..! ........... 9. Size of lot: Front ..... ,/.~,.~.~. ........... Rear .... f./..O .............. Depth ..... /../.u. ............. 10. Date of Purchase . . .4'/7..~ ..................... Na,~ne of Former Owner . . ff.2..,477.~.4, fft..r~q .. .............. 11. Zone or use district in which premises are situated .... ~.~..~.d.t'q./.- ....................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... .A/.d ...................... · 13. Will lot be regraded .../.~.~. ..................... Will excess fill l)e removed from premises: Yes 14. Name of Owner of premises' ~..2'h~.. ~ ........... ~_,,,~.t:~O Address ................... ~.~/ ~Ro~ £~- Phone No. ~'. 77-/~'~°g'"'~ ............. Name of Architect ./~'..~.~.,o~...~?.~..O.Q~. .......... Address .~.~1.~..~.d.,..~.~.'7. ...... Phone No. ?.7.7~'.~.~.~.q ..... Name of Contractor .... ~.~. ( ~ ............... Address 7.~/..~..'~..~...~.~,,.~. q.T. Phone No..~...'~?: !):o..~.... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. sT COU~Y OF.~ ~ ....... .................... ~ame of individual signing contract) above named. J being duly sworn, deposes and says that he is the applicant He is the .............................. f.~(.?'~ ................................................. (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .............. ..dry 915 ...... ........ ignature of applicant) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 rol:ler, riche r t ~.~°~.~ u°°f~, ny. us BUILDING DF_~AI~TMF, NT TOWN OF SOUTHOLD A~LICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: JOBSITE INFORM~T_ION: (*Indicates required information) *Address: -~/~, / t~J ~-~ *Cross Street: ~:~''c-~v ~-'~ - *Phone No.: Permit No.: ~5 q L~ Tax Map District: 1000 Section: ~ ~ Block: '~ Lot: ~/~,. ~ *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is.job ready for inspection: *Do you need a Temp Certificate: Temp'lnformation (If needed) *Service Size: I Phase 3Phase *New Service: Re-connect Additional Information: 100 Underground YES/NO Rough In F~al~ YES ~ 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 March 27, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Bradley Conklin 721 Brown St. Greenport, New York 11944 Re: Building Permit # 13880-Z ADDITION TO HOUSE Premises: 721 Brown St./1395 9th St., Greenport Suff. Co. Tax Map #1000-48.-3-42.8 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 10th, 2007 Bradley Conklin 721 Brown Street Greenport, N.Y. 11944 RE: 1395 Brown St. (Addition) SCTM # 48 3 42 8 Dear Mr. Conklin, Please be advised that your Building Permit # 13880 issued April 18th, 1985 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of 50.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDiNG DEPT. Town Hidl Annex ,51375 Main Road P.O. Box 1179 Soufl~old, Nh' 11971-09.59 Tclcp}t(mc ((;31) 76,'5-1802 Fax (631) 7(;3-9,502 BI IILDING I)EPARTMI';NT TOWN OF SOUTHOLD May 6, 2010 Bradley Conklin 721 Brown Street Greenport, NY 11944 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: ~ Application of Certificate of Occupancy. (Enclosed) ~ Electrical Underwriters Certificate.~ ~ A fee of $25.00 __ Final Health Department approval. x"x,J Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: $3061-Z addition to dwelling (4 C.L if copper tubing is used [or water distributing system; ~ ,,,lng shall be of types K or L only PLUMBER CERTIFICATION' ON LEAD CONTENT BEFORE '~*l~r~ l~2r OF OCCUPANCY' APFR~¥~D AS NOTED 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~O REQUIRED FOR POURSD CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRUCT/ON MUST BE C~MPL~E FOR C. O. ALL COHSTRUCTION SHALL MEET THE REOUfREMENTS OF THE N.Y STATE CONSTRUCTION & ENERGY CODES· NOT RESPONSIBLE FOR ..... ~ ....... ~TRUCTION ........ S. PLAN NO 5'7~_ SCAL~ ¢t~': l'O' ,I ';t Ai a¢~ Phone 477-0400 M[t;H ,[': m!d