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Home My WebLink About35406-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34827 Date: 02/04/11 THIS CERTIFIES that the building PORCH ADDITION Location of Property: 125 BRIGANTINE DR (HOUSE NO.) (STREET) County Tax ~4ap No. 473889 Section 71 Block 2 Subdivision Filed Map No. Lot No. SOUTHOLD LOt 18 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11, 2010 pursuant to which Building Per~/t No. 35406-Z dated MARCH 23, 2010 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 SCREENED PORCH ADDITION (WITH SKYLIGHTS) TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA #6340, DATED 2/25/10. The certificate is issued to LAURENCE S & LILLIAN SIMPSON ( OWNER ) of the aforesaid building. SuFfOLK COUNTY DEPARTM~NTOFHEALTHAPUROVAL N/A ELRt-rKICAL C~RTIFICA~ NO. 35406 10/08/10 PLIERS CERTIFICATION DA'r~v N/A Rev. 1/81 FORM NO. 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. 35406 Z Date MARCH 23, 2010 Permission is hereby granted to: LJkURENCE S SIMPSON for : PORCH ADDITION TO A DWELLING PER ZBA DECISION #6340 AS APPLIED FOR at premises located at 125 BRIGANTINE DR SOUTHOLD County Tax Map No. 473889 Section 071 Block 0002 Lot No. 018 pursuant to application dated MARCH 11, 2010 and approved by the Building Inspector to expire on SEPTEMBER 23, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 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 thc following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, slx~ets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage4isposal (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 ~sidences 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 requiremeats. B. For existing buildings (prior to April 9, 19~7) 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, Swimmlng pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of OccupancyonPre-existing Building - $100.00 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. -New Construction: Old or Pre-e.~._~.xisting Building: . (check one) I, on o Proper,: TT -x, Home No. S~t H~ · S~o~ Co~* T~ Map No 1000, S~tion ~7~ ~¢ ~ ~]t Bl~k- ~ ~t [ ~ Sub~hsion Filed Map.. ~t: P~t No. ~~ Date of Pe~t. Appli~t: Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ ~- Final Certificate: (check one) ApplicaxlfSigna~e~ Town Hall Annex 54375 Main Road ILO. Box 117!) Soudtold, N Y 11971-09,59 Tclcph(me (631) 7(33-1802 F~Lx (631) 765-! roflor, richert~town southo d nv us BUILDIN(; I)EPAI/TM IqNT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Laurence & Lillien Simpson Address: 125 Brigantine Dr City: Southold St: NY Zip: 11971 3uilding Permit #: 35406 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Sontrector: DBA: Paul Burns Electric LicenseNo: 3897-e SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only [~ Corn mefical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: porch, 1 paddle fan Ceiling Fixtures [~] HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures[~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixtures[~ Time Clocks Exit Fixtures [__~ TVSS Inspector Signature: Date: Oct 8 2010 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 /NSPECTION [ ~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOU/NDATION 2ND [ p,],*'FRAMING / STRAPPING [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION l ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] ~JJ.ATION [ ~,]~INAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~_~._I:"LECTRICAL (FINAL) REMARKS: DATE INSPECTOR~ ~*.l, ]~$PE N R]~PORT DATE I,, COM]V~NT8. ROUGH ~G PL~G 8TAT~ g~R~ CODE d.L_ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: ,...,o: 1 Building Inspector 'PLICATION FOR BUILDING PERMIT Date INSTRUCTIONS q~/C] 07_.4 ,200~ ~letely filled in by typewriter 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 buildings on premises, relationship to adjuiuing 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 throughout the 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 Occopancy. f. Every 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 such 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 six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance cfa 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, homing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~} ~[~O ,~ (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. 1. Location of land on which proposed work will be done: House Number Steer Hamlet County Tax Map No. 1000 Section 7/ Block tgcO Subdivision Filed Map No. Lot Lot 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 ,~lt~[(__ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost .~, 5. If dwelling, number of dwelling units If garage, number of cars Addition X Alteration Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commemial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Depth 9. 10. Date of Purchase Name of Former Owner Dimensions of same structure with alterations or additions: Front Depth Height 7.~ Dimensions of entire new construction: Front ~ ' Rear Height /c~/O * p,,/- Number of Stories Size of lot: Front /~'t~, ~ ~ Rear /~ "Real ' ; Number of Stories .Depth 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES__ NOx Will excess fill be removed from premises? YES__ 14. Names of Owner of premises '--q't~.to-~a~ Address Name of Architect ~e.c~/~v~/,~/ Address Name of Contractor. ~-/~' & Address NO)C NOA Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * tF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B~E.,,REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO- 16. Provide survey, 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) CONNIE D. BUNCH ~ Notary Public, State of New Yolk COLrNTY OF/D No. 018U6185050 . qualified in Suffolk County commission Expires April 14, 20 / ~ 7~yff~,. being duly sworn, deposes and says that (s)he is the applicant (Name of individual/signing contract) above named, (S)He is the (Contractor, A~ent, 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 tree 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 b!ffore me this ~ ~ day of ~ Notary Public TO: FORM NO. 3 NOTICE OF DISAPPROVAL Laurence S & Lillian Simpson 125 Brigantine Dr Southold, NY 11971 Please take notice that your application dated July 23, 2009: DATE: August 11,2009 For permit to construct addition and alterations to a single family dwelling at: Location of property: 125 Brigantine Dr., Southold, NY County Tax Map No. 1000 - Section 7~1 Block 2_ Lot 18 Is returned herewith and disapproved on the following grounds: The proposed addition and alteration to this existing single family dwelling, on a non- contbrming 21,463 square foot lot in the Residential R-40 District is not permitted pursuant to Article XXIII Section 280-124, (non-conforming lots), lots measuring 20,000 to 39,999 square feet in total size, require a minimum rear yard setback of 50 feet. The proposed addition is shown at 39.8 +/- feet. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. Town Annex/Fa'st Floor, Capital One Bank 54375 Main Road (at Youags Avenue) Southold, NY 11971 Mailing Address: 53095 Main Road P.O. Box 1179 $outhold, NY 11971-0959 http://southoldtown.noffiffork.net ~ BOARD OF APPEALS II~_d~*r~__~.L~ ~ FINDINGS, DELIBE~TIONS AND O~ERMI~TION ..... ~t~ o oF FEBrUArY 2S, ZBA FILE g6340 AMENDED NAME OF APPLICANT; Laurence & Lillian simpson PROPERTY LOCATION: 125 Brigantine Dr., Southold CTM# 1000-71-02-18 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA~ SUFFOLK COUNTM. ADMINISTRATIVE CODE: This application was referred as required under the Suffolk: County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of .Planning issued its reply dated October 6, 2009 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. PROPERTY FACTS/DESCRIPTION: The subject property is a 21,463 square foot parcel with 150~00 feet of frontage along Brigantine Ddve, 133.09 feet on the northern praperty line, 157.11 feet along the easterly property line which abuts a private read, and 146.88 feet along the southern line. This property !s improved with a one-story frame dwelling and accessory garage as shown on survey prepared by Desfin G. Graf, Land Surveyor, dated 12/02/04. BASIS OF APPLICATION:. Request for a Vadance from Code Section 280-124, based on an application ' for a building permit and the Building Inspector's August 11, 2009'Notice of Disapproval concerning a proposed 'addition and alterations to a single family dwelling, at less than the code-required minimum rear. yard setback Of 50 feet, at 125 Brigantine Drive, Southold; CTM 1000-71~2-18. ' .'.LWRP: This application is not Subject to review under Chapter 268 because the vadance relief · requested does not involve features that relate to a regulated natural feature or a bulkhead or other shoreline. RELIEF REQUESTED: The applicant proposes a 12' by 21'- 4" addition with a rear yard setback of 39'- 8' from the eastedy .property line. The proposed addition is a one story screened room adjoining the existing dwelling's family room as shown on the site plan page 4 designed by Nancy Dwyer, Design Consulting, Inc.; dated 7/20/09. ADDITIONAL INFORMATION: On February 19, 2010, the Board of Appeals received from the applicant's agent, a survey prepared by Destin Graf, P.L.S., PC, as requested by the Board in its decision of Feb. 18, 2010. This survey showed the rear yard setback from the eastedy property line to Page 2- February 25, 2010 ZBA File~6340 - Simeon CTM: 1000-71-2-18 a~ 125 Brignntine Dr., Southo d the proposed rear screen porch addition at 38 feet. This setback is inconsiStent with the setback of 39'8' *proposed in the site plan by Nancy Dwyer dated 7/20/2009. The Board finds that this error on the site plan is not significant enough to warrant a re-opening of the Public Hearing on this application or requiring the applicant to begin the appeals process anew. An Amended Decision granting a 38 foot rear yard setback will create a 24% variance fl'om the cede, rather than a 21% variance as granted in the original decision of Feb. ;18, 2010. Research of Town records (deeds) indicates no evidence that the subject property has ao~ess rights to the abutting private road easement, which access rights would, by Code definition, determine this eastedy property line as another front yard requiring a 40 foot setback and subsequently a lesser variance .than a rear lot line requiring a 50 foot setback. Upon review of the prior ZBA Appeal #5703 of this property and its Notice of Disapproval, this easterly property line may have been determined as a second front lot line under that Appeal. FINDINGS OF FACT/. REASONS FOR BOARD ACTION:' The Zoning Board of Appeals held a public hearing on this application on January 21, 2010, at which time written and oral evidence were'presented. Based upon all test mony, documentation, pemonal inspection of the property, and other evidence, the Zoning Board finds the following facts to be trUe and relevant and makes the following findings: 1. Town ,Law §267;b¢31¢b)~1). Granting of the requested variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The rear yard perimeter of this parcel is planted with mature trees and vegetation, which should diminish any visual impact the proposed ot3e-story screened porch addition, may have to the adjOining property Owners. The proposed one-story addition would not be noticeable from the front of the house along Brigantine Drive. 2. .Town Law §267-b~3){b){2L The benefit sought by the applicant cannot be achieved by some method, fea's~!e for the applicant to pursue, other than an area variance, There are no other locations on this parcel where this modest 256 square foot proposed addition adjoining the existing dwelling's family room would not require an area variance. 3. Town .Law §267-b¢3)¢b}¢3). The requested variance of 10.33 feet or 21% is substantial with respect to the 50 foot rear yard setback requirement. 4. Town Law. §267-b¢3)¢b){4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. 5. Town Law §267-b{3){b)¢$). The difficulty has been self-created insofar as it is the desire of the applicant to propose an addition in a location requiring a variance. 6. Town Law 6267-b. Granting of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a one-story screen enclosed deck addition adjoining the existing dwelling's family room, While preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Schneider seconded by Member Goehringer, and duly carried, to ' Page 3- Fe, bru~y 25, 2010 ZBA Fik~6340 - Simpson CTM: 1000-71-2-18 ~t 125 Brigantine Dr., Sou~hold GRANT the variance as applied for, and shown on the Drawings prepared by Nancy Dwyer entitled Proposed Porch Addition, Simpson Residence, Pages t and 2 dated 7/15/2009 and the survey prepared by Destin Graf, P.L.S., PC, dated 2/14/2010. Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: MemberS Weisman (Chairperson), Goehdnger, Homing and Schneider. (Abstained: Member Dinizi~--T41is Resolution was duly adopted (4.0). Les'lie Kanes Weisman, Cha. J/person APProved for filing: ~ / .~ ~' */2010 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM THE I'OLLOWIN~ AC'~IONS MAy REQUIRE THE SUShl1551ON OF ~ STORM-WATER, GRADING~ DRAINAGE AND EROSION CONTROL PLAN Ck:K i/tiED BY A DESIGN PROFESSIONAl. IN THE STATE OF NEW yORK. It~em Number: 2 3 4 5 6 7 (NOTE: A Cbeck Mark (~) for each Question is Required for a Complete Application) W'flJ this Pr~ect Retain A~ Storm-Water Rur~-Ofl Generated by a Two (2") klch Rainfa~ on S~e? (This item will include all mn-off created by sile cteadng and/or construction acUvities as wet/as all Site Improvements and the permanent creation of imperious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures ledlcaUng S~e & Location? This Item shall include all P~oposed Grade Changes and Slopes Co,trolling Surface WaterFIowi Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedat within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5.000) Square Peet of Ground Surface? Is [hero a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wet and or Beach? Will Ihere be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feel of Vertical PJse 1o One Hundred (100') of Horizontal Distance? Wile Driveways, Parking Areas or other Impervious Sudaces be Sloped to Direct SIorm-Water Run-Off into and/or in the direction of a Town right-of*way? 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (Thls item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodpla n of any Watercourse? [~ NOTE: If Aoy Answer to Questions One through Nine Is Answered with a Check Man~ In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! Yes No EXEMPTION: Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm.Water, Grading, Drainage & Erosion Control Plan is NOT Required~ Yes N~o STATE OF NEW YORK, ~ tq/3 ...................... ~ ............. ~'~' ............................. ~ .' ' ' , p ' ~d ~ys ~at hqshe is fl~e appoint for Pen~t, ~d / ~; ~1 ~ CONNIE D. BUNCH (~ner,~=~or. Age. C C~m ~. e~.) Qua~U61850~0 nd/o, rep, ~en~Uve of d,e O,vner of O.~ers, ~d ,s duly au~or~ed to ~ff~~[~a~,o,'k ~d to m~e ~d file ~s applimfion; fl~at ~1 smtemen~ con.ned in ~ applimfion ~e ~e to ~e b~t of ~s ~owledge ~d belie[; ~d · at ~e work ~11 be peffomied in ~e m~ner set for~ in ~e apph~fion filed here~. Sworn to before me ~s; FORM - 06~07 Town Hal| Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ro.qer, r c h e r t Co~,~o$3nl.)sTo~{~5o°~d. n ¥. u s BUILDING DEPARTMENT TOWN OF $OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ~'~ (,_~ ~ ,,,,-~ ~ ,,,- Date: Company Name: ~::~, t._~u,,,-~ ~'/,, ~-~Z,..,.,., Name: License No.: Address: Phone No.: JOBSITE INFORMATION: *Name: *Address: *Cross Street: *Phone No.: Permit No.: (*Indicates required information) [~,,~ ~,,.W-, ~.¢ ~', '.,..3 Tax Map District: 1000 Section: "~ / *BRIEF DESCRIPTION OF WORK (Please Print Cleady) Block: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: YES / NO YES / NO Rough In 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION ,./ 82-Request for Inspection Form Toxxn [ l;dl Annex 1375 Main Road P.(). Box 117!~ Y, outhold. Nh' I Tclcl~honc (6:11) 765-1802 l'ax (631) 765-51502 I~I!IIJ)IN(; 1) I:,IL~I/TM I'SNT TOWN OF SOUTHOLD June 30, 2010 Lawrence Simpson PO Box 239 Southold, NY 11971 RE: 125 Brigantine Drive, Southold 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. __ 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: 35406-Z porch TOWN OF SOUTHOLD PROPERTY RECORD CARD /'oov- /,/-..z --z~- LOT OWNER STREET / ~..~ VILLAGE DIST SUB, ACR. FORMER OWNI~R~ t ! ^ ~ N RES. ~//~ SEAS. VL. FARM CO~. CB. MICS. Mkt. V~lu~ · RE~RKS AGE BUILDING CONDITION N~ NOeL BELOW ABOVE FA~ Acre Value Per Value Acre ~ FRONTAGE ON WATER Tillable ~land. FRONTAGE ON ROAD /~ Meadowl~d DEPTH House Plot BULKH~D Total DOCK ~EOR TRIM ~//--/z '7'Z. 71.-2-18 1/05 Extension Extension Porch Porch Garage Patio Oo B, ,: Total. Foundation Basement Ext. Walls Fire Place ~e Robf 'Recreation Room Dormer i¥¢lnteri°r Finish Heat /~/~j ~ DR. Rooms 1st Floor BR. Roo~s 2nd Floor FIN, B Driveway COI20R 71.-2-18 4/07 M. BId~ 'COLOR .~ TRIM ~'/~ "7"~' q ox~ll Hall Annex 3137,5 Main Road P.O. Box 1179 Somhold, NY 11971-095!/ Tck. i)hone (631) 765-1802 Fax (63 I) 765-9502 B[ilIJ)IN(, DEl :Mil MLN 1 TOWN OF SOUTHOLD February 4, 2011 Laurence Simpson PO Box 239 Southold, NY 11971 RE: 125 Brigantine Drive, Southold TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclose~d) Electrical Underwriters Certificate. ~1 A fee of $25.00. -- I~.~ '~-r~ (~ C~ Final Health Department Approval. ~q('-'~-P Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees#765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. Building Permit: 35406-Z screened porch addition TAX I.D. No. 1000-71-02-18 JOB No. 04-33 / / The offsets [ or dimensions ] shown hereon from structures to the properly lines ore SURVEY PURPOSE: BLDG PERMIT - ADDITION CERTIFIED ONLY TO: LAURENCE SIMPSON DESTIN GRAF P.L.S., P.C. P.O. BOX 704 ROCKY POINT, NEW YORK 11778 PHONE [631]-821-,3442 FIL/E MAP No. 4362 - JUNE 8, 1965 SURVEY OF: LOT 31 ~_~P OF ~O -~ LI6UTS EST^~S SECT[ON 1 BAYVIEW, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YoRK SURVEY DATE: 02/14/2010 . '" SOAL'E:,-"f~;=30 BY Destin G. Graf N.Y. State Licer~se No. 50067 7 NANCY DWYER DESIGN CONSULTING, INC. DOUTHOLD, N~WYORK I 19TI GBI-7GS-SGG7 ?R.O?OSED ?OR. CH ADDITION JCL CONSTRUCTION SIMPSON RESIDENCE 125 BRIGANTINE DRIVE SOUTHOLD DRAWING: SITE PLAN SCALE AS NOTED DATE 7.20.2009 BY N. DWYER VENTING 5K. YHGMT5 ~ ~ ~ Z 7 O ?RO?OSED ELEVATION NEW CONSTRUCTION N~W CONSTRUCTION (~ 5HEILD ASH ?ALT ROOF 5HINGL]~~ I ~X II // TO MATCH FJ415TING ~ v~u~, SCREEN ROOM 765-1802 ~N',I ~'3-4PH,. FOR 711E ON PORCH FLOOR 3- 2"X ¢" ACQ FLUBH Gl~ FINAL - 30NS;RUCTION MUST ~x 2" X 8" ACQ D.J, I G" O.C, ,~ ~ HANG JOIST5 WITH LU26 BE CO~I :LETE FO"I C,O. ~ 'X~ ~ ' '~ I0" 50NOT'BE W/POUND A~ ~UOTION SHALL ~EET THE ~ ~ REaU,R~MEN'rs OFTH~ COD~SOS.EW < ~ ~ ~ ~ '~ DESIGN OR CONSTRUCTION ERRORS. DCALE: 4 ~,_o,,x 2, o,,x ~,o,,a. 5TRU CTU ~. TO REMAIN ~ & 2 2"× G"C.T BOLTED SCREEN ROOM PAGE: 5UILDING SECTION "A" 5CALE: Z I ° ID~IDTIN~ DOO~5, SIDELIGHT5 ~ ~1 ~ C I ~ ~.o~. ~ ~ ,.-., ~ ,...,, ~z. I I ~ o 5CAL~: ~"= ILO,, Z ~z~ WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DP-.AWING5 DdCK POST ~G. CONNECTION MA~DXAIBi AT ~T TI IR EQUIVALZNT IN DU~BILIW AND P*~sc*~*z~ ~ Tn~ COD[. IF ABLE, 5~ FIR JOf515 AP~OX J/4' I IIGHER THAN LVL HEADE~ J ~ LOCATION ~USP NUMBERJ DESCRIPFION I APPUCATION J US~ WITM RTI 0 IYD~N ANCHO~ , DECK ~ ~O~CH NOTE~: NAILING 5CHRDULE ,n~ ...... b~w, bh ........ 1/2"d,ax7"lonsanchor'~lbw,bh~¢h~a~nu~ CLIMATIC ~ GEOG~PHIC D~51¢N CRITERIA BRIDGING 2 5aCOMMON ~ACM TO B~AM I JalCT NAIL