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Home My WebLink About30188-Z FORM NO. 4 TOWN OF SOUT14OLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No. Z-3,0121 Date: 04/06/04 THIS CERTIFIES that the building ADDITION Location of. Property: 700 CRITTEN LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map. No. 473889 Section 70 Block 12 Lot 12 Subdivision Filed Map. No. Lot No. conforms substantially to the Application for Building Permit heretofore s 1 filed in this office dated MARCH 22, 2004 pursuant to which Building Permit. No. 30188-Z dated MARCH 23, 2004 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" REAR DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF MARK K. SCHWARTZ,. AIA DATED 4/01/04. The certificate is issued to GORDON W MOORE (OWNER) of the aforesaid building. i, ,,.. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A rc q ' ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r {{ Authorized Sign ure f'{ Rev. 1/81 s` FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THISPERMITMUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ! PERMIT NO. 30188 Z Date MARCH 23, 2004 Permission is hereby granted to : GORDON W MOORE 700 CRITTENS LANE a SOUTHOLD,NY 11971 i f i' for � I CONSTRUCTION OF AN "AS BUILT" REAR DECK ADDITION AS APPLIED FOR ,j u ' ,r i r at premises located at 700 CRITTEN LA SOUTHOLD County Tax Map No. 473889 Section 070 Block 0012 Lot No. 012 pursuant to application dated MARCH 22 , 2004 and approved by the Building Inspector to expire on SEPTEMBER 23 , 2005 . Fee $ 300 . 00 I uthorize & Signature r ORIGINAL I Rev. 5/8/02 i - FormNo.6 f TOWN OFSOUTHOLD BUILDING DEPARTMENT w TOWN HALL � 765-lsoz PLICATION FOR CERTMCATE OF OCCUPANC$° This application must be filled in b typewriter or ink and submitted to the Building De ent fllow'` 4 Pp Y tYp g P 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 frown 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,Alteration's/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% � _ New Construction: Old or Pre-existing Building:X(check one) n Location of Property: 70o GZ/ZV Y 64-AIF l/!// I TDLyj House No. / Street �J�J Hamlet Owner or Owners of Property: G r/2 OGN / '( (lO 2 Suffolk County Tax Map No 1000, Section 70 Block 2 Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Z3 6 Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: i Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 6 -_R6� �� r� Applicant Signa ure C2, ; 0 Mark K Schwartz, AIA-Architect, PLLC F.O..Box gas Phone.(631)734-4185. Cutchogue,New Yolk 11935 Fex Oal)734-4185' I I April 01,2004 } Southold Town Building Department Main Road Southold,New fork 1:1971 's Re: Moore House 700 Crittens Lane Southold,New York Bldg_Permit#80188 To Whom This May Concern: I have been back to the site .and inspected,the deck structure and footings at the aforementioned.properly- 'These items have been constructed as per code requirements when built in 2001. Please call this office if you have any questions or require additional information. Very truly yours, n - z J223� H Mark Schwartz w Iviooreldoc y6'oa0 TOWN OF souir oLD Atidogoty WORD CARD ,w,, - > � OWNER ^ _ STREET ;7 {oj VILLAGE DISTRICT SUB. LOT i _ b2 4C7 . I 1 FORMER OWNIERb,A,W4i7lXl?e"C41ert-,rqf E ACREAGE e S W TYPE OF BUILDING ® ftAS. -,VL, FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS6 015, ; o JA fry ' 7 a l f t 2 ,,�} f fed _ rl �) ! •f d� ` V +E� 3 `5 t r d ' Q trc.m t Sdr� psi /au /1dd s' CAE Al 'BUIL`bl�,7CON6*lb r3r NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable. 3 -- Woodland /q L?— �1,30 QOU Swampland Ste/ I`I/ � CPf� Td e of ✓s ��C� 3rushland -louse P Qtt , rota) i � TTTTI3 d wl a 3 I _ t Y I - _ f ' r M. Bldg. .. Y7 s E t ( 1�—�� 7 (✓ ay 2 - �? �f oundation C Bath - Extension - + Basement pv Floors 4,0( G9 ' - - --- _ - l Extension- Ext. Wallsn, Interior Finishy• Extension.,, Fire Placer Meat Porch Roof Type — -� — — \ Porch Rooms lst Floor Breezeway Patio Roams-2nd Floor Garage , _ G1 � Driveway Dormer O: B. u _ 765.11802 BUILDING DEPT. INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. FOUNDATION 2N'D [ j IN LATION [ ] FRAMINGINA. L [ ]' FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:.",$�s n DATE INSPECTO FIELD INSPECTION REPORT DATE COMMENTS W O ro t� FOUNDATION(1ST) — - i ----- ----- ------------- - FOUNDATION(?ND) o i ROUGH FRAMING& - Ili PLUMBING �L IV� INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS -O Z � � z sa o y U1 p z x Z7 x ro t TOWN OF OUTHULD BUILDING PERMIT APPLICATION &IECKLIST BUIL_.DINfi''DEPt RTMENT Do you have or need the following,before applying? TOWN 1ALL Board of Health SOUTIIOL;Di NY 11971 —4 sets of Building Plans TEL: (631),1765-1802 Plaun ng Board approval FAY (631),165-9502 —Survey www,rno> tltfotknet/Southold/ PERMIT NO. 3(�j 6 11 `6 Check cY� �r o Septic Form N.Y.S.D.E.C. /J Trustees j Examined 3123 '20A Contact: Approved_] 20 Mail to: iZiL J C IW,4 art, Disapproved ate l Phone-- Exp hone Exliirafion ,20_4 y t uilding IQnspector APPLICATION FOR BUILDING PERMIT, OR 2 2� Date d Z Z D¢ 20 INSTRUCTIONS a. Tliis application MUST be completely filled inb�-VTewriter or in ink and submitted to the Building Inspector with 3 j sets of pIaans,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 throughout the work. e.No building shall be occupied or used in whole or in paf, for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. 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 propertyhav�been enacted in`the Interim;the Building Inspector may at thorize m writing,the extension of the permit for an addition six months.Thereafter,anew permit skull`be required: 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 inspectors on premises and in building for necessary inspections; _J J (Signature of applicant or mt,if a corporation) 9.3 3 Cwz-,I"�V6 , 9- (Mailing address of applicant) State whether applicant is owner, lessee,agent, archite , engineer, general contractor, electrician,plumber or builder Name of owner of premises l�d�now AvVb GO/Z/,t/ME "(da,e E (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: 700 �-f2rrr�1�` House Number T Street Hamlet County Tax Map No. 1000 Section 70 Block `L Lot f Subdivision Filed Map No. Lot (Name) 2. State ex%str zg use and oncupancy'ofpremises and intendeduse and Occup cy of proposed construction A'. ltxi'3tinguse"arid'occupancy wiGc F_ d�tii/� N ES. b. Intended use and occupancy 3. Nature of work(check which applicable):New BuildingAt&ftuAlteration Repair Remvva S .Demolition ther Wo 8 ,6v w7- 139 C,05, (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number o"f dwelling units Number of dwelling units,on each floor If garage, number of cars 6. Nbusiness; commercial:or mixed occupancy;specify nature and extent of each type of-use. 7. Dimensions of existing structures,if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions:Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 5,Er. S UP2 V EY Rear / Depth 10.Date,of Purchase Name of Former Owner, 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinan�or;regulaton? YES NO�C 13. Will lot be re-graded? YES_NO � Will excess fill be removed from premises? YES_NO Ga¢no.r�¢ Ga.C�uwE Tao C.e�rjE.ds c.q,,g 14. Names of Owner of premises iL1o0/lE Address SGv � Phone No.74 5 " 1 77 2 Name of Architect,�4tZ,C SGFlwA2 rz- Address ..0.l3 o e 933 Phone No 7�Y t//d'� Name of Contractor Address CWZWra,;-F— Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300-feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE 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. TATE OF NEW YORK) SS: OUNTY OF yy ) L J being 3tilysworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, ' S)He is the ( ontractor, Agent, tporate Officer, eic.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; hat all statements contained in this application are true to the best of his knowledge and belief;and that the work will be formed in the manner set forth in the application filed therewith. worn to before me this c day of Y Notary Public Applicant JOYCE M.WILKINS JJ Notary Public,State of Nese York No,4952246,Suffolk County Term Expires June 12, j DATE:` a'[�S I B, . ,PP #• �I`X8"� I FLOOD ZONE �' - FEE: 3" B 1 COMPLY WITH CHAP ER 46 NOTIFY BUILDING DEPARTMENT AT FLOOD DAMAGE PREVENTION 765.1862 8 AM TO 4 PM :FOR THE SrJL1Tt tOLD TOWN CODE. FO L W1NG NSPECTIONS: % P __ - --- 1, FOUNDATION - TWO REQUIRED - r6h POURED CONCRETE a 9. EIOI�C;H • FRAMING 8 PLUMBING 8.'INSULA7i0N P 4. FINAL - CONSTRUCTION MUST 0E COMPLETE FOR U.O. R ALL CONSTRUCTION SHALL MEET THE guy ew9rc FlL t ftp REQUIREMENTS OFTHEtODES OF NEW So�JoTu y3 0 3Lp" YORK STATE. NOT RESPONSIBLE FOR ti r iaw-_G�qo GT 15ES1CN OR CONSTRUCTION ERRORS. OdMPL:Y WITH ALL OODES OF { -- NEW YORK STATE&TOWN CODES I- AS REQUfRED AND CONDITIONS OF '6 $ tri- SOUT HOLD TOWN t8'A SOUTHOLD TOWN PLANNING BOARD cvzrz SOUTkIOLD TOWN TRUSTEES N.Y&DEC r -.... �'-" -- I 'C:. r t• S i 'tom Q �jx 1 0�UPANCY OR P - \i'lll r I Is 'f3tl co USE 1$ UNLAWFUL 'Tl fUT CERTIPIAT jf00CUPANCY r � g r i > SURVEY OF x LOT 25 MAP OF SOUTHWOOD FILE No. 2141 FILED NOVEMBER 24, 1953 SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 63� S.C. TAX No. 1000-70- 12- 12 s� SCALE 1" =20' APRIL 20, 1998 I ' i CHRISTOPHER a ' •e LOT 26 AREA = 20,826.1 8sq. ft. ip STREET 0.478 ac. S 89'28'40° E 152.93' FOUND e' I ASPHALT DRNcoNcEwnr °•cuaD. :• , GOING MON. • e l cuaa I ON �n a Cuda I rN S 06'37'10" W FOUND FOND ' . , Z ONC MON. GONG. MON. 4 12' e _ Row of CEDAR TREES N O O �N �h O w J 1'T; V' e e O = N • i ni — — — CERTIFIED TO: O ws iY ""0p FENCE FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK . e F1FrI ar0e,° CDNC, APaoN . NORTH FORK BANK GORDON W. MOORE _ .� �T oRNBwxv eA¶a4; CORINNE L. MOORE A • - - Ao.r u — Ao• 2 � i / Q� A Al = GN n O 00 e N o G�T cEuEa ti e. WW wHkc.uaq oo�I'm LOT 25 84 a 1 2b Z _ —Pea tea ' \ FOUND ' CDNC. MDN ' ` \ D. UNATHORIZEO ALTERATION OR ADDITION . ,e • . \ TO THIS SURVEY 15 A MOIUTION OF SE TOM. 1 C ,A'' EOCAPONZLAW 09 FEE NEW YORK STATE 11 J COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR • ' EMBOSSED SEAL SHALL NOT BE CONSIDERED - r i0 BE A VALID TRUE COPY NN S`CAr CERTIFICATIONS INDICATED HEREON SHALL RUN / 1 L /. ONLY i0 THE PERSON FOR WHOM THE SURVEY TO THE TIRE CONIPANY,wGOVERNMENT&D ON HIS BEHALF ENCY AND n • �` FOI 1 = 'r LENDING INSTITUTION LISTED HEREON, AND TO THE FTIFlCATINS ME SIONEES OF THE NOT�DING NSUI- �NSFEPABLE • �� LO ,..' • : Rc."IE!¢ (3Y.�+AKIc SGN+�/{sLT'C TUTION. CF t�N ''�E/YJ pl 1 } Zz o¢ To _(voicgTe: THE OFOF ANO/ORSTENCE EASEMENTSRIGHTS OF RECORD,AF `It ANY, NOT SHOWN ARE NOT GUARANTEED. 40. ys y o? • • Dgi PREPARED IN ALCDRDANCE WITH THE MINIMUM P� STANDARDS roS Ala APP�S°ANESTABLISHED OJoseph A. Ingegno \ FOR UCHASSOUSE BY THE NEW YORK STATE LANDCIAPON y�a�ANo Land Surveyor XpH A L V 05 P� FL J 7 7 \ * 1 f Title Surveys – Subdivisions – Site Plans – Construction Layout I' PHONE (516)727-2090 Fax (516)722-5093 OFFICES LOCATED AT MAILING ADDRESS - N.Y.S. Lic. No. 49668 One Union Square PC Box 1931 Aqueb.i New York 11931 Riverhead, New York 11901 98-248