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HomeMy WebLinkAbout28325-ZFORM NO. 4 TO~'~ OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector To~ Hall Soushold, N.Y. CERTIFICATE OF OCCUP.~NCY No: Z-30450 Date: 09/20/04 T~IS CERTIFIES that the bni]a~ng A/DDITIO~ Location of Property: . 225 CRITTEN LA (HOUSE NO.) County Tax Map No. 473889 Section 70 subdivision SOUTHOLD (STREET) (}hAMLET) Block 11 Lot 7 Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 2002 pursuant to which Building Pez~nit No. 28325-Z dated APRIL 25, 2002 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 EIICLOSED UI~EATED SLrA/ROOM/PORCH ~DITION TO EXISTIN~ SINGLE F~4ILY DWELLING AS APPLIED FOR. ~e certificate is issued to JOA/q D MESCHI of the aforesaid building. (OWi,~R) S~/Ft~LK COIFBFi~ DEP/~T~ OF }~T]t ~PPRO~ N/A ELRt-i~ICAL CERTIFICATE NO. 2004467 05/26/04 PLI~4BERS CERTIFICATION DA'r~u3 N/A Rev. 1/81 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) ~PE~/~iT NO, 28325 Z Date APRIL 25, 2002 Permission is hereby granted to: JOAN D MESCHI 18 KNOLLWOOD RD EASTCHESTER,NY 10709 for : ENCLOSED PORCH ADDITON TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 225 County Tax Map No. 473889 Section 070 pursuant to application dated APRIL Building Inspector. CRITTEN LJt SOUTHOLD Block 0011 Lot No. 007 11, 2002 and approved by the Fee $ 150.00 AuLhorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOX~,qN oF SOUTItOLD BUILDING DEPAI1TMENT 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: For new building or new use: I. Final survey of property with accurate location of all buildings, properb' lines, streets, and unusual natural or topo~aphic features. 2_ Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval o f electrical installation fiom Board of Fire Underwriters. 4. Sworn statement from plumber cenif54ng that the solder used in system contains less than 2/10 of 1% lead. 5. Commerc/al2building. indnstrial building, multiple residences and sirrdlar buildings and in~allatious, a certificate of Code Compliance fi-om architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate SuFvey of property showing ali property lines, streets, building and unusual natural or topo~aph'tc features. 2. A properly completed application and consent to inspect signed by the appl/cant. If a Certificate of Occupancy is denied, the Bnilding Inspector shall state the reasons therefor in writing to the applicant. i- Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Altemtious 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 $I5.00 Date. New Construction: Location of Properky: House No. Owner or Owners ef Property: -,J~ ~ ,~ Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: b-'" (clieck one) Street Hamlet Permit No. ~z~ 8~.~-.~-~' Date of Permit. //'/.2,5'//O ~ Health Dept. Approval: Block O ~// Lot Filed Mapl Lot: Applicant: ~;7/~.'t~ ~/cA~'-~x Underwriters Approval: P/ Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ca '50 5 0 Final Ce~cificate: ,v'"" (check one) A~p~c~nt ~gnature BY THIS CERTIFICATE OF COMPLIANCE THE OF FIRE UNiDERWRITERS BUREAU OF ELECTRICITY N'IE~?~ YORK BOARD 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SAGE ELEC. INC. JOAN MESCHI P.O; BOX 38 225 CRITFENS LA GREENPORT, NY 11944-0038, SOUTHOLD, NY 11971 Located at 225 CRITTENS LA SOUTHOLD, NY 11971 Application Number: 2004467 Certificate Number: 2004467 Section: Block; Building Permit: BDC: ns11 Lot: Described as a Resideutiat 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, O~side, A visual inspection of the premises system, limited to electrical devices and wiring to the extent detailed electrical 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 2drh Day of May, 2004. Name QTY Rate Ratin~ Chcuit TYpe Miscellaneous service &stm room Wiring and Devices Outlet 12 0 General Purpose Receptacle 8 0 General Purpose Switch 4 0 General th.upose Paddle Fan I 0 Outlet 5 0 Fixture FL~ture 5 0 Incandescent Sera,ice 1 Phase 3W Service Rating 200 .~nperes Service Disconnect: 1 200 cb Meters: I .. - seal '-:.. I of l %,.- _- This certificate may not be altered in any way and is validated only by the presence of a raised seal at the o~atiefiSi,,5~icatbd. ;:',..'~,~.. ?o ..-//.-'7 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET N S V_ILLAGE _ _ DISTRICT SUB.. ,4.,.:: ' ACREAGE TYPE OF BUILDING LOT RES, LAND NEW Tillable 1 Tillable 2 Tillable 3 Wood[and Swampland Brushlond House Plot Total SEAS, IMP¸ VL, TOTAL FARM DATE COMM, iND. CB. REMARKS MISC. Est. Mkt. Value ABOVE FRONTAGE ON WATER ?"Sc Value FRONTAGE ON: ROAD ~// ~'"/ /F,~ ~.,..' .,' BULKHEAD DOCK M. Bldg. "~ 1,~ k ~ ~ ~' Extension / Extension .D, )< ~ ,,' '~ Ext Walls Breezeway Gara¢¢ Patio %~,-~ ~Driveway Porch" Porch Bath Floors Interior Finish Heat Roo'F Type Rooms 1st Floor Rooms 2nd Floor Dormer BUILDING PERMIT EXAMINER Clq~CK LIST //~! DATE :I~SLrED: APPLICANT: x ¢.~ / SCTM# DISTRICT: 1.000, SECTION: BLOCK: /// ,LOT: DATE REVIEWED: _~ /)~ 02 DATE'SUBMITTED: q/M 02 -,- 1 ESTnYgXTED PROJECT CO~T: ?,~OO.~ARCHITECT ,' S~GLE & SEP,~TE CERT2ICATION-~.QU~D? NO~S: LO~ 40~005SF -100 24. Lot reeoDdtion.~ C~ATED before June 30, [983), U~'DERS~ED LOTS FROM J_~.~997 100-25. Me.er fA nonconfonrdng st an,.,' dine a~er 71t8: ZO G instrucT: - ~Q. LOT S~E: ~o~ ACT. LOT S~E:~?~ ~Q. LOT COV. ~O~ACT. LOT CO¥. ~'.// ~Q. FRONT 40 PROP. FRONT ~Q. ~.~ ~O PROP. ~ WATER FRO~? ~ O DESC~TION: P~L ~: 2~ FLOODZO~: ~ , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH~,DEPT: ITS or/~,gED #): TOWN SEPTIC [LECEll~T: Y NEW YORK STATE DEC: Pmi-Inmg,'t/Ts YES ~ SOUTHOLD TOWN TRUSTEES: YES o TO~VN ZONING BOARD APPROV:M_: YESor TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES EGRESS (18 H rain2 4 sq"T6tal) VENT (SQ. FT. x 4%). BUll,DING PERMITS OPEN/EXPIIR_ED: BP -Z / C/0 Z- HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- DTE: / / PER2vIIT #:R10- LIGHT (SQ. FT. x 8%)_ NOTES: .- _ [ /,~ ' ~ ~ ~.'~ f -/ , / r ~ FEE STRUCTL~FO~ATION: ~ ~ ~ F~ST FLOOR: &~ SF SECO~ FLOOR: SF OTHER: SF ~T OTHER TOT.~ TOT:~: ~ SF FEE FEE FEE L( SF)-( SF)= SF X$__=$ +$ 1~/0---+$ =$ 2.( SF)-( SE)= SF X $ =$ +$ +$ = $ 765-1802 BUILDING DEPT. INSPECTION NDATION 1ST [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ~~~. ] ROUGH PLBG. ] INSULATION ] FINAL INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION ~/~__~? [ ~FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE 0~////~//~ :~'-~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ~] F~DATIoN 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE/~_H~MN~ REMARKS: DATE INSPECTOR 765-11102 BUILDING DEPT. INSPECTION ]FOUNDATION 1ST [ ] ROUGHpLBG. [ ! FOU~H~TION2ND [ ] INSULATION ~FRAMING [ ] FINAL ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] ~N~ON [ ~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE: INSPECTOR TOW'N OF sOlOeD. , ~ BUILDING DE, PART3IENT TOVVN HALL SOUTItOLD, NY 11971 TEL: (631) 76511802 KLK: (631) 765-9502 Exannned O ~//.,~ ?0 Approved O f/.~-~ ,20 Disapproved a c Expkafion .,20 PERMIT NO. ff-oc..35L_ff2-~ ~B~ ~ng ~spector BUILDING pERMIT _APPLICATION CHECKLIST Do you have or need the following, before applying7 Board of Health 3 sets of Building Plans Planning Board approval Sm-vey Check Septic'Form N.Y.S.D.E.C. Trustees Contact: Mail to: APPLICATION FOR BUILDING PERNHT Date INSTRUCTIONS a. Th/s application MUST be completely filled in by t39ewriter or in ink and submitted to the Building Inspector with 3 sets ofplmxs, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoxving location of lot mad of buildings on premises, relationship to adjoining premises or public sn'eets or areas, and watem-ays. c. The work cox. ered by this apphearion ma5' 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 shah be kept on the premises available for inspection throughout the work. e. No b~filding shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. £ Every buildh~ permit shall expire if the work authorized has not commenced within 12 months after the date of ~ssuance 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 Buildin. g Inspector may authorize, in writing, the extension of the permit for an addittoa six months. Thereafiei, a new permit shall be required. APPLICATION IS HEREBY big. DE to the Building Department for the issuance ora Building Permit pm-suant to the Building Zone Ordinance of the Town of Southold, Suflblk County, New York and other appl/cable Laws, Ordinances or Regulations, for the construction o£ buildings,.add/tions, or alterations or for removal or demolition as herein described. The applicant a~ees 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. (Si_mmmre of apphcant or nm'ne,/fa corporation) .~O 0 7 bf t~ L ~i "~(Mai~g ad3ress of applicant) ~tate whether applicant is owner lessee, agent, architect, eng/neer, general contractor, electrician, plumber or builder x!ameofownerofprelrfises J.~A,; /DF~gc~/! (' ~--~t4t: TR'?o~_P.~c~- (As on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Cuilders License No. ~lumbers License No. ~lectdcians License No. )ther Trade's License Location of land on which proposed work will be done: House Number. Street Hamlet ' County Tax Map No. 1000 Section Subdivision .~o o'r~ 1~ ~ (Name) 7O Block i/ Filed Map No_ Lot 0.7 Lot ,State~e',x~tJ/rg~u§~ ~hd. occ ancyo rcm-uses an~ mtended use and occupancy o roposed a. Ex/stingusean,doccupancy / ~/rl//_.)/ b. Intendeduseandoccupancy / t~'~/TI/,i.'/ 3. Nature of work (check which applicable): New Building_ Addition ff Alteration Repair Removal ' Demolition Other Work Estimated Cost If dwelling, number of dwelling units If garage, number of cars Fee (Description) (To be paid on filing this appl/cation) Number of dwelling units on each floor / 6. If business,'c6mmerciat'or mixed occupancy, specify.nature and extent of each type of ¢se. 7. Dimensions of existing structures, if any: Front ~/~ 'Rear Height /¢/~ Number of Stories Dimensions of same structure with alterations or additions: Front Depth .b~-2. / / Height / zTz' 8. Dimensions of entire ne;v construction: Front ,--ff,%,,~ / Height /5/; Number of StOries / g ¥ ' Depth Rear Number of Stories / ~ ~ Rear ,~,.5-; Depth 9. Size of lot: Front /gL,'_'~/' Rear [~Z g:/ ' 10. Date of Purcliase ~/~/Od> Name of Former Owner Depth If,.7., '// ,-r /~, 7.~ 11. Zone or use district in wkich prem/ses are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X 13_ Will lot be re-graded? YES__ NO 2(' Will excess fill be removed from premises? YES NOa'~ 14. Names of Owner of premises ~J'O~N ~E$ct41Address ~,~-L//E_,~-E'/'4 ~'.Y'. Phone No_~'i4- 77 Name of Architect Address Phone No Name of Contractor afrd~qE'g>F '77', ~c/~/.rs~'~ Address ,~o7#~a-th PhoneNo. 15 a_ Is this properba' within I00 feet of a tidal wetland or a freshwater xvetland? *YES __NO __ * [F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this properBr within 300 feet of a tidal wetland? * YES NO X- * IF YES, D.E.C_ PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) _~,~R.'T- -7~ tc~e-~-./g$g't¥ being duly swom, deposes and says that (s)he is the.applicant (Name of individual si~m'fing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said oxxmer or owners, artd 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 [tis knowledge and belief; and that the work will be performed in the maxmer set forth in the application filed therewith. Sworu to before me this .,j &y Notary l~ublic of Applicam LUT NUi~r:JERS tEEF~ER TI.? '"M~P FJF S~UTN~L~OD" F~L~D ]N THE ~?UFF~LK C~UNTY CLE~,K'S' ~FF!CE ON NOV ~4, lgSZ AS FILE NB, B141, S '69° ~0'00~ ~ AREA=B5, 774 i. =klEINUNEN-f tOOO-'70-t , SCALE: !"=80, M~I~CH 20>,. 2002 · t56,75'