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HomeMy WebLinkAbout31254-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z 33324 Date: 10/07/08 THIS CERTIFIES that the building ALTERATION Location of Property: 280 BASIN RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 81 Block 1 Lot 19 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 28, 2005 pursuant to which Building Permit No. 31254-Z dated JULY 6, 2005 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 COVERED PORCH ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PATRICE & JOHN K KEITT JR (OWNER) of the aforesaid building. SUFFOLK ~OUN/~f DEPARTMEN~ OF HEALTH APPROVAL EL~t-rRICAL CERTIFICATE NO. PLUMBERS ~TIFICATION DATHD N/A N/A N/A ~t~ri~ d~S~ure Rev. 1/81 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 the following: 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 from plumber certifying that the solder used in system contains less than 2/10 of 1% le~/d. 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 hlspector shall state the reasous 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, Connnercial $15.00 Date. New Construction: Old or Pre-existing Building: Location of Property: ~ ~'~ House No. Street Owner or Owners of Property: Suffolk County Tag Map No 1000, Section ~--~l Subdivision ~.,~]L~'~'~q __ Date of Per Permit ~ Health Dept. Approval: (check one) · Block ~2~2~_{ Filed Map. ~ Applicant:' ~. Undmwvriters Approval: Plamfing Board Approval: Itamlet Lot Lot: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature 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. 31254 Z Date JULY 6, 2005 Permission is hereby granted to: JOHN K KEITT 300 EAST 56TH ST APT 29G NEW YORK, NY 10022 for : FRONT ENTRY & RE-ROOFING ALTER3kTIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 280 BASIN RD County Tax Map No. 473889 Section 081 pursuant to application dated JUNE 28, Building Inspector to expire on JANUARY Fee $ 150.00 SOUTHOLD Block 0001 Lot No. 019 2005 and approved by the 6, 2007. / Authorized Signature ORIGINAL Rev. 5/8/02 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0318C Date: June 10, 2008 THIS CERTIFIES that the re-construction of a screened porch and in-ground pool, new spa, replace decking around pool, new 400 sq. fl. stone paver patio on sand, new covered porch, reconstruct retaining wall, stairs to beach, non-turf buffer between retaining wall and bulkhead At 280 Basin Road, Southold, New York Suffolk Count)' Tax Map # 81-1-19 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 06/27/07 pursuant to which Trustees Permit # 6683 Dated 07/24/07. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the re-construction of a screened porch and in-ground pool, new spa, replace decking around pool, new 400 sq. ft. stone paver patio on sand, new covered porch, reconstruct retaining wall, stairs to beach, non-turf buffer between retaining wall and bulkhead The certificate is issued to PATRICE & JOHN KEITT owner of the aforesaid properS,. Authorized Signature Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~'~'-~ DATE: March g4, g004 ISSUED TO PATRICE & JOHN KEITT Pursuant to the provisions of Chapter 6IS of the L~ws of the Sta~e of New York, 1893; and Chapter 404 of the ,1~. ws of the · State of New York 1952; and the Southold Tov~n Ord,nance en- titled ."REGU~TING AND THE P~GING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC ~NDS and t~ REMOVAL OF SAND, G~VEL OR OTHER MATERIA~ FROM ~NDS .UNDER TOWN'WA~RS;~L and in acco~ance w~fh fha Resolution of The Board adopted afa meeting held on ...~.~;.9.~...~.~., ~q~., and in consideration of the sum of $....~.,.~ ....... paid by Patrice & John KC~ ..................................................................................... Terms and ~ndifions listed on the revere lJde he--f, of Southold Town' T~es ~uthorlzes ~nd permi~ the follo~ng:. Wetland Permit to construct a 24,X 26, wood trellis, and as depicted on the survey prepared by Joseph A. Ingegno last dated February 18, 2004. all in accordance with the detailed specifications as pre~nfed in .the odgtnafing appli~fion. IN WITN~S WHEREOF, ~e sald Board 0f T~sfees ~re- by causes, lts Gorporat~ S~al to be a~xed, an~ these ~sen~ to be subscribed by ~ 'malon~ of the smd Board .as of th~s daf~. · New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 · FAX: (631) 444-0360 Webslte: www.dec, state.ny.us LE'I'rER OF NO ,JURISDICTION - TIDAL WETLANDS ACT Erin M. cr°tty Commissioner Patricia & John Keitt 300 East 56~ Street, #29G New York, NY 10022 March 25,2004 Re: Application #1-4738-00177/00010 Keitt Property, 280 Basin Road, SCTM #1000-81-01-19 Dear Mr. & Mrs. Keitt: Based on the information you have submitted the Department of Environmental Conservation (DEC) has determined that the property landward of the pre-existing (prior to 8/20/77) bulkhead as shown on the survey prepared by Joseph A. Ingegno last revised on February 18, 2004, is beyond Article 25 (Tidal Wetlands Act) juris.diction. Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part 661) no permit is required. Be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit, It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project, Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i,e, a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm, Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, Mark Carrara Permit Ac)ministrator cc: En-Consultante, Inc. MHP file TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [/~ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: ~-~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION ~]..FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: DATE FIEL~ INSPECTION REPORT ! DATE I COMMENTS FOUNDATION (1ST) FO.DATION (2ND) ROUGH F~G & PLUMB~G FIN~ ~DITION~ COMMENTS 1 UW;~ UI~ ~;UUI ItULI) BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfor k. net/Southold/ Examined ~/~ ,20 0 Approved Disapproved Expiration ~ / ~ , 20 D'~ PERMIT NO. ~ ( ~.5'~b Building inspector BUILDING PERMIT APPLICATION CHECKLIS] Do you have or need the following, before applying~ Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: 4' Thik~aplicdo~_~ ~o sets of plus, p'lo b. Plot areas, and waterways, PPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date *, ,20 pletely filled in by typewriter or in ink and submitted to the Building Inspector with 3 :ce according to schedule. >t and of buildings on premises, relationship to adjoining premises or public streets or 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 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 propcn'ty 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 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. (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 (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. Location of larrd on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision - (Name) Block Lot Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy a. Existing use and occupancy ....' : " , . '' b. Intended use and occupancy. 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front :., Rear Height ,i' , ~ , Number of Stories 9. Size of lot: Front ' ' .Rear ' ' Depth .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, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES __ NO Will excess fill be removed from premises? YES NO 14. NamesofOwnerofpremises. '. Address ' "~ ,. PhoneNo. Name of Architect , , ¢ .." ' ' Address ' ' ' Phone No Name of Contractor · ,, : · Address 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. 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) COUNTY OF ~-t_~S)S: ",. ' . ' being duly Sworn, deposes and saYs that.(s)he is the applicant (Name of individual ~igning contract) above named, (S)He is die (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 foFth in the application filed therewith. Sworn to before me this' ~-~ dayof EV~ r,,9,~ 200~~- Notary Public I~ATR!CIA RICHARDS . .Notary Public, State of New York No. 01 RI6042467 Qualified in Suffolk County Commission Expires May 30, 20~-O~0 Signature of Applicant 'New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631)444-0365 · FAX: (631)444-0360 Webslte: www.dec, state.ny.us LETTER OF NO JURISDICTION - TIDAL WETLANDS ACT Edn M. Crotty Commissioner Patricia & John Keitt 300 East 56~ Street, #29G NewYork, NY 10022 March 25, 2004 Re: Application #1-4738-00177/00010 Keitt Property, 280 Basin Road, SCTM #1000-81-01-19 Dear Mr. & Mrs. Keitt: Based on the information you have submitted the Department of Environmental Conservation (DEC) has determined that the property landward of the pre-existing (prior to 8/20/77) bulkhead as shown on the survey prepared by Joseph A. Ingegno last revised on February 18, 2004, is beyond Article 25 (Tidal Wetlands Act) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part 661) no permit is required. Be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please note th'at this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, Mark Carrara Permit A~lministrator cc: En-Consultants, Inc. MHP file OWNER LA~D IMP. q~oo -~T~REET ~gO ACR. FRONTAGE ON W/~TER FRONTAGE ONROAD DEPTH BULKHEAD TILLABLE WOODLAND MEADOWLAND HOUSE/LOT TOTAL f~ROP. CLASS TOTAL DATE ,~,,~oo ~/,oI ~ TYPE OF BLD. REMARKS I I I I COLOR TRIM M. Bldg. Foundation caPC Bath Dinette FULL Extension Basement C,^WL Floors Kit. SLAB Extension Ext. Walls Interior Finish L.R. Extension Fire Place Heat D.R. Patio Woodstove BR. Porch Dormer Fin. B. Deck Attic Breezeway Rooms 1st Floor Garage Driveway Rooms 2nd Floor Pool OWNER~ Town OF SOUTHOLD PROPERTY RECORD CARD VILLAGE J DIST. J COUNTY TAX MAP NO. LAND IMP. TOTAL DATE REMARKS: · ¥&~ 71~)n /~. 9'~.~ ""/ ~'- 2- F.e._'/, '/,,/,r,~/~.~q,~.,~,-' :]IV(] ny±o& 'dWI STRE~ VIL~GE DIST. SUB. FO~ER OWNER RE~...~/~ S~S. VL FARM COMM. CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS FARM Acre Value Per Value I/~ / ' Tillable 2 Tillable 3 W~dland Swampland FRONTAGE ON WATER ./ Br~hland FRONTAGE ON ROAD House Plat DEPTH BULKH~D Extension Extension Porch Breezeway Gorage I:~tb Total /3 ,r'l~ =_ COLOR TRIM Foundation Walls Place Type Roof Bath Floors Interior Finish -lear Rooms ] st Floor Dinette LR. DR. BR. Recreation Roorr Rooms 2nd Floo~ FIN. B. Driveway S/TUA TED A T BAYVIEW TOWN OF SOUTHOhD SUFFOLK COUNTY, NEW YOI S.C. TAX No. 1 000-81 -01 - 1 SCALE 1"=20' FEBRUARY 3, 2004 FEBRUARY 18, 2004 ADDED PROPOSED TRELLI~ AREA = 29,986.88 sq. ff. (TO BULKHEAD) 0.688 ac. IFf'If O£D (TOWN HARBOR) S 8 82'45 '47" 55.59' S 84"17'01" E MARK 18.6' - 20-- 22.5' 1 ~ 2 STORy FRAME HOUSE WINDOW ROOF ~RICK & CONC STOOp STEPS 167' 94.71 ' oo oo 25 F'~.OPOSEo ~O0~i~ T'~ELL 15 SITE DATA t8 $ 82'45'47', E 55.39' ° I LOT 4 N/O/F ~A~IN ~OAP REALT'r' T~U~T 152. '-2" 7'01" £ 34.71 ' 25 25 ~'E~' I~IATE~,Ff~.ONT ~ETE~AC, K LINE P/O LOT ,2 N/O/F KEVIN A. BARR ~ PO~REN A. BARR EXI~TIN~ C,,OXAERED PORCH TO BE REBUILT SCTM ti 1000-81-~1-19 PROPERTY: ADDRESS OWNER: 280 BASIN ROAD, PARADISE POINT SOUTHOLD, NY 11971 JOHN & PATRICE KEfl-I'. NEW YORK, NY SITE: 29,986.88 SQ. FT. [] 0.688 ACRES ZONING: R-40 SURVEYOR: JOSEPH INGENGNO, LS J~ PO BOX 1931 o RIVERHEAD, NY 11961 LICENSE ti 49273 Ii. DATED 2~3~04 · (j~ LOCATION MAP;i z NO TES: d ' 1. LOT NUMBERS SHOWN THUS: LOT(~ REFER TO t MAP OF SECTION ONE PARADISE POINT FILED IN THE OFFICE Of THE CLERK Of SUFFOLK COUNTY ON APRIL 11. 1965 AS FILE No. 3761 2. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:~ . EXISTING CONTOUR LINES ARE SHOWN THUS: PORSUANT TO SECTION 45-10~ OF THE TOW_N'CODE. CERTIFICATION bf" NAILING & CONNECTIONS REQUIRED. CONS?RUCTIONSHA~L ~E REQUIRE~E~ OF' CODEs OF NEW YORK STATE. BASIN ROAD COMPLY WITH ALL CODES NEW YORK STATE &; TS AS REQUIR._~._ED AND CONDF , SOLIT~OLD ~OW~ Z~A 12110104 ~_~ _z~- 1" = 16'~" SOUTHOLD TOWJ .... SOUTHOLD TOW/ N.Y,S. DEC APPROVED AS NOTED SITE PLAN ' DATE: 7//~/~'- OCCUPANCY OR ' ' FEE: /~' BY: .,~.~,~ SITE PLAN USE IS UNLAWFULNOTIFY BUILDING DEPARTMENT AT 765-1802 8AM TO 4PM FOR THE WITHOUT CERTIFICATE FOLLOWING INSPECTIONS: ~ 1. FOUNDATION - TWO REQUIRED ~ ~ OF OCCUPANCY FO, POUREB CONCRETE 3. INSULATION 4.FINAL- CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OFTHE CODESOFNEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION EI~ROR& . HALL LI¥1N~ ROOM I u ~ 0 (.1 u ~ FIRST FLOOR PLAN SCALE: 114" = 1' ~)" FRONT HALL 1/4" = 1' ' O" TITLE: FIRST FLOOR PLAN ~TH ELEVATION SCALE: 114" = 1' -0" N__O RTH~N SCALE: tl4" = 1' -0" 212105 6127105 TCS 10115104 114" = 1' - 0" NORTH & SOUTH ELEVATION.~ 3 REVISIONS: 2/2/05 6/27105 ~ATIO_N SCALE: 114" [] 1" -0" I 0401 TCS 12/10/04 TITLE: EAST & WEST W_E_ST E I.EVATJQ_N SCALE: 1/4" = 1' -0" NO: 4 212/05 6/27105 - F -- 2' OVBI~HAN~ NTRY PORCH PLAN SCALE: 1/2" = 1' -0" :' ' ' · ~--I~"x2" THK DLUE.%TONE -~-: ' ~ / IO" 5~A~E CASE~ COLU~ W (4) 3x~ FTC - ~ m ~/2x4 TOP ~AIL ~/=x= / P~VIOE P~T A~ TOP AN~ ~OM ~' O IL O'V'I~HAN~ CON, C EXt~TIN~ ~'- I O" ~TONE FILL --~T~ONE VEN.--'. ~ l~lSEle~ OF SCALE' 112' l'-O" ENT:_RY PORCH FOUNDATION PLAN UT TS 12110/04 1/2" = 1'-0" ENLARGED PLANS