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HomeMy WebLinkAbout29125-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Townn Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33689 I~te: 05/05/09 THIS ~RTIFIES that the building ELECTRIC UPGRADE Location of Property: 650 TASKER LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 33 Block Subdivision Filed ~ap No. Lot NO. GREENPORT LOt 40 ( HANLE T ) conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 27, 2003 purs~u~nt to which B~ilding Permit No. 29125-Z dated J~R~UARY 27, 2003 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 ELECTRICAL UPGRADE TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES PAPPAS of the aforesaid building. (OWNER) SUFFOI~K C~DII~wI"fDEPAR~TOF ~J~TH~PRO~F~J~ N/A ELEC~£~ICJ%L [I~RTIFICJ%TH NO. 1183911 12/08/03 PLIghtERS CERTIFICATION DATED N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOV~N HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUI This application must be filled in by typewriter or ink and submitted to the Building ] A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines 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 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 nnusual 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, 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 . /' New Construction: Old or Pre-existing Building: Location of Property: ~,_CO '~fl~, ~ad,.~ff -House No. Sti:eet -- Owner orOwnersofmroperty: J6~4.~ ~.~ /~'l~'r4~ Suffolk County Tax Map No 1000, Section '-t73 Subdivision Permit No)q. (check one) Hamlet Block I~)~ Lot Health Dept. Approval: Planning Board Approval: Date of Permit. Filed Map. Applicant: Underwriters Approval: Lot: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) p- ,~licant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEP~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29125 Z Date J~kNUARY 27, 2003 Permission is hereby granted to: for : JAMES PAPPD S PO BOX 61 MASPETH,N~f 11378 ELECTRICAL UPGRADE (60 AMPS TO 200 AMPS) AS APPLIED FOR. UNDERWRITER'S CERTIFICATE REQUIRED FOR C.O. at premises located at County Tax Map No. 473889 Section 033 pursuant to application dated J~NUARY Building Inspector to expire on JULY Fee $ 150.00 650 TASKER LA Block GREENPORT 0004 Lot No. 040 27, 2003 and approved by the 27, 2004. Rev. 5/8/02 ORIGINAL BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JAMES PAPPAS P. O. BOX 61 MASPETH, NY 11378 JAMES PAPPAS 650 TASKER LANE GREENPORT, NY 11944 Located at 650 TASKER LANE GREENPORT, NY 11944 Application Number: '1183911 Certificate Number: 1183911 Section: Block: Lot: Building Permit: 0 BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 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 Sth Day of December, 2003. Name QTY Rate RatinA Circuits Type Service Service Disconnect: 1 200 cb Rating200Amperes seal I of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STRE~ ~SO WL~,GE D~ST. SUB. LOT ~OR~ER OWNE~' ' -- ,~ N E ~n/os ~p~s ~ ~ ~, :r~~ , S W ~PE OF BUILDING RES. ~ ~ O S~S. VL : FARM COMM. CB. MISC. Mkt. Volue ~ND IMP. TOTAL DATE ' REMARKS ~/~ ' ~ I I ~ / f l/ / AGE BUILDING CONDITION N~ NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Wo~land Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKH~D Total DOCK · Bldg. :tension Foundation f Basement Both Floors :tension Ext. Walls Interior Finish (tension Fire Place y~'_~ Heat Rooms 1st Floor j )rch )rch reezeway oroge Type Roof Recreation Room Dormer Driveway 2rio .B. otal Rooms 2nd Floor Dinette DR. iBR. FIN. B. Examined Approved Disapproved a/c Expiration TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ / cF ,20 ,~_ BUILD1NG PERMIT APPLICATION CHECKLIST 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: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS _, 20 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 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 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 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 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, if a corporation) APpROYEDA$ NOTED t. i Z '" - (Mailing address of applicant) DATI;- . ,/z ?/~/ B.R~,....~,~ t~ :~"¥ State whether ,,l~_~_qw/l~t~~h~er, general contractor, electrician, plmnber or builder NOTI~=Y BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE 1. FOUNDATION Name of owner ~0ilttl~Olj~ Z 8OUGfl. ~Rl~lNa ~ PE~81~O (As on the t~ roll or latest deed) If applicant is~ ~ si~ature of duly authorized officer -~ ~.w'"' ~.~, ~., ~.O~- THE flE~U~MENTa OF THE N,y. Builders Lice~.CO~SIfl0C~lON Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax M~ap No. 1000~7~~'-~'STti'°n~3'~' --£ [- c]_ Subdivision (Name) Block ~ ~) Filed Map No. 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 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 Fee Addition Alteration Other Work ~f f'~9/~z)~t~-f_f~:r',~'c ~d,~c~-- (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 Height Number of Stories Rear .Depth 9. Size of lot: Front 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, ordinance or regulation? YES__ NO __ 13. Will lot be re-graded? YES__ NO__Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No 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 iopographical' data on survey. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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. Swo~ ~m~;h:s~, ~, , 20. _C,*% LYNDA M. BOHN NQTARY PUBLIC, State of NeW York No, 01 BO6020932 Qualified in Suffolk County_ TermExpires March 8, 20 ~ ,// ,/~ig~ o f ~.'ppticant