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11311-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34043 Date: 10/27/09 T~IS u~TIFIES that the building ADDITIONS Location of Property: 55 CRITTEN LANE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 11 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 4, 1971 pursuant to which Building Permit NO. l1311-Z dated AUGUST 5, 1981 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 ALTERATIONS AND ADDITIONS, INCLUDING DECK, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA 02819 5/14/81. The certificate is issued to DONALD W SCOTT of the aforesaid building. ( OWNER ) S UFFOLKCO~l~rYDEPART~FrOF~F2%L~{APPRO~-AL N/A ELEC~IC_AL ~1~RTIFIC3~TE NO. 11129 09/29/09 ~L~ERS ~TIFICATION DA'r~d3 N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP This application must be filled in by typewriter or ink and submitted to the Building A. For new building or new use: 1. OCT 23 2q09 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 o f 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 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pm-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: Location of Property: Old or Pre-existing Building: House No. Owner or Owners of Property: ['"')o~ ~ d3c/ cq Suffolk County Tax Map No 1000, Section -7 ~.9 Subdivision Permit No. //,~ / / Health Dept. Approval: Date of Permit. Date. (check one) Street Hamlet Block (/ Lot Filed Map. Lot: Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: ~'~Q5-' Final Certificate: (check one) Applicant Signature + SUFFOLK INSPEC IORS, nc 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough [n [nspection Date: Application No.: Donald Scott September 29,2009 11129 County Tax IVlap No.: 70 11 8 Certificate No.: Final Inspection Date: Building Permit No.: 11129 September 29~2009 113117 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Donald Scott Site Location: 55 Critten Lane, Southold, NY 11971 Owner's Address (if different): [] Residential [] Indoor [] Commemial [] Outdoor [] New [] Renovation ~-] Addition [] Survey Single Phase Heat Three Phase Hot Water Main Panel AC Cond Sub Panel AC Blower Transformer Appliances Disconnect Switches GFCI Sreaker Heat Pump Other Equipment: E-J Basement [] Service [] Shed ~ First Floor [] Pool [] Hottub ~. Second Floor [] Attic [] Garage Other: INVENTORY Duplex Recpt 11 Ceiling Fixture 12 Hie Fixtures GFCI Recpt 1 Wall Fixture 6 Smoke 1 Single Recpt Recessed Fixture CO Detect 1 Range Recpt Flourescent Pumps D~yer Recpt Emergency Time Clock Twist Lock Exit Fixtures TVSS Electric Heat Pool Luminaire Exhaust Fan The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Donald Scott Inspected By: Gene Surdi License No.: Homeowner Date Of Certificate: Sep 30,2009 Signature: _~-~ ~ ~/' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.. Y. BUILDING PZR~IT (THIS PERMIT MUST BE KEPT' ON TI-[E PJ~EMISES UNTIL FULL COMPLETION OF THE WORK, AUTHORIZED) N°. corm Tox Mop .o. ~000 S~.on ..... 0.~.. ..... mo~k ...... ,cP.. .......... ~ No. ~ .......... m~su,nt to applicetion dated .V~..~[~,~,~,/.......,i~.. Building Inspector. Rev. 6~30~80 Appe~lNo. 2819 by application Dated April 22, 1981 ACTION OF THE ZOA~NG BO~qD OF APPEALS OF T~ TO~N OF SOUTHOLD To Mr. Donald Scott Crltten, s Lane Southold, NY 11971 .................... of the Zoning Ordinance and ~e decision ~ the Budding Inspector ( ) be revised ( ) be (SEE REVERSE SIDE) (S~E REVERSE SIDE) (SEE REVERSE SIDE) CG:lk After in. vestigation and personal inspection, the Board finds as follows: By this appeal, appellant seeks permission to construct an addition, approximately 20' by 20' at the southerly corner of the existing l%-story frame dwelling with attached garage. The setback requested off Beachwood L~ne is 40' and the setback from the rear property line approximately 30'. The project proposed is consistent with the average setbacks in the neighborhood. After investigation and personal inspection, the Board finds as follows: By this appeal, appellants seek permission to construct a 20 by 12-foot deck to the backyard leaving a setback of approximataly 21 feet from the rear property line. The property in question as shown on plan revised 6/5/80 by Shepard B. Palmer, P.E. is 163 feet along Greenwood Road, and an average depth of 93 feet. The premises is -improved with a preexisting dwelling. The Board finds that the relief requested is not substantial in relation to the code requirements; that the relief requested is within the spirit of the zoning ordinance; that the variance if granted wiI1 not change the character of the neighborhood; that no adverse effect will be produced on available governmental facil- ities of any increased population; that the hardship or practical difficulty is unique; and that the interests of justice will be served by granting the requested relief. On motion by ~r. Coehringer, seconded by Mr. Sawicki, it was RESOLVED, ~,at Donald Scott be granted a variance to the zoning ordinance, Art. III, Sec. 100-31 to construct addition to dwelling with insufficient front ana rear yard setbacks as applied for in Appeal No. 2819. Location of Property: Northeast corner of Beachwood Lane and Critten's Lane, Southold; bounded north by Hoffmeister; west by Oates~ south by Beachwood Lane; east by Critten's Lane; County Tax Map Item NO. 1000-70-11-8. Vote of the Board: Ayes: Messrs. Doyen, Douglass, Sawicki and Goehringer. (Mr. Grigonis was absent.) APP, O¥£D I RECEIVED AND FILED B~y %I{E SOUT~i©LD TO%VN CLE~ Town Clzr~, Town FIELD FCUNDAI!ON Ist) FOUNDATION 2nd) 2. DATE COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL ADDITIONA }MMENTS:- FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT.OLD, N. ¥. Appraved ........................................ , 19 ........ Permit No. //'~// c -- ~'76 _//. APPLICATION FOR .UILDING PE.MIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 buildings for necessary inspections. (Signature of applicant, or name, if a corporation) Robinson Ro~d. Green~or%. N. T. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~....~] ......................................... Plumber's License No. ~".~...b.e...l. ic.en.ae, r] ............... Electrician's License No ............................................. Other Trade's License No ....................... ~ ....................... Locatioq of land o~ which proposed work will be done. Ma~ No.: .~.~ .............................. Lot No...~ .................. Street and Number Cor. er State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ~es~¢~l b. Intended use and ~cupancy R~sid~i~l / ~ature of work (check which applicable): New Building .................. Addition X~ Alteration Repair .................. Removal .................. Demolition .................... Other Work .................................................... ~ (Description) 4. Estimated Cost ..... ~....2..0..,..0..Q~:. .................................. Fee ................. .J.~..A..~...~.. ......................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..?...~.~ ........... ! ........ Number of dwelling units on each floor ........................... If garage, number of cars .... . ................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .....~ ................... Rear ....~.J~ ........................ Depth ~2t Height ........................ Number of Stories ................................................................................................................ Dimensions of same structure with alterations or additions: Front ']'St Rear Depth.....56 "........ ......... ... Height ............................ Number of Stories ..... .]-..~ ...................... 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ..................................... : .................. Name of Former Owner ........................................................ ] 1. Zone or use district in which premises are situated Ees~,~e-~i,~1 12.' Does proposed construction violate any zoning law, ordinance or regulation: 3r.e.~ ..................... 13. Will lot be regraded ......~e .................. Will excess fill be removed from premises: (~) Yes ( ) No 14. Name of Owner of premises ..~..?..tT..~..]:..~....~.e..?..~..~.. ...................... Address ~e~a%hold Phone No. 965 2714 Name of Architect Do~I~ Dermis .............................................................. Address ,.~...,~e...~..°....R~...e.' .......... Phone No. '/22 Name of Contractor C. ~', Pe~'el ! ............................................................ Address ~'ee~tt~e~f, Phone No. 477 0995 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether exkting or proposed, and indicate all set-back dimensions from property lines. Give street and block number or descriptlon according to deed, and show street names and indicate whether interior or corner lot. COUNTY OF .-~ ~]]~' '~'~ ...................... ...L~.......~....~ .............................. being duly sworn deposes and says that he is the applicant (Name of individual signing contract') ' above named. He is the ...... ................... ......................................................................................... , g , po ate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work a.nd 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· Sworn to before me this N ot_q,r~.Pu b I lc, . ....... ~'"',~--x .......... ~:_~ County ....... ~....~..~ .~'.. ............................................ NOTARY PUB[,I~. Sta Jla, 52-8125850, Suffolk C0u~/..t_ T~'m Ex~ires March 30, OCCUPANCY OR "! USE J:,~ ~,NI.AWFUL vlfllaJlr CERTIFICATE OF OCCUPANCY 76§-1802 9 AM TO 4 P~ F~ FOLLOW1N6 INSPECTIONS: FOR POURED ~NCR~ 4. ~A~ - ~1~ M~ ~ ~PL~ FOR C, O, ............ -'~L~ -:~N~RU~I~ SHALL ~. NOT R~P~I~L[ ~ OR CON~ION g OONALO A. OENIE A.I.A.m ARCHITECT 1 To t4~m ", ,,4,T S. , Dii:N|g,,, ,A,.hA..