HomeMy WebLinkAbout44000-Z �q�guFF01�D � Town of Southold 8/6/2019
P.O.Box 1179
o • 53095 Main Rd
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 40593 Date: 8/6/2019
THIS CERTIFIES that the building PORCH
Location of Property: 3345 Bay Shore Rd., Greenport
SCTM#: 473889 Sec/Block/Lot: 53.-6-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/9/2019 pursuant to which Building Permit No. 44000 dated 7/22/2019
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:
ENCLOSED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Bayshore Road LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A th ' ed Signature
�•f�=� l TOWN OF SOUTHOLD
SUFEot, �oG
BUILDING DEPARTMENT
a y` TOWN CLERK'S OFFICE
y SOUTHOLD, NY
w-
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 44000 Date: 7/22/2019
Permission is hereby granted to:
Bayshore Road LLC
52 Monterey Dr
St James, NY 11780
To: REPLACE EXISTING PORCH AS APPLIED FOR.
Replaces BP# 20119
At premises located at:
3345 Bay Shore Rd., Greenport
SCTM # 473889
Sec/Block/Lot# 53.-6-9
Pursuant to application dated 7/9/2019 and approved by the Building Inspector.
To expire on 1/19/2021.
Fees:
PERMIT RENEWAL $25.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $75.00
- -( I
Bu ector
FORK NO. s
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)
N_ 20119 Z Date .... 6-......... ............. 19. .!.
Permission is hereby granted to:
................................................................................
to ... C�.,... ... . .....4 ....... :a....... ...... ..................
. . •
atpremiseslocated at ...3.3 ......A.MO......` ..... .........4..2. ....................................
. .... 0..........!::k....... . .................................................................................................................
County Tax Map No. 1000 Section ....... .... Block ......Q..�R...... Lot No. .. ... .............
pursuant to application dated ..... . .... �:.......... 19.1.1., and approved by the
Building Inspector.
Fee $..J .....
.......
... . ... ..........................................
Building Inspector
Rev. 6/3080
Form No.6
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 I%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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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. 6/Zc/ 9
New Constriction: Old or Pre-existing Building: 11 (check one)
Location of Property: IW-5 6_14— 1s 00011 AP.- olezzy r
House No. Street Hamlet
Owner or Owners of Property: )FAXVV0&E
Suffolk County Tax Map No 1000, Section _ Block o6 Lot 09
Subdivision e-4c8 IC, BAY jrS'j rles Filed Map. j124 Lot:
Permit No. Date of Permit. 5 Applicant. S QA 61?&y
Health Dept. Approval- �/�� Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
CtirrilciilP� t3<� �rradsr:+:rad r�,€"�tNrliesrtaurr
Al IIJORIZATION
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(Priit? cjvmtr'S N/Ptlrc)
M-ieoz
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1S4 [ ] ROUGH PLBG.
[ � FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
7-a
DATE INSPECTOR
ao%9QqDD(D
70-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: �
�2
DATE INSPECTOR ��
LAqD00
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 15T [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
REM KS: �i���
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DATE �/ INSPECTOR(
��OP SOUIyO
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] FOUNDATION 2ND [ ] I SULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
iyc(�
DATE INSPECTOR uu
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FOUNDATION ( 2nd )
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STATE ENERGY
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ADDITIOPJAL COMMENTS :
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BOARD OF HEALTH .
FORM NO. 1 3 SETS OF PLANS . .
' TOWN OFSOUTHOLD SURVEY . . . . .
BUILDING DEPARTMENT C1iECl:
TOWN HALL SEPTIC FORM . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 NDT I FY
.�`� .� 19 .1 CALL . . . . . _ . . . . . . . .
Examined MAIL TO :
Approve 9?w.�`*�. 457., 199). Permit No.IP 11o q . . . . . . _ . . . . . . . . . . .
Disapproved a/c . . . . . ... . . . . . . . . . . . . _ . . . . . . . . .
ark . . . . . . . . . . . . . . . .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT -
p
Date . . . . . :. . . . . . . ., 19
INSTRUCTIONS '
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspectdi, with 3
ets 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 premisesof public;streets
)r areas,and giving a detailed description of layout of property must be drawn on the diagram which is part of is appli-
•ation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
A. Upon approval of this application,the Building Inspector will issued a Building Permit to the applicant. Such permit
hall 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 whatever until a Certificate of Occupancy
hall 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
3uilding Zone Ordinance,of the Town of Southold, Suffolk County,;New York, and other applicable Laws, Ordinances or
tegulations, for the construction of buildings, additions or alterations pr for removal or demolition, as herein described.
Che applicant agrees to comply with all applicable laws, ordinances, buildin c de, housin dead gulations, and to
Amit authorized inspectors on premises and in building for neca�ssa -
ignature of applicant, or name, if a corporation) 4
(MUli g address of applicant)
State whether applicant is owner, lessee, agent, architect, engineergeneral contractor, electrician, plumber or builder.
. . . . . . . . . . . . . . . . . . �' 4�C�?C�K� . . . . . . . . . . . . . . . ... . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . . . . yde/9r. , , , , , , , • , • • • , , , , , ; , ,
V(as on the tarx roll or latest deed)
(f applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :u
(Name and title of corporate officer)
Builder's License No. �. . , ••• , • • •
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . ..... . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . .
Location.of land on which proposed work will be done. . . . . . . . •�• • . ??.". ,�•� , , ,
House Number . . . . . . . . . . . . . . . . . .Street . . . . . .,. . . . . . . . . . . . . ." Hamlet . . . . . . . . . . . . . . . . . . . . ...
County Tax Map No. 1000 Section . . . . . .O . . . . . . . Block . . . . .V�. . . . . . . Lot . . . .� . .�,.�. . .
Subdivision . . . . . . . . . . . . . . . . . . Filed Map No. Lot . . . . . . . . . .
(Name) —
State existing use and occupancy of premises and intended use and occupancy�of proposed construction: _
a. Existing use and occupancy . . . . . . , , • • • , . • , , ,qu
CI
b. Intended occupancy / °� ,f;
and occu . . . . . . . . . .
use _ �" �=t ts.:�•a;, ..�.:.;sa:'::..�:>.; _,,.
„�...�` r' ',s• •rt J4'I�s�as(;.;a';i,�ei`i:ia%:
workXcheck which applicable): New Building . . . . . . . . . . Addity�n . . . . . . . . . . Alteration . . . . . . . . . .
. .�/ . . . . . . Removal . . . . . . . . . . . . . . Demolition V Other Work
`b _, L (Description)
.ated Cost . . .S. . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . .� .: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor; . . ._: . . . . , . . ,
i garage,number of cars
If business, commercial or mixed occupancy, specify nature and extent of each type use_
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 . . . . . . , , , , , , , , , , , , , , NumberofStories . . . . . . . . . . . . . . . . . . . . . .
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 "
11. Zone or use district in which premises are situated . . . . . . . . . .
12. Does proposed construction violate any zoning.law, ordinance or regulation:
13. Will lot be regraded : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . I . . . . . . . . .
. . . . .
. . Will excess fill be removed from premises: Yes No
14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No.
Name of Architect . . . , . Address Phone No.
Name of Contractor��b/?�7.� p.�/i, •��
Address 4�: �S fJ. c?o��phone No. �7�:- ' •l,
a ! . . . . .
15. Is this property within 300 feet of a tid 1 wetland? *Yes . . . . No. . . . . . . . .
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
_
NATE OF NEW YORK,
.� •./� ,..5
:UUNTY OF . . .
• • • {Q!/� (.VQ •G �• �. . . �. . . . being duly sworn, deposes-and says that he is the applicant
(Name of individual signing contract)
-bove named.
sthe.. . . . . . . . . . . . . . . . . . . . . . . . . .. .
. . . '. . . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
(Contractor, agent;;corporate officer;.etc:) -.
owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
on; that all statements contained in this application are true to the best of his knowledge and belief;and that the
be performed in the manner set forth.in the application filed therewith.-
fore m e'this
. . . day f. . . . ., 19�/
. . . . . . . . . . . • . . . . . County
NotWPu b!ik St9te� \ . . . . . . . . . . . .
• - No.48795 o Near York -' ,
Qualified in SuHolk�County f.> . . • (Signature of applicant)
Commission Expires December 8,19 l
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SOUTyolo
Town Hall,53095 Main Road Fax(631)765-9502
P.O.Box 1179 G • @ Telephone(631)765-1802
Southold,New York 11971-0959 'O
COUNTV,N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 25t1i, 2007
Hayden G.Gpt.Qual Pers Res Trt.
P.O. Box 1426
Dolores, CO 81323
RE: 3345 Bay Shore Rd. (Porch addition)
SCTM# 5369
To Whom it May Concern:
Please be advised that your Building Permit#20119 issued September 5th, 1991 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of 50.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions,please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
ggt�Qt,� Southold Town Building Department
54375 Main Road Permit#: 20119
c Southold,New York 11971 Permit Date: 9/5/1991
(631) 765-1502
Expiration Date: 3/5/1993
Parcel ID: 53.-6-9
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 3/9/2011
Applicant: RALPH HAYDEN
Location: 3345 BAYSHORE ROAD GREENPORT,NY 11944
Work Description: ALTERATION
REPLACE EXISTING PORCH AS APPLIED FOR.
A FEE OF $50.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT, THANK YOU.
Owner: HAYDEN G. GPT QPRT
Address: P.O. BOX 1426
DOLORES, CO 81323
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
7010 0290 0002 8968 2246
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
gUFFpt,t Southold Town Building Department
54375 Main Road Permit#: 20119
Southold,New York 11971 Permit Date: 9/5/1991
oy�0�► ��o� h (631)765-1802 Expiration Date: 3/5/1993
Parcel ID: 53.-6-9
Dated: 2/13/2012
Applicant: RALPH HAYDEN
Location: 3345 BAYSHORE ROAD GREENPORT
Work Description: ALTERATION
REPLACE EXISTING PORCH AS APPLIED FOR.
Owner: HAYDEN G. GPT QPRT
Address: P.O. BOX 1426
DOLORES, CO 81323
Your BUILDING PERMIT #20119 has been referred to me because you have not responded to requests
to obtain your Certificate of Occupancy as required by Southold Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or
occupied in whole or in part until a certificate of occupancy shall have been issued by the Building
Inspector."
Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of
Southold in the amount of$50.00 to renew the building permit, or legal action will be taken against you.
Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00
p.m.
Respectfully Yours,
Michael Verity: Chief Building Inspector
Southold Building Department
cc: Damon Rallis Zoning Inspector