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Home My WebLink About2213-z Q\OSUF4cQG Town of Southold 6/26/2019 3P.O.Box 1179 0 d' X, 53095 Main Rd �r k p��ci� Southold,New York 11971 • of �a ,4. rFF�'1� CERTIFICATE OF OCCUPANCY No: 40469 Date: 6/26/2019 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 3550 Bay Shore Rd, Greenport SCTM#: 473889 Sec/Block/Lot: 53.-6-37.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/1/1900 pursuant to which Building Permit No. 2213 dated 10/9/1963 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: ONE FAMILY DWELLING Note: This updated Certificate of Occupancy replaces temporary COZ-1940 issued 09/22/1964 The certificate is issued to Keifer Shirley Revoc Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 0rr A h ed Signature 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 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$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. j New Construction: Old or Pre-existing Building: V (check one) Location of Property: SAO � 1FD- �/Z��/�m/Zj y //7;/ House No. Street AF Hamlet Owner or Owners of Property: 44ele y ,� Ale-Ale-/'i l/ e6eyr Suffolk County Tax Map No 1000, Section Block ly Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ A lic t Si e # # TOWN OF SOUTHOLD BUILDING DEPT. courm��' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING p R ARKS: •• �/ '�" ��'- O � P�f tin t� � ✓� - .�' . &Ak I lo vio - V�"&Je� co 4° J DATE 1,el I INSPECTOR Qf �5 Y110" DIST. SUB. 1�011 LOT (11 La- Wztrrwo� S W TYPE OF BUILDING -' Value-- LA-._ REMARKS ' ` . � ` � ' � ' = ----_ -------------- COLOR - &Its t ?r,.we �'ri �,�. r.,:»:xi' 7=;,i"'�;•t. k^r. TRIM i - , - •�,';,"7. ilte.a'a: ,Y' � n �G +. yos�.='' �• d .r t�k"-�-s,�'�' d2.,. �'= {rr,-� ... rd#,'°�«7k:;r"N;�+1�.x.k�.,i;.k'.;.55 - i , ,,m�„�•�4F}�'�' .w:�,.ve C�'�,"�.�,�,�' h ��.rCKas w + �' �dra�x"�" ?ryeq.. -- - -- -- - ��`� ��'M1"�,rwn�r*� t`'Rid�its�"':''�e♦�"" .'�• - M. Bldg. -_ - Foundotion �^ Bath J Dinette ' - Extension J�asement Floors p q K _ Extension Ext. Walls 9nterior Finish LR. - xe vol Fire Place Heat ,, -ixtension f3 DR. w t - Type Roof Rooms 1st Floor R. _ Porch Recreation Room Rooms 2nd Floor FIN. B. — Porch Dormer Breezeway Driveway Garage a — - Patio - O. B. J 1, - -- r Total ��Z _ OTV1 RECORD S.C.T.M. 740. DISTRICT: 1000 SECTION: 53 BLOCK: 6 LOT(S):37.1D C(��a�� p DD I MAR 1 2 2019 suU01HG D. Y ,, TOWN OF SOUTHOLD LOT 136 I N 66009'00"E 125.00' YON. O cn 4 � w �• . W� 37.0 O 59.7' ' ': 37.0 ` ' 5.7 rm CONC. TORY�..•;:. Sf00P LOT 137 OWELUNG;:,p D a z 28't u.P. CONC. �V D Z STOOP ;1 Z : '243'::':i;: LOT 138 {tel a D C �J 0 o ' 1® ASPHALT ORNEWAY 7.2' :A, LOT 139 O0 S 73°00'40"W I125.90' - — rn - cb ISLAND VIEW LANE THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL = LOCA71ONS SHOWN ARE FROM FIELD OBSERVA770NS AND OR DATA OBTAINED FROM OTHERS. AREA: 13,933-.79 SQ.FT. or 0.32 ACRES ELEVA77ON DA7UM: UNAUTHORIZED AL77=RA77ON OR ADD177ON TO 7HIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF 774E NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING 774E LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARAN7FES INDICATED HEREON SHALL RUN ONLY TO 774E PERSON FOR WHOM 7HE SURVEY IS PREPARED AND ON HIS BEHALF TO 774E 717LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS777U770N LIS7ED HEREON, AND TO 7HE ASSIGNEES OF 774E LENDING INS71TU770N, GUARAN77=ES ARE NOT 7RANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM 714E PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE 774EREFORE 7HEY ARE NOT INTENDED TO MONUMENT 7HE PROPERTY LINES OR TO GUIDE THE EREC71ON OF FENCES, ADDITIONAL S7RUCTURES OR AND 0774ER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE S7RUffURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 774E PREMISES AT 774E 71ME OF SURVEY SURVEY OF: LOTS 137 & 138 CERTIFIED TO: SHIRLEY KIEFER REVOCABLE TRUST; MAP OR PECONIC BAY ESTATES FILED: MAY 19th, 1933 No. 1124 SITUATED AT. ARAHAMOMOQUE TOWN OF: GREENPORT KENNETH M WIOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Dox 153 Aquebogue, Neje York 11931 FILE #19-20 SCALE: 1"=30' DATE: MARCHH 7, 2019 PHONE (831)298-1888 FAX (631) 298-1588 N.YS. LISC. NO. 050882 maintaining the reoordo of Robert J. Hennessy & Kenneth V. Woyohuk FOP~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. TEMPORARY CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...W/.~,....~'~he~e...Road ........................ Street conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................................... 0~,to,~O~',,.~,,,, 19.6~.. pursuant to which Building Permit No..~.9.1.~... dated ....................... Qc.~b~,.~.......9 ......... , 19..6,~., 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 ........ ...... P.~£~at e...omo...f, am~.T~..4w~]. 1.i.r~g, ...................... ~ ................................................................... The certificate is issued to ..... GGG~,~,-,,G.,..,~G~nO.~.G .......................... 4)~e~~. ................................ (owner, lessee or tena,nt) of the aforesaid building. H. D,Approval April 1~*, 1965 by R.Vill$ Building Inspector FOI~[ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2213' Z Date ........................ Ot~. ....... 9. ....... 19-63.. Permission is hereby granted to: ..... ~.eor. ge...W~tmo~ ......................................... ............. I~land...~iaw..~ ................................. ....................... 6r.~l~pn~.~ .................................... to ..... b.~ild., ne.~., one...t'$~u~t¥...d~e~l.~ ~ ................................................................................. at premises located at ....~ot..1..37..&,..X38.....Peeen-ie.-~aF..~t~tes ...................................... .......................................... .1~/~.....]~.v...~ho~:~..t~o~O~ ............ ~:~e~p~'t. ................................... pursuant to application doted ................................. ]~,~]De, Xt......~ ....... 19.~,~.., and approved by the Buildin~ Inspector NOTes Permit issued on advise o~' To~n Co~el that th~ is not ~ eorner lot. ~¢e $.....~O..O0 ....... ' : Budding Inspector SCHD SUFFOLK COU~@Y DER~T] ~NT oF HEALTH Date ~pril !~_196li BuildinE Permit No. TO ~,~OM IT MAY CONCERN: The sewage disposal facilities for a structure located at Bay Shore Rd~ Peconie Bay Estates, Lots 137 and 1,~8~ Soutbold ' (Gi~e deed location) have been inspected by this Department and found to be satisfactory. District Engineer TOWN O~' SOUT.O'D ~U.'DI.G TOWN a..R.'S SOUT.O'D. N. ¥. Examined .......................... .,* ......... , ........ Approved ........................ .......... , ,*.¥....perm,t No ....... Disapproved a/c .... ~.. .................. ..... APPLICATION FOR BUILDING PERMIT ote ....... .................................. ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 of property must be drawn on the diagram which is part of this applicon, ion. 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 progress of 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 and regulations. (S'gnat,~e o appl.ico t, or nome, if a corporation) (/~('ddress of~,applican? ' .~, · State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ............................................................................ .................................................................................. Name of owner of premises ..~.'...~,~..~c....~.~-'¢~..... ,~.z,. ...... .~... '~".~..-.¢'~.'~.1~...- .~..~..~-~. ....................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposecl work will be done. Map No: .//~...~.. ............................. Lot No: ./:.~'~.~,,~? . . e . ~.~..~..~..~ ~.~ State existing use ~nd occupancy of premises ~nd intended use ~nd occupancy of proposed construction: ~. Existing use ond occup'~ffcy ..:.~~ .......................................................................................................... 3. Nature of work (check which applicable): New Building ...... Z'k ........ Addition .................. Alteration .............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4, Estimated ..~......~......~?. ....... Fee ...................................................................................... (to be paid on filing this opplicati~n),~,/_ 5. If dwelling, number of dwelling units ...... ~ .................... Number of dwelHng units on each floor ~.~ ...... If g~rage, number of cars ............. ~. ........................................................................................................................ 6. If business, com~rcial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front....~ ....... Rear ..........................Depth .......................... Height ............................ Number of Stories ......................................................................................................... Dimensions of same structure with a~terations or additions: Front ................................ Rear ............................ Depth ............................ Height ................................ Number of Stories ........................................ 8. DimensJons~ntire new construction: Front ................................ Rear ............................Depth ........................ Height ./~¢:~ .............. Number of Stories....f ........................... 9. S ze of lot Front~Z~ ~..~.~ar~....~ ~¢.~pth ...Z~.~ .............. Date of Purchase ,~..../.,.~.~..__ ....................... Name of Former Owner ~.~.~..:...,.~...~.~¢;~,.~ 10. Zon~ or use district in which premises are situated ....... ~..L.~..~...~.~..~...~ .................................... 12. Does proposed construct on va ate any TOn ng aw, ord nonce or regular on? .................................................. 13. NaMe of Owner of premises~¢~.~.~¢.~~dress~,~.~~... Phone No. ~/.~..~ Name of Architect~~~z ...... ; ....................................... Address ............................................ ~ ,~--/ Phone No ................ Contracto~~.~~ .......... Address~.~~... Phone No. Name of PLOT DIAGRAM L.ocatb clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro property lines. Give street and block numbers or description according to deed, and show street names and indic, whether interior or corner lot. STAT[ OF' i',IEWOYO~K,~ · '~ ) S S COUNTY ~OF .~,..) · · ~me of individuol sionin~ opplicotion) obove homed. He is the ..................................................................................................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, dnd is duly authorized to perform or have performed the said work and to make and f this application; that all statements contained in this application are true to the best of his knowledge and beli~ and that the work will be performed in ,the ~erB~E~rth in the ~lication filed therewith. Sworn to b~fore me this .ota~ Public, Stste of New Yor~ ~ ResJ~Jn8 in Suffol~ go~ty ~ .. ............... ..................... Examined ......................................., 19 ........ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y.' Approved ........................................ , 19 ........ Permit No ................................. Disapproved a/c....~..~.~r..-~....'~..~.~.Z;ZZz:z....~,,,,,,~r~(,--~¢..~..."~,~ ..... ~ · ................................ ........................ Application No ............................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter ~ in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing Ioca¢ion of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must bedrawn on thediagram 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 progress of the work. e. No building shall be occupied or used in whole or in pa rt for ar~y 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 and regulations. (Sign~t~'e of applicant, or nome, ~f o corporation) (Add, ss of~pplic~ .~,~~~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ........................................................................... : .................................................................................. Nome ~f owner of premises..~. · ~---~ ~. · .q~.. ~..~'. :.~,. ~..~. ....... !....~.. ~...~. · · .r~...O ....c~.....~-~ ................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) '~ 1. Location of land on wh ch proposed work w be done Map No: '~./..~. ~ ............................. Lot No: /.~...,~.~/.~ Street and Number ,~"t~...~4f...c'/~...~'~,....~..~..~...~...~..~.~...'~.4~...~'~...~..~.....~;'/~.~..~~~ 2 State existing use and occupancy of premises and intended use and occu.pancy oF proposed construction a. Existing use and occupancy ....~ .................................................................................. b. Intended useand occupancy ~:J~ .~...~~f Z~ ........ 3. Nature of work (check which applicable): New Building ..~, ........... Addition .................. Alteration .............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .~...~....O. .......... Fee ...................................................................................... (to be paid on filing this application) 5. if dwelling, number of dwelling units ........ ~.. ................... Number of dwelling units on each floor ~. If gar?ge, 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 .......................... Depth .......... . ................ Height ............................ Number of Stories ......................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ............................ Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front.....~.~., ......... Rear .~, ........ Depth Height ....~..1~.... Number of Stories.....~. ......................... --~ 9. S ze of lot: Fro;t ~..r~.'.~Rear__ -- ..__ .~..~...~'~.:*~pth ...~(~...~ ~ __ ] .....[ ............. ' 11. Zone or use district in which premises are situated.....~~ ........................................................ 12. Does proposed construct on voate any zonnn~~ ~ ~~~aw, ordnance'~ or reguaton? ..~....~.~ ....................... o, Owne, o, p,em, es Name of Architect .................................. ./ ................. Address ................................... ~ ....... Phone No ................ Name of Contractor .~t ..... Addres . hone N ~.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr property lines. Give street and block numbers or description according to deed, and show street names and indic, whether interior or corner lot. STATE OF NEW'YOgi<;, // ) ,. ,. \~ .^,"*.% j C~UNTY OF,~~.) m~, i ~' .. .~..~ ...................................... bein9 duly sworn~ deposes ond s~ys thor he is the opplic z (Nome' of individu61 signing application) above named. 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 f this application; that all statements contained in this application are true to the best of his knowledge and beli~ and that the work wili be performed~:i~bth~er set f~ in the application filed therewith. Sworn to before me this Notary Public, State of NeW ~o~ ~ ~ ~ ResJdm3 m Suffolk 60~ty ~ ....... ~..~ ...... dayof ........... ~.l~:~}~.~,~h.~O~... ~ .~ ~/~.~ .~ , ~ - .. ~ ~ ..~..~~:~.... ~.~~ ......................... Motory Pub ic~ ..~...~.~ ................ { C6unty ~ ' (Si~noture of opplicont)