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Home My WebLink About1000-34.-3-27 'OWN OF SOUTHOLD Rental Permit 0322 47 Owner Courtney Wray & Pranav Chopra Occupied as Single Family Dwelling Located at 295 (aka 505) Sterling Place Greenport 34.-3-27 Maximum Permitted Occupancy 4 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. Id 9/24/2024 o e E c t Official This Notice must be posted by the main entrance at all times ( ) a eau 0w* " TOWN OF THOLD BUILDING CAE T. ,r 631-765-1802 37q, --� - 1 N 15'PE T 19"1 N [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] F AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN TRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O ] RENTAL 7ARKS*w LAf It DATE INSPECTOR c �� rr. IM ..� r ar%� o � { l � �� rrraa n t .µ, /ij/,/ ✓/// �:r r// ��i�/��/�/// / �� Oil /r ,;, rc //„,,, y TORN OF SOUTHOLD Rental Permit 0322 Owner Courtney Wray & Pranav Chopra Occupied as Single Family Dwelling Located at 295 (aka 505) Sterling Place Greenport 34-3-27 Maximum Permitted Occupancy 4 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 5/18/2022 Code Eno end Official This Notice must be posted by the main entrance at all times Town Hall Annex SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, { Rental Inspection NY 11971-1179 � Tel: 631-765-1802 Fax 631-765-9502 SCTM # � d �3 Z Date Owner d0 MAC� Phone S l b 'fo 1 Address (" Zip ( C Hamlet Inspector Address visible from street? LEVELS SUV 1 2 3 Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) LIX Exits (#) BEDROOMS 1 2 737 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS Y N CONDITION OF PROPERTY NN Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present. POOLS YIN POOL BARRIERS Y/N Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min. 48" high resent POOL GATES Y/N All openings in barrier less than 4" Self-closing, self-latching Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked &child- requirements proof when unattended COMMENTS: Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 295/505 Sterling Place Greenport,NY 11944 Tax Map Number: 1000 SECTION 34 -BLOCK 3 -LOT___2z� - SECTION B. OWNER INFORMATION: Property Owner Name: Courtney Wray&Pranav Chopra Property Owner Legal Address: Property Owner Mailing Address: 21-16 31st Ave 2C Astoria,NY 11106 Courtney 516-680-5174 Telephone Number(s): Daytime Pranav- 347-8&NA Emergency Property Owner Email Address: courtwra @ mail.com pranavchopra@gmafl.com Pagel of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 "I'S` BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: _ Telephone Number(s): Daytime Evening Emergency__ Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes):-_....... Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1 179 Southold,NY 11971-0959 ; BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: ..................wwwwwww Telephone Number (s): Daytime Evening_._,_ Emergency_,___,,._... Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 _,,, For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier (for example, Unit 1, Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room„ For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: _w Requested Maximum number of persons allowed to occupy Dwelling Unit: 6 Number of rooms in Rental Dwelling Unit, 5 Rooms Use and Dimensions of each room in Rental Dwelling Unit: Bedroom- (2) @ 10'x 12' Living Room-16'x 10' Front enclosed porch- 8'x 20' Back enclosed porch- 6'x 15' Page 3 of 5 V , Town Hall Annex Telephone(631)765-1802 jig 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 a BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold,the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. EX I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) Courtney Wray 1 Pranav Cho ra certify under penalty of perjury, the following: 1. 1 am the owner of the property identified in "Section A" of this application. 2. The property owner's legal address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 M Al Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto, 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. 1 will notify the Town within five (5) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager, Property Owner's Name: Courtney Wray&Pranav Cho ra 'I -.,. Property Owner's Signature: Sworn to before me this 28 day of April _, 20 22 Official Notary Public Signature and Original Notary Stamp Page 5 of 5 Town Hall Annex r' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179p na Southold,NY 11971-0959 ' BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION ,. Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re mired for Architect or Engineer,licensed Horde Insector myt pralr(d ecrp!o valid!cyLrent certi kation Rental Property SCTM Number: Rental Property Address: Owner/Name: Rental Dwelling Unit Identifier: Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sq., Bedroom #2-90 sq., etc.) Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Print Name and Title Original Signature Please place professional seal: Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 � o Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: ___ Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit:. Use and Dimension of each room: TOWN OF SOUTHOLD PROPERTY RE4 47 LA OWNER !STREET VILLAGE DIST.: SUB. LOT I r FORMER OWNER Nt E _ ACR. 1 ' j 15 _ TYPE OF BUILDING W RES z : SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS I4 I _ g � . � _ g �- - - _ = I 0 D = E _ 3 3 AGE I BUILDING CONDITION NEW NORMAL BELOW ABOVE m FARM Acre Value Per Value Acre Tillable1 FRONTAGE ON WATER Woodland I FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD E Tot DOCK - a _ - OR TRIM e _ v eA- -fur� a i .e- qf 34.-3-27 10/2014 _ - M. Bldg. r , 4 - — i Extension -- _ Extension j A — — - - - - Extension a Foundation Bath ine'tt Porch - Basement 'Floorsl< Porch Ext. Walls ;Interior FinishLR, v Breezeway _ ;Fire Place Heat Garage Roo - — - - - F 7yPe f 'Rooms ]st Floor t Pcifio —_ �R v Recreation Room Rooms 2nd Floor 71 N. B O B Dormer Driveway Toto I a ...... . ......... .. ..................... Town of Southold Annex 9/9/2014 P.O.Box 1179 54375 Main Road 4 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37137 Date: 9/9/2014 ..........."..----------- THIS CERTIFIES that the building RESIDENTIAL ALTERATION ........................................................................... Location of Property: 295 Sterling Pl,Greenport, ........--............... SCTM#: 473889 Sec/Block/Lot: 34.-3-27 Subdivision: Filed Map No. Lot No. ................. ......................... conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/17/2014 pursuant to which Building Permit No. 38995 dated 6/27/2014 - -......................... 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 dock addition L_grL q�)Ci4tjT&gne farraly d lg fo __Wgina i - --LVpliedr. The certificate is issued to Claps,Vincent&Claps,Barbara ............ -------- ............... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38995 7/23/2014 .............. ....... PLUMBERS CERTIFICATION DATED 9/9/2014 Vincent Claps .11 ............ . .......... _ www. igna Au 4en e * ' TOWN OF SOUTHOLD `r BUILDING DEPARTMENT TOWN CLERK'S OFFICE �+ SOUTHOLD, NY 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#: 38995 Date: 6/27/2014 Permission is hereby granted to: Claps, Vincent&Claps, Barbara _ _.._ _ ...._ ... _._ ..... 50 Snug Harbor Rd Greenport, NY 11944 To: addition & alterations to an existing single family dwelling "as built" as applied for At premises located at: 295 Sterling Pl. Greenport SCTM #473889 Sec/Block/Lot# 34.-3-27 Pursuant to application dated 6/1 pp 7/2014 and approved by the Building Inspector. To expire on 12/27/2015. ...___._..................... Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,212.00 CO -ADDITION TO DWELLING $50.00 ELECTRIC $125.00 Total: $1387.00 Building Inspector Form No.b 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.,....._.._40, .. � — - w.w.w .�..........__. New Construction:—. Old or Pre-existing Building:.__V*' ____ (check one) Location of Property. _ vz 1,5 '!/!►V ��E'll� .___�" .__. House No. Street Hamlet Owner or Owners of Property: _. ......... r42�xl t"�._.. _V County P Block 3 Lot,_.. _L _..... ...._ Suffolk Coun Tax Ma No 1000 Section ........ w w _,_,_,_,_,_,_,_,m_„ Subdivision........._.._ ��..w.w. .... Filed Map. . _ Lot_. ._ .....__....._.... S l�ct AJ _ Permit No. w.._ .ww_......_w Date of Permit. Applicant:. Health Dept.Approval: m ,„„kkk w Underwriters Approval: w Planning Board Approval:..w..„ m_w_, Request for: Temporary Certificate w w __ Final Certificate: (check one) Fee Submitted: $ —7). Applicant Sig t e Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , ro er.richert@town.southoldny.us Southold,NY 11971-0959 Q "` BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Vincent&Barbra Claps Address: 295 Sterling PI City: Greenport St: NY Zip: 11944 Building Permit#: 38995 Section: 34 Block: 3 Lot: 27 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: East Country Electric License No: 1005-e SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic X Garage INVENTORY Service 1 ph 200a Heat Duplec Recpt 23 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 7 Wall Fixtures 3 Smoke Detectors Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures 16 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture 3 Pumps Transformer AppliancesP20 Dryer Recpt 1-30 Emergency Fixture Time ClocksDisconnect 200a Switches Twist Loch Exit Fixtures TVSS Other Equipment: 2-paddle fans, 2-exhaust fans, 5-ARC fault circuit breakers Notes: Inspector Signature: .. Date: July 23 2014 81-Cert Electrical Compliance Form.xls Town Hall Annex Telephone(631)7657180.2 54375 Main Road Pax(,631).765-9502 P.O.Box 1179 Southold.New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CE RT IFICATIQN Date:w_ /q Lt Y- Building Permit No. o.[ ` Owner: ftlCenJ �� s . (Please print) Plumber: (Please print) I certify that the solder used in.the water supply system contains less.than 2110 K I0/ck lead. .. (Plumbers Sworn to before me this day . 6�- CONNIE D.BUNCH Notary Public,State of New york C No.OIBU 186 Not Public 5A4"sl -.-. Count Otialifioct In Suffolk County / TOWN OF SOUTHOLD BUILDING DEPT. 76S-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION C 1 FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION C l ELECTRICAL (HOUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE ��'' INSPECTOR 38�cIlso'S' TOWN OF SOUTNOLD BUILDING DEPT: 765-1802 INSPECTION [ef FOUNDATION IST [ J ROUGH PLUMBING [ ] FQYNDATION 2ND [ ] INSULATION [ /7 FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE 8c CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESIS'TAM'CONS7RUCTWi! [ ] FlNE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: xf 4 DATE �� l INSPECTOR 7c" TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ =ATION FRAMING/ STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FlRE RESISTANT COMSTRtlCl10N [ ] FIRE RESISTANT PENETRATION I I ELECTRICAL (ROUGH) I l ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE ............A DAVID S. CORWIN PE, 639 MAIN STREET, GREENPORT, NY 11944-1431 631-477-0184 corwin@optonline.net June 17, 2014 Subject: 295 Sterling Place, Greenport, NY Building Department Town of Southold Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Ladies and Gentlemen: Based on an April 24, 2014, inspection and a June 1, 2014, inspection of the referenced dwelling it is my opinion that R11 (31/2°) fiberglass insulation has been properly installed in the exterior wall cavities producing a wall cavity resistance to heat flow of R13 and R16 fiberglass insulation has been properly installed in the front and rear porch conversion room ceilings at the above subject address. The insulation meets the requirements of the New York State Energy Conservation Code for existing dwelling renovation work to the best of my knowledge. Very truly yours, David S. Corwin, PE `SOF NEW � e � � css FIELD]NSPE OFT=Mt DATE Com"Im W} I b FOUNDATION(1ST) � ° FUUNDeLTIOPt(SND) " z ROUGH FR.AbMQ& y PLUNMING INSULATION PFA N.Y. STATE ENERGY CONE FINAL Uo . 2_m ( lam TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans_......_mw_ TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey._,.................... SoutholdTown.NorthFork.net PERMIT NO. �S _ Check Septic Form N.Y.S.D.E,C,_.._, ._.__ _ Trustees ....... Flood Permit l�santioa�,d_....... �....."�" . 20� �� 1 u Storm Form—,, Assessment For —,, ._ tttaet: ppru pp �✓�'_t",20 JUN 17 20M4 Mail tw .... 3 ..._.... ....... . Disapproved a/c [ Phone qq r'7 �. IuJu _............ l?xpc ration_. Buildi�tor APPLICATION FOR BUILDING PERMIT Date Z3,,,e— 17 20 14 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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. Iigu�raR a asfapplicant or name,if a corp iortl �(Mlingit&.fp�pfict) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder t r Name of owner of premisesc�.a�t?�` (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. ( O [ Other Trade's License No. 1. Location of land o whit proposed rk will be don House Number Sireet� Hamletr County Tax Map No. 1000 Section... 3,1 It Bloch Lot Subdivision�_W ..� w_._Filed Map No. Lot,, 2. State existing use and occupancy of premises and intended use and occupane of.proposed construction: a. Existing use and occupancy r, qt *:"lai+ -L— b. Intended use and occupancy 3. Nature ofw�o*(check which applic4ble):New Building ,_- Add it ion Alteration Repair Removal Demolition V Other Work' (Description) 4. Estimated Cost. 0,000 Fee (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 —Depth Height Number of Stories I — Dimensions of same structure with alterations or additions: Front Rear Depth_ —Height Number of Stories 1 8. Dimensions of entire new construction:Front tu 4 Rear Depth Height Number of Stories 9. Size of lot:Front —Rear —Depth 10.Date of Purchase— fJ —Name of Former Owner L/ kAJOCO r) 11.Zone or use district in which premises are situated 12.Does proposed construction violate any zo 'Ing law,ordinance or regulation?YES,..........NO 13.Will tot be re-graded?YES—NO—Will excess fill be removed from premises?YES,,--N4)- 14.Names of Owner of premisej'dja a(!��Address 4r ,-0a uaNc4W"Phone No X q77-0 Name of Architect Address No Name of Contractor Address —Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES S *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. M.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. 18.Are there any covenants and restrictions with respect to this property?*YES—NO *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY oP&MquX- to Ceti T P-S dilly swn deposes and says that(s)he is the applicant (Name of individual signing contract)above named), (S)He is the_..-._..Q wpjei&............... (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. Sworn10 fore me thi X, day of 2 O-Lq w.... . Notary Pu c Signature of App F UZABETH J.FARRiSH Notaty Pubho�State of Nevv York No,,0 1 FA4973285 ovwiWd h Suffolk cougi commarslom rxa�res Oct,is,2kF Scott A. Russell � �� IFO]KAAWAXIE]E, SUPERVISOR t'� AMIANA(Gf]EMIENT SOUTHOLD TOWN HALL-P.O.Box 1179 ] 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:# Yes No (CWCK ALL THAT APDL» k ❑® A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. B. Excavation or f illing involving more than 200 cubic yards of material within any parcel or any contiguous area. rl C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑{� D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. [l[A E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature,Contact Information, Date & County Tax Map Number! Cbapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Dep ent with—your Building Permit Application, APPLICANT: (Pro ty Owner,Design r ....a., ...._o m ..m �rict Design Professional Agent,Contractor,Other) S.C_T.M. # 1000 Date: NAME: ✓if AJ e rt SectioQ Bltxk Lot k FOR BUILDING DEPARTINIENT USE ONLY.... Contact Information "�. tiekpme rm�t Reviewed By: ..... _.. _ ,_, ,�... �.. _.Y _.. .._. .... ,.._ �. ._. –. ..... .._ –. ... Date W L4 I?mertAddress/ Location o'fsonstruetion Work: LJApproved for processing Building Permit. Stormwater Management Control Plan Not Required. . Stormwater Management Control Plan is Required. , (Forward to Engineering Department for Review.) FORM " SMCP-TOS MAY 2014 Town Hall Annex 54375 Main Road i Telephone(631)76521802 P.O.Box 1179 - , ( 1)161 ' Southold,NY 11971-0959 ° ro r`ri w0-fin oUik'd.n BUUZINGD T TOWN OF SOUTHOLD APPLICATION FOR EL.E CTRI AI_ INSIDECTION REQUESTED BY: OINXE �: �. Date: Company Name: ..Name: License No.: /0�S-Lc Address: Phoria No.: 7- Z 3q JOBSITE INFORMATION: (*Indicates required,information) *Name: tCc oT -E �+� t•v► `va *Address: s "Cross Street: *Phone No.: Permit No.: N C-1 Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: * YES f NO Rough In Bina Do you need a Temp Certificate: YES 1 NO Temp Information (If needed) kService Size: 1 Phase 3Phase 100 150 300 350'New Service: Re-connect Underground Number of Meters Change of S 400 Other kdditionallnt ation: g Service Overhead PAYMENT DUE WITH APPLICATION M"" e � •� Z � c� �o � �O 82-Request for Inspection Form d� ✓ ........... TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET VILLAGE DIST. SUB. ... OWNER .......................... .................... LOT /0 Z),ps e- Q-11ac, --- - - a-, Z- ............... FORMER OWNER 14 W TYPE OF BUILDING kle.- L RES.4j ,-4,SEAS. VL. FARM comm. CB. MICS. Mkt.Value — LAND IMP, TOTAL DATE REMARKS ............. ............ 1-2- C-f 110 ..__w............................................ Z ................. .................................... ------------------------- ... ....................... ------------------------- ........... . ......... AGE BUILDING CONDITION ............ ................ ................................................. NEW NORMAL BELOW ABOVE .......... . .................. .... .... ......-"',"-'',....................... FARM Acre Value Per Value Acre ...........---------- ................................ Tillable FRONTAGE ON WATER. ............... ......................... ............. ........... Woodland FRONTAGE ON ROAD .......... Meadowland DEPTH ............... ..... ......... ----------- House Plot BULKHEAD so DOCK .................. Tci%&- "/r " COLOR pr e TRIM -;T- - .... M. Bldg. .. ,_ Extension __. _ .. _.... .._..w.. ..... w... Extension 6D a Extension Foundation Both Dinette Porch .. Basement* Floors w�,.. ...,� K ...Porch......._......_... .._�......,.._. ..�.......,�.....�_.�..__.. .�...�_.,._ _....�..._ .� Walls Interior Finish LR. BreezewaY Fire Place iHeat DR. Garage �5 X } "Type Roof Rooms 1st Floor BR. 2 w_. .. ww_. _ ww ..ww_. _ Patio Recreation Room Rooms 2nd Floor FIN. B O. B.,_v._.,,...,� ..�.,__.. .._...._...�._.__. .... Dormer~.^. .__.�._. ,.Driveway ......w. _-----�---..-.-...... _... _. _.__ .. .._.,�_.__.... gg.n .._..._.. _. _,.... w... _w............. ----------—---- .—.,. Total G W Letter of Transmittal Date: From: June 19, 2014 David S. Corwin, PE 639 Main Street Greenport, NY 11944-1431 corwin@optonline.net To: Subject: Southold Town Building Department Town Hall Annex Claps Renovation Southold, NY 295 Sterling Place Greenport, NY DESCRIPTION -——-------------- Plot Plan—4 copies ............ Ig SOUP Town Hall Annex Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O.Box 1179 " Southold,NY 11971-0959 N A^MOM September 5, 2014 BUILDING DEPARTMENT TOWN OF SOUTHOLD Vincent Clapps 450 Snug Harbor Rd Greenport, NY 11944 Re: 295 Sterling PI,Greenport TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. ✓/ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT— 38995—Add/Altertions CE S�ER�"1�G per, ?4 12.8" w �O � BUD C� Z J J Lu o zo z Q U > Q (%z N �] x w o_ w� Z g 17.6' — DECK a U EXISTING GARAGE CONCRETE DRIVEWAY 7.9" _.d .._ 9.2' 73' Off, NEW SCALE 1 '=20' S. 1� ,c0 2 4 PLOT PLAN VINCENET CLAPS RENOVATION d 295 STERLING PLACE GREENPORT, NY 6 SCTM No. 1000-34-3-27 ` w sq DR. VINCENT CLAPS 450 SNUG HARBOR ROAD GREENPORT, NY 11944 JUNE 17, 2014 N,M OPMOM FMM WMµo Sao MEASM„Q„S DRAWN BY: D. CORWIN a rtn NN^ � i x. W 1A I -% .—C PLUMBING ONGFUUI ... roJ',........,, ��Pr ✓i. .. 6'MmAT4" I d Md4�n F P I 5r"ti0.O�"td emuoou k^�t;Ma`&H,W�'tttl�Or rt:.kr+f r l (F" 3T5 J ..i ... ^b APPF=� ' Ey r OLLO G YSG L �R T f d FOU o TON P REO BmNtl6N F 4Po FEO LO� 'EE } TKAPPPUJG AGE cU:Y 3LiN—1CAULK 15ULAION _ m,mm„ CCCC a FL5L MONS "nC`6ELECTP 1 ELECTRIC CIRCUITS " � EOUOIPE1 ENi50—`-CE30 .... ... ( ,..RSNKK(MMtlA6". I.'.;:YiakMb�fG (^,,.-,"•.•". ( YOMSNOi NES✓. aEF[ ' *, px"`�✓/ S I OE61GN GACONSiNUCTON ENroN ,•• .... LLCE�SSM hPqNn N1.' Jrr Ml .,.. w�. �,..... 9 ALL CONK n 41 ,�.,,..... a .,.. .p A �' T THE .. C, eS OF I. .STATE ELECI Noo u^ I ,.•.._. ...,..... INSPECTION rEOUI IED . ..., ro DWELLING RENOVATION --- ---- `"`" VINCENT CLAPS ,,.-- t— em uss' r e•�.—.. xrt 295 STERLING PLACE 34-3-27 LAN VIEW w_.... oo,ua.,...Y .. Noo c_........ rr u r^ ..." ...r uwmcr"sn w m.GNs X"' P '° wit GREENPORT, NY 1 1944 ... Nom wN SCTD N V CENT CLAPS �, DR. VINCENT CLAPS 450 SNUG HARBOR ROAD ,.. ^ ^^ ^^ „� GREENPORT, NY 11944 '"` ""�'^'�"i 631-477-0110 ff 'k JUNE 16, 2014 c�y11Fl$f44 Town of Southold 7/22/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41277 Date: 7/22/2020 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 295 Sterling Pl, Greenport SCTM#: 473889 See/Block/Lot: 34.-3-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/29/2020 pursuant to which Building Permit No. 44946 dated 7/2/2020 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: I'as built"air cggdifig sy t rz.. pll fiat., The certificate is issued to Claps,Vincent&Barbara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ---------------- ELECTRICAL CERTIFICATE NO. 44946 7/22/2020 PLUMBERS CERTIFICATION DATED _...utlac)r 1 Sa�ature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY 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 44946 Date: 7/2/2020 Permission is hereby granted to: Claps, Vincent& Barbara 469_§nt� H�arbor_Rd ,_ Greenport, NY 11944 ........... .................................. To: legalize an "as bit" AC system as applied for. At premises-located at: 295 SterlinA PI, Greenport ............... ....... SCTM #473889 Sec/Block/Lot# 34.-3-27 Pursuant to application dated 6/2912020 and approved by the Building Inspector. To expire on 1/112022, Fees: ................ AS BUILT-SINGLE FAMILY ADDITION/ALTERATION $400.00 ELECTRIC $180.00 CO-ALTERATION TO DWELLING $50.00 total: $630.00 Buildin ctor Form No.6 TOWN OF SOU"ITHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter orink 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 respopsible 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. - y� New Construction: Old or Pre-existing Building: (check one) Location of Property: 5-o� j� e 0 r� p A... 4 _......_........... 'S . _ w....... e House No. treat Hamlet Owner or Owners of Property: t 0je e X —A&S A a/I- �- S Suffolk County Tax Map No 1000, Section __.._..,m.... Block Subdivision _ —Filed Map.,, Lot: Permit No.. Date of Permit — Applicant: Health Dept.Approval: . Underwriters Approval: Planning Board Approval: ,,,,, Request for: Temporary Certificate Final Certificate: _ * (cli„eck one) Fee Submitted: $ Applicant Sipa r .._.. ... .._....�.�. pp ca e rif so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. ox 117 Southoldd,,NY 11971-0959 sean.devIln to fn.southold.n .us �p �` tJ w BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To, Vincent Claps .Address: 295 Sterling PI city Greenport st: NY zip: 11944 Building Permit# 44946 section 34 Block: 3 Lot 27 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic X Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 2 Range Recpt Ceiling Fan Combo Smoke/CO, Transformer UC Lights Dryer Recpt Emergency Rxture Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: Notes, "AS BUILT" " NO VISUAL DEFECTS" MINI SPLIT AC 1/j It Inspector Signature: - µ Date: July 22, 2020 S Devlin-Cert Electrical Compliance Form As TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health„ ,,,,,,, SOUTHOLD,NY 11971 4 sets of Budding Plans_ TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Southold townny.gov PERMIT NO._. wCheck 1ey Snr �giuc NY,SDEC Forarm...........____. �.�......._. .mm. " I r asrees -- - .. — plic . C.O Application Flood Permit Iixaanlnceb........... 20 ._, Single&Separate Truss Identification Form Storm-Water Assessment Form A roved 20--- Disapproved � Contact: , p Mail to p _ ..............�..... ......__ approved aic Expiration 20 Building n��I _. r " 114c) � APPLICATION FOR BUILDING PERMIT Date_. .. ........._._.._.. ,20 Zd JUN 2 9 220 INSTRUCTIONS a This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale Fee according to schedule r' .,(I pb"Plot.pNam showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areal and,watelwa s„ � "1'he wvdrk 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 criacted in the interim,the Building,Inspector may authorize,in writing,the extension of the permit for an addition six inondis,,Thea after,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 de lition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. .... (Srgatanzre of P -.ant cx��n.: ,if a corporation) (Miiihng,ada� ofappli nt) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of _. t�iG•t 1...02-- ... __�w . cow.... _u........ _.,._ owner of premises.. J n! .......M 1._..m...M . - ....w. ...cow_.wwwwwwwww _ ... __.u.. ('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. _.._..........w....... ___ ___._.........._._.. Electricians License No. Other Trade's License No.� Fi d 1. Location itse N/tnWrwhich hie Street eel coni will be��_...._�..Har�rie n...�e�rywwwwwwwww�..........._mmm._......wm. County Tax Map No. 1000 Section Block ,_ _ W w ww_µLot_ww Subdivision wwwwwFiled Map No. Lot 2. State existing use and pansy premises and mAndediiseand occupancy of proposed construction: a. Existing use and occupancy . ..... t b. Intended use and occupancy_ 3. Nature of work(check which applicable):New Building—_ Aiter Removal Demolition Other Work t. ri,t� (11 scription) 4. Estimated Cost Fee (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 Depth Height Number of Stories Dimensions of same structure with-alterations oradditions- Fro6t Rear Depth —Height Number of Stories 8. Dimensions of entire new construction:Front_Rear;__ J,)epth 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?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 Address —Phone No. 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,SOUITIOLD TOWN 1RUSIEES&D.E.(.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO e---" 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 18.Are there,any covenants and restrictions"with respect to this property? YES—NO *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF-_-) being duly sworn,deposes and says that(s)he is the applicant =�eofi� ,fi�---- idual–sii�:mgcontract)'ab<)vcnamed, (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 Sworn to before me this '20 ..................... Notary Public Signature ofApplicant a11 `. "� C Oji BUILDING DEPARTMENT-Electrical I f5 I soC,., a"� wTOWN OF SOUTHOLD Z - In Hall Annex- 54375 Main Road - ox J1JL79 2 .� 2020 Southold, New York 11971-0959 ' 631 765-1802- FAX 3 765- 502 ` l phone ( ) (6 1) 9 outholdtou nn ov-seand southol t� 4 7. APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: floe I u ��i4- 0 2 Name: License No.: email: Address: Phone No.: 1031 - '6S-"- ,5-4 — JOB SITE INFORMATI N (All Information Required) Name: tnl_etu /!'1. .L. S (9Hd'`bF1lzA �� S Address: aq, Spm Cross Street: Al wi N Phone No.: 6s ( - - & 3( — g[6 7 Bldg.Permit#: _ _ ' _'� __ email: Tax Map District: 1000 Section: Li Block: 3 Lot:Q BRIEF DESCRIPTION OF WORK (Please Print Clearly) Mt 9 h* (N &IF GJ �1Cr✓ � � a to Circle All That Apply: Is job ready for inspection?: YE" / NO Rough In Final Do you need a Temp Certificate?: YES / 00 Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service-Fire Reconnect-Flood Reconnect-Service Reconnected-Underground-Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form.xis j i HO' 1, i i i G s i 1 a r �� o bac 10, �Jlr �1 Iu� "u ✓rV'� ffill FUJITSU % swum 'Itcyo //i K:DoC INVERT ER p UJI POP ' J ll1� C �r !1lyl�r, „r / d � f / / i / lllm f i / r r_n, a . r f i , ONER r loll Il V ;iUnitary Small AHM Standard2101240 R/ rr 11111m,", , so COOL HEAT 21600 /HR 18000 M 0 14.0 0, 2 2 13.. � iJ ✓ //,", 0.3 17. 3 A " 20 "A D �� -- A lb 14 oz � into wk s 0 psig, ; / ETL l STEP 0 psig. W RU18RLF k E E * 18RLF p ' MADER C 01 rri iii r rill/ii rrr b , 't" l EFt7t Town of Southold 7/23/2020 53095 Main Rd Southold,New York 11971 0 > RE EXISTING CERTIFICATE OF OCCUPANCY No: 41278 Date: 7/22/2020 THIS CERTIFIES that the structure(s) Iocated at: 295 Sterling Pl., Greenport SCTM#: 473889 Sec/Block/Lot: 34.-3-27 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 41278 dated 7/22/2020 was issued and conforms to all the requriements of the,applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one 1'a.mily dwellin with wood frame accews q g rag ~.! Notes:BP38995 alterations and deck addition COZ- 137 BP 94 a built air c n i tica g COO-41277 The certificate is issued to Claps,Vincent of the aforesaid building. x SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. b Au o-ize gnature ._ ...�.......... BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 295 Sterling Pl.,Greenport SUFF.CO.TAX MAP NO.: 34.-3-27 ..ww....... ,,....._, .._.SUB .._._..�.... .__. ....... .,.,......,, w.....__� DIVISION: _............ .. .._..... . ....... ........ ......... ..... NAME OF OWNER(S): Claps,Vincent OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: ,...Claps,Vincent ..... ...................._�w..................... . ..............._...................... _..._._....___........._ -D—ATE—: 7/2" DATE: 7/22/2020....... DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATIONWWWW cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 _.TOILET ROOM(S): U.........._ _w......_--.. , _.M.._,...........� TILTTY ROOM(S): ..........._..�.........u..�,_--- PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: n.._ FIREPLACE: G._ ......... .... ARAGE: DOMESTIC HOTWATER ..........................x..... TYPE HEATER: --_ ........._gas AIR CONDITIONING: TYPE HEAT: gas WARM AIR: HOT WATER: baseboard #BEDROOMS:,...._............... 2 #KITCHENS: ____w-w-__ _....... . .,..,,,,. ............wvw.._._....... __............................ 1 BASEMENT TYPE: unfinished _._........._-........................................_. _,,,.,.....mM. __.. . OTHER: ...................................__�. .. -------------- ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 6/23/2020 TIME START: 1:07pm END: 1:45pm Form No.6 TOWN OF SOUTHOLD FEB 2 7 2020 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 S 15.00 Date. New Construction:._._............ .....7 Old or Pre-existing Building: (check one) Location of Property: go R. ?9 a(Jjqk��t— H.:t0. Street Hamlet Owner or Owners of Property:_Yi I �!3e.r-d—a'ax6ra---- Lot. Block ....... ....... Suffolk County Tax Map No 1000, Section Subdivision .......... ...._.._..___..m__....... Filed Map. Lot: Permit No. m Date of Permit.- Applicant: Health Dept.Approval: __Underwriters Approval: Planning Board Approval: .................................................— Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: Applicant Signature CONSENT TO INSPECTION; FEB 2020 Vi INC 'n+ + � ._._._. .. ?..... ......... ._.._. the undersigned, do(es)hereby state: Owners Name _. That the undersigned(is)(are) the owner(s) f the premises in the Town of Southold,located at , , �J .�y iffolk which is shown and designated on the iCcaunty Tai Map as District 1000, Section q*I 8 R�1,BlockLot 0�27. UO o , That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property,including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances,rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. l Dated: �j (Signature) I (Print NamJ) (Signature) (Print Name) SlER�-�NG POE 7 4, a t 12.8' LLI> s`roow R U> OQ li. CD z J J W - 9.1" - o 0 o �o v �z X w - o_ wL z g 17.6DECK ,'yg U EXISTING GARAGE CONCRETE DRIVEWAY 9.2' X01 NEW � SCALE 1'=20' L PLOT PLAN VINCENET CLAPS RENOVATION 295 STERLING PLACE GREENPORT, NY " SCTM No. 1000-34-3-27 l0 DR. VINCENT CLAPS I' 450 SNUG HARBOR ROAD GREENPORT, NY 11944 JUNE 17, 2014 PLOT PUW OEbF1OPm FADY SO7Y AND RFiD YFA.ti1J17EYIXI5 DRAWN BY: D. CORWIN Gds _. _�_... .. ._._�..._._._.... . .. w. _- .._. ........... ....... ._ .__ I L k +'ru— IXtlR • .� Y_69NMYMN�'�',M Y uR%YLY,f arx" d i uwW'wiw II,wC,tn16 1111MRCF'r.rr,WNP.F: ALLIY7.C'1r.J'r RE P ' CERPlRCA"'L L'( 4Ulti ti<•'.'Y y W.X a 3fH/YF6t Gm'.fJ FFfj iN7 T DT 10 FI D wamaxww � F'Xr:F:Fd?/!0(7F Y7 6 ASL ,SEA.".� �IXk"" ".IY� �" �k. APPF w.wl sr,rrun n'n.na Deco v.:G,,Nghi it i &ku'Cdwiu ,W ^ I 1 G ff5 .+-rw«•,.m..wosn, wm ,�w.e» ��''""� � F n�rrn.Lnunnn� llL6Y ipf' lL 'Y EIEUfRIC CICYGUIT'� ..44� p. �"wµ aro cL rsa' I o """ G YCk f F ES ACE C '+5 pf Y6 W,YlIUGY L' YR1=1 a 'Wxw�.wA ww .. �..•...•,•••, �ry � AL,LOMA,Y" Y I � 4 M we '""""""•• .vc ELE."MICAL tNSr mm� pwawL waa wa+ 'e aro DWELLING RENOVATION VINCENT CLAPS 295 STERLING PLACE :° ......, waw.Mawr nnnc a ros Des puu new M cxmm GftF_ENF'C7RT, IVY 11944 w w SG7M Na 1000 34 -3-27 DR. VINCENT CLAPS r a^wm a„ �aoxsaso-wne 450 sNuc HARBOR ROAD G REEL PORT, NY 11644 651—4 PP 0110 ��dp JUNE 16, 201.4 BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed from Augusta L. Macomber dated April 16, 1946, and recorded in the Suffolk County Clerk's Office on April 17, 1946, in Liber 2552 page 193. PARCEL H A9 •�Y.a�'i•4`B.`II3''4'4 ei41 ..1..+ .�--,...., ........�.�.-t ..�1.....1 ,.:f.....a 3....,... ....A 4.�`_...�....__� .t._. SY_H__} , V of Greenport in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows:- BEGINNING at a point where marked by a monument on the northerly line of Champlin Place where said highway is intersected by the present westerly Iine of land of Edward and Clara Helinski; f1t 1l/KJii4ff.`f'L41-.1§rr•e.�„F,.,,;. ,....,..; r,—_o� _ —. .., Edward and Clara Helinski; RUNNING THENCE southerly in a straight Sine to a point on the northerly line of Champlin Place 17 feet in a westerly direction from the point or place of beginning; RUNNING THENCE easterly along the northerly line of Champlin Place 17 feet to the point or place of BEGINNING. - ww .......z u deed from Constance Helinski dated April 28, 1961, and recorded in the Suffolk County Clerk's Office on May 2, 1961, in Liber 4980 page 362. RESERVING, HOWEVER, a legal life estate in the above-described premises with the buildings and improvements thereon erected, in and to the party of the first part. THE PARTY OF THE FIRST PART HEREBY RESERVES A SPECIAL POWER OF follows: TO or among any one or more members of a class consisting of the party of the first part's descendants, in any degree, whether presently living or born hereafter, in such proportions and amounts, without regard to equality, outright or in trust, as the party of the first part may direct and appoint during their lifetime by a properly written and acknowledged instrument, and recorded prior to death, making specific reference to this power of appointment. The of their estates, under any circumstances. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said 1 Fami 9002—Brogan and Sale Dee4 with Cmcnant Wmat Oi intoes Acts ktdmdwl or Coryonuom(eagle sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. d 777 BETWEEN EDWARD W.HELINSKI and CLARA HELINSKJ,husband and wife,both residing at 295 Sterling Place,Greenport,New York party of the first part, and Creek Drive, Southold,New York party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of PARCEL I ALL THAT CERTAIN plot, piece or parcel of land, with the buildings thereon erected, situate, lying and being near the Villllage of Greenport, Town of Southold, Suffolk County, New York, bounded and described as follows:- . .0 ... westerly line of Sterling Place; RUNNING THENCE northerly along the westerly line of Sterling Place a distance of 74 feet to the southerly line of land of Chauncey Reeves (Lot No. 26 on Map entitled ""iagram of Sixty Lots of Land in Greenport belonging to John G. Champlin"); RUNNING THENCE in a general westerly direction along the land last mentioned 110 feet to RUNNING THENCE in a general southerly or southeasterly direction along land of Constance Helinski a distance of 74 feet to the northerly line of Champlin Place; RUNNING THENCE in a general easterly direction along the northerly line of Champlin Place to the point or place of BEGINNING. 8171 aoi 8 TOWN OF SOUTHOLD PROPERTY OWNER STREFT fi VILLAGE DIST 5UB LOT FORMER OWNER .ACR. YY G' TYPE OF BUILDING "i—�v zo MNA w RES. SEA5. VL FARM COMM CB. MICS. Mkt. Value LAND IMP.. TOTAL DATE REMARKS a"�. AGE „ BUILDING CONDITION _..._, ............ _.. ............. _.._,u.,, w,,,.... .. .. .. ... __; .__.------W._ .. NEW NORMAL BELOW ABOVE ,.._...._ Acre ... ....... _ ...,,,. w.._. _w... FARM Per Vclue e AR(J..... . .. Acre Value, _.M.. _ .. . .� ..,_w..... ... _ �..w...._,w...._ Tillable . ....,...._ _ ...w...... _.,,,,, FRONTAGE ON WATERS ao . _. ,.,5 .,_ _,, .. _,.,........ . _..,... ... .0„_...,_.. __._ .x .. WoodlandFRONTAGE ON ROAD ...,_v..... ._.., .,ww .. d, Meadowland DEPTH House Plot � � � � BULKHEAD Tcml a .,...,, � DOCK ww ... _ .....,, ._,. Y I 1.OR r C 7RINA ...M� . ua L k I { X w Y .k N. P y M 4 n � ..� -4- 34.-3-27 _. .. 10/2014 M. Bldg. ...................._.. .. � � �, pro° ., .�.,_. _�. mm.. .�. .... �. Ehrenw sn ° TI Extension .., ... .. _... �. ,.,. r Extension . ._. _ ,._ GFourrdotion Bath D,i zelte .........._. w...,.... ....,_.__.W. Porch Flo ..._._.. _.. �_� �m .. ............._._r,.r ",_...,._ ....,. eo ._ r ID< Parch ExtWalls Intarioi F ntsh LR, Breezeway Fire Place Heat Gora e 7 YtRofRooms 1st Floor B R R.. �P _ ..w_��..__..... Pogo Recreation Room Rooms 2nd Floor FIN B G B a .....,�_._. ....�._ .,.,.,,,............ I�'r.��Dcurcnnar.�,. ,._ _....�...,... .,._.....,... DrivetvoY....,..,..�,..u�_._.,..�.. „_.,.._..� ..._.�.,.._�.,....._...,....,_��_ Total tiv l_ TOWN OF SOUTHO D BUILDING D►EPTs r . IN-SPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY ' [ ] FIRE SAFETY INSPECTION [ j FIRE RESISTANT CONSTRUCTION [ ] FIRE SISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL) [ ] CODE VIOLATION [ PRE C/O REMARKS: Vr ffn h t" V�j I DATE INSPECTOR, Ar 4v LOCATION; ► (number&street) (rnuniilaakF) SUBDIVISION: P•NO.» LOT(S): NAME OF OWNER(S): OCCUPANCY: av C 1 ► (type) (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF.CO.TAX MAP'NO.1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTI'ON:, STORIES: ._#EXITS: If FOUNDATION 18ASgMENT:, 041 CRAWL SPACE: #OF BEDROOMS: 1ST FLR: 2ND FLA: _ 3RD FLA: BATHROOM(S): TOILET 1 i00M(S): UTILITY I'L ROOM: PORCH TYPE: DECK,TYPE �"��TIO TYPE: BREEZEWAY:' FIREPLACE: GARAGE: mcaw ? DOMESTIC HOTWATER: TYPE HEATER:_ .. AtIRCON I�IZTIONI'NG: C � TYPE HEAT: g WARM AIR: HOTWATER: s 9 OF KITCHENS: FINISHED BASEMENT YES NO OTHER: ACCESSORY S I RUCTU' ES GARAGE;TYPE OF CONST.: STORAGE,TYPE CONST.: SWIMMING POOL: GUEST,TYPE CONST: OTHER: VIOLATIONS: CHAPTER.144&N.Y. STATEUNIFORM FARE PREVENTION&BUILDING CODE LOCATION DES PTIO ART. SEC. REMARKS INSPECTED BY: _ DATE OF INSPECTION: D Y� TIME START: .DeM END: Q+ � � € TOWN OF SOUTHOLD n a Permit Permit No. 0322 Owner Vincent & Barbara Claps Occupied as Single Family Dwelling Located at 295 (aka 505) Sterling Place Greenport 34-3-27 Village g/g/L Maximum Permitted Occupancy 4 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 7/23/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times 1� �(frot TOWN OF SOUTHOLD BUILDING DEPT. 755-1802 [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [/] FIRE INAL 0.�'�� ,` . FIREPLACE & CHI NEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: �. DATE 1 G INSPECTOR Town Hall Annex Telephone(631)765-1802 54375 Main Road Ir Fax(631)765-9502 P.O.Box 1 179 ^ Southold,NY 11971-0959 BUILDING DEPARTMENT, TOWN OF SOUTHOLD FEB 2 7 2020 RENTAL PERMIT APPLICATION_ Rental Permit Fee$200(Application must be renewed every two years) r Section A. Property Information: Rental Property ss: 5 a Tax Map Number: 1000 SECTION «<'� r� -BI. �.Nlw� �'' .... -LOT�;�� SECTION B. OWNER INFORMATION: ILProperty Owner Name: . ( n Property Owner Legal Address: Property Owner Mailing Address: `.� �,° �" I. �f. kJ �ry )" ^ I Telephone Number (s): Da timeta) y77•CIIU,Evening . .... Emergent` „ w Property Owner Email Address: ` — w Page 1 of 5 1 Town Hall Annex Telephone(631)765-18,02 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime :Evening,--- Emergent _w Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O.. Boxes);, Mailing Address of Authorized Agent:, l a Telephone Number(s): Daytime.. Evening Emergence' r Email Address, SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) I Name of Managing Agent of dwelling unit, if any: PIA- Address i of Managing Agent (no P.O. Boxes):, Page 2 of 5 Town Hall Annex ` Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 w. BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: I� Telephone Number(s): Daytime. Evenin _.:Emergency . Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property:,,,, For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use`"Rental Permit Application Addendum." 0,00—S Rental Dwelling Unit Identifier: (10-0 it"')4 Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit:: I m a � 1 a tl � i 0 V40 1 .. Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road (631)765-9502 Y.O.Box 1 179 Southold,NY 11971-0959 „ d f. BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of.Suffolk and by the laws adopted by the New York State Fire prevention and Building Code Council. .. I aryl requesting a fire safety inspection to be performed by a Code Enforcement Official ? from the Town of Southold ❑ I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) certify under penalty of perjury, the following: 1. 1 am the owner of the property identified in "Section A" of this application. The property owner's legal address set forth in "Section B" of this application is my legal 2. p P Y g address and I understand the Town will use the address for service pursuant to all i ( l Page 4 of 5 N Town Hall Annex �� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes es t• d thereto. 9 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same.' h Town within five 5 business days as to an change to the information 4. I well notify the O Y Y , regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name Property Owner's Signature: CFL 4 Sworn to before me thisi day of � �2 01 Official Not r Public Signature n Original Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN COMMISSION EXPIRES COUNTY JUNE a� Page 5 of 5 IJ `m 1 k� 1 4 . Ll S � MuIIC ,............ 4 rind,n,,r. �f "i✓ i R f 9 n i TOWN OF SOUTHOLD PROPERTY E-CuKu—i�:jw&RD OWNER STREET VILLAGE DIST. SUB. LOT �e ) FORMER OWNER N .fi E - ACR' W TYPE OF BUILDING y rllft � 6V t� � �4t � At RES.jj& I SEAS. VL FARM COMM. CB. MICS. Mkt. Value s' LAND I IMP. TOTAL DATE REMARKS s =' 1 -op A16 I I ' AGE BUILDING CONDITION , NEW NCRMAL BELOW ABOVE I FARM Acre I Value Per Vclue� c Acre Tillable FRONTAGE ON WATER a� Spry Woodland FRONTAGE ON ROAD Meadowland i DEPTH _ House Plot ; i BULKHEAD ; Toml- +f �-' DOCK 1 • F Lit y TRIM f - I I +e 3 L I -.#R�4- = i I I 34:3-27 10/2014 - - M. Bldg. I Extension _ } �21 s I � • f Extension � 3 " I i ,3. 00 Extension Foundation �° Both Dinette Porch t Basement Floors I<, . Porch Ext. Walls Interior Finish SLR. Breezeway i `Fire Place I Heat DR Garage . t% . ff7 -. L�- ype Roof Rooms 1st Floor `BR. —. Potio Recreation Room Rooms 2nd Floor I FIN B O. B. j Dormer Driveway Total i I, F04Town of Southold 7/23/2020 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41278 Date: 7/22/2020 THIS CERTIFIES that the structure(s)located at: 295 Sterling Pl., Greenport SCTM#: 473889 Sec/Block/Lot: 34.-3-27 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 41278 dated 7/22/2020 was issued and conforms to all the requriements of the,applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one fkmily dwelling with wood frame accessory garage.* Notes:BP 38995 alterations and additionCOZ-3711ZBP 44946 as built air conditioning COZ-41.277 11 The certificate is issued to Claps,Vincent (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A . o ` mature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 295 Sterling Pl.,Greenport SUFF.CO.TAX MAP NO.: 34..3-27 SUBDIVISION: NAME OF OWNER(S): Claps,Vincent OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Claps,Vincent_ DATE: 7/22/2020 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: w.... . __www._._._........ BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: _w._...x TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: gas WARM AIR: HOT WATER: baseboard #BEDROOMS: 2 #KITCHENS: 1. _ BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 6/23/2020 TIME START: 1:07pm END: 1:45pm Town of Southold Annex 9/9/2014 P.O.Box 1179 54375 Main Road " ► Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37137 Date: 9/9/2014 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 295 Sterling Pl, Greenport, SCTM#: 473889 Sec/Block/Lot: 34.-3-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofTced dated _. 6/17/2014 pursuant to which Building Permit No. 38995 dated 6/27/2014 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 lc addition to an qxigtjpg one family dwelling apillted for. The certificate is issued to Claps,Vincent&Claps,Barbara (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38995 7/23/2014 PLUMBERS CERTIFICATION DATED 9/9/2014 Vincent Claps 4ign,a ..........Au ed re 4 Mote Town of Southold 7/22/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY CY No: 41277 Date: 7/22/2020 THLS CERTIFIES that the building AS-BUILT ALTERATION Location of Property: 295 Sterling Pl, Greenport SCTM#: 473889 Sec/Block/Lot: 34.-3-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/29/2020 pursuant to which Building Permit No. 44946 dated 7/2/2020 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: "as built"air conditionin as aDnlied for. The certificate is issued to Claps,Vincent&Barbara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44946 7/22/2020 PLUMBERS CERTIFICATION DATED 4 uthorized Signature