HomeMy WebLinkAbout1000-34.-3-27 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
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-fur� a
i
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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
—_
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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$50.00.
Final Health Department Approval.
✓/ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT— 38995—Add/Altertions
CE
S�ER�"1�G per,
?4
12.8"
w
�O �
BUD
C�
Z
J
J
Lu
o zo
z Q U
> Q
(%z N �]
x w o_
w�
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g
17.6' — DECK
a
U
EXISTING
GARAGE CONCRETE DRIVEWAY
7.9" _.d .._
9.2'
73'
Off, NEW SCALE 1 '=20'
S. 1�
,c0 2 4
PLOT PLAN
VINCENET CLAPS RENOVATION
d 295 STERLING PLACE
GREENPORT, NY
6
SCTM No. 1000-34-3-27
` w sq
DR. VINCENT CLAPS
450 SNUG HARBOR ROAD
GREENPORT, NY 11944
JUNE 17, 2014
N,M OPMOM FMM WMµo Sao MEASM„Q„S DRAWN BY: D. CORWIN
a rtn NN^ � i
x. W
1A I -% .—C
PLUMBING ONGFUUI ... roJ',........,, ��Pr ✓i. .. 6'MmAT4"
I
d Md4�n F
P I 5r"ti0.O�"td
emuoou k^�t;Ma`&H,W�'tttl�Or rt:.kr+f
r l (F" 3T5
J ..i ...
^b APPF=�
' Ey r OLLO G YSG L �R T
f d FOU o TON P REO
BmNtl6N F 4Po FEO LO� 'EE
} TKAPPPUJG AGE cU:Y
3LiN—1CAULK
15ULAION
_ m,mm„ CCCC a FL5L MONS "nC`6ELECTP
1
ELECTRIC CIRCUITS " � EOUOIPE1 ENi50—`-CE30
.... ... ( ,..RSNKK(MMtlA6". I.'.;:YiakMb�fG (^,,.-,"•.•". ( YOMSNOi NES✓. aEF[ '
*, px"`�✓/ S I OE61GN GACONSiNUCTON ENroN
,•• .... LLCE�SSM hPqNn N1.' Jrr
Ml .,.. w�. �,..... 9 ALL CONK n 41
,�.,,..... a
.,.. .p A �' T THE
..
C, eS OF I. .STATE
ELECI
Noo u^ I ,.•.._. ...,..... INSPECTION rEOUI IED
. ...,
ro DWELLING RENOVATION
--- ---- `"`" VINCENT CLAPS
,,.--
t— em uss' r e•�.—.. xrt 295 STERLING PLACE
34-3-27
LAN VIEW
w_.... oo,ua.,...Y .. Noo c_........ rr u r^ ..." ...r uwmcr"sn w m.GNs X"'
P '° wit GREENPORT, NY 1 1944
... Nom wN SCTD N V CENT CLAPS
�, DR. VINCENT CLAPS
450 SNUG HARBOR ROAD
,.. ^ ^^ ^^ „� GREENPORT, NY 11944
'"` ""�'^'�"i 631-477-0110
ff 'k JUNE 16, 2014
c�y11Fl$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
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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
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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
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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
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k� 1
4
. Ll S �
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,............
4
rind,n,,r. �f "i✓
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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