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:ray O�OSHFFOIKcoG Town of Southold 8/19/2021 y� P.O.Box 1179 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42261 Date: 8/19/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 40 Bayview Ave., Greenport SCTM#: 473889 Sec/Block/Lot: 52.-5-33 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/4/1982 pursuant to which Building Permit No. 43730 dated 5/9/2019 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: kitchen addition to existing single family dwelling as applied for. The certificate is issued to Ott,Jana&Gary of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43730 5/17/2019 PLUMBERS CERTIFICATION DATED V ze Si ature r s�F�s� TOWN OF SOUTHOLD lt BUILDING DEPARTMENT `E 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#: 43730 Date: 5/9/2019 Permission is hereby granted to: Ott, Jana 9303 Slate Stone Ct Houston, TX 77064 To: Construct kitchen addition to existing dwelling. Replaces BP# 12000 a At premises located at: 40 Bayview Ave., Greenport SCTM #473889 Sec/Block/Lot# 52.-5-33 Pursuant to application dated 5/9/2019 and approved by the Building Inspector. To expire on 11/7/2020. Fees: PERMIT RENEWAL $57.50 Total: $57.50 Building nspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH'OLD, N.,. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..... Z 19. Q 12000 r:.`..�.< r`,:�:P.�4: .::�:..... ..., . Permission is hereby granted to: .......`jam.,; ..... . .l w. �.r`1.�.. r::,�;6.1............... to ... ..i%o�"d' .�. r:l.:L.•.... '.i..Sa ..y....*: ..... . . .... .7:.�� ........... 'p.L 44�:.^t_. ...................................................... ....................... ..... ................. ........... at premises located at ... . ...... �,�.:?s r� { : . ........... ..�° /`r✓:•'�. ....� � r r 7 . ................................................................................ ................................................................................ ................................................................................................................................................................. ,z _ CountyTax Ma No. 1000 'Section ... / ... p �'� 1�.�...... Block ...�.�.��::...... Lot No. ..�,.�,.�.�`�......... pursuant to application dated ...�L�.,. :. ........:Z..S..-......................... 19�.Z,-,'aind approved by the Building Inspector. Fee $.. . .. .�.......... i f Building Inspector Rev. 6/30/80 pF SOU��®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ,c® ® a® roper.richertttown.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jana Ott Address: 40 Bayview Ave City: Greenport St: New York Zip: 11944 Budding Permit#. 43730 Section: 52 Block: 5 Lot: 33 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt 20a Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 5 Twist Lock 11 Exit Fixtures TVSS Other Equipment. "AS BUILT" "ELECTRICAL SURVEY' "NO VISUAL DEFECTS" Notes: 1-range hood Inspector Signature: - Date: May 17 2019 81-Cert Electrical Compliance FormAs pF SOUTy06 # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLBG. 4?57 ?jb [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE I? fl INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. Mum , 765-1802 INSPECTION [ ] FOUNDATION 1ST YIRO GH PLBG. FOUNDATION 2ND LATION FRAMING /STRAPPING L )W-�OVJ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION �. [ ] CAULKING REMARKS: 6 e✓m, wown& L on �( YA9 t3 yo- fj&tV�el G49 ' q"�1 f) kow uO&txv-c vjo�� b 0 ruv- , W� S�Ju :Pito 1> AA A,P) Vk Aft. 4M V)Ab� *A6400,. 4 h L DATE41--WINSPECTOW SOF SOUI • hod Hp� # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: �- hoot _ �� � � 4 D4ea vp Sv lv APJDD 03,v AVDJ DATES INSPECTOR OF S0 U * # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE 1/(P INSPECTOR FIELD INSPECTI(SN JDATE ICOMMENTS L i 1 . � ✓ �';of ` H FOUNDATION ( 1st ) FOUNDATION ( 2nd ) m _ 2 . z o ROUGH FRAME & PLUMBING CIOH 3 . INSULATION PER N . Y . t "� STATE ENERGY CODE kin MIA 4 . y FINAL a� 4 O f � ADDITIONAL COMMENTS : RJrc oo rx r � Vr it Ml ' x r� ' r H \ x � H �y S / ` FORM NO. 1 3 , TOWN OF SOUTHOLD BUILDING DEPARTMENTS l�(. TOWN HALL 4 SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . . . . . . ., 19IF'k-l" Application No. �. . . . . . . . . . / F � Approved ��. .`- . . . . . . ., 19�ermit No. �Ud . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . --�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F l (B iid ng Inspector) APPLICATION FOk- BUILDING PERMIT Date . . . . .. 19 . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . . . . . . . WJ QNK..a. °.�►.��.., . . . . . . . . . (Signature of applicant, or name, if a corporation) 4$ . TAS V U0.A.v, ,Sav�halA�K;, k.01 1. . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .©.W 04► 411K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . t,.l<P��.'�S�Q.��.. lur�l.lVK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . tc . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . Electrician's License No.NIA'. . . . . . . . . . v Other Trade's License No R& . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . hQ . . . . . . ... . . ....Bk,.V.1 . . . . . . . . . . . . .Dovil N.Ql.A. . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . .&.rL . . . . . . . . Block . . . . . . . . . . Lot . . . . . . 11 . . . . . . . . . Subdivision . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) ' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a , a. Existing use and occupancy . Sw�Db`,C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I b. Intended use and occupancy . . .k 1'T . . . . . . . . . . . . . . . . . . • . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . r. . . . . Addition Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . .I. . . . . Other Work ... . . . . . . . . . . . . . � _ 62, (Description) 4. Estimated Cost .1.4o �a..- . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . .C.v. .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 . . . .SO�. . . . . . . Rear . . .a.O.. . . . . . . Depth . . .JC)�. . . . . . . . Height A'*' , o`r. . . . . . Number of Stories . . . .Q til�_.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . Q�. . . . . Rear . . . . . 0.�. . . . . . . . Depth . . . .�S.O.. . . . . . . . . . . . . . Height . . . .vv. .�!r. . . . . . . . . . . Number of Stories . . . �115�. . . . . 8. Dimensions of entire new construction: Front . .1.'1,... . . . . . . . Rear . . . . .1.-.1 . . . . . . . Depth . . . .10. . .. . . . . Height' . . . 11�!. . . . . . . . Number of Stories . .0 Na V . . / . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front .Slb.**. . . . . . . . . . . . Rear . . . . . . .. *. . . . . . . . . . . . Depth . . .1.$O . . �. . .1�i . . . . 10. Date of Purchase . .Ju.Vl( . . . . .%q(v% . . . . . . . . . . Name of Former Owner`�ot��a„'r. .k�RAS�. . . . . . . . . . 11. Zone or use district in which premises are situated . . . . A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed,construction violate any zoning law, ordinance or regulation: . .NO. . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . NO . . . , . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises\kovTV_ :'R3 A%N.K. Address%1 B.&VYIQ.44 AV,. . Phone No.(.71t)IW -r 5.11T. Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. L 6 T W /A B E R S REFER "TO "/AQP OF ' SUM /AEti. WLVIEN " FILEO IN 114 SUFFO►.K r— — 111 COUNTY CLERWS OFFICE AS IAAP W� 1133 i L` LOT • 64 FEItCE AT OWE j --� �� 50,0 N 5v 30' 00' E -- ISO. 0 W 15.0 I . 18.0 g'—► n I . ei OSI 3� 1 00 li 3� 3 . i a �N 7 ii I �I 0 4 OJ - 'Al � � I N Z N QO Z cc FEKcE Aa LIME' t --y S 5z' 30 oo" ev. STATE OF NEW YORK, SWAY. T�es LTO, / COUNTY OF . .SU f�R1�..X, . , • S S . . . . 'Z emp %3 A.�.Wm• . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the . . . . . . . . . . . .Q WNVO . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, a ent C r orate`officer etc.) •f•, � g � 4 p � ' 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 /m�e this nI . . . . . .=:a.5-��. . . . . . . . .day of. . �.�C o �??1!. . . . ., 19c�— Notary Public, . . . . . . . . . . . . . . . . . . �./. County ~ N . . . . . . . . . . . E IZA66T ANN NEtlILLE . . •`-'������. .' _ . . NOFARY PURL C• State of New Yorb r- (Signature of applicant No. 52-8125850, Suffolk Coyoty'/ Term Expires March 30. 19f y1FFUL,�C BUILDING DEPARTMENT- Electrical Inspector X0`9y ��D TOWN OF SOUTHOLD wn Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 4; 1 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert(a)town.southold.ny.us A N FOR ELECTRICAL INSPECTION Date: REQUESTED 6Y: Company Name: Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION: (Alf Information Required) Name: cAna- Address: Lo SU Cross Street: Phone No.: _ 50 - email: �{� . q� ct C6M CC4. G Bldg.Permit#: Block: Lot= 3 3 Tax Map District: 1000 Section: 59; BRIEF DESCRIPTION OF WORK(Please Print Clearly) Circle All That Apply= Final Is job ready for inspection?: YES ! NO Rough In Do you need a Temp Certificate?: YES I NO 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 82-Request for Inspection Form As d\/ �� Js TOWN ROAD ell _ • No�'E • LOT MWABEStS REFER -TO -AAP OF r SUM /AESL kW04 -` FI LEO IN IPC SUFlrov k 0 w COU#41Y CLEI2i S OFFICE AS /,kA.P 10? 1133 L 01" • 2 N > O e - o LOT 1 CIO N LOT • 64 y ar� FENCE AT 0644 _ N52' 30� 00" E 50 148 N. 0 0. 52. 30' OC` E — 150. 0 f < ui 15.0 1 T.0 18.0 -TIE LiNS O !n O s� 11' 20'W I 1 tri�P K 26' 11' 20'W GARA6E 25.50 N "' �- O �-W ry I �� W S. S2, 30'04".W. - 153. 0 LL 3S I - 00 g o Z 3 1' _a f _ 2 �' Z it1 A O o MAGWUSSOM �� t- o a ID ►- sir v• 3' ZLd 4 r FEKCE Aj LimE- fIL --- - p f� S. 52' 30'0 0" W. - 131.85 /A (�/ \ A 1' V F . I A W SWAY- 71:t'S LTD, / Io SuavEYED FmQ ALTE 2 U D I M GUil.Q,& sTE€O TO TAQ 1.10lAE _TiTLtrDIv{Siloto • 2 StTUAT6D AT ( CAICAGO TITLE lMSU�QANCE COMPAMY SCALE C 3( ������ � �.� � - SuStveYED JUNK 2-3e 1969 m = IQoA3 PIPE - TOWW OF SOtiTVIOLD uEWYORK - `�' AN TUY L. s� O N 3D- 1�� - ;., LICEMSEO LOWD Si4lZVe OIZS I _ GRI: ENQc0.T , New YCP.K .f • - r ry.2. i N'rR`S --To R- F— CIflSF,Q. / .-Pb�FC�[�1� Wtui•hous't'o RE �To t3E rjrL aQL`Cn"Voa P�SstiG / �S�O�'d�_EE`D I�DDI'i'tflN `�'cn ti'�L Kt'7Cl-St)V F Raw-r_1 11-APPROWED AS NOTED%. / FE BY NOTIFY BUILDING DEP AR MENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: E 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING'& PLUMBING 3. INSULAT!ON 4. FINAL - CONSTRUCTION MUST -- ---- BE COMPI.FTE FOR C. 0. _ ALL CONSTRUCTION SHALL ' MEET f - THE REQUIREMENTS OF THE N. Y. -- STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR - DESIGN OR CONSTRUCTION ERRORS. ♦q v a , • WALTER R RUDINK 48D BAY SOU HOLD, N. Y. A1971 i f '• ®lG J---- �• _ 1� �t � � jy ,. , . . . ... 1 .__x__1__..1._ __._ � - j' pi �0 - ' .. , `�' 111 .. -- '- ,- --'- ', -'- -- -• -- - '�;fr uk M�ZCCLIIa�SVCLCS O©Irt : R -,A(m 161' a/�. % PLvw' - i-ql'6'6-Et_T . kSPha,LA ShiNat-E-S ALLCt 3x 4 Ito" 'b/e-. t'Al tLtoti5h6�TuttuG� /2 LF < Weak Sk8ES 't-PL&z E: tL-x4 FiLoo tt- X.X Ss Sub h l.bctL: '�/4A PL'-V— �D 2h1s�1tA.'tiob.t acv^►t=ti1c�2 L ��� �h��'r`Rark T�-ltzcua.�o�'T. '('t]U1S'oA't�flN : g� X lb' CDNCR��1c..�00"sll`1G StT �ELc�w'Ftzns-r ti`isuc �� Cp11C�CTE RLocltS • - �"���cm-�� x,12�c�• .�` ��d��•� ����5 WALTER R RUDINK 48D BAY VIEW AV �ts�Lh\T"CEO SOUTHOLD, N. Y. 11971