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HomeMy WebLinkAbout33088-Z �o�q�FPOtp�pGy Town of Southold 9/20/2021 P.O.Box 1179 o o 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42366 Date: 9/20/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 63 03 5 CR 48,Greenport SCTM#: 473889 Sec/Block/Lot: 40.-1-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/2/1990 pursuant to which Building Permit No. 33088 dated 5/30/2007 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: addition and alteration to existing single family dwelling as applied for per ZBA#3934 dated 5/30/1990 The certificate is issued to Stern,Jolyon of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 33088 8/30/2021 PLUMBERS CERTIFICATION DATED 4/26/2021 P c Analytic 0 0 ri ed ignature (r FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33088 Z Date MAY 30, 2007 Permission is hereby granted to : JOLYON F STERN 420 LEXINGTON AVE NEW YORK,NY 10170 for CONSTRUCT AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR & TO CONDITION ZBA.THIS PERMIT REPLACES EXPIRED BP #19203 at premises located at 63035 CR 48 GREENPORT County Tax Map No. 473889 Section 040 Block 0001 Lot No. 013 pursuant to application dated MAY 25, 2007 and approved by the Building Inspector to expire on NOVEMBER 30, 2008 . Fee $ 50 . 00 Authori ed ignature ORIGINAL Rev. 5/8/02 FORM NO. 9 TOWN OF SOUTHOLD / BUILDING DEPARTMENT TOWN HALO SOUTHOLD, N. V. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N2920-3 Z Date ......�_ .f4....................................... 19. Permission is hereby granted .......: ,. 4/91 .... .. . .... : �- .. ......... . ..... �. . Z!�e............ .r.. ..t..'.. � to W- 4 V,el- atpremises located at . .. . `. .:... .. .... ....... . ... ,.... ... ................... ... .... ....................................... .......... ................................................................................ ....................................................................................................................<........................................... County Tax Map No. 1000 Section .........�./g...... Block .............Z..... Lot No. ...........f:>.... pursuant to application dated ... '.` .. ....,P................................I 19.�P ., and approved by the Building Inspector. Fee .1 .. ...... \� .......T . .....��'.�'c.�................. 7Ing Inspector Rev. 6/30/80 c� Form No.6 Fri TOWN OF SOUTHOLD BUILDING DEPARTMENT 1 TOWN HALL JUL ` G 765-1802 J r DEP APPLICATION FOR CERTIFICATE OF OCCUPANCY W Sn---_rQ 1 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$25.00,Additions to dwelling$25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00,Additions to accessory building$25.00, 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. New Constriction: Old or Pre-existing Building: (check one) &Location of Property: 00s— House No. Street Hamlet Owner or Owners of Property: dl(40-n Suffolk County Tax Map No 1000, Section Block I Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval Underwriters Approval: Planning Board Approval: Request for Temporary Certificate Final Certificate: (check one) Fee Submitted $ & _jV ApplicanC Signature ®��OF SOU��®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Sean.devlin(c�town.Southold.n us Southold,NY 11971-0959 y' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jolyon Stern Address: 63035 CR 48 city Greenport st: NY zip: 11944 Building Permit* 3308803089 Section: 40 Block: 1 Lot 13 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 1 st Floor Pool New Renovation 2nd Floor . X Hot Tub Addition Survey X 3rd Floor Garage INVENTORY Service 1 ph Heater 2 Duplec Recpt 13 Ceding Fixtures Bath Exhaust Fan 2 Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 4 Smoke Detectors 3 Main Panel A/C Condenser Single Recpt Recessed Fixtures 5 CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO 1 Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches $ 4'LED Exit Fixtures LI Pump Other Equipment In-Wall Heater (2), Steam Shower Notes, " AS BUILT NO VISUAL DEFECTS " Second Floor Renovation w/ Loft Inspector Signature: Date: August 30, 2021 S.Devlin-Cert Electrical Compliance Form '00"' Laboratory Results Sample Information: ® Results for the samples and analytes requested Type' Drinking Water aceAnalXical The lab is not directly responsible for the integrity of the sample before Origin: Distribution receipt at the lab and is responsible only for the certified tests Routine 575 Broad Hollow Road,Melville,NY 11747 TEL•(631)694-3040 FAX:(631)420-8436 www pacelabs.com Goldman Water Testing Lab No. : 70170459001 8700 Main Road Client Sample ID.: NELLE NUGENT Mattituck,NY 11952 Attn To: Gregory Nissen Federal ID: Collected: 04/23/2021 10:55 AM Point Received: 04/23/202104:10 PM Location Collected By AF99 Sample Comments: 63005 ROUTE 48,SOUTHOLD 6'3 D-3 5 SOURCE: UPSTAIRS RESTROOM,FLOW:5 MIN @ 2.5 GPM Analytical Method EPA 200 8 Parameter(s) Resultslifer D.F. Units Limit Analyzed: Container: Lead 4.3 1 ug/L 15 04/26/2021 12:41 001 13P4N1/1 Qualifiers- DF-Dilution Factor,if reported,represents the factor applied to the reported data due to changes in sample preparation,dilution of the sample aliquot,or moisture content. ND-Not Detected at or above adjusted reporting limit. J-Estimated concentration above the adjusted method detection limit and below the adjusted reporting Julie Litvin Iimit.Estimated value-below calibration range Test results meet the requirements of NELAC U-Indicates the compound was analyzed for,but not detected unless otherwise noted Result(s)reported meet(s)NYS Regulatory Limit(s). This report shall not be reproduced except in full, Result(s)flagged with'Exceed NYS Regulatory Limit(s).Limit Noted without the written approval of the laboratory. Date Reported: 04/27/2021 page 1 of 4 aceAnalytical 575 Broad Hollow Road,Melville,NY 11747 TEL:(631)694-3040 FAX:(631)420-8436 www pacelabs.com WorkOrder: 70170459 Laboratory Certifications Pace Analytical Services Long Island Delaware Certification#NY10478 Virginia Certification#460302 575 Broad Hollow Rd,Melville,NY 11747 New York Certification#.10478 Primary Accrediting Body New Jersey Certification#:NY158 Pennsylvania Certification#:68-00350 Connecticut Certification#:PH-0435 Maryland Certification#:208 Rhode Island Certification#:LA000340 Massachusetts Certification#:M-NY026 New Hampshire Certification#:2987 Date Reported. 04/27/2021 page 2 of 4 Goldman Water -Testing P 0 Box 859 1 Mattituck, NY 11952 631-298-4640 office@goldmanwatertesting.com goldmanwatertesting.com R RECIPIENT: Nelle Nugent Scheduled Apra3,2021 130 East 67th Street Description Lead New York, NY 10065 Contact: Nelle:646-283-3043 SERVICE ADDRESS: Sample: Sink NELLE NUGENT 63005 Route 48 Southold, New York 11971 A . R7`1 it LEAD TEST Water Testing Parameters 0 Field Number: 1�601 CL2: PH: Temp: Source: 0 KTAIg 9156T Flow Rate:; Date/Time: Routine Treatment: wog5*V"'�045.9� IIIII II:IJI�I hhlllllx.l�,lll, 70370458 LAB WATER TEST RECEIVED BY: DATE/TIME: fir 0 page 3 of 4 0 n. Sample Condition Upon Recei ® _ t`4 aceAnalytical Client Name: Project#: PM: JL1 Due, Date: 04/29/21 960 .CLIENT: HOD Courier:❑Fed Ex[:] UPSO USPS ❑Client ❑Commercial pace ❑Other Tracking#: Custody Seal on Cooler/Box Present: O.Yes ❑ No Seals intact:LG -YesO No Temperature Blank Present. Packing Material:❑Bubble Wrap ❑ Bubble Bags ❑Ziploc ❑ Other Type of Ice: We Blue None Thermometer Used: TH091 Correction Factor: fi0.O L?-Samples on ice,cooling process has begun Cooler Temperature(°C): 4 Cooler Temperature Corrected(°C): �,q Date/Time 5035A kits placed in freezer ✓ Temp should be above freezing to 6.0°C USDA Regulated Soil ( O N/A,water sample) Date'and Initials of person examining contents: 3,/2't X13 Did samples originate in a quarantine zone within the United States:AL,AR,CA,FL,GA,ID,LA,MS,NC, Did samples orignate from a foreign source NM,NY,OK,OR,SC,TN,TX,or VA(check map)? O'Yes ❑No including Hawaii and Puerto Rico)? 0 Yes1X No If Yes to either question,fill out a_Regulated Soil Checklist(F-LI-C-010) and include with SCUR/COC paperwork. COMMENTS: Chain of Custody,Present: __-j6Yes _ _ ONO 1. Chain of Gustody.,Filled Out: es ONO 2. Chain of Custody Relinquished:- es ONO 3• Sampler Name&Signature on COC: - es []No-__ .;ON/A 4. _ Samples Arrived within Hold Time: es ONO 5• Short Hold Time An6lysfs'[42hr)': '❑Yes UNo 16. Rush Turn Around Time Requested: oyes ONO, 7._ Sufficient Volume:(Triple volume provided for Yes ❑No 8• Correct Containers Used: , es ONO 9. -Pace-Containers-Used: lulYds ONO - - Containers Intact -) Yes ❑No 10. Filtered volume received for Dissolved tests ,❑Yes ONO 6NIA, 11. Note if sediment is visible in the dissolved container. Sample Labels match COC: , Ayes ONO 12. -Includes date time/ID,Matrix: SL WT)OIL All containers needing preservation have beenes ONO ON/A 13. ❑HNO3 ❑H2SO4 13NaOH 11HCI checked? r pH paper•Lot# gcToq� , .5 All contaihers.needing prase atlon are found to be - Sample# in compliance with method recommendation? (HNO3,H2SO4,HCI,NaOH>9 Sulfide, (lYes ONO ❑N/A NAOH>12 Cyanide) 'Exceptions:VOA,Coliform,TOC/DOC,0(I and Grease, DRO/8015(water). Initial when completed: Lot#of added Date/Time preservative Per Method,VOA,pH is checked after analysis preservative: added: Samples checked for dechlorination: Oyes ONO > /A 14. KI starch test strips Lot# Residual chlorine strips Lot# Positive for Res.Chlorine?Y N SM 4500 CN samples checked for sulfide? oyes ONO FN/A 15. Lead Acetate Strips Lot# Headspace in VOA Vials(>6mm): _ ❑Yes ONO' A 16. Trip Blank Present: - ❑Yes []No _ N/A 17. Trip Blank Custody Seals Present ❑Yes []No N/A Pace Trip Blank Lot#(if applicable): - - Client Notification/Resolution: Field Data Required? Y / N Person Contacted: Date/Time: Comments/Resolution: - PM (Project Manager) review is documented electronically in LIMS, ENV-FRM-MELV-0024 00 page 4 of 4 ©4r��FF1IL BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a)southoldtownny.gov - seand(a_Dsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Name: License No.: email: Phone No: ❑I request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.: Bldg.Permit email: Tax Map District: 1000 Section: L410 Block: [ Lot: y� BRIEF DESCRIPTION OF WORK (Please Print Clearly) �Q r 7j J 0, Check All That Apply: Is job ready for inspection?: DYES ❑NO ❑Rough In ❑Final Do you need a Temp Certificate?: DYES ONO Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION R� Pw V--4-3 4 Electrical Inspection Form 2020.xlsx � c� i U✓`F CO. r1 @c� � � � r J$- 03 765-1802 BUILDING DEPT. INSPECTION [A,l FOUNDATION 1ST [�UGN PLBG. 11 FOUNDATION 2ND [ ] INSULATION [ 7 FRAMING [ ] FINAL REMARKS: DATE INSPECTOR N�/� X2-0 3 765-1802 BUILDING DEPT. INSPECTION [ ] - FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [PI/FRAMING [ f FINAL REMARKS: .a ST 6i_�. L P(I A i05 o" 66 DATE I CZ t C INSPECTOR -c- 65-1802 ILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FUMING [ ] FINAL REMARKS: � DATE I �- � INSPECTOR �� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS DATE �"� � � INSPECTOR -10W d OF SOUryolo 3 ® ` Z_ cou Ncc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR SOUlyolo # TOWN OF SOUTHOLD BUILDING DEPT. couFm, ' 765-1802 von INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] -FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ' ] - FIREPLACE & CHIMNEY [ f FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: d A �, M e e- e A ep DATE /,9i-,( INSPECTOR OF SOUIyO� 0 77 c'�7 # # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourmN 765-1802 1- N-SPECTION [ ] FOUNDATION 1 ST i [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY J [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) 1 J�ELECTRICAL (FINAL) [ ] CODE VIOLATION [1 ]�PRE C/O REMARKS: DATE INSPECTOR M a > n- t nom: a s f aj{# t < ti, ay r a a F , h 7 >z� Y SVP: Si y} *B, f � � {,s t i s i' t it «s. .. o , Awl I &A IV Y ,q . I:..LD 1,.S. ..0 IfDATE E.NTS w 1 . 0 7OU11DATION ( 1st) • c FOUNDATION ( 2nd ) _ _ m 2. ✓ . 4dct o ROUGH FRAME & I V •PLUMBING jzl� Al e , N 3 . x INSULATIOPJ PER N. Y. 0 y STATE ENERGY CODE 07 4 . y FINAL ADDITIONAL COMMENTS : m x En O ✓ • _ Cl I 'v H BOARD OF HEALTH . . . . . . . . . . . . 3 SETS 0� PLANS �'� . . . . . . FORM NO. 1 SURVEY �4=4�4�:": —. . . . . . . TOWN OF SOUTHOLD CHECK Jr R o. . . . . . . . . . BUILDING DEPARTMENT ` SEPTIC FORM . . . . . . . . . . . . . . . . TOWN HALL ` SOUTHOLD, N.Y. 11971 NOTIFY z� TEL.: 765.1802 ;; CALL :: .� . . . . :anained .-'. . .® . . . . . . . ., 19J��. k MAIL TO 1; pproved . . . . . . . . . .. 19A Permit No. . .sapproved a/c 0� . . . . . . . . . . . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . ` (Bu ding I . •cc or) APPLICAT ON FO BUILDING PERMIT ; Q Date INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which,is part of this appli- :ion. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ill 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 ' ill 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 ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as heroin desCribcd. e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to nit authorized inspectors on premises and in building for necessary inspections. Signature of applicant, or name, if a cor•oration) P T-ecZMZc ling ad�ire`- I N S)8 e ite whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 4 ! .\ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . meof owner of premises . . . .! : . . . . .�J. . . . .� e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) "applicant is a corporation, signature of duly authorized officer. (Name and title of corporate of er) Builder's License No. . . . . . `17 Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . t� Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . I• Other Trade's License No. . . . . . . . . . . . . . . . . . . Location of land on which proposed work will be done. . . . .'. . . . , . • • , . . . , • , . . . . , , . . . . . . . . . . . . . . . �r House Number Street U pe-e�t rr amlet County Tax Map No. 1000 Section . . . . . . . �•l. ,. . . . . Block . . . . . •Q • ,l. , , , • , Lot E . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fled Map No. . . . . Lot . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name) State existing use and occupancy of premises and intended use (and occupancy ofproposedconstruction: a. Existing use and occupancy . . . .... b. Intended use and occupancy . • •S, *• .��� ! . l: . . . . . : . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . ... Addition . V Alteration Repair . . . . . . . . . . . . . . Removal . .... . . . . . . . . . . . Demolitior. . . . , . . . , . . . . . . Other Work . . . . . . . . . . . . . . 4. Estimated Cost . . . . . . . . . � b®a ©0 (Description) Ce (to he paid on filing this application) S. If dwelling, number of dwelling units �.�. � • , , , u nber of dwelling units on each floor . . . . . . . . . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nalure.apd extent of each ttve•Of use . . . . 7. Dimensions of • cis ng structures,if any: Front . , , , , Rear lDepth. • � •,• • , • • . • ' . . IIc}�•ht . . . � Off( „ Nurniscr of Stories ' "9 ' . . . • • t I r . , . Dimensions of ff same structure with alterations or additions; Front . ,3 ? t`�`� • • • • • • j- tt' ' ' ' ' ' ' ' Depth . . �?i.�.Qr` . : . . . . . . . . . i�� �C11 I\ , . . a . . . a t lg�lt ;0 °Taeat t i . Nun�b•,r of�tories . � ' 8. Dimensions ofpptiore�nety construction: Front . . .14'"0`,`, Rear . . r:b , Depth� 'L 0 t'D`f' ' ' ' . Heig}it . . . . . . . . . . Dumber of Stories . ;Wo . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . �r0 ---9.. . . . . . . . i . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Rear . . . . . .� l (o . . . . . . . Depth . P.-7.�. . . . . . . . . . . Purchase , . , , . Name eo�f_�F�o�er ewner . . . . 1. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Does proposed construction viol at ny zoning law, ordinance or regulation.: ..Q . . . . . . . . . . . . . . . . . . . . . 3. Will lot be regraded . . . . . . �; ,�, , Will excess fill—be Ar�•'moved from premises: 4. Name of Owner of premises , cv� 303 .Yes . No . . . Address /)P rq Rct-Phone No. Name of Architect .WUfrIC ,W.Ass(?c .. . . . Address 2 QJ ,3 `sem. . . . . . . . . . . . . . . . Name of Contractor ) F©m;�� 1✓ t- MY-'hone No. . , A. -. VXC.Address x0;1 fr!�QE ice�QeeC_ . Phone No. IS . Is this property located within 300 feet of a tidal wetland? *YES . . . .NOK. *If yes , Southold Town Trustees Permit may be requi.r-:d. PLOT DIAGRAM Locate clearly and distinctly 01 buildings, whether existing or proposed, and 'TTdicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and ;now street names and indicate whethe.T iterior or corner lot. ,kTEOFNEW Y ' UNTY OF . . . S.S ' ' `°�`�d'• (Name of individual signing contract)�•t�s��• being c'ifly sworn, deposes and says that he is the applicant . . ,ve named. is the . . . etc.) Y jcer (Contractor, agent, corporateQi''1 • • . . . , .aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this lication; that all statements contained in this application are true to the best of his knowledge and belief;and that the k will be performed in the manner set forth in the application filed therewith. M to before me this V '�L�_" . . . . . . . . . . . . . . . . . .day of. . . . . . . . .. 19� lry Public, . . . . . . . . . . �?.U .� . . . . . . . . County LINDA J.COOPER (Signature of applicant) Notary Public,State of New York No.4822563,Suffolk County / Term Expires December 31,19_ FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date . 3� �. . . . . . . . . . . . . ., 19 ��.�. . To . .�Q0 6%4;- A41 �lii► PLEASE TAKE NOTICE that your application dated . . . 3O. . . . . . . . . . . . . . . . 19 for permit to Cg's11wel. J. .�G� �?!G. .�.�.� at a �� Location of Property �.s3 . ..3-� . . . . . . . . . . . . �. . . . . . . . . . . . . . . . . .�, House No. Street hla et County Tax Map No. 1000 Section . . . Oe. . . . . . . Block . . . .S?/. . . . . . . Lot . . i3. . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . is returned herewith and disapproved on the following grounds . .!/`N�,GG. .446"/ . . . . . . . . . . . . . . .•. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�� � . . . . � . . . . . .,moo. . . .�. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :� . . . . . . 7Bd i� Inspe� tor� RV 1/80 b� P`;yS4 "moi APPEALS BOARD MEMBERS w}� SCOTT L. HARRIS " Gerard P. Goehringer, Chairman Supervisor �" " Charles Gri onis, Jr. �� Serge Doyen, Jr. � � Town Hall, 53095 Main Road Joseph H. Sawicki P.O. Box 1179 James Dinizio, Jr. BOARD OF APPEALS Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 r iTAOMMM0021- OtD b ACTION OF THE BOARD OF APPEALS Appl. No. 3934 Matter f ` OONSERN.oYTVariance to the Zoning Ordinance, article XXIII, Section 100-239.4 A(1) , for permission to construct addition to one family dwelling. Proposed construction will be less than 100 ft. from the top of the bluff. Property Location: 63035 County Road 48, Greenport, County Tax Map No. 1000, Section 40, Block 01, Lot 13. WHEREAS, a public hearing was held and concluded on May 15, 1990 in the matter, of the application of JOYLON STERN, under Appeal No. 3934; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, it present zoning, and' the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located along the north side of County Road 48, Hamlet of Greenport, and is identified on the Suffolk County Tax Maps as District 1000, Section 40, Block 01, Lot 13 . 2. This is an application for Variances from the Zoning Code Article XXIII, Section 239. 4 A(1) , for permission to construct addition to i �ne family dwelling. Proposed construction will be less than 100 ft. from the top of the bluff. Page 2 - Appl. No. 3934 Matter of JOYLON STERN Decision rendered May 30, 1990 3. Article XXIII, Section 100-239. 4 A(1) , Not with- standing any other provisions of this chapter, the following setback requirements shall apply to all buildings located on lots adjacent to water bodies and wetlands: A. Lots adjacent to Long" Island Sound. ) lbuildings Island Sound anduponwhich there texists ed on latbluff aornbano Long landward of the shore or beach shall be set back not less than one hundred ( 100) feet from the top of such bluff or bank. 4. The subject premises is improved with a two and a half story framed house and includes 1.5760 acres in this R-80 Zone District. 5. In considering this application, the Board finds and determines: (a) that the circumstances of this application are uniquely related to the premises and its established nonconformities; (b) that there is no other method for appellants to pursue; and placing the proposed addition in any other location on the premises will require other variance relief; (c) that the area chosen for the addition is not unreasonably located; (d) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convenience and/or order of the Town; (e) that in carefully considering the record and all the above factors, the interest of justice will be served by granting the variance, as applied conditionally noted below. Accordingly on motion by Mr. Goehringer, seconded by Mr. Dinizio, it was Page 3 - Appl. No. 3934 Matter of JOYLON STERN Decision rendered May 30, 1990 RESOLVED, to GRANT a Variance in the matter of the application of JOYLON STERN under Appeal No. 3934, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the 14 ft. 8 in. by 20 ft. two story addition be located approximately 15+- ft.' from the west property line and remain 35+- at its closestpoint from the top of the bluff as drawn in on the survey dated October 31, 1989 by Peconic Surveyors. 2. That the wooden retaining wall on the west side remain in its present position as shown on the survey by Peconic Surveyors dated October 31, 1989- and that the entire rear yard from the house to the top of the bluff remain undisturbed except for a 3 ft. over cut for this addition. Vote of the Board: Ayes: Messrs. Goehringer, Dinizio, Sawicki, and Doyen (Absent Charles Grigonis) . This resolution was duly adopted. df ,AERARD P. HRI NER, AIRMAN i �Oo,nFFp(,��o BUILDING DEPARTMENT- Electrical Inspector Gym TOWN OF SOUTHOLD C= =` Town Hall Annex- 54375 Main Road - PO Box 1179 - • Southold, New York 11971-0959 y Off' Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrO-southoldtownny.gov — seand cbsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: cam : Name: License No.: 1p 70 j'yj email: ® Phone No: ❑I request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) Name: — , I , �, Address: O_ /2 l ,c/�DiL`7 Cross Street: ;>� Phone No.: " BIdg.Permit#: email: Tax Map District: 1000 Section: Block: 1 Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) f�Z Check All That Apply: Is job ready for inspection?: ❑YES [:]NO ❑Rough In ❑Final Do you need a Temp Certificate?: ❑YES ❑NO Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph 'Size: A #Meters Old Meter# ❑New Service ❑ Service Reconnect [] Underground ❑Overhead #Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION 9 Electrical Inspection Form 2020.xlsx L/ J U IRM FELD A° SSOU r ES9 [PC. ARCH ITECTS 12 West 31st Street, New York, New York 10001 Tel: 212-643-9700 Fax: 212-643-8816 PRINCIPALS Michael Wurmfeld, A.I A Jay P Epstein, A I A. VRR jr- . November 30, 1990 DEC SLOG DEPT. Building Department Town of Southhold f Town Hall Southhold, New York Re: Ventilation at Stern Residence 63035 County Road 48 Greenport Due to the daily wind velocity rising off the face of the cliff facing the residence, a dozen 1/4" holes in each bay along the soffit and a single 2" button vent at the ridge of each bay will more than adequately ventilate the north facing roof - any more will very likely create a water penetration problem. Michael Wurmfeld sL wt�A 6 o,*OF SO(/��ol Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G • Q Telephone(631)765-1802 Southold,New York 11971-0959 ®lac®UNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD May 21St, 2007 Jolyon F. Stern 420 Lexington Avenue New York,N.Y. 10170 RE: 63035 CR 48 SCTM: 40 113 Dear Ms. Stern, Please be advised that your Building Permit#19203 issued July 18th, 1'990 and Building Permit#9618 issued February 15th, 1978 have expired. According to the Code of the Town of Southold; a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permits,please submit a fee of$65.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. BP# 19203 —ADDITION TO EXISTING DWELLING BP# 9618 -ADDITION TO EXISTING DWELLING OF SO(/T�ol a o Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G Q Southold,New York 11971-0959 �y�OUNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD March 8, 2010 Jolyon F Stern 420 Lexington Ave New York, NY 10170 RE: 63035 CR 48, Greenport TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: clla�_ Application of Certificate of Occupancy. (Enclosed) l� C Electrical Underwriters Certificate. A fee of$ 00 50 )03 q-a3. I Final Health Department approval. a _ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. 6 Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. S " Building Permit: 33088-Z addition —�--�� I C/�d - Nelle Nugent Stern 130 East 67th St. NYC,*NY 10065 'V eta U, MAY 2 6 2021 TO: Connie FROM: Nelle RE: C of 0 63035 Route 48, Greenport Dear Connie: Thank you for you help on the telephone today (March 24) With respect to a C of 0 for this property. Per your instructions, I'm enclosing our check for$190 for the two electrical inspections plus $100 for the two plumber/solder certificates. As I reported, we need these in order to apply for the grant for a new septic system which will be installed by Clear River. We need to start the work as soon as possible, as a large sink hole ,has developed near the house. My telephone# inN,YC is 212,L988-2029, should you need me for anything. We don't get mail in Greenport, so many I ask you please to send the certificates to the address on the letterhead. Once again my thanks for your help. �egarys, .ag— (enclosures, 2) LONG ISLAND SOUND v _-_ +S„E 11..98' N EQ'Yp' Ara �.ne L�w.wwAN I O � � t ip arras f • b J W ' _ h SUR VE Y OF • --F PROPERTY A T GREENPORT ti TOWN OF 8SOUTHOkD SUFFOLK C LINTY, Y. 1000 - 40 - 01 - 13 i I V I Scale fa' = 40' I Oct. 31, 1989 r i i AREA = 1.5760 acres a I (TO IIF LINE) I i � lei dl3 ~va.°ar R 4 Jt U a •.da �'nfi "�Y71P,T�`"?:iidg.,jaya�^�`.�'�d�'ku=iaH4�;i§rfie;kra�• ��.y•'d - � _ lI �.a 1 ry .0.a i as er gb •a,A �+ 9 5PO' S 58'/B'ao, w d I a NDTH ROAD n >�> ) (C. R 48 r rar r>= R,.,.,d In w—den°.Wth B»ednl..e AND 9L xr t arch d.to BHe.urwT.a artablaMd � F b tM LIAA a end epY.wd n t.d y Iw.ueh we 6y The ANr Ymk Stet.Lend { y 77tH A.we4tlert i S LIC NO IBSBB R S. PC e d {o ELEVATIONS ARE REFERENCED• N Q V D 'MAIN SAIN Y 11871 r 89 - 418 -------------------------- - _ SSL A Np 5_OUND --------------- 77A --- C � _ LONG E_.128I N 50° 24 AdAKA TER ALON BLDG.DEPT. bL TSE 6_O OF SLOPE 5_I TOWS OF SOUTHOLd� TOE s_o \ Ios WOOD STAIRS ! T p -49.4 30.4 I W OO N i 49.6 i 50.7 00 Fti'D u PROPOSED 2nd STY. 44 0o v EXTENTION OVERh—_q • 48 0 EXISTING lit ro. F D 448.0,- ={ 48.7 GRAN/Tf 2nd Sly WOODEN MON 24d Sly Dec RETAINING x Dec* 2nd Sly. O.H. Ckl_ WALL y _4509 0 n' 5/.0 e Z O ; 2//P STY R ES.1 SUR V E Y OF odC a FRAME N 2.3. H:. . n 49.I s>. 34.0' 43.4 _ t +47.7 3T,4' PROPER T Y p,2' 43.3 A T GREENPOR T TOWN OF SOUTHOLD FRAME HOUSE 0.9' 38.3 GARBAGE I SUFFOLK COUNTY, N. Y. * — B 1000 - 40 - 01 - 13 I Scale 1" = 40' IOc t. 31, 1989 I 36..9 UTL, POL + 439-D 3 t 3333-__4 > I a U AREA = 1.5760 acres 36.1 ( TO TIE LINE) 4. C O 3 Ikc 4j Z IO (' O O439 COLE I4-1 W1 W V 39.4 41 Q: Q � m � O 4741 �O ►�'UTL, POLE 439-B 41.6 V FND Q CRAN/TE hO 1� VON � W / � � W p • C� N x 4C+.0 C23 POLE �O <J9-A Fh i�4• 2' ' FND FND Mo 35.8 80.00' MON, 15. `,(-k 95.k O` S 58' 48' 20" W J T E.P.'A 34.0 E.P. X 33.7 NORTH ROAD ( C. R. 48 ) � f 33.4 N.Y.r POLE f 33.9 Prepared in accordance with the Minimum 4.439 standards for title surveys as established V �0 2� O b the L.I.A.L.S. and approved and adopted forsuch use t y The New York State Land Title Aaaociat/on. ` Y.S. LIC. NO. 49668 ORS, P.C. �5 P. O. MAIN ROAD SOUTHOLD, N.Y. 11971 ELEVATIONS ARE REFEREl�lCED TO N. G. V. 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"*•" �: r .. . „► x ' ' Wurmfetd assoc, pc • �„�*.^.,�,�'�tn�r*I _.�I� ON LEAD Ct�f�T�'1'��'1•,C'�'f+��'-.�. t',er t.t"' CFf7TlF Fri OF Occu�/VITI 12 West 31st street ZPOLD.Sr4 U� �?IN KlI.i�� --- -- New York Now York ", .Cr "Iftp of f: --- - r date - _.. Zo-o TO I ! � GOf'('E rz 5GU►'p!�IZ } 1 4 �/— ---- - --. Nr--\V WINPOW S A!>, i \ P Y ARCAQ IA �\�3'0 / TD M41GI.4 KY,6;fcl Ii�DP� 40 IL �' 0 °� FIn� To ytrlE Fj 3ewA lo.l f ��!4 Gor1T�6'GTbC �o ��lFolZrl � p J `=j rlE� �cvv F ooKi�l,: I t 1 +, JEtJ ilovD F��o�'c i( I i ! n; Tv Mb-'AGN 5114 ti w0 . { Tv hATarl e,=pZM• r .. k � ---',r- a - 1 I —ia y� I ' r NA 0 i r , Dip ' 1 • ,g ' � II �.EMa�E. ��Ic"irJ', RA,I,Lo�'f t `�• I! 1 ucr"r_ 't -JV E�ulL­ t' 0? -- - --- - - � rJ:'u Z K k W D �•-V p`', yy eo pJ'p --1 I � hlpFF�>. 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