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Home My WebLink About26499-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28376 Date: 04/30/02 THIS CERTIFIES that the building ALTERATIONS & REPAIR Location of Property: 180 KERWIN BLVD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 2 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 2000 pursuant to which Building Permit No. 26499-Z dated MAY 15, 2000 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 REPAIR & ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER ENGINEERS CERTIFICATION DATED 4/25/02 . The certificate is issued to GEORGE L. PENNY V (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uthoriz d Signature Rev. 1/81 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. 26499 Z Date MAY 15, 2000 Permission is hereby granted to: GEORGE L. PENNY V 190F SOUNDVIEW AVE SOUTHOLD,NY 11971 for REPAIRS & ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 180 KERWIN BLVD GREENPORT County Tax Map No. 473889 Section 053 Block 0002 Lot No. 023 pursuant to application dated MAY 8, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signa re lip I CQ Rev. 2/19/98 Form No. 6 TONVN 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 I% lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certifical 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 A ril 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 a 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. April 29, 2002 New Construction. xg Old or Pre-existing Building: (check one) Location of Property: 180 KERWIN BLVD. GREENPORT, N.Y. House No. Street Hamlet Owner or Owners of Property: GEORGE L. PENNY, V Suffolk County Tax Map No 1000, Section 53 Block 2 Lot 23 Subdivision Filed Map. Lot: Permit No. 26499—Z Date of Permit. MAY 15, 2000 Applicant: GEORGE L. PENNY V Health Dept. Approval: N/A Underwriters Approval: N/A Planning Board Approval: Request for: Temporary Certificate Final Certificate: xg (check one) Fee Submitted: $ 25.00 Applicant Signature - 6L4X-. io �52� C 0-?- a8-3 26 FIELD INSPECTION*REPORT _ DATE COMMENTS 6. II II H N� FOUNDATION OST) I II Irr-- -- ` -- -- I I Irr — �I -- -- ---- --- -------- C�� FOUNDATION (2ND) ------------------ ------- -------- — -------------- --------- - ---- ----------------------- li u — - ----- ir- ROUGH FRAME & li_ �i -- -- ------- �O PLUMBING if II 11 HI - INSULATION PER N. Y. II A - 1� y STATE ENERGY ii u CODE u II if ------------ — =dk�=------------------------------------____--------- ------------- ----- Im II if H II II I FINALif llb I _a u u ADDITIONAL COMMENTS: c l� q AHC � H � H 1 0 x ra b H 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..l(....... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) - 4. Estimated Q1 fee .............................................. (to be paid on filing this application) 5. If dwelling, ommber of dwelling units one........ Umber of dwelling units on each floor ................ If garage, member of cars ......I.�-,ACCESSORY............ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front....56... ..... Rear ..56.......... Depth ...�4............ 1-1/2 height ......................... Number of Stories ............... Dimensions of sane structure with alterations or additions: Front .5lik........... Rear ............... Depth .................... Height .................... Number of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... 9. Size of lot: Front. ... 1,16:79......... Rear ... 88:85.......... Depth ...152:58'......... 10. [late of Purchase ..DEC... 28'..1999.. Name of,Former Owner JEANNE. T S. *** VER.............. H. Zone or use district in which premises are situated .......LI.(LIGHT..INDUSTRIAL) ....... ........................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES ND 14. Names of Owner of premises GEO.L.PENNY .V__...... gess ..... SOUNDYIEW AVE. SOOT Il No. Name of Architect .............................:...... Address .............................. Phone No. ............. Name of Contractor ................................... Address ...............................Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NDB%..... *IF YES, SOLMOD MM IMSIFB.S PERMIT MAY BE MQUIRFD. 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. PROVIDE OPENINGS FOR APPROVED AS NOTED EMERGENCY ESCAPE AS FATE: is100B.P. # REQUIRED BY PART. 714 OF FFE� BY: F N.Y. STATE BUILDING CODE. NOTIFY BUILDING DEPAR ENT T 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED ' a FOR POURED CONCRETE *" 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST C BE COMPLETE FOR C.O. cj ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. " STATE CONSTRUCTION & ENERGY ��. CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS s ar. Or N1r1 YoiK, CUMIT or- SUFFOLK S'S GEORGE L. PENNY, V .....................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above tkwed, Ile is CI1eOWNER ........... ................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the saidwork 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 Lo before me this ....�;! .�V.....day of .... ...:20�Q... Q Notary Public .......Ca4�'Ivcy ... .. �C / �(/ ,• t�_'- EILEEN S. SANTORA " .. .... NOTARY PUBLIC, Stare of New Yo No. 30-1916018 dc (Signature, •AppilCant) Qualifiod in N u fy Comminion Expires l.,p. .., ._ ... __. rr.• +?..M!YWr�1M+Av!�Iw'..`+YW�i+,W,w..�.� nrryw.r. ., PARD OF HEALTH FORM NO. 1 PARD OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . . . . . .. . . . . ....... . .. . S TEL: 765-1802 TRUSTEE . . . . . . . . . . . . . . .... . .. . NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined..... . ....., 20A 0 MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved- ....:Sf 1.$ .....9 0-.0. Permit Mo. .... ................................... Disapproved a/c .................................. ................................... ...................................................... ('Building Inspector) APPLICATION FOR BUILDING PERMIT Da t e.Mai.8 . . . . . . . . . . 26.00. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings an 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 application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be.kept on the premises available for inspection througtmt 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 HEWff MALL to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk roAn�C.,Ajgw Xork,.and gther 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 appliiable' laws, ordinances; building code, housing code, and regulations, and to admit authorized inspectors or. premes and in building for nIs ary nspections. . ... ...Z,- ................. (Signature• icant,'or if a corporation) 190F SOUNDVIEW AVE. ,SOUTHOLD, N.Y. 11971 ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OW NCS ..................... ... . .. .... ....................................................................... Name of owner of pr0iise41. - �,.L PENNY. .................................................................... rY "(as�bn theroll 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. ..3.9. l V. ..... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. 180 KERWIN BLVD. GREENPORT, N.Y. ......................................................................................... ............................. House Number Street Iet . , s County Tbg Map No. 1000 Section .....53......... Block ....� . . . ..... Int .............. Subdivision ...................................... Filed C ..... (Name) � V5.r •1 ,1•' �r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ONE FAMILY DWEL....... +: ' i•. b. Intended use and occupancy .....ALTS ALTERATIONS 6 REPAIR ............................................................ � `~ S N Q ,se O 010 E' i O / �� ,sem \ K •ti// 6 �9 o • p rti v 0.1 , N .1T FON`~ O ° ff 114 f .rL W 'Il h nP !7 S70 CK OE �O rt � A , Cre •�� J �� Y Jai', `�/ C °Rc ce r X35 o a AE /RF reg' ro oK 1 01 q'`. K O•J .1P O y'� ° <° o4 CO s 9e ego 0 AREA = 15, 423 -SO. FT. a CERTIFIED TO 1 SURVEY OF PROFOERTY- FIRST AMERICAN TIT E _ WA� NCE SU OF �w - ARSHAMOMOOE WALT" N. BURDON t I11 JEAN J. BURDON TITLE NO. 431 S 2010 TOWPI OF SOUTHOLD SUFF,, LK COUNTY N.Y. 1000 - 053 - 02 - SCALE Y' ego O�ANV j JULY 11, 1990 for such use by Tht New York Stow Lond LIC. N0. X15668 itle TAssociation. P.C. �. 6)-765 102 G BOX 0109 LOT NUMBERS REFER TO AMENDED MAP ' A ' OF MAIN ROAL PECONIC BAY ESTATES ' FILED IN THE OFFICE OF TI MAIN O N Y. I1 yll SUFFOLK COUNTY CLERK AS MAP NO.112 4 SOU.................. ox. • 88 - 441 LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 April 25, 2002 To HThom It May Concern: Re: George Penny V Bungalow Kerwin Bouveland Greenport, NY 11944 Renovation On April 11 , 2002, L inspected the above residence and note the followings I. The chimney and fireplace were removed and two new windows were installed in the area. 2. Two skylights were added to the upstairs bedrooms for ventilation. 3. Many non-structural repairs were done to make the residence habitable from its former condition. 4 . That the building as now renovated meets the New York State Building Code as to existing buildings . Sincerely, Lawrence M. Tuthill, P.E. ` �,��pf MfMe�Q .ALcE ; 46 n r 4i 03225 -1 262002 .DG71- / S+.'i`JTli)LD "-e win=. j J � ,r•:i f\ .( Q-� S--f' t to-c iY� iA—� BUILDING PERMIT RFVIFW CHLLK jST Applicant/ Date Owners Name: �`� 4y Reviewed: Architect/ Date Engineer: Submitted: SCTM #: District: 1,000 Section: Block: Lot �3 Project Subdivision Location: RAAM k-:,<Z" o, — Name:_____ Single& separate Requir certification Yes N Req Req. /-0111112 I)istnc[ Jl,ot size. Actual—___I JLot coverage _Proposed_. I Req Req. Req [Front Yard Proposed: I [Side Yard Proposed__ ] [Rear Yard Proposed J Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees s/ Town Zoning Board approval: Town Planning Board approval: ✓ Flood Plane Elevation??? Flood Zone: Notes: