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Home My WebLink About32440-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32075 Date: 12/14/06 THIS CERTIFIES that the building ALTERATION Location of Property: 950 (HOUSE NO.) County Tax Map No. 473889 Section 47 SILVERMERE RD (STREET) Block ~ GREEN PORT (HAMLET) Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 11, 2006 pursuant to which Building Permit No. 32440-Z dated OCTOBER 19, 2006 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 REPLACE A WINDOW IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS R & WANDA S SHEARIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Signature Rev. 1/81 Form No.6 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: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Depl. 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 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: I. 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 I. 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. . L' / I f ok, I I New Construction: Old or Pre-existing Building: ./ (check one) Location of Property: q~-o House No. gll uL€.M~ f1.,.. Street ~ es..vpo\'C I - " Hamlet Owner or Owners ofProperty:-w..b"",,"S R.. ~ W..,6.~ S . Suffolk County Tal' Map No 1000, Section -__'t:._L__._ Block Subdivision _____________~ Filed Map. _Stl~,v ~ Lot 7 Lot: Permit No. ?b2"\~'D Dale of Penllit._____ '_ Applicant: <' OJkJ~_ _ Underwriters Approval: ~__ Health Depl. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ./ (check one) Fee Submitted: $ G() .2~~{)/S ~v/l:SD7 G\ ~, Applicant Signature -.. 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. 32440 Z Date OCTOBER 19, 2006 Permission is hereby granted to: THOMAS R SHEARIN 1980 BRIDGE LANE CUTCHOGUE,NY 11935 for : REPLACEMENT OF A WINDOW OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 950 SILVERMERE RD GREENPORT County Tax Map No. 473889 Section 047 Block 0002 Lot No. 007 pursuant to application dated OCTOBER 11, 2006 and approved by the Building Inspector to expire on APRIL 19, 2008. Fee $ 150.00 ~ Cb___ Authorized Signature ORIGINAL Rev. 5/8/02 3 J--c?c(O * TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~ATION [ ] FRAMING I STRAPPING [ t(FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR 32-<zL VrOC: TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] R~H PLBG. [ ] FOUNDATION 2ND [~SULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION --- REMARKS: JfJ.~ ~ I NSPECTO ~ ~J tjl/fJ t::: TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~MING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS: rr:" '7 oK. DATE /;}~Iob INSPECTOR ~..LiJ!4 FIE},D INSPECTION REPORT. DATE I FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL COMMENTS C.N ... 'j-1l"l -c"#~ rf 't- -. ~ .. ~ ~l"l o -l, Z o .J) . \.rl O~ .., y~ ~.., G ~ ~ /(~ ~q{:. ~ II. . K:J= ~~ l"l .., ADDITIONAL COMMENTS OJ -., ~.~ ~ ~ r ~O ) ::E _ z .m :;e' l ~l"l \ ~ ~~ , .., 0'" o 0<:. Z = 2~ -.., $; l"l ~ x V.' NUI1(){) ~ES.~,/ (no SEAS. LAND t/fl; /".. /! () (../ V AGE NEW FARM Tillable 1 nllable 2 rillable 3 .voadland ;wampland lrushland ~ouse Pkal;. __ rotal IMP. / "J f- ~ l.t {, ,"- -c' . {J () .;.,... "" NORMAL Acre VL. TOTAL DATE ::2 "f," -? I r () ~. h !,;j :; ,..,J ,f " / 7' ii:r~' . BELOW BUILDING CONDITION ABOVE Value Per Acre . Value -- REMARKS DIST. .t;J D5se- <<_ (7 LOT ACR. , J 2.5'" TYPE OF BUILDING I hZ-I{; / ~)/)cZ~7LZ s/;o/q,f- Lllt/t() 1) 4/0 - N/.{f}/7(), Gs r -roJheQl/n $ %()cco . f j L /,~ ,i " ,!", ",'J'l . " '. Af.(',-,~ 1"."'0 ~^' j.-'~-'''''';'v~< N'0. t\ c cJo Ls FRONTAGE ON WAJER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK J?O /7 1'/1 ? ,---/ . L- d C.?' t:::/ ,~,;_.~." ~ M. Bldg. Extension Extension Extension Porch Porch Breezewoy Goroge Potio O. B. Totol t:~ . ... i '<n r / ~. Y i I I , . ,< \.l '"" ,. ",;;" Dr ]c( /j.fJ:~ ~7?3 /llF / \ ;; X) L/:' XC /1 ~ / -,>f IV ((1/( ._, :1" r ..~ ~ COLOR {IM~f ,,\II"'"! TRIM . 1 0 l' I)'U:~+- Foundation {.n /Vo a+,} S ~ { () IkLo , r Basement Ext. Walls ; , ,~. Fire Place ! Type Roof 'i/ <( Recreation Room Dormer Driveway l (l't/t' ;).{ 0 1, j J " Ii .\ I" ., L7~ ;j- k,'J~ / rV' Bath Floors Interior Finish Heat Or ( Rooms 1st Floor Rooms 2nd Floor " . ~(, ~ f ";,l(" iL ,). .:r-r, f..( FF Dinette K. lR. DR. BR. FIN. B. TOWN OF SOUTHOLD : .:'\ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoIdJ ~ f G r: [':~ I', Ii BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey '3:vi Yo ~ Check Septic Form N.Y.S.D.E.C. Trustees Contaet: I I PERMIT NO. Examined 10/(1 ,20~ ,0 "L20~ f Approved Disapproved alc Mail to: Phone: Expiration *f4,20A ~~pector APPLICATION FOR BUILDING PERMIT Date /0 //0 ( . ,20~ 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 ;, Ill;.s 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 South old, 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. C>--- ~~ ~ ~. , (Signature of applicant or name, if a corporation) OCCUPANCY OR /'t €:D USE IS UNLAWFUL BR\~ l..:l ~lCtJcrdPJf. ((~ (Mailing address of applicant) , . r (Name and title of corporate offiqgtlRTIFICATION OF NAILING & CONNECTIONS Builders License No. ROOUIREQ. ~~~:~ec:~i~~nceSnesNe~o. .', . . Al.lCONSFlUOl1ONSHAI.l. ....1HE.~IREMEt I'fS 0 . Other Trade's License No ~..; . 1. FTH.. e . ~~=~. 1. Location of land on which proposed work will be done: . ':,D :s,c...<.JL'lC1Vl House Number Street State whether applicant is owner, lessee\Vd;Jl;fOOiTe€E9T4FIiA9"'Econtractor, electrician, plumber or builder OF OCCUPANCY t, Name of owner of premises ""\ W c;, 4J (As on the tax roll or latest dee' . f}cJ-t.. If applicant is a corporation, signature of duly authorized officer FEE: I.S7). B~.~ . ~~~rNT AT - NOTIFY BUILDING Dc I' t; 765-1302 8 AM TO ,; ,"M FOR THE FOLLOWING INSPECTIC:~S: 1. FOUNDATION - TWO REOUIRED FOR POURED CC',CRETE 2. ROUGH - FR~.M,% & PLUMBING 3. INSULATION 4. FINAL - CON~;~:':)N MUST BE COMPLEn: Fe, r/,. ALL CONSTRLC "~N SH~LL r'EET THE RE NTS Or ~H= r;XlE', OF NEW ,'.- ,',:C' ,'ciGLE FOR SIGN OR Cor;STRUCTION ERROR&.. County Tax Map No.1 000 Section Subdivision O~l Block ~ Filed Map No. -. (Name) .,tot -, , Lot ',t ., , 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ([AM ( ( L Y b. Intended use and occupancy -r Nv1. ((L{ 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration ArJ't>cr2J:aV ~!=C Wf.-v']::uvo...! . (Description) 4. Estimated Cost 8 _ CJ01) ( 5. If dwelling, number of dwelling units If garage, number of cars Fee (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. 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_ .f ~ Phone No. 7>;'l( -,dd'\" - Phone No Phone No. 14. Names of Owner ofpremisesll-b",,,.. ~"" Name of Architect Name of Contractor Address I"lCo f!J2(f;:&, W . Address Address 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO _ * 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. 16. Provide survey, to scale, with accurate foundation plan and, distan<;:es t9.prpperty lines. , i;'; i '-,' ,-' .,....... 17. If elevation at any point on property is at 10 feet or bel9w,.m~tP~~iqe't'tp'ographical data on survey. STATE OF NEW YORK),;'" '..' ...... SS:. .., COUNTY OFS\)(0)uc...) -'., ' " , :.; """\t:\pIV'\A~ ~~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, OCJJ o..J ~ (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perfof\ll'<W have pc;rfofl)led the said 'w.~k and to make and file this application; that all statements contained in this application are true to"the best qf,hi~iffl,!wlf;4ge and belief; and that the work will be performed in the manner set forth in the application filed thXf~~\!!C .1':;; ,Y"3W): .JJA . .... "_ - _l'~ - ,--;-, ",":!(' .~I'~~~ r~':lM S b [. thi ].." ~:;' ,,1M:.,.. A'.. ,,' ., , :f1:~~~~~I~'K 20flh TA' ,'0\ ~"iO'~ c:> ~ Public ~ Signature of Applicant MELANIE OOROSK! NOTARY PUBLlCbState of New~rlc No. 010 4634870 Qualified in Suffolk County .-" (\ 11 " Commlssion Expires Septemb8130.~ \J