The URL can be used to link to this page

Home My WebLink About33175-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33302 Date: 09/26/08 THIS CERTIFIES that the building ALTERATION/ADDITION Location of Property: 2855 BAY SHORE RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax t4ap No. 473889 Section 53 Block 6 Lot 3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 27, 2006 pursuant to which Building Permit No. 33175-Z dated JUNE 27, 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 2ND STORY ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Ge certificate is issued to 2855 GREENPORT CORP (OWNER) of the aforesaid building. S~3FI~LKCOI~FI~f DEPAR~qTOF}~F~%LTHAPPRO~L~L N/A EI~CLi-~IC3kL u~TIFICO%TE NO. 4010601 09/08/08 I~L~ERS C~TIFIC-ATION DA'r~u3 N/A Rev. 1/81 APPLICATION FOR CERTIFICATE OF OCCUPANCY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN H.~LI, 765-1802 This application must be filled in by typewriter or ink and submitted to tile Buildiug Departmeul xvith the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, properly lines, slreets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fbmr). 3. Approval of electrical installation from Board of Fire Undmwvriters. 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 buildiugs and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plamfing Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming nses, or buihlings and "pre-existing" land uses: l. Accurate survey of property showing all property lines, streets, buildiug and unusual oatural or topographic features. 2. A properly completed application and coasent to inspect signed by the applicant. If a Cel~tificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to tile applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwclliug $25.00. Alterations to dwelling $25.00, Swinnning pool $25.00, Accessory building $25.00, Additions to acccssory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate ofOccupaucy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Connncrcial $15.00 New Coustmction: Old or Pre-existing Building: ~ (check one) LocationofProperty: ,:~-oC"~-~--'~&~tcYt~ /~ ~de~.,,O/Oot~7~' Housc No. Street Owner or Owners of Property: o~.~".-<"5'~.~,0~, ~//~,~, ~_~.~ ,1~ ~- ~/~t/~ ,C~/4~/'~O Suffolk County Tax Map No 1000, Sectinn /,.~ ~O (9,~___Block ~>t9 ff, D Lot Hamlet 0o Subdivision eernfit N o. '~"~...~/7~--'2" Health Dept. Approval: Date nf Permit. Filed Map. Lot: Applicant: Uuderwriters Approval: 9~7//~)~ ,)/ Planmug Board Approval: Request for: Temporary Cenilicate Fee Submitted: $ o~' oO Final Certificate: (check one) 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. 33175 Z Date JUNE 27, 2007 Permission is hereby granted to: FRANK UHLENDORF 24 ROOSEVELT ST GLEN COVE,NY 11542 for : 2ND STORY ADDITION & ALTER~TION TO EXISTING ONE F~4ILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP # 20269. at premises located at 2855 County Tax Map No. 473889 Section 053 Block pursuant to application dated JUNE 27, 2006 BAY SHORE RD Building Inspector to ex~ire on DECEMBER Fee $ 50.00 GREENPORT 0006 Lot No. 003 and approved by the 27, 2008. Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN~S~ATION FRAMING / STRAPPING [ ~ FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONS~ ]~FI_RE RESISTANT PENETRATION REMA~ DATE INSPECTOR~~~"~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN~IJLATION FRAMING / STRAPPING [ ~ FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~.-,~.-r~-- DATE 76S-1~12 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~INSULATION [ ] FRAMING [* ] FINAL INSPECTOR 7GS-Z80Z BUILDING DEPT. INSPECTION DAT INSPECT FOUNDATION FOUNDATION (2nd) 2. ROUGH FRAME & -PLUMBING ® INSULATION PER N. STATE. ENERGY. CODE FINAL ADDITIONAL COMMENTf. )/~ /7--~'~/- BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by RICK RANNO ( 27 HAMILTON AVE. ) 27 HAMILTON AVE. Located at 2855 BAYSHORE RD. GREENPORT. NY 11944 Application Number: 4010601 Certificate Number: 4010601 Section: Block: Lot: Building Permit: . BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the Stb Day of September, 2008. Name QTY Rate Ratin~ Circuits TYI~ Amount AdditionalCharges FUEL SURCHARGE $5,00 Appliances and Accessories Future Appliance Feeder I 0 20 Amps $0,00 Future Appliance Feeder 2 0 40 Amps $0.00 Invoice Total $125.00 seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. l~OIt~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 20269 Z Permission is hereby granted to: ~ ......................... ...~.~.....~.:..~. ...... ~..~..~..~..~ ............ ~ . ~.....o~......~..~ ...... ~ ~ ' . at premises IocatJed at ...~...~.~;~....~.~.....'~r~l~ ...~.,..~ . ..~, .~... County Tax Mep NO. 1000 Section .... ..C~.....~....~. ........ Block .......~....~. ........ Lot No .......~.....~... .......... pursuant to application dated ......... ~~.....~. ................. , 19..~..!.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 E×amined .~.0'~O,1,~..t~, 19 .~. t Approved d...8?~t'~qG...~.. [.2.: -, 19c} I. Permit No..o~. ?..~..~.~..~. Disapproved a/c ..................................... BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by typewr/ter orin 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 descriptiofi of layout of property must be drawn on the diagram which is part of tiffs appli- cation. c. The work covered by tbfis 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 Bttilding 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 applicalJie laws, ordinances, building code, housin~ code. and regulations, and to admit authorized inspectors on premises and in building for necessary i~]~pj}ctions. ,/~, ....-. . (Signature ot applicant, or ~a'~e-, if'd¢'o~o'r,4ti&')' ' ' ~e.4 ././¢~.,..~..o..%47...~(.. ~.~.~.v.&/Z ~.y.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . .............................................. Name or owner of premises . .'~.~../~.."7¢'.. ?'..~.~...~.~...~...~'..(./~'.~'..~.. ~.g/t..~. d.O./4 / .................... (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. /.~..O..7..~...~. ,~' ......... Plumber's License No ~ Electrician's License No ....................... Other Trade's License No ~- 1. Location of land on which proposed work will be done ................ ~ ................................. . . . .e~t~. . . .o. ~. .~.~4.7 ..... ~.~.~,~:g.o ~,. . ./_ E.o. ,d ..... }louse Number Street. ' ff'~,nle; ....................... Count>, Tax Map No. 1000 Section -~ Block ................. Lot .... ? ............ Subdivision ..................................... Eiled Map No. (Name) .............. Lot ............... 2. State existing use and occupancy of premises and intended usc and occupancy of proposed constrnction: a. E.,~st~ng use and occupancy ~.~. - ~ Z~,~ Y, ~ / b. Intended use and occupancy .t.~...,~...,,~..,%. . ...................... , ., c ,,~'&~.., 1~.,~ ................... 3. Nature of work (check which applicable): New Building .... ' ·. Addition .. ~ ..... Alteration Repair Removal ........ Demolition Other 'Work ............. 4. Estimate'd Cost .~..o~...,. ~)..c~.. ~. (Description) 5. (to be paid on filing this application) If dwelling, number of dwell ng units St Numbe - - - ~ lf-araoe ~-~--c .... ,~. ........... r pi UWellmg units On each lloor .. : ... 6. lC business. COmmercial or mixed occupancy s,~dc'il~.: -'.: .... '. ....................... ,5 ....., ........... 7. '"' ' . . ' ~' ~, na~klre ana extent of each ~ ~ ~c~e ' ' ~mensmns of e.5~stmg structures if any: Frcmt .ct /_ 'i -, ~type of use l.c ...... .2..% .~-. .... Hei,,ht / 7 .... '- ...... '-'"O ~ ....... Rear .~....~... Denth ..~.~ ' ' ' ~menslons of same structure with alterations or addi;/o'n's ~'r~l;' "~ ~.' .... ~_~55' ' "' 8. ~=mensions of entire new co ....... · - ' ...... '; ............. Number of Stories .t:..,z..~.. ..... · · -~,uctlon: Vront . ~2./n- ..... Height · P..~. Nu--~- ....... ', ~, · ........ Rear ..~. ~ ....... Depth -~h'~' ' ' 9. Size of lot: Front .. ~...O '. R 10. Date of Purchase ' ~LL ......... ear . ..O...~ ................ Depth ./..S'~. .... . .......................... Owner ..: ............. · .... 11. Zone or use district in which premises are situated ....... :x .............................. . . 12. Does proposed Constru~iqn violate any zoning law, ordinance or 13. Willlotbe e,,.",,;~ ~e-, ,, regulation: 14. Nam e o f Owner o f ,~r~mises n'~-~,-a 7~n~.~1</-S · .t¢ ::tdzl~j.ll e~eswszfil~.~,ge~oyed from pre~nises. Yes Name of Architect ~t~.' e ~/" ~'~)e~.' .......... Address '_~/.~,'~'.C~ ;Jr-. ~.~.t. Pbon~e No~ 7 l -o..o77.... Name of ContractortS~.e~o,'-n' e- t~- tt_ ~z ~ .......... Address~, .,QT...~..: ,o. 9., .0g4.q .... Phone No.'-/.'t./.. · ·. - -tv ........ £ ........... Address,.sp.~?0. oL ~ ....... 15.Is th~.s ronert ........... · ..... da.. f-/~ ..... · '~" P r J l~,~-~at, eu wzrnxn~00 feet of a '-:-~-' .... ~ .... : ....... · ... PLOT DIAGRAM ...... Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back'on'f/om property lines. Give street and block number or description accordin,, to e interior or COmer lot. o de d, and show street names and md:cate whether STATE OF NEW YORK,, COUN, ¥ oF ...... s.s '' ~''~'' ' "~' '~ ....... · ......... being duly s,vorn, deposes and says that he is the applicant (Name of indivitdualsigning'c'oYtia'dti above named. Itc is the ..... crc (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 .................. · /,~.,..,~ay ~',~...~.~. .... ; - .~'°mO'~-..~_.,.. i9 ~ [ ' ' ' ~ ..... ~U_~' ' ' · 51LL+~ BE COMPt. ETE FO~ .0 ~ CONSTRUCTIO~ ;HALL MEET THE REQUIREMENTi ~F THE N.Y, F--'MST ~- N'TC,,'f ":1 '- 5 V2." 3%' J TO I I 'NEW J ! E/-15T, STATE CONSTRUCTI CODES. NOT RES! OESIGN OR CONSTRI I & ENERGY ,NSIBLE FOR :TI,ON ERRORS THIS ¢-.OOM: W~NI;~W5 · J,T. YVAL~ ¢~,ILT~ ~4 7L7,, TO sAT j .;> AL'Fe4kATIO~I To UHLENDO~.F F-,.,~PENC_~E_ FLoor-,_ PL.f~,~,,4 1 '1 F1 FFKON-~ -! ~,>c:>u T H .F-. I-F-..."VATIO M ,ii t N~W L__ll I l '1 HH -t=~'mNT ~__~I-F__¥ATI o,',4