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Home My WebLink About26535-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33860 Date: 07/29/09 THIS CERTIFIES that the building DECK ADDITION Location of Property: 2195 KERWIN BLVD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 44.25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 2000 pursuant to which Building Permit No_ 26535-Z dated MAY 30, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK W & LINDA FELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Aut or' ed glignature Rev. 1/81 • Form No.6 D O LI TOWN OF SOUTHOLD D BUILDING DEPARTMENT TOWN HALL JUL 2 8 2009 765-1802 BLDG.DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD 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 p Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 1G S k k PU il'l 61 V d C re 20 `Pof- _ House � � ` No. I Street I Hamlet Fr—or)or Owners of Property: or'1 k t L_l(1 A Suffolk County Tax Map No 1000, Section S Block Lot ' Subdivision Filed Map. Lot: v� Permit No.O( (� 57 � .J Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ t j1 i 7 QG� 3t3B (orJ cwt/ /�� C -7 V/53 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. 26535 Z Date MAY 30, 2000 Permission is hereby granted to: FRANK W & LINDA FELL 2195 KERWIN BLVD GREENPORT NY 11944 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. at premises located at 2195 KERWIN BLVD GREENPORT County Tax Map No. 473889 Section 053 Block 0004 Lot No. 044 .025 pursuant to application dated MARCH 21, 2000 and approved by the Building Inspector. Fee $ 75 . 00 AuthorAded Sig ure ORIGINAL Rev. 2/19/98 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ INAL [ ] FIREPLAC CHIMNEY REMARKS: AgPI7Y DATE / INSPE FIELD INSPECTION REPORT DATE ___ _ __ COMMENTS it H �� FOUNDATION ( 1ST) Fl II II I FOUNDATION (2ND) _ III -it -- ---�' ROUGH FRAME 6 II II II JI --- n II PLUMBING III It II II II �` It -- H y INSULATION PER N. Y. Imo_ - It rya STATE ENERGY II u--- ii CODE la ii it u II ----------------------- n -- ra II II H ll ___--41 V2 7 II11 -II FINAL IIit n __II ADDITIONAL COMMENTS: ,( -.}2y -1v ra .� rl xd e� r\ d ra ro H BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . '1'0WN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . S0BT11OLD, N.Y. 11971 TEL: 765- 1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined. HATT. TO: . . . . . . . . . . . . . . . . . . . e � .4`ySJJ�� Approved... ..... .., Penni t: Lib. ... ..... ................................. ... Disapproved a/c ..................................r .................................... ...................................................... .. (Building Inspector) APPLICATION FOR BUILDING PERMIT 21 , ` - INSTRUCTIONS l� a. 'Ibis application most letely filled in by typewriter or in ink and suimitted to tlx: 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 on premises, relationship to adjoining premises or piblic 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. 11w work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector Wilf issue 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 arty purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICKIT(N IS HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Toon of Southold, Suffolk County, New York, and other applicable lana, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or damlition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, amt regulations,,aud to admit authorized inspectors on premises and in building for necessary inspections. (Sig; ore of a�t, or name, if a co ration) S'z W(Lrv1192'TH q L)E Q2EEti� .. (Mailing address of applicant) State whetter applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumberOIX11111L ................................./......................................................................................... Nam of owner of premises ...J.J4/.:N. fi.W.W.W9 ...F:4>Lf-'...................................................... (as on Lite tax roll or latest deed) if applicant is a corporation, signature of duly axutorizect officer. ......................................................... (Name and title of corporate officer) Builders License No. Plumbers license No. ......................... Electricians License No. ..................... Otter Trade's License No. .................... Llocation of land on whiclh proposed work will Ixt done...............................................�,........ ..................... .......................... .....'��ceS� ... (louse Number Street He nlet County Tax Map No. 1000 Section ..5.r�t......... Block ....(........... int Subdivision .......�il�.G.(JrJ.r.1.!L/.S-4,r.�..... Filed Hap No. .. i.ot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......sl1ljA4-k7.�f��f��`�'../T��44bVh. ,V4X.k.............. b. Intended use and occupancy ....... ov ................................. ' .4 3. Nature of work (deck whidn applicable): New Wilding .......... Addition .......... Alteration , .......... Itelxumr ............ Rmnval ............. Demolition ,........... Other Work ....Qf.� e . ...................... �,/ ([description) 4. Estinmted Cost ... !�(r �......... fee .............................................. (to be laid on filing Lbis application) 5. If dwellina, outer of duelling units .......�.... tknler of. dwelling Faits m, each floor ................ Ifgarage, nnler of care ......a............................. 6. If business, camercial or mixed'occupancy, specify nature aml extent of each type of use...................... 7. Uiuenaiana of existing structures, if any: [hwxiC......:E':�-lh-.... Rear ,.,Jo,2 ! Depth Z Ik:iglnc ......�::?.............. Nnler of Stories ...Z ................ Dimensiois of sere structure with alterations or additions: Front ............... Rear ............... Deptl. .................... Ileiglmt .................... Nnier of Stories ............... S. Dimensions of entire new construction: Front ................ [tear ............... Depth .............. Ilei8int ......................... Umber of Stories ......//............... 9. Size of lot: Front ....:2)C�.L/........ Rear ..... ........ Depth ..... 3 M. Dote of Purchase ..../L'G'I/.. �-1.`?L lne of Forcer [loner 11. Zone or use district in whicit premises are situated ........I.Z Sr�G�y�%�.�........................... 12. Does proposed cotitruction violate arty zoning law, ordinance or regulation: .....N Q 13. Will lot lie regraded ....... ...... Will exceas fill be removed from premises: YES 11D 14. Nares of Owner of premises /!� �lN.�f.�.Ff-.0 Aiklresa I1aaie No. .............. Naeof Architect .................................... Arklress ......... ..................... flan lo. Nare of Contractor .....�.4 .�..p�L� / �,NrArklreas ..SZ 4C��uY�I,9/ZT�J.F��i�..flan Po. 9..7 e7CS.Z/' 15. Is this property within 300 feet,of a tidal wetland? * YES .......... NO / *1F YES, S( nKi D ium 71i arIT-+S PGRMrr m&Y Rli FuplR(D. PLOT DIAGRAM - locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property linea. Give street and block radar or description according to deed, and slaw street nares and indicate %Meller interior or corner lot. l�0 U W li C 02 T I N i? i'�c , 1 J i. us(1"H r Edo /} � N 2 � Gl2DCtt , 17, CLO, SlV Y srnna an Nld Y(MtK, y �1>zprlt ss b �C-n- Gjr f X� ijob 2 anflaL MIN17 (Mw ............ •• Lentil; duly mourn, deposes aixl Says that be is the applicajnc ([Lane of inhiv• 1. signing contract) above need, tois the ............ ..................................................................... (Contractor, agent,-corporate officer, etc.) of said canner or owners, and is duly authorized to perform or bane performed the said work and to nuke and file this 11140 ication; that all statements contained in this application are true to (lie beat: of his knowledge and belief; anh that the work will be performed in the manner set forth in the application filed therewith. 'k;ornto before me this ,;' ' .y ....dayyfof� Y� 4.3g O OC Notary Public HELENE D.HORNE (Si ore of Applic:mL) Notary Public, No Suits of Now York Clualified in Suffolk County Commission Expires May 22, o e TOWN OF SOUTHOLD PROPERTY RECORD CARD F j OWNER STREET VILLAGE DIST. SUB. LOT Z� f ,Fran W rF V ryio Fel I K<erw k'n \vi cP e_V-) el r 1 c H un u sfi (, c r� ACR. qS5 REMARKS TYPE OF BLD_ q PPROP. CLASSl .cC) Cc z sl LAND IMP. TOTAL DATE CI C ,E - 15o""E r1q00 d400 z 3 93 -- -- -- o (� c doom s lb " FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT -1S TOTAL ®�® ® Basement OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE / OF OCCUPANCY APPROVED AS NOTED ..bo/v-� �� Ao BUILDING�+ EPA MEN AT FEE NOTIFY 765-1802 9 AM TO 4 PM FOR THE -,fOLLOWING INSPECTIONS: NDATION - TWO REQUIRED ✓/ / / ;;" D CONCRETE ING & PLUMBING CO TRUCTION MUST COMB FOR C.O. -ALL COAST TION SHALL MEET THE REQUIREMENTS OF THE N.Y.STATE CONSTRUCTION 3 ENERGY CODES. NOT RESPONSIBLE FOR \ DESIGN OR CONSTRUCTION ERRORS RBSC ROUTE 00/(i GREENPORT, NY REAM LAYOUT _ RRSC CUSTOMER -- JOEL DALY ROUTE 25 DATE (.13/17/00 REF GREENPORT. NY r— i � BEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 13' 9" 3 6° 8 3/4" B 1114' 9" 3 618 3/4" 0 G. 9° 3 6° 8 3/4" Post spacing is measured center-to-center. epth of wncre1e fosters --- 36 inches. h CUT LeR7 RBSC CUSTOMER -- JOEL DALY ROUTE 25 DATE 03/17/00 REF GREENPORT, NY �1 E A A A IL A A - FA7. A C LABEL LENGTH BEVELS LABEL LENGTH BEVELS 77 4" C ledger 7' 3/4° B ledq 1 .i° D ledger 13' 9" C fosc�i 1E�' E fascia 16' E ledger 7' 3/4" SUFFOLK CA_ HgAeLTO btffif. A H. S. NO. } j ��gC avft�. STATEMENT OF INTENT /' �� +Tej , 3 •d i THE WATER SUPPLY AND SEWAGE DISP( S J-0 - J `Q. ' 'p� , �. I I SYSTEMS FOR THIS RESIDENCE � � 4 CONFORM TO THE STANDARDS OF by ; 2 2 I `� I SUFFOLK CO. DEPT. OF HEALTH SERV D _p (SI APPLICANT SUFFOLK COUNTY DEPT. OF HEi I i SERVICES — FOR APPROVAL r SSTORY 3 .32' CONSTRUCTION ONLY DATE. ui /1aCar! °l H. S. REF. NO.. 32.-50.--T9 I�CON ca APPROVED: " 5EVT1C-SYS � y @ SUFFOLK CO. TAX MAP DESIGNATIOf t �} DIST. SECT. BLOCK Pc ! 4 /C 0,:, S3 'i' 44. i OWNERS ADDRESS: 1 31 7-E'nit,JYSc:�n�' fitr8'. L' e7 W�557•(3l1gY; `!. Y: 115'90 I DEED: L. N/'s? P. �/; TEST HOLE STAMP ,A , C1 "-a U E uc..eon a,ft Now Yak Stat. I ✓DGQ'Hf} e' i<ur'pmvYffAPratbaa:' - e'aeNNWnatbawtu4f: $♦JFFOLjr50UNW7ARTM pu�n� �RV{CE c aktrlealadPoatsoo ehea. MATS C3 LOT No. Z✓� 811�I.FFMIIMLYQ-tjfMQ cu,avwaana.wnakUa O} 461C1Bd Wa'Ne „ is 'Pard aw r �v V£ n JUL 21 195 esReJAUGV5i Ak E5 Dd%J— LO—ZZ' 22 ?mdf"4?ff0 .JULY �SV�t''Ot+� COSJntTAYT F!L S_. _N__O.. •9-1d--? end 1<tY Y. --- -- _ ZZr 199Z �fac%andZ 1992 d chw �aapwwe V.14, 94arn9r3 ) mr , sa,rA:wron�aau Q . C=- V<Awa1 J - l ' A. P.E.,0001dW eAer 'R �'L< i' 14 .'99,? .� pv . �:��oQ .tsruc:�Z�JC�1 tiJ. RODERICK VAN TUYL, P C. LICENSED LAND SURVEYORS GREENPORT NMW YORK BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: `�1 n '` a ��-�( Reviewed: Architect/ Date Engineer: Submitted: SCTM M District: 1,000 Section: Block: Lot: �-� Project1 lSubdivision Location. 1 1�� /� y4, Name: PSingle&separate Required certtfication: (Yes/No) _},v Req. Q y I ��jQ Req 7 Zoning District: V V [LO(size. (/0 �v Actual: "'r / �! /a Lot coverage �Proposed:� Req. / Req. f Req. f [Front Yard Proposed [Side Yard Proposed: 1 [Rear Yard Proposed: ] 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 Town Zoning Board approval: t/ Town Planning Board approval: t/ Flood Plane Elevation ??? Flood Zone: Notes: