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i;`vwik44 Town of Southold Annex 10/9/2013
P.O. Box 1179
All
54375 Main Road
lli Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36558 Date: 10/9/2013
THIS CERTIFIES that the building ACCESSORY
Location of Property: 490 Sound Rd, Greenport,
SCTM 473889 Sec/Block/Lot: 35.-1-15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/5/2013 pursuant to which Building Permit No. 38325 dated 9/17/2013
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:
accessory garage repairs as applied for.
The certificate is issued to Mcintire, Scott & Hollander, Lori
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38325 10/7/13
PLUMBERS CERTIFICATION DATED
o'~ ed S' ature
4TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
s5 SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit 38325 Date: 9/17/2013
Permission is hereby granted to:
McIntire, Scott & Hollander, Lori
22 Sound Rd
Greenport, NY 11944
To: Accessory garage repairs as applied for.
At premises located at:
490 Sound Rd, Greenport
SCTM # 473889
Sec/Block/Lot # 35.-1-15
Pursuant to application dated 9/5/2013 and approved by the Building Inspector.
To expire on 3/19/2015.
Fees:
ACCESSORY $100.00
CO - ACCESSORY BUILDING $50.00
Total: $150.00
Building Inspector
so
Town Hall Annex Telephone (631) 765-1802
54375 Main Road T Fax (631) 765-9502
P.O. Box 1179 co -c
Southold, NY 11971-0959 • ~o roger. riche rt(5town.southoId.nv.us
~1y00UH11 N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Scott McIntire
Address: 22 Sound Rd (490) City: Greenport St: NY Zip: 11944
Building Permit 38325 Section: 35 Block: 1 Lot: 15
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: home owner DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey H Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 3 Ceiling Fixtures 2 HID Fixtures
Service 3 ph Hot Water GFCI Recpt i Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture 2 Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment:
Notes:
Inspector Signature: Date: Oct 7 2013
81-Cert Electrical Compliance Form.xls
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] RO H PLBG.
[ ] FOUNDATION 2ND [ ] SuLATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
17
DATE ~ INSPECTOR
a oOF SW/ryo#
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTORY7
o~,~OF SWrN
TOWN OF SOUTHOLD BUILDING DEPT.
/ 765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [y] ELECTRICAL (FINAL)
REMARKS:
DATE 1 d 7 INSPECTORS--4
FIELD DATR COMMENTS
~ro
FOUNDATION (IST) ~
y
FOUNDATION (2ND) 7
O
co
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y. Iq
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
A0
z
rn
z
z
d
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before epplyme
TOWN HALL Bawd of Health
SOUTHOLD, NY 11971 4 seta of Building Phms
TEL: (631) 7651802 Planning Board approval
FAX: (631) 7659502 Survey
SoutholdTown.NorthFork.Bet PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined J20~ Storm-Water Aaeesament Fotm_
Co.aat
Approved 20 Mail to
1
Disapproved a/c
PLOOC: _
Expiration , 20
SfP _ l
Building Inspector '
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS Date -
a. This application MUST be completely filled in by typewriter or in ink and submitted in the Building Inspector with 4
sets of plans, accurate plot plan in scale. Fee according in 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 he occupied or used in whole or in pan for any purpose what an ever until the Building Inspector
issues a Certificate of Occupancy.
f Every building permit shall expire if the work authorized has not conmueaced 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 fm 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 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 applicable laws, ordinances, builuG using code, regulations, and to admit
inspeeti -
authorized inspectors on promises and in building for necessary
,
i appli name, if a corporation)
(Mailing address of applicant)
State whethmp~applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises._.SCO_T~ MC1f(/]~IF, L0iZI_ HCU A n.FIZ
(As on the tax roll 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.
Other Trade's License No.
1. Location of land on which proposed work will be done: _
SOVND__ R~ r tFAJ (1 %I
House Number Street Hamlet
County Tax Map No. 1000 Section Block 0 1 . 00 Lot,__ O! S . O DO _
Subdivision Filed Map No. _Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy j$ A C~ t.__ U SC 9 7~A {L 5_70 (ZA Crt=
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building__ Addition Alteration
Repair X Removal Demolition Other Work t L FC I t_A(.
4. Estimated Cost 0j Fee (Description)
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars Ohl F
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front I I r (o Rear I 1'(0 Depth Z y Z r1
Height 02 1 Number of Stories 1
.Ot A)
Dimensions of same structure with alterations or additions: Front S441 v , A/ 0 C µ R ear_
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front 7.S Eer+ Rear -7,5- Bt Depth 1 Y 3 , y.3 -F4-
10. Date of Purchase I'I / iF Name of Former Owner E (i-1514
11. Zone or use district in which premises are situated RFS 1 D e to T t A L-
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X
13. Will lot be re-graded? YES--- NOX. Will excess fill be removed from premises? YES NO X
14.Namesof0wnerofpremises MGIty-rlRe7 Address V40 S0JJ9 Phone No. 631 Y773-576(
Name of Architect Address Phone No
Name of Contractor Address Phone No.
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 distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? • YES____ NO X
" IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF))
Seo 77 t v \ C 1 &rr 1 RC being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(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.
Swom to before me this
day of 20
Notary Public Signature of Applicant
M
200
Tam Mai R*W * Tdephow 01) 765-1802
S{875 Mao Rod
PA. Boa 1171 - ' ~e 7
Smhoid 1VY 11971-0999 IrY
BUQDINGDF.PA<C UNT
TOWN of SOU7TIOLD
APPLICATION FOR EMIC )NSpECTION
REQUESTED BY:
Date:
Pany Name:
Name:
i
License No.:
dress:
No.:
j
JOBSITE INFORMATION: (*Indicates required irtfomiation)
*Name: 5107 f 2 M c -2 nrr'1Re=
*Address: 2 L 5 0 U n5- p R.a Rq
*C1oss Street: ~v2e H 2640
*Phone No.: '1 7 7 3 S- 7 &
Pemdt No.: 3 ~ 5 I
Tax Map Districd 1000 Sectbn. 30 S 0 o gtogc OI . CJ Lot O IS". 000
*BRIEF DESCRIPTION OF WORK (Please print Clearly) l AJ ST C A&- L I C. 6~7S
prep nVZ C,7' I Aj t ~+2.C--~46:
(Plea. Circle AH That Apply)
*Is job ready for Inspection: YES ~ Rough In Final
*Do you need a Temp Certificate: YES I NO
Tamp h*wmadon (It. needed)
*Service Si2:a: 100 150 300 350 400 Other
*New Service: Re.oomect Underground Number of Metros Change of SeMoe Overhead
Additional Information: PAYMENT DUE WITH rrerrr?n
B24%Wj p Wr BMpeWw Form r
pF SOUTyolo
Town Hall Annex y yy Telephone (631) 765-1902
54375 Main Road T Fax (631) 765-9502
P.O. Box 1179
Southold. NY 11971-0959 A~
coum,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 1, 2013
Scott McIntire
Lori Hollander
22 Sound Rd
Greenport, NY 11944
TO WHOM IT MAY CONCERN:
The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (Contact your electrician)
A fee of $50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 411184)
Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 785-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept
BUILDING PERMIT: 38325 - Accessory Garage Repairs
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MAP OF LAND
SIIRVEYriD FOV.
GE0 GrA. &..GERTRUDE K. EG(SH = :
AT
GQEENP02T
TOWN'OF KOUTHOLD.N.Y.
GUAQANTYBO TO THi
CHIOAQO 'TITLlr INSU*^ OE corAPANV
SCALE 30'= 1"
• = IRON PIPE >SIiRViVr&D ARRtLliy/N'L
VAN TUYL m SON
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PROVED AS NOTED
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TIF BUILLINC, I')~RTMENT AT
5-18 SAM TOi PM FOR THE
FOLLO ING INSPECT IONS:
CON PL'f Vlh Fi ALL CODES OF 1. FO DATION - TWO REQUIRED
FO OURED CONCRETE
NEW YORK STATE & TOWN CODES 2 R H - FRAMING & PLUMBING
3. W ATION
AS REQUIRED ANN OF'
4. FI - CONSTRUCTION MUST
B MPLETE FOR C.O.
W; 30ARD
* ALL STRUCTION SHALL MEET THE
REQ MENTS OF THE CODES OF NEW
YOR ATE. NOT RESPONSIBLE FOR
DESI OR CONSTRUCTION ERRORS.
EXInING GARAGE
24'2'XII'6'
a
i
3 Double 2M T5
Flumsoed Strip Ll"
-,.';,~;UPANC~ WFUL
JSE IS UN
WITHOUT CERTIFICA
OF OCCUPANCY
REPAIR GARAGE AT 490 SOUND ROAD, GREENPORT, NY 11944
1. Repair shed roof due to dry rot.
Replace rafters
Replace plywood
Replace roofing material
2. Repair Southeast window area due to dry rot.
Replace header
Install window flashing
Repaint and recaulk window
3. Repair and repaint back east facing window.
4. Repair and repaint front 3 south facing windows.
5. Repair Back door.
6. Insulate and cover interior walls with plywood.
7. Fill cracks in cement floor and paint floor.
8. Install 2 outlets inside garage, 2 outlets outside garage.
9. Install 3 switches.
10. Install 3 interior lights.
11. Install 1 exterior light.
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