HomeMy WebLinkAbout38869-ZTown of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
7/31/2015
No: 37687 Date: 7/31/2015
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 710 Island View Ln, Greenport
SCTM #: 473889
Subdivision:
Sec/Block/Lot: 57.-2-5
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/29/2014 pursuant to which Building Permit No. 38869 dated 5/8/2014
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:
"as built" interior renovations as applied for.
The certificate is issued to Tri State Capt. Holdings
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Auth ed S'gnatur
9
Permit #: 38869
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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)
Permission is hereby granted.to:
raa
Blitz, George ffir State Capt. Holdings new owner)
2342 Maple Ave
Cortlandt Manor. NY 10566
To: ,as built" interior renovations as applied for
At premises located at:
710 Island View Ln, Green
SCTM # 473889
Sec/Block/Lot # 57.-2-5
Pursuant to application dated 4/29/2014
To expire on
Fees:
11/7/2015.
Date: 5/8/2014
and approved by the Building Inspector.
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00
CO - ALTERATION TO DWELLING $50.00
Total: $450.00
Building Inspector
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:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual nataral 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 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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. JA /;a q q
New Construction: Old or Pre-existing Building: V (check one)
Location of Property: 9 1 u TSIand v fe-. w LQnf. rrPr A A
House No.
Street
Owner or Owners of Property: � U, 6-{ att I H-6-1
Suffolk County Tax Map No 1000, Section 5-7 Block
Subdivision
Permit No.
Health Dept. Approval: _
Date of Permit.
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Hamlet j-'
Lot
Filed Map. Lot:
Applicant: D b I e Serras
Underwriters Approval:
Final Certificate} (check one)
Applicant Signature
TOWN
1
OF SO(/T�,olo
y®�
OLD B G DEPT.
765-1802
PECTIO"
]
FOUNDATION -IST
] FOUNDATION 2ND
]
FRAMING/ STRAPPING
] FIREPLACE & CHIMNEY
] FIRE RESISTANT CONSTRUCTION
] ELECTRICAL (ROUGH)
] CODE VIOLATION
PLUMBING
[ ] INSULATION
[ ] FINAL
[ ]
FIRE 'SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (FINAL)
[ ] CAULKING
0
DATE INSPECTOR
A, OF SO//T
�o
%S_
cOUMY,�c�
-TOWN OF SOUTHOLD BUILDING DEPT. -
765 -1802
INSPECTION.
[ ] FOUNDATION IST [ ] RO H GPLUMBING
[ ] FOUNDATION 2ND [ ] SOLATION
[ ]
FRAMING/ STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMAR
<el
DATE C � INSPECTOR.
1
:3 of so
u
TOWN OVSOUTHOLD BUILDING, DEPT. -
765 -1802
INSPECTION
]FOUNDATION I ST I ROUGK PLUMBING
FOUNDATION 2ND ]IN L
I
FRAMING/ STRAPPING KFINAI
k
FIREPLACE'& CHIMNEY ]TIRE SrINSPECTION
RRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
DATE--�//�f INSPECTOR
&I f
- v3
]MELD T$SPEC'TXON REPORT DATE COMMENTS
FOUNDA17ON (IST)
---------- reser--w-wees0®o
FOUNDATION (2ND)
rA
ROUGH FRAMING & H
PLUMBING
IN$UL• ATION PER N. Y. �y
STATE ENERGY CbDE
• � 4
FINAL
. d
ADDXZ`i®1VAL CD1YIlYIENTS"` l
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U
TOWN OF SOUTHOLD ' "
BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT
Do you have or need the following, before applying?
TOWN HALL
Board of Health
SOUTHOLD, NY 11971
4 sets of Building Plans
TEL: (631) 765-1802
Planning Board approval
FAX: (631) 765-9502
Survey
SoutholdTown.NorthFork.net PERMIT NO.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 120
Storm -Water Assessment Form
Approved 120
Disapproved a/c
Expiration 20
Contact:
Mail to: Nb b 1c_A t' -ra s
4 Tr ca+t) Coen QA er 01%)
Phone: - 1
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date �� Q`e t, 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 planto 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
issues 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 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, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
Tnnnaeap AIA U a&75
(Mailing address of applicant) B
��° ,. ;' ' r ",':QED AS N'G7 �- a
State whether applicant is owner, lessee, g nt, arc mf c ede weer, general contractor, electrician, plumber or builder
GA
ONSP�iy.CTM�C�imiir ��� D.ATE_� B P. #.-tf�_�
lW f� d P��
Name of owner of premises � -� ltsK _
(As on the tax roll or latest FY IVi t T -,�
If applicant is a corporation, signature o du'1_ y au%hbrized offrcet 75 -18028 >1 I'
FOLLOWING INSPE TIONS
(Name and title of corporate:officer). 1 1PQE9y,tj,�� p� 1 FOUNDATION - TWOREQUiRED
10 �l °�.� =a 9 FCi POURED CONCRETE
Builders License No. n „ ; A.. 1 1 1 el� F_ V-,-71 1 E_ 2 ROUGH - FRAMING, PLUMBING,
Plumbers License No. "d°�`9 5 ��'��: � tl �1 1 IFICATE STRAPPING, ELECTRICAL & CAULKING
Electricians License No. �;�-•a F, r,.; ;�,..� a�A.�,9 3 INSULATION
Other Trade's License No. �Jjj h '+,. 4�.: i i',`s .� ; 4 FINAL - CONSTRUCTION & ELECTRICAL
1. atiMUST BE COMPLETE FOR C 0
Lo
of land on which pro osed work will be done: L RUCTION SHALL MEET THE
House Number Street NTS OF THE GeDES F NEW
Haml�& STATE. NOT RESqONSIBLE FOR
County Tax Map No. 1000 Section En Block Q�ESIGNLOV CONSTRUC IN ERRORS.
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 i Q
b. Intended use and
3. Nature of work (check which applicable): New Building Addition Alteration r
Repair Removal Demolition Other Womra�% 5 6 614-44
(Descrip on) 610,0 r: " d ni f �Q
4. Estimated Cost Fee
(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 ��C� ems,
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
®
7. Dimensions o existing structures, if any: Front 2 -Rear 2-6Depth 24
Height ' Number of Stories
Dimensions of same structure with alterations or additions: Front S CtC04 Rear
Depth _SQ Me- Height ==SoMr- Number of Stories
8. Dimensions of entire new construction: Front "-- Rear Depth
Height Number of Stories --
9.
9. Size of lot: Front Rear Depth
10. Date of Purchase It Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO_X/
13. Will lot be re -graded? YES_ NO p%Will excess fill be removed from premises? YES_ NO
14. Names of Owner of premises Address Phone No.
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. PERMITYMAY QUIRED.'
b. Is this property within 300 feet of a tidal wetland? * YES V 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 ey.
18. Are there any covenants and restrictions with respect to this property? * YES NO - _
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF //yy )
bb C S S being duly sworn, deposes and siys 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.
Sworn to before me this
day of 1q201_q_►1) 20
62�lnk PWiqL'LORI A, i' AYD-
Wfaq
Notary Publ'`' d4U ?ori'
No 01 HA60b', 90 , Signature of Applicant
Qualified in SUN0II•1 g6Unti
Commission E;tplret
TOWN OF -;-Y`�-MMAD CARD
OT. Ou.
STREET
jW-A 7-
71 I'DIST. SUB.'
LOT
Av
FOWER dWNEA/
ACR.
A I
v
TYPE OF BUILDING
A
Lr
RES. Ib �SEAS. VL.
FARM COMA- CB. M [SC Mg Value
LAND IMP. TOTAL DATE REMARKS
jet&
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0 0 0 0 d':?h A I jjcet) PbOL-
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NEW NORMAL BELOW ABO E
Mpw Acre Value Per Value
Tillable
Tillable 2
Tillable 3
Woodland
Swampland
Brushland
House Plow
Total
Acre
k
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
04/29/2014 12:21 FAX
2
03/26/14 'I I C) TS I 00d
Window Wizard - Quvte 5
Quote infor"'ation - fjttDtc 536 362563
2563
�"ager
CatnP4nY NanrC. SNAP
Nrchase Order: Sales Order:
loh NanIc: 710 ISLANDyILW Contractor. 1301321F S
Account: RN0047
Entered B : Account Nage: N"70NAL ROopW
Y NBR[Mp O(pAT
Created Status: Quote ilJOUP
On: March 26, 2074
Line ! Qty.
1
2
5
All 01-ir1-S Stri)jUL:,t r() chars c
1' Without nc�tiei•,
Ocscription
New Series 450 Double N
Screen - Standard Mcah . ung. White - Clear. Stan
Opening Size: 2G.7S W x Clard
g eks (White) (Upcning $ ; 32 LOW'BlArgon -.R Ilalf
[9 H (3.S{S SQ.FTj) �' )c 50 If,
1rgrCis
- DPM.- Sire Tested 36",x 74" -
in region(s): [NORTH_ �I FActor, 4.32.5HGC:
$F.Dl?ooA[,5 ) [SOUTH CP 0.27 Meets ENERGTAR
S
-NT�-1 [SOZRM
Iti 75 uxi io g) ulled7 SQ �) Twin (UPening Sill: 48 W x 4$ N
r---�` ,Egress npcmng Su•,c:
2 New Series 4S0
Dvublc fl $ te .
Screen
Standard C.
_ Clear - Srandltrd
0,27 Meets ENEI:GY STAR a ntse) - Factory Mull r ow-FJArgon . X7C _ R Half 23 1/2^
[SOUTH -CENTRA g () [NORTH--CENTR Factor: U.32, CiIQC:
1 [SC)i>ALJ x 47
!/2" ES
C-�n S--�r T u ' d
Size
(w
31 U2"
x 49
1/2" PS
10 001
04/29/2014 112:21 FAX
03/26/14
7
Sub
Totals_
8.625%
Sales Tax
6 I1
2
Window Wizard - Qupte 5362663
Conllgur200n; Mrrllul Unit 1/4-1/2.1/4 X' OX Triple 1/4,112,1/4 (Opening Si c: 101 I/2 W x 60H , Egress Opening Size; 22.75 W x 2,4-19 H (3.82 SQ.FT))
New Series 451 Double Hung.
Half S -Cl- Standard Low-lVArgon - XOX - R
creen - Standard Mesh . 2 W ' e hits)
5HGC: 0 -Factory Mal! - U Factor: 0.32,
1 .27 Mccts F.NERCrY ST glon(s): [NORTH -CENTRAL)
iSOU'rff-CLNTRAL] [Sounq&I
1LVC ROOM
New Series 450 Pi indoor - White - Clear- deed Low-BlArgon - Double
Strength . XOX - ctpry Mall - U Factor: 0,26, SHG 0.30 Meets ENERGY
I STAR in regio ): INOATF1ERN) INORTH.CENTRAcnrrru ,,itm ... ,
LVG
rSOelmo 450 Double Hang -White -Clear - 5lantlard Low -EJ n - XOX - R
ctn - Standdr+dMeah - 2 Lucks (grbik) . Factury Mull - U Fa or; 0.32,
: 0.27 Mats ENERC'rY STAR itr rcgion(s): jNORTH-CENTRAL
HCEN 1'ItALl ISO
ir1l lERty)
LVG ROtDM
New Seiies 450 rouble Hung - While - Clear - Standard Low-FJArgon - R Half
Sc=n - Standard Mesh - I Lock (White) (Opening Sig: 24 W x 39 H, Egress
Opening Size; 18.7,5 W x 13.19 H (1.72 SQ.p ))
- DP311; Size TrSted 36" x 74" - U Factor. 0.32, SHGC: 0.27 Meels ENERGY STAR
1t�� (s): [NORTH-GENT'-ALI ISOLrJ71-CBNTRALI ISOUT>riLItIV)>.vs
2-4" x
11.0" NS
3-9 U2"
x 5-0"
NS
?r4" x
5-0" NS
23 1/2"
x 37
I/2" ES
1002
04/29/2014 12:22 FAX
03/26/14 Window Wizard - Quote 5362563
ERT BEDROOMS
New Series 450 Double Hung - Whitc - Clear - Standard Low-VArgon - XX - R Half
Scmcn - Standard Mesh - I Lock (White) - Favtory Mull - U Factor: 0.32, SHGC:
0.27 Meets ENERGY STAR in region(s); [NORT11-CENTRAL)
2'4 1/2"
ISOUTH-Ct%NTRAL] [SOU't'HUN)
x 47
1/2"ES
FRT UEDROOMS
Now Series 450 Double Flung - White - Clcar -Standard Low-ElArgon - R Half
Screen - Standard Mesh - I Lock (White) (Opening Size: 24 W x 38 FI , Egress
Opening Sias: 18.75 W x 13.19 H (1.72 SQ.FT))
• t7P35: Size Tested 36" x 74" - U Factor: 0.32, SHt 1C: 0.27 Meets ENERGY STAR
in region(Q-, iNORTH-CENTRAL] [SOUM-CENTRAL] [SOUTHERN]
BATIMOOMS
231/2" '
3
2
x 37
in" Es
New Series 450 Double Hung - White - Clear - Standard L.ow-PJArgon - R Half
Screen - Standard Mesh - 2 Lacks (White) (Opening Size: 32 W x 38 14, Egress
Opening Sire: 26.75 W x 13.19 H (2.4,5 SQ,M)
-1?P35: Size Texted 36" x 74" - U Factor: 0.32, SHGC: 0.27 Meets UNERGY STAR
in region(s): [N0RTH-CP1-rML] [SOUTH-CENTRAIJ [SOU'TIMRN]
KITCHEN
4
2
31 1/2"
%37
1/2" ES
New Series 755 Single Vend Awning - White - Clear - Standard Low-E/Argon -
Screen - Standard Mesh - Standard (Opening Siam. 30 W x 22 1/2 H) - IDP45: Size
Tested 52" x 16"- U Factor: 0.28, SIIUC: 0.25 Meets ENERGY STAR in region(s):
V40RTBERNI [NORT'H-CBM AL] (SOUT XENTRAL) ISLAM ERN]
291 /2"
5
1
x 22"
VI 004
04/29/2014 12:32 FAX
04/17/14 Window Wizard - Quote 5405060 12:55:33
Quote Infra motion - quote 5405060 • Manager
Company Nunn:: SNAP Sales Order_ �►■ i �o�
Purchase Order, '7AI Contractor:
Job Name: 00""" : tA,eUj wowaws
Account: EN0047 Account Namc: NAYIONAL ROOFING(PATCHOGUE NY)
rnrcred By: NDRUNO St:uus: Quote
Created On: April 17.21114
Ali prices subject to change witbour notice:
Size
Line Qly. IJcsuripilun (W x H)
New Scriee 450 Double Hung - %like - Clear - StuncUvd Low -V tgon - 3/4 Colonial - 1 Hx2V• I Hx2V
(White) - R Half Screen - Standard Mesh - I Lock (White) (Opening S1 :24 W x 5011, t g►�ss
Oparing Size: 13.73 W x 19.19 H (2,50 SQ.F"P)) - DP35: Size Tested 14" x 74" - U Factor: 0.J 1, SHUC:
0.25 Mccts RNISHUY STAR in region(s): INORTH-CENTRAL] [SOUTH-CENTRAL) (SOUTHERN]
* 111/2"
I 2
r x 49
dry`
1/2" ES
-171
New Seriun 450 Picture Window - White - Clear - Standard Low-WArgon - Double Strength - 3/4
Colonial . 3140Y (Whitc) (Opening Size: 45 1/2 W x 50 H ) - T)P50: Size Tcated 50" x 66" - U Factor:
0.26, SHGC: 0.27 Meets HNFRGY STAR in region(s): [NORTHERN) (NORTI I-t,ENTRALI
[SOUTH-CENTRAl.J [SOUTHERN)
J
45"x
491/2"
ES
Sub
Totals
a.a25�,
Sales
•1'aa
1