HomeMy WebLinkAbout40304-Z o�ps��FOI'�coG Town of Southold 8/8/2016
��' y� P.O.Box 1179
0
°' .w 53095 Main Rd
�y,�y�� ��p�� Southold,New York 11971
�
CERTIFICATE OF OCCUPANCY
No: 38429 Date: 8/4/2016
THIS CERTIFIES that the building ALTERATION
Location of Property: 340 Bennett Rd, Greenport
SCTM#: 473889 SecBlock/Lot: 40.-5-1.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/19/2015 pursuant to which Building Permit No. 40304 dated 11/30/2015
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:
SECOND FLOOR ALTERED TO LNING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR
The certificate is issued to JEMCAP SD II LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40304 04-28-2016
PLUMBERS CERTIFICATION DATED 07-29-2016 An ony Martocc '
,
Autho ed Signatur
�S�FFo��,c TOWN OF SOUTHOLD
��o ��� BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE ' '
o • � SOUTHOLD, NY
y��� � ��� _
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#: 40304 Date: 11/30/2015
Permission is hereby granted to: �
Morgan Stanley ABS Capital I .
Trust 2006-WMC2
3476 Stateview Blvd �
Fort Mill, SC 29715
- To: costruct alterations (2nd story) to an existing single family dwelling as applied for. ,
At premises located at:
340 Bennett Rd, Greenport
� SCTM # 473889
Sec/Block/Lot# 40.-5-1.4
Pursuant to application dated 11/19/2015 and approved by the Building Inspector.
To expire on 5/31/2017.
Fees:
SINGLE FAMILY DWELLING -ADDITION O $522.00
CO -ALT DWELLING $50.00
Total: � $572.00
Building Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN NALL
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]ocation 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 Apri19, 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. � �,l�� ��j
-�
New Construction: Old or Pre-exist'ng Building: (check one)
Location of Property:
se o. Street Hamlet
Owner or Owners of Property:����Q�`�'\,���
Suffolk County Tax Map No ]000, Section Block � Lot i
Subdivision Filed Map. Lot:
Permit No. �o �Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
� Planning Board Approval:
. Request for: Temporary Cert' �cate Final Certificate: l/ (check one) �
• ��
Fee Submitted: $ ��
App]ican gnature
�O��pF SO!/T�,oC
Town Hall Annex � � Telephone(631)765-1802
54375 Main Road Falc(631)765-9502
P.o.BoX 11�9 � � �Q roqer.richert(a�town.southold.nv.us
Southold,NY 11971-0959 �
�y�OUNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
issued To: Morgan Stanley ABS Capital 1
Address: 340 Bennett Road City: Greenport St: New York Zip: 11944
Building Permit#: 40304 Section. 40 Block: 5 Lot. 1.4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: "AS BUILT�� �BA: Custom Lighting of Suffolk �icense No: 38893-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commencal Outdoor X 1st Floor Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 17 Ceilmg Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors �
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 7 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 7 Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS"
1-Exhaust Fan, 1-Oil Bumer
Notes:
Inspector Signature: Date: April 28, 2016
Electrical 81 Compliance Form.xls
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Town Hall Annex Telephone(fi31)7b�-1$Q2 .
54375 Main Road � � �. Fax(63 i)76�-95t3� - -
P_U_Box 1179 -;,,'' G � •
Southold,New York 11971-0959 ''� Y� •
O��C�UIV l��'" '.
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BUILDING DEPt�►RTMENT . _ .n
,� TOWN OF 50UTHOLD - � 1..�
.- �' . AUG - 4 2016
. � . �UILDING►D�T. - .-
. � . TUWN OF SOUTSOLD -.
- ;��,,, -CERTIFICA'�ION _ . . .
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, - i . �' ' ' � � � � , � � �- _
- .,�� � � Date: �� ,�� ._.� �, - -
Building Permit No��V �� / -.
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Owner: ��"�w�.C�� �--�'�� . . _
j (Please pnnt) „ _ , ' '
Plumber: . ., �o� � �� c`3'���� � . . .
�, {P case print) . - � �
lr�� � �'�q c��-�r�'� P . ` a ' _
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I certify that the solder used in the wa�er supply-system contains less tha.n 2/10�f 1°!0 . �� - ' �
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_ � (Plumbers Signature) � �.. : � � . �
" ,* . � >'//��� ELYSHA G4ATRA��York . � - . . -
Sworn to before me tl�s ��� Notary Publol GI6301253 - � � - _ . .
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Glualified in Suffolk i
day of � 20� Commission Expires: , , .
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTH �OLD,NY 11971 4 sets of Building Plans
TEL: (63,1) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERNIIT NO. � Check �
Septic Form
. N.Y.S.D.E.C.
Trustees
�—�--+--�--�- r (� l C.O.Application
�f - (' ,ti �' �1'7 I t� I i�'��1 I Flood Permit
Examined - � - ,20 I � I I � Single&Separate
I �
' NOV � 9 2015 I�� Storm-Water Assessment Form
, �
� � � contact.
�•
PP I �
A roved ,20 - --- ---- I �
� BLD�' ��rPl
Disapproveda/c ��";'; � „';�;�'�����
� ”' Phone: �l//� �� �� 1
Expiration ,20
I ,
�� Building sp�
, APPLICATION FOR BUILDING PERMIT
�
�� � Date , 20�
j INSTRUCTIONS
I
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plan's,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
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 o applicant or name,if a corporation)
--��V �lia r.r �S�—�N��1�1�
(Mailing address of applicant)
State whet�er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
I
� �-^� ,
Name of owner of premises J�tc� �J'!.7 � l. ���.,
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
i
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians Lieense No.
Other Trade's License No.
1. Location of land which ro osed work will be done:
i, `� �O �.�� c�
House Number Street Hamlet
County�Tax Map No. 1000 Section Block 5 Lot I
� ``�
,
�
. r� i ,± ' G
Subdivision Filed Map No. Lot �
�I
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a.! Existing use and occupancy ����L� � }�}��,�
b. Intended use and occupancy ��1.4,�1L.,� ��
3. Nature of work eck which applicable): New Building Addition Alteration_�
Repair � Removal Demolition Other Work
�, (Description)
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__ �._��__
6. If busi�ness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height_Y_Y______Number of Stories�_ _��!_
Dimensions of same structure with alterations or additions: Front Rear
Depth�� _ _____Height ___ _ Number of Stories _ ____
8. Dimen'sions of entire new construction: Front___________Rear ____________Depth__________________
Height__ _ Number of Stories___
I
9. Size of lot: Front _______________Rear_______________A__Depth___________________
I
i
10. Date of Purchase_________________�Name of Former Owner_______________________________________
I
11. Zone or use district in which premises are situated________________________________________________
I
12. Does p'roposed construction violate any zoning law, ordinance or regulation?YES NO L�
�
13. Will lot be re-graded? YES NO.�.Will excess fill be removed from premises?YES NO '
�
14. Names of Owner of premises������__Address_�������hone No..�'�e-�___��Q
Name of Architect Address Phone No
--------------------------- ------------------ --------------------
Name of Contractor Address Phone No.
-------------------------- ------------------ -------------------
i
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 �'G
* IF YES,jD.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.
I
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 1�I )
. �
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual igning contract)above named,
(S)He is the �� ���� �VY ��
! (Contractor,Agent,Corporate Officer,etc.)
i
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�Ihe manner set forth in the application filed therewith.
Sworn to before me this
�_',day of �_20.�.
� TRACEY L. DWYER
' ' UBUC,STATE
� Notary Pu 1 c NO.01 DW6306900 Signature of Ap i t
; qUALIFIED IN SUFFOLK COUNTY
� C�MMlSSION EXPIRES JUNE 30,2�19
I
�o��OF S��jlyDl
� o
Toxm Hall Annex � � Telephone(631)765-1802
�54375 Main Road � Q �
� � ,ax{631)765- 5
P.O.Box 1179 G Q roper.richert� _IOWCI.SOU� Ot�.IIy.US
i �
. Soathold,NY 11971-0959 p � �o
' ���4UM,�,��
SUILDIi�iG DEPARTMENT
, TO�VN OF SOiJTHOLII�
APPLICATlON FOR ELECTRlGAL I�VSPECTiON
�I .
REQUESi'�IED BY:�� '
Date: � a�
�Compa�y Name: � �.� � �
Name: � '
Li�ense No�l. �� -- �0�
Address: ' � �� G� � -� ��
Phone �lo.:l _ t�� -
J�BSlTE I'iiNF�RMATfON: {*Indicates required information)
�
�Name: ' � � � -
kAddress: ', {
kCross Stree#: �����-��.�� �� �
FPhone No.:�� � � ' -
'ermit No.: '� �Q b
�ax�Map District: 1ti0Q . Section: Block: S Lo#:� , � �
�
`�RI�F DES'CRIPTI4N 4F WORK(Please Print Clearly) r �. .� .
Q'����� � �-�l..f� X� l�Q� � ,
�
P�ease Circle �41d That Appiy) .
Is job ready for inspec�ion: YE / NO Rough In Final
� �
�o you r�eed a Temp Certifica#e, YES ! NO • - � -
'era�p Information {If ne�ded� �
Service Size: 1 Phase 3Phase 10Q 450 200 34Q 350 400 Other
�,
New Service: Re-connect Underground Number of Meters Change af Service Overhead
�
�dd�#ionai lnformation: P,4YMENT DUE WITH APPUCATION �,t�
I ��
, �
� � �
` �
82-Request for Enspection Form 1�l�p��
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s� YX�t`-Z",
I, �iil L��r C
Sc 'ott A. Russell j�� � a� ��C�tO�]EZ.I��Jt\�VA\�C']E]E�
I SUPERVISOR � � I��][A\1�A\cG�)EI��1[�EI��C'
3
SOUTHOLD TOWN HALL-P.O.Box 1179 � �
53095 Main Road-SOUTHOLD,NEW YORK 11971 � To wn of So u th o l d
I ll�� �)�i'��C�'
�
CHAPTER 236 - STOR;MWATER M�INAGEMENT WORK SHEET
i
� ( TO BE COMPLETED BY THE APPLICANT)
I
-- i - - -- - -- - -- � - --- - - - - -- _ �
� I ��� �u� �������r ���p.,� �� �� ��� ���.�t,����t�:
, �
Yes No . (CHECK ALL THAT APPLYI
; ❑ � A. Clearing, grubbing, grading or stripping of land which affects more �
j than 5,000 square feet of ground surface. '
� ❑ � B. Excavation or f illing involving more than 200 cubic yards of material
� {� within any parcel or any contiguous area.
❑ I C. Site preparation on slopes which exceed 10 feet vertical rise to
� , , 100 feet of horizontal distance.
❑ i D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
� erosion hazard area.
� :
_ ❑� E. Site preparation within the one-hundred-year floodplain as depicted
- , on FIRM-1�1-ap- of any watercourse. , �
: ❑ � F. Installation of new or resurfaced impervious surfaces of 1,000 square
- �. � --- - � --r - -re unless rior a roval of a-Stormwater�Mana ement - - - -
f eet o mo , p pp g
! Control Plan was received by the Town and the proposal includes
� in-kind replacement of impervious surfaces.
� - - - - __
� � If�you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
� If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
an�d a completed Check List Form to the Building Department wiih your Building Permit Application.
I
, APPLICANT (Property Owner,Design Professional,Ag t.Contractor,Other) S.C.T.M. ": I OOO Datr
Dutnc[ �
NAME: � �/ '.---�- II �R I
• i �,,,,�i - SecUon Block Lot
�
� �,�., � � � �`� =E�: f�o� ���i�r;�:��a rt.Nj��.�r:��i��;r 1.��: v�a_�- ..r.
Cunt�ct Informat�on ^ � �
� .i d�ui�,.t��oo��.
- - - � - - — - - - - - - - - - P.ev�e�vedBy:
i f J_�°I_i5
I Date:
Pro ert ;Address / Location of ConsU-uction Work. — — — — — — — — — — — — — — — — —
� Approved for proce�s�ng Building Permit.
� Stormwater Management Controi Plan Not Reqwred
^ � ❑ Storm�vater Management Control Plan »P.equired
� (Forward to Engineenng llepartment for Review)
� '
f nRM " SMCP-TOS MAY 2014
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�o��OF SOUTyoI
Town Hall Annex � Telephone(631)765-1802
54375 Main Road � � Fax(631)765-9502
;P.O.Box 1179
Southold,NY 11971-0959 �l � ��
', ycoUNT`1,�1ct�
April 14, 2016
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Jemcap
� 35 Chestnut Hill Rd
Oyster Bay, NY 11771
Re: 340 Bennett Rd,Greenport
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
� Application for Certificate of Occupancy. (Enclosed)
lectrical Underwriters Certificate. �J � J��
i A fee of$50.00.
Final Health Department Approval.
�.�-I� ,/
��J PIUCYlb21'S SOICIef CeftlflCat@. (All permits involving plumbing after 4/1/84)
V�
Trustees Certificate of Compliance. �Town Trustees#�ss-�$s2�
Final Planning Board Approval. (P�anning#7ss-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT - 4030�- Alteration
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� APPLICATION F�l� ��TI�,I�ING PER1�✓�IT ��. �v��. � � ��� ��� �$ � = � .��..�� _
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