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Home My WebLink About28760-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29221 Date: 01/28/03 THIS CERTIFIES that the building ADDITION Location of Property: 190 AKA #34 SUNSET LA. GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 33 Block 4 Lot 68 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 12, 2002 pursuant to which Building Permit No. 28760-Z dated SEPTEMBER 20, 2002 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 UNHEATED ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HENRY F.& NANCY J. VANWYCK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 01/27/03 PLUMBERS CERTIFICATION DATED N/A Authorize Signa re Rev. 1/81 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. 28760 Z Date SEPTEMBER 20, 2002 Permission is hereby granted to : HENRY & WF VANWYCK 34 SUNSET LA GREENPORT,NY 11944 for . ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 190 SUNSET LA GREENPORT County Tax Map No. 473889 Section 033 Block 0004 Lot No. 068 pursuant to application dated SEPTEMBER 12 , 2002 and approved by the Building Inspector to expire on MARCH 20, 2004 . Fee $ 150 . 00 C ut or ' zed S ' ure ORIGINAL Rev. 5/8/02 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 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 Date. / New Construction: Old or Pre-existing Building: (che one) Location of Property: House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block _Lot Subdivision Filed Map. Lot: Permit No. /lD 0 Date of Permit. 'a f �D Applicant: �� Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) v� Fee Submitted: $ Applicant Si ature co a9ao2� l7 rJ�r�rJrJrJr�rrr�rJ�rJcnrJcnrJcnrrcnr j p j 1! �gPrg p j.2 rJr�rJrJ�cnrJ��nrJr1rJ�nrJrJ�rJcnr.Jac nrJcnr-' V-I.nrJrJ. c.: I. r U 12 5 11 BY THIS CERTIFICATE OF COMPLIANCE THE �� 1 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 rj BUREAU OF ELECTRICITY rrS 5 40 FULTON STREET — NEW YORK, NY 10038 r� SCERTIFIES THAT S 5 Upon the application of upon premises owned by 5 5 5 Q.C. ELECTRIC INC. HENRY VANWYCK 5 P.O. BOX 518 190 SUNSET LANE �r5 LAUREL, NY 11948-0518, GREENPORT, NY 11944 Located at 190 SUNSET LANE GREENPORT, NY 11944 Application Number: 1110273 Certificate Number: 1110273 5 SSection: Block: Lot: Building Permit:28760 BDC: NS37 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 First Floor,Outside, 5 5 55 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 rj found to be in compliance therewith on the 6th Day of February,2003. rj 5 Name QTY Rate Rating Circuit Type 5 5 5 Wiring and Devices 5 Receptacle 7 0 General Purpose 5 Switch 3 0 General Purpose Fixture 1 0 Incandescent 5 Receptacle I u GFCI Paddle Fan 1 0 5 5 5 5 : 5 5 : 5 5 5 5 � 5 5 ; 5 sea, 5 5 5 : 5 I of I 5 ; This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. O �PcJ'c.f�J'r�rJrJ�rJ"rJ�r1�J'�PrJ'r�cP�Pr�'cPrJ�rJ��rJ'rJ'rJ'r�cPrJ'rJ'rJ�rJ'rJ�r..f'rJr�rJ�r�rJ�rJ��J'rJ'rJ'rJ�rJ'r�rJ'cPc.PrJrJrJ'r�r�r�r�rJ'rPr.l'rJrJ�cPr� � �r v µ: '! 11 y Yv• V 22p, Ir 2. WY y t y 75Si2(7 r n ; QUATQOCH E ,Ai2 +4 i't� f� Ita 'r,thorrzed ehersthm oradlldoll T-.,this survey Is Aidetion of (fes %F)PIE &-tton 72M of Education LAW 1hsNessYorkSGtte 0,MONUMENT Codas d*Urw�jmft this mwWar MI bszKhq land OC a s r to fea(dybN a be 1 Gusreneee htdleated 1mm day nm r only to the pwoon for Mmm the survey , e a t Is Prmar@4 end on hb bdmff to the title compww,ogftrnft dol agency and - t ; lending IrtsdtttNOit kiNd hereon and -to the iWanew of the .r-r d to edditicnel lMWtslOaa or tution.Guarantees we notarbapeenE ,m.c auk},.,1 G U A.R AandmMe te. owners, 7 �' 75T(♦�CyYO' I�l�..moi. • Tom,.M41 f.hfV • 4 9 V'w y � � r µ,.�. �i: �, rye . • • .. � r rµ4"�'t . TOWN OF SOUTHOLD PROPERTY RECORD CARD _ z OWNER STREET f) VILLAGE DISTRICT SUB. LOT FORMER NER N ACREAGE r TYPE OF BUILDING xa RES. �._ SEAS. VL. FARM comm. IND. CB. I MISC. LAND IMP. TOTAL DATE REMARKS — « f `q 60 el G -33oo 3c� oo AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable, 3 Woodland Swampland Brushland '� .+► .� House Plot Total ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ K ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■MI■■■■■■■■■■■■■ ■■■■ii■■■■■■■■■■■■■ - ■■IliGsi�ari■I■■■■■■■■■ NOIN11■J■■■■I C'U■■■■■■■ NMllM■■■■■■I■■■■■■■■■ ■■IN■■■■■■.i 1■■■■■■■■ eU■■■M■■OM■■■■■■■■■ ■■■■■■■■■■■■■■■■i■ r4ounclation ® :. I Interior Finish • . __ ski Rooms . •. . .. • yWrioveway ��■_ BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: V f DATE REVIEWED: /1/ DATE SUBMITTED: I �2 / sc-1NI-4 DIS'TIUC]: �.uuu, SI��IION: BLOCK: LOT: v�8 STREET ADDRESS: pgE� PROJECT DESCRIPTION: ESTIMATED PROJECT COST: ARCHITECT/ENG ER: FAST TRACK?4— SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF-100-24-Lot recornition.(CRF A FED before June 30. 19831),1 jNDF.RSIZFD I-O'rS FRON JAN.1997 10052-Mer ger__. 1 onconf normin �J 6 C� gat any time after; ZONING DISTRICT: fb CONFORMING? _Wo REQ. LOT SIZE: 000—ACT. LOT SIZE: 26!25REQ. LOT COV. , ACT. LOT COV. REQ. FRONT PROP. FRONT X REQ SIDE to S _ACT. SIDE_ - -- Q• REAR PROP. REAR REQ. H IGHT _ _PROP. HEIGHT WATER FRONT? DESCRIPTION: PANEL #: 1-76 FLOOD ZONE: _ _ - APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or 49D (BED #): DTE: / / PERMIT#:R10- TOWN SEPTIC RECEIPT: Y oo- ——— NEW YORK STATE DEC: PRE-DEC 9/1/75 YES ortM SOUTHOLD TOWN TRUSTEES: YES or450 TOWN ZONING BOARD APPROVAL: YES ori TOWN PLAN. BOARD APPROVAL: YES or&M TOWN HISTORICAL PRE (SPLIA): YES ori NYS ENERGY: YES OR,0 : / EGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP t� -Z/C/0 Z- S(q HAVE PRE CO'S : Y OR N BP -Z/C/0 Z_ NOTES: FEE STRUCTURE: FOUNDATION: SF - FIRST FLOOR: - -- SF SECOND FLOOR: SF OFIiEIz: _ __SF INI1 ETHER '10 FAL 1 OT,4L: Z3 _SF FEE FEE FEE 23 1. I SF)- �- SI')- - _SFX $ _$_ $ - +5 = $ 2. (-SF)- (__ SF)= SFX $ _$ +$ +$ _ $ 70-1802 BUILDING DEPT. INSPECTION [ F UNDATION 1 ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ l FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY EM RKS: d C � DATE Dv INSPE �F7ZO 765.1802 BUILDING DEPT. INSPECTION [ ] FOUN ATION IST [ ] ROUGH PLOG. [ ] F NIDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE A HIMNEY REMARKS: mal 74- IDATE0 7/ INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ OUGH PLBG. [ ] FOU ATION 2ND [ ] INSULATION [ MING [ ] FINAL [ ] FIREPI. A CHIMNEY REMARKS• !:i DATE /" INSPECTOR T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FIREPLACE A CHIMNEY REMARKS: DATE � INSPECTO t FIELD INSPECTION REPORT DATE COMMENTS �� FOUNDATION(1ST) f � R y ---------------------------------- 1 FOUNDATION(2ND) t W ROUGH FRAMING& Iwo -- PLUMBING H ` r INSULATION PER N.Y. y STATE ENERGY CODE ol FINAL ADDITIONAL COMMENTS c 0 z m X W b P y O z x r y x d m b ivwiv ur 0.v,uanVL1) bULLlANUPhRIAIl AFPLA( AflUN CHECKL15 BUILDING DEPARTMENT Do you have or need the following,before applying TOWN HALL Board of Health SOUTIfOLD, NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. L Trustees Examined 20 Contact, �1 Approved 't t ' 20 v Mail to: Kl/to� t)Ze,v kow51Z• Disapproved a/c1� Ge&A. ORi EAST AOrij l0�/ �-ltA IraS t g u 7 Phone: U 77 —Z L{6 Qildi APPLICATION FOR BUILDING PERMIT Date f 200�- INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in 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 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 a Certificate of Occupan is issued by the Building Inspector. 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. . 0 - (Signatdlq of applicant or name,if a corporation) (DO U GGOftn- 012. a!15f '41AK I 0,�f- (Mailing address of applicant) I I q3 q State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 6-n y-igA-61 o n. Name of owner of premises Hev R V A:y- Lvy G I< T (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. 12 q Qj }{-- Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 1 QO Sun��GT, LP. lr►2ee�pol<s, 1 House Number Street Hamlet County Tax Map No. 1000 Section -3 3 Block Lot--k g Subdivision Filed Map No. Lot (Name) . ?. State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy .. j ►,r,o L FAc i Re S I Den G e b. Intended use and occupancy i. Nature of work (check which applicable): New Building Addition_ Alteration Repair Removal Demolition Other Work (Description) 1. Estimated Cost 57000 -'� Fee (to be paid on filing this application) If dwelling, number of dwelling units I Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. 1 Dimensions of exist�g structures, if any: Front -2. Rear S-Z f Depth 2 S Height 167 Number of Stories t Dimensions of same structure with alterations or additions: Front 2 Rear S2 I Depth 3 eK Height s Number of Stories �. Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front Rear 75 Depth 14 S 0. Date of Purchase Name of Former Owner iV A 1. Zone or use district in which premises are situated 1n 'moir 0 2. Does proposed construction violate any zoning law, ordinance or regulation: 10 3. Will lot be re-graded %1/U Will excess fill be removed from premises: ES NO 4. Names of Owner of premisest�kNA j VkNky46W Address t4a Sv,"saj L-A Phone No. L( �7 - ► L l0 Name of Architect Address Phone No Name of Contractor kart 10zu.vK owSK Address 1006 C010h A. /Phone No. `-177 - 2 y b S I N'AtA1cti• 5. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) S: 'OUNTY OF,,, J .�. n '` /1.1, '/ -'7 S l'Z being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, S)He is the (�O kL (Contractor, Agent,Corporate Officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. worn to before me this --* day of 200 Z_ ( A--),�- 6 otary Public Signature oOkpplicant LYNDA M.BOHN NOTARY PUBLIC,State of New York No.01 806020932 Qualified in Suffolk CountL_ Term Expires N"a'�h R, 20 r, H�eT a 47 Q i MR . 4 ISA R H I N RAN N VAI Y( K IINDEpiRTEMRECERTIFICATE a ASOMI GoLD RoLL i Zo GRoo f N G t� G' Non i nrG X a 765-1602 S AM T x FOLLOWING INS 1. FOUNDATION Rite i k ;d FORPOURED �2 SN«T RocK 2 ROUGH - FRAMING 4 BING & INSULATION 4 FINAL • CONSTRU 0 uff i SE COMPLETE FOR C.O. ALL CONSTRUCTION S THE REQUIREMENTS W�ND&RSGfv CAStm EN.,-- ,fln/pOw STATE CONSTRUCTION r CODES. NOT RESPON FOR DESIGN OR CONLMTR , � 0 ,1 & ER11FICATE OF OCCUPANCY � n ficeT ROS K N�uLAI Ie N kl2h 2X (O iia O .C !� (�—Iq ZiySVLATIoti' CGA i� i 4 WAT�2 P�.00� G Co u R S 1= S KIM T. DZENKOWSKI —� Horne Improvement - 1000 Cedar Drive ------- - ----- East Marion, NY 11989 Phone 477-2465 �I SUFFOLK LIC. X12988-1-1I 3o�cvGo2 I �r �� X15T l i✓C, LKw SSS 3O�$ ;e \ W Q 3fl 3 " U � ! i PSR zs t4,P, 2 SI , A uU o I I t j d• aW y 0---------------- r. I > I ` ;iZ a � U p E0 c haU. i i i Pc - - -- - - -----, k i i I I C s i I � i r ! Al D4 12 Atio— (., Co v i , KIM T. DZENKOWSKI �--•-.-_-_._.._.__----_---._.___. _.__ Home Improvement � 1000 Cedar Drive _ East Marion. NY > >4-AQ L-li� 1 f � I i �v(� P°R /14 " 00 V1, vi t 1 Y 1 T t ! " l i E " x i M Soo IZLi a io N E civ � p oo� { o$ is 15 E t _�ya0 i W N t 1 i ♦ A w! Pos rs -31 Its pir2 Low W� GRov�� zXl 0 1(0" G�G% R 0. G;