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HomeMy WebLinkAbout28107-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29681 Date: 09/03/03 TI{IS CERTIFIES that the building ALTERATIONS Location of Property: 630 RUCH LA (HOUSE NO.) (STREET) (HAMLET) County T~3~ Map No. 473889 Section 52 Block 2 Lot 26 subdivision Filed Map No. __ Lot No. -- GREENPORT conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 19, 2002 pursuant to which Building permit No. 28107-Z dated FEBRUARY 25, 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 ALTERATIONS, FRONT AND REAR PORCH REPAIRS AND WINDOW ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. CONSTRUCTION CERTIFIED BY ENGINEER. The certificate is issued to BENJAMIN F MCCABE (OWNER) of the aforesaid building. SUFFOLK COUNT~ DEPARTMENT OF I{EA~TH APPROVAL E~EC~fRICAL CERTIFICATE NO. PLI~BERS CERTIFICATION DAT~3 Rev. 1/81 07~T~ N/A 1147611 08/08/03 03 JOHN DINIZIO PLUMBING - - Auth~r-ize~ S~gn~tJ -- FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERb~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28107 Z Date FEBRUARY 25, 2002 Permission is hereby granted to: BENJAMIN F MCCABE 75 BANK STREET ~4M NEW YORK,NY 10014 for : TO MAKE WINDOW ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 630 RUCH LA OR~NPORT County Tax Map No. 473889 Section 052 Block 0002 I~Dt No. 026 pursuant to application dated FEBRUARY 19, 2002 and approved by the Building Inspector. Fee $ 150.00 i-z [~JS i~gn~t U r e COPY Rev. 2/19/98 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 Departmeut with the following: A. For new building or new use: l. Final survey of property with accurate location of all buildings, property liues, streets, aud 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 slatement fi'om plumber certifying that the solder used in system coutains less than 2/I0 of 1% lead. 5. Commercial building, indastrial building, multiple residences and similar buJhlings and inslallations, a certificate of Code Compliance from architect or engineer responsible for the buildiug. 6. Submit Planning Board Approval of completed site plan requirements. B. For existiug Imihlings (prior to April 9, 1957) non-conforlning uses, or buildings ~'~e-'~2~Tsr~, ul~- u~na)us~rq I Accu'a e ~t ~,ey of prope~y showing all prope~y ~es, streets, building and anus~h~[a~l 0r t6~'~ features. 2 ~p-opervco pecd~pp c~ onaidcolse~ to ~spectsgmdbyfl~eappicant.~fi {crtifk~f~)~quc~ denied, the Braiding Inspector shall state the reasons therefor m wrmng Io the apl hcaql. C. Fees [ 1. Ce~ificale of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Swmmfiug pool $25.00, Accesso~ building $25.00, Additioos to accessoD' building $25.00, Businesses $50.00. Ce~ificale of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificale of Occupancy - $.25 4. Updated Cmlificate of Occupancy- $50.00 5. Temporary Certificate o[Occupancy - Residential $15.00, Commercial $15.00 Ne,,,, ( onstmctlon: Location of Property: House No. Owner or ()wners of Property: e~.~,Z~tS~f')_~_ Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: / (check one) Street Hmnlet Block ~> ~. Lo! ~ SubdMsion Permit No. Health Dept. Approval: Filed Map. Lot: ~ ~:>1~7 ZDate ofPe~it. ZkS3L Applicanl:~U~ UE Undelavriters Approval: 11~T& Il Plamfing Board Approval: Final Certificate: coq Request for: Temporary Certificate Fee Submitted: $ Z~-~---~~ JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (516) 298-5506 Re: Benjamin McCabe Residence 630 Ruth Lane Greenport, NY 1 t 944 To Southold town Building Dept; After an inspection of the above residence, I certify that the front and rear porch repairs meet all applicable state and local building codes, and are structurally sound. Also bedroom windows were changed in overall length to meet egress requirements, and no smaetural modifications were made to any load bearing members in the process. Any questions feel free to call. James~J. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SAGE ELEC. INC. P.O. BOX 38 GREENPORT, NY 11944-0038, BENJAMIN MCCABE 630 RUCH LANE GREENPORT, NY 11944 Located at 630 RUCH LANE GREENPORT, NY 11944 Application Number: 1147611 Certificate Number: 1147611 Section: Block: Lot: Building Permit: BDC: NS37 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 8th Day of August, 2003. Name QTY Rate Rating Circuit Type Wiring and Devices Receptacle 6 0 Switch 6 0 Fixture 5 0 Receptacle I 0 30 amp Receptacle 1 0 General Purpose General Purpose Incandescent Dryer GFCI seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town Hall, 53095 Main Road P.O, Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTItOLD CERTIFICATION Date: Building Permit No. 7 Owner: ~.~j,'~.~ t,m~(_~b ~__ (Please print) Plumber: ~0~ ~t'~?~'O 0~~ (~ ~ (Please prm ) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn tlc before me this dayof/r'~\ 4~, . , 2(fl~ Notary Public_,_.,-~~_.~ County ~ k-/' (~bers Signature) LYNDA M. BOHN NOTARY PUBLIC, State o! New York No. 01 B06020932 Qualified in Suffolk coun,t~ Term Expires March 8,, 20 ~ BUILDING PERMIT EXAMINER CHECK LIST APPLICANT NAME: ~:~oorr~-,~,,~ ~-4~C_~,,,: DATE REVIEWED: 2 /2,/0~, .DATE SUBMTrTED: 2 / ,'~ /0'K, SCTM# DISTRICT:l,000 SECTION: ,~2- BLOCK: 2. LOT: STREET: PROJECT DESCRIPTION: ARCHITECT / ENGINEER: CITY: -?~o~-~.o. SUBDIV. NAME: FAST TRACK? SINGLE & SEPARATE CERTIFICATION~REQUIKED? t,, o NOTES: -- LOT~ 40,0008F-100-24. Lot recognition, (CILE~TED before June 30, 1983), UNDERSIZED LOTS FROM JAN. 1997 100-25, Merger.(A nonconforming at any time after 7/1, ZONING DISTRICT: REQ. LOT SIZE: ~* '° ° ° REQ. FRONT ~ CONFORMING? ^,* ACT. LOT SIZE:__ REQ. LOT COV. 2o% ACT. LOT COV. PROP. FRONT - REQ SIDE , ,,/~, ,' ACT. SIDE PROP. REAR - WATER FRONT? Q~Y~ DESCRIPTION: PANEL #: I~ FLOOD ZONE: .,,,r , - AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or~.{0, (BED #): ~/,, DTE: / / PERMIT #:RI0- NEW YORK STATE DEC: eP,~-DeC 9arts YES or ~ SOUTHOLD TOWN TRUSTEES: YES or~ TOWN ZONING BOARD APPROVAL: YES or ~ TOWN pLAN. BOARD APPROVAL: TOWN HISTORICAL PRE (SPLIA): NYS ENERGY: YES OR~_.~: __ EGRESS (18 H min.? 4 sq total) YES or~ YES or~) VENT (SQ. FT. x 4%). BUILDINGPERM1T_.~$. OPEN/EXPIRED: BPc:~S-q6 o HAVE PRE CO'S"" -a'~ :CxYOR N ~_ ,/o BP NOTES.: LIGHT (SQ. FT. x 8%)_ -z/c/0z-~6oo~a , ~ ~,.~'. -Z / C/0 Z- ~. FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: ~ =)(9 SF SECOND FLR: SF TOTAL: o/~oq SF INIT OTHER TOTAL FEE FEE FEE 'OT( ~'¢,~ SF)- ( SF)= - SF X $ =$ +g'~ +$ '~ = $ 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY INSPECTION [~ ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE ~///~//o.2_ INSPECTOR ~~ REMARKS: BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ].~ISULATION [ ,/]' FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROU~.~PLBG. [ ] IN~JLATION [,~INAL REMARKS: ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO/~aH PLBG. [[ ]]~ORAUMNiDNA~ION 2ND i ~FiNAULLATION REMA/I~,K~:~[ ] FIREPLAC~E}& CHIMNEY ~- BC'ILDING DEPARTMENT ,TOWN ItALL SOUT~OLD, NY 11971 TEL: 765-1802 Approved Disapproved a/c PERMIT NO. Do you ~ve or~ ~ fo~9~g, ~efore a~l~ Bo~d S~ey. T~ Co~ APPLICATION FOR BUILDING PERMIT Date_ INSTRUCTIONS a. Thzs apphcation MUST be completely filled i~ by r~pewrit~r or in ink and submitted to the Building J.nspector with 3 sets of plans, accurate plot plan to scale. Fcc according to schedule. b. Plot pl~u shov~n._g lucation of lot and ofbuilalngs on premises, relationship to adjolning premizes or pubhc streets or areas, and wazerways. c. Thc work covered by flzis application may not be oomm~:l~,od bt'fore i~o-~ ofB~/ldlng Peamait. d. Upon approval of this application, the Buildi~ Impector will issue a Bllilfling Permit to'the appl/eant. Such a permat shall be kept on the premises available for inspection throughout the work e. No bll~dillg ~h~]l be occupied or used in whole or in part for any purpose what-so-ever,m~ql a C~ti.fica$e of Occupa.l~c is issued by the Bngdhag Im~pector. APPLICATION IS HEREBY MADE to/.he Bu/ldfl~ Dcparmmat for the issuan~ of a Building permat pUrsuant to the Building Zone Orm~-~cc of the'Town of Southold, Suffolk County, New York, and otter applicable Laws, Ord/nauccs or RegulaUons. for the constructicm of tmild(~gs, additions, or alterations or for removal or d~moli'~.on a~ tu~re/n described. The appl/cant agrees rr~ comply with all .applicable taws, ordinances, building code; housing code, ~ re~_rlafi_'Ons, and to admit authorized mspe¢,ors on premises a~tt ~u building for necessa~ inspections. (Sigma~. of applic~ or,,,-~-, ff a corporaUon) State whether apphcant is owner, lessee, agora, architect, engineer, g,nera/coma~mr, electrician, plumber or builder Name of owner of premises .. ..-4 (as on the tax roll or latest deed) If applicam ~s a corporanor~ sisnatu*e of duly authorized officer (Name mad title of corporate officer) Builders License No. Plumbers License No. Elecmcians License No. Other Trade's License No. Location of land on whicl~ proposed work will be done: House Number Street Couazty Tax Map No. 1000 section [ (DO C") (Name) moc, k 0~0- - 0 g~ · FileA Map No. State exi~tlng u~ alSdoect~aney Oft~a~[,~cl ilt,te~ted ltse and occut~anoy of proposed coi~h o~don: b. lntendedus~andoecupancy ~ C_~i<~Oe ~- 3. Nature of work (oheckwhieh applicable): New Building · Addition Alteration Repair >~ r Removal Demoli~ign Other Wc~ { kS~D LO~gOd~oc~ ~ ~c~Mc~ N¢~i~ {2oeeC-,) cDeScripfion~ 4. Estimated Cost "~ t'~ C)) t%~C3. C0 Fee q [ 6C}' d~ - (to be paid on fili~g this apphcation~ 5. If dwelling, nmber of dwelling m~its ~ Nmber of dwelling units on each floor / If garage, number of cars ~) 6. If business, commercial or mixed occupaucy, specify nature and extent of each type of use. 7. Dimensions of existin~ structm~, if any:. Front t-/'5/" Rear tiff y Depth Height ~ ' 7~' Number of Stories~ / Dimensions of same structure with alterations or additions: Front ~//' ~" Rear Depth / ~' /" Height. q' 7" Number of Stodes [ 8. Dimensions of entire new constmctio~ Front ~t-~ v~ ~' Rear Height .~¥-.~w, ~_ Number of Stofies ~ ~ ¢, 9. Size of lot: Front /~ ~' Rear cf car Depth 10. DateofPurchase ~ - qc~ Name ofFormer Owner 11. Zone or use district in'which premi,es are sima*ed [9~ g5; c~C~-6c(._ 12. Does proposed consmm~on violate any zoning law, ordinance or r~gulation: I[ 3F) [3 ~ 13. Will lot be re,graded ,k}O ' W~ excess fill be removed firom premises: 14. Names of Owner ofprem/~es~2~L~ddress~Phone No. Name of Architect . Address Phone No Name of Contractor Address Phone No. -39'3 - 9'0-39 15. Is this property within. 100 feet of a tidal wetlan(l? *YES NO · EF YES, SOUTHOLD TOWN TRUSTEES PERMITs MAY BE REQUIRED [6. Proxfide survey, to scale, with accurate foundation plan a.nd distances to property lines. ,~-X~o~o~ 7. t/elevation at any point on property is at 10 feet or 15elow. must provide topographical data on survey. ;TATE OF NEW YORK) SS: %.etO~lg. v~,.;.O~ . .I~ . ,f'~OO.~o ~9'~.. being duly sworn, deposes and says tbat (s)he is the applicant , ~ame or mmvmual s~m~ng comet) above named, SlHe is the (Couia2w'tor, Age.t, Colporate Officer. etc.) f said ovraer or owner~, and i~ duly auXhorized to peffoma or have performed thc said work mid to make and file this application; mt all statemmaxs comahzed iu this application are true to the best of his knowledge and belie~ and that the work will be efformed in the manner set forth in the application filed therewith. wcrr~t~ore me this _ . g d yo / / ~y P~lic,State of New YO / NO. ~-4777318 ~alified tn ~s~u ~mmlssion Expires Mar~ ~, : i~~of ~licant ~ OCCUPANCY O~ USE IS UNL~*FUL WITHOUT CERTIFIC,~TE OF OCCUPANCY NOTIFY BUILDING DEPAR~ 765-1802 O AM TO 4 PM FOil THI FOLLOWING INSPECTIONS: 1,FOUNDATION . TWO REQUIRB FOR POURED CONCRETE 2. ROUGH . FRAMING A PLUMBING 3, INSULATION AL~EINAL ' CONSTRUCTION MUIT COMPLETE FOR C.O. CONSTRI MEET rUCTION 8HALL THE i~ITi~dI~ENT*~OF THE N.Y. _~?..__.OT RESPONSIBLE FOR* DESIGN OR CON6TRIJ~rlON liRRORI -'-1 ..... '?':--- I I PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE.