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.