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Home My WebLink About27414-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27827 Date: 07/24/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 200 WEST ST GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 42 Block 1 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 2001 pursuant to which Building Permit No. 27414-Z dated JUNE 18, 2001 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 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to CARL ROY & LINDA C RUROEDE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 07/19/01 PLUMBERS CERTIFICATION DATED N/A Auth rized ignature Rev. 1/81 �y Form No. 6 TOWN OF SOUTHOLD 3 BUILDING DEPARTMENT a� TOWN HALL 765-1802 i APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application mus be filled in by typewriter OR ink and submitted 'to the building inspector with Ott Slowing: 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 o� 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: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a.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 Buildinrz - $100.00 3. Copy of Certificate of Occupancy - _ :2-i 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . ..7 J�I.Z)J. . . . . . . . . . .. . . . . . . . . . . . . . . New Construction. . . . !/. . ... Old Or Pre-existing Building. . . . . . . . . . . . . . . . . ! Location of Property.. .�q. . .. . . . . . . . . . . , i(Ijkk OP. ,�', . House No. Street et ,. Onwer or. Owners of Property.. . .. .:"'(�. .f U!� :. . . u:rOedLQ . . . . . . . . . County Tax Map No 1000, Section. . .Oq. J . . . . .B1ock. . . .b Do. . . . . . . . .Lot. .O UZ . . . . . . . . . . . . . Subdivision. . .. . .... . . .. . . . . . . . . . . . .. . . . . . . . . .. .Filed Map. . . . . : . . .Lot. . . -. . . . . . . . . . . . . . . Permit No. . 404V '�.I.'1.Date Of Permit. . . . . . . . . . . . . .. .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Health Dept. Approval. . . . . . . ..N 1.A . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . Planning Board Approval. .. . . . . .�JOY. . . . .. .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .�. . . . . . Fee Su witted: $. . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT 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. 27414 Z Date JUNE 18, 2001 Permission is hereby granted to: CARL ROY RUROEDE 200 FRONT STREET GREENPORT,NY 11944 for RENEW BP # Z CONSTRUCTION OF AN ACCESSORY SHED AS APPLIED FOR. at premises located at 200 WEST ST GREENPORT County Tax Map No. 473889 Section 042 Block 0001 Lot No. 002 pursuant to application dated JUNE 6, 2001 and approved by the Building Inspector. Fee $ 75 . 00 Aut ori ed Signature ORIGINAL Rev. 2/19/98 l t� • The New York'Board of Fire Underwriters X Bureau of Electricity k: process of issuing a certificate of is in the p cal �tallation in -1 compliance for the electrical pplication fol('.,, as provided for inspection New York Board of Fire Underwriters I .• ection activity Bureau of Ell p,cit i p I pursuan to App'�'ti # ` ! cate of has been comp ed and a certificate forth the detail of the compliance g g prep e Inspector Date POttn 00(Rev.06/00) n i - FO1cz ,�c N Town Hall,53095 Main Road Fax(631)765-1823 P.O.Box 1179 ij. O�� Telephone(631)765-1802 Southold,New York 11971-0959 ��,� •�� BUILDING DEPARTMENT TOWN OF SOUTHOLD July 19, 2001 Carl & Linda Ruroede 200 Front Street Greenport, NY 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) X No Underwriters Certificate on file. xx The check is (not in file)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) • BUILDING PERMIT # 27414-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] NAL [ ] FIREPLACE & CHIMNEY RE KS: DATE INSPECTO -7 M-1802 BUILDING DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: CT �D DATE ` D INSPEtl�'1�� !/ f 'a FIELD INSPECTION REPORT DATE COMMENTS ----------------- -----------------------------------------=------------------ ii n FOUNDATION ( IST) ii _nl — ll cn FOUNDATION (2ND) n ------ {I ri ROUGH FRAME & -- �� PLUMBING II II H INSULATION PER N. T. II j H STATE ENERGY -- {Ie�vm 7 CODE II ii --� H II `II --il — FINAL II I{ " II ---------------------------------- ADDITIONAL COMMENTS: `H �Rll a r H- tz1 - PIN BUILDING PERMIT REVIEW CHECK LIST 2-7414,7-- DATE REVIEWED: 6 / 0/01 DATE SUBMITTED: / /6 /01 APPLICANT NAME: �Cricotac SCTM# --- DISTRICT: 1,000 SECTION: BLOCK: J LOT: Z STREET: 7-0& O'e s r CITY: �'� SUBDIV. NAME: PROJECT DESCRIPTION: ADD ALT.44�CC R NiD: sh� ARCHITECT/ENGINEER: I-J14-- FAST TRACK: YES cl�4 SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o OTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LO OM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83) ZONING: PERMIT ESTIMATE AMOUNT: $ .2-60 -"050 PERMIT USE: EXISTING: INTENDED: ZONING DISTRIC R R80 AC CONFORMING: YES 0elnO REQUIRED LOT SIZE: ¢d K SQFT. WHERE ACTUAL LOT SIZE FROM?TAxCARD ACTUAL LOT SIZE: /SS/3 SQFT. REQUIRED REQUIRED REQUIRED 11T FOUND:FRONT: 'PROPOSED: SIDE YD: '/ ' PROPOSED: '/ ' REAR: 'PROPOSED: ' 2ND FOUND:FRONT: ' ACTUAL: SIDE YD: '/ ' ACTUAL: '/ ' REAR: ' ACTUAL: ' LOT COVE ALLOWED:_% EXISTING: sf % NEW: sf % TOTAL: Sf_% CORNER. E OR NO WAT ER FRONT? YES o DESCRIPTION: FLOOD C LIANCE ZONE: PRE-FIRM 3/18/80 PANE #: l?6 FLOOD ZONE: AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN AP06WATION TOWN SPETIC PERMIT: YES o SUFFOLK COUNTY HEALTH DEPT: YES or , (BED #): DTE: / / PERMIT#:R 10 APPROVALS REQUIRED: NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: YESO O EGRESS: VENT: LIGHT: BUILDING PERMITS O /EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/ C/o Z- , NOTES: le y 62- FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR /.2� — SF SECOND FLR SF INIT OTHER TOTAL TOTAL: 120 SF FEE FEE FEE )T( SF)- ( SF)= SFX $ =$ +$ +$ _ $ '� BOARD OF HEALTH ... . . . . . . . FORM NO. 1 i ,---3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . _ . . `�- I � � TOWN HALL SEPTIC FORN SOUTHOLD, N.Y. 11971 TEL.: 7651802 t:UFIFY ; . 1/ — 2 Examined . . . . Z CALL 1/ . . . . . . . . . ., �i9 / rtnlL Approved . . .. .. , , * 1e. PermitNo. Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) PP ICATION FOR BUILDING PERMIT Date . . . .. . . . . . . . . . . . . . .. 19 . . . 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 19cation of lot and of buildings on premises, relationship to adjoining premises or public stieets -or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- tation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted 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 otVJW14cQff%V #jn described. The applicapt,agrees to comply with all applicable laws, ordinances, building code, housing code and regulatio and to admit authoiized'inspectors on premises and in building for necessary inspections -__ _., ; :+ �.��.,,,.r,`VAI �a. � .� . . . X31 . . (Signature of applicant, or name, if a c144 . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . `� ,\ • , \ ,Cti_ �` �('� (as on the tax roll or latesl'deed) If applicant is a-corporation,signature of duly authorised officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. Plumber's License No. . . . . . ... . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . • . , • • • • • 1, Location of land on which proposed work will be done. � (� .�. . . . . . . . . . . . . . . . . . . . . l . . . . . . . . . . . . . . ort. . . . . . . House Number Street Hamlet P County Tax Map No. 1000 Section . . . :. . . . . . . . . . Block . . . . .�. . . . . . . : . . , Lot . . . . . . . . . . . Subdivision . . . . . . . . . . . . . Filed Ma (Name) . . . . p No. . . . . . . . . . . Lot . . . . . . . . . . . . . . 2.. State existing use and occupancy of premises and intende use and occupancy of proposed construction: a. Existing use and occupancy ��( 1\JY�G.y" �( . \�', J cl `� c=. . b. Intended use and occupancy . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -3. Nature of work (check which applicable): New Building . : . . . . . . . .. Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . . . . . 2, .C). CSO. . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . X14 (to be paid on filing this application) ' S. If dwelling,number of dwelling units . . . . . . . . . . . . . ... Number of dwelling units on each floor . . . . . : . If garage,number of cars . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature.and extent of-each type of use • . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . Rear . . Depth . Height . . . . . . . . . . . . . . . Number of Stories . . . : . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front Rear . . ' . • • . Depth . . . . .. ... . . . . . . . . . . . . . . . Height . . . . . . . . . Number of Stories . . . . . . . . . ... . • . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . Rear . Depth Height . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . 9, Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Rear. . . . . . . . . . . . . . :.. . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Date of Purchase . . 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: 13. Will lot be regraded . . . . 0. . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: • Yes 14. Name of Owner of premises . . . . . . . . . . . . . . . . . Address . . . . . . ... ... . . . . . . . . . Phone No. Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . Name of Contractor . . . . . . . Address . . . .Pho No. 15. Is this property within 300 feet of a tidal wetland? *YeS. No.. . . . . . . . . . . *If yes, Southold Town Trustees Permit may. be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and sho t names and indi whether interior or corner lot. l kJ'(� ��'�izc9 Gam/c �c itUo� 1� UNDERWRITERS CT 3. 3'Z �I REQUIRED AFFMH _ ` 1 AS WO P EFO'U N DEPARTMENT 0 . M 0 4 PM FOR THE �C FY BUILDING D I. N ilySP CTIONS 7 -1802 9 AM TO 4 OR THE % TW( RECJIREDF WING INSPECTIONS:' FOR POLW NCRETE Y� 1. UNDATION - TWO REQUIRED 2. ROUGH FR IP'G & PLUMBING FOR POURED CONCRETE 3. INSULA r YAOUGH • FRAMING & PLUMBING 4. FINAL_.- . N TRUCTION MUST INSULATION BE COM TE OR C.O. C ° 4 FINAL - CONSTRUCTION MUST ALL. CONST C ION SHALL ME \ --BE COMPLETE FOR C.O. THE f EOUI� NTS OF THE N.Y i � CONSTRUCTION SHALL. MEET STATE CON R CTION Ak�NERG REQUIREMENTS OF THE N.Y. CODES. NOT NS CONSTRUCTION & ENERGY DESIGN OR CON UCTION ERRORS e cia, NOTFR �� or> owcow TIM (4y _, M STATE OF NEW YORK, ` COUNTY OF . . . . . . . . . . . . S.S . . . . . . . being duly swtl pt c CFO, e�ra��sa�is th��11�e i i nt (Name of individual signing contract) .fit a t �wi T, y above named. k He is the . ... . U w N F ar✓ . . . . .A ..` . . . . . . . . . . . . . . (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. . . . . . . . . . 19 Notary Public, . . . . . . . . 4#14-14- . , . . . . . County LINDA Notary Public,State ofENewyork (Signature of applicant) No.4822563,Suffolk County Term Expires December 31,18 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENr TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 22910 Z Date....... . Permission is reby granted to; .... ... ....... ......... ... ... ........... ..` ..... .... '.............................. ....w..5.....r/� . ...to .. ... .... . ... . .......... ..... . .. ........ . .... ......... .. ....... ........... ... . ... ........ . . . .......... .. .... ...... e�... ' ....... , ...., ,. ...... . ... .. . . ..1( . ... ...... .......... ....................................................I......... ................................. ............................................................. ............... . .. ............................................ atpremises lova at.............. ..... ............... . .........`.............................................. ................... .................................. ..... .. ... ... ................ .......................I..................... County T x Map No. 1000 Section ........ .... ........ Block............`............ of N .6;4 .................. purs nt to application dated V ......... .. d approved by the Buffding Inspector. Fee$..7;a..."z .... ... . ..... ....................... ..... ..�,... Building Inspect Rev. 6/30/80