HomeMy WebLinkAbout27536-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27860 Date: 08/09/01
THIS CERTIFIES that the building ADDITION
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 AUGUST 8, 2001 pursuant to which
Building Permit No. 27536-Z dated AUGUST 9, 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 KITCHEN ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to CARL ROY RUROEDE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-565648 07/27/01
PLUMBERS CERTIFICATION DATED N/A
Au
zed"'Signature
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. 27536 Z Date AUGUST 9, 2001
Permission is hereby granted to:
CARL ROY RUROEDE
200 FRONT STREET
GREENPORT,NY 11944
for
RENEW AND REPLACE EXPIRED BP # 1372Z KITCHEN ADDITION TO AN
EXISTING SINGLE FAMILY DWELLING 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 AUGUST 8, 2001 and approved by the
Building Inspector.
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 2/19/98
i Form No. 6 177- d 7 3 � 1
' TOWN OF SOUTHOLD
BUILDING DEPARTMENT
i TOWN HALL
„ 765-1.802
_._ APPLICATION FOR.-CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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 buildinj
and installations, a certificate of Code Comp.lianoe from architect -or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
s B. For existing buildings (prior to April 9; 1957) non-conforming uses, or buildings .anc
"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 a.consent to inspect signed by the applicant.
If a Certificate of Occgpancy is denied, ,the Building Inspector.sh_all 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .Z%n
4. _Updated Certificate of Occupancy - $50.00
5. Temporary 'Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ... . ....u.�sl o� . . . :.. . . . ..
. ..
New Construction. . . ... . . : Old Or Pre-existing Building. . k_��. . . .. . ... .
Location of Property. .. . cz s �'.
:. ?d.. . .. ..... ..tQ.�s .. :. . . .. .. . C ni-
House No. Street Hamlet
Onwer or, Owners of Property. �- 1 Y"�4�: P64-DeAl2-
.. . . . . . .. . . . . . . ... .. //. . . ... . . .
County Tax Map No 1000, Section. -O.L.4�`. . . .Block. .«?. . . . . . . . . .ILot. .Oaz . . . . . . . . . . .
Subdivision. . .. . ...
�, . . . . . . . .
. .Filed Map. . . .'Lot. . . . . . . . . . . . . . . . . .
Permit No. . . . .. . . . . . . . . . .Date Of Permit. . .. . . ... . . .... .Applicant. . .::'::,. . ���9.`::�. . . .. . . .
Health Dept. Approval. . . . . . . .�:.I. .. .. .. . . . .. . ..Underwriters Approval. . ..
Planning Board Approval. .'. ..,. .L .'. .. . . . .. ,. . 4 . 4 .
Request for: Temporary Certificate. .. .. . . . . . . Final Certicate. . .. . . . . . . .
iee Submitted: . .. . . . . . . . . .
Cd 7860 All, WIM
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE '
1000773 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Date JULY 27,2001 Application No. on file 12709001/01 N 565648
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
CARL RUROEDE, 200 WEST ST, GREENPORT, NY
in the following location; ❑ Basement ® Ist Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on JULY 19,2001 and found to be in compliance with the National Electrical Code.
FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENJ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT, K.W. AMT. K.W. AMT. H.P.
6 8 12 6
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS SELL UNIT14EATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. AMT. I NO. A.W.G. AMT. AM►. AMT. AMPS. TRANS. Amt. N.P. SYSTEMS
NO.OF FEET AMT. WATTS
1 20
SERVICE DISCONNECT NO.OF S E R V 1 C E
METER NO.OF CC COND. A.W. A W. A.W.O.
AMT. AMP. TYPE EQUIP. 10.2W 1 0 3W 3 0 3W 3 0 4W PER• OF CC.COND. NO.OF HI-LEG ,Ip, NO. OF NELR•RAL
OTHER APPARATUS:
_ADDLE FAN-1
PANELBOARDS:1-2 CIR. 30
G.F.C.I:-2
ARTHUR A. RUROEDE LIC.#2334E L
23865 MAIN ROA
ORIENT, NY, 11957 GENERAL MANAGER
11 ;:
Per
This cerflfkate must not be altered In any manner;return to the office of the Board It Incorrect.ln"ctors may be Identified by their credentlols.
x COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUSTNOT BE ALTERED IN ANY MANNER.
TOWN OF SOUTHOLD BUILDING PERMIT APPLICAWN CHECKfA
BUILDING DEPARTMENT Do you have or need the following,before apply
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 seta ofBuilding Plans
TEL: 7654802 Survey
PERMIT NO. 243 - Check .
Septio Farm
NY.S.D.B.C.
TrusteesExamivad 8 ! .20. Con
Approved 8 9
20_gL Mail to:
Disapproved a/c
Phone:
Budding Inspector
1 7!7
lid
APPLICATION FOR BUILDING PERMIT
,"� Date- ,20G�
INSTRUCTIONS
a.This application MUST be conlplately filled in by typewriter or in ink and submitted to the Building Inspector with
sets ofplans,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 o
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 Pemit to the applicant. Such a pend
's 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 what4o-ewer until a Certificate of Occupg,
is issued by the Building Inspector.
APPLICATION IS HEREBY IYIADE 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 promises and in building for nocessaq inspections,
ftuatare of appHowd or name,if a corporgam)
2rxo �7,a`I t 0---a V\ V:)cj_f/-4
(Mailing address of applicadt) _
State whether applicant is owner,lessee, agent, architect, engineer,general contractor, electrician,plumber or builder
Name of owner of premises ,r ►� L d _ ��. ,P �(
(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. ``}
Plumbers License No. - lU
Electricians License No. ' N
Other Trade's License No.
1. Location of land on which proposed work will be done:
P t :fid V-
House Number Street Hamlet
County Tax Map No. 1000 Section 110 Block Lot C2
Subdivision Filed Map No. I,ot
(Name)
. ' es and intended and oemancgnfproposed consttucdon:
Mate elnstm8use and occnpanCYofpre�s
a. Existing use and oompanay
b. Intennded use and occupancy
New Building Addition Alteration
Nature of work(check which applicable): Demolition Other Work
Repair Removal (Description)
Estimated Cost n o0 Fee
(to be paid on filing this application)
If dwelling,number of dwelling units Nlunber 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.
if any:Front
Rear Depth
Dimensions of existing structures,umber r Stories
Height
Dimensions of same structure with alterations or additions: Front
• Rear
Depth Height Number of Stories.
Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
Size of lot:Front Rear Depth
0.Date of Purchase' Name of Former Owner all
1.Zone or use district in which premises are situated
2.Does proposed construction violate any zoning law, ordinance or regulation:
3. Will lot be re-grarded
Will excess fill be removed from premises: YES NO'
4.Names of Owner of premises ��r 1 �P.c! �� �,l�Address 2Q 4/ e �Phone No.
Name of Architect P-4 t r kr&ate 2 ��,ti Address l 3 M.��. Sk Phone No ? — S
Name of Contractor Address Phone No.
5. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMUS 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)
SS:
:OUNTY OF___--)
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
Me is the w
(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;
,at 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.
wom tore me this
day of i ij0 O /
W
NotaryPublic Sig&ure of Applicant
HELENE D.HORNE
ivutary Public.State of New York
No.4951364
Qualified in Suffolk Court
Commission Expires May 22. 00
2 763.6 �
BUILDING PERMIT REVIEW CHECKLIST
DATE REVIEWED: &-/9 /O1
DATE SUBMITTED: /_/O1
APPLICANT NAME: 406e4e
SCTM#--- DISTRICT: 1,000 SECTION: BLOCK: / LOT: .2
STREET: �?� CITY: SUBDIV. NAME:
PROJECT DESCRIPTIO : ADD T ACC OR N/D:
ARCHITECT/ENGINEER: FAST TRAC : YES NO
SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES qja NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED OM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1,
ZONING: PERMIT ESTIMATE AMOUNT: $ /d ad ,00 PERMIT USE: EXISTING: INTENDED:
ZONING DISTRICT: R40, R80,AC, CONFORMING: YES OR NO REQUIRED LOT SIZE: SQFT.
WHERE ACTUAL LOT SIZE FROM?TAX CARD ACTUAL LOT SIZE: SQF'I
REQUIRED REQUIRED REQUIRED
IST FOUND:FRONT: 'PROPOSED: SIDE YD: '/ ' PROPOSED: " '/ ' REAR: 'PROPOSED: '
2N°FOUND:FRONT: ACTUAL: SIDE YD: '/ ' ACTUAL: '/ ' REAR: ' ACTUAL: '
LOT COVERAGE: ALLOWED: % EXISTING: sf % NEW: sf_% TOTAL: sf_%
CORNER? YES OR NO WAT ER FRONT? YES oR NO DESCRIPTION:
FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: FLOOD ZONE: ;
AGENCY PERMITS REQUIRED FOR REVIEW
INCLUDED.IN APPLICATION
TOWN SPETIC PERMIT: YES or NO
SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DTE: /_/_ PERMIT#:R10-
APPROVALS REQUIRED:
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO
SOUTHOLD TOWN TRUSTEES: YES or NO
TOWN ZONING BOARD APPROVAL: YES or NO
TOWN PLAN. BOARD APPROVAL: YES or NO
TOWN HISTORICAL PRE (SPLIA): YES or NO
NYS ENERGY: YES OR NO EGRESS: VENT: LIGHT:
BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- ,
HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- ,
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR a,2& SF
SECOND FLR : SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
TOT( SF)- ( SF)= SF X$ _$ +$ +$ _ $ %SG
FAIRWEATHER-BROWN
DESIGN ASSOCIATES, INC. i
yy
P.O. Box 521 i P�
413 Main Street
Greenport,N.Y. 11944
631-477-9752 (fax) 631-477-0973
August 8, 2001
Southold Town Building Department
Southold Town Hall
Southold,N.Y. 11971
Re: Ruroede Residence
620 West Street, Greenport,N.Y. 11944
To whom it may concern:
To the best of my knowledge,belief and professional judgement,the kitchen at the above
referenced property was built according to the plans presented. I did have some
opportunities to inspect the premises while under construction.
Sincerely,
R bdrt I. Brown,R.A.
�v_RED qR
a
�e3M Q`E'
OF NEW�O
STATE OF NEW YORK )
) ss:
COUNTY OF SUFFOLK )
being duly sworn, deposes and says:
That deponent is over the age of 18 years and resides at
That on the_I day of 2001 deponent arch itect/engineer,
licensed by the State of New York, hereby states that s/he accepts full
responsibility for the accompanying plans compliance with the New York State
Fire-Prevention and Building Code (9 NYCRR); said plans pertain to property
located at SCTM# 1000- ,
street address -i- - "
A chitect/ ngineer
S rn to be ore me this
day of , 2001.
Notary Public
Rebecca A.Wolfram
Notary Public, State of New York
cc: Applicant No:01 W06039106
Qualified in Suffolk County
Commissio^ March 27,
..ww•... xasr .w�araaac _
Proposed Dock Plan
611 "
APPR VED AS NOTED
DA7� c /d v B.P.# 0�¢133
FEE:f Js4 -N2 BY-
NOTIFY
YNOTIFY BUILDING DEPARTMENT AT
21' 785-1902 9 AM TO 4 PM FOR THE
WCCA Posts FOLLOWING INSPECTIONS:
1 FOUNDATION - TWO REQUIRED
2x 2xaeroes q'vdcr FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
21t:ioiet-u•oc BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
10, , HR 41EQUIREMENTS OF THE N.Y.
s g TE CONSTRUCTION & ENERGY
8 8 is C S. NOT RESPO $TBt
�. DES R CONSTRUCI[ON E88138-5
w �
,� Sesirs
i5 r rise
44 x
N ^
t
--- 2x 2x6(alder-roc s
I
Existing House -
x � o
scala: V=4' 7't'
ekre�q _
NWit bfa
Decking:514 x d"Ceder
Pe t4x4CCA
Glydanx Double 2 x a+rcA T c.c.
ss aka duaer.r ec
.lolets;2 x s CCA-16"
t
Carl&Lunda Raroede
Propoaa,d Dock-Side
View
al1104
Existing Hausa
2 it a Cedar Tots fbH
i x i Post-Bolted In
4�-----1 312 x 1112 pickets
2x 2x$CCA Girder
4 x 4 CCA Post
4 x 4 CCA Past
3'deep concrete footft
3 rieep
concrete footing
Notes¢
Overall Railing Height:3S'
Poeta 4 x 4 and 4 x 5 CCR
Deck Bolted to house
Girder.Double 2x16 CCA
Railing POEM 4x4 Bolted on
cedar.
Railing Picketer 5"ox.
PLUMBING
APPROVED AS NOTED ALL PLUMBING WASTE
n-- DATE: W191, 01 B P # 22!UC_—t &WATER LINES NEED
1 x ° FEE. TESTING BEFORE COVERING
N N BY
3 m N NOTIFY BUILDING DEPARTMENT AT
�a YJTCHEN N 765-1802 9 AM TO 4 PM FOR THE
_ -- -- FOLLOWING INSPECTIONS: PLUP98ER CERTIFICATION
Dowty TO DECK
1 FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE ON LEAD CONTENT BEFORE
2. ROUGH - FRAMING & PLUMBING CERTIFICATE OF OCCUPANCY
9'-10 - -- - 3. INSULATION
SOLDER USED IN wA TER
CONSTRUCTION MUST
� hn a. FINAL - SUPPLY SYSTEM CANNOT
-�;,II --- 8"x 8"CCA POSTS (3 BE COMPLETE FOR C.O.
-_ ea O MAX 70"0 C) ALL CONSTRUCTION SHALL MEET EXCEED 2/70 OF 1% LEAD.
I — --- - THE REQUIREMENTS OF THE N.Y.
132x33 32A33 STATE CONSTRUCTION & ENERGY
L—51LL=4J DESIGN OR CONSTRUCTION ERRORS If Copper tubing
3'x 3'x I'D CONIC. PAD (3 DIS used
for water distributing
ea.) System;Piping shall be
K I T C h E N P L A N a a) of types K°— `='y
OCCUPANCY OR
SCALE. M =1'0" USE IS UNLAWFUL
k1THOUT CERTIFICATE PROVIDE ANTI-SCALD AND/OR
C.F OCCUPANCY THERMAL SHOCK PREVENTING
DEVICES AS TO PART.902.6(8)
N.Y.STATE BUILDING CODE.
UNDERWRITERS CERIIHCATE
REQUIRED
ROOFING TO MATCH EXISTING
-
2'.e' RAFTERS @ 16' O.0
12 \
2"x 8" COLLAR TIES/CEILING
CATHEDRAL CEILING HT J01515 W/ K- 22 5A7
— _ _ _ _ --- — INSULATION
xG"STUD WALL WITH R-19
-- BATT INSULATION
KITCHEN CABINETS -
5OLT5
FIN PLR DECK - (2) 2'x 10" GIRDER
2' x 4 SLEEPERS - - 8"x 8"CCA POSTS (3 RU RO E D E
2'x
EDGE OF RE EXISTING)___-- --- ------ ea @ MAX T0" O C.) AUG. 08,—
200 1
---
PRED15TING
5TRUCTURE PREEXISTING GONG _ GRADE
REAR ELEVATION SAB @ 'D"
I6" OC
W/R-22 BATT
SCALE: I/4"=1'0" INSULATION
FAIRWEATHER-BROWN
— - DESIGN A550CIATE5,INC.
3'. 3 x I D CQNC RAD (3 413 MAIN STREET
ea )
P.O.BO)( 521
GPf944
S E C T I O N A 631 .477-97 ORT, N.Y. 1
G311
IT IS AVIOLATION t1FTHE 477-0973
SCALE 1/4" = r0' LAW FOR ANY PERSON. ,�EpED AROy7
UNLESS ACTING UNDERTIT! p�`' TL ♦0
DIRECTION OFALICENSED 4,e O�yOA
ARCHITECT,TO ALTER ANY
ITEM ON THIS DRAWING IN
ANYWAY.ANYAUTHOR®
ALTERATION MUST SE
NOTED,SEALED,AND
_DESCRIBED IN ACCORDANCE OF NE`Ny°Q
... . .. v, Mll.