HomeMy WebLinkAbout50497-Z SUEFO[� Town of Southold
4/6/2024
a d P.O.Box 1179
0
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45103 Date: 4/6/2024
THIS CERTIFIES that the building ALTERATION
Location of Properly: 630 Madison St, Greenport
SCTM#: 473889 Sec/Block/Lot: 40.-5-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/30/2010 pursuant to which Building Permit No. 50497 dated 4/1/2024
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 to existing bathroom as applied for.
The certificate is issued to Durking,Ruth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 35927 3/11/2011
PLUMBERS CERTIFICATION DATED 12/14/2010 Mattitu lu g& eatin
Authorize S ature
�ao�SUFFot, �o TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
H x TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 50497 Date: 4/1/2024
Permission is hereby granted to:
Durking, Ruth
27 Madison St
Greenport, NY 11944
To: Replaces by#35927 ALTERATIONS TO AN EXISTING BATHROOM AS APPLIED FOR
At premises located at:
630 Madison St, Greenport
SCTM #473889
Sec/Block/Lot# 40.-5-21
Pursuant to application dated 9/30/2010 and approved by the Building Inspector.
To expire on 10/112025.
Fees:
PERMIT RENEWAL $245.00
Total: $245.00
Building Inspector
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. 35927 Z Date OCTOBER 6, 2010
Permission is hereby granted to:
R DURKING(WALKER)
27 MADISON ST
GREENPORT,NY 11944
for
ALTERATIONS TO AN EXISTING BATHROOM AS APPLIED FOR
at premises located at 630 MADISON ST GREENPORT
County Tax Map No. 473889 Section 040 Block 0005 Lot No. 021
pursuant to application dated SEPTEMBER 30, 2010 and approved by the
Building Inspector to expire on APRIL 6, 2012 .
Fee $ 200 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
` Form No.6
TOWN OF SOUTHOL
BUILDING DEPARTME
TOWN HALL
765-1802 I
FEB 18 2011
APPLICATION FOR CERTIFICATE O OCCUPANCY
This application must be filled in by typewriter or ink and submitted tO the Building r y6th the foll wing:
y,
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$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00,
Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy- $.25 e
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: (check one)
Location of Property: o?0 ffla `6Yl c5T y_7—
House No. Street Hamlet
Owner or Owners of Property: 9 !)�Lr/IGi�V1� �(.t1a (&_r'
Suffolk County Tax Map No 1000, Section Block r)OOJ Lot QZ(
Subdivision Filed Map. Lot:
Permit No. )!j q2-7 Date of Permit.. 1 d C2 Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 6 (0
Applicant ignat
oF so�ryol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G Q
Southold,New York 1 1 97 1-0959 '� roper.richert@town.southold.ny.us
�yOUNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: John Walker
Address: 27 Madison St City: Greenport St: NY Zip: 11944
Building Permit#: 35927 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Elec License No: 3897-e
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 1 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures11 Time Clocks
Disconnect Switches 4 Twist Lock Exit Fixtures TVSS
Other Equipment: exhaust fan-1
Notes: bathroom remodel
Inspector Signature: Date: March 11 2011
81-Cert Electrical Compliance Form
o
• ti �
.r. Hall. 5309s Main Road Q
P'O Box 1179 y O� Fax (631) 765 '�:'
.'vew York 11971.0959 �Q� �� Telephone (63 1) '6:
BUILDINC'DEPARTMENT
TOWN OF SO'UTHOLD
CERTIFICATI0 N
Date:
Building Permit No. -,5Qa -7
Owner: "br-
( ease,p{ nt)
Plumber: 0'-Wvde-- P�01411-7 y' ('/•�-T i
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of I
lead.
(PlunYGers Signature)
Sworn to before me this
jq\ of 20 /o
DENISE KING
Notary Public, State of New York
Registration #01K16041757
Qualified in Suffolk County
My Commission Expires May 15,2
Votary Public, County
SO�Tyo�o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE'A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ,, ELECTRICAL (FINAL)
REMARKS:
&4
�t �I
DATE INSPECTOR
hoof SOUIyo�
504g7 # TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm��' 631-765-1802
. INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL fk
[ ] FIREPLACE & CHIMNEY. [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: �k- �-
DATE •o? INSPECTOR
FMLDINr QN REPORT DATE COMMENTS
;I
FOUNDATION-( R) r J
FOUNDATION.(2ND).
CAROUGH FROW'G&
PLUMING , �
VIA
IN$ULATION-PER N.Yi ;
STATE ENERGY CODS .:
FINAL
ADDITIONAL.COMMENTS
. 1
Pl- to
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL I -I Board of Health
SOUTHOLD, NY 11971 `' 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
i
• ` Septic Form
N.Y.S.D.E.C.
Trustees
/�. Flood Permit
Examined Q 20 Storm-Water Assessment Form
Contact:
Approved ,20 /® Mail to:
Disapproved a/c
Phone:
Expiration 120
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date , 20
C 2 v E INSTRUCTIONS
Dis application be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
f plans, accurate of p cale. Fee according to schedule.
bSPPot plan�lrn� ing t n of lot and of buildings on premises, relationship to adjoining premises or public streets or
eas J and waterways.
y thi application may not be commenced before issuance of Building Permit.
d.�R `� � � of this lication,the Building Inspector will issue a Building Permit to the applicant. Such a permit
e 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 the Building Inspector
issues a Certificate of Occupancy. \�
£ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required. I
APPLICATION IS HEREBY MADE to the Building Department for the,"iss'_uarice-oof 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 theconstruction 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, hoa5inli code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
'CUPANCY C
„ I S U N L 1'(r° (Sig ture licant or name,if a corporation)
ITHOUT CEI-=,, IAA.11 -7 r
U D R R T RS CERfiIF OF
LATE DATE'�s ���6,p. `j -�7
State whether applicant i`s\owner, lessee, agent, arc WhEVngineer, general contractor, e—I clrician, p lder
\ ' FEE: -2- , BY
7 A K_ NOTIFY BUILDING DEPARTMENT AT
FOLLOWING INSP CTIONS: FOR THE
Name of owner of premises 1' FOUNDATION TWO REQUIRED
(As on the tax roll or latest WdPOURED CONCRETE .
If ap i ant is a Dration, signat e f duly authoriz ���G 2. ROUGH-FP4 NG '_�Uf,!Bl:
/ STRAPP'. AIL ��:. VG
WASTE 3 i f"T
(Name and title of corporate officer) kWATER LINES NEED \ DNS.
Ii % TESTING BEFORE`C0�' 1NG 4.� \( � Ci^ �, , AL
t F- ^ CG
Builders License N.o...� -,rQ�.���/� A�' a' )" _�P,IFFT THE
Plumbers License No. ctl 3 o-(o'40 F` E"� '"E wEVV
Electricians License No. Y5"O --Mf YCRK` ;E.. "'^ = : )R
DESIGN Ur-,cl"Nh,f RUC TIGiv LRRURS.
Other Trade's License No.
1. Location of land on which proposed work Will-be done:
House Number Street Hamlet
A
County Tax Map No. 1000, Section' Block Lot C
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intend use and occupancy of proposed construction:•
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building —Additionn Alterati.Qn
Repair Removal Demolition Other Work Y2n,90W
( escription)
4. Estimated Cost Fee
(To be paid on filing this application)
5. 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 Rear Depth ! ! =
10. Date of Purchase
Name of Former Owner t
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO kwill excess fill be removed from premises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor On' -_> ? Address Phone No. G 7 7Q,,
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MA REQUIRED.
b. Is this property within 300 feet df a`•tidal:'wetland? * YES NO
* IF YES D.E.C. PERMITS_MAYJ E.REQUIRED.
16. Provide survey, to scale, with.-accurate foundation plan and distances:to property lines.
17. If elevatiowat;if;y Wpt+on,property is at 10 feet or below, must provide topographical data on survey.
18. Are t11er a X cbvenants-and-resf''i�cii6ns with respect to this property? * YES NO
IF YES, PROVIDE A COPY.
1 • �
STATE.OF� T Y�ORK)T Pr.1A F bG r 3
C TYPO)
c.uIrV r
l�l2Tf being•duly sworn, deposes and-says that(s he is�the sapplicant
(Name of individual signing co act) a ve named` ;?: . 2-1
r�� �•'` CONNIE D.BUNCH
(S)He is'the v Notary Public,State of New York
(Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk County
V Commission Expires April 14,2 dla
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 thislapplicatioh 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.
Sw,rn_ tp�before me s ��
"i day o �� - 1 20 f�
Notary Public c, S natu f pplicant
SO(/ryol .
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road (631)765- 50
P.O.Box 1179 • ro�]c er.richert(aown.soutio�d.ny.us
Southold,NY 11971-0959 COUMY,���
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: V� Date: 3 ?. l/
Company Name:
Name:
License No.: 38q 7 --49
Address: )9a i36k t6 .I �eJ�� o �c�, NY -
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: o (AJC._J '4' -I-�L 'lz r'
*Address: Z-7 ; c s�
*Cross Street: m1r. I-Sr_ IYNG Cf i S
*Phone No.: 7rm, �-, 'z3_
Permit No.: 2� 5 9.a,-I
Tax Map District: 9 000 Section:— c Block:!_ Lot: _
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES / NO Rough In Fina
*Do you need a Temp Certificate: S NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
�n v
Southold Town Building Department
�o�S�eFot��oG P.O.Box 1179 Permit#: 35927
y� 54375 Main Road
o • � Southold,New York 11971
Permif Date: 10/6/2010
(631)765-1802 Expiration Date: 4/6/2012
Parcel ID: 40.-5-21
BUILDING PERMIT RENEWAL LETTER
Dated: 7/26/2013
Applicant: RUTH DURKING
Location: 630 MADISON ST GREENPORT
Work Description: ALTERATION
ALTERATIONS TO AN EXISTING BATHROOM AS APPLIED FOR.
A FEE OF $150.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: RUTH DURKING
Address: 27 MADISON STREET
GREENPORT,NY 11944
The permit listed above has expired: Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date. ®
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Complete Kitchen & Bath Remodeling
RON
MORIZZOSHOWROOM: North Road Commons,Unit 19
Kitchens & Baths 22355 Route 48, Cutchogue,New York 11935
• DESIGN • SALES • INSTALLATION P.O. Box 789 • Southold,New York 11971
Phone: 631-765-5772 Fax: 631-765-6196
September 30, 2010
To: Building Department
From: Ron Morizzo Kitchens and Baths Inc.
Job: Walker residence, 27 Madison Street, Greenport
1. Replace existing Bathroom window with Andersen Doubl hung window(same size)
2. Remodel existing Bathroom.
3. New fixtures
If you have any further questions,please do not hesitate to call.
u
M esident