HomeMy WebLinkAbout33862-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 06/30/08
No: Z-33129
THIS CERTIFIES that the building ALTERATION
Location of Property: 675 WATER
(HOUSE NO.)
County Tax Map No. 473889 Section 88
TERRACE
(STREET)
Block L-
SOUTHOLD
(HAMLET)
Lot 13. 7
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 18, 2008 pursuant to which
Building Permit No. 33862-Z
dated
APRIL 29, 2008
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 BASEMENT ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to CL RUOFF, QUAL PERSL RES TRUST
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPAR'l'MKRT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
06/12/08
123098Z
PLUMBERS CERTIFICATION DATED
N/A
~i~~~'''''"",
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
C1dC\ ~510
APPLICATION FOR CERTIFlCATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I. 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-ronforming 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
deuied, 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 Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
duJo~
Old or Pre-existjng Building: Y (check one)
II. ) lLiv f{fl4 ~{ S ",), II!
Street Hamlet
( ~ 4f /..{./ ~ {f'M (~/ R\JO ~I
Suffolk County Tax Map No 1000, Section Cf:, <{ Block l Lot / ?: I
Subdivision ~Ylf.t1 5kof17' FiledMapA1.Q"f si'/lI Lot: ')"
Permit No. S J' i GJ. Date ofPermit.~JJ.!Ll.Q_f.JPPlicant: 2 fMI4 Y' { ~.i(.. (.flU
Date.
Location of Property:
67.J
House No.
Owner or Owners of Property:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ Jr. I> 0
Go ..6.?"3 l )-C1
~01~~O
Underwriters Approval:
Final Certificate:
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Applicant Signature
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)
29, 2008
PERMIT NO.
33862 Z
Date APRIL
Permission is hereby granted to:
C & F RUOFF
675 WATER TERRACE
SOUTHOLD,NY 11971
for :
BASEMENT ALTERATION AS APPLIED FOR
at premises located at
675 WATER TERRACE
SOUTHOLD
County Tax Map No. 473889 Section 088
Block 0006
Lot No. 013.007
pursuant to application dated APRIL 18, 2008 and approved by the
Building Inspector to expire on OCTOBER 29, 2009.
Fee $
216.00
.~ C:'iL
/ Authorized Signature
ORIGINAL
Rev. 5/8/02
JAMESJ. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
Date: May 19, 2008
To: Town of Southold Building Dept.
Re: Framingllnsulation Inspection
Ruoff
675 Water Terrace
Southold, NY
Permit# 33862
To Whom It May Concern:
A FraminglInsulation Inspection was preformed at the above mentioned property; all
Framing, and insulation was installed as per Plan and meets all State and local Building
Codes. Any questions please feel free to call.
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LOT ARfA = 30,175 SQ. FT.
NOTE MAXIMUM CLEARING OF LOT IS LIMITED TO 58ll:
OPEN SPACE
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TERRACE
NOTE: CESSPOOL. SEPTIC TANK ok WATER
SERI/ICE LOCATIONS BY OlliERS.
lHE .... M' ..". Of' tIIn'S NiIJ . ~
tJIF.... .. /lilt. ., .... /lIE ., 1Il.l1l1ll1"EF.
,.. aftEnI (IIR - ") __.-at FIDI 1tE Sf'MJCI\ID 10 THE
........ ..... Ita .. A ..-.: ~ MI) l.: MI) 1HIImUE lIE NOT
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PUMM .... ...... 10 ___ OR Mf OMII ~.
UIiIMftMIIUID ~ (II MIII1IDN 10 n-. ~ . A WI.AlI)N OF SECTDI
1'JIII tIF ,.. ... .... BilE IDLIClQIDIII LM.
~ rrv-, -.am ...... ...... IIJN Qlll.y 10 lHE ~ FOR ..... 'M
aIMY . ..-..D. ... me tIS IEHfU TO 1tE Tm.I: 0lIIIIWIf. ~
IIIIJCf ... I.11D11I8IIIURaIlI UIIID .... .. TO 1M[ ~ CF 1tE
...-.-nrvIDL "';JI'IIII .. ., 1R II'IIW".E 10 MJOmCIrW...nnmoNI
OR ---.yo ~
CDI'D IF ltII aIMY IIIJlP ..,.. ..".. 1tE LAND ~ IICID 9FAL OR
_ __ ItW.L NOr . ~aT _ 10 IE A 'MJD 1M'E r:DfI"(.
CERTIFIED ONLY TO:
CHARLES RUOFF
SUNRISE ABSTRACT
p~ F-r~~
N.Y. L1C. No. D48992
HAROLD F. TRANCHON JR. PENN. L1C. No. 2115-E
2-1-2006 FINAL SURVEY
9-21-2005 FOUNDATION LOCATION
JOB No. 00-635
FILE No. ANGEL SHORES
SURVEYED FOR CHARLES RUOFF
LOT NUMBER 5
MAP OF ANGEL SHORES
SITUATEO AT BA'YVIEW
TOWN OF SQUlliOLD. SUFFOLK
SCALE 1" = 40'
FILED MAP No. 9729
COUNlY. N.Y.
DATE 12-16-2000
DATE 8-23-1995
TAX MAP No. (REF ONLY) 1000-88-6-13.7
DISK 2005
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
P.O. BOX 616
1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 1V92
631-929-4695
33 Y0 2----c-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ; I~ATION
] FRAMING I STRAPPING [~I-~~~
] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON
REMARKS: f(LJVl~ 6,.-....uf' ~L I'&-
~s
DATE ~f3/0P'
INSPECTOR
~'
FIELD JNSPECTION REPORT DATE I
FOUNDATION (1ST)
-------------------------------------
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBJNG
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LNSULATlON PER N, y, --
STATE ENERGY CODE
FJNAL
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COMMENTS
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ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD
B~ILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
PERMIT NO.
,,>~(p.z,
RillLDING PERMIT APPLICATION CHECKLIST
Do yoo have or need the following, before applying?
Board of Health
4 sets of Building Plans ___
Planning Board approval____
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Examined
1~20~
tit20()!'
Approved
Disapproved ale
Contad:
Mail to:
Phone:~._
Expiration
IdYJ .20 07
I
!cJ{
1 Building Inspector
. ~
APPLICATION FOR BUILDING PERMIT ~
(/
Date ; I '{
,20J1$
INSfRUCTIONS
&. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans. 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 or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Penuit.
d. Upon approval oftbis application, the Building Inspector will issue a Building Pennit to the applicant. Such a pennit
shaltbe 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f 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. tbe Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter. a new permit shall be required.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Pennit 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 premises and in building for necessary inspections. Z liJv'J;1 a~ ( 011.1(,,< ct...,
(Signature of applicant or name, if a corporation) '!!J
f.c fJ...< Jb'1 Wi J~ {<,I/oJ, .v /
(Mailing addrCss of appl t) ,
C~/f'
//7 hi
Name of owner of premises
State whether applicant is owner, lessee. agent, architect, engineer, general contractor, electrician, plumber or builder
(>Uk \ ~ ~r-
C ~vJ 1-1/ r fr4.IU_.o
(As on the tax roll or latest deed)
ignature of duly authorized officer
(li()['/
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
,,[(?-6ol- tJr
QH'
I. Location of land on which
7 '
House Number
County Tax Map No. 1000 Section <6 <:(
Subdivision 1\ IIJ-l I '> ~ IIry l
Block (; Lot
FiledMapNo.A~11 .\1<<lv Lot
(),
.)
2. .. State exist~n~ use and occupancy of premise. s and intended use and occupaosy of prpp,d construftion:
a. EXlstmg use and occupancy S , I {J ('1 ~J.v'I.. i- .., 1* 6 ,A/\.
b. Intended use and occupancy S 'l//~I-l fqw.L; A."'-1...
3. Nature ofwark (check which applicable): New Building
Repair Removal _Demolition
Addition
Other Work
Alteration K
(Description)
4. Estimated Cost
IS-I 1J IIb,_6'
5. If dwelling, nwnber of dwelling units
If garage, number of cars
Fee
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front I,) 1
10. Date ofPurchase---.S.11 i I 0 ,
Rear---f-.!l....J:=Depth
J Or!
Name of Former Owner
?OllJ4'l ~I
/
co..lr4.{f/-'1 I
, ----/
II. 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 ~Will exc'J,il,s fill he remnved from p mises? YES_NO ~
I I r J(v~~-1 IH'/ I' 7 - ~ S-'I
14. Names of Owner of premises C. lif . t ra," Addiess /) w. (/ Phone No. S ~ ItJ J
Name of Architect . J l( Address;', D~F/ 0/. PhoneNo fJ/77l/-7J.rr
Name of Contractor ' ~ r.. Address 2..>(1 ' Phone No. ,')/ 'iJY- '1r")1
(,V"~~ (?'''k \/
158. Is this property within 100 feetofa tidal wetland or a freshwaterwefland? .YES_NO ~
* IF YES, SOUTHOLD TOWN TRUSTEES & DEC. PERMITS MA Y ~E}lliQUlRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO--X-
* IF YES, D.E.C. PERMITS MAYBE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. Ifelevation at any point on property is at ]0 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES_NO ~
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SSe
COUNTY OF )
~t'"'~ 01./ '2.JJM .... / being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the (o/) }r<<( t 0/
(Contractor, Agent, Corporate Officer, etc.)
of said owner or o\Wers, and is duly authorized to perfOml 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.
ANNI .
Notal)' Public, State of
No. 01 ES5078083
Qualified in Suffolk County
Commllllon EXplru May 'lJ, 1011
eofAp
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y v "240,
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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01:0
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ACR . &,1
TYPE OF BLD_
(((lee ScJ+h 0 Id
REMARKS
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OWNER
STREET
VILLAGE
DIST
SUB
LOT 5
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""",lrntil:. eny;'
. PROP_ CLASS
ClOUd-IS ;../D
TOTAL
it.,.,
/ ('-aD
FRONTAGE ON WATER
TILLABLE
FRONTAGE ON ROAD
WOODLAND
DEPTH
MEADOWLAND
BULKHEAD
HOUSE/LOT
TOTAL
88.-6-13.7 10/06
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M:51i'1cJ9 /3 x 34 =- Lf'f2- ( ---- .
.'i. 51) 5995 Foundation ( pcJ Bath 2- Vr Dinette I t-.
/1 Y 7() :;- 3'0 'r 1010 CB
<) x 3:2- ~ 2'i?i) FULL .
Extension Basement r<"'^WL Floors Kit I i
SLAB
ixti;il.o-;'C /f'l/F <:. ).5;)- 3.7~ QIf5' Ext Walls !u/JU1f Interior Finish LR / i
Yl " .
Extension Fire Place r;s Heat D.R I
i
$ 110 )(-40 = "to (oij (,~ h10 '-I
Woodstove BR
\ . 1:> 7 x 40'" 2- go /10 Dormer I
Porch .50 .,.f",,J9
,
......--".
Deck Attic
Breezeway Rooms 1st Floor
sJir oVE:R .J..Ox.~-~ SOD 3.75' /g75 Driveway Rooms 2nd Floor
Grage
O.B. Ac.... 2-0-0
Pool
cnQ5 ,
07) """; '" . A-\, II tHrtJ
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