The URL can be used to link to this page

Home My WebLink About34166-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Po: Z-33546 Rte: 02/17/09 THIS ~KTIFIES that the building INTERIOR ALTERATIONS Location of Property: 460 RUCE LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 52 Block 2 Lot 23 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 11, 2008 pursuant to which Building Permit No. 34166-Z dated SEPTEMBER 17, 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 KITCHEN ALTERATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE F HA3kSE JR (OWNER) of the aforesaid building. SUFFOLK COUN~I"IDEPARTMENTOFHEALTHAPPROVAL ~at-rKfC3~% CERTIFICAT~ NO. PL~ CHRTIFIC3%TION DA-r~a3 N/A 4015072 0]./08/09 01/06/09 MATTITUCK PLUMBING /tho~ized ]ignature Rev. 1/81 BUREAU OF~ ELECTRICITY 40 FULTON STREET NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SHAW ELECTRIC 1NC GEORGE HAASE 530 MIDDLETON RD 460 RUCH LANE GREENPORT, NY 11944 GREENPORT, NY 11944 Located at 460 RUCH LANE GREENPORT, NY 11944 Application Number: 4015072 Certificate Number: 4015072 Section: Block: Lot: Building Permit:34166 BDC: NS37 Residential Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, A visual inspection of the premises electrical system, limited to electrical devices and wiring to th~ extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enfor.cement and Ad.rninistra,tj,QJO, or other . . 8th January, zuu~. authority having jurisdiction, and found to be ~n comphance therewith on the Day of Name QTY Rate Rating Circuits Type AdditionalCharges kitchen renovation Appliances and Accessories Dish Washer 1 0 1,2 ~ Exhaust Fan 1 0 F.H.P Range 1 0 50 Amps Wiring And Devices Dimmer 3 0 120 V Fixture 10 0 Incandescent Outlet 8 0 Gert, Purpose Outlet 10 0 Fixture 3 0 GFCI Receptacle Receptacle 6 0 Gen, Purpose Switch 2 0 Gen, Purpose seal 1 or l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. To~n HMi, 53095 Main Ro~d PO Box 11'79 ~:r~.,c ~ York 11971-0959 BUILDING 'DEPARTMENT TOWN OF' $OUTHOLD Fax (631) 7659502 Telephone (631) ?65 15(.2 CERTIFICATION Date: Building Permit No. Owner: PILm~ber: (Please ,print) print) lead I certify thai the solder used in the water supply system contains less than 2/t0 of 1% Sworn to before me this (Ptumbers Signature) DENISE KING Notary Public, State of New York Registration #01KI6041757 Qualified in Suffolk County My Commission Expires May 15, 2 rTr Notary Publ~, ,~./~.~ /7--' 0/ Co,.mty Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by ty-pewriter or ink and submitted to the Building Departmeut with the following: A. For new building or new use: 1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. 2. Final Appr°val fr°m 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% Iea& 5. Cormnercial building, industr/al building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plmming Board Approval of completed site plan requirements. B. For existhig buildings (prior to April 9, 1957) non-conforming uses, or buildiugs and" ' ,, p-e-ex~stmg land uses: 1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topogl'apbic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Celtificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant Fees ~¢1. Certificate of Occupancy ~ New dwelling $25.00, Additions to dwelliug $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $2500. Businesses $50.00. 2. Certificate of Occupancy on Pre-existiug Building- $100.00 3. Copy of Certificateo£Occupancy_ $.25 4. 'Updated Ce~lificate of Occupancy - $50.00 5. Tempora~5' Certificate of Occupancy - Residential $15.00, Commercial $l 5.00 New Construction: Old or P~e-existing Building: Location of Property: House No. Street (check one) Hamlet Suffolk County Tax Map No lO00, Sectiou /~,-.~'-~ Block ~,)~.) ~. ___ _ Lot Subdivisiou Filed Map Lot: Health Dept. Approval: Undelxvriters Approval: N P lanniug Board Apploval: Request for: Temporm3 Certificate Fee Submitted: $ __~ Fiual Cetlificate: ~ (check one) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34166 Z Date SEPTEMBER 17, 2008 Permission is hereby granted to: GEORGE F JR HAASE 360 NORTH PLEASANT AVE RIDGEWOOD,NJ 07450 for : INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 460 RUCH LA GREENPORT County Tax Map No. 473889 Section 052 Block 0002 Lot NO. 023 pursuant to application dated SEPTEMBER 11, 2008 and approved by the Building Inspector to expire on MARCH 17, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ .] IN~..ULATION./. [ ] FRAMING / STRAPPING [,~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [_ ]FIRE RESISTANT PENETRATION REMARKS:~~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [.~t~SULATION [~]~MING / STRAPPING [ ]FINAL [ ] FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS.-- ~ DATE/_~~7~- INSPECTOR FIELD INSPECTION REPORT I DATE FOUqN'DATION (1ST) FOU2~DATION (2ND) xNk ' ROUG~ F~G & PL~G ~SL~ATION PER N. Y. --~ STATE ENERGY CODE '~ ~ ., ~DI~ON~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. Approved Disapproved a/c Expiration ,~.// Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval SurveZ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ,20 08' a. 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 wo~'k 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 Permit to the applicant. Such a 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 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, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit auth°rized inspect°rs °n premises and in building f°r necessary inspecti°ns' ~(Si~ e. i~f a c,~o~o~ gn r nam ation) ?.v, &x Soo4 ,/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~/31'-~I1~_ c~ L4~ ~ (As on the tax roll or latest deed) If applican~/~a~tion, signature~ duly authorized officer (Name and t' le~orporate officer) Builders License No. O '"1~/~ -k'~ Plumbers License No. o~ '~Ob t° Electricians License No. .$3g '~ I tn ~ Other Trade's License No. Location of land oB which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Block C~'~''y' Lot e" '~t~c~ '~ Filed Map No. Lo(~ a. Existing use and occupancy b. Intended use and occupancy_ 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost 50/~ 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration ~ Other Work (Description) 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 Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front Rear .Depth 10. 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? YES NO 13. Will lot be re-graded? YES NO Wilt excess fill be removed from premises? YES NO __ 14. Names of Owner of premises Name of Architect Name of Contractor.~l/ ~4/,~t ,.47_.0 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Address Phone No. Address Phone No Address~'O.~i)g 7'o°~ PhoneNo. 7{~-,q- ~'~T& NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: CO, J~ITY OF ) g~_~ ~/[/L0~,~L'~ being duly sworn, that (s)he is the applicant (~a~-o~ndi~g contr~2~o~e2~7~dj~ deposes and says (S)He is the (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. S /~t:be ~ofhis¢~r_~.j~.//~crn o fclernet f-' , 20 0 J~taw~ubl~ LINDA 8. CAR~ON Public, State ~ New~ No. 01CA6137178 Oua[i~: d in Suffolk ~u~ ~i~a &~ires Nov. '~plicant Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FOI1M PROPERTY LOCATION: S.C.T.M, #: District Section Block Lot Item N umber: (NOTE: A Check Mark (~) for each Queslion is Required for a Complete Application) 1 Will this Project Retain All Storm-Waler Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/er constnJ~tic~.n activities as wel asa 2 3 THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF STORM-WATERI GRADING, DRAINAGE AND EROSION CONTROL PL~I CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW Site Does the Sile Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This llem shall include all Proposed Grade Changes and Slopes Controlling Surface Wa erFIow! 4 Will this Projecl Require any Lend Filling, Grading or Excavalion where here is a change to Ihe Natural Existin9 Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? 5 6 Will this Apprication Require Land Disfurbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet el Ground Surface? Is thele a Nalural Water Course Runn ng through the Site? Is [his Project witNn It~e Trustees urisdiction or within One Hundred (00') Bet el a Welfalld or ~3each? 7 8 Will there be S[le preparation on Existing Grade Slopes which Exceed Fifleen (15) feet of Vedicaf Rise lo One Hundred (00') of Horizontal Distance? Will Driveways. Parking Areas or other Impervious Sudaces be Sloped to Direct Stem: Water Run Off into and/or in the direction of a Town dght of-way? Will this Project Require t0e P aceme of Malerial. Removal of Vegelation and/or U~e Constmclion el any Item Wilhin the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, aStorm.Water, Grading, Drainage&ErosionControlPlanisRequiredandMustbesubmittedforReviewPriortoIssuanceofAnyBu dngPen-niff EXEMPTION; Yes Does this project meet Ihe minimum slandards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, aStorm-Water, Grading, Dralnage&ErosionControiPlanisNOTRequlred! STATIL OF NE~r YORK, COUNTS:' OF ........................................ SS That I,. · --"'- '-' -* . .... . beuig duly swmn, deposes and S~rs 'l~lt he/she iS fl~e applicant roi PeJ Illth Owner and/or representa~ve oldie OwnerofO,ners, m~d is duly au~orized to perform or havre performed file s~d work and to m&e a~d file this application; d~at MI statements contained in ~is application are ~e to the best of his bmwledge m~d belief; ~d · at fl~e work will be performed m dm intoner set ford~ in ~e application filed he~ewifl~ Sworn to I)efere me ~is; ~ FORM - 06~07 Qua~ i. S~o~A ~.~ . ~mmission Bpi~ July 28, 20 Yes Mo 9 Will this Project Require Site Preparation wilhin Ihe One Hundred (100) Year FIoodplaip of any DVatercourse? E~ SURV~ FOR:- ~',~- /"~-5'.~ ~'- LOCATED AT ~.-.v',~],~ ~ j',~:/.,~::~, c:~. ~ ~OT/~ ~ MAP OF ~ ~ SCALE 1 "--~ - / FILE NO. J WILLIAM R. SIMONS III, LS.P.C. 1 1 MEROKE LANE ~ST ISLIP, L.L, N.~ 11730 (516) ~i-1~ ~: (51G) ~1-1~1 PAGE ' GRiD PROPERTY RECORD CARD TOWN OF SOUTHOLD OWNER ..~.FO, RM'E'R OWNER__...~, , I N · S~S. VL. RES. ~,~ / l~, M,/ LAND IMP. TOTAL VILLAGE W DISTRICT SUB. /~ 7~ ACREAGE TYPE OF BUILDING LOT AGE NEW NORMAL Farm ' Acre Value Per Acre Tillable 1 Tillable 2 Tillable, 3 i Woodland ;wamplaw'.l 3rushland House Fora I /KC, ABOVE I I Foundation ::' Bath Extension ' Basement Extension ~t. Walls Extension Fire Place Porch Attic Breezeway Patio Rooms 2nd Floor / 765-1S02 8AL,,~\'t 4F'J~ FOR 1. FOUNDATIOif~ L'~:, REQUIRE[ 2. ROUGH - FRAMING & PLUMB[[~ 3. INSULATION~O ,' 4. FINAL- CONST,.u~ ON MUST BE COMPL-T=~ ~.~ C.O. ALL CONSTRUCTIQN SHALL MEE filE REQUIREMENTS OFTHE CODESC 4EW YORK STATE. N~9~SlBLI :OR DESIGN OR CONSTRUCTION ERRORS, .5) C~i OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATI~ OF OCCUPANCY COMPLY V'.''''''!u A. Lt CODES OF ',IEW '1"OR¢ ': ": iS & TOWN CODES R~ Q, n, ,,. · ,,ID CCNDITIONS OF WN ZBA ~/N PLANNING BOARD N,~ TRUSTEES PURSUANT TO OF THE TOWN I iOF.. 'FL ~APT~ ALL CONSTRUCTION SHALL MEET THE REQUIREk.'iENTS OF THE CODES OF NEW YORK STATE. DONALD G. FELLER · ARCHITECT I 1725 Main Rood · P.O. Box 1692 · Motiituck, N.Y. 11952 (516) 298-5453 (Fax) 298- ) 380