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gQFFOt�, �0 Cp yl Town of Southold 5/24/2017 G P.O.Box 1179 0 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38967 Date: 5/24/2017 THIS CERTIFIES that the building WINDOWS Location of Property: 850 Ruch Ln, Greenport SCTM#: 473889 Sec/Block/Lot: 52.-2-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/25/2015 pursuant to which Building Permit No. 40087 dated 9/15/2015 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: ALTERATION�(WINDOWS)TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR I I i I The certificate is issued to Moore,William&Moore,Patricia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ut o ' ed Signature t x �suFfutK�oTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 40087 Date: 9/15/2015 Permission is hereby granted to: Moore, William & Moore, Patricia 51020 Main Rd _ Southold, NY 11971 To: Alterations to existing single-family dwelling (replacement of windows and skylights) as applied for. At premises located at: 850 Ruch Ln, Greenport SCTM # 473889 Sec/Block/Lot# 52.-2-30 Pursuant to application dated 8/25/2015 and approved by the Building Inspector. To expire on 3/16/2017. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TONNIN HALL 765-1802 APPLICATION FOR CERTIFICATE 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 oi- new use: l. 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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial $15.00 Date. &-2.5—(S New Construction: '/ Old or Pre-existing Building: (check one) Location of Property: 65y 1,�WC�, /-- 4-e House No. Street Hamlet Owner or Owners of Property: 1 40'c( Suffolk County Tax Map No 1000, Section Block �— Lot �30 Y Subdivision Filed Map. Lot: Permit No, 4CC19 Y Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval- Request for Temporary Certificate Final Certificate: (check one) Fee Submitted: $ _50 `10 Applicant Signature SOUL - ,`O�� solo cOUNi'I,�c� TOWN-OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION , [ ] FOUNDATION" 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS [ � DATE X1 4— INSPECTOR q0 SOF SOUjy coUNTI TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL (54;ftl7r440) [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION- [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL REMARKS: ® �(m K DATE Af YINSPECTOR ANGEL B. CHORNO ARCHITECT 51020 MAIN ROAD SOUTHOLD NY. 11971 (631) 765- 6530 FAX (631) 765- 4643 Building Department D Town of Southold MAR 1 0 2017 New York Mr. Michael Verity BUILDINGDMr. TOWN of SOUTHOLD By this letter, I affirm that the replacement windows, and the new egress window ( installed in the bedroom ), at the Moore Residence, located at 850 Rush Lane,-Southold, NY, comply with the present codes and no structure modification was necessary. The sill area of the egress window was pushed towards the floor to allow for the larger size. Sincerely Angel B. Chorno, A I A CD W4 �2'n Q= °19150 • �o r FIELD IN 'E ON 1m�'0p-`� AAT COn' i�I'X'S S. ; ►V FOUND,A.'ftON(IST) FOUND4nON(2ND) 51)O ROUGH FRNQ& PLU-TYMMG " INSULATION PEA N.Y. y STATE ENERGY 0013E 1Orr lrP� ANAL iIT, 6. b TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL 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 Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined q 20a Single&Separate Storm-Water Assessment Form Contact: Approved 2015 Mail to: Disapproved a/c RP) �� �_ Phone: ^� Expiration 120_/7 i j U U AUG 2 5 2015 f+ , Bu g I spec or APPLICATION FOR IJ DING PERMIT Date �y ,20 fc�r INSTRUCTIONS 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 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 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 per 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 authorized inspectors on premises and in building for necessary inspections. (ignature of applicant or name,if a corporation) f (Mailing address of applicant) State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises wall4rr► P (.CQ Q. C- IV06 . (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. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: &60 v cvyJ�. D House Number Street Hamlet County Tax Map No. 1000 Section a'�c:'i�Bl"ockY ;t u' 4 ?;,1 Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy a4C/ --e- j`e�fuse -epi cculg fcv,ytd�td�s �� h %'FEX� L)60 IE-6/ass b. Intended use and occu ncy �G��d'�yl �(� C� 06510ek-(,6,era/ ,q/� 4- ne,-O G-.1� ?r �es'/i 4d✓� &ahlna �SCt /tea . 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Z � ..P ,gkma Ge/%12G � (Descri ion) 4. Estimated Cost (T 'TI�o© 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 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 Will excess fill be removed from premises? YES NO 14.Names of Owner of premises Moo re- Address �� � Lou = Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 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 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. 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF tk Gam ic�2 61VO ue. being duly sworn,deposes and says-that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the � r, ��©©uP L9 ?ifiL (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. r to before me t day of i 20 BETSY A.PERKINS Not .rj Public Notary Public,State of New York Signature of Applicant No.01 PE6130636 Qualified in Suffolk Cou Commission Expires July 18� J1 I RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE..' \tiro. N \o,��X,, SURVEY -OF PROPERTY APPROVED AS NOTED ` �.�oo �L� AT ARSHAMOMOQUE DATE: 5 STO WN OF SO UT.HOLD FEE:216L. BY: e� �a .� SUFFOLK COUNTY,_ MY NOTIFY BUILDING DEPARTMENT AT 1000-52-02-30 765-1802 8 AM TO 4 PM FOR THE �, a• vr� y`�ip SCALE` 1 A 20• FOLLOWING INSPECTIONS: NOVEMBER 26, 2013 1. FOUNDATION'-_ NCYft REQUIRED �� ��c/3' 00' ` ' �- �� � o MARCH 19. 2014 (PARTIAL TOPOGRAPHIC SURVEY) FOR POURED',CORETE J tip. r SEPT. 8, 2014 (NEW PARTIAL TOPOGRAPHIC SURVEY) 2. ROUGH - FRAPMG & PLUMBING ( '!a• K, 3. INSULATION 2g• cr 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Alf ���o �• '� ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR moo,• `�' DESIGN OR CONSTRUCTION ERRORS t CompLY WITH ALL CODES OF o w 1� ��Q y�>V NEW YORK STATE TOWN CODES 4 � � '�• �h AS REQUIRED AND CONDITIONS O�,� AND �C2 USE \\ CERTIFIED TO. I TIF �\ \, r�� �� WILLIAM D. MOORE "p \ O p PATRICIA D. MOORS F UFA \ e �12-- h� SUFFOLK COUNTY NATIONAL BANK ADVOCATES ABSTRACT, INC. WESTCOR TI TL.E CONTOUR LINES- & ELEVA TIONS �O? 5 ■=MONUMENT ' ARE REFERENCED:Dy NA VL388 N.Y.S. Ll C N0. 49618 ANY AL7ERA7I0N OR AOD177ON To THIS SURVEY IS A WOLA77ON *tOECOIVVICYOBS, P.C. OF SEC7I01V 7209OF THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 FAX (631) 765-1797 AREA�7 6�1 SO. Fl". �d A, EXCEPT As PER SEcn>�v 7209-sueorwsIoN 2 ALL CERnFIcaTlays P.O. Box 909 s HEREON ARE VAUD FOR 7N/S MAP AND COPIES THEREOF ONLY IF -p�� A�{{GG Iti SAID MAP OR COPIES ,BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET -1 c�^�n� TO I ILS UNE - WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 13-292 6 ®AQ�� , PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631)765-4330 Fax: (631)765-4643 September 14, 2015 Mike Verity Building Department Main Road Southold, NY 11971 Re: 850 Ruch Lane, Southold Patricia & William Moore Dear Mike: In accordance with our building permit application, we are replacing the existing 1980's Anderson Windows and sky lights with more energy efficient Anderson 400 series windows and replacement skylights. The casement kitchen window will remain, but all other double hung windows will be replaced in kind & in place. The bedroom window will be an egress window (size). The specifications for that window are: Anderson #3046 clear opening 57"; width 33 3/8; height 24 1/4; floor to sill stop 28 1/2 If you need anything else please do not hesitate to contact me. Very tru'l rs, r Patricia C. Moore PCM/bp t l -