HomeMy WebLinkAbout42744-Z �Q�gt1fF�(,�Cpp�� Town of Southold 11/8/2018
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40029 Date: 11/8/2018
THIS CERTIFIES that the building ALTERATION
Location of Property: 850 Ruch Ln, Greenport
SCTM#: 473889 See/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
5/21/2018 pursuant to which Building Permit No. 42744 dated 6/1/2018
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 FOR PARTIALLY FINISHED BASEMENT WITH HALF BATHROOM IN AN EXISTING ONE
FAMILY DWELLING
The certificate is issued to Moore,William&Patricia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42774 10-31-2018
PLUMBERS CERTIFICATION DATED
ut ed Signature
S�FFncK TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 42744 Date: 6/1/2018
Permission is hereby granted to:
Moore, William & Patricia
51020 Main Rd
Southold, NY 11971
To: make alterations to a basement in an existing single family dwelling as applied for.
At premises located at:
850 Ruch Ln, Greenport
SCTM #473889
Sec/Block/Lot# 52.-2-30
Pursuant to application dated 5/21/2018 and approved by the Building Inspector.
To expire on 12/1/2019.
Fees:
SINGLE FAMILY DWELL - DITION OR ALTERATION $339.20
CO -ALTE TION TO D ELLING $50.00
Tot l: $389.20
Building Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN 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 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
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date.
New Construction: Y, Old or Pre-existing Building: (checkone)Location of Property: &.z A �apLe A/
House No. Street Hamlet
Owner or Owners of Property: Pa &yZe A, 640wD &-t`
Suffolk County Tax Map No 1000, Section _-. Block `� Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: (A Underwriters Approval:
Planning Board Approval: 6A
A
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ �
Applicant Signature
o��oF so�ryol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G
Southold,NY 11971-0959 �0 • �o roger.riche rta-town.south old.ny.us
�yevUNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: William Moore
Address. 850 Ruch Ln City: Greenport St: New York Zip: 11944
Budding Permit#• 42744 Section- 52 Block. 2 Lot. 30
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 9 Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 8 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture 2 Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 1 0 Twist Lock Exit Fixtures �] TVSS
Other Equipment "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes, 1-combination smoke/co detector, 1-bath fan
Inspector Signature: Date: October 312018
81-Cert Electrical Compliance Form As
' Affidavit
PREMISES: 850 Ruch Lane, Southold,NY
SCTM# 1000-52-2-30 DD
STATE OF NEW YORK ) OCT 1 8 2018
ss..
COUNTY OF SUFFOLK ) BUILDING DEPT.
TOWN OF SOUTHOLD
Patricia C. Moore, being duly sworn, deposes and says:
THAT I hereby swear that all plumbing used PEX material.
THAT I make this affidavit as required by building permit#42744,knowing that the
building department rely on the truth of the statements contained herein.
Sworn to before me this
l day of Oa- 9-j31A""
r�)�NoVtaryc
BETSY A.PERKINS
Notary Public,State of New York
No.01 PE6130636
Qualified in Suffolk Count/-)_
Commission Expires July 18,
oe soulyolo
# # TOWN OF SOUTHOLD BUILDING DEPT.
coom 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
�] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
12,�
DATE �� INSPECTORS
�o��pE SOUTyO<o
# TOWN OF SOUTHOLD BUILDING DEPT.
urm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[" ] UNDATION 2ND [ ] INSULATION
FRAMING /STRAPPING [ ] FINAL
jFIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
chi �s
DATE I INSPECTOR
OF SO(/T�°lo
# TOWN OF SOUTHOLD BUILDING DEPT.
coum a 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
-REMARKS:
o ll� VA
o q.6A., CnA%
DATE S S INSPECTOR
g 50Ulyo{o
# f TOWN OF SOUTHOLD BUILDING DEPT.
coum, 765-1802
INSPECTION
FOUNDATION 1ST ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) �] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
`✓dam nuc o ' `
DATE INSPECTORZ�
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(18T) - y
---------------------------------
'FOUNDATION (2ND)
' r
Z
0
CA
w t
ROUGH FRAMING& I
PLUMBING H
1
rvQll
INSULATION PER N.Y: \" y
STATE ENERGY CODE
'T
FINAL
ADDITIONAL COMMENTS
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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
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Truss Identification Form
/ Storm-Water Assessment Form
/ Contact:
Approved 120 Mail to:
Disapproved a/c
Phone:
Expiration ,20
D R17,q ; , Building Inspector
C' >
MAY 2 1 2018 PLICATION FOR BUILDING PERMIT
Datey�—p2/ , 20It
INSTRUCTIONS
TOWN OF SOUTHOLD
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 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,inwriting,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.
(Signature of applicant or
name,if a corporation)
• �j Coto /j'IG«'I� /�a� c��U'�ld�°�
(Mailing address of applicant)
State whether applicant is owner, lessee; agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premisesf Gt' �c491 y M10 6_7
(As on the tax roll or latest deed)
If applicant is a corporation;signature Tof duly authorized officer
t•=f
(Name and title;of,corporate,officer) �; 1�,nr ifr�
Builders License No:
Plumbers License No.
Electricians,License No.
Other Trade's License No.
1. Location of land/�h proposed work will be done:
b � o /c/
House Number Street Hamlet
County Tax Map No. 1000, Section 2 Block OZ Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of pre ses and inte ded use and occupancy of proposed construction:
a. Existing use and occupancy 5v e-
b. Intended use and occupancy �py� /Zom— 6Gr'O��
3. Nature of work(check which applicable): New Building Addition Alteration X
Repair K, Removal Demolition Other Work
(Description)
4. Estimated Cost o 0 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. 1-t4.rA, 17�
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
r s
S. 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 ii �0
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 Address 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. _
4"
STATE OF NEW YORK) ,' �
SS: W' /vl�e-r�ir�-✓ (Fv�c.�7va?
COUNTY OF_fl,4%
14
Ktc/clv_ being duly sworn, deposes and sayys that(s)he is the applicant
CONNIE D.BUNCH
(Name of individual signing contract) above named, Notary Public,State of Now York
No.01 SUB185060
(S)He is the ewComQualffled in Suffolk County
(Contractor,Agent, Corporate Officer, etc.) missionLXPires RPrtt 14,2_,Q*
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.
Sworn to before me this
day of 20
Notary Public Signature of Applicant
�g11EEQL,(- BUILDING DEPARTMENT- Electricsp�� �o��
p TOWN OF SOUTHOLD D
~�
9 - Town Hall Annex - 54375 Main Road Box 1179 DD
o • Southold, New York 11971- JUL 2 0 2018
y �lp� Telephone (631) 765-1802 - FAX (631) 765-9502 1
c roger.riche rt(crytown.south old.ny.u1RUMDINGDE",'
T07771�-' 107 a OLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED*BY':- r;L�yCCC� �Q�t - Date: -
Company Name:
Name:
License No.: email: &,M pdlle E /t/�6DrP Ct S l Q
Address:
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: MW—R-
Address:
RIA, d, ,
Cross Street:
Phone No.:
BIdg.Permit#: �1 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
T lie iNS�! z
Circle AII hat Apply:
Is job ready for inspection?: YES / O =Rough Final ,
Do you need a Temp Certificate?: YES NOS Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form.xis
N \tiof,
�o �o SURVEY OF PROPERTY
AT ARSHAMOMOQ UE
TOWN OF SO UTHOLD
SUFFOLK COUNTY, N. Y.
, `�Fssys °FAq 9�J 1000-52-02-30
�`/ P� 9. s. SCALE. 1'=20'
P�� X00, NOVEMBER 26, 2013
?� MARCH 19, 2014 (PARTIAL TOPOGRAPHIC SURVEY)
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CER TIFIED TO. ,
r00 ,?, �� WILLIAM D. MOORE
\'o °k'e O PA TRICIA D. MOORE
lie. SUFFOLK COUNTY NATIONAL BANK OF P
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g` ADVOCATES ABSTRACT, INC.
WESTCOR TITLE
'� lj\ OF ,'�?';Argil 1� •
OIs, \ ■=MONUMENT _ r�`'` . LIC. NO. 49618
AO ANY ALTERA77ON OR ADDITION TO THIS SURVEY /S A WOLA TION ECONIC Yf3e, P.C.
OF SECTION 72090F -THE NEW YORK STATE EDUCATION LAW.
AREA=7 661 SCS. FT. � " - (631) 765-5020 FAX (631) 765-1797
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS
y'� HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909
TO TIE LINE �q SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 123x) TRAVELER STREET 1_292
P WHOSE SIGNA TURF APPEARS HEREON. SOLI THOLD, N. Y. 11971 1
6
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F _ AP ROVED AS NOTED
44 112.0
DATE
2 I, ; 16 FE
FJ NOTIFY BUILDING DEPARTMENT AT
¢ ' 765-1802 8 AM TO 4 PM FOR-THE
116.
C FOLLOWING INSPECTIONS:-'
. QR, �`•' � � 1. FOUNDATION - TWO-REQUIRED'--,
` T FOR POURED CONCRETE
2. ROUGH - FRAMING &' PLUMBING
i fl y 3. INSULATION
U 4. FINAL - CONSTRUCTION,MUST
I - - BE COMPLETE FOR C 0:
ALL CONSTRUCTION -SHALL MEET THE
I - REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
i
Ao COMPLY WITH ALL
.� CODES OF
Q'N - NEW YORK STATE &TOWN CODES
— --� AS REQUIRED _ T
' TOWN iVGB=
_ ooS011i}#�D T
�- � ,_ .• D _, ' N.Y.S.
, 771
i OS V ``� ��RE D ARC
Gbzo
Jam_ OF � •l
�_`�4 -
- -- DAA ,•
MOORE RESIDEE NCE
RUCK LANE AMHAMOMOQUE '
SCALE: 1/4"=V-0" TOWN OF SOUTHOLD NY A-i
CHORNO ASSOCIATES
ercnKect&
SOUTHOW,NEW YORK -
CV r o MANTEL DEPTH(IN)
�O)cOh1 1 (D�V CO V-
12
11
10
FV44 i 8
INSERT
5
4
—3
—2
—1
0
COMB
MANTEL 1 8�
ANIT:L
COMBUSTIBLE MANTEL APPROVED
MANTEL
PROFILES
17'MIN 1'�\
FROM TOP EDGE OF TOP 12 T
CONVECTION AIR OPWWG
TO BOTTOM OF W DEEP MANTEL
4"NON Il(�I1, ..JfIJI
COMBUSTIBLE ' l
-A-
23 25y
223/B O
111
1.�
16
323/6 HEARTH PROTECTION PAD REQUIRED IF NOT ELEVATED
FOR EVERY 1-INCH THE UNIT IS ELEVATED,HEARTH
-B- PROTECTION PAD DEPTH MAY BE REDUCED BY 2"IF ELEVATED
6"OR MORE,NO HEARTH PROTECTION PAD IS REQUIRED
33Y8
Minimum Fireplace Width Required
At Front 1O��pening
25/4
Minimum Fireplace Width
Required At Rear Wall
18
Minimum Fireplace
IS% Depth Required
13y
A o c
Surround/Faceplate
Depihl
18 I
Minimum Fireplace
Depth Requirement _ 1�I t Y8
Y B 8J4
323/
31y
VISABLE GLASS SIZE 577 SQ IN
ACTUAL GALSS SIZE 685 SQ IN
• • A
Ry 24}4 25y8
19� 2238 Minim m Heght RRequulede O
t
ls 29
To Gas Line
Entry Hole Center
0 Li
1578
Surround Face to Gas
Line Entry Hole Center
ew
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MOORE RESIDENCE
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SCALE: 1/4"=l'--0" TOWN OF SOUTHO'LD NY A-1
CHORNO ASSOCIATES
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SOUTHOLD,NEW YORK -