The URL can be used to link to this page

Home My WebLink About34166-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33546 Date: 02/17/09 THIS CERTIFIES that the building INTERIOR ALTERATIONS Location of Property: 460 RUCH 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 HAASE JR (OWNER) of the.aforesaid building. ` SUFFOLK COUNTY •DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 4015072 01/08/09 PLUMBERS CERTIFICATION DATED 01/06/09 MATTITUC,K PLUMBING tho ized jignature Rev. 1/81 ti a rJ-00-i VOI-c- EME-9 �r.PLrL3r.rcl-�i:Pcn�.rrJ PEI E rrJcPrJ �rJ�r�rJ�rJ��PrJ�rJ�rJ�r�rJ�rJ�rJ�rJ E �r.PL3Pr3PLJL3 PLrQ c� 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 S 5 BUREAU OF' ELECTRICITY 5 5 40 FULTON STREET - NEW YORK, NY 10038 c5 5 CERTIFIES THAT 5 5 5 5 Upon the application of upon premises owned by 5 5 5 JIM SHAW ELECTRIC INC GEORGE HAASE S Cj 530 MIDDLETON RD 460 RUCH LANE 5 5 GREENPORT, NY 11944 GREENPORT, NY 11944 5 5 Located at 460 RUCH LANE GREENPORT, NY 11944 S5 5 Application Number: 4015072 Certificate Number: 4015072 S 5 5 5 Section: Block: Lot: Building Permit:34166 BDC:.NS37 S 5 l i id 5 enta 5,Described as a Res occupancy, wherein the premises electrical system consisting of Cj 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 First Floor, 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the''extent detailed 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforgment and Ad��nasttrajW8 . or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the Day of 5 5 Name QTY Rate Rating Circuits Type C5 5 AdditionalCharges 5 5 kitchen renovation 5 5 Appliances and Accessories 5 SDish Washer 1 0 1.2 KW C7 5 Exhaust Fan 1 0 F.H.P 5 5 Range 1 0 50 Amps e,5] Wiring And Devices 5 Dimmer 3 0 120 V5 5 Fixture 10 0 Incandescent 5 5 Outlet 8 0 Gen,Purpose 5 Outlet 10 0 Fixture 5 Receptacle 3 0 GFCI 5 5 Receptacle 6 0 Gen,Purpose 5 5 Switch 2 0 Gen,Purpose , 5 5 5 5 Spa/ 5 5 1 of 1 5 5 , 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 - 5 �Mp�L3Q PLPL��L��I o :.:. �SUfFO4. O CO • y � To-n Hall, 53095 Main Road . Oy �� Fax (631) 765-9502 P.O. Box 1179 �O� O Telephone (631) 765.1 Su= Sc,_!hc)!c. :New York 11§71.0959 BUILDINd'DEPARTMENT TOWN OF SOUTHOLD CERTITI CAT ION Date: Building Permit No.-- Owner: ke__4Plumber: a- F, u'lam � 4- 9 . _(Please_piint) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. -7a(Plumbers Signature) Sworn to before me this day 01 (144".v20o 9 DENISE KING Notary Public,State of New York Registration #01 K16041757 _ - - - - - Qualified in Suffolk County My Commission Expires May 15,2 c2c a Noiary Public; County Form No.6 v� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ! �"Z 7 765-1802 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 fo ). 3. Approval of electrical installation from Board of Fire Underwriters. rm 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 "1. Accurate survey of property showing all property lines, streets, building and unusual sual natural orr topographicrs >> suses: 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�91. 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 Da . 'a/m Loy New Construction: Old or Pre-existingBuilding:g: (check one) Location of Property: �tj House No Street �l Hamlet Owner or Owners of Property: _ f('T� r ae ml ac e Suffolk County Tax lV1ap No 1000, Section �5;L Block 1)ry) °� Lot d a 3 Subdivision Filed Ma.p. Lot: Permit No. �� 1 f Date of Permit. 11 U Applicant:_&�ftr-u-b Health Dept. Approval: Underwriters Approval: 1 Planning Board Approval: ' Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Tj 3 R-57Y� G/� S5� L Applica Si re 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. 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 so Comm, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: i 1 DATE INSPECTOR SO(/T�, �o� oho CA o�ycoum TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ INSULATION [pl--'FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: c DATE w �� INSPECTOR FIELD INS ECTION REPORT DATE I COMMENTS FOUNDATION(IST) t ---------------------- FOUNDATION (2ND) z 0 ROUGH FRAMING& P U E&ING y �N INSULATION PER N. Y. STATE NERGY CODE _. INAL ADDITIONAL COM3/MNTS �r O Z m a z x d 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 l rn Survey www.northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved 20 �� Mail to: Disapproved a/c Phone: Expiration ,20�� Building Inspector APPLICATION FOR BUILDING PERMIT Date 9111 , 20 ®F5' 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 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 authorized inspectors on premises and in building for necessary inspections. P12W ` (Signature f a nt or name,if a corporation) 9aX 7�s% Sov /& (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises 6;&Y- — qL U-5a Now (As on the tax roll or latest deed) If applica a ii atur officer duly authorized ocer g;�7 t ame and t' le o orporate officer) Builders License No. -TV-P Plumbers License No. 9 Oto&10 Electricians License No. gu s ( m 2 Other Trade's License No. 1. Location of land A which proposed work will be done: old House Number Street Hamlet County Tax Map No. 1000 Section � Block � �• Lot Subdivision Filed Map Non�::-;) 4 LOP (Name) _ 2. State existing use and occupancy of premises and i4en use d occupancy of proposed constructi&1:' • a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration_ Repair Removal Demolition Other Work (Description) 4. Estimated Cost '50 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 Address Phone No. Name of Architect 121 Address Phone No Name of Contractor' is AP-a;-ZD Addres ft `�� Phone No. 577'2- tJa? 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. STATE OF NEW YORK) SS: C 14TY OF ) mo\& ` being duly sworn, deposes and says that(s)he is the applicant Name of individual signing contra above name , (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. Sworn to before me this of 20 Notary ubli ture pplicant LINDA S.CARLSON AwAvll Notary Public, State of New York No. 01 CA6137178 Oualil -c� in Suffolk County Commission Expires Nov 14,20 bos� � Town of Southold Erosion, Sedimentation & Storm-Water Run-off� E � � ASSESSMENT FORM N", PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A f � —� �_ STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLANT District section Block lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. --- --- ----------------------------- ----------------- Item Number. (NOTE: A Check Mark(4)for each Question is Required for a Complete Application) Yes No Will this Project Retain All Storm-Water Run-Off Generated by a Two(2")Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or constructi activities as well as II Site d/V Improvements and the permanent creation of impervious surfaces.; �✓ E-1 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&Location? J�` ❑ This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlow! 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 260 Cubic Yards of Material within any Parcel? — 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of ❑ Five Thousand(5,000)Square Feet of Ground Surface? _ Jr Is there a Natural Water Course Running through the Site? F-1 Is this Project within the Trustees jurisdiction or within One Hundred(100')feet of a Wetland or Beach? — 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen(15) feet of Vertical Rise to ❑ One Hundred (100')of Horizontal Distance? — 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off ❑ into and/or in the direction of a Town right-of-way? 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of F-1 any Item Within(lie Town Right-of-Way or Road Shoulder Area? — (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred(100)Year Floodplain of any Watercourse? F-1 — NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water,Grading, Drainage&Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! --- -------------------------------- ----------------- EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question,a Storm-Water,Grading,Drainage&Erosion Control Plan is NOT Required! --- ------------------------------------------------- STATE OF NEMI YORK, COUNTYOF........................................... SS That I, Raflat.(3.J'..MU. ., beuig duly sworn,deposes and says Mat he/she is the applicant for Permit, (Name of individual signing Document) And that lie/she is'the 1 ! (Owner,Con(ractor,Agent,Corporate Officer,etc.) Owner and/or representative of die Owner of Owner's, and is duly authorized to perforni 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 pearforrned in die manner set forth in the application filed herewith. Sworn to before nie this; j� �... ........... ay oY ��....... ,20-1 - Notary Public: ...... �,,,,,� , ............Notary 1. ........ Nota Public State of New York tsls re of Appllcanl) FORM - 06/07 Qualified in Suffolk County Commission Expires July 28,20�� SURVEYED FOR:- LOCATED YATycLO ! MAP OF _"im.� SCALE 1 --fee.fz Grr�.2 /t/. N � I 8 1 OK,— o .S .3y�- ys may. �.,� 9��- •� . SURVEYED 1998 BY WILLIAM R.SIJv ONS Ill,L.S.P.C. 0 co r%o9'c TT �,t✓ Ts_/235�7 11 Iv1EROKE LANE EAST ISLIP, L.I., N.Y. 11730 (516)581-1688 Fax:(516)581-1691 z FILE NO. PAGE ` GRID �,lS COMFL_Y V,a+T� .A!t_ CODES OF ANEW YORK ,7 & T01niN CODES D , ` DITIONS OF o 't DATE: . r' ;: ? f S! 7HOLD WN ZBA - l ` D, `� �a SOUTHOLD WN PLANNING BOARD, FEE. C 0 i ;� � NOTIFY BUIL DID DEPP-I;TMENT AT SOUTHOLD WNTRUSTEES 765-1802 8 AM�I' 4 r � FOR TJ E ' �s FOLLO'v1'!NG IN �l-�5: r'` N.Y,S, E -- .. , , ' 1. FOUPIDATlOt� :lO REQUI.R,ErGI —` 1T FOP, POUREuPC '1CRETE r X ' I l �' � I I f RVIIRITE 'ID ER TiF1GATE 2. ROUGH - FRAIVI NG & PLUMBIN 3. INSULATION O i ' 4. FINAL - CONSTUCTION MUST , RETAIN STORM ATER RUNOFF BE COMPLETE OR C.O. — i ' `r I ALL CONSTRUCTIdN SHALL MEE THE PURSUANT TO APTER 236 '` _ ! OF THE TOWN DE. REQUIREMENTS OF THE CODES 0 EVVI! s — YORK STATE. Net -PO�NSIBL FOR DESIGN OR CONSTRUCTION ERRORS. { " \ �►��`' �� IT UPANCY OR OCC USE IS UNLAWFUL I ,. WITHOUT CERTIFICATE 1 I � OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. H TEIR IOC R��OV ZST)O`i �11 Tii DONALD G. FEILER ARCHITECT PH �Lt LID L Nl/-"� ,,� 11725 Main Road • P.O.Box 1692 - Maltituck.N.Y. 11952 tl�3 c (516)298-5453 (Fax)298-1380 WILDING PERMIT E: AI INER CHECKLIST *Date Sabinitted:9/X',XZAV7*Date Reviewed; a applicant: Owner: 6-el)i" -e- 4,Sgw GC l rchitect/Engineer: �)61-) Estimated Cost: e J-7) ;CTM# 1000- q,93 Subdivision: Zone: Confortniug? f�® 'roperty Address: City,—S�,/� -14TI I Pre Cos? qe3 3uilding Permits (Open/Expired): BP C/o C/o Z- Info: BP -Z/C/o Z- Info: lP -Z/C/o Z- Info: BP -Z/C/o Z- Info: BP -Z/C/0 Z- [nfo jingle& Separate Search Required? Y o N etertnination: tEQ. Lot Size; ACT. Lot Size: REQ. Lot Cov, ACT. Lot Cov. tEQ. Front ACT. Front REQ Side ACT. Side REQ. Rear PROP. Rear MQ. Height . ACT. Height � p 'roject Desc ' Naterfron ? Y r N? .f yes, `sate► y: Panel# Flood Zone: Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED iuffolk Couuty Health: Y or01 - If yes, *Bed#: *Date: _/_/_ *Permit#: Town Septic: Y or T - If uo, certification required: Y or N Received: Y or N By: qYS DEC: PRE-DEC 9/1/75 Y orn Date: / / Permit #: or NJ Letter — Notes: Southold Trustees: Y or N� Date: / / Permit #: or NJ Letter — Notes: Southold ZBA: Y oQ- Date: _/ / Permit #: — Notes: Southold Planning: Y or 9 Date: / / Permit #: — Notes: Town Landmark C of A: Y o114TE: / /_ *NYS CODE Compliance (page 2): Y or N Notes: (7,kA&-LJ& n r Fee Structure: Calculation: Foundation: SF 1. ( SF)- L_SF)= SF X $ =$ _ First Floor: SF + Initial Fee: $ Second Floor: SF + Additional Fee (_ ): $ Other: SF 2. ( SF)- ( SF)——SF X $ =$ Total: SF + Initial Fee: $ + Additional Fee TOTAL: $ NEW YORIC' STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 45 Wind Speed:, 12OMPH Seismic Design Category: B Weathering: Severe Frost Depth: 36" Termite: M-H Decay: S-M Design Temp: 11 Ice Shield Underlay: YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL STUDS: Y/N GLRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOT RATTERS: 1'/N LUMBER SPECIES AND GRADE: YIN DESIGN LOAD CALCULATIONS: YIN LIVE: Y/N DEAD: Y/N SNO1A': Y/N SEISMIC: Y/N '\VIND: Y[NI wmDOW AND DOOR SCHEDULE: -MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF BORES S: Y/N PLUMBING RISER DIAGRAM: YIN LOCATION OF FIRE. PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y%N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)