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Home My WebLink About37636-Z �Q�guEF04 Town of Southold Annex 3/11/2013 P.O.Box 1179 cox 54375 Main Road D �, g ss� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36161 Date: 3/11/2013 THIS CERTIFIES that the building CHIMNEY Location of Property: 460 Ruch Ln, Greenport, SCTM#: 473889 Sec/Block/Lot: 52.-2-23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/5/2012 pursuant to which Building Permit No. 37636 dated 11/15/2012 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: CHIMNEY TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Massa,Maureen&Schweitzer,Alan (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Autho ea Signat e zi, TOWN OF SOUTHOLD �QgOFFO(�coG�� 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#: 37636 Date: 11/15/2012 Permission is hereby granted to: Haase Jr, George PO BOX 153 Southold, NY 11971 To: construct a chimney to an existing single family dwelling as applied for At premises located at: 460 Ruch Ln, Greenport SCTM # 473889 Sec/Block/Lot# 52.-2-23 Pursuant to application dated 11/5/2012 and approved by the Building Inspector. To expire on 5/17/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 -C4 � Building Inspector Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 d a�aa 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 2110 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 egmpleted 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. Fces 1. Certificate of Occupancy-New dwelling$50.00, Additions to dwelling$50.00,Alterations to dwelling$50:00, • - Swimming pool $50.00,Accessory building450.00, 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 $1 5.00,Commercial$15.00 Date. l l l CP - / 2— New Construction: Old or Pre-existing Building:' (check one) Location of Property: 46 Q j�y e q LaA)e Ea-Ij !moo P_7` House No. ,Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section _Block Lot Subdivision 22 Filed Map. Lot: Permit No. J lP J. (0 Date of Permit. Applicant: Health Dept.Approvals Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: Cam." Applican gn re OF SO(/r�ol cOUMY,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION : [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING/STRAPPING [ p FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: O c DATE INSPECTOR 2 a FIELD R SPECTxON REPORT DATE COMMENTS �3v FPUNDA oN(IST) w fq� T � FOUNDATION(2ND) CA ROUGH FRtAAIINQ& y PLUMBING • Cd t4 INSULATION PER N.Y. 'a STATE ENERGY COM FINAL - a a ADDZTI0NAL COMMENTS Cr-1 C �m z'o F ;'y 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. 37&.3f, Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 11 ,;,20 Single& Separate Storm-Water Assessment Form Contact: Approved J'_20� Mail to: Disapproved a/c Phone: Expiration % 20� .� ¢Building Inspector "11 LICATION FOR BUILDING PERMIT NOV - 5l Date 20A LOG.DEPT. INSTRUCTIONS TO OF SOUTHOLD a. TlSis app ication 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. / (Signature of applicant or nafne, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engi eer, general contracto , electrician,plumber or builder Name of owner of premises /lil.aAl /01,455d- `- (As on the tax roll or latest deed) If app 'cant is a cor oration, si -mire of duly uthorized officer (Name ancorporate officer) B Iders Licenseor P,Tumbers Licens jV Electricians License No. Other Trade's License No. 1. Locatippn of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Block 02'. 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 -�� b. Intended use and occupancy $ � �,✓�� /��Fj/ ��iX� �� /�^�/ 3. Nature of work(check which applicable): New Building Addition Alteration 1/ Repair Removal Demolition Other Work (Description) 4. Estimated Cost �f p6d / 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 (`.' Dept n 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 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 0 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_ 0P 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 NOS q * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, _ONNIE D.BUNCH (S)He is the - Public,State of New York (Contractor)Agent, Corporate Officer, etc.) ...n(,CaL)in Suffolk County r�,... :s�-un Gaxoires April 14,Z�IL 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. Swore to before me this y� day of K��tN,6L,�,_ 20 )� Notary Public Signa ure o A� licant If t MA55A-5CHWEITZER RE51DENCE pr �• O NZZ N • �• iL 6 — Z 0 U)0 �� II' • �'" PROV.EPDXIED#a STEEL INTO E VERTISTIN 0 I NO.C. INTO EXISTING FOUNDATION WALL t FIREPLACE FOOTING 'dY W2 O LIVING ARFA5 TO • i = I" REMAIN A5 EXISTING I (,� • v ti In z N = p N PR O PROVIDE RAING SED HEARTH. NEW MASONKY ASHING ALONG 3�O - 0 E N PROVIDE RAISED HEARTH,GLA55 PROVIDE FLASHING ALONG CLEAN-OUT {� DOOR FNCL05URE t STONE 8 ROOP PENETRATION; NUE EXISTING BASEMENT Q u O SURROUND TO BE DETERMINED CHIMNEY TO CLEARANCE TO REMAIN N ABOVE EXISTING ROOF w • I I 4 WOOD MANTLE — ABOVE FIREPLACE J 't.. NEW POURED CONCRETE 2-8}'LVL HEADER ABOVE FOU NDATION WITH P-4'FTG, UNDER MASONRY FlREPWCE; FIREBOX OPENING ao-4 ALLOW FOR FWE UNING zx z O EX15TING GARAGE ~ TO REMAIN EXI TING GARAGE A ROVED AS=NDATION FLUE BL1il: ING EPARTMENT � U CY OR DAMPER / ,�7�51 D2 8 1 j 4 PM FOR USE �� UNLAWFULMANTP ,;%f f � 1. FO IVUATIO R tREC> FOR POURED a ,, POUREDLfQUNDATION PLAN ci FLOOR LAYb11Jf u �,_.1 L � GERT F AT E }, ROUGH-FRANII'1•-& z 5CALE: P-O' FIREBRICK L� rr t =r )_1�I�`. � � STRAPPING. E. �- ��9. ('10 UP,�:N� �Y FIREBOX 3. INSULATION H z HEARTH _�U. FINAL-CONST�,a404 .P_€0t�T0CA(- o o *� MUST BE COt/%?L �+�--.0. s ALL CONSTRUCTION SHAM a coNSTRUCTr�9;5 z MEET THE REQUIREMENTS THE REQUIREMENT$ 0�7�COD05'4E" Q U CODES OF NEW YOW STATE. AL n� Yb STATE. Nc� o+vsca�E z DESIGN OR COMS"FQUcTL*IM�-, w 0 TYPICAL SECTION PAGE: NOT TO 5CALE I SURVEYED FOR:- LOCATED ya LOT ZJ , ,v'. MAP OF SCALE 1 "-•.,per - ,2► . OW ' _ y 1 VA'7 5: s SURVEVED 4 9/ BY WILLIAM R. .SIM:MON5 11 MEROKE LANE EAST ISLIP, L.I., N.Y. 11730 9� a. (516} 581-1688 Fix; (51.6) 581-.1691 '� `� - ; FILE NO. , 'f<�o,3 PAGE GRID z