HomeMy WebLinkAbout37972-Z FF04cdG� Town of Southold Annex 12/23/2013
P.O.Box 1179
v x
54375 Main Road
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36673 Date: 12/23/2013
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 700 Ruch Ln, Greenport,
SCTM#: 473889 Sec/Block/Lot: 52.-2-28.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/17/2013 pursuant to which Building Permit No. 37972 dated 4/25/2013
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:
interior alterations to an existing single family dwelling as applied for.
The certificate is issued to Sharp,Colleen&Keating,Andrew
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37972 10/22/13
PLUMBERS CERTIFICATION DATED 8/29/13 Joe Terranova
A ed ignat' e
y TOWN OF SOUTHOLD
�o y� 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#: 37972 Date: 4/25/2013
Permission is hereby granted to:
Sharp, Colleen & Keating, Andrew
43 Great Jones St
New York, NY 10012
To: Interior alterations to an existing single family dwelling as applied for.
At premises located at:
700 Ruch Ln, Greenport
SCTM # 473889
Sec/Block/Lot# 52.-2-28.1
Pursuant to application dated 4/17/2013 and approved by the Building Inspector.
To expire on 10/25/2014.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $253.60
CO -ALTERATION TO DWELLING $50.00
Total: $303.60
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 2110 of 1% lead. .
. 5. Commercial building,industrial building, multiple residences and similar buildings and installations, a certificate
of Code Complia nice,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 o,f..Oecupancy-$25
4. Updated Certificate of Occupancy- $50.00
5_ Temporary Certificate of Occupancy -Residential $15.00,Commercial$15.00
Date.
New Construction: Old or Pre-existing Building:' (check one) /
Location of Property:
House No. Street Hamlet
Owner or Owners of Property: l
Suffolk County Tax Map No 1000, Section 52 Block .Z Lot_28,, j
Subdivision Filed Map. Lot:
Permit No. 7 / 7. Date of Permit. �/'a -/ _Applicant:
Health Dept.Approval: ° Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: k o e)
Fee Submitted: $
Applicant Signature
pF SO(/ryol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.riche rt(a)town-so uthold.ny.us
Southold,NY 11971-0959
o�yCOU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Keating
Address: 700 Ruch Lane City: Southold St: NY Zip: 11971
Building Permit#: 37972 Section: 52 Block: 2 Lot: 28.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Peconic Electric Corp License No: 43457-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 8 Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 4 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances dw Dryer Recpt 1-20 Emergency Fixtures Time Clocks
Disconnect Switches 9 Twist Lock Exit Fixtures TVSS
Other Equipment: 1-exhaust fan
Notes:
Inspector Signature: Date: Oct 22 2013
IQ
81-Cert Electrical Compliance Form.xls
U E
DEC 209
BLDG. DEPT.
TOWN OF SOUTHOLD
CERTIFICATION
Date: 8 -z 2 -(3
Building Permit No. 3 7-1 7�?
Owner:
(Please print)
Plumber: - 0 2- e-P f' 0.✓1 b V 4�
(Please print)
I certify Qiat the solder used in the water supply system contains less than 2/10 of 1%
lead.
(Plumbers Signature)
Sworn to before me this
day of 20 Imo_
Notaiy Public, s jt►'-_ County
DE90PM A.DONEGAN
NOTARY PUBLIC,Shte of New York
No.497811700
Qualified in sutfolk County
commission Explr;,s?,larch 18, �'S
�OF so
�o� ono
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECT ON N .
[ ] FOUNDATION 1ST [ ROUGH PLBG.
[ ] FOU ION 2ND [ ] INSULATION
[ RAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL ROUGH) [ ] ELECTRICAL (FINAL)
REMARK
'o woi
f�
.DATE INSPECTOR
SOUryO
h� l0
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECT N
[ ] FOUNDATION 1ST [• ] GH PLEIG.
[ ] F UNDATION 2ND [ INSULATION
[ FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELEC 1 L (FINAL)
REMARKS:
C�
DATE INSPECTOR
377 72.,-
2�-
pF SOplyO
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ]�4T
ION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: &�P� cc)
DATE INSPECTOR
pE SOIV
Ulyolo
!�n(J� �y000MY
TOWN OF SOUTHOLD BUILDING'DEPT.
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)
REMARKS:
DATE INSPECTOR j
a
FIELD ESPECTjON REPORT DATE COMMENTS
01
--�
FOUNDATION(1ST) �
FOUNDATION(2ND)
J z
rA
ROUGH FRAMYNG& y
PLUMBING
e � H
IMUL•ATION PER N.Y.
STATE ENERGY COHSE
Y
w
' 1
FINAL
L ADDITIONAL COMMENTS
wv
• m
a� �
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HAIL L - ' 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. J Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 l-S Single&Separate
Storm-water Ass-ees'siment Form /�
Contact: Giln Sn.O_A t"o KK YIC'_� Fo /le_ 00,4-
Approved 2- ,20 l Mail to: (Pa spx171
Disapproved a/c LLIL / (l q6 4
Phone:
Expiration l d z S ,20 1
EC � 0 �]
Building nspector
A 1 1 2013 PLICATION FOR BUILDING PERMIT
BLDG.DEPT. Date , 20 _
TOVJiI OF SOUTHOLD 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 d olition as herein scribed. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing o e, d re atio , and to admit
authori d:: spec or o t.pieinis"s afid ii5;i}ilding for necessary inspections.
APR F 2�13 (Signature o applicant or name, if a corporation)
BLDG. DEPT. (Mailing address of applic m)
TOWN OF SOUTHOLD
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
e aY o� i
Name of owner of premises Lu
(A 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. 1 3 8 ZS HZ
Plumbers License No. �3t3aq,3 M-P
Electricians License No. < 30 I\n
Other Trade's License No.
1. Location of land on which proposed work will be done: r /
�00 1KU c Gl_ 1-&Ae, & o I ct
House Number Street Hamlet
County Tax Map No. 1000 Section .5 2- Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occu anc of proposed construction:
a. Existing use and occupancy ; - / i`
b. Intended use and occupancy -
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work_ 1`vt,-ter,;or /'eve o�(Gi�!1
(Description)
��
4. Estimated Cost , DLzn � 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 1
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 800 I S
�
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories I
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front l O 0 Rear (o 0 Depth
10. Date of Purchase ItZ Name of Former Owner Az h e— C, (�Gi-b��, 7-ru,
11. Zone or use district in which premises are situated Ni.4,;J to
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
le
14. Names of Owner of premises - Address J S hone No. 347-23-,7
Name of Architect Address N G Phone No
Name of Contractor Address . Phone No. 6SI - 7q9 -7130
S�cN-er is , N K
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 REQUIRE N /N [n.�;of- rekioxl Jbu`
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 YOR )
S.
CO Y F
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
� /� CONNIE D. HUNCH
(S)He is the �ao T�//�Ao/' Notary Public, State of New York
(Contractor, Agent, Corporate Officer, etc. ." G!66 9P,
g orat
p ) Qualified in Suffolk County
Cornmission Expires April 14,2 Ol:
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 ' n
1�day of 20 )3
Notary Public Signature of Applicant
�o'of SO(/jyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 CA
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 13, 2013
Colleen Sharp
Andrew Keating
43 Great Jones St
New York, NY 10012 h
Re: 700 Ruch Lane, Greenport
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
yv) Application for Certificate of Occupancy. (Enclosed)
_ Electrical Underwriters Certificate. (contact your electrician)
A fee of$50.00.
/Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4J1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept
BUILDING PERMIT: 37972 — Interior Alterations
nL — I. — — --- - ___-_.__`__.__-_ - ------`"----- _-_--_---__ -__--_ —`__-_
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_�_..........,:�.... ,..._. �.............. ...
._ .
DATE: � � B.P. .. �.._.�..,...... _.._. !/ FR�3�'1��wF? .E� -
F�1 Z
FEE: � Gc7 2-p r-
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: -- -— — I
1. FOUNDATION - TWO REQ41,RE6
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST •'
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE —
t /itlS-1A 1.0 - 2 2 d
REQUIREMENTS OF THE CODES OF NE
<: R1 `; -ft /
YOR :.',...
ATE. NOT
RESPONSIBLE FOR
DE : ::'':
.� .. .z ter... , . ... :--
`
SIGN OR CO � I :.: -: =-'.' v"�.'o':.::.:: .:::: . • . ' ' � .
CONSTRUCTION ERRORS. .: _. '-::: .:' � : : �.�=. ::-.:.-" - ' - : � - � .- ' .'.. .... :.. : .::--;..;:::::.... ....
a,
IL
OCCUPANCY OR
z08.
USE IS UNLAWFUL ,
TROUT CERTIFICA
OF OCCUPANCY :I
MAW&r Q.
i
COMPLY WITH ALL CODES QF
NEW Y KSTAT- TOWNNCODS - -
_ -
AS REQUIRED =`=
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