HomeMy WebLinkAbout14353-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z15912 Date July 2, 1987
THIS CERTIFIES that the building ...... .o.n..ey.f.a.m. ~_.l.y dwelling.
Location 460 Bay Road Greenport
of Property .......................................
House NO. Street ................... ~r~/e~
County Tax Map No. 1000 Section 43 .Block 5 .Lot 7
Subdivision .............. .X ................ Filed Map No.. X .Lot No. X
conforms sobstantially to the Application for Building Permit heretofore filed in this office dated
...... .S.e.p.t.e..m.b.e.r...29.,' 19~Spursuant to which Building Permit No. 14353Z
dated .. ~....Og.t.°.b..~.r..1. 0. t..1.9. 8..5... 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 .........
One-family dwellinq with attached one-car garage & wood deck.
The certificate isissued to JOHN & LUCY RACANELLI
.................... ?o¥.'o;, iaid4t li .............
of the aforesaid building.
Suffolk County Department of Health Approval ............... .1.4.': S. 97.0.2. .................
UNDERWRITERS CERTIFICATE NO ..................... .1',I.7.8. 0..8.3.1. ...........
PLUMBERS CERTIFICATION DATED: 6/23/87
· .......
Building Inspector
Rev. 1/81
lrOl~we NO. ~
TOWN OF SOUTHOLD
BUILDING D~PARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NB 14353 Z
Permission is h.reby granted to:
.;~.'~..; ............. ;.....;. :. ,~ ..~ .T..~.~.~ .~... ,..~ .~ .................
.~...~...~,.~,..!J..t;g..2 ....
, .....,
~. ............................ ..~'""~ ...................... ~~ ...................... .~, .~. ~ .....................................................
· ~..,..~,-,, ~,,,:,~ -~....: ............................................................................................... : ..........
co,.~ T~ M.~ No. ~000 S,~,,o....~.~..~. ....... ,~k .... .~.~. ........ ~ No ..... .~ ...............
..~.u~n, ,o ..~,,~.,o. ~,,~ ..... ~ ~~~...~? ....... .
opprov~
by
the
Building Inspector.
Building I~tor
Rev. 6/30/80
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
BLDG. DEPT.
TOWN OF $OUl140LO
APPLICATION FOR CERTIFICATE OF OCCUPANCY
instructions
A. This application must be filled in typewriter OR ink, and submitted ~a~ to the Building Inspec-
tor with the following; for new buildings or new use:
I, Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S~9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters,
4. Commercial buildings, industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building~
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings iprior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~.t)perty showing all property lines, streets, buildings and unusual natural or
tope graph ic featu res.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
~ 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy ~ ~7 5'. o o ,
2. Certificate of occupancy on pre-existing dwelling $15.00
3. Copy of certificate of occupancy $1.00
4oVacant Land C.O. $5.00
5.Updated C.Oo $15.00 Date ..........................
New C on s % r u c t i o n...'~,.. O~d or Pre-existing Building ............ Vacant Land .............
Location of Property 46.0. .Bay ~Ro,a.d Greenport, .N..Y~
House No. Street Hamlet
Owner or Owners of Property John & T.QC~ Racanel[±
043 5 7
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
PermitNo. 14353Z DateofPermitl.0/,1..0./?.5~.Applicant 550 Construction Corp./John RacanellJ
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval
........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ........ ~. ..............
Fee Submitted $ .... ~.5...q .........
Construction on above described building and permit~meets all applicable codes and regulations.
......... . ...................................
Rev, 10-10-78
THE NEW YORK BOARD OF FIRE UNDERWRITERS
_0009 BUREAU OF ELECTRICITY
8S JOHN STREET, NEW YORK, NEW YORK 1OO31~
..,~ ~o~;mb~ 2~,~ ~..,,~,,o.~.o.~,,~ ~7~0~/~ N 780831
THIS CERTIFIES THAT
John Racanelli, Inlet Lane, ~ Bay Rd,
SWITCHES
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS
2
SYSTEMS
~PPARATUE:
rtz-;Z~50Owatt
2-10.0K,W .... IJeat Pumps
~ 1-4 Ton A.C, Units
G,F.C.I.-5, Smoke Detector-/
Trsck LiEStin~-22z-0'' 6-1~tes
Blec. Water Heater- 1-4,5
James Fischetti
4250 Veterans Uighway
Ilolbrook, N.Y., 11741
E R V I C
OF HI.LEG
lic. #
This certificate must not be altered in any manner; return to tJ~e office of the Boa~'d if incorrect, inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. OF CER~I NOT BE ALTERED IN ANY MANNER.
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date June 23, 1987
Building Permit No. 14353 Z
Owner John Racanelli / Lucy Racanelli
(please print)
Plumber Beach Plumbing & Heating Inc.
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
~'22/ day of ~-~ ,
197~.
Notary Public, d~c/~-~~ County
Notary Public
BARBARA A. CHERNOFF
Notaw Pubhc, State of New York
No. 52-4704671
Oualihed in Suffolk
Term Expires March 30,
JOHN RACANELLI ASSOCIATES
3505 VETERANS MEMORIAL HWY.
June 25, 1987
Town of Southhold
Building Department
Town Hall
Southhold, N.Y.
Dear Georgia,
11971
Re: Certificate of Occupancy
460 Bay Rd. & Inlet Lane
As per our conversation enclosed p~ease find the
following papers:
Final approved site plan from B.O.H.
Signed application for C.O.
Check for $25.00 fee.
Plumbing certification signed and notarized.
If there is anything further you require, feel free to
call this office.
JR:bac
enclosures:
Very truly yours,
John~Racane lli
FIELD INSFECTION su~Jrm~.~
FOUNDATION
2.
(2nd)
ROUGH FRAME &
0 ~ ~LUMBING
INSULATION PER N.
sTATE ENERGY
CODE
ADDITIONAL COMMENTS:
JOHN rACANELLI ASSOCIATES
3505 VETERANS MEMORIAL HWY.
SUITE - A
RONKONKOMA, N.Y, 11779
PHONE (516) 981-3030
November 4, 1986
Town of Southhold
Building Dept.
Town Hall
Southhold, N.Y. 11971
Re: Permit # 14353 Z
- 460 Bay Road Greenport
Gentlemen,
With reference to the above project, please
find the final survey for same. If you have any questions
you can reach me at the above number.
Kindly send me my Certificate of Occupancy
for the above referenced house. Your prompt attention to
this matter will be appreciated.~
JR:bac
Very truly yours;
N RACANELLI
f
FORM NO. lI
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SODTHOLD, NY
DEVELOPMENT PERMIT
at premises located at
County Tax Map No. 1000 Section O~ Block O~ Lot 7
Pursuant to application dated~,O~o'~-~- io 19~-~ and approved
by the Building Inspector.
Building Permit No.
z
4/8o
Building Inspector
765-~.802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST []ROUGH PLBG.
FOUNDATION 2ND £]INSULATION
FRAMING []FINAL
DATE ~/~~
7GS'1802
BUILDING DEPT.
INSPECTION
UNDATION IST [ ] ROUGH, PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION ~LST ~. ROUGH PLBG.
[ ] FOUNDATION ZND [gx~ INsuLATION
[~1/FRAMING [ ] FINAL
7GS-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
REMARKS: ~)~
P.O. BOX ?28
SOUTBOLD, NY
11971
FORM NO. P.O
TOWN OF sOUTHOLD
BUILDING DEPARTMENT
(516) 765-1802
TOWN HALL
MAIN ROAD
SOUTHOLD, NY
", ' ' ~ '~ '~' APPLICATION FOR DEVELOPMENT PERMIT ' ....
Instructions: The application to the Building Inspector.includes (each
in ~upiicatg) 1. Form No. l0 filled out in ink or typewritten, 2. Sur-
vey of premises with elevations mbove mean sea level, 3. Drawings of pro-
posed work. The application must give complete information to show that
the proposed can comply to the Local Law No. 1-1980, Chapter 46 of'the
Code of the Town of Southold known as "Flood Damage Prevention Law" of the
Town of Southold. The applicant must submit approvals that any.other
agency requires.
General Sbandar~ as required in Section 46-17 of~the law to minimize flood
A.
B,
C.
D.
Anchoring of structures, including tanks and mobile homes
Uae of construction material and methods
Design and location of utilities
Subdivision proposal with drainage, public utilities design
base flood elevations
~peq~f~ Standards as required in Section 46-18r A. Reside~ti~l construction
B. Non-residential construction
C. Mobile homes
an d
The applicant must submit plans and specifications as well as any other
information requested by the Building Inspector to substantiate the facts
that the structure has or will have the lowest floor, including basement/
cellar, elevated above the base flood elevation or; if permitted by the
Federal Regulation, that: 1. such structure is flood proofed in such
manner that below the base flood level the structure is water tight with
walls substantially and impermeable to the passage of water, 2. that
structural components are capable to resisting hydrostatic and hydrodynamic
loads and effects of buoyancy, 3. .applicant must sub~it certification by
a registered professional engineer or architect that the standards set
forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied.
Coa____Smtal High ~azzard area (V Zone) 46-1~. Applicant shall submit plans,
specifications including-the required certifications and such other
formation as the Building Inspector may require in that ~he provisions of
46-19 are complied with. Mobile homes are prohibited. The lowest portion
of the structural members of the lowest floor cannot be lower than the
base flood elevation with all space below open except breakaway walls.
.Sand dunes. If sand dunes exist on the premises and the applicant pro-
poses to alter same, plans and specification must be shown in detailed
nature of any alteration submitted.
Building Permit, A Building Permit is also required for any structure.
~-~ Development and a Building Permit must be issued before any work
can start in a special flood hazzard zone. A, writte~disapproval or a
permit must be issued within ton (lC) working days.
During construcOlon, the inspector ~hall be notified in time so he may
make the required inspections°
Upon completion, the required certification fo the final elevations and
work must be submitted bsfore the approval to use or occupy can be
approved.
4/8o
(Fill out the form on the back of this sheet)
' · Disapproval Issued
!Application Received
FORM NO. 10
APELICATION FOR DAYELOPMENT PERMIT
i In the Town of Southold
Type of Developmedt Proposed: Now Structure (including storage tanks~
Addition and/or A~toration[--~ Flood. P~oof Below Base Flood ElevationS]
Other (specify) ~ .....................
Elevation Data in]relation to above mean sea level of:
(a) Lowest floor ~levation, including basement __ feet 'inches
(b) In a V Zone, Bottom of lowest structural member__ f~t [[ .~ inches
FIRM--Flood Insurance Rate Map, Zone designations __~:.n~~O.
O~ner of Premises] ~ ........ , , ~'~'~ ~ ~4~,~_O~
Location of P~ope~ty:
No:., ~istelc~, ~000, Section ~8 Block
County ~ax ~ap '
S bdlvlslon F~led ~ap ~ Lo~(s)
Permission to be k~nted: ~Qwner as abo~e~Now Ownee
SWORN TO TIIiS i-/~ ~/~-' DAY 0 1
Applic~t' s mai}lng
address ~d phone #
tf not given above:
4/80
No. 4822663, Suffolk COUrt~t,~'
Term Explre~ Me,'ch 30, 19J,.~
Approval from other(s) before Permit is .~ssued:
DEC -- W}~TLANDS (Town Board) ----
HEALTH
' ~ PLANNING BOARD
Z, b///~~ , , the applicant, am the Owne~.~, Co-
Of %he To%~ of Squthold; Oounby, and S~a%e ~d %o arima%
specters to premises authorized to perfo~ o~ have performed tho said
'and file this application, that all statements contain-
work and bo make~
ed tn this application a~e tmue to the best of my knowledge and belief
and that the work will be pemfo~ed in the mannerset fomth in the
application filed therewith.
Examined .O.~..~. 0.., 19~..~:
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1803
Approved .O...e~...(k~... !R.., 19'~..~. Pennit No./..~.~.l~ .~..~
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ,19...
Date ......... ~/~..~- .... 19 ?..
INSTRUCTION S
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until ~t Certificate of Occupancy
shall have been granted by the Building Inspector.
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, ho)~g c~d~, and regulations, and to
admit authorized inspectors on premises and in building for necessary, inspections. ~/~/~'--- ----- ' -- '/~' · '~ ' ~
(Signaturfi~of applic~t, of nh'rtl e,"r't' a corporation)
(Mailing address of a~Splicant) /?q~
State whether applicant is owner, lessee, agent~en~neer,
general
contractor,
electrician,
plumber
or
builder.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
House Nummi/'~ ............. Street Hamlbt
County Tax Map No. 1000 Section ....... O.c~.~. ...... Block ....~. ............. Lot .... -/. ..............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
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 ..........................................~ ~. ~· ~ .... ,,:~' ........................ ~. %. · ·
Repair ........ '~. ;~ Removal .............. Demolition .......... Other Work .........
~ 0 ~ ~ ! -~ ~_~ ~ (Description)
4. E~timated Cost.. ;,...!,~.L, ./~. ~.).0.. ?. ................. Fcc..~ ~:'~ .......................
.~ ~O ~'~ _._ ~ (to b~ paid on filing this application)
5 .......................... /. Number of dwelling units on each floor
. If d~8lgng, number of dwelhng ~mts .............................
..... ;'"/' ..... ' ................................... ....
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ......
7 .... ' ' Rear Depth
. D~enslons of ex~stmg stmcture~, ff any: Front ...........................................
Height ............... NumCer of Stories .................................................. '
D~ensions of same structure wi~h alterations or additions: Front ................. Rear .................
Dep~ .................... ,.. Hei~t ...................... Number of Sto~es .....................
~ 8. D~menslons of entire new construct/on: Front .... ' Rear ... ~ 5 De
Helght ... ~ ~ Number of Sto~es .... ~ .................................................
9. Size of lot: Front ..... ~FA (~ .......... Rear ...~.'.~ ............ Depth ...~7~.~. ............
10. Datd of Purchase ........... ~ .................. Name of Fomer Owner .............................
I I. Zone or use dis~ct in which prdmises are situated .....................................................
12. Does proposed construction wolote any zoning law, ordinance or regulation: . ~ .........................
13. Will lot be re,faded .... ~ ~ ~ ................... Will excess fill be removed from premises: Yes
14. Nme of Owner of premises .. ~'..~c +.q~ ..... Address . ~..~q~.~ ...... Phone No ................
N~e of ~chitect . ~[~ ~mp.. ~5~ ........ A~dress 7~ ~,.~fl. ~... Phone No. ~.~l :/~MA ....
N~o of Contractor ....... ~ff~ ............... Address ................... Phone No ..............
P~T DIAG~M
Locate cle~ly ~d dist~ctly ~1] bufld~gs, whether existing or proposed, ~d, indicate ~1 set-back d~ensions from
prope~y Hnes. Give street ~d block number or description according to deed, ~d show street nines and indicate whether
interior or corner lot. ~
STATE OF NEW )'OR, K, "' : '~ S
COUNTY OF. ~..! ~' '-
...... .~...,~...~.~ .... .~../?/.C.W~.~J~.~. ........... ;., being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
abov~e named.
He is the., /.............. · ......................................................... · ·
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is d~ly 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 ~
Notary Public, ........... .~-%.~, · ·..
Term Ev. plre~ Meroh 30, 19 ?'/?' '
,.. County
ure of applicant)
0
ST
S. 87 o 05,E.
%t
N/
S. 85°3e' 4o" W, ~o~
N/O / F SONNER
OWNERS:
JOHN E~ LUCY RACANELLI
8~ JON-RAC. ASSOCIATES
2052 5TH ,4VENUE
RONKONKOMA~ N.Y. 11779
N.'~ S. LIC NQ 49618
5 ENGINEERS , P.C.
(515)765 - 5020
9O9
/F
MAC y
18ZO~
b
170.22'
N. 87° 05,W.
N/O/F
S~87° 05,E
SUFFOLK CQUNTY
S~IGLE FAMILY DWELLING ONLY
H.D. REF, NO,.
DATE .IIIN ....
THE SEWAGE OI~,POSAL AND WATER StlPPL¥ FACILITIES FOR THIS
LOCATION HAVE BEEN INSPECTED ~Y THIS DEPARTMENT AND
FOUND TO BE ~ATISFACTOR~,
Chief of Wastewater Management Section
245.05'
I/
SURVEY FOR
JOHN LUCY .RACANELLI
AT GREENPORT
TOWN OF SOU'rHOLD
SUFFOLK COUNTY, N, Y.
I000 43 - 05 7 E~ 21
SCALE I"= 30~
MAY 20,1956
OCT. 9 , 1986
OCT. 28, 1986
85 369~
, 'f:.tW~,
E. LE.V,,t4,1'"T \ 0 ~
_1
IN WATER
APPROVED AS NOTED
NOTI~ BUILDING D~FARTMENT
765-1802 9 AM TO ~ PM ~R TI4~
FOLLOWING INSPEC'?ONS:
1 FOUNDATION T¢ O RE21UIRED
FOR POURED CONCR~ [ ~
2 ROUGH FRAMING ~PLUNiBING
3. INSULATION
4, FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REOUI~MENTS OF THE N.Y
STATE CONSTRU~ION & ~ERGY
- ~IGN OR CONSTRU~ION ERRq
1
I
t
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BASEMENT PLAN
"t
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1
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FIRST FLOOR
t
PLA N
~iT*~q c<.oom
$' C T'q::q
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