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HomeMy WebLinkAbout34949-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33953 I~ate: 09/15/09 THIS CERTIFIES that the building SWIMMING POOL I~cation of Prope~¥: 470 MOORES LA (HOUSE NO.) (STREET) County TaxMap No. 473889 Section 33 Block 2 Subdivision Filed Map No. __ Lot NO. __ GREENPORT (HAMLET) Lot 39 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 24, 2009 pursuant to which Building PeI~it No. 34949-Z dated AUGUST 24, 2009 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 "AS BUILT" ACCESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to BERNARDO CASANUEVA & ROSELLE BORRELL (OWNER) of the aforesaid building. S~FOI~K C~D~DEPAR~qTOF }~J~THA~PRO%r~J~ N/A EI~CTRIC3%L c~KTIFICATE NO. 10794 07/31/09 I~L~IWBERS ~KTIFICATION DATED N/A ~/or~ature Rev. 1/81 Form No. 6 TOWN OF SOUTHOI BUILDING DEPARTME TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE 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 o f 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. Co ~ertificate 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 , 1 New ConstrUction: Old or Pre-existing Building: (check one) LocationofPrope y',X. House No. mlet Owner or Owners of Property: ~?/2~ ~/L~ / ~OZ4d, t,,4~d,~ Suffolk County Tax Map No 1000, Section '-'~ ~d~ Block ~ Lot ~ Subdivision Pe. it No. 3q q'q Health Dept. Approval: Date of Permit. Filed Map. Applicant: Underwriters Approval: Lot: Planning Board Approval: Request for: Fee Submitted: $ ~-, C)(-~ Temporary Certificate Final Certificate: (check one) /~' / AppliCant Signature / -I- SUFFOLK BUREAU 40 Nottingham Drive, Middle Island Telephone: 631 495 8136 · Fax:631 980 6455 · E-Mail: CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: Hildebrandt Electric 3uly 31,2009 10794 Certificate No.: Final Inspection Date: Building Permit No.: 10794 .July 31 ~2009 Suffolk County Tax Map No.: This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Roselle Borrelli Site Location: 470 Moores Lane North, Greenport, NY 11944 Owner's Address (if different): [] Residential [] Indoor [] Commemial [] Outdoor [] New [] Renovation [] Addition [] Survey Single Phase Heat Three Phase i Hot Water Main Panel AC Cond Sub Panel i AC Blower Transformer Appliances Sw~tches GFCI Bneaker ~-- Heat Pump Other Equipment: gfi protected pool incJuding bonding [] Basement [] Service [] Shed [] First Floor [] Pool [] Hottub [] Second Floor [] Attic [] Garage Other: INVENTORY Duplex Recpt GFCI aecpt 1 Single Recpt Range Recpt Dryer R6cpt Twist Lock Electdc Heat Ceiling Fixture : HID Fixtures Wall Fixture i Smoke Recessed Fixture CO Detect Plourescent Pumps Emergency Time Clock Exit Fixtures [ TVSS [ Exhaust Fan The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Hildebrandt Electric Inspected By: Gene Surdi Signature: _~ ~ ~/~' License No.: 38496-ME Date Of Certificate: Aug 05,2009 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34949 Z Date AUGUST 24, 2009 Permission is hereby granted to: R. BORRELLI & B.CASANUEVA 1000 GREENHILL LANE GREENPORT,NY 11944 for : CONSTRUCTION OF AS-BUILT ABOVE-GROUND SWIMMING POOL AS APPLIED FOR. REPLACES EXPIRED BP # 32477 at premises located at 470 MOORES LA GREENPORT County Tax Map No. 473889 Section 033 Block 0002 Lot No. 039 pursuant to application dated AUGUST 24, 2009 and approved by the Building Inspector to expire on FEBRUARY 24, 2011. Fee $ 250.00 u orized Signature ORIGINAL Rev. 5/8/02 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) PEItMIT NO. 34949 Z Date AUGUST 24, 2009 Permission is hereby granted to: R. BORRELLI & B.CASANUEVA 1000 GREENHILL LANE GREENPORT,NY 11944 for : CONSTRUCTION OF AS-BUILT ABOVE-GROUND SWIMMING POOL AS APPLIED FOR. REPLACES EXPIRED BP # 32477 at premises located at 470 MOORES LA GREENPORT County Tax Map No. 473889 Section 033 Block 0002 Lot No. 039 pursuant to application dated AUGUST 24, 2009 and approved by the Building Inspector to expire on FEBRUARY 24, 2011. Fee $ 250.00 A6thorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32477 Z Date NOVEMBER 6, 2006 Permission is hereby granted to: BERNARDO CASAiqUEVA 1000 GREENHILL LANE GREENPORT,NY 11944 for : CONSTRUCTION OF AN ABOVE-GROUND SWIMMING POOL AS APPLIED FOR (AS BUILT) at premises located at 470 MOORES LA County Tax Map No. 473889 Section 033 pursuant to application dated NOVEMBER Building Inspector to expire on MAY Fee $ 300.00 GREENPORT Block 0002 Lot No. 039 6, 2006 and approved by the 6, 2008. ~-~uthor~edSignature Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~JL~TION [ ] FRAMING / STRAPPING [ ~]~I:INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONdUCtION [ ] FIRE RESISTANT PENETRATION REMA~--~- DATE ~/~L~/IQ~ INSPECTOR FIEL~ ENSPECTION REPORT i DATE i COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PL~BING ~S~ATION PER N. Y. STATE ENERGY CODE ~DITION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20__ Approved 20__ Disapproved a/c Expira_ti_%n ,20 _. ':..~ .:i,r PERMIT NO. BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT ~/Date INSTRUCTIONS ,20 OG a. Th/s 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. / (Signature of applicant or name, if a corporation) /~ (Mail/,ng address of applicallt) . ,'~State whether applicant is owner, lessee, agent, architect, engineer, general con.(ractor, electrician, plumber or builder :Name of ownei~f premises ~ ~ (As 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. Plumbers License No. Electricians License No. Other Trade's License No. ,,1./-Location of land on which pr!yposed work will he done: 5/7o C xzv..e '/cv-cG: House Number Street CountyTax Ma' 000 Sedon \ " (Name}' / Hamlet /f Block P9 Lot 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 Jb. Intended use and occupancy ~ --~'~o.~r~. ~'~ q 3. Nature of work (check which applicable): New. Bu-fldirF'g .~xc Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 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__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No 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. xffl7 If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) -~/~)~d_~/9//~ /~, /~d_9~_y~,/ being duly sworn, deposes and says that (s)he is the applicant ~me of individual si~ing contract) abo~ (S)He is the ~ (Co~ctor, Agent, Co,orate Officer, etc.) ~fs~d owner or owners, and is duly authorized to perfom or have peffo~ed the said work and to m~e and file this application; that all statements contain~ in this application ~e tree to the best offs ~owledge ~d belief; and that the work will be peffomed ~ the mamer s~ fo~h in the application filed thgewith. Sworn to before me this~ ~'L day of ~x/~)0OAA h Nota~ublic 200 _ MELANIE DOROSKI NOT/kRY PUBLIC,State of NewYofl[ No. 01D04634870 Qualified in Suffolk County ~,~s~ ~o~s ~t~n~ 30, 7M310 ~Si~gnature of Applicant TOWN OF S~/NG DEPT. I NSPE I'ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~~ COMPLAINT REPORT NAME: ,~,,(x~xk~'C~0~X. ADDRESS: DATE PHONE # HOW RECEIVED: ~ TEL..)( -MAIL- IN PERSON LOCATION OF COMPLAINT: 4~O SUFF. CO. TAX MA~ # ~5- *,0 - ~c~ OWNERS NAME: Q[~ NATURE OF COMPLAINT: ~ ~1~h1'!~_8 ASSIGNED TO: INSPECTION DATE: REMARKS: ACTION TAKEN: FILE # IF APPLICABLE RE-INSPECTION DATE: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 June 23rd, 2009 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631 ) 765-1802 Fax (631) 765-9502 AUG 2 0 2009 Btl)g. D£PI. ?OWN OF SOUINO[D ' *FIRST NOTICE* Bernardo Casonueva Roselle Borrelli 1000 Greenhill Lane Greenport, N.Y. 11944 RE: 470 Moore's Lane (Above-Grd Pool) SCTM: # 1000-33.-2-39 Dear Mr. Casanueva & Ms. Borrelli, Please be advised that your Building Permit # 32477 issued November 6th, 2006 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit please submit a fee of $250.00; at that time we can Schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT Tinln Hall Aiiiicx ,5 ~37,5 Main Road 1'.O. Box 1179 Soulhold, NY 11971-t)!L59 Tclcphonc (6~g 1 ) 76.5-18t)2 Fax ((i;I 1 } 76:5-9302 Bernardo Casanueva Rosalie Borrelli 1000 Greenhill Lane Greenport, N.Y. 11944 B1711,1)IN(; I)EPAI~,TMENT TOWN OF $OUTHOLD August 14th, 2009 Re: 470 Moore's Lane / Violation SCTM~: 1000-33.-:>-39 To Whom This May Concern: Your BUILDTNG PERMIT # 32477 for construction of an ABOVE-GROUND SWTMM]:NG POOL has been referred to me because you have not responded to requests to obtain your certificate of occupancy as required by Southold Town code. Pursuant to 144-1§A, of the 5outhold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore, you have ten days from the receipt of this letter to submit a check made out to the Town of Southold in the amount of $2~0.00: to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. P~ASE SEE ENCLOSED DOCUMENT REGARDING SWIMMING POOL CODES. Respectfully Yours, Damon Rallis, Zoning Inspector Southold Building bepa~tment SURVEY OF [,OT 103 MAP OF EASTERN SHORES GR]~:EN POI,W TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK Joseph A. Ingegno Land Surveyor USE Sent To t °'~°~;'~:'"L~'~"~' ~z~'~'"~"~'ff" ................. 'J I