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
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