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HomeMy WebLinkAbout35630-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~uRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34632 Date: 10/25/10 THIS CERTIFIES that the building UNHEATED SUNROOM Location of Property: 1000 GREEN HILL LA (HOUSE NO.) County Tax Map No. 473889 Section 33 subdivision GREENPORT (STREET) (HAMLET) Block 3 Lot 7 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 2010 purs%u~nt to which Building Permit NO. 35630-Z dated JUNE 9, 2010 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 UNHEATED SUNROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH & FR3%NCES BORRELLI ( OWNER ) of the aforesaid building. SuF~OLKCOUNTYDEPARTMENT OF HEALTH APPROVAL N/A ~.R~-i-KICAL c~KTIFICATH NO. 35630 10/08/10 PLIERS C~K-£IFICATION DA'rmu N/A Rev. 1/81 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) PERMIT NO. 35630 Z Date JUNE 9, 2010 Permission is hereby granted to: JOSEPH & FR3kNCES BORRELLI GREENPORT,NY 11944 for : CONSTRUCTION OF ~kN UNHEATED SUNROOM TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1000 GREEN HILL LA GREENPORT County Tax Map No. 473889 Section 033 Block 0003 Lot No. 007 pursuant to application dated MAY 20, 2010 and approved by the Building Inspector to expire on DECEMBER 9, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOT 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 2/10 of 1% lead. 5. Commemial 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 co~sent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees , ' 0.00, $50 00, s~ry bu'~ s $51 00. /)[:< §t 130 $ 0 } 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwellir Swimming pool $50.00, Accessory building $50.00, Additions to access~ 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: Date. New Construction: Location of Property: Old or Pre-existing Building: xx x 1000 Greenhill Lane Southold (check one) House No. Owner or Owners of Property: Joseph Borrelli Suffolk County Tax Map No 1000, Section 3't Subdivision Eastern Shores Street Block 03 Filed Map. 5234 Hamlet Lot 07 Lot: 141 Permit No. 35630Z Health Dept. Approval: NA Planning Board Approval: NA Request for: Temporary Certificate Fee Submitted: $ $ 50.00 Underwriters Approval: Date of Permit. May 20th 2010 Applicant: Richard Saetta Final Certificate: xxx (check one) Apphcant S~gnature Town Hall Annex 34375 Main Road P.O. Box 1179 Soulholll, NY 11971-09.59 Telephone (631) 765-1802 Fax (631) 765-9302 ro.qer, richert~.town.southold.n¥.us BI 7ILDING I)EPARTMENT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Joseph Borrelli ~,ddress: 1000 Green Hill La City: Greenport St: NY Zip: 1194,~ Building Permit #: 35630 Section: 33 Block: 3 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Jim Sage Electric License No: 3635-e SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only [~ Corn medcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Wall Fixtures ~ 11 Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixtureu Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures [~l TVSS Other Equipment: sun room, 1 paddle fan Notes: Inspector Signature: Date: Oct 8 2010 81-Cert Electrical Compliance Form TOWN LJTHOLD BUILDING DEPT. 765-1802 NSPECTION FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING / STRAPPING ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ [ ] INSULATION [ [ ] FINAL [ [ ] Frae SAFETY ,.S~EC'nO. [ ] Fm[REmST,~'rcoNs'rnUCl'~N [ ] REMARKS: DATE INSPECTOR~ v/ t~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [~/FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND ~/]/FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SArc, ~' INSPECTION [ ] FIRE RESISTi~'r CONSTRUCTION [ ] FIRE RESIST4NT I~NETRATION REMAR//KS: /~"'/./--~---~--~-- C-/q-~_' DATE ~')/~/~ INSPECTOR 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) DATE ~/'~ ~/~ INSPECTOR~~/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ !~PLBO. [ ] FOUNDATION 2ND [)~]"iNSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FleERESiSTAHTC4X4S'mU~H~ j ] nBE~sL~r~rr~JeE'r~'no~ REMARKS: DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ii. FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT C0flS~UCTI~ [ ] FIRE RESISTANT PENETRATION REMARKS: ~/~ /~ ~, ~ DATE INSPECTOR 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 / ~__/__~0 INSPECTOR~/~ ~O~A~ON OST) FOUNDATION (2ND) · ~OU~H ~N~ ~ ~NSULATION P~. N. Y. STAT~ E~G'~ CODE ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined &/ff ,2d ~ Approved ~ /~, 20 ( O Disapproved a/c 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 Surve~ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Stom~-Water Assessment Form Contact: Mail to: Phone: Expiration /~ '~ ,20 t / Date May ., 20 10 ~.. lflWU 0~ l~r, hi.~~ 8 t 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. Richard Saetta General Contractor inc. (Signature of applicant or name, if a corporation) PO ROW ?flA7 ~roonpnrt Wy 11044 (Mailingaddressofapplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder General Contractor Name ofownerofpremises Joseph Borrelli (As on the tax roll or latest deed) If applicanLi&a corporatmn, sigit~t~re of duly authorized officer ~me~n~'tit~ of c~¢or~e officer)' Builders License No. 13086HI Plumbers License No. SA Electricians License No. 3635E Other Trade's License No. NA 1. Location of land on which proposed work will be done: 1000 Green Hill Lane Greenport House Number Streei County Tax Map No. 1000 Section 33 Subdivision Eastern Shores Hamlet Block 03 Lot 07 Filed Map No. 5234 Lot 141 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Residential b. Intended use and occupancy. Residential 3. Nature ofwork (check which applicable): New Building_ Addition xx Alteration Repair Removal Demolition Other Work 4. Estimated Cost $40.0OO.00 Fee 5. If dwelling, number of dwelling units NA If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. lq), 7. Dimensions of existing structures, if any: Front 59.5 Rear 59.5 .Depth 44.5 Height 28 Number of Stories 2 Dimensions of same structure with alterations or additions: Front 6.~,5 Rear 65 Depth 4 44.5 Height 28 Number of Stories 2 8. Dimensions of entire new construction: Front 65.5 Rear 65.5 .Depth 44.5 Height 28 Numberof Stories ? 9. Size of lot: Front 125 Rear 125,5 Depth 146 10. Date of Purchase 1997 Name of Former Owner 11. Zone or use district in which premises are situated Residential 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO~cI_ 13. Will lot be re-graded? YES __ NO__Will excess fill be removed from premises? YES NO xx 14. Names of Owner of premisesJ°e Borrelli Name of Architect Name of Contractor RRichard Saetta (Description) (To be paid on filing this application) Number of dwelling units on each floor Phone No. 477-1384 Phone No Phone No. 765-4900 Address Greenport Address Address Southold 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. ls this property within 300 feet of a tidal wetland? * YES NO xx * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. NO xx 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 · IF YES, PROVIDE A COPY. NO xx STATE OF NEW YORK) O NTY OE Richard Saetta being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Contractor (Contractor, Agent, Corporate Officer, etc.) 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 am tree 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. WENDY L. KUKLA Notary Public, State of New York Qualified in Suffolk County Sw°r~ '5 '"-~be f°%tymoeihi~9,.~ ~ 20~ No. 01K0017~871 ~ignature ({f Applicant Tovm l-Iall Annex 54875 Main Road P.O. Bo~ 1179 · Southold, NY 11971-0959 BUII I'~ING DEPARTMENT TOWN O1~ ~OUTHOLD APPL]CAT[ON FOP, ELIZCTR]CAL [NSPECT[ON Company Name: NO.: Phone No.: Date: JOBSITE INFORMATION: (*Indicates required information) *Address: ,~'cOO~ ~L~nT, ,JD~ ~ ~, ~,~ *Cross Street: ~ / *Phone No.: Permit No.: ':~ ~ ~ '~ C~ Tax Map District: 1000 Section:, Block: *BRIEF DESCRIPTION OF WORK (Please Print. Cleady) Lot: 7 (Please Circle All: That Apply) *Is.job ready for Inspection: .*Do you need a Temp Certificate: Temp'lnformation (If needed}- *Service size: 1 Phase 3Phase 100 *New Service: 'Re-connect Underground NO . Roug, YES / NO 150 200 Number of Meters Final Additional Information: 82-Request for Inspection Form PAYMENT DUE WITH APPLICATION . ,-~ ~ '~.,-, 300 350 400 Other Change of Se~ce Overhead .Town o_ f $outhold Erosion, Sed,mentation & Storm-W~e_er Run-off ASSESSMENT FOK~.~ r~,G.,,,',:K~ · LOCATION: S.C.T.M. th. THE FOLLOWING ALq'lON$ 11~4,Y Rt:~'"a" THE SUnum~"'.',l O~: ~ .Item Numbec (NOTE: A Check Mark (~) for eacfl Quench Is.Required for a Complete Appllcalten) Yes No ~ .... run*on cma= oy s~e c~arl~ and/or ca~tru~o~ ~. I~ and ~e ~n~t =~ of I~ 2 ~, ~e ~ P~n ~ su~ ~ ~ P~d ~ ~ ~ ~ ~ ~111~u~ afl P~ ~ ~s a~ ~ ~ 8~ Wa~ -- 3 ~ ~ Pm~ R~u~ a~ ~ R~ng, Gmdl~ ~ ~ ~m ~m ~ a ~an~ to ~e NaOmi ~ng G~e Inm~ ~m ~n ~0 Cu~c YaMs ~ Mat~l ~ln any Pa~l? 4 ~i ~ ~p~flon R~ulm ~ DIs~ ~s ~ ~ ~a Is ~ls ~Je~ ~fl ~e Trustees jedsdi~on ~ ~ln ~e Hu~red (1~') f~t of a Wefla~ or Bea~? ~1 ~e ~ SEe ~pam~ on ~sfl~ Grade Sl~es ~i~ ~ed Rfl~n (15) f~t of Ve~l ~ to One Hued~ (100') of H~I DiVans? 6 7 Will. Driveways, Parking Areas or other Impervious Surfaces be S{oped to Direct Storm-Water Run-Off Into and/or in the directfo~ of a Town fight-of-way? 8 Wilt this Project Require the Placement of Material. Removal of Vegetation and/or the ConstmcSon of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT laclude the Installation o~ Driveway Aprons.) 9 ~rdl this Project Require Site Preparation within the O~e Hundred (100) Year Floodplain of any Watercourse? [~ NOTE: if Any Answer to Questions One through Nine Is Answered with a Check Mink In the Box, a Storm-Water, Gradlng, Drainage & Erosion Control Plan is Required and Must be Submitted fro' Review Prior to Issuance of Any Bulifflng Pm'miff EXEMPTION:. Do~.s this project meet the mlntn~Jm standards for c~asslflcellon as an Ag~l Project? N~e: If You Answerod Yes to this Quesifon, a Storm..Watar, Grodlng, Drainage & Erosion Control Plan is NO.r Requlredl STATE OF NEV~ YORK, ~ _/,'~,/'~_ ] ~ COUNTY OF.....~..~..L~... ss Yes N._..~o And that he/she is &e ......... .~..a..~..~. :.r.. .~ .................................................................... (OYmer. Cer~mc~, A~ Coq~a~ Offer. e~) Owner ~or m~vc of ~e ~ of O~'s, ~d ~ d~y au~o~ m ~ffo~ or ~ ~o~ ~c ~d ~ ~d ~ ~e ~d fie ~ ~pU~on; ~t ~ s~ con~ in ~ app~mdon ~ ~e ~ ~e ~ of~ ~o~ ~d ~ ~d ~t ~e ~& ~ ~ ~o~ed in &e ~aer set fo~ in ~e applica~on ~ed he~. WENDY L. ~ S~m to ~fore ~e ~s; . N~a~ Public, State of New Yo~ ............. /. ............................. dayof .~ ~- 2 n Ouallf, e~in Suffolk Cou~ -. ............ .. ............... ................... .......... ......... .................... TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET I C)~)O VILLAGE DIST. SUB. LOT ~RM~R OWNER , N E ~- ACR. $ W ~PE OF BUILDING RES. ~lO / S~S. FARM CO~. CB. MICS. Mkt. Value A~E BUILDING CONDITION O~~ N~ NORMAL BELOW ABOVE FARM Acre Volue Per Vclue Till=hie FRONTAGE ON WATER W~l~nd FRONTAGE ON ROAD / ~ ~ ~ Me=dow~d DEPTH / ~, Hou~ Plat BULKH~D Total ~ D~K ,, % ~o~(~) 0%0 SURVEY OF LOT 141 MAP OF EASTERN SHORES SECTION FIVE FILE No. 5254 FILED DECEMBER 31. 1968 SITUA TED A T GREENPORT TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-55-05-07 SCALE 1"=20' NOVEMBER 26, 1997 APRIL 24, 199B FOUNDATION LOCATION OCTOBER 27, 1§9B FINAL SURVEY AI~A = 19,086.22 sq. ff. 0.458 oc. S.CDH,S No RIO 98 0003 CERTIFIED TO: JOSEPH BORRELLI UNALr~QRIZgD ALTERATION OR ADDITION TO THIS SURVEY lB A VIO~T[ON OF THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. NYS Lic, No. 504B7 Nathan Taft Corwin III Land Surveyor PHONE (631)727-2090 OFFICES LOCATED AT Fax (651)727-1727 97 498C NOTIFY BUILDING DEPARTMENt ~ 765-1802 8 AM TO 4 PM FOR TIlE FOLLOWING iNSPECTIONS: 1. FOUNDATION -TWO REQUIRED FOR pOURED CONCRETE 2, ROUGH - FRAMING, pLUMSING~ STRAPPING, ELECTRICAL & CAULKING 3 INSULATION 4 FINAL- CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, RE~AIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. I UNDERWRITERS cERTIFICATE flEOUI~ED ALL CONSTRL,,,, I, ,= :, ,, J L ,,, THE MEET THE REQU;;:"-c CODESOFNc ~ u .....,~TE. .I ? ~O~ELL~