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HomeMy WebLinkAbout36280-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 9/15/2011 No: 35219 Date: 9/15/2011 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 1845 Horton Ln, Southold, SCTM #: 473889 Sec/Block/Lot: 63.-1-2 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 3/18/2011 pursuant to which Building Permit No. Lot No. filed in this officed dated 36280 dated 4/1/2011 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: construct Interior alterations "as built" at an existing dwelling as applied for The certificate is issued to Romanelli, John (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 8/3/11 36260 ~urts Reliable Inc 8/15/11 TOWN OF SOUTHOLD 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 #: 36280 Permission is hereby granted to: Romanelli, John 3535 Cedar Beach Rd Southold, NY 11971 Date: 4/1/2011 To: construct Interior alterations "as built" at an existing dwelling as applied for At premises located at: 1845 Horton Ln, Southold SCTM # 473889 Sec/Block/Lot # 63.-1-2 Pursuant to application dated To expire on 9/30/2012. Fees: 3/18/2011 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $400.00 $50.00 $450.00 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 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: I. 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 of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section / 'x? Old or Pre-existing Building: House No. Street Subdivision Permit No~C~)20 Date of Permit. Date. (check one) Hamlet Block ! Lot Filed Map. Lot: ] ] Applicant: d?t/~ ~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificat~ Underwriters Approval: Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765 1802 Fax (631) 765 9502 ro.qer, richert@town.so uthold, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: John Romonelli Address: 1845 Horton La City: Southold St: NY Zip: 11971 3uilding Permit #: 36280 Section: 63 Block: 1 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE ~,ontractor: DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures [~ Wall Fixtures ~ Recessed Fixtures ~.~ Fluorescent Fixture ~__ Emergency Fixtures~ Exit Fixtures L HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS 200a overhead servicel-paddle fan, 3-exhaust fans, 5-ARC fault circuit breakers Inspector Signature: Date: Aug 15 2011 81-Cert Electrical Compliance Form To',vq Hall. 53095 Main Road P O. Bo): 1179 $oulhold, NewYolk 11971 Fax (5161765~E23 Telephone (5~6) OFFICE OF THE BUILDING INSPECTOR TOWN OFSOUTHOLD CERTIFICATION Date: Building Permit No. Owner: ~A,¢~ (please print) (please print) I certify that the solder used in the Water supply system contai than 2/10 of 1% lead. Sworn to before me this ~)f"O~ day of ~ 20 ~ ~ Notary Public, ,~L)'f~ IL~ County TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SA~-,'; f INSPECTION [] F~.mSTJ~rco. s~ _U?O. [ ] F~.~mTJ. TPF..Lm~T~ON REMARKS: ~ /'~,/~//-'~-- INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I/~LATION [ ] FRAMING/STRAPPING [(,/] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENE'rRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS..~ ,~,/~ ~/?~'7'~ DATE ~~///(/ N~SPECTOR ~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUG~ [ ]FOUNDATION 2ND [ ]~.~UI. ATION [ ]FRAMING/STRAPPING [Z/J'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE ~/7/El '/ Condon Engineering, P.C. New York State Licensed Professional Engineers t755 Sigsbee Road Mattituck, New York 11952 631-298-1986 Fax 63t -298-265t August7,2011 Mr. Gary Fish Building Inspector Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Re: Romaneili Residence - Plumbing 1845 Horton's Lane Southold, NY Dear Mr. Fish: I visited the1845 Horton's Lane building on August 5, 2011 and tested and visually inspected the waste and water supply plumbing installed in the building and found it to be neatly installed and free of leakage. To the best of my knowledge, the waste and water supply plumbing is installed in conformance with the Residential Code of New York. If you have any questions please call me at 298-1986. Yours truly, AUG 1 0 2011 BLDG DEPl Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road Mattituck, New York 11952 631-298-1986 Fax 631-298-265t August7,2011 Mr. Gan/Fish Building Inspector $outhold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Re: Romanelli Residence - Plumbing 1845 Horton's Lane Southold, NY Dear Mr. Fish: I visited the1845 Horton's Lane building on August 5, 2011 and tested and visually inspected the waste and water supply plumbing installed in the building and found it to be nearly installed and free of leakage. To the best of my knowledge, the waste and water supply plumbing is installed in conformance with the Residential Code of New York. If you have any questions please call me at 298-1986. Yours truly, John R FOUNDATION (IST) FOUNDATION (2ND) PLUMBIN(~ STATE ENERG~ CODE - //,:, / ~/ ~ 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Exanfined __. ~{ ,20// Approved ~ t ~ t. 20 [[ Disapproved a/c Expiration ,20 12_ AAR 18 2011 BLDG. DEPT. 'TOWN OF SOUTHOLD a. this apphcatton MUST PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need tile following~ before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E,C. ][ mstees Flood Penmit Storm-Water Assessment Form Mail to: / Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS X/,/' ,2O 0e completely filled iu 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 ac[joining 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 pa~ fbr any puq*o~e what so ever until the Building lnspeclor issues a Ce~ificate of Occupancy. f. Every building permit shall expire if the work authorized has nd 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 regulatious aflbcting thc prope~y have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit fbr an addition six months. Thereafter, a new pe~it shall be required. ~PL1CATION IS HEREBY M~E to the Building Depa~ment lbr the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of Southold, SuflBlk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or lbr 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 necessa~ inspections. PLUMBER CERTIFICATION O,~f t EAD CONTENT BEFORE (Signature of app cant or name, if a co~nra on)/ PU. MBING OE~Ti~C,47E O;'~OCOUPANC~ -- ~ - -, ~t / / / & WAT~ Lli'~ES NEED (Mailing address of applicant) ~TING ~EFQRE COVERING L~;~ ~/9Z7 O/~T~ N ~.~MO F ' XCEE "' t z '% ::, ,' ELECTRICAL AP°RO;ED AS NOTED / 5P TION UIRED Name of owner of premises ~ O~/2 ~O~¢//r (As on the tax roil or latest ~eed) ~. BY ~ - If applicant is a co~oration, signature of duly authorized officer NO~I~ BUILDIN~ DEPARTMENT A :' 765-1802 8 AM TO 4 PM FOR THE (Name and title of corpor~etpffieer),: Builders License No. USE iS UNLAWFUL Plumbers License No. ~;lllTI IF'H I'"~ /'~r'l~TIr"lt~ATt- Electricians License No. v~ i ~ '.~ ;~ J I k~CR I IFIk~/fi/r'' Other Trade's License No. ' FOLLOWING INSPECTIONS: 1, FOUNDATION - TVVO REQUIRED FOR POURED CONCRETE 2. ROUGH. FRAMING, PLUMBING, STRAPPING, ELECTRICAL & CAULKING 3 INSULATION 4 FIN,Z~ - ~NS'rqUCT,ON g ELECTPlC~L · , e*:: ."F '-z--)f..C Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Subdivision Section ~/0/~YOF<K STATE NOT RESDON~,BLE FOR )~F~ U~ CONSTRUCTION ERRORS. Bloc 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 b. Intended use and occupancy 3. N~fwork (check which applicable): New Building. ~_~) Removal Demolition 4. Estimated Cost j,~/dg~O ~ Fee 5. If dwelling, number of dwelling units / If garage, number of cars 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 .,~ 7. --~ Rear ~ 7- -.~ Depth Height Number of Stories Dimensions of same structure with alteratio~?o/CtJlitions: Depth Height ,,/t/./ ,/'/ 8. Dimensions of entire new construction: Front . //] Rear Depth Height Number Size of lot: Front //,~) Rea,' / ~'"~ Depth 10. Date of Purchase Front Number of Stories Rear Name of Former Owner 1 I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot be re-graded? YES N Will excess fill be removed from premises? YES__ 14. Names of Owner of premises Name of Architect Name of Contractor 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. Is this property within 300 feet ora tidal wetland? * YES __ NO * 1F YES, D.E.C. PERMITS MAY BE REQUIRED. Address Phone No. Address Phone No Address Phone No. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. l 7. 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 N~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~/4~ /~/7]~/I ~'// being duly sworn, deposes and says that (s)he is the applicant (Name of~individual signing contract) above named, CONNIE D. BUNCH (S)He is the ~ (-A-fJ¢~/'-~"~ NO. 0~R~I~ (Contractor, Agent, Corporate Officer, etc.) O~2~~2~~___~ ~ of said owner or owners~ and is duly authorized to perlb~ or have perfo~ed the said work and to make and file this application; that all statements contained in this application am true to the best of his ~owledge and beliefi and that the work will be performed in the manner set forth in the application filed therewith. Sworn to befbre me thi_s~, 1 <6-"~x day of t'1 ~ ~ 20 Notary Public Signature of Applicant · Town of Southold Erosion, Sed,men~aflOn & Storm-Water Run.Off ASSESSMENT FOR,' PROPERTY LOC~I]0A S.C.T.M. ff: ~~~- m. ! rl~ ~TATE OF N~N YO~K. 2 vee~ ~ ~ ~n m~0r*~umy ~how M Propose mope8 Conm~ Surge Wa~r ~w. 3 ~n~~~ ~m ~ ~ ~t of ~8tedM ~n any {5,~'S.F.) ~uam Feet 6 Is ~em a NeUral Wat~ ~me Runni~ ~h~ Site? ~ ~ ~ ~ ~ ~ O~ H~ (1 ~? 7 ~e ~ S~ ~p~ o~ ~ng G~e ~ wm~ ~ R~n (15) ~et ~ V~i ~ to One Hm~ (1~ of H~tal ~n~ 8 ~ ~,P~ ~ ~r Im~ ~° ~ ~ ~ dlm~ da T~ dght~ 9 ~V~ a~ ~ ~any Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ax (631) 7 5 rof:ler, richert('d,~own.sou~g(~ .ny. us REQUESTED BY: Company Name: BUILDING DEPARTMENT TOWN OF $OUTHOIX) APPLICATION FOR ELECTRICAL INSPECTION Name: License No.: Address: Phone No.: *Name: *Address: *Cross Street: *Phone No.: Permit No.: / JOBSITE INFORMATION: (*Indicates required information) 7 Tax Map District: 1000 Section: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) Block: I Lot: ~, (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Inform ation I/([f.n~e~ded] *Service Size: ( 1 Phas~ 3Phase 100 *New Service: ~~nderground Additional Information: {~NO Rough In Final YES ~ 150 ~2~ 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82.Request for Inspection Form TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER FORM'ER OWNER~'T ('onward//~, ~ STREET } ..~,:.-/*cT SEAS. VL / ,: ~,-,~. ~/ FARM COMM. CB. ~CS. SUB. LOT ACR. TYPE OF BUILDING Mkt. Value LAND IMD. TOTAL DATE REMARKS 4-0 L 4~ - AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FA PdN4 Acre Value Per Vc~lue Acre illable [ FRONTAGE ON WATER looclland FRONTAGE ON ROAD teadowbnd ouse Plot ora I DEPTH BULKHEAD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 13, 2011 John Romanelli 3535 Cedar Beach Rd Southold, NY 11971 TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: *NOTE: Please submit certification letter from Engineer for all work done under this permit. __ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $50.00. __ Final Health Department Approval. 'Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. - Bob Fisher __ Final Landmark Preservation approval. BUILDING PERMIT: 36280 - "as built" interior alterations Date :~--;-'.l D- )) File # NATURE OF COMPLAINT: Address Relxxt Taken By:. Date Referred to Code Enforcement: By Phone ~::: Mail Phone: Date . In Pa'son CODE EI~IFORCEMENT REPORT SITE INSPECTION REPORT/DATE: ACTION/DATE: STREET ADDRESS: 1845 HORTON'S LANE N SURVEY OF PROPERTY A T SOUTHOLD TO,tN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-65-01-0Z' SCALE' I'=30' JAN. 6, 2005 DECEMBER 16, 2010 (UPDATE) fi=MONUMENT 105' AREA=24,302 S.F. '~ 765-5020 FAX (6ZI) 765-1797 P.O. BOX 909 1250 ~A ~LER S~EET]