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]