The URL can be used to link to this page

Home My WebLink About36920-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 1/23/2012 CERTIFICATE OF OCCUPANCY No: 35404 Date: 1/23/2012 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 160 Rambler Rd, Southold, SCTM #: 473889 Sec/Block/Lot: 88.-5-35 Subdivision: Filed Map No. conforms subshantially to the Application for Building Permit heretofore 1/4/2012 pursuant to which Building Permit No. Lot No. filed in this officed dated 36920 dated 1/11/2012 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: basement altered to recreation room "as built" as applied for. The certificate is issued to Rosenfeld, George & Rosenfeld, Nancy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36920 1/20/12 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 #: 36920 Permission is hereby granted to: Rosenfeld, George & Rosenfeld, Nancy 69 Greene St New York, NY 10012 Date: 1111/2012 To: convert a basement area to recreation room "as built" At premises located at: 160 Rambler Rd SCTM # 473889 Sec/Block/Lot # 88.-5-35 Pursuant to application dated To expire on 711212013. Fees: 1/412012 and approved by the Building Inspector. SINGLE FAMILY DWELL1NG - ADDITION OR ALTERATION CO - ALTERATION TO DWELL1NG Total: $822.40 $50.00 $872.40 Building inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tiffs 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: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Healtb 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 I% 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, ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelting $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 Ce~ntificate of Occupancy- $50.00 5. Temporary Certificate of Occnpancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: Location of Property: )~70 ~._(~ f~ ~(-~.~ ~5~/ House No. Street Owner or Owne,-s of Property: ~)/~(~ ~ /~t~./f'~C.4~ Suffolk County Tax Map No 1000, Sectlou "~ ~ ~ Block (check one) Ham let Su6division Filed Map. Permit No. ~6~c'~) Date of Permit. Applicant: Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~>~). ~ Final Certificate: (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (63 I) 765-9502 ro.qer, richert~.town.so uthold, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: N&G Rosenfeld Address: 160 Rambler Rd Ex[ City: Southold St: NY Zip: 11971 Building Permit #: 36920 Section: 88 Block: 35 Lot: 11971 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: Peconic Electric License No: 43457-me 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 Service 3 ph Hot Water GFCl Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: finnish basement, 1-exhaust fan Ceiling Fixtures I~ HID Fixtures I~l Wall Fixtures ~ Smoke Detectors Recessed Fixtures ~'l CO Detectors Fluorescent Fixture ~'l Pumps Emergency Fixtures~.~ Time Clocks Exit Fixtures ~ TVSS Notes: Inspector Signature: Date: Jan 20 2012 81-Cert Electdcel Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [~ELECTRICAL (FINAL) REMARKS: DATE INSPECTO~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined /[/. 20 2& Approved 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 Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Phone: ~JI 2-~'~'-LfO~-~ JAN 4 2012 BLDG DEPI. This ap pll~tY~iMl4~t}' ' Building Inspector 'LICATION FOR BUILDING PERMIT Date ti5 ,20 ~- INSTRUCTIONS etely filled in by typewriter or in ink and submitted to the Building Inspector witb 4 sets of ,lans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sbowing location of lot aod of buildings on premises, relatiooship to adjoioiog premises or public streets or areas, aod waterways. c. Tile work covered by this application may aot be commenced before issuance of Building Permit. d. Upoa approval of this application, the Building Inspector will issue a Buildiog Permit to the applicant. Such a permit shall be kept on tile premises available for inspection throughout tbe work. e. No building shall be occupied or used in whole or itl part for any purpose wbat 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 montbs after the date of issuance or has not been completed within 18 months from sucb date. If no zooing amendments or other regulations affecting the property bave been enacted in the interim, the Building Inspector may authorize, in writing, the extension oftbe permit for an addition six months. Thereafter, a oew permit shall be required. APPLICATION IS HEREBY MADE to the Building Depamnent for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Soutbold, Sufl'olk County, New York, and otber applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as hereio described. Tile applicant agrees to comply with all applicable laws, ordinances, building code, housing co~, and regulations, and to admit authorized inspectors oo premises aod ia building for necessary inspections. ~' ~(~of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises "-"-~oSe ,~ ~e_{c~. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized ofricer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Otber Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Hamlet ¥ Block Lot 3 ff Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and imended use and occupancy of proposed construction: a. Existing use and occupancy ~,,'~-~s¼ o ~ ,~,,~-<~ -¢ b. Intended use and occupancy 4--,'~,'s v-t & ~,qq ~ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work t:X,c, -~,.,~ ~- (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 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: From 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 __ NO X 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. ls this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES * 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERM1TS MAY BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES__ NO __ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 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 STATE OF NEW YORK) SS: COUNTY OF ) co-h (Name of individual signing contract) above named, (S)He is the being duly sworn, deposes and says that (s)he is the applicant CONNIE D. BUNCH Notary Public, State of New York C o 4w e% (- No. BUS (Contractor, Agent, Corporate Omcer, etc.) Com~'~s°~ig~n"~'~"i~.~-h~114,'~ 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 are true to the best of his knowledge and beliefi and that the work will be performed in the manner set forth in the applicatiou filed therewith. Sw, grnt ~ before me this Notary Pnblic ~ St~uature of Applicant Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 · ax (631) 76 5 ro~er, nchertC~own.so~}~o(~, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Name: Name: License No.: Date: *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: ~:~ Block: ~ ~'- Lot: ,5'- *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect 3Phase Underground 100 150 200 Number of Meters Additional Information: PAYMENT DUE WITH APPLICATION 82'Request for 'nsp~t'o; Form--U-' ~-~- A~._ ~-~ ~, ~-.~;C~ ! Rough In 300 3~ Change Phone No.: 2- <~:~D=- ~ (~ O ~c::f~ JOBSITE INFORMATION: (*Indicates required information) ELECTRICAL INSPECTION REQOii~ED 0 STO~' H,ADb G"O" LRui'cD~Y' o~ USE i:? UNLAW;;/L OF ''~' '""' ':"~", APPROVED AS NOTED DATE~p ~ ~ Ira Haspel Architect, P. C. 59945 .Main Road Southold, N.Y. 11971 631-765-2075 - phone 631-765-5715 - fax 516-398-8753 - cell ih aspel~lr ahaspel.com- email