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Town of Southold 8/10/2017 ...,`� P.O.Box 1179 ti 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39105 Date: 8/10/2017 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 145 Horton Ln, Southold SCTM#: 473889 Sec/Block/Lot: 63.-5-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/24/2017 pursuant to which Building Permit No. 41844 dated 7/27/2017 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"REPAIRS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Terry,Elizabeth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41844 8/8/2017 PLUMBERS CERTIFICATION DATED A0 0 Signature �gUfFOt,�coG� 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#: 41844 Date: 7/27/2017 Permission is hereby granted to: Terry, Elizabeth c/o Richard Terry PO BOX 584 Lake Placid, NY 12946 To: permit "as built" repairs to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 145 Horton Ln, Southold SCTM # 473889 Sec/Block/Lot# 63.-5-15 Pursuant to application dated 7/24/2017 and approved by the Building Inspector. To expire on 1/26/2019. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Total: $450.00 Builds nspector 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: 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. 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$15.00 Date. C New Construction: Old or Pre-existing Building: V/ (check one) Location of Property: 14-6 � 7VrUS Z_P X JE %_50V 7V6(_.,0 House No. ,Street Hamlet Owner or Owners of Property: EL 2z,-9 8 = a —TE9,P_ j �STq C Suffolk County Tax Map No 1000, Section �3 BIock b5 Lot ALJ Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: hyGLl e Uellazd dad c l Health Dept.Approval: X/114 Underwriters Approval: Planning Board Approval: AJA / Request for: Temporary Certificate Final Certificate: V (check one) 00 Fee Submitted:$ d it pplicant Signature SO(/Py®l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �., roger.richert(aD-town.southold.ny.us Southold,NY 11971-0959 70 yc4UNT`8,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Terry Address: 145 Horton Lane city,Southold st: New York zip: 11971 Building Permit#. 41844 Section: 63 Block: 5 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No: SITE DETAILS Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 9 Ceiling Fixtures 6 HID Fixtures Service 3 ph Hot Water GFCI Recpt 6 Wall Fixtures 3 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt 1-20A Fluorescent Fixture Pumps Transformer Appliances pW Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 5 Twist Lock Exit Fixtures �] TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS" Notes: Assorted Electrical Upgrades. Inspector Signature: Date: August 8, 2017 0-Cert Electrical Compliance Form.xls t - ` qq OF SO�l �o ��y00UM'I,��Q TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ FINAL & 41 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) R RKS: 1 h (/ • wtovtA4a LAp oD ;^ p V.?A oS � . y • �LA DATE W1 INSPECTOR OE SOpjyolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR� F 'r • FIELD INSPECTION REPORT DATE COMMENTS_ b FOUNDATION(1ST) U� ------------------------------------ - rA FOUNDATION (2ND) e x � o ROUGH FRAMING& y PLUMBING 1 LA LA r INSULATION PER N.Y. y STATE ENERGY CODE A T9 • FINAL ADDITIONAL COMMENTS Pi S a .P.d lwhT � Z rn x d NV"" i Ll Map No. J, 2. State9 -existin usvand,ocetipancyof premises and intended use and occupancy of proposed id-difstrif6tio `,--T J: - A. 3dsting use.and,oqctipancy V -e, J�- b. Intended use and ocqqup ancy itv-� Ckitli,1 a�ry,4. -- 3. Nature-ofw &(checkwfikg-apoicable):New Building Addition Alteration Repair Demolition Other Work A,5 6 (Description) wA o 400 4. 9k6aieZd60-S--t--- t'li��a Fee - -(-,gD L6-00 .t 5E 1 f;,, (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 A -io 6. If business, commercial or mixed occupancy, specify nature and extent of each type-pR of use. 7. Dini6iisiofi-s- of existing structures,if any:Front Rear Depth Height -Number of Stories Dimensions of same structure with alteratls,o,:additio' hv. Front 22 I M7,' ,!--Rear---, Depth Height Numberi'df Std-ries' " -17 "A 'k, 8. Dimensions of entire new construction:Front Rear Depth - -Height_ -----,.Numberof Stories 9. Size of lot:Front Rear Depths 10.Date of PurchaseName of Former,0, wner,6t 11.Zone or use district in which premises are situated " '" ' ' t ' ; 'i'' , i1226669 proposed!�6fiiti��donVioit�"any" diinglaw,oriidtdb i4ilation?YES ; 13. will i6f,be re-graded?YES NO will'excess fill i6ffibved from pfemisis'TYES ' ,'NO, 14..Name&of,OwqgT,,qf ddress-A Name-of,Architect honer Name of Contractor AddreS§.Ii Phone-.No., );n Owa'06 ',i..:i:% `HP 15a.1s'thigaptop6rtywith"m--,100'•feet,of'a*',tidatwetlidd;dr,it,'fresliWiier�w6tlafid,'.?d*Y,E,S!',f'," IFYES;S6U-Tf16L1lj TOW141TRU,STtES,`&6.,E:C.rPERMITS MAYBE' 11111-f- Y'�_, i" b. 't"W *IF YES,D.E.C.PERMITS MAYBE PEQ1JIRt6P:" 16-.-Provide-s -to scale7,--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 s ey. 18.Are there anycovenants and restrictions with respect to this,property? YES NO . ,I��J-�7'�, �,", '1zD1 W,YE PRODEA,COPY. ,,,,, CONNJE D.BUNCH STATE OF NEW YORK) Notary Public,state Of Now Yo* No..018U818r Qu6iffied in Suffolk County v _._ .. _.....-._ _-ti_._ _., COUNTY OF '2 -1 ommisslon Expires April 14 C L being duly-sw A,,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, q, (S)He is the (Contractor,Agent,Corporate Pffig9r, sj of said owner or owners,and is duly authorized to perform or have performed the said work and to make pd,file this,#ppticg0jqjR;f that all statements contained in this application are true to the beat offfi-kno-- '^dk&ind-b'eli6f"and-thit,thework,)yillbe',-., performed in the manner set forth in the application filed th6rdWitli �e�k Sworn to before me this day of - -20-rrr- Signi fApplfdadtc`, TOWN OF SOUTHOLD ' i;-4 BUILDING PERMIT APPLICATION.,C]HECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,WY,11971!,_-,,- q� 1, ri 4,sets,ofBuilding-Plans TEL:_,(O31) 705-1802PlanninwBoard approyal, FAX: (631)765-9502 Survey- SoutholdTown.NorthForkxet PERMIT- If /NO. Check,.,-,,,) Septic Form _Y SD E C iruitees C. .A�Olidatii)n Flood Permit Examined 17 -.-Single Separate -zo o' fir. i Storm-Water Assessment Form Approve 201_�_ Mail to: 4va 11"S I?isapprpvqdj_a/c_ A r Phone: Expiration—- 2 p p (? ; ------------ ri f,p Bvi A 71- -0- "A LICATION FOR WELDING PERMJT 2017- 2 INSTRUCTIONS a.Thiqfepp&6pWUTffQM6pIetely filled in by typewriter or in ink and submitted to the Building Inspector with 4 of sets plans,accurate plot plan to scale o _f eqAqqqT4:qigjq schedule,,,, -,"'o b.Plot plan showing location of lot and of buildings on premises,relationship to,adjoining premises or public streets or areas,and waterways. C_Tfie -w'ork-covered b�-'ffi.�-- tic y isappicationmaynot icommenced before issuance of Building Permit. d.Upon approval of this application,the Building luspectorwilt issue-a BuildingPermit to,the,applicant Such a permit 0! �j an shall be kept on the premises available-for inspection throughout thework. e.No building shall,be.occppied or used in whole or in part for any purpose what so ever,until,the BuildingInspFctor issues a Certificate d Occupancy., a n ti------- 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 compl6t6a'Within_l8,months_from.subh,&ie�'If no-zoningamendments'of 6th&i6gillgti6hs"affecting"th6 ti property havebeen enacted in the,interim,,the,Building Inspecti)r''may'authorize,,in-,wn'ting,the.extension ofthehpernut for an addition V1, -six months-T ! ,, ,hereafter,,a n6wpenrkshajI re&-- APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Townof Southold;jSuf fq1k,,Q,ounty',New,York;qndothprapplicable Laws;Ordinances,or Regulations,for tfie'66ristructi6n aflbuildft�gs,additions.or alterations onfor rp%qval.oT demolition#s herein'describe&The applicant agrees to comply with all applicable laws;,,ordinances.-building, e codho . ,,, , i".co4e,,;#, pgujations,,and for admit, authorized inspectors on premises and in building for necessary inspections,..sjs 1},, ` (Signature of applicant'brn' 'am' e'';if i corporation) (Mailing address of applicant) 4, j:: State whether applicant is owner, lessee,agent, architect, engineer,general contractor,electc'ia"n-,fp"A e"r"oibiuftder` Q A 1!sy, -Name of owner of premises `iw (As on,the,tax roll or latest deed) If applicant is a corporation, gignatute,of duly authorized 6iTicdr ( kipe and title of corporate officer) Builders License No. Plumbers License No. EtO,ctiie,ia6s',License,No;,,, -,', Other1ra es-Licens'e-N6': ' 1. Location of land on which proppsed work will be done: -n 140 17VI27_0t)_�_-� L6 0 E �567)ZRO�P House Number Street Hamlet County T,-ik'MapNo.JO�Q_, TOioBlock _Z2!5T_ j;6i"Ie, 4 Scott A. Russell /r_Q� ST01R.M WAT)EIK SUPERVISORM[A\N A(G 1E1\M11EN`]F a SOUTHOLD TOWN HALL-P.O.Box 1179 O 53095 Main Road-SOUTHOLD,NEW YORK 11971yVf0 Town of ISo u th o l d CH."TER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) - ----------I1t0Fff--THIS_.-PR0JECT—INiT0li TH 11L9=W1NG.—'-----—= --- ---- Yeso (CHECK ALL THAT APPLY - ® A. Clearing, grubbing, grading or stripping of land which affects more : than 5,000 square feet of ground surface. ; ❑ERB. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑[ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. : ElD. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. t ❑ E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse.. ® F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a comple d Check List Form to the Building DepartmenLwitlLyour Building Permit Application. APPLICANT-: (Propert e,DesProfessional,Agent,Contractor,Other) S.C.T.M. �: 1000 Date: /� / 2 District Design NAME '(/dQ (C CD 7 '0 5 Z5- 2 Section Block Lot / �� 1�OR BUILDING 1DEPj,RTNi ENT LSE ONL1` Contact InformV (d "-�rOanorz —<FZ � Reviewed By: — — — — — — — — — — — — — — — — — — Date: 77 ..aq. Z Property Address / Locdtion of Construction Work: — —��ApprovedTor — — — — — — — — — — lb �y / processing Building Permit 14� «/�' u�� L�� Stormwater Management Control Plan Not Required- fGCalc�, /�-� ( ��� t � SiornlwStef Manage„e„t wlitrvl i� yuna.0 (Forward to Engineering Department for Review) FORM SMCP- TOS MAY 2014 i o _ Town Hall Annex ] Telephone(631)765-1802 f 54375 Main Road y P.O.Box 1179 rogerA6herl&0xw(6ns0 76uo$nV.us I Southold,NY 11971-0959 BUILDING DEPARTW NT TOWN Oki SOUTHOLD APPLICATION-FOR ELECTRICAL-INSPECTION ARAW e'&&vD e A exerL-c-r ` REQUESTED-BY: Date: 6 7L?-0 Company.Name: Nairne;t t(1�kNtna� AtCc-Mc L _"Ct k . -DCU1: iN 'za iY` Mfrs -�9-RT 6�-' F. License No_: wc-KIV60,$ r-'%s?- A"c/_ -ea Ne m ate-rlMl D ajg -no -re-A'%r r1r- Address: z3-CIO JOBSITEINFOMATION: (*Indicates required information) *Name: *Address: , e[A T' _ ls *Cross$treat: A40 kTD�l Mho 'Phone•No:_ Xi� ,Permit Nd.',' .- Tax-'Map o.','Tax-'Map District: 1000' ' Section: i6 Block: Lotr - _ *BRIEF.DESCRIPTION OF WORK(Please Forint Clearly) AF7t/�'_4►-E =���� �QP� oJ.� , Ltl!/$iW, /RsT Pi"K t/&7L, A€5 r pC•-WGA - b�- ��=CoNSFI�LC itc tf' % gild 3? itri-co de D Or •r Z r"'L-/QM 7Z,1 f)-M " {Please Circle All:ThatAPpiy) Is' job ready for inspection: Y %NO, Rough In Final *Do"you need a'Temp Certificate: YES/NO 'Temp Informatiota(If-needed) 'Service Size: 7 Phase 3Phase 0o 150 200 300 350- -. 400 " .Other *New Servicer Re-connect Underground Number of Meters Change of Service Overhead -Additional Information: PAYMENT DUE WITH APPLICATION Rte-Gl/A, A� oA 6"eP" = c 04t __ 82=Request for inspection Form AP 7777 % �_- ti�4N � i �`�� Y �� ` � � a � � ''� ! 1 1 ����Y �'-�SIb�C X45 1.�G�TC�IJs L��� 3 t • £ffl'L.T l �� h yS R ( I .'T. W n' A � x , AL Li �� �� .I yk_ ,y:f, t �, � .. k j , j , � . t � ' � � ,, � . _ - _ . � �.- �. ., �. .� .�, . � ,� r r t � . i *A N 40 16 �- -tet '"'$' w 1 �- • i IN / ► . ! NOk1 . -- -., 1i Frank Wolfgang Uellendahl Architect 123 Central Ave POB 316 Greenport, NY 11944 t: 631.477.8624 e: frank@frankuellendahl.com July 23,2017 Submitted to: Building Inspector's Office Town of Southold Owner: Elizabeth L.Terry Estate c/o Richard R.Terry P.O.Box 584 Lake Placid, NY 12946 Project: As-Built permit plan for the reconstructed 11 floor framing system at 145 Hortons Lane in Southold I hereby certify in my professional opinion that the following work was performed in compliance with the NYS Residential Code: • The owner commissioned a contractor to investigate major termite damage to the floor framing above the full basement.The contractor subsequently proposed to reframe the entire floor system using 2X8 floor joists @ 16"O.C.supported by two girders on 4"lolly columns with adequate spacings.The girder by the chimney foundations is a(2) 1.75"x12" LVL,the second one is a (2) 1.75"x7.5" LVL which would be structural sufficient were it not notched at all three columns weakening as a result the structural integrity of the girder to a degree that it does not meet code any longer. • As opposed to replacing the entire girder and columns I instructed the contractor to install 4x4 wood posts on either side of all three lolly columns as a remedy for the structural problem. �e ely r I I�'�,V kjank Uellendahl, R p a21 l,,i- N`� ° Mz AS-BUILT <;` J N J XU W D 25-10" W U J W � TERRY RESIDENCE Fo_�,L] OIL J o N X W SOUTHOLD, NY N 145 HORTONS LANE w ' (2) 1.75"x12"LVL GIRDER 0 J Z O m ARCHITECT 0 - - _,_,_ —• _, ,_,—, —._, ._. p FRANK LIELLENDAHL U P.O.BOX 316 HWH BOILER GREENPORT, NY 11944 TEL: 631-477 8624 c3 - w BASEMENT w W OWNER ELIZABETH TERRY ESTATE I N C/-) Q C/O RICHARD R. TERRY (2) 1.75'x7.5"LVL GIRDER m Y P.O.BOX 584 C, LAKE PLACID, NY 12946 (2) 2x4 new WOOD POST o TE4"U-.523-9090 a to support notched girder 4 STEEL CO UMN, (typ) t ,_ „ 51-411 6'-7„ 6 _7„ 6 0 , 0 � cv � U I a W } Lq O APPROVED AS NOT 4 i% ;;;; =>< U DATE:® B.P.# 6 Li.l BASEMENT PLAN N J FEE: BY: � m NOTIFY BUILDING DEPARTMENT AT SCALE: 1/4" = 1'-0 new 4x4 POST 65-1802 SAM TO 4 PM FOR THE COMPLY WITH ALL CODES OF FOLLOWING INSPECTIONS: NEW YORK STATE & TOWN CODES 1. FOUNDATION - TWO REQUIRED AS REQUIRED AND CONDITIONS OF steel column FOR POURED CONCRETE 2. ROUGH - FRAMING ;l PLUMBING SOUTHOLD TOWN ZSA 3. INSULATIONSOUTHOLDTOWNPLANNINGBOARD CUPA C OR � 4. FINAL - COV--TP -�:TiON MUST I j ” 17 RE np}� RE w DATE: 07/23/2017 BE COMPLFT: ?" C.O. SOUTHOLDTOWNTRUSTEES USE i UNLAWFUL (' (y i o c 922 SCALE: 1/4" = V-D" LL CONSTRUCT Vi SHALL MEET THE N.Y.S.DEC WITWUT CERTIFICATE e, refu trcd ` Y c' EQUIREMEN z S OF THE CODES OF NE11V BASEMENT PLAN ORK STATE. NOT RESPONSIBLE FOR OF OCCUPANCY BASEMENT PLAN s ESIGN OR CONSTRUCTION ERRORS. N �� DWG. NAME TRUSS ®IMI RETAIN STORM WATER RUNOFF ASmBUILT PERMIT APPLICATION A-1 PURSUANT TO CHAPTER 236 ©¢ DWG. NO OF THE TOWN CODE.