HomeMy WebLinkAbout44312-Z �o�Qg�fFalA' Town of Southold 12/30/2019
a P.O.Box 1179
o _ Ze53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40799 Date: 12/30/2019
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 450 Richmond Rd E., Southold
SCTM#: 473889 Sec/Block/Lot: 135.-3-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/2/2019 pursuant to which Building Permit No. 44312 dated 10/18/2019
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"conversion of a one family seasonal dwelling to year round use, alterations to the kitchen and new windows
as applied for.
The certificate is issued to Sennett,Paul&Marian Louis
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. see COZ-40798
PLUMBERS CERTIFICATION DATED 10/2/2019 Wilsber
Vj
I
o ' e Signature
o�gpFFO(,�co .
TOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
C z 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 #: 44312 Date' 10/18/2019
Permission is hereby granted to:
Sennett, Paul
8266 SE Angelina Ct
Hobe Sound, FL 33455
To: legalize "as built" alterations, including conversion of seasonal to year round, windows
and kitchen as applied for.
At premises located at:
450 Richmond Rd E., Southold
SCTM # 473889
Sec/Block/Lot# 135.-3-7
Pursuant to application dated 10/2/2019 and approved by the Building Inspector.
To expire on 4/18/2021.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO-ALTERATION TO DWE $50.00
Total: $450.00
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
J APPLICATION FOR CERTIFICATE OF OCCUPANCY
r or ink and submitted to the Building Department with the following.
This application must be filled in by typewrite
A. For new building or new use: lines, streets,and unusual natural or
1. Final survey of property with accurate location of all buildings, property
topographic features.
2. Final Approval from Health Dept_ of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying multat hle roesidenceer ds and s in tmilar buildings and installlations,n 2/10 Of oa certificate
5_ Commercial building, industrial budding, P
ponsible for the building.
of Code Compliance from architect or engineer res
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing l$d 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
pector shall state the reasons therefor in writing to the applicant.
denied, the Building Ins
C. Fees
1. Certificate of Occupancy-New dwelling$5$50.00,Addictions dwelling
accessory� b$50.0olding$50.00)Businesses$50-00-
Swimming
50 00.
Swimming pool$50.00,Accessory building
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.
New Construction: Old or Pre-existing Building:
(check one)
�,�4/'D PI&H /� � --add Hamlet
— Location of Property: Street
House No.
Owner or Owners of Property: 1 c
Block ;? Lot 0(9
Suffolk County Tax Map No 1000, Section / `�
®®
Filed Map. Lot:
Subdivision
Permit No.
Date of Permit. Applicant:
Underwriters Approval:
Health Dept.Approval:
Planning Board Approval:
Final Certificate: (check one)
Request for: Temporary/Certificate
Fee Submitted: $ y
1
A plicant Signature
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
I, C(fUl ni - r siding at
(Print property owner's name) (Mailing Address)
do hereby authorize &Aiy k PO 1 iS4<�qk
(Agent)
�Q to apply on my behalf to the
Southold Building Department.
(Owner's Signature) (Date)
(Print Owner's Name)
pF SOCl�,yo•
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 •
Southold,NY 11971-0959 ��• _
e,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
i
3
CER-TIFICA-T-ION
Date:
Building Permit No.
Owner: ,_� - ✓ - --- ® G
(Please print) 1
1
Plumber:
(Please print) '
i
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
a
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1
i
� I
I
Sworn to before me this Ad a
(Plumbers Si re)
day of ,�D 20�_
t
i
Notary Public, County, j
I
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNT
COMMISSION EXPIRES JUNE 30,2 „L f
I
s
Operating Business Address:1075 Franklinville Rd,Laurel NY 11948
-HITECMRE
Brooklyn Office:204 251'St,Suite 203,Brooklyn,NY 11232
LLCBrooklyn
Office:1075 Franklinville Rd,Laurel NY 11948
Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741
December 16th,2019
RE: Frank Thlistena
i
450 Richmond Road East DEC 1 8 2019
Southold, NY 11971
To Town of Southold Building Department:
I conducted a site visit on December 131h,2019 at 450 Richmond Road East,Southold, NY 11971 to
inspect the insulation. Based on my inspection the insulation was installed to meet NYS Building Code
and the architectural plans. If you have any questions, please feel free to contact my office.
S®A&C,
Si c rely, p� pQ
e d ` O
Anthony Portillo, RA, LEED AP
1 �
�+ 0374®`0 0
�ij,�0� N °i`,~l
o�SUF t TOWN OF SOUTHOLD
BUILDING DEPARTMENT
0
' TOWN CLERK'S OFFICE
oy • �g 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#: 44312 Date: 10/18/2019
Permission is hereby granted to:
Sennett, Paul
8266 SE Angelina Ct
Hobe Sound, FL 33455
To: legalize "as built" alterations to an existing dwelling as applied for,
C'MY&A Ir 1-10 4/
At premises located at:
450 Richmond Rd E., Southold
SCTM # 473889
Sec/Block/Lot# 135.-3-7
Pursuant to application dated 10/2/2019 and approved by the Building Inspector.
To expire on 4/18/2021.
Fees:
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: -$450.00
BuildinWln'specon—,
FIELD INSPECTION REPORT -DATE COMMENTS
FOUNDATION (IST)
y
------------------------------------
FOUNDATION (2ND)
• �O
0\
ROUGH FRAMING&
PLUMBING y
in
• r
INSULATION PER N.Y. H
STATE ENERGY CODE
FINAL
ADDITIONAL C MME TS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 Kith.+V) —__4�>4 ts of Building Plans
TEL: (631) 765-1802 MULL-�QC}V1S,A 5 C, —W1A00uk) Planning Board approval
FAX: (631) 765-9502 -fa( QCk_-, Survey
South oldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
r3 ! �� C.O.Application
I�� 1 r Flood Permit
Examined 120 Single&Separate
OCT 2 209 G'" Truss Identification Form
f� Storm-Water Assessment Form
A'E�.J��D'1 aIG•D�`-"'
r U °,a.� Contact:
Approved 20 "t, NCWI'a Maik-te:
Disapproved a/c
Expiration ,20
4 k Nauqding Ins ector
6'^� a� t PP CATION FOR BUILDING PERMIT
Date 520
r,.,t � � INSTRUCTIONS
a. THi applii ation MUST 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 aU<appl cablelances,building code, housing code, and regulations, and to admit
,..;
authorized inspectors oR premi"ses an rii� r necessary inspections.
(Signature of applic nt or name,if a corporation)
V t`
(Ma
iling address of applicant)
State whethefr i G�%1glii o r>Er;Zles`F����ag'ont,architect, engineer, general contractor, electrician, plumber or builder
1• OUR; \OA
pU�H .10� h �`U s
— Name of owner2o r��2iIs ;,�,�
�iN�� CSE\``,���� \AT_ on the ta�c roll or latest deed)
If applicant is a corporat ri rsignattir�,q d it autl of �d officer g—
h\,.. y�`v'`•s'.",\�' • '�,1�1'[^ ����'i�• /"."', d'„'ll \/ �ODL�
i _(.. OF
(Name and title`ofco orate officer))'"'
,p
Builders
,
Builders LicenseNdpetc AS REQUIRED
H 1`10148
Plumbers License N5. \ ' --
Electricians License No. SOL'hOLD TOWN ZB
Other Trade's License No. - UTHOLD TOWN PLANNING BOARD
1. Location of land on which proposed work will be done: SOUTH'OLD TRUSTEES
House Number Street Hamlet DEC
J
County Tax Map No. 1000 Section ! 2 6 Block Lot
Subdivision 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 �fla Lo (J l
b. Intended use and occupancy Cl-a VYIQ-)
3. Nature of work(check which applicable): New Building Addition
);lterapfio
Repair Removal Demolition Other Work WIflr AQ
(Description)
Estimated Cost Fee n
L< < (To be paid on filing this application)
5. If d ing, number,of dwelling units Number'of dwelling units on each floor
If garage, umber of cars
6. If business, comm ial or mixed occupancy, sp6cify nature and extent of each type o e.
7. Dimensions of existing stns res, if any: Front Rear Depth
Height mber of Stories
Dimensions of same structure with a ations or-addit' s: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Fro Rear Depth
Height Nu r of Stories
9. Size of lot: Front Rear epth
10. Date of Purchase Name of Former Owner
11. Zone - se district in which premises are situated
. oes 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
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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 ori survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OFj
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
.'f"'
(S)He is the
' (Cont'racto Agent, C porate 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 are true to the best of his knowledge and belief; and that the work will be
perf6,'rinedrin the manner set forth in•the application filed therewith.
Sworn to before me thi
day of 20 r
4
TRACEY L. DWYER /1657_�
R PUBLIC,STATE OF NEU
otary Public 0.01DW6306�Op Signature of Applicant
UALIFIED IN SUFFOLr, )!-aNTY
UMMISSION EXPIRES JUNE 3p,2()
American Exteriors and Interiors
P.O. Box 667 Mattituck, NY 11952
(631) 298-4625
Town of Southold Building Dept.
Reference Sennett Residence C.O.
Att. John
Our conversation we had got dropped last we
spoke. t hope the information I'm leaving you will
be satisfactory. I personally inspected entire house
and there is only one bath room. I found a window
sash in the basement that must have been replaced
that had specification tag on it. (Photo included.)
Also burner Spec sheet.
Respectfully Frank Polistena
Introduction
Always consult your local Building Department regarding regu- Models Specifications
3855-2
lations,codes or ordinances which apply to the installation of a Input BTU/HR 32 5088 2 7088-2
floor furnace. 500 45,000 65,000
Dimensions
Instructions to Installer Register Length
1- Installer must leave instruction manual with owner after &Width 4 3/4"x22 314^ ,"=x24 3/4" •=36 3/4 x 32 3/4"
installation. Casing Lengtha Width
2. Installer must have owner fill out and mail warranty card Overall Length 32"x 20^ 34"x 22" 34"x 30"
supplied with furnace. Including Diverter 40" 43 1/2"
3. Installer should show owner how to start and operate furnace LengOpening.
h&Width 32 5116'x20 5/16"34 5/16"x22 5/16" 45 34 5116" x
and thermostat. 305116'
Warning: Height 23" 26"
27"
Any��g
e to this furnace or its control can be danger- �m°m Clearance to Combustibles
ous. -is a-heating appliance and an dung EacToph
Must Be Open-and Clear of ALL OBJECTS and Covering
Any panel,door or Each side to
guard removed for servicing an appliance must be re- Nearest wall 6" 6,
Placed P g PP Bottom of unit for Air 6" 6 6"
prier-too operating thea hones. " 6„
General Draft Diverter and
iifQrimation, vent Connector
This .l deli certified : - Two 6" 6'
lip. laid 1.$db- m accordance_withi American toVVall�i'Adjoining - 6^
8 to
199 by 66-. to Cas Assoeia- e'
t10�1;iI '.g gravitya a Walkway
`uisfa f j type F1got Fq'MW '7*' 'mot be , I$" Is" la"
Y $ 5to'tliesoinstructions::_:-,-. r•. Gashdd
Iran Pipe (NZ.-T-.
"Y'�e��Qb(_efthe original des' =: T size I 1/2" "
a iasiructiq it use1nsEa1le aWertltaa as Inlet to Floor 18111" - 1 1/2"
zL wrth, t9P -of gas OO stiowg Venting
!4" 201!4"
l'$ =�itate �the responsibility:_Qi',ttie'Iieison=and Floor
� Pg'the change, to Top of
Diverter Shield I0-1/2"
Q XSIIiIDg AgeIICy Center of Flue 123141, 12 3/4"
The itrst atioi�I rrltisf Conform with local'eodesja the absence of (Horizontal)to
local codes, with the National Fuel Gas Code ANS122231* moor Covering 171!4° Ig 3!4" 17 3/4"
*Available from the American National Standards Institute,Inc. II West 42nd Size 4" 4" ,
St.,New York,N.Y.,IOOIB. - 5"Dia.
The flue pipe diameter must be as large as,the flue collar on the
Important ' draft diverter and run as directly as possibletothe chimney at least
All correspondence should refer to complete Model Number 1/4"rise per foot of run properly supported by metal straps,and
Serial Number and type of gas. enter the chimney so the end of the flue pipe is flush with the inner
wall ofthe Notice:During initial firing of this furnace,its paint will bake out must be B"fey Anyt. flue pipe passing through*ails and roof
and smoke will occur. To prevent triggering of smoke alarms, above the roof and any he Chimney
hhi or building to I fl o e
ventilate the room in which the furnace is installed, chimney. The flue pipe must NOT have any open tees or be
connected to the chimney of an existing fireplace.'
THIS IS A BEATING APPLIANCE
DO NOT OPERATE THIS APPLIANCE WITHOUT FLOOR REGISTER INSTALLED
• Duetehightemperaturestheapplianceshouldbelorated
out of traffic and away from furniture and draperies. imperative that control compartments,burners and
• Children and adults should be alerted to the hazards of circulating au Passageways of the appliance be kept
clean.
high surface temperatures and should stay away to DO NOT use this heater if any part has been ander
geoid barns or clothing ignition.
water.Immediately call a qualified service technician to
• Young children should be carefully Supervised when inspect the heater and to replace any part of the contrmol
they are in the same room as the appliance. system and any gas control which has been under watez..
• CIothing or other flammable material should not be Floor furnace must not be connected to a chimney
placed on or near the appliance. serving a separate se solid.fuel burning g a ppliana�_-_
flu
• Any safety screen or guard removed for servicing an The draft hood shall be installed so as to be in the same
appliance must be replaced prior to operating the atmospheric r
appliance. Pressure zone as the combustionairiaietto
the appliance.
• Installationand repair should be done bya QUALIFIED A burn hazard can occur In the use of the floor furnace
SERVICEPERSON Theapplianceshouldbeinspected when the temperature control
before use and at least annually by a qualified service override position (limit) m the maIIu�al
.
person.More frequent cleaning may be required due to Contact of bare skin with the hot air
excessive lint from carpeting,bedding materials,eta It r�y result
in burns when the floor furnace is in operation.
Page 2
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