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HomeMy WebLinkAbout45498-Z j4S11FFs��d'`t Town of Southold 2/26/2022 Off' OG P.O.Box 1179 W 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42817 Date: 2/26/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 3625 Pine Neck Rd., Southold SCTM#: 473889 Sec/Block/Lot: 70.-6-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/30/2020 pursuant to which Building Permit No. 45498 dated 11/25/2020 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: alterations including window replacements and bathroom,to existing single family dwelling as applied for. The certificate is issued to Canning,Andrew&Brothers,Jeffrey of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45498 2/17/2022 PLUMBERS CERTIFICATION DATED 2/11/2022 C os Guaza bo 0hor* d Signature oto TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o� • SOUTHOLD, NY ?lpl,� ya0 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#: 45498 Date: 11125/2020 Permission is hereby granted to: Canning, Andrew 3625 Pine Neck Rd Southold, NY 11971 To: install window replacements to existing single-family dwelling-as applied for. At premises located at: 3625 Pine Neck Rd., Southold SCTM # 473889 Sec/Block/Lot# 70.-6-22 Pursuant to application dated 10/30/2020 and approved by the Building Inspector. To expire on 5/27/2022. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $250.00 CO -RESIDENTIAL $50.00 Total: $300.00 Building Inspector 1 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.at d sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire•U.nderwriters.. 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 a of Code Compliance from architect or enginee%r responsible for the:building. 6. Submit Planning Board Approval of completed site.plah,requirements. 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,,.greets,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$56.00. 2. Certificate of Occupancy on Pre-existing Building= $16 i.0.00: 3. Copy of Certificate of Occupancy-$.25 4. Updated-Certificate of Occupancy- $50.00- 5. Temporary Certificate of Occupancy-Residential$15.0%Commercial$15.00 Date. 1(3 . t q , Z O New Construction: Old or Pre-existing Building:'. (check one) Location of Property: 3(o Z S p t ne, N 2C/C a CtS a u+b-) 6(4 House No. Street i Hamlet Owner or Owners of Property: r)J re w C AV n i h g� 6 J Pere Y hr6t 6k y-s Suffolk County Tax Map No 1000, Section 7Block. 6 Lot Z Z Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: C u U Z k a m h o Cdv>S rU C�l 6 Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ Ap li Signature oF sot�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlinCcD-town.southold.ny.us Southold,NY 11971-0959 ®lyc®Um9�„`,\ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Andrew Canning Address: 3625 Pine Neck Rd city:Southold st: NY zip: 11971 Building Permit#: 454.98 Section: 70 Block: 6 Lot: 22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No: 38893ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures Bath Exhaust Fan 1 Service 3 ph Hot Water GFCI Recpt Wall Fixtures 2 Smoke Detectors 2 Main Panel A/C Condenser Single Recpt Recessed Fixtures 2 CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 3 4'LED Exit Fixtures Pump Other Equipment: Notes: Master Bathroom Inspector Signature: Date: February 17, 2022 S.Devlin-Cert Electrical Compliance Form pf So Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G.� • Southold,NY 11971-0959 Q BUILDING DEPARTMENT FEB 1 4 2022 TOWN OF SOUTHOLBUILDING D t TOWN OF SOUTHOLD CERTIFICATION Date: L—`1 —22 Building Permit No. S � 1 (Owner: C W t r �cr� (Please print) Plumber: Gc r-lcgs cUc't'7, t tyl-6 O (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (PI hers Signature) Sworn to before me this day of-- '�/ 20; Notary Public, 5w)�__CoLlnty RONALD E REATHERFORD Notary Public-State of New York NO.01 RE6207490 Qualified in Suffolk County My Commission Expires Jun 15,2025 Ing so P S7 A # f TOWN OF SOUTHOLD -BUILDING DEPT. �'COY 765-1802 INSPECTION -— [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ]" FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL .FIREPLACE & CHIMNEY [ ] FIRE SAFETY-INSPECTION [ ],-FIRE RESISTANT CONSTRUCTION [ ]_ FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ] CODE VIOLATION [ ] PRE C/O REMARKS: f.-S-1 N-6 Ev v _o_Ilei f �j 12,M>,9R,el kA, IL DATE -INSPECTOR o�a0f SOUI,yo TOWN OF'SOUTHOLD BUILDING DEPT. �`ycourm '' 765-1802 I.NSPEC.I.. ION [ ] FOU ATION 1ST [ ] ROUGH PLBG. . . [ ] UNDATION 2ND [ ] INSULATION/CAULKING [ FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE &CHIMNEY [ -] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: /00, Vine :r-kO DATE CO YI INSPECTOR �� • �a0f SOpj�o # TOWN OF SOUTHOLD BUILDING DEPT: 765`1$02 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ rFINAL ULATION/CAULKING ] FRAMING/STRAPPING [ [ ] FIREPLACE & CHIMNEY [ "] FIRE SAFETY`INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH)- [ ]- ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: SD Cc000" o DATE 'LO INSPECTOR Of SOUTyOI - � o # TOWN OF SOUTHOLD BUILDING- DEPT. 765-1802 : ...INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. ] FOUNDATION 2ND [ ] INSULATION/CAULKING ' [ ] FRAMING /STRAPPING [ '] FINAL -[ ] 'FIREPLACE & CHIMNEY` [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] -FIRE RESISTANT PENETRATION [ :] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ 61PRE C/O REMARKS: 0 k<-', DATE . %7d 1 INSPECTOR: �-� FIELD INSPECTION-REPORT DATE COMMENTS FOUNDATION(1ST) H ------------------------------------ FOUNDATION(2ND) z. N ROUGH FRAMING& PLUMBING y t INSULATION PER N.Y. ' STATE ENERGY.CODE - FINAL ADDITIONAL COMMENTS 2� Zoon2w i Jrn �. 0 Z 'a I �5°1 J `G. q.s 1a m b H. rl ,2 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 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 L� Survey Southoldtownny.gov PERMIT NO. cJ Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20A Single&Separate Truss Identification Form >� Contact:Storm-Water Assessment Form Approved ,20 O�� �� 2 Mail to: Disapproved a/c Phone: Expiration ,20 iOs Bui dm nspector APPLICATION FOR BUILDING PERMIT Date—W A q , 20 Z O INSTRUCTIONS a.This application 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]sept 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 all applicable laws,ordinances,building code,housing c ,and regul 'ons, and to admit authorized inspectors on premises and in building for necessary inspections. , ( re of applicant or name,if a corporation) (Mailing address of applicant) J State whether applicant is owner, lessee, agent, rchitect, engineer, general contractor, electrician, plumber or builder Name of owner of premises nCL--ew CCh(-.,"r)e, (As dri the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of©rporte�off�cer " Builders License No. t Plumbers License No. Electricians License No. Other Trade's License No. `tom i:::..c^Sb:.d1.-n�:v:,sts•.a•�4nal`au+:?ur�.••:'•�:,.,a°.r5^^..;. 1,,4"�.Q,cdt�on of.land on,'whrch proposed work will be done: G' 5.` "` �;ne Ne Lfc l2aacl So it :ay',iHouse�Numb6f;,x4a,' ' Street Hamlet County Tax Map No. 1000 Section 7 U Block Lot Z Z I 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 Re%;d e-,C e b. Intended use and occupancce.vi Ge 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work hG (Description). 4. Estimate Cost Fee (To be paid on filing this application) 5. If dwelling, n mber of dwelling units Number of dwelling units on each floor If garage, nu er of cars 6. If business, commer 'al or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing st ctures, if any: Front Rear Depth Height Number of Stories Dimensions of same structur with alterations or additions: Front Rear Depth eight Number of Stories 8. Dimensions of entire new constructio : Front Rear Depth Height Num er of Stories 9. Size of lot: Front Rea Depth 10. Date of Purchase Name o Former Owner 11. Zone or use district in which premises are situate 12. Does proposed construction violate any zoning law, o dinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fil 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 freshwate wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS M 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 on 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 OF �L.K) Ad l 3y u �YCgl-nbeing duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the Q g r✓Y1� (Contractor, Agent, Corporate 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 performed in the manner set forth in the application filed therewith. CHERYL ANN HENDRIKS Notary Public-State of New York Sworn to before me this H0.01HE6122800 day of 20 `� Qualified in Suffolk County My Commission Expires Feb 22, 2021 Okw ,fila" Not Public i " -e 0f Applicant Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, Arnd re tr Can»,r residing at -.?r i S Pine Nuc Rd . (Print property owner's name) (Mailing Address) S,, u l cA TJ)jj I do hereby authorize G 0 az 4tikYwk-3.o a ns+r rc h u n (Agent) to apply on my behalf to the Southold Building Department. (Owner's Signature) (Date) he n d r,W C fnYl✓1 4✓LG (Print Owner's Name) pE SOUryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Gc� • Q Southold,NY 11971-0959 Q Couffm�c� BUILDING DEPARTMENT February 8, 2022 TOWN OF SOUTHOLD Canning, Andrew 3625 Pine Neck Rd Southold, NY 11971 RE TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of Occupancy Application for Certificate of Occupancy. (Enclosed) a X Electrical Underwriters Certificate. A fee of$50.00. Final Survey with Health Department Approval. X Plumbers Solder Certificate or Pex Affidavit Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. (631-765-1802) Final Landmark Preservation approval. Final Elevation Certificate required. Final Storm Water Runoff Approval from Town Engineer Spray Foam Insulation certification from a NYS licensed architect or Engineer BUILDING PERMIT: 45498-Z Window/ bathroom SURVEY OF PROPERTY N SITUATE: SOUTHOLD ORFORMERIYOF` LpNp1 �4R,Aop� KYOF: �( E TOWN: SOUTHOLD �� �'F�» �B� F PROPERTY TRUST SUFFOLK COUNTY, NY I LAND NOW OR FORMERLY OF: SURVEYED 07-10-2015 O��DANIEL 13Fg r S UPDATED 03-30-201 6 ?A5QUAUNA 6FRKOW1 _ 1.79'.8- •" I 5UFFOLK COUNTY TAX# --,�-�1 Fe. -_ . IIF ASPhAl7 „SR.EE9"� - 1000-70-6 -22 N82. 29 L -,4�- - _ -= CERTIFIED TO: �! AW lSi R. art, ANDREW CANNING ID FRAMG �E 4 �� zrnt x'00 ycu O 70 70 �"•- PAPAVEOR 70 PT PRpME r r S U 0 2W e,3 O Nom' - a• 1 � y I D a o FRAME p 5F 0�+ �c� Nx• 640. k� 4 ----------5g'a'---------- ,--1- 4111 !y. O z GOVEREO SWP 1 POCp RGM !— /r-�""1�+•],-n`z, — Lncb u�<d�cn<r on v a3Nlim le zu _ 9 1P 1' I .nc�rm m<a �e<u.n°v<•.ie�sw<,«<to i ._•- r ,:.,N4Y ./� S S.�T r`SSI}`- .• L.1. rsC [ ;N asdJ zMNq tl y 17 . "'_._.-s^�_,�.-.+�-".•_.-�. .. - e 8 1 V V NbTfS: -- 5 -- - ■ MONUMENT FMNO --�- • FI�M�D JOHN C. EHLERS LAND SURVEYOR PANE NECKdRoAD -X—X- MESN FENCE SrLrt;uE eEN� _ _ ",?halt ro _ - 6 EA5T MAIN STREET N-Y.5.UC.NO. 50202Area -32,982 5q.Ft. RIVERHEAD, N.Y. 1190 I 369-8288 Fax 369-8287 Area =0.7572 Acres Ion 15landlandr ur GRAFNIC SCALE- -.I 3d 9 v or.com - -- _- 15-162 - i 5 U IAV EY Of PROPERTY 'II'' ii+ �I }c� �•O�it 51TUATE : 5OUTNOLD , oRt�lrtztY OF: LANd 5 e( TOWN : SOUTNOL® IAN" N5 OROpFR�`ITRUST 4 � ` E 5UEFOLK COUNTY, NY BRED - - RMERLY I OR FO I NOW 1I ,' --_.- - :- f SURVEYED 07- 10-2015 LAND DANIEL Ei fqr`O pWITZ - _- ---- - = I UPDATED 03-30-201 6 CJQUpLINA VER -- -_ SUFFOLK COUNTY TAX # 1000 - 70 - - 22 -_i X - max .• j CERTIFIED T0= - _ ANDREW CANNING 6 Q - x FRAME br m rn{ N� O GARAGE �O I 0 II 70 , 1. , , s '_...1 �•. ZZ OO > RAMS �,,1` ZZ 7a Z rn STOOP 1 �•9 t 1 G.9 4 -il r '! 4; 2'ol FRAMEOUSE G i O . P• - 444 �� 111 — CP p 'Unauthorized alteration or oddiGM to o survey reap hearing a licensed land surveyor's seal is v;.l.tlon of n 7 sego o209•sub-div si- 2, of the Nerr:'arx Slate Edurailcn "Only copies iron-the onainal of this survey - r marked with on aiginal of the land ve suryors '� l. I _�,�^<•�^ -= slcrnpetl 5eol moll oe considered (e 6e valid Vue - e ^ copies l�• �' - 7r- 'R , ' l � b��'��'p�rb 4• _ .,�`' - - --_- - �� I La1d Surveyors Sold certi4[otiens".11 run`dMy to the person tor.w+om-the survey is prepared, _ - +.��.�.roand on his P.at'.34,Pd;11tP �if3 MrS�I�fs,SovCrnmM- „ -u -:.. rv- •i�f Y L tat agency'2NVv$.46j-a' tlmll I!1'Sr_°hereon.and - y'�I.the ossignees of the dng'instilutlan. Ceriifico- _ -O_ ri'^�Of }lbw ,. �,. '/Iyl v V - _ 17on5 are_-t frau sfera6le_to-addilionot irslituiions - 4' ~/] l NnT 5:. - - ✓�V �� _ - � MONUVIEM FO; JOHN C. EHLEK5 LAND 5UKVEYO� �-_�_= - rIPE FOUND yG 4� 1 FO - --_ �C—X— ME5H FENCE FINE r N E I�oaclwa`I SPLIT KddL FENCE a5��s -- jG EAST MAIN STREET N.Y.5. LIC. NO, 50202 Area = 32,982 5a. Ft. RIVERHEAD, N.Y. 1 1901 3G9-8288 Fax 3G9-8287 Area = 0:7572 Acres loncji5landland5urveyor.com - 5U RVEY Of PROPERTY - N { o>`., I 51 T U AT E : 5 O U T H O L D i e,l TOWN : 50UTHOLD � r w E tz FoF,1,A'rR1 Y OP• I CS. ;_ ._ LAND NOW O TRUST — _ r {'' BRE1r5E PROPERN I.' --- - _ -- � 5UffOLK COUNTY NY LANA OW ORFOROWTZ -_ -- - SURVEYED 07- 10-2015 pANt�L 13EKK - _ _ _ S UPDATED 03-30-2016 PQ�}AL4NA 5E `oW1T7 = -_ ► _ - - SUFFOLK COUNTY TAX # 2 .2� rte=- I 1000 - 70 - G - 22 _ _ =- � ' _� X x_k� I, CERTIFIED T0: ANDREW CANNING o �/ C$ �� I O - p2 N - x FRPM E�� t i mrn 7u 'O �,, 1. :I O` A - q 1 '�' I �1O GCO3� � O �I 1 70 PpTtO T° ` �O�O z s OOF 4 0 32 ,' I TC) FY 1 Pim i.o FRANCE t 10U5� G 1rn"S x—x G - S -o S1 � GOV�PED- P01ZGri � 'Unauthorized alteroti- or addition to o wrvey map bearing a licensed land surveyor's seal is a n G; ° ---+-•. �'' y, violation of seal..?209,sub-di�z'on 2, of the t N -A, (�..' v ./ter{,� New Yarn Mate Edu�aticn Law.' ,` ft`"`�r•. ti 'Only coples from the original of this survey O l •^ masked with on original of the land s. wycr's I II I , � starnped seat shall oe considered to oe-lid Sruet P7 ��f _ ;*f;�Ijt ,k*'f arils tlaa 1j•,�;im¢'l�P,Ipjlf - -_ _ k". p�iag1� 4i dpi act yfltf n144 i - - nI 9' r , t4r - c asr7A+ 1- ' i y 'Land Surveyors Sad cert ficpilens shall .uoniy to the person for w am h^,surwY's prepared, -- +'to and on nls Calle?Ltr;11}p-"ffi-N r&gorcrnmen- s;"J l;.I-1 i-� , ^• tai h9ency,ab7, 5+7'n311c�-4Y11�11f 42 hereon, and b to the asvgnees of the reeding institution. Certifica- __ -irons are=nal [r ansferuhle_to-oddil'rono:insliiatfon5_-- -- --- - --- -- _ — - �n l 0 4 ——- - - - MONUMENT F,-JNr JOHNFIPE FpJN9 C. E M LE KS LAND S U KVEYO � .. -- - =- ��/'`K K O f►i� �-�-� __(. —x— MESH FENCE iy P,PLrr RAIL FENCE - _ _ cl5 - G EAST MAIN 5TREET N.Y.5. LIC. NO, 50202 Area = 32,982 5rl. Ft. IRIVERHEAD, N.Y. 1 1901 369-8288 Fax 369-8287 Area = 0.7572 Acres Ioncji5landlandeurveyor.com - , Nunemaker, Amanda From: Dwyer,Tracey Sent: Tuesday, November 24, 2020 3:50 PM To: Nunemaker,Amanda Subject: FW: HPC List conflict From: Burke,John Sent:Tuesday, November 24,202011:04 AM To: Dwyer,Tracey<tracey.dwyer@town.south old.ny.us> Subject: RE: HPC List conflict Tracey, Although list at historic it is not on the list of homes subject to the jurisdiction of the HPC. Therefore the work does not require HPC approval. Should you have any further questions please contact my office. thanks John J. Burke, Esq. Assistant Town Attorney Southold Town Annex 54375 Route 25 (Main Road) P.O. Box 1179 Southold, New York 11971-0959 Office: 631.765-1939 Fax: 631.765.6639 E-mail: Johnbu ,southoldtownny. oovv From: Dwyer,Tracey Sent:Tuesday, November 24,2020 10:37 AM To: Burke,John<iohnbu@southoldtownny.gov> Subject: HPC List conflict John, Can you please write a brief statement as to why property 1000-70.-6-22 does not require HPC review. Since it is listed in municity as a historic landmarked property the plans examiner is requesting something in Writing before she will issue the permit. It is not on the list. Thank you, Tracey 1 NYSIF New York State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 550864089 COMP MATTERS INC f 12 OAK ST . BAYPORT NY 11705 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GUAZHAMBOS CONSTRUCTION INC ANDREW CONNING 1000 WEST MAIN ST 3625 PINE NECK ROAD RIVERHEAD NY 11901 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12377071-2 690921 10/20/2020 TO 10/20/2021 10/21/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2377 071-2, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT VICTOR GUAZHAMBO GUAZHAMBOS CONSTRUCTION INC (ONE PERSON CORP) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:707747052 U-26.3 'RNA® CERTIFICATE 4F LIABILITY INSURANCE DATE 0/0/2o�Zo THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not canter rights to the certificate holder in lieu of such endorsement(s). PRODUCER HAMS C SPECIALIZED INSURANCE&SERVICES PHONE FAX 204 RTE.112 EMAIL PATCHOGUE,NY 11772 ADDRESS,. SRU@SPECIALIZEDINSURANCE.COM Auto-Name-Business-cycle-etc. INSUREM AFFORDING COVERAGE HAIL# INSURER A:ATLANTIC CASUALTY INSURANCE CO 42646 INSURED INSURERS: GUAZHAMBOS CONSTRUCTION INC INSURERC: 1000 WEST MAIN ST INSURERD: RIVERHEAD NY 11901 INSURERE: INSURER F: COVERAGES - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR TYPE OF INSURANCE ADD 9U8 POLICY EPP POLICY RIF LTR 2M im POLICY NUMBER D 0 LIMITS COMMERCIAL GENERAL LIABILITY LOSS024717 EACH OCCURRENCE $ 1,000,000 A Y Y 12/i9/2019 12/19/2020 DAMAGETO RENTED -PREMM $ 100,000 CLAIMS MADE ®OCCUR MED EXP one raon $ 5,000 PERSONAL$ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑28T ❑LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMORO SINGLE umrr $ cc t ANY AUTO BODILY INJURY(Per person) $ DULED OWNED pC OS BODILY WJURY(Per accident) $ HIRED NON-OWNEDROPDAMAGE $ AUTOS ONLY AUTOS ONLY cc�t UMBRELLALWBOCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATIONOTH- AND EMPLOYERS LIABILITY YIN j ANY PROPRIETORMARTNERIEXECUTIVE OFFICERNMEMBER EXCLUDED? E-1NIAE L EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE S If qqea descrloe under bESLARIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be allnaMd If more apace In required) REMODELING-INCLUDING ONLY THOSE CLASSES SHOW ON REQUIRED FORM AGL-REM,CARPENTRY,DRY WALL OF WALLBOARD INSTALLATION. BELOW ARE LISTED AS ADDITIONAL AN INSURED AS PER WRITTEN CONTRACT OR AGREEMENT: CERTIFICATE HOLDER CANCELLATION ANDREW CONNING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3625 PINE NECK ROAD THE EXPIRA DATE THEREOF, NOTICE WILL BE DELIVERED IN, SOUTHOLD NY 11971 ACCO RDAH 7H THE POLICY VISIONS. AUTHORIZ ES ®198ti-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD APPROVED AS NOTED DATE: B.P.# S qjy FEE: D BY: NOTIFY BUILDING D PARTME AT . 765-1802 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CO`JGRETE 2. ROUGH - FRAMIN'!- & PLUMBING 3. INSULATION 4. FINAL - CON; -'UC77,1� MUST BE COMPLETE FOF ::.0. ALL CONSTRUCTION SliALL MEET THE REQUIREMENTS OF"I,mE CODES OF NEV, YORK STATE. NOT RESPONSIBLE FOP. DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF A SOUTHOL ARD CAI HBL-B�BIA T �,STEES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICA i OF OCCUPANCY gndersen Andersen Windows -Abbreviated Quote Report Project Name: Hadley/ Woodright Quote#: 25532 Print Date: 10/01/2020 Quote Date: 10/0112020 iQ Version: 20.0 Dealer. 1647 E Jericho Turnpike Customer: Florence Building Materials Huntington,;NY 11743 Billing 631-499-6200 Address: , New York United States www.florencecorp.com Phone: Fax: Sales Rep: Michael Ferraro Contact: x Created By: Trade ID: 015334 Promotion Code: Item Qty Item Size(Operation) Location Unit Price Ext Price 0002 1 WDHI 291/8"x 52 314"-0 Deg(AA) 0T= ` �� $ 1033.90 $ 1033.90 Existing Opening Size:29 1/2"W x 53"H Unit Size:291/8"W x 52 3/4"H 400 Series Unit,Woodwright Insert Equal Sash,White/Clear Pine,White/Gray Liner,AA_Handing, High Performance Low-E4,Divided Light with Spacer,Specified' Equal Lite,4w2h,3/4",White/Pine, Permanently Applied,Chamfer/Chamfer(Each Sash), 1 Sash Lock,Traditional,Oil Rubbed Bronze Full Insect Screen,White ..Viewed from Exterior Zone:Northern 1.1-Factor 0.31, SHGC:0.28, ENERGY STAR®Certified:No 0001 1 WDHI 28 718"x 52112"-0 Deg(AA) p°V czT N C $ 1033.90 $ 1033.90 Existing Opening Size:291/4"W x 52 314"H Unit Size:28 718"W x 52112" H 400 Series - Unit,Woodwright Insert Equal Sash,White/Clear Pine,White/Gray Liner,AA Handing, High Performance Low-E4, Divided Light with Spacer, Specified.' Equal Lite,4w2h,3/4",White/Pine, Permanently Applied,Chamfer/Chamfer(Each Sash), 1 Sash Lock,Traditional,Oil Rubbed Bronze Full Insect Screen,White Viewed from Exterior Zone:Northern LI-Factor.0.31, SHGC:0.28, ENERGY STAR®Certified:No Quote#: 25532 Print Date: 10/01/2020 Page 10f 2 iQ Version: 20.0 Item Qty Item Size(Operation) Location Unit Price Ext.Price Subtotal $ 2,067.8 , Total Load Factor Tax(8.625%) $ 178.3 Customer Signature 0.287 Grand Total Is 2,246.1 Dealer Signature 'All graphics viewed from the exterior 'Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or other items. Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR@ certified. This image indicates that the product selected is certified in the US ENERGY STAR@ climate zone that you have selected. Data is current as of November 2019.This data may change over time due to ongoing product changes or updated test results or requirements. Ratings for all sizes are specified by NFRC for testing and certification.Ratings may vary depending on the use of tempered glass or different grille options or glass for high altitudes etc. Nexia is a registered trademark of Ingersoll Rand Inc. Project Comments: Quote#: 25532 Print Date: 10/01/2020 Page 2Of 2 iQ Version: 20.0 t jNSpEC-T° ON REQUIRED PLUMBING WAs E.- &WATER:LINES NEED' TIPPING BEFORE COVERING PL UME EB,CER PFI CA TIO N ON LEAD CONTE JT 13EFORE CER77PICATE Opt)COUFANCI SOLDER IJSED`IN WATER SUPPLY S•YS7'EM CANN07 FXCEFD 2.110 nF I% I-- .---------- ------------------------------------- -- --------------- ---------------------- I 8O1.011 ,I I I I I 1 I I I I I 1 i I I I j I I I I I / I I I 1 f I 1 I I I I I I t � 1 I I I 1 I I I 4 I i I - I l O t I I I I I I I I I I I I I I I I I I I � f � 1 I - � I ' i ` I I I I �I I f I 2'-0" 2'-0"EX'G' I - I I ----- ----L- ------------------------------------------------------- -------------1 DEMOLITION: s R�'�y FLOOR PLAN 'SCALE 1/4" = l'-O" 1 a N ` RACHAEL STOLLAR, AIA PINE-NECK RESIDENCE DEMO PLAN 350 E 54TH STREET,2A 3625 PINE NECK RD DRAWN BY: RLS NEWYORK, NY 10022 SOUTHHOLD,'NY 11971 DATE: 03.22:2021 DM 100000 SCALE: AS NOTED ,. EXISTING SANITARY AND VENT RISERS w —= ---- 1 — I — - _ I I cV I'CV I N I NEW` �. NEW r NEW TOIL ET ; LAVATORY i SHOWER 1 Y, 1 ST FLOOR 311 i I I 1 'I TO EXISTING ROUGH PLUMBING RISER D IAG RAM ,NTS- 2 -------------------------------- ---------------------------- X-C SHOWER I r I I� I I ! i � I i i } I i � N i I - N i .i oo f♦-. a a N t r 3 I 2'=6°NEW POCKET DR r ' ED _-_ -- `�__- -- _ ----------------------------------------- CONSTRUCTION': ----------- ---------------------- CONSTRUCTION: FLOOR PLAN SCALE -1/4,` = R PINE:NECK.RESIDENCE` PROPOSED BATH 350 E: f ST 3625-PINE NECK RD DRAWN BY, RLS' NEW YOR 2 SOOHOLD,NY 11971 DATE: 03:22.202'1 A,,200'000 SCALE:.AS•NOTED