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Home My WebLink About29197-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29622 Date: 08/05/03 THIS CBRTIFIBS that the building ADDITION Location of Property: 5655 INDIAN NECK LA PECONIC (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 86 Block 6 Lot 14 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 7, 2003 pursuant to which Building Permit No. 29197-Z dated MARCH 10, 2003 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 DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JACK J. & CHRISTINE GISMONDI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ut rized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29197 Z Date MARCH 10 , 2003 Permission is hereby granted to : JACK J GISMONDI INDIAN NECK LANE PECONIC,NY 11958 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 5655 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 086 Block 0006 Lot No. 014 pursuant to application dated MARCH 7, 2003 and approved by the Building Inspector to expire on SEPTEMBER 10 , 2004 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 AUG 04 '03 12:248, SOUTHOLD BUILDING 631 765 9532 '73y_�' /'nnttn/ P.1 F'artr,No.6 7 / - $,SgO/ TOWN OF SOUTHOLD BUILDING;DEPARTMENT, TOWN BALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application.must bs rtiled 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 pruperty with accurate location of all buildings,property lines, streets,and unusual natural or topographic features. 2. Final Approval fro='n Re8iiil Dept. of water supply and sewerage-disposal(S-9 form). Approval of ele zn:ce.i iristailaikn from Board of Fir9 Underwriters, 4. Sworn ststemen' f7on,plumber certifying that the solder used in systein contains less than 2/10 of 1% lead. 5. Cornmercial bu;ldwg� industrial building,multiple residences and similar buildings and installations, a certificate of Code Co+.nphaneo i.rcm architect or engineer,responsible fcr the building. 6. Subr,it Pla ming Do,rrd Approvul 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:�f;;roporty showing all property lines, streets,building and amsual natural or topographic featur!s, 2. A properly r_a n'-;eeec aputicat on and consent to inspect sighed by the apphcan..t. if a Certificate of Occupancy is denied, the Bins:din,Tnspecto� shall state the reasons therefor in writing to the applicant. C. Fees I. CertiCCato of Occ:apenev -New dwelling$25.00. Additions to dwelling,45.00, Al crations to dwelling $25.00, S wnrun ng Poo; *2 `i0 accessory building $25.00. Additions to accessory buildin $25.00 Bust $50.00. 2. Certtrc de of icy or. existing Lsuiidtng- $100.00 3. C ory of Cc,z') ' t culpancy ,'00.25 4. Up& cd C t,i t of Occupancy S50.00 C` I 5. 'fossil o3sr'ti6. . tt. :e c ? r ancv_Residential $15,00; Commercial li,� b0 4 '2()Q� Date. -71 New Construction: —_ {C.'.hd or Pre-existing Building: _ —, c;:Vie) Location of1:cp^:,.+: . pl �.OAtrdn.—t �1�_ �Rfl. PET➢h�r 9�,C�._l _ _ rouse No. Street/ t Hamlet Owner ozQ nersefFoper;y: `s^uffolk County Tel w e:,>i i i 0PO, &,,,,tion-----Block_ —lot Subdivision.--- EledMap. _ _ -----Lot Permit No.a 41 ! �,_Z_—i]ctz o!`Petxnit.�_. _ Applicant:� Health Dept. Approval .._ -----_ _---Underwriters Approval: ._._— — Planning Boa d Ap^ro., : Request for: Tevnporary Certificate Final Certificate: _ (chp. k one) Fee Submitted: i Ap zcsnt Siknature co � ag6�2. Applicant/ Date Owners Name: _�� G sr w c� Reviewed: 3 /0 3 Architecll�� jjN I• , Date Gngineer�l _ Submitted 3 O 3 SCTM N: �r District: 1000 Section: S '� 13 lock. 1L Lot: Projcc Locatin � o (( Gl e[�/ Name_ Single 3 separate Required cellification (Yes/No) Req. lacy. 7.oning District/ 11,0l size. ___fo d-V`0 7 I ILo1 coverage t�L Plop a..Cd Rcy. Tv/ l � Req. 1 / i Req. C}�� (Front Yard 4 Nolwse� (Side Yard Proposed'.. y{�, 1 [Rear Yard y Proposed- I Project Description: AGENC=ERMITS Permit REQUIRED FOR REVIEW N--A, NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: ✓ Town Planning Board approval: a— Flood Plane Elevation ??? Flood Zone: Notes.: dSer ,i1 420J Vii, Qrf M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION IST ( ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULA [ ] FRAMING [ AL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 7130103 INSPECTOR `-� FIELD INSPECTION REPORT DATE CoNom T3 FOUNDATION(1ST) a i xc ------------------_ r1 C m FOUNDATION(2ND) x _ o ROUGH FRAMING& i H PLUMBING r INSULATION PER N.Y. STATE ENERGY CODE 3 7-7 O FINAL ADDITIONAL COM [ENTSZIl ' o. ice O m G y o O x d M TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENNAR Z @Vmq Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802---- Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Exanuned ��-q 20_j02 Contact: Approved 3�ig 20 03 Mail to: Disapproved a/c Phone: Expiration 01 Building Inspector APPLICATION FOR BUILDING PERMIT Date 4 /6 20 b -_ INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 all applicable laws, ordinances, building code,housing code, and regulations,and to admit authorized inspectors on prernises and in building for necessary inspections. ,SL/'1✓vbY/� 9CLr7ADhi.CK-i FtA J0 Gf S�f (Signature of applicant or name,if a corporation) OCCUPANCY OR .5C5y //VD/14l✓ r✓cck-im JJAccaln USE IS UNLAWFUL (Mailing address of applicant) WITHOUT CERTIFICATE Ny " J3 � State whether applicant is owner, lesoy, K194T, engineer, general contractor, electrician, plumber or builder PROVED AS NOTED DAM .3 03 i X9/97 Name of owner of premises IYA C S 0&10/ (As on the tax roll or lat UILDING DE ARTMENT AT If applicant is a corporation, signature of duly authorized officer 765.1602 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS; (Name and title of corporate officer) 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Builders License No. 7 V/y — 2. ROUGH - FRAMING 3 PLUMBING & INSULATION Plumbers License No. 4 FINAL - CONSTRUCTION MUST Electricians License No. BE COMPLETE FOR C.O. Other Trade's License No. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, 1. Location of land on which proposed work will be done: STATE CONSTRUCTION d ENERGY CODES. NOT RESPONSIBLE FOR --565-5- -Ilyeb/q d� /Ye CO- �W DESIDN OR CON�TRUCTIDN EopARS House Number Street Hamlet County Tax Map No. 1000 Section 916 Block t)6 Lot tf Subdivision Filed Map No. .Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 61 ze b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition V Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost G/ Oar pa Fee j5'O (To be paid on filing this application) 5. If dwelling,number of dwelling units J 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 Rear Depth Height ze flexr✓L4 Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth s e" s"r rz y Height Number of Stories 8. Dimensions of entire ne construction: Front Rear Depth Height 'S K,- " Number of Stories 9. Size of lot: Front Rear Depth .3C 0 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 14. Names of Owner of premises YAc c; GfS/Ya*096dress Phone No. Name of Architect �F.EQ03r—y Address Phone No Name of Contractor Saor✓Orf/.etrx)os Sir 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 on survey. STATE OF NEW YORK) SS: COUNTY OF; )� ; „1 being duly sworn, deposes and says that (s)he is the applicant (Name of inekvidudt above named, (S)He it"tqe (Contractor,Agent, Corporate Officer, etc.) of said Lowner.or oawne£s,,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 perforTledid tlie:tnimin r set forth in the application filed therewith. sworn io befoir`ne this Y`of / 20(� tit Ohw �Z' i2Li 1 d`fary `blic Signature of Applicant ELIZABETH A STATHIS NOTARY PUBLIC,State of New York No.01 ST6008173,Suffolk County Terre Expires June 8,20L? R• O w 94 D , FMON 2p, IDP DI - W p 81 3FND 15.9 WIPES MON O. N• 2.0'S IPE h I O m 0 M O SURVEY OF 1 PROPERTY A T PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. IN i 1000 - 86 - 06 - 14 0 $ Scale 1" = 40' W I Q May 21, 1990 i Max w, 2002, (Pr-,p ca m C. S A' �(�.{ z4.z' NAND 1 W CONC PUMP l() WA[ - ' 6 N/ STORY TEP , NO SE n CHIM AREA = 32,977 sq. ft. IA.I a.a• lo.r W) O o ri O m m FND FND Z\ 0,W MON !.O'W O NN P P 46-274 6 24 27' 20 VII �L 09W S 180.681 5 5 30 39' 40 R O A l) IN EPIAN N GK CERTIFIED TO : SECURITY TITLE & GUARANTEE COMPANY JACK J GISMONOI CHRISTINE GISMONDI Prepared in accordance with the minimum ttsndards for title surveys as L. establishedFNFW by the I.A.LS and approved and adopted For such use by The New York Stats Land �o�a*• weric O� Title Association. rP N .S. LIC NO 0 -V, pn 0 TYPICAL DECK WIND UPLIFT REQUIREMENTS OLL HEADER GIRDER CONNEC710Ns: USE THE FOLLOWING USP BRAND OR APPROVED EQUAL GALVINIZED �IEIIOE! LIFT METAL CONNECTORS WITH THE RECOMENDED FASTNERS AND "& N BPAN b�. INSTALLATION BY MANUFACTURE. 6' 1400PRODUCT DESCRIPTION UPLIFT GALV.MINIMUM 20' a' Isis NUMBER ft. FASTNER REQUIRED b' 2M1 4x4 POST:(12)16d COM.NAIL I' pan PeS44 POST CAP 1815 BEASM 1 18d COM.NAIL b' &M 4x4 POST.(S)15d COM.NAIL 20' W PBSE44 END POST CAP 1430 BEAM: 8 18d COM.NAIL 10, KC44 4x4 COLUMN CAP 3286 �(2)5W BOLTS w 30 , POSTICOLUMN: Off DIA.BOLTS b 1310 ,�, a' 3001 10' W01 PAU44 4x4 2240 FOOTING114M 6181111 ANCHOR BOLT 12' 4621 POST ANCHOR POSTIGIRDER 1 18d COMMON NAILS 4x4 WET POST ANCHOR COLUMN BASE 9585 POSTIGIRDER 117'DIA.BOLTS UPLFT CONNECTNM FOR: KCB44 44 COLUMN BASE 5660 WET POST ANCHOR POSTI08iDER TS J0WWTO-0 /HEADER •a T11N SPAN CAPI MEOW= PBS88 8x8 1815 POST:(12)18d COM.NAIL e. POST CAP : 1 18d COM.NAIL ,o n' 471 bL 4 PW.'(8)16d COM.NAIL w am bw a �� END POST CAP 14308 18d COM.NAIL �. ZY 626 ba. S 8x8 (2)618'BOLTS 'e T4' 71i bw 6 KCC88 COLUMN CAP 5225 POST UMN: 4)518'DIA.BOLTS be. 7 TYPICAL WCK jr 071 bw a PAM 8x8 2350 F 65'x1 ANCHOR BOLT N.T.S. 3i' TIO ba. POST ANCHOR POST 12 15d COMMON NAILS 8x8 WET POST ANCHOR CK-66 COLUMN BASE 9570 POSTlWRDER 1lr DIA.BOLTS 8x8 WET POST ANCHOR KC888 COLUMN BASE 5840 POST 518'DIA.BOLTS �. •- RT10 TY-DOWN JOIST:(e)6d COMMON NAILS ANCHOR 566 HE/ ER 8 Sd COMMON NAILS TY-DOWNJOIST:(9)1dr1-1IZ NAILSRT20 ANCHOR 1105 HEADERK4IRDER: 4 10d COMMON NAILS s � INSTALLATION NOTES: "L 1).ALL POSTS TO BE ANCHORED TO FOOTING OR PIER WITH POST ANCHOR 2�HEADER 8 GIRDER CONNECTIONS TO BE ATTACHED TO EACH POST WITH POST CAP a ` N 3).EACH JOIST TO BE ANCHORED TO GIRDER OR HEADER WITH TY-DOWN STRAPS. �� JOIST HANGERS TO BE ATTACHED TO A PT LEDGER BOARD THAT IS TO BE BOLTED TO BLDG. L)(, l s ri4YG- Rouse 1-l0 L 10-C R cc* 2- S Folsrs CC* �Ixy Posr cc 2-2X1'0 Glut-bE1t CG.4 - X. ToP. ASS c 2x 10 LED -EK CCA s E 2 x 8 JOICTS Ccg ! r j i; 4 l�ovsc E � JD/STSG E ; j s; r• wRnER, E ( 2-2) 10 GIRDER Cog y � ' k { 6OLTS At post ANCHOR r - f " 1304T - #ub y' ` W 3 576-10dOA//2 DC-CK. i K. SACK. GISMON�f �( 6w/ u//NYS6L _1 O 00 - 86 Oro - /4 � P `�l � 6 55 �t✓F R i S I�V,DIAAt a o, PCCOVIC I or Cour"VLD