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HomeMy WebLinkAbout26366-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27241 Date: 08/10/00 THIS CERTIFIES that the building ADDITION Location of Property: 1375 PECONIC LA pECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 75 Block 5 Lot 1 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 16, 2000 pursuant to which Building Permit No. 26366-Z dated MARCH 1, 2000 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 ADDITION AND REPAIRS TO AN EXISTING AGRICULTURAL STORAGE BUILDING AS APPLIED FOR. The certificate is issued to REYNOLD BLUM of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A ~or ~'d S ~gnature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26366 Z Date MARCH id 2000 Permission is hereby granted to: REYNOLD BLUM PO BOX 709 CUTCHOGUE~NY 11935 for : CONSTRUCTION OF AN ADDITION AND REPAIRS TO AN EXISTING AGRICULTURAL STORAGE BUILDING AS APPLIED FOR. at premises located at 1375 County Tax Map No. 473889 Section 075 pursuant to application dated FEBRUARY Building Inspector. PECONIC LA PECONIC Block 0005 Lot No. 001 16, 2000 and approved by the Fee $ 50.00 Authored Signature Rev. 2/19/98 ORIGINAL TOWN O'F SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of ali buildings, property linea 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 buildiqs, industrial building, multiple residences and similar buildi 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 a Ppre-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 a consent to inspect signed by the app If a Certificate of Occupancy is denied, the Building Inspe~ reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions t¢ Alterations to dwelling $25.00, Swimming pool $25.00, Access( Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existinK Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. House No. Street Hamlet Onwer or Owners of Property ................................................... County Tax Map No 1000, Section....~?$' .Block ..... ~ Lot ../... Subdivision .............................. · . . . . . Filed Map ....... .....Lot ................... Permit No...~ f ..... Date Of Permit.. ~ ...... Applicant..~/..>'.~.?C~.... ~.~-~.~ ...... Health Dept. Approval ..... ~./~Z~. ................. Underwriters Approval ..................... .~..~.~. Planning Board Approval....~../.~ ................. Request for: Temporary Certificate ........... Final Certicate ........... ! 5' ...... ................ L$~25 . 00, ~$25.00, CONSULTING ~NGINEERS . PLANNERS '1 7675 COX LANE , P.O. BOX 1033 C_UTCHOGUE, NY 11935 (516~ 734-7492 July 26 2000 Ray Blum Penonic Bay Vineyards Box 709 Main Road Cutchogue NY 11935 Re: Barn Extension Constr, uction Peconic Lane Peconic NY 11958 Ray: Observation of barn extension roof construction, 2" x 6" roof rafters 16" o/c will support a live load and dead load of 45 lbs. per square foot. the It was noted that the collar beams were attached to the roof rafters with bolts which gives the structure additional support. Sincerely, Warren A. Sambach Sr. P.E. enc1. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN O1' SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 July 27, 2000 Reymold Blum P.O. Box 151 Peconic, NY 11958 RE: 1375 Peconic Lane, Peconic. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. .(All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 26366-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~Iq~PECT ION REPORT FOUNDATION COMMENTS DATE FOUNDATION (2ND) ROUC~ FRANE & PLUI~ING INSULATION PER N. Y. STATE ENgRGY CODE FINAL Ti II II ii fl fl ADDITIONAL C01~IENTS: FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25535 Date: 02/10/98 THIS CERTIFIES that the building DWELLING Location of Property 1375 PECONIC LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 075 Block 0005 Lot 001 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 25535 dated FEBRUARY 10, 1998 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 ONE FAMILY DWELLING WITH ACCESSORY STRUCTURES * The certificate is issued to JOHN WILLIAM NIERODZIK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ~d'/ing i~/~ec~t or Rev. 1/81 BUILDING DEPAR~T4ENT TOWN OF SOUTEOLD BOUSING CODE INSPECTION REPORT LOCATION: 1375 PECONIC LA SOUTHOLD SUBDIVISION: MAP NO.: -- LOT (S) -- N~4E OF OWNER (S) : JOHN WILLIAM NIERODZIK OCCUPANCY: SINGLE FAMILY ADMITTED BY: ~AN DROBNY KEY AVAILABLE: SUFF, CO, TAX MAP NO.: 75~-5-1 SOURCE OF REQUEST: CAMINITI & GIBBONS. ATTYS JOHN WILLIAM NIERODZIK ACCOMPANIED BY: SAME DWELLING: TYPE OF CONSTRUCTION: WOOD FR~E FOUNDATION: BLO~ TOTAL ROOMS: 1ST FLR.: 4 BATHROOM(S): 2.0 PORCH TYPE: * BREEZEWAY: DOMESTIC HO~ATER: YES TYPE HEAT: OIL WARM AIR: OTHER: *COVERED ENCLOSED PORCH UNHEATED. 2ND FLR.: ~ TOILET ROOM(S): DECK TYPE: FIREPLACE: ~O TYPE HEATER: GAS HOTWATER: CELLAR: 1/2 CRAWL SPACE: 1/2 UTILITY ROOM(S): YES PATIO TYPE: GARAGE: AIRCONDITIONING: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FP~AME STORAGE, TYPE CONST.: ~OOD FRAME SWIPING POOL: GUEST, TYPE CONST.: OTEER~ BARNS (SEE BELOW) VIOLATIONS LQCATION CHAPTER 45 N.Y. STATE UNIFOP~4 FIRE PREVENTION & BUILDING CODE DEECRIPTION I BUILDING # 1 - ROOF REPAIR NEEDED BUILDING #2 - POOR CONDITION BUILDING #3 - POOR CONDITION BUILDING #4 - POOR CONDITION BUILDING #5 - FAIR CONDITION BUILDING #6 - FAIR CONDITION CLEAN'UP REQUIRED: VEHICLES & MACHINERY) REMARKS: REINSPECTED ON 2/9/98 DATE ON INSPECTION: 01/16/98 TIME START: 10:25 AM END: 11:45 AM 765-1802 BUILDING DEPT. NSPECTION [ ~]/FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR ~/~ '~/~/~ FORH NO. TOI~I OF SOUTHOLD BUILDING DEPARTI4ENT TO~N HALL SOUTHOLD, N.Y. 1197 I TEL: 765-1802 BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOPaXi ................... NOTIFY: CALL .................. PL~IL TO: .................... Disapproved a/c . l[-'~ [;) 11~', ~' ~' :, .... ~ . ~ ...... ~'x- .......... f~ ~. ~. !"' ,2 ':-' ' ' ~ / (P~ailding Inep~ct~) ~': L, '; ~g t 6 ~ '"~ APPLICATION FOR BUILDING PE~[T a. '~is a~llmtlm ~t ~ ~letely fill~ in ~ ~iter or in i~ ~ ~irr~ to ~ ~ildiag Ins~ctor ~ ~ta of pl~, ~ate plot pl~ m ~ale. ~ ac~i~ ro ~le. b. PloC pl~ ~ lmtim of lot ~ of ~ildi~s m ~s, ~lation~ip to ~joini~ pr~s ar ~lic struts or ~e~, ~ givi~ a ~il~ ~ripri~ of l~t of pm~ ~t ~ dr~ ~ ~e diem ~ich is ~rt of this ~liatim. c. ~ ~ ~ ~ ~is a~licatim ~ mt ~ ~ ~fore isle of ~ildi~ Pemit. d. U~ ~al of ~is a~li~ti~, t~ ~ildi~ Im~cCor x~ll is~ a ~ildiag Pemir to the apptic~r. ~t all ~.~pt ~ ~ ~s ~il~le for i~ti~ ~mt ae x~rk. e. ~ildi~ ~II ~ ~i~ in~leor inert for ~~at~er ~tll a~rtlficaCe of ~m~ ~all h~ ~n ~t~ ~ ~ ~ildi~ ~tor. ~I~I~ IS ~ ~ to t~ ~i]di~ ~nt for ~e isle o~ a ~ilding Pe~t ~rsmt to the ~ildi~ ~ ~i~ of ~ ~ of ~ld, ~ffolk ~, ~ Yo~, ~ other a~li~le ~s, ~di~es or ~lati~, for ~ mt~tim of ~ildi~, ~iti~s or alterari~s, or for ~al or ~liti~, ~ ~rein ~ri~. ~ a~li~t ~s to ~ly ~ all ~li~le l~s, ordi~es, ~ildlng c~, ~i~ c~e, ....................... (Si~e 6f a~llc~t, or ~, if a ~rati~) State ~etl~r applicant is o~r, lessee, agent, architect, angineer,' general contractor, electrician, plmt~r or builder d ............................................................... (a ~ ~ t~ mi1 ar latest ~) If ~licat is a ~rati~, siva of ~ly mt~ri~ officer. (Na~e and title of corporate officer) l~ilders License No .......... Plumbers License No ........ Electricians Licenee NO ................. Other Trede's l~cemse NO ..................... I. ~ti~ of 1~ ~ ~i~ ~ ~rk ~ill h ................................................................ ~f~ ~~ //?f~ ............... ~ ~r St~t ~ ~ ~ ~. ~ ~ti~ .... 3.~?.-- ...... ~ ~- ~t / , ~ivisi~ ............. Fil~ ~p ~ ................ (~) 2. State ~sti~ ~ ~ ~ of ~i~s ~ int~ ~ ~ ~ of pro~ c~stmcti~: a. ~sti~ ~ ~ ~ .............................................................. b. ~t~ ~ ~ ~ ........... 3. I~ture o£ ~ork (cl~ck ~fich appllcahle): ge~ l~dlding .......... ~i~i~ ........ Alteration .......... ~ir ...... ~al ......... I~1 iti~ .......... Otl~r ~ ...... Esti~mtal ~s ~ ........ f~ ........................... (to ~ ~id ~ filing this a~ticati~) If ~lli~, asi~r of ~lli~ ~mlts ............ ~r of ~lling mits ~ ea~ ~r ................ I[ garage, ~r of car~ ..................................... If I~i~ss, ~rcial or ~ ~, ~ci~ ~ture ~ ~tent of ea~ Di~nsi~s of ~ stricture m(h alterag~s or ~i~ions: ~t~..~. ~pth .... Z~..~ .... ~l~t ..Z~ .............. ~r o~ Stories ..~ .......... Di,~nsi~ o~ entire ~ : ' ~ / ~ ~ .... ~p~v.;.~.~. l~i~t ...... Z~ .............. ~ ~r of Stories .... { ................ Si~ of lot: t~t ../ ........ ~ ........ ~ar .................... ~pth .................... ~te of ~rcha~ .. ~ of Four ~r 7~ or u~ district in ~id~ p~s a~ slat~ ~s ~o~l c~C~ti~ violate any ~i~ 1~, o~i~e or r~lati~: .... ~.~ .............. Will lot ~ r~ ~0 m ~ of Arddt~t ............. i .................... ~res~ .................. ~ of C~tr~tor ............ ~ ~ress 15. Is this p~rty ~ithin ~ ~ of a ti&l ~tl~? * ~ .......... ~ ......... i PLOT DIAGRA~ l~ate clearly ~ disti~ly ail ~ildi~s, ~r ~isti~ or ~, ~ i~i~te all ~t-~ d~si~s ~ pm~r~ li~s. Gi~ st~t ~lbl~k ~r or ~scripti~ ~co~i~ to ~, a~ ~ strut ~s ~1 i~icate M~tl~r interior or co~r lot. i · .. , ....................................... being duly s~om, deposes a~ (~ of i~[vld~l signing c~tract) a~ ~, lb is the ....... ' ............................................................................ .............. (C~tractor, agent, ~r~rate officer, etc.) of ~id ~r or ~rs, a~l is duly athorlz~ to ~rfom or h~ ~rfo~ ~m ~id ~ m~ to ~ke ~ file this a~l. icati~; timt all stat~nts c~t~i~ in this a~llcati~ a~ t~ to ~e ~st of his ~1~ that the ~rk will I~ ~rfom~l in tlm~ ~m~r ~t forO~ in ~e a~licati~ film ~a. ~m tp t~fore ~ this No. 01BOa02093a Oua,fled In Su~01k ~u~ Term ~plres Uarch 8,===2~ ~ SURVEY Ot~ Pi~,OPEt~TY SITUATE.. Pt=CONIC TOhlN Ol~ SOUTHOLO SUFFOLK COUNTY, blt PETAIL ~Ut~t~OLK, OOUNT'v TAX MAt=' I000 'tS ~ I ~t~¥NOLP DLUh4 GRAPHIC SCALE JOHN C, EHLERS LAND SURVEYOR 6 EAST MAIN STREET ~°24~0"H lID.14' N Y.S LIC I..50.00' LAND NOW Or& NO 50202