The URL can be used to link to this page

Home My WebLink About26178-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27677 Date: 05/14/01 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 7800 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 11 Lot 15 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 1999 pursuant to which Building Permit No. 26178-Z dated NOVEMBER 23, 1999 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 ADDITIONS & ALTERATIONS TO EXISTING "PRINCIPAL" SINGLE FAMILY DWELLING AS APPLIED FOR. · ~he certificate is issued to STEVEN D & SUSAN F BLOOM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~a_LTH APPROVAL ELEC~RICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 03 / 07 / 01 N/A N-555697 04/11/01 MATTITUCK PLI/MB.&HEATING Signature Rev. 1/81 FOR~ NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26178 Z Date NOVEMBER 23~ 1999 Permission is hereby granted to: STEVEN D & SUSAN F BLOOM 7800 GREAT PECONIC BAY BLVD NEW YORK~NY 10028 for : CONSTRUCTION OF ADDITIONS & ALTERATIONS FOR THE EXISTING ,'PRINCIPAL" SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 126 Block pursuant to application dated OCTOBER 28 1999 Building Inspector. 7800 GREAT PECONIC BAY BLVD LAUREL 0011 Lot No. 015 and approved by the Fee $ 695.00 Authorized Signature Rev. 2/19/98 ORIGINAL This application must be filled in bF typewriter .DR ink and submiuued :s :he ouil!ing inspector with the following: for new building 3r new use: Final survey of property ~ich saturate location of al! bui!din~s, pr~per~7 lites, Final Approval from ~eai~h Dept. of wa~er supply and sewerage-disposal(S-{ form). Approval of electrical insca!iacion from 3card of ~:ra ~naerwriters. 4 Sworn statement from plumoer cerzifyin§ :hac :aa solder used in sFscem conca~ns less than 2/!0 of !% lead. 5. Commercial building, industrial ~mi!ding, nui~ipie residences and szmiiar buildings and-installations, a cer~iflca~e of Code %cmplianca from architect or engiseer responsible for the ~uildin~. 6. Submi~ Planning Board Approval of completed si~e plan raqulremen~s. For existing bud!dinEs (prior ~o April 9, 1957) aon-conformlng uses, or buildings ~nd "pre-existing" land uses: L. Accurate su~ey of property shcwln~ ali propert7 lanes, stree~s, buildin~ and unusual nanural or topographic features. 2. A properly completed application and a consent ~o inspecn signed by :he applican:. If a Certificate of 0ccupanc7 is denied, the 3ui!Jlng inspector shall scans reasons therefor in wr!~ing to the applicant. ' i. Certificate of Occupancy - )few dwellin§ $25.00, Additions A!~erations to dwelling ~o.00, ~wlmman§ ?col ~.00, Ac:assory~uk .... ~n~¢ ~-5.00, Additions to accassor7 buildin§ 2. Certificate of Occupancy on ?re-exlstin~ 3ui!dlns - 3. Copy of Certificate of Occupancy - .25c ~=. Updated Certificate of Occupancy - 5. Temporar7 Car:ifica~a of Occupancy- tesiden~ia! SLb.00, ~omme~ ..... $1o.00- ~a~s ... h~¢..~.~...z~.. ! .................... ~ew Conseruce~on ......... .. Old Or ~e ~ ...... .x_~_ng; Bu!id±ng...~ ............. ~o~on o~ ~ro~=~.2..~)..?~X~X.~..C~...~\~ .................. ~*.~e.~ ........ ~ouse No. S~rae~ Ha~e~ o=~ o~ o~ o~ ~o~=~ ~..~.~~...~~ ...................... co~ ~= ~p ~o ~ooo, s~=~o,..[~.G ....... ;~o~ .... I.~ .......... ~o~...1~1 ............... Planning 3card Approval ........................ Kaques~ f~r: Temporary Car=ifica~e ........... Fine_ ,]er=i~a:e..X ...... ¢..~, S~l WT~,'I ..~~:-....-~.. ........ Tuwn H~II, §,"lO,q,~ Mahl t'lo~d P. O. Box 1179 Soullmld, New York t OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD ,,CERTIFICATION DA'~E: ~_7/o/ ! certify tltat the so]der used contains less than 2/10 o£ 2% the water supp].y system lead. sworn to before me this Notary Public~ /~__ Term E~ir~~ County 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~JL~TIoN [[ ]] ~iR~;pI;;cE & CHIMNEY[ ~''FINAL REMARKS: ~ jDATE RI;PORT DATE ~DAT ION (2ND) FRAME. & PLUM~ING ULATION PER N. Y. STATE ENERGY CODE ii ADDITIONAL COI~MENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]~UGH PLBG. [ ] FOUNDATION 2ND [~'] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION2ND [ ] INSULATION [ ]~FRAMING ~ [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: [ ~ROUGH PLBG. ~ DATE INSPECTOR THE NEW YORK BOARD 'OF FIRE.'UNDERWRITERS BUREAU OF ELECTRIC, ITY, ~ 40 FULTON STREET~ NEW YORK~ NY 10038 Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of HR. & HRS. BLOOM, PECONIC BAY ~3VD., MA~TI?i~CK~ in the following location; [] Basement [] ]st FL [] 2nd Fl. 0[[[' Section Block Lot was examined on AP~IIL 04 t 2001 and found to be in compliance with the National Electrical Code. OUTLETS RECEFrACLES 57 59 DEYEES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT OTHER FUTURE APPLIANCE FEEDERS SPECIAL SEC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUS: PADDLE FA~S--7 P~OARDS~l-17 CIR. 50 NO. O~= CC COND. PER · OF CC, COND 4/O NO, OF HI-LEG NO, OF NEUTRALS OF NEUTRAL .% 2/0 JIH SAGE FJ[;~7C. ~NC. PO BOX 38 GREENPORT, NY, I194470038 LIC~ #3635E GENERAL MANAGER ' Per This codlflcate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be identified b COPY FOR BUILDING DEPARTMENT., THIS COPY OF CERTIFICATE [~'~ST~,~ NOT, BE 'ALTERED IN Inspector: Iss~ Date: 115 ~GFI, 2-Singte Recegtacles, FAIRWEATHER-BROWN DESIGN ASSOCIATES, INC. P.O. Box 521 413 Main Street Greenport, N.Y. 11944 631-477-9752 (fax) 631-477-0973 October 3, 2000 Mr. Gary Fish, Building Inspector Town of Southold Building Dept. Southold Town Hall Main Road Southold, N.Y. 11971 Re~ Bloom Residence 7800 Peconic Bay Blvd. Laurel, NY Building Permit #: 26178 Dear Mr. Fish: Based on my inspection of the existing rafters at the dormers of the above referenced project, and the additional support work done under our supervision~ I believe the structure is adequate for the loads to be incurred. I have also inspected the vent holes provided in the rafters of the entry area cross-gable, and believe they will provide proper ventilation for the roof structure. If you have any further questions, please do not hesitate to contact me. Thank you for your attention to this matter. Sincerely, Robert I. Brown, A.I.A. RIB/kts 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] F~NDATION 2ND [~,/] FRAMING [ '~R~)UGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK DATE INSPECTOR .765-1802 BUILDING DEPT. I~NSPECTION ii ON;uG;A L;NG' [ ] FRAMI~ [ ] FINAL [ ] FIREP~E &/?l~/~,MNEY INSPE~ 765-~.802 BUILDING DEPT. INSPECTION [ ] ~FO/UNDATION l ST [ [ ~'"FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL 765-1802 BUILDING DEPT. //iNSPECTION [/~] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC~ &,C~E~ Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 S~uihold, New York 11971 Telephone (516) 765-18q2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DETERMINATION OF NON-JURISDICTION November 10, 1999 DATE: Fairweather / Brown AGENT: ADDRESS: P.O. Box 521 Greenport, NY 11944 APPLICANT: ADDRESS: S. Bloom PHONE: PHONE: RE: SCTM# 126-11-15 The Southold Town Board of Trustees reviewed the survey dated and received in our office on Nov. 10, 1999 and determined that your prpposal to Construction of a second floor renovation and first floor renovation plan , to be out of the Trustee Wetland Jurisd{ction under Chapter 97. However, any activity within 75' of the Wetland line requires a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely,. Albert J. Krupski, Jr. President, Board of Trustees Energy Calculations Bloom GROUND FLOOR SQUARE FOOTAGE GROUND FLOOR WALLS DOOR (1/2 GLASS) existing single glazed new Doors WINDOWS NET WALL FIRST FLOOR gross SQ' 2289.00 2210.00 20.01 157.94 526.19 1505.86 SECOND FLOOR SQUARE FOOTAGE (NEW) WALLS WINDOWS DOORS NET WALLS SECOND FLOOR ROOF 1433.00 1806.75 484,12 40.98 1281.65 2289.00 FIRST FLOOR SF U" RATING 6-3 FLOOR R 22 2289 0.045 11 6-1 NET WALL R 15 1506 0.066 142 6-1 GL 526 0.32 -88 6-1 DOOR 158 0.32 -31 6-I Old Door 20 0.67 -16 SECOND FLOOR 6-1 NET WALL R 15 1282 6~1 GL 484 6-1 DOOR 41 6-3 ROOF R 30 2289 0.066 0.32 0.32 0.033 113 -88 -4 33 TOTAL 72 FORM NO. TOI/N OF SOUTHOLD BUILDING DEPARTHRHT TOIOI HALL SOUTlt0LD, NoY. T~L: 765-1802 g. vaml ned ................. , 19 .... / ~r~M ....... t~:.z..9. ..... ,9.q. fl pc=at ~. ~...7. g~- Uisapp~t~ed ale ............ (Building Inspector) ~ICATIOH FOE BUILDING PERHIT INSTRUCTIONS BOARD OF DEALTIt ............... 3 SETS OF PLAHS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: CALL ............... ltAIL TO: ................. a. Tals application mint be c~mpletely filled in by typewriter or in ink and submitted to the l~dlding Inspector 3 sets of plms, accurate plot plas to scale. Fee according to schedule. b. Plot plas da~wlng location of lot and of buildings on premises, relatiasship to adjoining premises or public srseers or areas, and giving a detailed description of layout of property u~st be drmm on the diagram ~hich is part of this application. c. The ~ork covered by ~his application may not be ccaeenced before issuance of Building Permit. .d. Upon approval of this application, the Building Inspector will issue a Building Penuit to the applicant. SUdt permit shall be kept on the premises available for lt~tlOtl throtlg~ 1~ ~ark. e. ~b building ~hall be occupied or used in xdaole or in part for any Ixwpose ~?aatever until a Certificate of OeaqmseY ahall ha~ been granted by the Building Inspaetor. AFPLICATI(II IS ~¥ ~ to the Building Delmrtamnt for the issuance of a Building PenMt pursuant to the Building Zo~ Ordinance of the To~n of Southold, Suffolk County, ~ York, and other applicable La~s, Ordinasee$ or Regulations~ for the construction of buildings, additions or alterations~ or for r~oval or demalition, as herein described. ~he applicant agrees to comply with all applicable la~a, ordinmmes, building code, housing ende, and regulations, and to aclmlt anthorizM inspectors on premisea and in building- . State ~bether applicant is oaner, lassee~ ~, architect, engineer, general contract°r, electrlcian, plt~ber or beilder ................................. ................... ~ of ~ of pr~ise~ ...~.. ............. " /~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (li~e and title of corporate officer) Builders License !io .......................... Pl~bers License l/o .......................... Eleetriei~s License l~b ...................... Other Tr~de's Licemse ~ ..................... I. ~ti~ of 1~ ~ ~i~ ~ ~ ~11 ~ ~ .................................. .... .... ....... ................................................................ ~ ~r ~ ~et ~ ~ ~ ~. I~ ~ti~ ..... BI~ ....... ~t ~ivisi~ ...................................... Film ~ ~ ................ I~t ............... (~) 2. State ~sti~ a. ~sti~ ~ ~ ~ -.~'~"~/~'~~i',L5' :"": ...... } .............. . . ...... I0. II. 12. 14. 15. ~ture o£ wor~ ~cl~ ~lch appl[lcable): Ne~ ~ildi~ .......... ~iti~ ...... Atterati~ ........ ~i ' ' r ............ ~ ~· ~ ~ ~ripti~) Esth~t~ ~st ....... ~ ........ ......... f~ .............................................. ~ (to ~ ~id ~ fili~ this a~li~ti~) ~ /. I~ ~lli~, ~r o~ ~lli~ onits .......... ~r o~ ~llt~ ~its ~ e~ ~r ................ I~ ~rage, ~r of ~rs · If ~i~ss, ~rcial or ~ ~, ~i~ ~re ~ ~tenC o~ e~ ~ og ~ ...................... · · ' ' ~' ~'~" .~a'.{~'.. Di~nsi~s o[ ~sC~ st~m~s, if ~: ~t...~..? ....... ~ ...~ .......... ~pth ..... I~t ........................ .. Di~i~ o~ alteratl~s o~ltl~s. ~t ............... ~ar ............... ~pt~, ....i~.~ ........ ~i~,t ..~¢:::~.a~aL.. ~ o~ s~o~i~, .~ ........... Di~nsi~ og entire ~ ~st~t~: ~t .... ~ ........ ~ar ............. ~/ ; . ~i~ ...~..~ ............. ,. ~ o~ s,o~,~, .... ~ .............. , ~,~ o~ ~o~. ~ .~..~. .......... ~ ...~ ............... ~h .~/. ........ ..... .............. ....... ............................. .... .. . . ~'~ ............... ~ or ~ district in ~1~ p~l~s a~ sz~t~ ..~ ........................................... ~s ~o~ ~t~ti~ violbte a~ ~i~ 1~, o~i~ ~ r~lati~: . .~ ................... ~111 lot ~ ~ o~ ~ o~ ~, a/~.~..~l~... ~se .............................. ~ ~ .............. ................ ....... ~ o~ ~tr~tor ................................... ~ress ............................... R~ ~ .............. Is ~is p~r~g~in ~ f~ oE a ti~l~tl~l * ~ .~ ...... ~ .......... : PLOT D][AGRAH l~cate clearly and distinctly a i1 buildings, ~nefl~er existin~ or proposed, and indicate all set-back dimensiou,9 frc~ property lines. Give street and block n~r or description according to deed, and sho~ street r~nes and indicate ~hefl~er interior or corner lot. · ~FA'IE OF I~ ]l~Rl(, (~ of q~w~l si~i,,g e~tract) ~ ~e ..................... : ......... ~ ................................................ (~tractor, ~c~ra~e offxcer, ete.~ of ~id ~r or ~rs, ~ is ~ly ~tl~ri~ to ~rfo~ or I~ ~rfo~ ~m ~id~ m~ tom~ ~ file this a~l. lcation; ~st at1 stat~nts c~tii~ in O~is a~l. lcati~ are t~ to ~e ~st of his ~1~ a~ ~liefi a~ that tim ~rk will ~ ~rfo~ in tl~ ~mmr ~t forth in ~e a~li~ti~ fil~ t~. Barry B. Hovlok __~,.. tiC, REAL ESTAIE BI~DKER REALTY ,~]16-7~J,-~,~7 31855 MAIN ROAD FAX: 516.734-7955